International Journal of Public Health最新文献

Polypharmacy in Older Adults: The Hazard of Hospitalization and Mortality is Mediated by Potentially Inappropriate Prescriptions, Findings From the Moli-sani Study. 老年人使用多种药物：莫利-萨尼研究发现：潜在的不当处方对住院和死亡的危害具有中介作用。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-24 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607682

Simona Costanzo, Augusto Di Castelnuovo, Teresa Panzera, Amalia De Curtis, Stefania Falciglia, Mariarosaria Persichillo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello

{"title":"Polypharmacy in Older Adults: The Hazard of Hospitalization and Mortality is Mediated by Potentially Inappropriate Prescriptions, Findings From the Moli-sani Study.","authors":"Simona Costanzo, Augusto Di Castelnuovo, Teresa Panzera, Amalia De Curtis, Stefania Falciglia, Mariarosaria Persichillo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello","doi":"10.3389/ijph.2024.1607682","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607682","url":null,"abstract":"Objectives: We evaluated the impact of polypharmacy on the health of community-dwelling older adults.Methods: We prospectively analyzed 5,631 individuals from the Moli-sani study (51% men, aged ≥65 years, recruitment 2005-2010, follow-up 2005-2020). Exposure was categorized as chronic polypharmacy therapy (C-PT; ≥5 therapeutic groups and >2 defined daily doses (DDDs)) or non-chronic polypharmacy therapy (NC-PT; polypharmacy but ≤2 DDDs). Hospitalization and mortality were the main outcomes. The mediating role of potentially inappropriate prescriptions (PIP) was examined.Results: Compared to individuals not on polypharmacy, those in NC-PT and C-PT had higher hazards of mortality [21% (95% CI 7%-37%) and 30% (16%-46%), respectively] and hospitalization [39% (28%-51%) and 61% (49%-75%), respectively]. Similar results were found for cardiovascular outcomes. PIP mediated the association between polypharmacy and outcomes, with mediation effects ranging from 13.6% for mortality to 6.0% for hospitalization. Older adults without multimorbidity experienced the same harm from multiple medications as those with multimorbidity.Conclusion: Polypharmacy is associated with a higher hazard of mortality and hospitalization, with PIP playing an important role. Addressing \"medication without harm\" requires assessing the appropriateness of drug prescriptions and monitoring for adverse effects.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11540657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Navigating Communication in Nursing Homes During COVID-19: Perspectives From Families, Healthcare Professionals, and Managers in Southern Switzerland-A Qualitative Study. COVID-19 期间养老院中的沟通导航：瑞士南部家属、医护人员和管理人员的观点--一项定性研究》（Perspectives From Families, Healthcare Professionals, and Managers in Southern Switzerland-A Qualitative Study）。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606583

Sheila Bernardi, Maddalena Fiordelli, Sara Rubinelli, Viviana Spagnoli, Roberto Malacrida, Graziano Martignoni

{"title":"Navigating Communication in Nursing Homes During COVID-19: Perspectives From Families, Healthcare Professionals, and Managers in Southern Switzerland-A Qualitative Study.","authors":"Sheila Bernardi, Maddalena Fiordelli, Sara Rubinelli, Viviana Spagnoli, Roberto Malacrida, Graziano Martignoni","doi":"10.3389/ijph.2024.1606583","DOIUrl":"10.3389/ijph.2024.1606583","url":null,"abstract":"Objectives: This study aims to understand the effectiveness and challenges of communication strategies implemented to maintain contact between nursing home (NH) residents and their families during the COVID-19 pandemic, by considering the perspectives of families, healthcare professionals, and NH managers.Methods: Using a qualitative research design, the study analyzed in-depth semi-structured interviews with key stakeholders (N = 34), including family members, NH staff, and managers.Results: The study found that communication strategies like video calls, telephone calls, and window visits were generally appreciated and facilitated contact between residents and their families. However, challenges emerged around technical and organizational issues. Both internal and external stakeholders concurred that an increase in technological and human resources was necessary to alleviate these challenges.Conclusion: The study underscores the importance of innovative and flexible communication strategies to sustain connections between NH residents and their families in crises such as the COVID-19 pandemic. Future readiness calls for increased investment in human and technical resources, and a commitment to understanding and addressing the diverse communication needs of NH residents.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11535700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Time to Act for Clean Air for All in the WHO Eastern Mediterranean Region; Strategic Actions for the Health Sector. 为世界卫生组织东地中海地区人人享有清洁空气采取行动的时机已到；卫生部门的战略行动。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-22 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1608001

Heba Safi, Mazen Malkawi, Aurelio Tobías, Massimo Stafoggia, Sophie Gumy

引用次数: 0

Long-Term Exposure to Nitrogen Dioxide and Ozone and Mortality: Update of the WHO Air Quality Guidelines Systematic Review and Meta-Analysis. 长期暴露于二氧化氮和臭氧与死亡率：世界卫生组织空气质量指南的系统回顾和元分析更新》。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607676

Maria-Iosifina Kasdagli, Pablo Orellano, Román Pérez Velasco, Evangelia Samoli

{"title":"Long-Term Exposure to Nitrogen Dioxide and Ozone and Mortality: Update of the WHO Air Quality Guidelines Systematic Review and Meta-Analysis.","authors":"Maria-Iosifina Kasdagli, Pablo Orellano, Román Pérez Velasco, Evangelia Samoli","doi":"10.3389/ijph.2024.1607676","DOIUrl":"10.3389/ijph.2024.1607676","url":null,"abstract":"Objectives: We performed a systematic review and meta-analysis on long-term exposure to nitrogen dioxide (NO2) and ozone (O3) with mortality, to expand evidence that informed 2021 the WHO Air Quality Guidelines and guide the Health Risks of Air Pollution in Europe project.Methods: We included cohorts investigating NO2 and O3 mortality from all-causes, respiratory diseases, chronic obstructive pulmonary disease (COPD), acute lower respiratory infections (ALRI); and NO2 mortality from circulatory, ischemic heart, cerebrovascular diseases and lung cancer. We pooled estimates by random-effects models and investigated heterogeneity. We assessed the certainty of the evidence using the Grading of Recommendations Assessment Development approach and Evaluation (GRADE).Results: We selected 83 studies for NO2 and 26 for O3 for the meta-analysis. NO2 was associated with all outcomes, except for cerebrovascular mortality. O3 was associated with respiratory mortality following annual exposure. There was high heterogeneity, partly explained by region and pollutant levels. Certainty was high for NO2 with COPD and ALRI, and annual O3 with respiratory mortality.Conclusion: An increasing body of evidence, with new results from countrywide areas and the Western Pacific, supports certainty, including new outcomes.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kyasanur Forest Disease: An Epidemiological Investigation and Case-Control Study in Shivamogga, Karnataka, India-2022. Kyasanur 森林病：印度卡纳塔克邦希瓦莫加的流行病学调查和病例对照研究--2022 年。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606715

Srividya K Vedachalam, Bhavesh L Rajput, Sushma Choudhary, Darshan Narayanaswamy, Sharath Chandra, Pallavi D M, Padma M Rajagopal, Tanzin Dikid

{"title":"Kyasanur Forest Disease: An Epidemiological Investigation and Case-Control Study in Shivamogga, Karnataka, India-2022.","authors":"Srividya K Vedachalam, Bhavesh L Rajput, Sushma Choudhary, Darshan Narayanaswamy, Sharath Chandra, Pallavi D M, Padma M Rajagopal, Tanzin Dikid","doi":"10.3389/ijph.2024.1606715","DOIUrl":"10.3389/ijph.2024.1606715","url":null,"abstract":"Objective: Kyasanur Forest Disease (KFD) is a viral zoonosis reported from Karnataka, India. We investigated cases in the Shivamogga district, Karnataka, to describe the epidemiology and identify risk factors in the affected block in 2022.Methods: A case was defined as a laboratory-confirmed KFD-positive resident of Shivamogga from 1 January-31 May 2022. We extracted the records of KFD cases from district surveillance. We conducted a 1:3 case-control study in the Thirthahalli block. We enrolled laboratory-confirmed KFD-positive Thirthahalli residents from January to May 2022 as cases, and residents without \"fever with myalgia\" as controls. We reported adjusted odds ratios (aOR) with 95% confidence intervals (CI).Results: Shivamogga reported 35 cases, with a median age of 46 (4-75) years, of which 51% were men, and one death. Among 25 cases and 90 controls, knowledge of avoiding recent monkey death sites was low (cases = 0%, controls = 11%). Monkey death sites within 500 m [aOR = 8.6 (1.8-41.9)] and household tick exposure [aOR = 3.7 (1.3-10.7)] were independent risk factors.Conclusion: This was a laboratory-confirmed cluster of KFD cases in Thirthahalli, with residence near a monkey death site and household tick exposure considered significant risk factors. We recommend evaluating monkey carcass disposal procedures and increasing awareness of tick protective measures.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11527609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in Healthy Life Years Between 2005 and 2019 in 31 European Countries: The Compression or Expansion of Morbidity? 2005 年至 2019 年 31 个欧洲国家的健康寿命年数趋势：压缩还是扩大发病率？

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607574

Jakub Straka, Luděk Šídlo, Ivana Kulhánová

{"title":"Trends in Healthy Life Years Between 2005 and 2019 in 31 European Countries: The Compression or Expansion of Morbidity?","authors":"Jakub Straka, Luděk Šídlo, Ivana Kulhánová","doi":"10.3389/ijph.2024.1607574","DOIUrl":"10.3389/ijph.2024.1607574","url":null,"abstract":"Objectives: Our objective was to assess morbidity trends in Europe and to classify European countries based on population ageing theories: the compression, expansion and dynamic equilibrium of morbidity.Methods: The proportions of healthy life years were calculated for 31 European countries for the period 2005-2019 based on life expectancy values and healthy life years at age 65 years adopted from the Eurostat database. European countries were classified according to morbidity patterns applying the standard deviation distance from the average of relative change method between the selected years.Results: A large degree of variation in terms of life expectancy and healthy life years at age 65 years was determined between 2005 and 2019. While the life expectancy differences between men and women were consistent across all the European countries, the gender gap concerning healthy life years was more diverse. Approximately one-third of the countries fell into the expansion, compression and dynamic equilibrium categories, respectively.Conclusion: Significant variations were identified in healthy life year trends across European countries, which underscores the need for preventive strategies.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11521812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multilevel Factors Influencing the Requirement for Geriatric Nursing by Older Adults Living With HIV: A Cross-Sectional Study. 影响感染艾滋病毒的老年人对老年护理需求的多层面因素：一项横断面研究

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606820

Mei Li, Yue Luo, Jian Lan Ren, Yu Zheng, Roger Watson, Yan Hua Chen

引用次数: 0

Corrigendum: Medical Assistance in Dying in Quebec: A Continuum Between Teams' Accountability and Interdisciplinary Support Groups' Assumption of Responsibility. 更正：魁北克的临终医疗援助：团队问责与跨学科支持小组承担责任之间的连续性。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-15 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607992

Catherine Perron, Eric Racine, Marie-Eve Bouthillier

引用次数: 0

Seasonal Influenza Vaccine Literacy and Hesitancy of Elderly Czechs: An Analysis Using the 5C Model of Psychological Antecedents. 捷克老年人对季节性流感疫苗的了解程度和犹豫态度：利用心理诱因的 5C 模型进行分析。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607626

Abanoub Riad, Veronika Truksová, Michal Koščík

{"title":"Seasonal Influenza Vaccine Literacy and Hesitancy of Elderly Czechs: An Analysis Using the 5C Model of Psychological Antecedents.","authors":"Abanoub Riad, Veronika Truksová, Michal Koščík","doi":"10.3389/ijph.2024.1607626","DOIUrl":"10.3389/ijph.2024.1607626","url":null,"abstract":"Objectives: Seasonal influenza vaccination rates among the elderly in the Czech Republic are alarmingly low, making it one of the least vaccinated countries in Europe. This study explored the role of vaccine literacy and insurance coverage on vaccination status.Methods: An analytical cross-sectional study was conducted in Summer 2023 using a self-administered questionnaire covering vaccine literacy (functional, interactive, and critical skills), negative perceptions towards influenza vaccination, and the 5C model (confidence, complacency, constraints, calculation, and collective responsibility). Individuals aged 55 and older were included in the study. Mediation analyses assessed the indirect effects of insurance coverage on vaccination status.Results: Significant differences were noted in vaccination rates based on insurance coverage, chronic diseases, regular medication use, and previous COVID-19 and pneumococcal vaccinations. Vaccine literacy, especially interactive and critical skills, was higher among vaccinated individuals. Confidence and collective responsibility were significant promoters, while complacency and constraints were barriers to vaccination. Mediation analyses indicated that negative perceptions, confidence, and collective responsibility significantly mediated the relationship between insurance coverage and vaccination status.Conclusion: Enhancing vaccine literacy and addressing psychological antecedents are crucial for improving influenza vaccination rates among the elderly. Policy measures should include improving vaccine literacy, building public confidence, and addressing negative perceptions.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11513313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Madrid International Plan of Action on Ageing and the 2030 Agenda for Sustainable Development. 马德里老龄问题国际行动计划和 2030 年可持续发展议程。

IF 2.6 3区医学

International Journal of Public Health Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607078

Karoline Schmid

引用次数: 0