International Journal of Public Health最新文献

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Risk of Swine Influenza Virus Spillover at the Human-Swine Interface - a Scoping Review. 猪流感病毒在人-猪界面溢出的风险-范围审查。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-19 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608380
Sendhilkumar Muthappan, Rizwan Suliankatchi Abdulkader, Gulam Mohd, Jasmine Beryl Lydia, Janana Priya, Anusha Salvankar, Pujitha Mallina, Vineetha Varanasi, Manickam Ponnaiah, Subarna Roy, Manoj V Murhekar
{"title":"Risk of Swine Influenza Virus Spillover at the Human-Swine Interface - a Scoping Review.","authors":"Sendhilkumar Muthappan, Rizwan Suliankatchi Abdulkader, Gulam Mohd, Jasmine Beryl Lydia, Janana Priya, Anusha Salvankar, Pujitha Mallina, Vineetha Varanasi, Manickam Ponnaiah, Subarna Roy, Manoj V Murhekar","doi":"10.3389/ijph.2025.1608380","DOIUrl":"10.3389/ijph.2025.1608380","url":null,"abstract":"<p><strong>Objectives: </strong>We conducted this scoping review to describe the factors that influence the risk of spillover of Swine Influenza Virus (SIV) at various human-swine interfaces.</p><p><strong>Methods: </strong>We used the PubMed and EMBASE databases to identify relevant articles published until February 2024. We included cross-sectional, case-control, cohort, randomized controlled trials (RCTs), and ecological studies. Two authors screened the titles, abstracts, and full texts. The extracted details were presented in tables and figures.</p><p><strong>Results: </strong>Among the 55 studies, the majority were conducted in the United States (n = 27) and published after 2015 (n = 30). Occupational risk factors were the most commonly reported (n = 14), followed by lack of biosecurity measures (n = 10). We classified the identified risk factors into two broad categories: (1) risk factors that influence the transmission of SIV among swine and from swine to human, and (2) risk factors associated with the type of human-swine interfaces.</p><p><strong>Conclusion: </strong>Vaccination, biosecurity measures, and surveillance systems at human-swine interfaces effectively reduce swine influenza transmission. These strategies can be tailored to specific risk factors in common interaction settings.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608380"},"PeriodicalIF":2.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232537","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
Comprehensive Needs Assessment for Workplace Health Promotion: A Case Study of the University of Bern. 促进工作场所健康的综合需求评估:以伯尔尼大学为例。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608274
Carolin Glauser, Ivana Igic, Thomas Berger, Alex Bertrams, Achim Elfering, Barbara Engel, Tina Hascher, Jennifer Inauen, Miriam Lüthi, Claudio R Nigg
{"title":"Comprehensive Needs Assessment for Workplace Health Promotion: A Case Study of the University of Bern.","authors":"Carolin Glauser, Ivana Igic, Thomas Berger, Alex Bertrams, Achim Elfering, Barbara Engel, Tina Hascher, Jennifer Inauen, Miriam Lüthi, Claudio R Nigg","doi":"10.3389/ijph.2025.1608274","DOIUrl":"10.3389/ijph.2025.1608274","url":null,"abstract":"<p><strong>Objectives: </strong>To understand the holistic state of work conditions, health and wellbeing of University of Bern employees through a social-ecological lens.</p><p><strong>Methods: </strong>A comprehensive assessment included analysis of existing measures, stakeholder mapping, employee survey, expert interviews, a reflection and evaluation instrument, policy analysis, and environmental analysis.</p><p><strong>Results: </strong>Integrating results revealed that the University provides numerous employee health opportunities such as broad variety and frequency of university sports options, good working climate, ergonomic workplace, well-developed and centrally established communications department, extensive range of Bernese universities independent counselling center services, and some relevant health promotion policies. However, these opportunities are not integrated into a systematic health strategy. Further analyses indicated four fields of action: 1) to anchor health promotion in the university culture and organization; 2) to promote mental health, wellbeing, and stress management; 3) to improve health promotion communication; and 4) to ensure sustainability, to implement continuous process and outcome evaluation of the actions.</p><p><strong>Conclusion: </strong>This could serve as a blueprint model for universities ensuring a holistic understanding of health and wellbeing, and informing related practical implications and organizational health governance.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608274"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232549","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
Assessing the Value of T cell Monitoring in the General Population of Children and Adolescents - Insights From the Ciao Corona Cohort Study. 评估T细胞监测在儿童和青少年一般人群中的价值——来自Ciao Corona队列研究的见解。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608612
Alessia Raineri, Sonja Rueegg, Thomas Radtke, Susi Kriemler, Kyra Zens, Giuseppe Pantaleo, Craig Fenwick, Céline Pellaton, Milo A Puhan
{"title":"Assessing the Value of T cell Monitoring in the General Population of Children and Adolescents - Insights From the Ciao Corona Cohort Study.","authors":"Alessia Raineri, Sonja Rueegg, Thomas Radtke, Susi Kriemler, Kyra Zens, Giuseppe Pantaleo, Craig Fenwick, Céline Pellaton, Milo A Puhan","doi":"10.3389/ijph.2025.1608612","DOIUrl":"10.3389/ijph.2025.1608612","url":null,"abstract":"<p><strong>Objectives: </strong>Serological monitoring of SARS-CoV-2 antibodies in children and adolescents has been crucial for pandemic surveillance and response, while the role of T cell response monitoring remains uncertain. This study aimed to assess the potential of T cell response monitoring in children and adolescents during the COVID-19 pandemic.</p><p><strong>Methods: </strong>We compared antibody and T cell-mediated immune responses in a subpopulation (n = 109) of children and adolescents from the Ciao Corona cohort study. Participants were followed up over 6 months, from November/December 2021 to June/July 2022, during the Delta and Omicron waves in Switzerland.</p><p><strong>Results: </strong>Circulating, virus-specific T cell responses in children and adolescents were generally low and heterogeneous. T cell-mediated responses were not consistent with SARS-CoV-2 infection status, with responses detectable in some seronegative individuals and not detectable in a considerable number of seropositive participants.</p><p><strong>Conclusion: </strong>Circulating, virus-specific T cell responses to SARS-CoV-2 in children and adolescents from the general population offer limited additional insight. Monitoring humoral immunity is likely a more cost-effective approach and should be the primary focus of immunological surveillance in the general paediatric population.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608612"},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12489368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232603","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
The Spectrum of Heat-Related Diseases - A Meta-Review. 热相关疾病的光谱-一个元综述。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608592
J Thiel, A Seim, B Stephan, M Sedlmayr, E Prochaska, E Henke
{"title":"The Spectrum of Heat-Related Diseases - A Meta-Review.","authors":"J Thiel, A Seim, B Stephan, M Sedlmayr, E Prochaska, E Henke","doi":"10.3389/ijph.2025.1608592","DOIUrl":"10.3389/ijph.2025.1608592","url":null,"abstract":"<p><strong>Objectives: </strong>Global warming affects health and puts a strain on the healthcare system. Prediction models can forecast healthcare demand and optimize resource allocation. The aim of this study was to identify heat-related diseases and their influencing factors necessary for the development of such a prediction model.</p><p><strong>Methods: </strong>A literature search was conducted in the PubMed, Embase and Medline databases. The focus was on reviews of heat-related diseases published within the past 30 years in the German and English languages. A qualitative synthesis of the results was conducted.</p><p><strong>Results: </strong>The literature search produced a total of 737 results. A total of 15 reviews were included in the synthesis. As a result of the synthesis, a spectrum of heat-related diseases such as electrolyte imbalances, cardiovascular disease, kidney disease, respiratory disease, mental health issues, infectious diseases and other diseases were identified. Furthermore, specific climatic and other influencing factors were determined.</p><p><strong>Conclusion: </strong>The meta-review highlighted a wide range of diseases that can occur in connection with heat, along with their influencing factors. The findings can serve as the basis for developing preventive measures such as a prediction model in order to better forecast the resource load due to acute heat.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608592"},"PeriodicalIF":2.4,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206565","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
Determinants of Life Satisfaction and Mental Wellbeing in the Danish General Population: Shared and Distinct Associations. 丹麦普通人群生活满意度和心理健康的决定因素:共享和独特的关联。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608531
Mette Rasmussen, Ziggi Ivan Santini, Mohsen Joshanloo, Christina Bjørk Petersen, Anne Illemann Christensen
{"title":"Determinants of Life Satisfaction and Mental Wellbeing in the Danish General Population: Shared and Distinct Associations.","authors":"Mette Rasmussen, Ziggi Ivan Santini, Mohsen Joshanloo, Christina Bjørk Petersen, Anne Illemann Christensen","doi":"10.3389/ijph.2025.1608531","DOIUrl":"10.3389/ijph.2025.1608531","url":null,"abstract":"<p><strong>Objective: </strong>To examine the correlation between two wellbeing components: life satisfaction and mental wellbeing and identify key determinants (sociodemographic, health, behavioural, social).</p><p><strong>Methods: </strong>This cross-sectional study used data from 10,196 adults from the nationally representative Danish National Health Survey 2023. Main outcomes were self-reported life satisfaction measured on a single-item scale from 0-10 and mental wellbeing by the short version of the Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS). Correlations were examined using Spearman's rho (ρ) and Pearson's correlation coefficient (r). Linear regression models estimated associations between key determinants and the outcomes.</p><p><strong>Results: </strong>The two outcomes were strongly correlated, yet remained distinct. Wellbeing scores were similar across sex, age, ethnicity, education, employment, BMI, tobacco, and alcohol use. Scores varied by marital status, financial strain, self-rated health, chronic illness, physical activity, loneliness, stress, anxiety, and depression risk. Associations with pain, sleep quality, social support, and leisure activities were mixed.</p><p><strong>Conclusion: </strong>Despite a strong correlation discriminant validity was maintained. Wellbeing outcomes should not be treated as interchangeable, as their associations vary across population groups.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608531"},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12463736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185965","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
PM2.5-Related Burden of Tracheal, Bronchial, and Lung Cancer in China, the United States, Japan, and South Korea (1990-2021). 中国、美国、日本和韩国气管、支气管和肺癌的pm2.5相关负担(1990-2021)
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608392
Ruirui Zhang, Yang Zheng, Zheng Wang
{"title":"PM2.5-Related Burden of Tracheal, Bronchial, and Lung Cancer in China, the United States, Japan, and South Korea (1990-2021).","authors":"Ruirui Zhang, Yang Zheng, Zheng Wang","doi":"10.3389/ijph.2025.1608392","DOIUrl":"10.3389/ijph.2025.1608392","url":null,"abstract":"<p><strong>Objectives: </strong>To quantify the tracheal, bronchial, and lung cancer burden attributable to particulate matter pollution in selected countries, and thereby provide evidence for context - specific public health interventions.</p><p><strong>Methods: </strong>Based on Global Burden of Disease (GBD) 2021 data,we appliedJoinPoint to analyze the temporal trends from 1990-2021 in the burden of PM2.5 - attributable tracheal, bronchial, and lung (TBL) cancer in China, the US, Japan, and South Korea. And we explored the age, period, cohort effects and predicted future trends using the age-period-cohort mode and Bayesian analysis.</p><p><strong>Results: </strong>Globally, the age-standardized mortality rate (ASMR) for TBL cancers due to PM2.5 exposure showed a declining trend with an average annual percentage change (AAPC) of-1.2811 from1990 to 2021, projections suggest continued decreases in ASMR in selected countries over the next 29 years, but a global increase is expected.</p><p><strong>Conclusion: </strong>Studies have demonstrated a global decline in the mortality burden attributed to bronchogenic carcinoma linked to PM2.5. Nevertheless, future projections indicate that the global burden of air pollution-related TBL cancer will rise, effective public health strategies are urgent to develop.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608392"},"PeriodicalIF":2.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137629","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
Preventing Multimorbidity: Moving Beyond the Single Disease Lens. 预防多重发病:超越单一疾病晶状体。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608880
Tatjana T Makovski, Sarah Cuschieri, Jose M Valderas, Laurence Guldner, Iveta Nagyova, Marjan van den Akker, Valentina A Andreeva, Michele Cecchini, Elio Riboli, Amaia Calderón-Larrañaga, Licia Iacoviello, Piotr Wilk, Laure Carcaillon-Bentata, Pierre Arwidson, Panayotis Constantinou, Fabrizio Faggiano, Kathryn Nicholson, Eric Breton, Franca Barbic, Julian Mamo, Laetitia Huiart, Joël Coste, Saverio Stranges
{"title":"Preventing Multimorbidity: Moving Beyond the Single Disease Lens.","authors":"Tatjana T Makovski, Sarah Cuschieri, Jose M Valderas, Laurence Guldner, Iveta Nagyova, Marjan van den Akker, Valentina A Andreeva, Michele Cecchini, Elio Riboli, Amaia Calderón-Larrañaga, Licia Iacoviello, Piotr Wilk, Laure Carcaillon-Bentata, Pierre Arwidson, Panayotis Constantinou, Fabrizio Faggiano, Kathryn Nicholson, Eric Breton, Franca Barbic, Julian Mamo, Laetitia Huiart, Joël Coste, Saverio Stranges","doi":"10.3389/ijph.2025.1608880","DOIUrl":"10.3389/ijph.2025.1608880","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608880"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080282","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
Barriers, Resources and Reserves Shaping Older Migrants' Access to Healthcare: A Research Imperative for Switzerland. 障碍、资源和储备影响老年移民获得医疗保健的机会:瑞士的一项必要研究。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608753
Paolo Martinelli
{"title":"Barriers, Resources and Reserves Shaping Older Migrants' Access to Healthcare: A Research Imperative for Switzerland.","authors":"Paolo Martinelli","doi":"10.3389/ijph.2025.1608753","DOIUrl":"10.3389/ijph.2025.1608753","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608753"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075367","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
Patterns of Living Alone in South Korea Compared to Other Countries: A Public Health Perspective and YouTube Topic Modeling Analysis. 与其他国家相比,韩国的独居模式:公共卫生视角和YouTube主题建模分析。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608509
Heesook Son, Sangmin Song, YoungBin Kim, Joohyun Chung
{"title":"Patterns of Living Alone in South Korea Compared to Other Countries: A Public Health Perspective and YouTube Topic Modeling Analysis.","authors":"Heesook Son, Sangmin Song, YoungBin Kim, Joohyun Chung","doi":"10.3389/ijph.2025.1608509","DOIUrl":"10.3389/ijph.2025.1608509","url":null,"abstract":"<p><strong>Objectives: </strong>This study explored the experiences, challenges, and social dynamics of middle-aged individuals living alone in South Korea, compared with English-speaking individuals. From a public health perspective, this study examined cultural and generational factors influencing wellbeing.</p><p><strong>Methods: </strong>This cross-sectional descriptive study used topic modeling with natural language processing to analyze YouTube video comments related to single-person households collected from 30 Korean and 88 English-language channels.</p><p><strong>Results: </strong>Distinct cultural and generational differences emerged. Korean participants, particularly women, frequently expressed concerns about social stigma surrounding marriage and singlehood. English-speaking participants emphasized careers and personal independence. Themes included employment, financial security, travel, and food. Younger Koreans showed interest in leisure activities (mukbang, solo drinking). Older Koreans expressed concerns about economic stability and societal expectations.</p><p><strong>Conclusion: </strong>Understanding the cultural and generational context of living alone is essential for developing public health strategies addressing social isolation, mental health, and health equity. Digital platforms function as alternative social spaces, offering insights into socially isolated individuals' needs. Public health interventions should consider online engagement to support wellbeing and reduce health disparities in this population.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608509"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064480","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
Polish Nursing and Midwifery Master's Students' Perceptions of Ethical and Legal Dilemmas Related to Brain Death. 波兰护理和助产硕士生对与脑死亡有关的伦理和法律困境的看法。
IF 2.4 3区 医学
International Journal of Public Health Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.3389/ijph.2025.1608625
Justyna Czekajewska, Dariusz Walkowiak, Anna Jelińska, Jan Domaradzki
{"title":"Polish Nursing and Midwifery Master's Students' Perceptions of Ethical and Legal Dilemmas Related to Brain Death.","authors":"Justyna Czekajewska, Dariusz Walkowiak, Anna Jelińska, Jan Domaradzki","doi":"10.3389/ijph.2025.1608625","DOIUrl":"10.3389/ijph.2025.1608625","url":null,"abstract":"<p><strong>Objectives: </strong>This study analyzes the perceptions of master's nursing and midwifery students regarding ethical and legal dilemmas related to the declaration of brain death.</p><p><strong>Methods: </strong>An anonymized, self-administered web-based survey was conducted among 269 master's students in nursing and midwifery at Poznan University of Medical Sciences.</p><p><strong>Results: </strong>The most controversial ethical and legal dilemmas concerned the lack of legal consequences for patients' declarations of will, family objections to organ donation, and sustaining vital functions in pregnant brain-dead patients. While 82.5% accepted the medical definition of brain death, only 53.6% prioritized quality of life over life preservation. Students identified medical knowledge (96.3%) as the most influential factor shaping their attitudes, followed by ethical (66.2%) and religious (45.4%) views. Regression analysis showed that religiosity and age were associated with support for sustaining life functions, while liberal views and a nursing background correlated with greater support for overriding family objections and discontinuing futile therapy.</p><p><strong>Conclusion: </strong>Education in up-to-date medical knowledge should place greater emphasis on professional ethics, legal frameworks, and real-life bioethical dilemmas to better prepare students for clinical challenges.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608625"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12425832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064504","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
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