Lena Walther, Felicitas Vogelsang, Julia Thom, Heike Hölling, Thomas G Grobe, Timm Frerk, Ursula Marschall, Diana Peitz
{"title":"Assessing Perceived Need for Mental Healthcare Among Adults in Germany.","authors":"Lena Walther, Felicitas Vogelsang, Julia Thom, Heike Hölling, Thomas G Grobe, Timm Frerk, Ursula Marschall, Diana Peitz","doi":"10.3389/ijph.2025.1607927","DOIUrl":"10.3389/ijph.2025.1607927","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the prevalence and distribution of perceived need for mental healthcare among adults in Germany and examine its association with more objective indicators of need as well as mental health literacy.</p><p><strong>Methods: </strong>We used data from 6,558 adults randomly sampled from a health insurance company as well as nationally representative survey data from 10,676 adults. Prevalence estimates were calculated, also by sex, age and education. Bivariate and multivariate associations between perceived need and sociodemographic characteristics, psychopathological symptoms, functional impairment and F-diagnoses as well as mental health literacy were examined.</p><p><strong>Results: </strong>Approximately one-sixth of adults perceived a need for mental healthcare in the previous 12 months. Perceived need was associated with female sex (bivariate association only), younger age, high educational attainment, psychopathological symptoms, mental health-related functional impairment and mental health literacy. Those with perceived need were also twice as likely to have a documented F-diagnosis than those without.</p><p><strong>Conclusion: </strong>Perceived need should be monitored within mental health surveillance to inform healthcare planning from a patient perspective and address the mental health treatment gap.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607927"},"PeriodicalIF":2.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316888","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}
Gerry A Quinn, Ronan Connolly, Coilín ÓhAiseadha, Paul Hynds, Philipp Bagus, Ronald B Brown, Carlos F Cáceres, Clare Craig, Michael Connolly, Jose L Domingo, Norman Fenton, Paul Frijters, Steven Hatfill, Raymond Heymans, Ari R Joffe, Rosamond Jones, Gordan Lauc, Therese Lawrie, Robert W Malone, Alan Mordue, Greta Mushet, Anton O'Connor, Jane Orient, José Antonio Peña-Ramos, Harvey A Risch, Jessica Rose, Antonio Sánchez-Bayón, Ricardo F Savaris, Michaéla C Schippers, Dragos Simandan, Karol Sikora, Willie Soon, Yaffa Shir-Raz, Demetrios A Spandidos, Beny Spira, Aristides M Tsatsakis, Harald Walach
{"title":"What Lessons can Be Learned From the Management of the COVID-19 Pandemic?","authors":"Gerry A Quinn, Ronan Connolly, Coilín ÓhAiseadha, Paul Hynds, Philipp Bagus, Ronald B Brown, Carlos F Cáceres, Clare Craig, Michael Connolly, Jose L Domingo, Norman Fenton, Paul Frijters, Steven Hatfill, Raymond Heymans, Ari R Joffe, Rosamond Jones, Gordan Lauc, Therese Lawrie, Robert W Malone, Alan Mordue, Greta Mushet, Anton O'Connor, Jane Orient, José Antonio Peña-Ramos, Harvey A Risch, Jessica Rose, Antonio Sánchez-Bayón, Ricardo F Savaris, Michaéla C Schippers, Dragos Simandan, Karol Sikora, Willie Soon, Yaffa Shir-Raz, Demetrios A Spandidos, Beny Spira, Aristides M Tsatsakis, Harald Walach","doi":"10.3389/ijph.2025.1607727","DOIUrl":"10.3389/ijph.2025.1607727","url":null,"abstract":"<p><p>During the COVID-19 pandemic (2020-2023), governments around the world implemented an unprecedented array of non-pharmaceutical interventions (NPIs) to control the spread of SARS-CoV-2. From early 2021, these were accompanied by major population-wide COVID-19 vaccination programmes-often using novel mRNA/DNA technology, although some countries used traditional vaccines. Both the NPIs and the vaccine programmes were apparently justified by highly concerning model projections of how the pandemic could progress in their absence. Efforts to reduce the spread of misinformation during the pandemic meant that differing scientific opinions on each of these aspects inevitably received unequal weighting. In this perspective review, based on an international multi-disciplinary collaboration, we identify major problems with many aspects of these COVID-19 policies as they were implemented. We show how this resulted in adverse impacts for public health, society, and scientific progress. Therefore, we propose seven recommendations to reduce such adverse consequences in the future.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607727"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316889","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}
Shuyan Gu, Xiaoyong Wang, Fangfang Shen, Hai Gu, Ning Zhang, Yuan Zhou, Xiaoling Wang
{"title":"Type 2 Diabetes Self-Management Behaviors and Glycemic Control Under China's Diabetes Prevention and Control Action Program.","authors":"Shuyan Gu, Xiaoyong Wang, Fangfang Shen, Hai Gu, Ning Zhang, Yuan Zhou, Xiaoling Wang","doi":"10.3389/ijph.2025.1608067","DOIUrl":"10.3389/ijph.2025.1608067","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate type 2 diabetes self-management behaviors and glycemic control under the impacts of COVID-19 legacy and Diabetes Prevention and Control Action, and explore the heterogeneous impacts of five self-management activities on glycemic control and how these impacts differ across key groups.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted between April and September 2023 in hospitals and communities in China. Overall, 1817 adults with type 2 diabetes and normal cognitive and behavioral capacities completed a questionnaire regarding diabetes self-management behaviors and glycemic control. Ordinary least squares regression analyses were conducted.</p><p><strong>Results: </strong>Mean score of overall self-management behaviors was 5.89. About 26.86% reported good glycemic control. Among five self-management activities, medication adherence was the best (mean = 6.77) but glucose-monitoring adherence was the worst (mean = 5.18). Overall self-management behaviors and the five activities (coefficient = 0.031-0.146, all p < 0.001) all exerted positive impacts on glycemic control, with dietary control showing the greatest impact while medication adherence the least. Younger persons, rural persons, and persons with financial difficulties were key groups benefiting less from self-management.</p><p><strong>Conclusion: </strong>Diabetes self-management behaviors and glycemic control were suboptimal. Customized health promotions should focus on key groups and addressing the deficiencies in self-management activities especially dietary control.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608067"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302114","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}
{"title":"Activity of Daily Living and Depressive Symptoms in Chinese Older Adults: A Latent Profile and Mediation Analysis.","authors":"Peng Chen, Wenjian Xu","doi":"10.3389/ijph.2025.1608149","DOIUrl":"10.3389/ijph.2025.1608149","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to examine vulnerable ADL-based subgroups of Chinese older adults, their links to depressive symptoms, and life satisfaction as a mediating factor.</p><p><strong>Methods: </strong>We screened 8,211 participants aged 60 years and above who met the inclusion criteria from 2018 CHARLS. The different subgroups of ADL were identified by latent profile analysis. Life satisfaction and depressive symptoms were compared among the various ADL subgroups. Mediation analysis helped investigate the mediating role of life satisfaction between the various subgroups of ADL and depressive symptoms.</p><p><strong>Results: </strong>Two vulnerable subgroups of ADL were identified (<i>Low Damaged</i> class and <i>High Damaged</i> class), along with another subgroup of ADL (<i>Not Damaged</i> class), comprising the majority of Chinese older adults. The vulnerable subgroups of ADL had significantly lower life satisfaction and higher levels of depressive symptoms. The relationship between depressive symptoms and the vulnerable subgroups of ADL was partially mediated by life satisfaction.</p><p><strong>Conclusion: </strong>The results emphasize the role of life satisfaction in linking ADL with depressive symptoms, indicating potential areas for interventions to reduce depressive symptoms among older adults. This study is limited by its cross-sectional design precluding causal inference, reliance on self-reported data and unexplored moderating factors.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608149"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302113","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}
{"title":"Factors Associated With Teenage Pregnancy in Tanzania: Analysis of the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey.","authors":"Tumaini Nyamhanga, Pankras Luoga","doi":"10.3389/ijph.2025.1608146","DOIUrl":"10.3389/ijph.2025.1608146","url":null,"abstract":"<p><strong>Objective: </strong>Few studies on teenage pregnancy in Tanzania have used a nationally representative sample. This study sought to determine the prevalence and factors associated with teenage pregnancy in Tanzania.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of 3,083 teenagers aged 15-19 years drawn from the 2022 Tanzania Demographic and Health Survey.</p><p><strong>Results: </strong>After controlling for other covariates, we found that teenagers aged 18-19 years (AOR = 4.5, 95% CI:3.3, 6.1), those who said that getting permission to access healthcare was not a big problem (AOR = 2.7, 95% CI:1.4, 5.3), and those from the Southern zone (AOR = 2.4, 95% CI: 1.5, 3.9), had higher odds of reporting ever having been pregnant. Those with secondary or higher education levels (AOR = 0.3, 95% CI: 0.19, 0.39) and those who married after age 15 (AOR = 0.4, 95% CI: 0.2, 0.8), had lower odds of reporting ever having been pregnant.</p><p><strong>Conclusion: </strong>This study highlights the significant factors associated with teenage pregnancy among teenagers aged 15-19 years in Tanzania. The education system should facilitate the majority of girls obtaining at least a secondary level of education. Teenager-friendly sexual and reproductive health services need to prioritize older teenagers, with lower education levels and those from poor families.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608146"},"PeriodicalIF":2.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284341","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}
Natalie Dickinson, Llinos Haf Spencer, Shuhua Yang, Caroline Miller, Andrew Hursthouse, Mary Lynch
{"title":"Extreme Weather Events in the UK and Resulting Public Health Outcomes.","authors":"Natalie Dickinson, Llinos Haf Spencer, Shuhua Yang, Caroline Miller, Andrew Hursthouse, Mary Lynch","doi":"10.3389/ijph.2025.1607904","DOIUrl":"10.3389/ijph.2025.1607904","url":null,"abstract":"<p><strong>Objectives: </strong>Extreme Weather Events (EWEs) are increasingly frequent in the United Kingdom (UK) and can lead to adverse health outcomes, resulting in additional pressure on the NHS. The aim of this review is to investigate the health impacts of EWEs on the population in the UK, through an economic lens.</p><p><strong>Methods: </strong>A systematic review of the evidence was conducted. Seven databases were searched for studies related to the public health outcomes of EWEs.</p><p><strong>Results: </strong>48 papers met inclusion criteria: 22 flood, 25 extreme temperature, one wind. Three themes emerged: physical health impacts (predominantly temperature extremes); mental health impacts (predominantly flood-related) and socio-economic considerations (EWEs experienced disproportionately by marginalised populations).</p><p><strong>Conclusion: </strong>Whilst there is a substantial body of research on physical and mental health impacts of EWEs in the UK, there is limited evidence on socio-economic impacts, and little consideration of the economic costs. Building resilience against the health impacts of EWEs is essential. Future studies should consider incorporating cost-benefit analyses (CBA) to investigate the economic costs of EWEs on populations and health systems in the UK, and of potential mitigation efforts.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607904"},"PeriodicalIF":2.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284340","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}
Samuel Dessu Sifer, Abatalem Minlargeh Abere, Belete Worku
{"title":"Prevalence and Risk Factors of Teenage Pregnancy at Burji District, Southwestern Ethiopia; Mixed Approach Study.","authors":"Samuel Dessu Sifer, Abatalem Minlargeh Abere, Belete Worku","doi":"10.3389/ijph.2025.1608389","DOIUrl":"10.3389/ijph.2025.1608389","url":null,"abstract":"<p><strong>Objectives: </strong>In Africa, the overall prevalence of adolescent pregnancy is 18.8%, with the sub-Saharan African region having a rate of 19.3%. The highest rates are found in East Africa at 21.5%, and in Ethiopia, the prevalence is even higher at 23.6%.</p><p><strong>Methods: </strong>A community-based cross-sectional explanatory sequential mixed approach study was carried out among 458 teenagers in Burji District from 15 January to 15 February 2024. A multistage systematic sampling technique for quantitative and purposive sampling for qualitative data was used. The quantitative data were collected through face to face interview using a structured and pretested questionnaire by trained data collectors while qualitative data were gathered through in depth interviews and focus group discussions. Variables with p-value less than 0.05 were declared as statistically significant.</p><p><strong>Results: </strong>The prevalence of teenage pregnancy was 21.8% (95% CI: 18.0, 26.0). Factors associated with teenage pregnancy included rural residence (AOR: 3.68; 95%CI: 1.29, 10.44), being married (AOR: 2.75; 95%CI: 1.06, 7.15), not using contraceptives (AOR: 5.75; 95%CI: 2.22, 14.86), and not discussing reproductive health issues (AOR: 2.60; 95%CI: 1.04, 6.76). In addition, the qualitative study identified lack of education and access to resources, social and relationship influences, cultural influences and economic and future outlook as a common cause of teenage pregnancy.</p><p><strong>Conclusions: </strong>Consequently, there is a high prevalence of teenage pregnancy in the area. Furthermore, place of residence, marital status, contraceptive use, and discussions about reproductive health issues were identified as independent factors associated with teenage pregnancy.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608389"},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247832","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}
{"title":"Trauma by the Numbers: A Cross-Sectional Analysis and Categorization of Trauma Cases in the Gaza War.","authors":"Muaaz Wajahath, Elias Nasser, Tariq Nayfeh, Bilal Irfan, Rohit Balasundaram, Mosab Nasser, Khaled J Saleh","doi":"10.3389/ijph.2025.1607877","DOIUrl":"10.3389/ijph.2025.1607877","url":null,"abstract":"<p><strong>Objectives: </strong>To categorize and analyze trauma cases from the Gaza war, identifying injury patterns and informing future humanitarian efforts in conflict zones.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in April 2024 at European Gaza Hospital. Data on demographics and injury types were collected from patients treated by FAJR Scientific's surgical team. Injuries were classified into primary (directly conflict-related), secondary (indirectly conflict-related), and tertiary (unrelated to the conflict). Statistical analyses included Kruskal-Wallis H test, logistic regression, and Fisher's Exact Test.</p><p><strong>Results: </strong>Among the 80 surgical cases analyzed, primary injuries were the most common (53%), predominantly affecting males aged 30-39. Secondary injuries accounted for 14% of cases, while tertiary injuries represented 33%. Significant associations were found between age categories and injury classifications (p < 0.05).</p><p><strong>Conclusion: </strong>The prevalence of primary injuries highlights the severe impact of conflict on civilians, particularly middle-aged males. The findings suggest the need for enhanced orthopedic surgical capacity, integrated chronic disease management, and specialized pediatric care in conflict zones. Improved data collection and analysis are essential for optimizing medical interventions and resource allocation.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607877"},"PeriodicalIF":2.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234048","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}
Saliou Diombo Kébé, Adama Diouf, Papa Mamadou Dit Doudou Sylla, Abdou Badiane, Olouwafemi Mistourath Mama, Nicole Idohou-Dossou
{"title":"Ultra-Processed Foods Consumption Is Associated With Intakes of Critical Nutrients Related to Non-Communicable Diseases Among Adults in Dakar, Senegal.","authors":"Saliou Diombo Kébé, Adama Diouf, Papa Mamadou Dit Doudou Sylla, Abdou Badiane, Olouwafemi Mistourath Mama, Nicole Idohou-Dossou","doi":"10.3389/ijph.2025.1608374","DOIUrl":"10.3389/ijph.2025.1608374","url":null,"abstract":"<p><strong>Objectives: </strong>Nutritional transition in Senegal favors the exposure to ultra-processed foods (UPF) which are linked to the development of non-communicable diseases (NCDs). This study aimed to assess UPF consumption and their contribution to dietary intakes of critical nutrients associated with NCDs.</p><p><strong>Methods: </strong>Dietary intakes of 301 urban adults were assessed using a multi-step 24-hour dietary recall. Foods consumed were classified using the NOVA classification, and nutrient composition was determined using nutritional labels or food composition tables.</p><p><strong>Results: </strong>UPF contributed to 17.4% of total energy, 43% of free sugars, 26.9% of total fat, 24.4% of sodium and 24% of potassium intakes. Higher UPF consumption was associated with higher intakes of energy, free sugars, fat, potassium and protein. Higher UPF consumption was also positively associated with a non-recommended intake level of total fat (OR = 2.56; <i>p</i> = 0.002) while a negative association was found with non-recommended intake levels of potassium (OR = 0.01; <i>p</i> < 0.001) and protein (OR = 0.43; <i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>UPF contribute significantly to the intakes of critical nutrients, are associated with <i>poor diet quality and</i> might be a major determinant of the inc<i>idence</i> and prevalence of <i>non-communicable diseases.</i></p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608374"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225434","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}
{"title":"Detrimental Changes in Individual Health-Promoting Behaviors Among Internally Displaced Israelis.","authors":"Naomi Fliss Isakov, Miri Levi-Shahar, Yulia Balmakov, Ranaa Mahajni Yunis, Ronit Endevelt, Moran Blaychfeld Magnazi","doi":"10.3389/ijph.2025.1607794","DOIUrl":"10.3389/ijph.2025.1607794","url":null,"abstract":"<p><strong>Objectives: </strong>Israel has forcibly displaced more than 200,000 people to hotels or apartments, due to armed conflict. Our study aimed to identify changes in health-promoting behaviors during displacement.</p><p><strong>Methods: </strong>Two online surveys were conducted assessing health-promoting behaviors and body weight before and during displacement. Univariate and multivariate analyses were performed to compare displaced and non-displaced respondents.</p><p><strong>Results: </strong>A total of 997 and 153 participants completed the first and second surveys respectively. A significant decrease in diet quality (P < 0.001), physical activity frequency (P = 0.016), and an increase in diet quantity (P < 0.001) and weight (P = 0.001) were reported among displaced individuals, compared to non-displaced individuals. Living with children, and a healthy pre-war lifestyle were found to be independently protective of detrimental lifestyle change (OR = 0.46, 95% CI0.28-0.76 and OR = 0.63, 95% CI0.40-0.97), risk factors (OR = 2.40, 95% CI1.30-4.43 and OR = 3.54, 95% CI1.71-7.32), for detrimental lifestyle changes.</p><p><strong>Conclusion: </strong>Detrimental changes to health promoting behaviors were reported in all study groups, although they were significantly higher in displaced individuals. Immediate changes did not differ between respondents staying in hotels or apartments, but were sustained only in hotels.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607794"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225431","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}