Mathilde E Brons, Paola Berchialla, Marco Helbich, Maxim Dierckens, Michela Lenzi, Joanna C Inchley, Gonneke W J M Stevens
{"title":"Social Inequalities in Adolescents' Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes.","authors":"Mathilde E Brons, Paola Berchialla, Marco Helbich, Maxim Dierckens, Michela Lenzi, Joanna C Inchley, Gonneke W J M Stevens","doi":"10.3389/ijph.2024.1607709","DOIUrl":"10.3389/ijph.2024.1607709","url":null,"abstract":"<p><strong>Objectives: </strong>Cross-national differences in long-term trends in social inequalities in adolescents' mental health remain poorly understood, as does the impact of societal changes. We tested (1) whether the association between family socioeconomic status and psychological and somatic complaints changed between 2002 and 2022, (2) the extent to which these trends varied across countries, and (3) whether changes in income inequality, schoolwork pressure, and internet activity within countries were related to these trends.</p><p><strong>Methods: </strong>Using data from 903,344 adolescents across 32 countries from the Health Behaviour in School-aged Children (HBSC) study between 2002 and 2022, we employed multilevel models to investigate the research questions.</p><p><strong>Results: </strong>We observed a nonlinear increase in psychological and somatic complaints over time. On average, social inequalities in both outcomes remained stable across countries, although the trends varied from one country to another. Only income inequality explained the differences between countries in these trends. In countries where income inequality increased over time, social inequalities in psychological complaints became smaller.</p><p><strong>Conclusion: </strong>Our study highlights ongoing global disparities in adolescents' mental health problems, urging for more effective health policies.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607709"},"PeriodicalIF":2.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11825262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433019","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":"Exploring Psycho-Social Factors Influencing Exclusive Breastfeeding: Lived Experiences of First Time Mothers at Salaga Municipal Hospital, Savannah Region in Ghana.","authors":"Felix Amekpor, Christa Osei-Mensah, Nancy Adjeley Adjieteh, Esther Nyaapoka Dok-Yen, Memunatu Babariyor Salamu","doi":"10.3389/ijph.2025.1607542","DOIUrl":"10.3389/ijph.2025.1607542","url":null,"abstract":"<p><strong>Objectives: </strong>Exclusive breastfeeding is a critical public health strategy known to reduce infant mortality and morbidity, and to enhance maternal and child health outcomes. This study explores the psychosocial factors affecting exclusive breastfeeding (EBF) among first-time mothers in Ghana, highlighting the challenges faced by first-time mothers in maintaining EBF for the recommended 6 months.</p><p><strong>Methods: </strong>The study utilized an exploratory qualitative research design to gain in-depth understanding of first-time mothers' experiences with EBF, utilizing semi-structured interviews at the Salaga Municipal Hospital postnatal clinic.</p><p><strong>Results: </strong>The study found stressors affecting mothers' exclusive breastfeeding practices, including lactation issues, infant positioning issues, and physical discomfort. Strong family support was found to be crucial for encouraging and sustaining EBF practices.</p><p><strong>Conclusion: </strong>Psychosocial factors significantly influence exclusive breastfeeding among first-time mothers. Strategies include addressing lactation issues, providing infant positioning education, alleviating physical discomfort, and enhancing family support systems.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607542"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414062","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":"Understanding the Effects of Social Cohesion on Social Wellbeing: A Scoping Review.","authors":"Sally Fowler Davis, Megan Davies","doi":"10.3389/ijph.2025.1607414","DOIUrl":"10.3389/ijph.2025.1607414","url":null,"abstract":"<p><strong>Objectives: </strong>To describe objective social wellbeing in relation to social cohesion.</p><p><strong>Methods: </strong>A literature search that sought to understand the contribution of social cohesion in the community as a means of achieving social wellbeing in the UK, published in the last 10 years.</p><p><strong>Results: </strong>Social cohesion is widely associated with community assets, trust, and a sense of belonging at neighbourhood level. Segregation of sub-groups and \"incivilities\" can lead to reduced social connectedness and wellbeing. Wider multicultural engagement over time, may be beneficial for social cohesion. Evidence suggests that sufficient facilitation through facilities and services improve social relations and wellbeing and create more cohesive communities. A particular focus is needed on potential minorities within otherwise cohesive communities.</p><p><strong>Conclusion: </strong>Social cohesion relates to community resilience and the experience of social connectedness at community level. These features can protect vulnerable groups from exclusion and may have other benefits to health and wellbeing.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607414"},"PeriodicalIF":2.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11821421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414065","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":"Relationship Between Physical Activity Level and Primary Care Costs in Older Diabetic Patients From a Middle-Size Brazilian City: An Eight-Year Follow-Up Study.","authors":"Kelly Akemi Kikuti Koyama, Monique Yndawe Castanho Araujo, Luana Carolina de Morais, Italo Ribeiro Lemes, Rômulo Araújo Fernandes, Bruna Camilo Turi-Lynch, Flávia Mori Sarti, Thais Cristina Delacosta, Henrique Luiz Monteiro, Jamile Sanches Codogno","doi":"10.3389/ijph.2025.1607605","DOIUrl":"10.3389/ijph.2025.1607605","url":null,"abstract":"<p><strong>Objectives: </strong>Physical activity and costs have been consistently related each other, but mostly in cross-sectional investigations. This study aims to investigate the relationship between changes in physical activity level and changes in healthcare costs among older diabetic adults in an 8-year follow-up study.</p><p><strong>Methods: </strong>The study followed 151 diabetic adults ≥50 years of age, for a period of 8 years, who were patients of Basic Health Care Units in the city of Bauru (Brazil). Medical records were consulted to obtain information on healthcare costs. Physical activity level was assessed through an interview. Data analysis included descriptive statistics, analysis of variance, and linear regression.</p><p><strong>Results: </strong>Participants who increased leisure-time physical activity from 2010 to 2018 accumulated less healthcare costs from 2020 to 2018. The magnitude of the relationship was small (r = -0.233 [95% CI: -0.379 to -0.076]).</p><p><strong>Conclusion: </strong>In summary, among diabetic patients, to increase leisure-time physical activity from 2010 to 2018 was inversely related to the amount of healthcare costs spent over the same period of 8 years.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607605"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11813648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414064","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":"\"Don't Even Smoke But I'll Buy That\" Twitch as a New Venue for E-Cigarette Promotion.","authors":"Hüseyin Küçükali","doi":"10.3389/ijph.2024.1607881","DOIUrl":"10.3389/ijph.2024.1607881","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines the covert promotion of e-cigarettes, specifically Juul, on the video live-streaming platform Twitch, focusing on the content and platform-specific dynamics that may influence its effectiveness.</p><p><strong>Methods: </strong>This qualitative case study of a non-gaming Twitch stream included data from influencer conversations, viewer comments and visual elements. Thematic analysis, coding, and categorisation were conducted using ATLAS.ti.</p><p><strong>Results: </strong>The livestream, which attracted over ten thousand viewers, featured three friends vaping and discussing their personal experiences with Juul. Themes included curiosity, device sharing, and smoking cessation benefits. The stream fostered a casual, engaging atmosphere, with viewers interacting extensively with the influencers and also other viewers. Despite suspicions of industry sponsorship, viewers reacted positively and even joked about the sponsorship. Several viewers, including those who claimed not to smoke, expressed interest in Juul.</p><p><strong>Conclusion: </strong>The study highlights concerns about the promotion of harmful commodities on Twitch, where strong community engagement, monetary incentives, and a lack of specific content policies create a conducive environment for such practices. This underscores the need for greater scrutiny and regulation of e-cigarette promotions on the platform.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607881"},"PeriodicalIF":2.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399103","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":"Sleep Pattern, Lifestyle Pattern, and Risks of Overall and 20 Types of Cancers: Findings From the UK Biobank Cohort.","authors":"Yue-Ze Zhao, Wen-Li Zhang, Kai-Wen Zhang, Yong-Qiao He, Wen-Qiong Xue, Da-Wei Yang, Hua Diao, Ruo-Wen Xiao, Ying Liao, Qiao-Ling Wang, Wei-Hua Jia, Tong-Min Wang","doi":"10.3389/ijph.2024.1607726","DOIUrl":"10.3389/ijph.2024.1607726","url":null,"abstract":"<p><strong>Objectives: </strong>Sleep health and other lifestyle behaviours are gaining increasing attention in public health, particularly for cancer prevention, but a comprehensive assessment is lacking.</p><p><strong>Methods: </strong>The study included 380,042 UK Biobank participants. A healthy sleep score was constructed based on five sleep factors: chronotype, sleep duration, insomnia, snoring, and daytime dozing. A healthy lifestyle score was constructed based on four lifestyle factors: smoking, alcohol consumption, diet and physical activity. The effect of healthy sleep and lifestyle on cancer risk was examined by Cox proportional hazard models.</p><p><strong>Results: </strong>Both healthy sleep and lifestyle patterns were significantly associated with a reduced risk of overall cancer and specific cancer sites. Participants with healthy sleep and lifestyle patterns had a lower risk of overall cancer (HR = 0.72, 95% CI = 0.68-0.77), liver cancer (HR = 0.53, 95% CI = 0.31-0.90), bladder cancer (HR = 0.61, 95% CI = 0.47-0.79), lung cancer (HR = 0.22, 95% CI = 0.19-0.27), and colorectal cancer (HR = 0.80, 95% CI = 0.66-0.96) compared to those with unhealthy patterns.</p><p><strong>Conclusion: </strong>Our findings highlight the importance of public health education and interventions to improve sleep and other lifestyle behaviours for cancer prevention.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607726"},"PeriodicalIF":2.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079858","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}
Marco Tofani, Maurizio Marceca, Donatella Valente, Giovanni Galeoto, Mohamed Ali Ben Zina, Imène Soumaya Salhi, Khadija Elmadmad, Hind Tak Tak, Justine Gosling, Satish Mishra, Valentina Gazzaniga, Marco Cilione, Silvia Iorio
{"title":"Disability and Migration Routes: An Explorative Analysis Among Refugees Hosted in Italy.","authors":"Marco Tofani, Maurizio Marceca, Donatella Valente, Giovanni Galeoto, Mohamed Ali Ben Zina, Imène Soumaya Salhi, Khadija Elmadmad, Hind Tak Tak, Justine Gosling, Satish Mishra, Valentina Gazzaniga, Marco Cilione, Silvia Iorio","doi":"10.3389/ijph.2024.1607821","DOIUrl":"10.3389/ijph.2024.1607821","url":null,"abstract":"<p><strong>Objective: </strong>Data on disability in refugees is lacking, hindering effectiveness of humanitarian response. We investigated disability condition in refugees, identifying possible mechanisms that affect their health.</p><p><strong>Methods: </strong>The Washington Group Short Set - Enhanced was used to identify people at risk experiencing disability. Data on migration routes were collected and the relationship with functioning limitations was explored.</p><p><strong>Results: </strong>483 refugees (58.18% males - 41.82% female) were interviewed. 23.8% were found to have a disability, with a higher risk for those who travelled along the central Mediterranean route OR (95% CI) 2.08 (1.33-3.24). Affect domain represented the main weight for disability (28.16%), followed by mobility limitation (8.28%). People who travelled across the central Mediterranean route were found to have a high risk of developing anxiety problems OR (95% CI) 2.19 (1.33-3.6), while people who crossed the Balkan route had a higher risk of mobility limitation OR (95% CI) 3.03 (1.23-7.44).</p><p><strong>Conclusion: </strong>This study provides the first available data on disability among refugees in Italy, revealing a high prevalence of disability and a significant association with migration routes. These findings underscore the urgent need for targeted health and rehabilitation interventions to address the specific vulnerabilities of this population.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607821"},"PeriodicalIF":2.6,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079845","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}
Laura Pilz González, Enrique Alonso-Perez, Jennifer Lehnchen, Zita Deptolla, Eileen Heumann, Hürrem Tezcan-Güntekin, Katherina Heinrichs, Christiane Stock
{"title":"Mental Health and the Intersection of Perceived Discrimination and Social Inequalities Among Students in Germany - a Quantitative Intersectional Study.","authors":"Laura Pilz González, Enrique Alonso-Perez, Jennifer Lehnchen, Zita Deptolla, Eileen Heumann, Hürrem Tezcan-Güntekin, Katherina Heinrichs, Christiane Stock","doi":"10.3389/ijph.2024.1607826","DOIUrl":"10.3389/ijph.2024.1607826","url":null,"abstract":"<p><strong>Objectives: </strong>Discrimination poses a threat to the mental health of university students, especially those affected by social inequality, yet understanding its intersectional impact remains limited. This study examines the intersection of social inequalities with perceived discrimination to explore differences in mental health among students in Germany.</p><p><strong>Methods: </strong>Data from the cross-sectional project \"Survey on study conditions and mental health of university students\" (n = 14,592) were analysed using Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA). Depressive symptoms, cognitive stress symptoms, and exhaustion were examined across 48 intersectional strata based on gender, first academic generation, family care tasks, and perceived discrimination.</p><p><strong>Results: </strong>The MAIHDA analysis revealed substantial between strata variance, with most of it explained by additive rather than intersectional interaction effects. Perceived discrimination, diverse or female gender, first academic generation, and family care tasks (for exhaustion only) were associated with worse mental health outcomes.</p><p><strong>Conclusion: </strong>The profound associations between perceived discrimination and the mental health among university students call for urgent attention and intervention within university settings. Adopting an intersectional lens is key to identifying and addressing inequalities.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607826"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065546","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}
Valentina A Andreeva, Stéphanie Chambaron, Cécilia Samieri, Léopold K Fezeu
{"title":"Response to M. Zhang.","authors":"Valentina A Andreeva, Stéphanie Chambaron, Cécilia Samieri, Léopold K Fezeu","doi":"10.3389/ijph.2024.1608216","DOIUrl":"https://doi.org/10.3389/ijph.2024.1608216","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1608216"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065553","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":"Methodological Considerations and Future Directions in Mental Health Multimorbidity Research: Response to Andreeva et al.","authors":"Mengqin Zhang","doi":"10.3389/ijph.2024.1608114","DOIUrl":"10.3389/ijph.2024.1608114","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1608114"},"PeriodicalIF":2.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059000","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}