Tanya Tandon, Yara Rouhana, Elias Rahme, Nadine Zalaket, Chantal Martin-Soelch
{"title":"Youth Mental Health in Crisis: Understanding the Relationship Between Mental Health and Physical Pain in Lebanon's Youth - A Scoping Review.","authors":"Tanya Tandon, Yara Rouhana, Elias Rahme, Nadine Zalaket, Chantal Martin-Soelch","doi":"10.3389/ijph.2025.1608156","DOIUrl":"10.3389/ijph.2025.1608156","url":null,"abstract":"<p><strong>Objectives: </strong>The mental health crisis among young adults in Lebanon, worsened by events like the Beirut Blast and economic instability, requires urgent attention. Globally, 10%-20% of individuals aged 18-29 face mental health challenges, with many also experiencing physical pain. Despite growing evidence of the bidirectional relationship between mental health and pain, this intersection remains underexplored in Lebanon, especially compared to WEIRD countries. This scoping review examines the relationship between physical pain and mental health issues-anxiety, depression, and stress-among Lebanese youth.</p><p><strong>Methods: </strong>A systematic review of studies from January 2014 to February 2024 was conducted by screening PubMed, PsychInfo, and ScienceDirect. A total of 33 studies were included.</p><p><strong>Results: </strong>The findings indicate a bidirectional link between mental health and physical pain. University students (36.1% of studies) were particularly impacted, and 81% of studies reported higher pain prevalence among females. Additionally, mindfulness meditation was identified as a potential protective factor, although it remains underexplored in Lebanon.</p><p><strong>Conclusion: </strong>Addressing these gaps supports tailored interventions for Lebanese youth and enriches our understanding of mental health in non-WEIRD contexts.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608156"},"PeriodicalIF":2.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010670","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}
Elil Renganathan, Fabrizio Tediosi, Ana Abecasis, Quique Bassat, Astrid Berner-Rodoreda, Nuria Casamitjana, Guenter Froeschl, Simone Kashima, Antoni Placencia, Mario Raviglione, Alberto Rocamora, Jolene Skordis
{"title":"Balancing Equity and Global Health Security Towards a Fair and Effective Pandemic Agreement.","authors":"Elil Renganathan, Fabrizio Tediosi, Ana Abecasis, Quique Bassat, Astrid Berner-Rodoreda, Nuria Casamitjana, Guenter Froeschl, Simone Kashima, Antoni Placencia, Mario Raviglione, Alberto Rocamora, Jolene Skordis","doi":"10.3389/ijph.2025.1608581","DOIUrl":"https://doi.org/10.3389/ijph.2025.1608581","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608581"},"PeriodicalIF":2.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001014","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":"Climate Change and Food Security: A Framework for Agenda Setting and Policy Analysis in Iran.","authors":"Ramesh Allipour Birgani, Amirhossein Takian, Ali Kianirad, Hamed Pouraram, Abolghasem Djazayeri","doi":"10.3389/ijph.2025.1608116","DOIUrl":"https://doi.org/10.3389/ijph.2025.1608116","url":null,"abstract":"<p><strong>Objectives: </strong>This study identifies the key factors contributing to Food Security (FS) in the context of Climate change (CC), aiming to foster agenda setting for FS in Iran.</p><p><strong>Methods: </strong>This is a qualitative study. We interviewed 32 relevant stakeholders from various backgrounds. We used a mixed inductive-deductive approach in data analysis, drawing up on an adopted framework comprising of health policy triangle and selected agenda setting framework.</p><p><strong>Results: </strong>Our analysis revealed eight constructs, eight themes, and 26 subthemes. The constructs included: common voice, leadership, scientific evidence, economic, multi-sectoral collaboration, advocacy, early warning systems, and supreme decision-making center. The main themes identified were shortcomings in: consensus, high-level political commitment, cooperation, System approach, research, planning, economic resources, and public participation. The international data gathering was limited in this study.</p><p><strong>Conclusion: </strong>To mitigate the risk of FS in CC condition and push the emerging subject into the government agenda in Iran, we recommend reforms in the eight identified constructs and advocate a combined policy approach including three dimensions: policy integration, coherency, and coordination, through a new model of governance.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608116"},"PeriodicalIF":2.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144009023","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}
F Kongngern, M Prina, S C Akhter-Khan, Q Gao, M Prince, R Mayston
{"title":"A Systematic Review of Frailty Interventions in Community-Based Low and Middle-Income Settings.","authors":"F Kongngern, M Prina, S C Akhter-Khan, Q Gao, M Prince, R Mayston","doi":"10.3389/ijph.2025.1608089","DOIUrl":"https://doi.org/10.3389/ijph.2025.1608089","url":null,"abstract":"<p><strong>Objective: </strong>To synthesise evidence on the effectiveness of frailty interventions among prefrail and frail community-dwelling older adults living in low and middle-income countries (LMICs).</p><p><strong>Methods: </strong>The four electronic databases, Embase, Ovid MEDLINE, Global Health, and APA PsycINFO, were searched until 25 September 2023. This review's protocol was registered on PROSPERO (CRD42022309998). There was no publication time or language restriction. Inclusion criteria included randomised controlled trials and other intervention types of frailty interventions that focussed on community-dwelling older adults (mean age of at least 60 years) with prefrail or frail living in LMICs. The meta-analysis could not be conducted because of the heterogeneity of frailty interventions.</p><p><strong>Results: </strong>This systematic review included fifteen studies: eleven were single-domain interventions (exercise, nutritional supplementation, and nurse home visits), and four were multidomain interventions (exercise plus nutrition and exercise plus mindfulness). Some evidence from high-quality studies showed that physical exercise interventions successfully addressed frailty.</p><p><strong>Conclusion: </strong>This systematic review highlights the scarcity of evidence on frailty interventions in LMICs, making it difficult to evaluate their effectiveness. Additional research is needed to focus on specific types of interventions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608089"},"PeriodicalIF":2.6,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024753","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}
Bianca Albers, Reto Auer, Kevin Selby, Lauren Clack
{"title":"Organized Colorectal Cancer Screening Programs in Switzerland - Quo Vadis?","authors":"Bianca Albers, Reto Auer, Kevin Selby, Lauren Clack","doi":"10.3389/ijph.2025.1608183","DOIUrl":"https://doi.org/10.3389/ijph.2025.1608183","url":null,"abstract":"<p><strong>Objectives: </strong>Colorectal cancer (CRC) is among the most commonly diagnosed cancers in Switzerland. Supported by a solid evidence base for CRC screening, cantons have increasingly established organized screening programs. This report summarizes and discusses the state of this program landscape using findings from the Swiss Improving Organized Colorectal Cancer Screening: An Implementation Science Study.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with clinical or administrative leads for Swiss CRC screening programs to understand key characteristics, including host organization, enrollment pathways, screening modalities, and program deliverers.</p><p><strong>Results: </strong>Eleven out of 13 existing or planned programs in 2021 participated, eight of which have been developed since 2020. All programs offer mail invitations to citizens 50-69 years old and fecal immunochemical testing, though positivity thresholds vary. Access to colonoscopy and the role of healthcare providers vary between programs.</p><p><strong>Conclusion: </strong>Cantonal influences on designing and implementing preventive services allow programs to adapt to local conditions. However, they also challenge opportunities for cross-program learning, efficiencies, and equity. Strengthening the infrastructure connecting programs for shared knowledge building and program improvement will be vital for sustaining Swiss organized CRC screening.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608183"},"PeriodicalIF":2.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004434","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}
Beata Vivien Boldis, Ilona Grünberger, Jonas Helgertz, Agneta Cederström
{"title":"Polycystic Ovary Syndrome and Labor Market Attachment: Sequence Analysis.","authors":"Beata Vivien Boldis, Ilona Grünberger, Jonas Helgertz, Agneta Cederström","doi":"10.3389/ijph.2025.1607889","DOIUrl":"https://doi.org/10.3389/ijph.2025.1607889","url":null,"abstract":"<p><strong>Objectives: </strong>Polycystic ovary syndrome (PCOS) is an endocrine disorder in women of fertile age which may also affect the labor market attachment. We investigated labor market attachment trajectories among working age women diagnosed with PCOS.</p><p><strong>Methods: </strong>A cohort of 157,356 women born in 1975-1977 were followed annually between the ages of 30 and 39, using data from Swedish administrative registers. Multinomial logistic regression was employed to assess associations between being diagnosed with PCOS (after the age of 15) and belonging to the identified clusters of labor market attachment trajectories.</p><p><strong>Results: </strong>Women with PCOS spent less time in employment and were more dependent on sickness benefits during the follow-up time than those without PCOS. Five labor market attachment clusters were identified: <i>stable employment, education into employment, labor market exclusion, continuously unstable position, long-term sickness</i>. Compared to being in the <i>stable employment</i> cluster, women diagnosed with PCOS were more likely to experience <i>long-term sickness</i> [RRR (relative risk ratio): 1.97 (CI: 1.90-2.05)], and <i>education into employment</i> [RRR: 1.11 (CI: 1.07-1.15)].</p><p><strong>Conclusion: </strong>PCOS can lead to disadvantaged labor market outcomes. Better strategies are needed to prevent economic exclusion among women diagnosed with PCOS.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607889"},"PeriodicalIF":2.6,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989779","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}
Ermias Tadesse Beyene, Sumin Kim, Seungman Cha, Yan Jin, Myunggu Jung
{"title":"Evolving Landscape of Modern Contraceptive Use in Ethiopia: A Two-Decade Analysis.","authors":"Ermias Tadesse Beyene, Sumin Kim, Seungman Cha, Yan Jin, Myunggu Jung","doi":"10.3389/ijph.2025.1607680","DOIUrl":"https://doi.org/10.3389/ijph.2025.1607680","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of modern contraceptive use in Ethiopia has increased in the past two decades. Despite these efforts, unmet needs for modern contraception persist, with limited knowledge on regional variations and determining factors.</p><p><strong>Method: </strong>We analyzed data from the Ethiopian Demographic and Health Surveys (EDHS) from 2000, 2005, 2011, 2016, and 2019. Descriptive statistics examined regional variations and trends in modern contraceptive use among married, non-pregnant women. Multilevel analysis identified individual and community-level factors influencing modern contraceptive use.</p><p><strong>Result: </strong>Nationally, modern contraceptive prevalence (mCP) increased, but regional disparities widened, notably between Addis Ababa and Somalia, from 34.8 to 51.8 percentage points. Factors such as community wealth, residence, age, education, and number of children significantly influenced contraceptive use. The greatest increase in mCP was among women aged 15-24, with a rise of 49.4 percentage points from 2000 to 2019.</p><p><strong>Conclusion: </strong>Tailored reproductive health services at both individual and community levels are essential to address the growing regional disparities in modern contraceptive use among married women in Ethiopia.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607680"},"PeriodicalIF":2.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063729","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}
Nnabuike Celestine Eze, Chukwudi Gift Ezeugwu, Rachael Nwanezeobi Eze, Clara Ngozi Soronnadi, Chinonyelu Jennie Orji, Onyinye Hope Chime
{"title":"Caregiving Burden and Coping Strategies Among Informal Caregivers of Cancer Patients in Nigeria: From Duty to Distress.","authors":"Nnabuike Celestine Eze, Chukwudi Gift Ezeugwu, Rachael Nwanezeobi Eze, Clara Ngozi Soronnadi, Chinonyelu Jennie Orji, Onyinye Hope Chime","doi":"10.3389/ijph.2025.1607735","DOIUrl":"https://doi.org/10.3389/ijph.2025.1607735","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims at determining the caregiving burden and the coping strategies adopted by informal caregivers of patients with cancer in tertiary health facilities in Enugu state.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 105 informal caregivers of cancer patients in tertiary health facilities in Enugu State using interviewer-administered questionnaires over 6 weeks. Data analysis was performed using SPSS version 27 and Chi square test of statistical significance was used to determine factors associated with caregiving burden and coping strategies.</p><p><strong>Results: </strong>The majority (27.6%) of caregivers were aged 41-50 years and females (62.9%). More than half (56.2) were not involved in the patients' Activities of Daily Living (ADL). The most commonly utilized coping mechanisms was religion (92.4%) while behavioral disengagement (1%) and self-blame (1%) were the least utilized. Factors associated with caregiving burden include educational level, duration of patient's illness and dependency of patient on caregiver.</p><p><strong>Conclusion: </strong>This study highlights the varying levels of caregiving burden and the predominant reliance on religious and acceptance-based coping strategies among informal caregivers in Enugu.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607735"},"PeriodicalIF":2.6,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997420","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}
Louisa Ewald, John Bellettiere, Tamer H Farag, Kristina M Lee, Sidhartha Palani, Emma Castro, Amanda Deen, Catherine W Gillespie, Bethany M Huntley, Alison Tracy, Anna-Carolina Haensch, Frauke Kreuter, Wiebke Weber, Stefan Zins, Wichada La Motte-Kerr, Yao Li, Kathleen Stewart, Emmanuela Gakidou, Ali H Mokdad
{"title":"Association Between Trust in Health Care Professionals and Health Care Access: Insights From an Online Survey Across 21 Countries.","authors":"Louisa Ewald, John Bellettiere, Tamer H Farag, Kristina M Lee, Sidhartha Palani, Emma Castro, Amanda Deen, Catherine W Gillespie, Bethany M Huntley, Alison Tracy, Anna-Carolina Haensch, Frauke Kreuter, Wiebke Weber, Stefan Zins, Wichada La Motte-Kerr, Yao Li, Kathleen Stewart, Emmanuela Gakidou, Ali H Mokdad","doi":"10.3389/ijph.2025.1607884","DOIUrl":"https://doi.org/10.3389/ijph.2025.1607884","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the association between trust in health care professionals and health care delays across 21 countries.</p><p><strong>Methods: </strong>We apply logistic regression models to survey data of over 621,000 individuals collected in Spring 2023.</p><p><strong>Results: </strong>Results show 44.5% of respondents with medical conditions experienced delays in accessing health care and 44.1% reported lack of trust in health care professionals. Those who trusted health care professionals had significantly lower odds of delaying medical care. Trust was most strongly associated with delays in the United Kingdom (OR = 0.373, 95% CI = 0.273-0.510), while South Africa had the smallest association (OR = 0.762, 95% CI = 0.582-0.997).</p><p><strong>Conclusion: </strong>Trust is important in influencing health care-seeking behaviors, though the causal direction warrants further research. There is a need for targeted strategies to build and sustain trust in health care relationships as well as enhancing health care access.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607884"},"PeriodicalIF":2.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017820","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":"Ultra-Processed Food Consumption Among College Students and Their Association With Body Composition, Bowel Movements and Menstrual Cycle.","authors":"Anindita Ghosh, Arti Muley","doi":"10.3389/ijph.2025.1607712","DOIUrl":"https://doi.org/10.3389/ijph.2025.1607712","url":null,"abstract":"<p><strong>Objectives: </strong>The current research aimed to explore the association of ultra-processed food consumption among college students with body composition, bowel movements, and menstrual irregularities with a focus on females.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Pune, India among 110 university students of both genders aged 18-25 years. A developed and validated Food Frequency Questionnaire (FFQ) based on the NOVA classification was used to evaluate UPF consumption, while the Constipation Scoring System (CSS) and the Premenstrual Symptoms Screening Tool assessed bowel habits and menstrual health, respectively. Anthropometric measurements, including BMI, body fat percentage,and visceral fat were recorded using an Omron Karada Analyzer.</p><p><strong>Results: </strong>A higher percentage of participants were female (74.8%). Most participants (52.3%) consumed more than three meals daily, while 42.1% ate outside food 2-3 times per week. Higher UPF consumption showed a trend toward increased body fat (p = 0.053) and was significantly associated with greater visceral fat accumulation (p < 0.05). No significant associations were found between UPF intake and bowel movement, gastrointestinal symptoms, or menstrual cycle irregularities (p > 0.05).</p><p><strong>Conclusion: </strong>Higher UPF consumption showed a trend toward increased body fat percentage, though not statistically significant. These findings highlight the need to reduce UPF intake to mitigate potential risks of increased adiposity and metabolic disturbances.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607712"},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023585","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}