Yusuff Adebayo Adebisi, Riccardo Polosa, Jacob George
{"title":"Harm Reduction Implications of Vaping Overtaking Smoking in Great Britain.","authors":"Yusuff Adebayo Adebisi, Riccardo Polosa, Jacob George","doi":"10.3389/ijph.2026.1609671","DOIUrl":"10.3389/ijph.2026.1609671","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609671"},"PeriodicalIF":2.4,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722908","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":"Moving From Representativeness Toward Transportability in an Era of Digital and Big Data.","authors":"Arnaud Chiolero","doi":"10.3389/ijph.2026.1609306","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609306","url":null,"abstract":"<p><p>Evidence-based public health demands that study findings provide meaningful insights into improving the health of target populations, making representativeness a widely regarded hallmark of high-quality epidemiological research. However, big data and the digital health datademic are changing the way target and study populations are defined and how to ensure the external validity of study findings. What matters is assessing the degree of transportability of these findings-how well they inform about the target population. I review the gain of shifting the focus away from study representativeness and instead prioritizing the explicit assessment and reporting of transportability.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609306"},"PeriodicalIF":2.4,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673366","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}
Clara Le Saux, Ingrid Gilles, David Jackson-Perry, Ellen Cart-Richter, Olivier Nawej Tshikung, Katharine E A Darling
{"title":"Once HIV Knowledge Is Addressed: HIV-Stigma From the Perspective of Healthcare Professionals Working in HIV Facilities.","authors":"Clara Le Saux, Ingrid Gilles, David Jackson-Perry, Ellen Cart-Richter, Olivier Nawej Tshikung, Katharine E A Darling","doi":"10.3389/ijph.2026.1609379","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609379","url":null,"abstract":"<p><strong>Objectives: </strong>Stigmatising behaviour towards people with HIV (PWH) by healthcare professionals (HCPs) are often linked to poor HIV knowledge. This qualitative study explores how HIV-related stigma affects daily practice when HIV knowledge is high.</p><p><strong>Methods: </strong>HCPs from HIV care facilities in French-speaking Switzerland-administrative staff, nurses, and physicians-were invited to be interviewed by a team trained in qualitative methods using semi-structured guides. Interview transcripts were analysed with IRaMuTeQ software.</p><p><strong>Results: </strong>Ten interviews were completed before data saturation was reached. Three themes emerged: 1) clinic reception, 2) care provision for PWH, and 3) HIV knowledge. Administrative staff described challenges in maintaining patient anonymity. These included not greeting people by name and organising appointment schedules so people from shared social groups never meet at the clinic, thus avoiding HIV-status-sharing by inference. Physicians described underestimating stigma experienced by PWH and cited time constraints during consultations to address this. All groups felt that stigma persists due to limited HIV knowledge among the general public and non-specialist HCPs.</p><p><strong>Conclusion: </strong>Even with good HIV knowledge, HIV-stigma impacts HCP practice and care provision. Efforts to protect anonymity may unintentionally reinforce rather than address HIV-stigma. While improving public and HCP HIV knowledge reduces enacted HIV-stigma, collaborative interventions between HCP sectors and with PWH could help to adapt HCP practices.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609379"},"PeriodicalIF":2.4,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673422","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":"Urban-Rural Differences of Impact of the Accessibility of Community Older Adult Care Services on the Quality of Life of Older Adults.","authors":"Xiaodong Di, Lijian Wang","doi":"10.3389/ijph.2026.1609432","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609432","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to balance the resources for older adult care services in urban and rural areas, improve the quality of older adult care services, and enhance the quality of life for older adults.</p><p><strong>Methods: </strong>Based on the survey data of Shaanxi province and the ordinal logistic regression method, the paper analyzes the index system and measurement results of the accessibility of community older adult care services, and explores the urban-rural differences of impact of accessibility on the quality of life of older adults from the perspective of social support.</p><p><strong>Results: </strong>The accommodation of community older adult care service has a significant positive impact on the social relationship of urban older adults, while the five dimensions of the accessibility of older adult care services have no significant impact on the social relationship of rural older adults.</p><p><strong>Conclusion: </strong>The urban-rural differences of the impact are mainly reflected in the two aspects of accommodation and affordability. Government support and social organization support are the main reasons for the heterogeneity.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609432"},"PeriodicalIF":2.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13072199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690073","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}
Jing Zhou, Hanna Rekola, Marjorita Sormunen, Tomi Mäki-Opas
{"title":"Structural Validation and Measurement Invariance of the HLS-Q12 Health Literacy Instrument in Finnish Adults: Comparing Traditional and Alignment Methods.","authors":"Jing Zhou, Hanna Rekola, Marjorita Sormunen, Tomi Mäki-Opas","doi":"10.3389/ijph.2026.1609337","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609337","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the internal structure, internal consistency, and measurement invariance of the HLS-Q12 across sociodemographic groups in Finnish adults, using traditional multi-group confirmatory factor analysis (MGCFA) and alignment optimization.</p><p><strong>Methods: </strong>We analyzed data from 7,077 Finnish adults drawn from a nationally representative national sample (n = 4,003) and a regional sample from North Savo (n = 3,074). Analyses included confirmatory factor analysis, MGCFA, and alignment optimization with Monte Carlo evaluation. Invariance was examined across gender, age, education, and study samples.</p><p><strong>Results: </strong>Reliability was high (α = 0.905 & ω = 0.896) and unidimensional structure (CFI = 0.951, TLI = 0.935, RMSEA = 0.058). MGCFA supported scalar invariance for gender, education, and study samples. Alignment optimization exhibited acceptable non-invariance (2.8%-25% of parameters), primarily in intercepts. Women and individuals with higher education showed higher health literacy; young adults exhibited higher levels than older cohorts.</p><p><strong>Conclusion: </strong>The Finnish HLS-Q12 supported subgroup comparisons for population monitoring, with largely adequate measurement invariance across key sociodemographic groups. The evidence pertains primarily to internal structure and measurement invariance. Further studies should examine additional validity evidence using external criteria.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609337"},"PeriodicalIF":2.4,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673428","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":"Environmental Heat and Renal Health Across Cosmopolitan Populations: A Scoping Review Focused on Sex-Specific Vulnerability.","authors":"Sung-Hyo Seo, Suwan Go, Yoolwon Jeong","doi":"10.3389/ijph.2026.1609356","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609356","url":null,"abstract":"<p><strong>Objectives: </strong>Much of the existing evidence on heat-renal associations has focused on Mesoamerican male agricultural workers as the primary high-risk group, leaving sex-specific vulnerability in non-agricultural global populations underexplored. This study synthesized global evidence on heat-related renal outcomes in non-Mesoamerican, non-agricultural populations, with a focus on differences by sex.</p><p><strong>Methods: </strong>A scoping review was conducted following PRISMA-ScR guidelines. Eligible studies reported sex-stratified renal outcomes and were conducted in non-Mesoamerican, non-agricultural populations. Data were extracted in duplicate and summarized descriptively.</p><p><strong>Results: </strong>Twenty-one studies from ten countries met the inclusion criteria. Heat exposure was associated with increased risks of acute kidney injury, nephrolithiasis, and urinary tract infections. Men generally showed greater vulnerability to acute kidney injury and stone-related outcomes, whereas women more often demonstrated heat-related increases in urinary tract infections.</p><p><strong>Conclusion: </strong>Our findings indicate that the risk of heat-related renal morbidity is not confined to the traditionally studied Mesoamerican male agricultural workforce but may also represent an emerging health concern in urban and metropolitan settings. These sex-specific patterns highlight the need for gender-responsive approaches in heat-renal research and public health planning.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609356"},"PeriodicalIF":2.4,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13056881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147645209","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":"Perinatal Mental Health Among Forced Migrant Women: A Scoping Review of Prevalence and Associated Factors.","authors":"Yamma Khalid Aria, Amanda Mason-Jones, Ada Keding","doi":"10.3389/ijph.2026.1608845","DOIUrl":"https://doi.org/10.3389/ijph.2026.1608845","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesise existing evidence on the prevalence of perinatal mental health disorders among forced migrant women and to identify factors influencing mental health outcomes in this population.</p><p><strong>Methods: </strong>A scoping review was conducted following the Arksey and O'Malley framework. Electronic databases and grey literature sources were searched for studies published in English between 1951 and August 2022. Studies were included if they examined perinatal mental health among forced migrant women and clearly distinguished forced from voluntary migration.</p><p><strong>Results: </strong>A total of 1,105 records were identified, of which 16 studies met the inclusion criteria (12 quantitative, three qualitative, and one mixed-methods study). Two main themes emerged: the prevalence of perinatal mental health disorders, including depression, anxiety, and post-traumatic stress disorder, and factors influencing mental health outcomes, such as social support, exposure to traumatic events, and stigma.</p><p><strong>Conclusion: </strong>Forced migrant women experience a high burden of perinatal mental health difficulties. Improved clarity in migration definitions and consistency in outcome measurement may strengthen future research and support more effective responses to perinatal mental health needs in this population.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608845"},"PeriodicalIF":2.4,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638733","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}
Saliha Büşra Aksu, Seda Özmen Sever, Yağmur Gökseven Arda, Güzin Zeren Öztürk
{"title":"Evaluation of Maternal Immunization Rates in Primary Care: A Retrospective Study From Selected Family Health Centers in İstanbul, Türkiye.","authors":"Saliha Büşra Aksu, Seda Özmen Sever, Yağmur Gökseven Arda, Güzin Zeren Öztürk","doi":"10.3389/ijph.2026.1609233","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609233","url":null,"abstract":"<p><strong>Objectives: </strong>To assess maternal vaccination coverage in primary care and to examine its association with completion of antenatal care visits and maternal characteristics in Türkiye.</p><p><strong>Methods: </strong>A retrospective record-based observational study including 996 pregnancies registered at Family Health Centers in Istanbul (2020-2022) was analyzed. Vaccination records for tetanus-diphtheria (Td), tetanus-diphtheria-acellular pertussis (Tdap), hepatitis B, influenza, and coronavirus disease 2019 (COVID-19) were retrieved from electronic health records and the National Vaccination Tracking System. Women attending all four scheduled antenatal care visits were classified as having complete antenatal care. Descriptive analyses, chi-square tests, and binary logistic regression analysis were performed.</p><p><strong>Results: </strong>Overall, 89.7% of pregnant women received at least one vaccine. Complete vaccination rates were 79.7% for Td/Tdap, while complete hepatitis B immunization status was observed in 9.8%, and complete COVID-19 vaccination in 10.7%. Two-thirds (66.4%) completed antenatal care visits. Complete antenatal care was independently associated with higher odds of vaccination during pregnancy (aOR = 2.91, 95% CI: 1.91-4.44), having a lifetime immunization record (aOR = 3.12, 95% CI: 1.74-5.61) and complete Td/Tdap vaccination (aOR = 2.16, 95% CI: 1.57-2.98).</p><p><strong>Conclusion: </strong>Maternal vaccination coverage in Türkiye remains below international targets except for Td/Tdap. Greater continuity of structured antenatal care and continuity of care visits may be associated with higher maternal vaccination uptake. In addition integrating all recommended maternal vaccines into national protocols may support improvements in immunization coverage.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609233"},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591951","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":"Dual Chain-Mediation of GenAI Chatbots on Loneliness: Perceived Misinformation Exposure and User Trust via Negative Emotions.","authors":"Yangyang Wang, Chang Xu","doi":"10.3389/ijph.2026.1609017","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609017","url":null,"abstract":"<p><strong>Objectives: </strong>Mounting concerns over \"AI psychosis\" highlight the need to examine psychological risks of GenAI chatbots. Loneliness is a critical outcome of prolonged AI use, often mediated by distorted emotional and cognitive processes. This study tests how GenAI chatbots use is associated with negative emotions, which in turn heighten loneliness through two concurrent mechanisms.</p><p><strong>Methods: </strong>We surveyed 516 adults online and applied PLS-SEM with bootstrapped indirect effects and comparative pathway analysis.</p><p><strong>Results: </strong>GenAI chatbots use significantly predicted perceived misinformation exposure (β = 0.318, 95% CI [0.231, 0.409]) and user trust (β = 0.383, 95% CI [0.294, 0.473]). Both pathways increased loneliness via negative emotions, with the information-quality pathway (β = 0.062, 95% CI [0.036, 0.099]) stronger than the emotional-trust pathway (β = 0.023, 95% CI [0.009, 0.040]); overall chain effects did not differ.</p><p><strong>Conclusion: </strong>GenAI chatbots use contributes to loneliness through dual cognitive and emotional mediations. Given emerging AI psychosis risks, interventions should strengthen misinformation recognition and address trust-related vulnerabilities.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609017"},"PeriodicalIF":2.4,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591956","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}
Simona Esposito, Augusto Di Castelnuovo, Simona Costanzo, Alessandro Gialluisi, Antonietta Pepe, Emilia Ruggiero, Amalia De Curtis, Sara Magnacca, Mariarosaria Persichillo, Francesc Casanovas-Garriga, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio
{"title":"Moderate Wine Consumption, Defined by the Mediterranean Diet, Is Associated With Delayed Biological Aging in Men From the Moli-sani Study.","authors":"Simona Esposito, Augusto Di Castelnuovo, Simona Costanzo, Alessandro Gialluisi, Antonietta Pepe, Emilia Ruggiero, Amalia De Curtis, Sara Magnacca, Mariarosaria Persichillo, Francesc Casanovas-Garriga, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio","doi":"10.3389/ijph.2026.1609410","DOIUrl":"10.3389/ijph.2026.1609410","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between wine consumption and biological aging in the Moli-sani Study.</p><p><strong>Methods: </strong>Dietary data were assessed using a 188-item FFQ. Participants (n = 22,495) were classified as abstainers, former drinkers, moderate drinkers according to national guidelines (≤250 mL/d men; ≤125 mL/d women) or Mediterranean Diet (MD) (125-500 mL/d men; 62.5-250 mL/d women), and heavy drinkers (>500 mL/d men; >250 mL/d women). Biological age (BA) was estimated with a deep neural network using 36 circulating biomarkers, and Δage (BA-chronological age) served as an index of biological aging.</p><p><strong>Results: </strong>In men, wine consumption, at doses defined moderate by a current MD Score, was associated with slower biological aging (Δage β = -0.39; 95%CI: -0.78, -0.01 vs. abstainers). Dose-response analyses showed a J-shaped curve, with the slowest Δage at ∼170 mL/d (Δage = -0.34 years; 95%CI: -0.66, -0.03). Overall ethanol intake, including all alcoholic beverages consumed, was neutral at moderate levels and associated with faster biological aging at higher doses.</p><p><strong>Conclusion: </strong>Moderate wine consumption, but not overall ethanol intake, may contribute to slower biological aging in men.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609410"},"PeriodicalIF":2.4,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591954","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}