International Journal of Public Health最新文献

{"title":"Pharmacy academicians' perception towards public health: a qualitative study.","authors":"Şeyma Halaç, Muhammed Yunus Bektay, Hasan Hüseyin Eker, Mustafa Öztürk","doi":"10.3389/ijph.2026.1608594","DOIUrl":"https://doi.org/10.3389/ijph.2026.1608594","url":null,"abstract":"<p><strong>Objectives: </strong>This qualitative study explored pharmacy academics' perceptions of pharmacists' public health roles, the adequacy of pharmacy education, and barriers to public health practice in Türkiye.</p><p><strong>Methods: </strong>Eleven pharmacy academics from Faculties of Pharmacy in Istanbul participated in online, in-depth, semi-structured interviews. Data were analysed using reflexive thematic analysis guided by the Consolidated Criteria for Reporting Qualitative Research.</p><p><strong>Results: </strong>Participants viewed public health as a multidimensional field centred on prevention and collaboration. Community pharmacies were considered accessible entry points to healthcare with substantial potential to provide preventive services, support health literacy, and contribute to chronic disease management. This potential remained underutilised due to insufficient public health competencies in pharmacy education, limited societal health literacy, and inadequate systemic recognition of pharmacists' roles.</p><p><strong>Conclusion: </strong>Strengthening public health education in pharmacy curricula and establishing policies that recognise pharmacists as frontline public health practitioners may enhance their contribution to population health.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608594"},"PeriodicalIF":3.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13630707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109546","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":"From evidence to action: expert perspectives on stakeholder dialogues in Swiss health policy.","authors":"Sara Rubinelli, Cristina Mesa-Vieira, Isabelle Peytremann-Bridevaux, Nicola Diviani, Sarah Mantwill, Natalie Gray Messerli, Maddalena Fiordelli","doi":"10.3389/ijph.2026.1609991","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609991","url":null,"abstract":"<p><strong>Objectives: </strong>Stakeholder dialogues are increasingly used to link research evidence with policy and practice in health systems. Yet little is known about the practical reasoning behind their design, conduct, and use. This study investigated how researchers and public-health professionals conceptualise and operationalise stakeholder dialogues, with a primary focus on Switzerland's federal, multilingual health system and broader relevance to other settings.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with fourteen experts involved in designing, facilitating, or implementing stakeholder dialogues in Switzerland and internationally. Interview data were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Stakeholder dialogues emerged as structured, evidence-informed discussions linking research to implementation. Success depended on high-quality evidence briefs, skilled neutral facilitation, and inclusive formats enabling equal participation. Consensus was not required; clarified disagreement and transparent reasoning were legitimate outcomes. Impact ranged from mutual learning to policy uptake, shaped by federalism and linguistic diversity.</p><p><strong>Conclusion: </strong>Stakeholder dialogues function as boundary infrastructures that integrate evidence, experience, and values. When deliberately designed, they enhance the quality of reasoning, trust, and coordination, transforming evidence use from a technical exercise into a relational practice in health policymaking.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609991"},"PeriodicalIF":3.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13630709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109450","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":"Burden of chronic kidney disease among children and adolescents in the South-East Asia and Western Pacific regions, 1990 to 2021.","authors":"Yang Yang, Yujie Xu, Xiaoran Xue, Mingyi Zhao, Qingnan He","doi":"10.3389/ijph.2026.1609313","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609313","url":null,"abstract":"<p><strong>Objectives: </strong>There is little comprehensive or updated evidence on the burden of CKD among children and adolescents in Asia-Pacific. We aimed to report the CKD burden among people under 20 years from 1990 to 2021 using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 (GBD).</p><p><strong>Methods: </strong>We conducted a retrospective descriptive analysis using GBD 2021 data for individuals aged <20 years in the South-East Asia and Western Pacific regions. We assessed age-standardized rates (ASRs) of CKD prevalence, incidence, deaths, and disability-adjusted life years (DALYs) from 1990 to 2021, and examined their associations with the Socio-demographic Index (SDI).</p><p><strong>Results: </strong>In 2021, the ASR of CKD incidence was 26.72 per 100,000 in South-East Asia and 20.92 per 100,000 in the Western Pacific. From 1990 to 2021, overall ASRs of CKD incidence, deaths, and DALYs declined in both regions (AAPC for DALYs: -2.43 in South-East Asia and -2.87 in Western Pacific). Children aged <5 years had the highest incidence rates (53.97 and 49.29 per 100,000), whereas adolescents aged 15-19 years had the highest burden in terms of prevalence (2,630.63 and 1,445.9 per 100,000), deaths (1.03 and 0.91 per 100,000), and DALYs (93.33 and 76.65 per 100,000). Males experienced higher death and DALY rates than females in both regions (death rate: 0.79 and 0.51 vs. 0.55 and 0.42 per 100,000; DALY rate: 73.25 and 44.64 vs. 52.65 and 38.69 per 100,000). CKD burden declined more markedly in high-SDI countries. However, several Pacific Island countries, despite being classified as middle- or high-SDI, exhibited disproportionately high CKD burden due to geographic and healthcare access challenges.</p><p><strong>Conclusion: </strong>CKD burden in children and adolescents in Asia-Pacific decreased from 1990 to 2021. Gender- and age-specific interventions and early treatment of CKD-related complications may help improve patient care, especially in regions with lower SDI and Pacific Island countries.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609313"},"PeriodicalIF":3.2,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13624590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109507","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":"Burden trends and disparities of metabolic risk-attributable peripheral arterial disease in China (1990-2035): a comparative analysis with G20 countries.","authors":"Jie Yuan, Baolei Guo, Fan Li, Qianchuan Yi, Likuan Tu, Bo Tang, Zhirong Li","doi":"10.3389/ijph.2026.1610164","DOIUrl":"10.3389/ijph.2026.1610164","url":null,"abstract":"<p><strong>Objective: </strong>Peripheral arterial disease (PAD) presents a significant clinical and public health challenge. This study aimed to comprehensively analyze and compare the burden trends and disparities of PAD attributable to metabolic risks in China and G20 countries.</p><p><strong>Methods: </strong>Disability-adjusted life years (DALYs), age-standardized rates, population-attributable fractions, and average annual percentage changes (AAPCs) were used as the burden metrics. Decomposition analysis was conducted to quantify the contributions of population growth, aging, and epidemiological changes. The autoregressive integrated moving average (ARIMA) model was applied to project future burden trends.</p><p><strong>Results: </strong>In 2023, China and G20 countries had 100 298 and 704 214 DALYs of PAD attributable to metabolic risks, respectively. Compared to 1990, these figures increased by 210.9% and 114.6%, respectively. Population growth and aging were major drivers of the increasing PAD burden. Significant disparities were observed across ages and sexes. Moreover, projections indicate an increasing DALYs in China and G20 countries by 2035.</p><p><strong>Conclusion: </strong>Our findings reveal a substantial and growing absolute PAD burden attributable to metabolic risks in China and G20 countries, with China exhibiting a distinct epidemiological pattern.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610164"},"PeriodicalIF":3.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080918","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":"Social disparities, navigational health literacy, and unmet needs in Germany: results of a population survey.","authors":"Till Werner Ulrich, Jens Klein, Olaf von dem Knesebeck","doi":"10.3389/ijph.2026.1609928","DOIUrl":"10.3389/ijph.2026.1609928","url":null,"abstract":"<p><strong>Objectives: </strong>Navigational health literacy is increasingly important in the German health system. While social disparities have been reported, less is known about its association with unmet needs and whether it attenuates the associations between social characteristics and unmet needs.</p><p><strong>Methods: </strong>This cross-sectional online survey in Germany included a random sample of 2,201 adults. Participants completed the validated HLS19-NAV instrument and reported unmet needs during the past 12 months. Associations were examined using descriptive and multiple Poisson regression analyses.</p><p><strong>Results: </strong>Overall, 70% of participants showed inadequate navigational health literacy. Lower navigational health literacy was associated with lower income, lower education, statutory health insurance, and age 41-59 years. Unmet needs were more common among younger adults, women, and lower-income or statutorily insured participants. Better navigational health literacy was associated with lower prevalence of unmet needs. After adding navigational health literacy to the model, associations between social characteristics and unmet needs remained largely unchanged.</p><p><strong>Conclusion: </strong>Navigational health literacy was unequally distributed across groups and strongly associated with unmet needs but did not reduce the observed social disparities in access to care.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609928"},"PeriodicalIF":3.2,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149074356","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":"Artificial intelligence and computational methods in the Asia-Pacific pharmacovigilance landscape: a systematic review.","authors":"Gita Kusnadi, Grace Wangge, Arif Perdana","doi":"10.3389/ijph.2026.1610026","DOIUrl":"10.3389/ijph.2026.1610026","url":null,"abstract":"<p><strong>Objective: </strong>To examine the application of artificial intelligence (AI) in pharmacovigilance across the Asia-Pacific and identify reported methodological implementation challenges.</p><p><strong>Methods: </strong>MEDLINE, Scopus, and Google Scholar were searched using terms related to artificial intelligence, computational signal detection, pharmacovigilance, and Asia-Pacific countries. Peer-reviewed original studies published in English were included. PRISMA 2020 guideline was followed.</p><p><strong>Results: </strong>We included 64 studies in 14 countries primarily focused on 1) Adverse Drug Reaction (ADR) identification, 2) ADR prediction and risk factor modelling, 3) Drug safety, monitoring, and evaluation, 4) Predictive modelling, and 5) Data information management. Machine Learning (ML) techniques were the most commonly applied AI methods in pharmacovigilance, followed by natural language processing, deep learning, neural networks, and symbolic and explainable AI. Disproportionality analysis methods were also commonly used across studies. Some challenges reported were relevant to data quality issues, generalizability, clinical workflow integration, implementation technicalities, and cultural barriers.</p><p><strong>Conclusion: </strong>To overcome the challenges of AI application in the Asia-Pacific, a tiered implementation strategy can be employed through establishing a regional collaboration framework and taking into account disparities in technological maturity across countries.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610026"},"PeriodicalIF":3.2,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13612370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061227","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":"AI competency misalignment in preventive medicine: a multi-stakeholder survey with latent profile analysis in Sichuan and Chongqing.","authors":"Qiuyu Pan, Nian Liu","doi":"10.3389/ijph.2026.1610073","DOIUrl":"10.3389/ijph.2026.1610073","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate supply-demand misalignment in public health artificial intelligence (AI) workforce education in Sichuan and Chongqing, inland Western China.</p><p><strong>Methods: </strong>Surveyed 1,031 stakeholders (150 employers, 680 students, 201 educators) using Importance-Performance Analysis (IPA) and Latent Profile Analysis (LPA) to quantify skill deficits. Multivariate models assessed collaborative training and faculty transfer factors, guided by a conceptual framework integrating demand, supply, and training perspectives. All coefficients are associational, not causal.</p><p><strong>Results: </strong>IPA showed employers prioritised risk assessment; students focused on algorithmic construction. LPA on six practical skills identified two profiles: High-Order Application Group (23.2%) and Foundation-Weak Group (76.8%); the weighted combination of profile means reconciled with the overall sample mean. Employers' deficit perception was positively associated with their collaboration willingness (β = 0.235, 95% CI [0.061, 0.410], p < 0.01). Institutional innovation negatively moderated the link between faculty AI proficiency and research mentorship (β = -0.120, [-0.216, -0.024], p < 0.05).</p><p><strong>Conclusion: </strong>AI education may overemphasize computational skills relative to frontline operational demands. Mitigation may require stratified pedagogy, real-world data, and less administration. Multi-stakeholder framework is valuable; causality requires further research.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610073"},"PeriodicalIF":3.2,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149038598","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":"Armed conflict: the \"perfect storm\" for One Health.","authors":"Oliver Razum, Jonas Rickermann, Andrea Sylvia Winkler","doi":"10.3389/ijph.2026.1610237","DOIUrl":"10.3389/ijph.2026.1610237","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610237"},"PeriodicalIF":3.2,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13585696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001829","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":"The limits of awareness campaigns: persistent age-disparate relationships in KwaZulu-Natal more than a decade after the 2012 sugar daddies destroy lives campaign.","authors":"Sbonelo Charles Chamane, Lehlogonolo Makola, Sean Jooste, Sinothando Dlamini, Sizulu Moyo, Nompumelelo Zungu","doi":"10.3389/ijph.2026.1610222","DOIUrl":"10.3389/ijph.2026.1610222","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610222"},"PeriodicalIF":3.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13581972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148989947","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":"Threats and harassment of public health officials in the United States during the COVID-19 pandemic: insights from the adaptive leadership framework.","authors":"Jeffrey Glenn, Mirabella A Keogh, Katelyn N Aldridge","doi":"10.3389/ijph.2026.1609739","DOIUrl":"10.3389/ijph.2026.1609739","url":null,"abstract":"<p><strong>Objectives: </strong>Many public health officials faced threats and harassment while doing their jobs during the coronavirus disease 2019 (COVID-19) pandemic. The Adaptive Leadership Framework (ALF) serves as a useful lens through which the dangers of exercising leadership in a crisis situation can be analyzed and understood.</p><p><strong>Methods: </strong>This study employed a systematic qualitative media content analysis to examine U.S. newspaper coverage of public health officials during the COVID-19 pandemic. We identified articles using Newspaper Source Plus and Newswires (EBSCO) databases and then screened and coded them using a deductive approach guided by the ALF. A total of 50 articles were analyzed using directed thematic analysis.</p><p><strong>Results: </strong>Media coverage revealed widespread and multifaceted resistance to public health leadership during the pandemic. Opposition originated from both the public (e.g., harassment, threats, and protests) and authority figures (e.g., firing). Despite these challenges, public health officials demonstrated adaptive leadership behaviors, particularly maintaining stability and building strong partnerships.</p><p><strong>Conclusion: </strong>Threats and harassment reflected broader institutional and political pressures, underscoring the importance of institutional protection and leadership preparation for future public health crises.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609739"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976767","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}