International Journal of Public Health最新文献_第3页

Deaths of despair in England, 2014-2022: trends by sex and socioeconomic deprivation before and after COVID-19. 2014-2022年英格兰绝望死亡人数：COVID-19前后按性别和社会经济剥夺划分的趋势

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609841

Steven Wyatt, Jonathan Spencer, Paul Seamer, Andrew Jones, Alison Turner, Mai Stafford, Kathryn Marszalek, Mohammed Amin Mohammed

{"title":"Deaths of despair in England, 2014-2022: trends by sex and socioeconomic deprivation before and after COVID-19.","authors":"Steven Wyatt, Jonathan Spencer, Paul Seamer, Andrew Jones, Alison Turner, Mai Stafford, Kathryn Marszalek, Mohammed Amin Mohammed","doi":"10.3389/ijph.2026.1609841","DOIUrl":"10.3389/ijph.2026.1609841","url":null,"abstract":"Objectives: Deaths of despair-alcohol, substance use, suicide and non-organic mental health related-have attracted international attention, but English evidence remains limited. We examined trends in deaths of despair in England (2014-2022), including COVID-19 impacts and inequalities by sex and deprivation.Methods: We analysed all registered deaths in England (2014-2022), identifying deaths of despair by ICD-10 code. Age-standardised mortality rates, years of life lost, and inequalities by sex and deprivation were calculated. Log-linear regression estimated pre-pandemic trends and deviations during COVID-19.Results: There were 133,600 deaths of despair (2.9% of all deaths). Age-standardised mortality rates rose 33%, from 22.6 to 30.1 per 100,000. Mortality was consistently higher in men and deprived areas, with widening inequalities. During COVID-19, mortality temporarily exceeded the pre-pandemic trend, particularly among women and deprived groups, before returning to trend. Deaths of despair accounted for a rising share of years of potential life lost (13.9%-16.6%).Conclusion: Deaths of despair increased substantially in England, contributing a growing burden of premature mortality. Persistent, widening inequalities highlight a public health challenge requiring surveillance and interventions addressing immediate causes and social determinants.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609841"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976745","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}

引用次数: 0

Biomonitoring of urban ultrafine particle exposure and associated health effects. 城市超细颗粒物暴露及其健康影响的生物监测。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-09-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609855

Elizabeth Miriam Fireman, Einat Fireman Klein, Mor Dabach, Emilia Hardak

{"title":"Biomonitoring of urban ultrafine particle exposure and associated health effects.","authors":"Elizabeth Miriam Fireman, Einat Fireman Klein, Mor Dabach, Emilia Hardak","doi":"10.3389/ijph.2026.1609855","DOIUrl":"10.3389/ijph.2026.1609855","url":null,"abstract":"Objective: To assess the health impact of industrial and urban air pollution in the Haifa Bay area using biological monitoring of micro- and ultrafine particles (UFPs), and to examine their associations with functional, inflammatory, and clinical outcomes.Methods: The study included 99 hospital staff members: 50 from Bnai Zion Medical Center in the Haifa Bay area and 49 from Tel Aviv Medical Center as controls. Participants underwent spirometry, fractional exhaled nitric oxide (FeNO) measurement, exhaled breath condensate (EBC) and saliva collection, and completed a health questionnaire. Assessments were repeated after 1 year. Latent class analysis (LCA) was used to identify homogeneous subgroups based on biological and clinical parameters.Results: LCA identified a cluster characterized by higher body mass index, increased UFP concentrations in EBC, and elevated salivary LDH-calcium levels. This cluster consisted predominantly of participants from Haifa and showed higher salivary lymphocyte counts. Participants in this subgroup also reported more frequent respiratory symptoms, including cough, sputum production, and atopic complaints.Conclusion: Biological monitoring of nanosized particles may provide early indicators of adverse health effects associated with urban-industrial air pollution exposure.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609855"},"PeriodicalIF":3.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976722","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}

引用次数: 0

The dominance of leisure-time physical activity research: implications for health inequalities. 休闲时间体育活动研究的主导地位：对健康不平等的影响。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609967

Ragna Stalsberg

引用次数: 0

"Work does change lives": a qualitative study exploring employment specialists' perspectives on assisting youth through supported employment in rural Canada. “工作确实改变生活”：一项定性研究，探讨就业专家通过支持就业帮助加拿大农村青年的观点。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-27 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609182

Cassia Warren, Kirsten McCulloch, Jessica Su, Matthew Wenger, Skye Barbic

{"title":"\"Work does change lives\": a qualitative study exploring employment specialists' perspectives on assisting youth through supported employment in rural Canada.","authors":"Cassia Warren, Kirsten McCulloch, Jessica Su, Matthew Wenger, Skye Barbic","doi":"10.3389/ijph.2026.1609182","DOIUrl":"10.3389/ijph.2026.1609182","url":null,"abstract":"Objectives: To understand the strengths and limitations of implementing supported employment for youth (ages 16-24) in rural northern Canadian communities from the perspective of employment specialists.Methods: A purposive sample of 10 employment specialists was recruited from Northern British Columbia and interviewed. The qualitative data were analyzed thematically, guided by reflexive thematic analysis.Results: The analysis showed three themes which can be connected to three levels: (1) Societal factors influencing employment outcomes (macro level), (2) Organizational barriers and facilitators (meso level), and (3) Employment specialists' capabilities (micro level).Conclusion: Rural northern communities offer unique strengths (e.g., close-knit social networks, community-driven values) and limitations (e.g., chronic under-resourcing, geographic isolation, access to integrated mental health services). To enhance the success and sustainability of supported employment for youth in rural northern settings, implementation strategies must be tailored to address the intersecting macro (e.g., policy and funding), meso (e.g., organizational capacity), and micro (e.g., individual level) factors that shape program delivery. Strong national and provincial emphasis should be on informing a rural-informed, context-sensitive approach that prioritizes collaboration, long-term investment, and system integration.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609182"},"PeriodicalIF":3.2,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13558120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929905","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}

引用次数: 0

Mental health, coping strategies, and help-seeking behaviour during the ongoing war in Ukraine: a cross-sectional study. 乌克兰持续战争期间的心理健康、应对策略和寻求帮助行为：一项横断面研究

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-25 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610017

Aneta Bednářová, Yana Kalymon, Pavol Mikula, Nataša Hlaváčová, Ingrid Obsuth, Dominika Jarčušková

{"title":"Mental health, coping strategies, and help-seeking behaviour during the ongoing war in Ukraine: a cross-sectional study.","authors":"Aneta Bednářová, Yana Kalymon, Pavol Mikula, Nataša Hlaváčová, Ingrid Obsuth, Dominika Jarčušková","doi":"10.3389/ijph.2026.1610017","DOIUrl":"10.3389/ijph.2026.1610017","url":null,"abstract":"Objectives: The war in Ukraine has had an impact on the population's mental health. Displacement, economic instability, loss of loved ones, and shortages of basic resources have contributed to distress, including anxiety, depression, and post-traumatic stress disorder (PTSD).Methods: This study examined mental health symptoms and coping strategies in a sample of 100 Ukrainian adults (mean age = 35.5 ± 12.5; 73% female). Participants completed self-report questionnaires assessing symptoms of depression, anxiety, and PTSD, along with stressors, coping, and help-seeking behaviour. Logistic regression was used to identify predictors of mental health outcomes and service use.Results: Symptoms of depression were reported by 70% of participants, anxiety by 80%, and 31% met criteria for probable PTSD. Despite this, only 15% sought psychological help. Women were more likely than men to report anxiety and PTSD. Perceived stress significantly predicted mental health outcomes and was associated with a greater likelihood of help-seeking.Conclusion: These findings highlight the urgent need to improve access to psychological and psychiatric care in Ukraine.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1610017"},"PeriodicalIF":3.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13552102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911966","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}

引用次数: 0

Correction: Eyecare health promotion in schools around the Free State Province, South Africa: school-based interventional study. 更正：南非自由州省各地学校的眼保健健康促进：基于学校的介入性研究。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-20 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610220

Xolani Nyathela, Urvashni Nirghin, Naimah Ebrahim Khan

引用次数: 0

AI powered patient records analysis for injury surveillance in children and adolescents - a feasibility study from Switzerland. 用于儿童和青少年损伤监测的人工智能病历分析——来自瑞士的一项可行性研究。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-19 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609472

Sonja Feer, Felix Matthias Saaro, Annina Zysset, Mirjam Bächli, Steffen Nieman, Delphine Meier, Michelle Seiler, Jasmina Bogojeska, Julia Dratva

{"title":"AI powered patient records analysis for injury surveillance in children and adolescents - a feasibility study from Switzerland.","authors":"Sonja Feer, Felix Matthias Saaro, Annina Zysset, Mirjam Bächli, Steffen Nieman, Delphine Meier, Michelle Seiler, Jasmina Bogojeska, Julia Dratva","doi":"10.3389/ijph.2026.1609472","DOIUrl":"10.3389/ijph.2026.1609472","url":null,"abstract":"Objective: This study investigates the feasibility of using an automated approach to extract injury-related information from narrative text in a paediatric emergency department to improve data basis on injuries among children and adolescents in Switzerland.Methods: The dataset comprises paediatric injury cases treated between 2018 and 2022 at the University Children's Hospital Zürich emergency department (N = 30,876). Model development involved (1) adapting EU-IDB, a domain-specific hierarchical coding-system; (2) manual data annotation; and (3) fine tuning and (4) evaluation of a transformer-based model for multi-label text span classification.Results: Interrater reliability improved from moderate (κ = 0.45) to substantial (κ = 0.73) following adaptation of the coding system. Variable level classification performance was encouraging across three training variants (macro F1: ALL = 0.57, IND = 0.64, VAR = 0.63). Performance declined at lower levels, particularly at level 3 (macro F1: ALL = 0.08, IND = 0.23). Automated prevalence estimates correlated strongly with manual annotations (ρ = 0.948).Conclusion: Automated text span classification of injury-relevant information from electronic patient records shows promising first results to provide valuable information for injury surveillance and prevention, missing in Switzerland. However, more annotated data and detailed validation are needed to draw robust conclusions.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609472"},"PeriodicalIF":3.2,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880042","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}

引用次数: 0

Implementing individual placement and support in autistic and other intellectually and developmentally disabled adults: lessons learned in California. 在自闭症和其他智力和发育障碍的成年人中实施个体安置和支持：加州的经验教训。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-12 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1610040

Marjorie Solomon, Jo Ann Yon-Hernández, Megan M Smith, Maggie Zheng, Christopher Llorente, Amanda Downing, Steve Ruder, Aubyn C Stahmer, Susan R McGurk

引用次数: 0

Beyond legalisation: why assisted dying needs global monitoring. 合法化之外：为什么辅助死亡需要全球监控？

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-11 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609777

Paola Sillitti

引用次数: 0

Strengthening health promotion at the local level: insights from Swiss municipalities (canton of Vaud) across urban and rural contexts. 加强地方一级的健康促进：来自瑞士各市（沃州）在城市和农村背景下的见解。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-08-10 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609819

Maria Lagomarsino, Loreene Casteyde, Emilie Obert, Emmanuelle Garcia, Karin Zürcher, Stéphanie Pin

{"title":"Strengthening health promotion at the local level: insights from Swiss municipalities (canton of Vaud) across urban and rural contexts.","authors":"Maria Lagomarsino, Loreene Casteyde, Emilie Obert, Emmanuelle Garcia, Karin Zürcher, Stéphanie Pin","doi":"10.3389/ijph.2026.1609819","DOIUrl":"10.3389/ijph.2026.1609819","url":null,"abstract":"Objectives: In response to growing interest in local action to promote public health, this study explores how municipalities perceive their role in health promotion (HP), how far HP is integrated into municipal policies, and what support is needed to strengthen local action.Methods: An online survey was distributed to 300 municipalities in the Canton of Vaud (February - April 2025). Complete responses from 110 municipalities (39% response rate) were included in the analyses. An adaptation of the Maturity Model of Health in All Policies (MM-HiAP) guided the cluster analysis used to identify profiles of municipal engagement in HP.Results: Four clusters were identified: Not engaged (39%), Relying on others (26%), Engaged but isolated (19%), and Engaged and somewhat structured (16%). Among the key factors influencing HP integration, municipal size and the presence of committed local leadership emerged greatly. Moreover, clusters revealed specific resources and needs, suggesting that support should be adapted to these specific needs.Conclusion: The study provides a framework for strengthening municipal engagement in HP along a maturity continuum, with implications for policy, practice, and future research across diverse local contexts.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609819"},"PeriodicalIF":3.2,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13501076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812973","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}

引用次数: 0