Viktoriia Yasenok, Eileen Neumann, Alessia Raineri, Julia Kopp, Seraina Rüegger, Tala Ballouz, Marco Kaufmann, Andrii Loboda, Vladyslav Smiianov, Andreas M Baumer, Erich Seifritz, Heiko Fabian Königstein, Anja Frei, Viktor Von Wyl, Susi Kriemler, Andriana Kostenko, Milo A Puhan
{"title":"Mental Health Assessment of the Population: Study Protocol of the MAP Research Program in Ukraine (MAP-U) and in Zurich (MAP-Z).","authors":"Viktoriia Yasenok, Eileen Neumann, Alessia Raineri, Julia Kopp, Seraina Rüegger, Tala Ballouz, Marco Kaufmann, Andrii Loboda, Vladyslav Smiianov, Andreas M Baumer, Erich Seifritz, Heiko Fabian Königstein, Anja Frei, Viktor Von Wyl, Susi Kriemler, Andriana Kostenko, Milo A Puhan","doi":"10.3389/ijph.2024.1607271","DOIUrl":"10.3389/ijph.2024.1607271","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct mental health surveillance in adults in Ukraine and Ukrainian refugees (Canton of Zurich, Switzerland) as an actionable scientific foundation for public mental health and mental healthcare.</p><p><strong>Methods: </strong>Mental Health Assessment of the Population (MAP) is a research program including prospective, population-based, digital cohort studies focused on mental health monitoring. The study aims to include 17,400 people from the general population of Ukraine, 1,220 Ukrainians with refugee status S residing in the canton of Zurich, and 1,740 people from the Zurich general population. The primary endpoints are prevalence and incidence of symptoms of: posttraumatic stress disorder (measured by PCL-5), depression (PHQ-9), anxiety (GAD-7), and alcohol use disorder (AUDIT). Secondary endpoints include participants' health-related quality of life (EQ-5D-5L and EQ-VAS), experiences of somatic distress syndrome (PHQ-15), social isolation, social integration, and mental wellbeing (SWEMWBS).</p><p><strong>Results: </strong>Baseline assessment starts in March 2024 with follow-ups occurring every 3 months for at least 2 years.</p><p><strong>Conclusion: </strong>MAP will generate reliable, comparable, and high-quality epidemiological data to inform public mental health and healthcare policies in the Ukrainian population.</p><p><strong>Isrctn registry: </strong>https://www.isrctn.com/ISRCTN17240415.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607271"},"PeriodicalIF":2.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11770391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052445","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":"Challenges to Achieving Surgical Equity in Slums.","authors":"Rahul M Jindal, Sushila Tiwari","doi":"10.3389/ijph.2024.1608098","DOIUrl":"10.3389/ijph.2024.1608098","url":null,"abstract":"<p><p>There is a critical lack of surgical data on individuals who live in urban slums, which hampers the allocation of healthcare resources and the provision of preventative measures. The complex interplay of factors affecting surgical care in slums, such as trust deficits, mental health concerns, and socioeconomic barriers, necessitates a distinct academic approach. We propose that researchers should consider \"slum surgical health\" as an area of study separate from urban health or slum health. From this perspective, we make a case for defining \"slum surgical health\" while presenting evidence from multiple countries that shows the unique challenges of providing surgical care in slum settings. We discuss a successful model that has deployed community health worker programs as intermediaries between slum dwellers and healthcare providers. This model, which achieved a 60% conversion rate from unmet to met surgical needs, demonstrates the potential of culturally sensitive, community-based approaches to address surgical inequities in urban slums.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1608098"},"PeriodicalIF":2.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052440","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}
Torbjørn Torsheim, Frank J Elgar, Alina Cosma, Caroline Residori, Oddrun Samdal, Christina Schnohr
{"title":"Methodological Approaches to Comparative Trend Analyses: The Case of Adolescent Toothbrushing.","authors":"Torbjørn Torsheim, Frank J Elgar, Alina Cosma, Caroline Residori, Oddrun Samdal, Christina Schnohr","doi":"10.3389/ijph.2024.1607669","DOIUrl":"10.3389/ijph.2024.1607669","url":null,"abstract":"<p><strong>Objectives: </strong>Research questions about how and why health trends differ between populations require decisions about data analytic procedure. The objective was to document and compare the information returned from stratified, fixed effect and random effect approaches to data modelling for two prototypical descriptive research questions about comparative trends in toothbrushing.</p><p><strong>Methods: </strong>Data included five cycles of the Health Behaviour in School-aged Children 2006 to 2022, which provided a sample of 980192 11- to 15- year olds from 35 countries. Using logistic regression models and generalized linear mixed models, toothbrushing daily was regressed on time, following the three approaches to analysis of trends.</p><p><strong>Results: </strong>The stratified approach suggested a positive but non-linear trend in toothbrushing from 2006 to 2022 in most countries but provided no statistical inference on the variation. The fixed effect and the random effect approach converged on a positive but flattening overall trend, with a statistically significant country variation in trends.</p><p><strong>Conclusion: </strong>Only the fixed effect approach and the random effects approach provided clear answers to the research question. Additional methodological considerations for making an informed choice of analytical approach are discussed.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607669"},"PeriodicalIF":2.6,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046647","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}
Esteban Ortiz-Prado, Isaac Alexander Suárez Sangucho, W Ricardo Cañizares Fuentes, Jorge Vasconez-Gonzalez, Juan S Izquierdo-Condoy
{"title":"The Imperative of Public Health Expertise in Ecuadorian Health Leadership: A Call for Competency-Based Appointments.","authors":"Esteban Ortiz-Prado, Isaac Alexander Suárez Sangucho, W Ricardo Cañizares Fuentes, Jorge Vasconez-Gonzalez, Juan S Izquierdo-Condoy","doi":"10.3389/ijph.2024.1607894","DOIUrl":"10.3389/ijph.2024.1607894","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607894"},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745876/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005323","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":"Unmasking the Neglected Cholera Outbreaks in Sub-Saharan Africa.","authors":"Beenzu Siamalube, Emmanuel Ehinmitan","doi":"10.3389/ijph.2024.1607990","DOIUrl":"10.3389/ijph.2024.1607990","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607990"},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005327","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":"Medical Aid in Dying: A Societal Challenge.","authors":"Uwe Güth, Iris D Hartog, Andres R Schneeberger","doi":"10.3389/ijph.2024.1608151","DOIUrl":"10.3389/ijph.2024.1608151","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1608151"},"PeriodicalIF":2.6,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005224","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}
Sohela Moussaoui, Nicolas Vignier, Stephanie Guillaume, Florence Jusot, Antoine Marsaudon, Jérôme Wittwer, Paul Dourgnon
{"title":"Pain as a Symptom of Mental Health Conditions Among Undocumented Migrants in France: Results From a Cross-Sectional Study.","authors":"Sohela Moussaoui, Nicolas Vignier, Stephanie Guillaume, Florence Jusot, Antoine Marsaudon, Jérôme Wittwer, Paul Dourgnon","doi":"10.3389/ijph.2024.1607254","DOIUrl":"10.3389/ijph.2024.1607254","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the associations between mental health status and experienced pain among undocumented migrants (UMs) in France.</p><p><strong>Methods: </strong>We used data from the multicentric cross-sectional \"Premier Pas\" study conducted in the Parisian and Bordeaux regions from February to April 2019. Participants over 18 years of age were recruited from sixty-three sites. Pain was assessed through two variables: overall pain and musculoskeletal pain. Mental health conditions, including anxiety, sleep disorders, depression, and posttraumatic stress disorder (PTSD) were evaluated. Logistic regression models were used to explore associations, controlling for social determinants of health (SDHs).</p><p><strong>Results: </strong>Our findings revealed significant associations between mental health status and pain among the 1,188 included participants. Sleep disorder was associated to higher odds of musculoskeletal pain (aOR = 2.53, 95% CI [1.20-5.33], <i>p</i> = 0.014). Stratified results indicated that among women, depression was associated to higher odds of pain (aOR = 4.85, 95% CI [1.53-13.36], <i>p</i> = 0.007).</p><p><strong>Conclusion: </strong>This large study confirms the connection between mental health status and pain among UMs, providing valuable evidence for clinicians to address mental health issues in this population.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607254"},"PeriodicalIF":2.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005210","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}
Claudia Birchenall-Jiménez, Wilson Giovanni Jiménez-Barbosa, Javier Riascos-Ochoa, Federico Cosenz
{"title":"Exploring Spatial Inequalities in COVID-19 Mortality and Their Association With Multidimensional Poverty in Colombia: A Spatial Analysis Study.","authors":"Claudia Birchenall-Jiménez, Wilson Giovanni Jiménez-Barbosa, Javier Riascos-Ochoa, Federico Cosenz","doi":"10.3389/ijph.2024.1607820","DOIUrl":"10.3389/ijph.2024.1607820","url":null,"abstract":"<p><strong>Objectives: </strong>The objective is to examine spatial inequalities in COVID-19 mortality rates in Colombia in relation to the spatial distribution of multidimensional poverty.</p><p><strong>Methods: </strong>A retrospective spatial epidemiological study was conducted in Colombia from 2020 to 2022. Spatial statistics such as Moran's I index, LISA analysis, and simultaneous autoregressive conditional (SAC) regression models were used.</p><p><strong>Results: </strong>The Moran's I index for different years was as follows: 2020: 0.3 (p = 0.0001), 2021: 0.27 (p = 0.0001), and 2022: 0.26 (p = 0.0001). In 2020, the significant variables were low educational achievement, barriers to early childhood care, child labor, school non-attendance, informal employment, lack of health insurance, inadequate floor material, and critical overcrowding. In 2021, the significant variables were low educational achievement, critical overcrowding, inadequate excreta disposal, and lack of access to water sources. In 2022, the significant variables were school lag and inadequate excreta disposal.</p><p><strong>Conclusion: </strong>This study revealed that in Colombia, a series of socioeconomic and health factors are interconnected and contribute to COVID-19 mortality. These changes may reflect various socioeconomic, political, and environmental dynamics that shifted during the pandemic years.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607820"},"PeriodicalIF":2.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005221","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":"Vitamin D Deficiency and Associated Factors in Children: A Multicenter Study of 21,811 Samples in Southern China.","authors":"Chuican Huang, Sijia Liu, Chen Cheng, Shiyun Chen, Qing Luo, Yan Huang, Yanxian Yao, Xixia Ye, Haizhen Wang, Liangyi Luo, Junwei Xie, Hongai Li, Yumei Duan, Beibei Liu, Wenting Cao, Fangfang Zeng, Wei Xiang, Lichun Fan","doi":"10.3389/ijph.2024.1607411","DOIUrl":"10.3389/ijph.2024.1607411","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the prevalence of vitamin D deficiency (VDD) in children/adolescents in extreme southern China.</p><p><strong>Methods: </strong>This multicenter, cross-sectional study included 21,811 children aged 0-18 years from 18 districts in Hainan Province, using a multistage stratified random sampling method from January 2021 to March 2022.</p><p><strong>Results: </strong>Serum 25(OH)D levels decreased with age (p trend <0.001). VDD prevalence increased significantly from 3.7% (95% CI: 3.2, 4.3) in children aged 0-3 years to 43.5% (95% CI: 42.1, 45.0) in those aged 13-18 years. Girls and urban residents showed higher deficiency rates. Adolescents (13-18 years) had the highest prevalence of VDD (43.5%), while toddlers (0-3 years) had the lowest (3.7%). Factors influencing vitamin D status included gender, urban residency, and breastfeeding duration. Seasonal variations showed higher deficiency rates in autumn, particularly among preschoolers. Regional differences were noted, with the highest deficiency in semiarid and subhumid zones for various age groups.</p><p><strong>Conclusion: </strong>A significant increase in VDD with age, particularly among adolescents, urban girls, and during autumn, emphasizing the need for targeted strategies.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607411"},"PeriodicalIF":2.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005329","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}
Eunice Chung, Louisa Ewald, Nicholas J Kassembaum, Taylor Noyes, Emmanuela Gakidou, Ali H Mokdad
{"title":"Delays in Blood Work and Disease Burden: A Cross-Sectional Analysis of Unmet Blood Work Need and Seven Key Health Conditions Across 21 Countries.","authors":"Eunice Chung, Louisa Ewald, Nicholas J Kassembaum, Taylor Noyes, Emmanuela Gakidou, Ali H Mokdad","doi":"10.3389/ijph.2024.1607667","DOIUrl":"10.3389/ijph.2024.1607667","url":null,"abstract":"<p><strong>Objectives: </strong>This study analyzes survey data across 21 countries to explore correlations between delays in blood testing and the prevalence of seven health conditions: thalassaemias, sickle cell disorders, malaria, HIV, high fasting plasma glucose, impaired kidney function, and high LDL cholesterol.</p><p><strong>Methods: </strong>We analyzed Pandemic Recovery Survey data via multivariable logistic regression to compare blood test delays between individuals with and without medical conditions, while adjusting for sociodemographic factors. We also examined the disease burden using disability-adjusted life years (DALYs) and summary exposure values (SEV) rates.</p><p><strong>Results: </strong>Our findings indicate profound disparities, with over 60% of respondents in Egypt, Nigeria, and India reporting they have never undergone blood tests. Individuals with existing medical conditions are significantly more likely to experience delays in blood work.</p><p><strong>Conclusion: </strong>There is a pronounced gap in blood work accessibility, particularly in countries with high disease burdens. Findings suggest an urgent need for interventions to improve routine blood test access for high-risk populations to reduce the underdiagnosis of significant medical conditions. Prioritizing timely and accessible blood testing can serve as a step towards mitigating healthcare disparities.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"69 ","pages":"1607667"},"PeriodicalIF":2.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005141","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}