International Journal of Public Health最新文献

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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
{"title":"Beyond legalisation: why assisted dying needs global monitoring.","authors":"Paola Sillitti","doi":"10.3389/ijph.2026.1609777","DOIUrl":"10.3389/ijph.2026.1609777","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609777"},"PeriodicalIF":3.2,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13503297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818468","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
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":"<p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
The impact of residential segregation on life satisfaction among rural-urban migrants in China: the mediating role of social capital. 居住隔离对中国城乡流动人口生活满意度的影响:社会资本的中介作用
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-08-06 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609726
Jingyao Hou, Zhongshan Yue
{"title":"The impact of residential segregation on life satisfaction among rural-urban migrants in China: the mediating role of social capital.","authors":"Jingyao Hou, Zhongshan Yue","doi":"10.3389/ijph.2026.1609726","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609726","url":null,"abstract":"<p><strong>Objectives: </strong>Rapid urbanization in China has been accompanied by residential segregation, which may influence wellbeing of rural-urban migrants (RUMs). This study aims to investigate the impact of residential segregation on life satisfaction among RUMs, with particular attention to the mediating role of social capital.</p><p><strong>Methods: </strong>We screened 1,255 participants who met the inclusion criteria from the 2016 China Labor-force Dynamics Survey to investigate the relationship between residential segregation and life satisfaction using ordinary least squares regression and instrumental variable estimation. The mediating role of social capital was evaluated by mediation analysis.</p><p><strong>Results: </strong>Residential segregation has a significant negative impact on life satisfaction of RUMs. This effect is partially mediated by cognitive social capital, whereas no mediating effect is observed for structural social capital. Among the dimensions of cognitive social capital, neighborhood trust and reciprocity are more significant mediators than familiarity.</p><p><strong>Conclusion: </strong>Residential segregation undermines life satisfaction among RUMs partly through weakening cognitive social capital. Policies aimed at reducing residential segregation and promoting trust as well as reciprocity within neighborhoods may help improve the life satisfaction of migrants.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609726"},"PeriodicalIF":3.2,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13489982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793123","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
Divergent trends in Alzheimer's disease burden: a comparative analysis of the US and G20 nations. 阿尔茨海默病负担的不同趋势:美国和20国集团国家的比较分析。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-08-05 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609525
Yuexiao Zou, Qingxian Wang, Qingxiang Zhang, Xiaorui Cheng
{"title":"Divergent trends in Alzheimer's disease burden: a comparative analysis of the US and G20 nations.","authors":"Yuexiao Zou, Qingxian Wang, Qingxiang Zhang, Xiaorui Cheng","doi":"10.3389/ijph.2026.1609525","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609525","url":null,"abstract":"<p><strong>Objective: </strong>Alzheimer's disease and other dementias (ADOD) impose growing systemic stress. This study compared epidemiological trends and risk factors between the US and G20 to guide resource allocation.</p><p><strong>Methods: </strong>Using GBD 2023 data, we analyzed incidence, mortality, and DALY rates with Joinpoint regression (1990-2023) and ARIMA forecasting (to 2040).</p><p><strong>Results: </strong>In 2023, US age-standardized incidence rate was 130 (95% CI: 110.5-147.3), mortality rate 30 (7.4-73.2), and DALY rate 510 (224.8-1059.6), all declining from 1990. G20 rates remained lower but showed an upward inflection after 2020. Joinpoint analysis revealed overall downward trends, with a transient US resurgence (1998-2004); projections suggest continued deceleration. Smoking and high fasting plasma glucose burdens in the US were disproportionately elevated compared to G20.</p><p><strong>Conclusion: </strong>The US achieved morbidity compression yet faced rising absolute caseloads due to demographic momentum. G20's post-2020 upturn signals an emerging burden. A shift from smoking to metabolic drivers necessitates primary prevention for G20 and targeted metabolic management for the US.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609525"},"PeriodicalIF":3.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13485828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793076","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
Plasma levels of zinc, selenium, and copper among incarcerated men in Switzerland. 瑞士囚犯血浆中锌、硒和铜的含量。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-08-04 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609553
Marie Bettex, Audrey Dettwiler, Bastien Trachsel, Constantin Bondolfi, Julia Spaltenstein, Mette M Berger, Aurélien Thomas, Sébastien Lenglet, Serge Rezzi, Nadia Fucina, Didier Delessert, Patrick Bodenmann, Murielle Bochud
{"title":"Plasma levels of zinc, selenium, and copper among incarcerated men in Switzerland.","authors":"Marie Bettex, Audrey Dettwiler, Bastien Trachsel, Constantin Bondolfi, Julia Spaltenstein, Mette M Berger, Aurélien Thomas, Sébastien Lenglet, Serge Rezzi, Nadia Fucina, Didier Delessert, Patrick Bodenmann, Murielle Bochud","doi":"10.3389/ijph.2026.1609553","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609553","url":null,"abstract":"<p><strong>Objectives: </strong>Incarcerated people carry many health problems. While prisons provide structured healthcare and meals, micronutrient status remains unclear. We assessed plasma zinc, selenium, and copper status in incarcerated men in Vaud (French-speaking canton in Switzerland) and explored prevention-relevant patterns.</p><p><strong>Methods: </strong>Cross-sectional study (May-September 2023) of incarcerated men in three prisons. Participants (n = 206) completed a health-related questionnaire and provided venous blood. Plasma trace elements were measured by inductively coupled-plasma-mass spectrometry. Associations with individual characteristics were examined and differences between-prisons were assessed. Micronutrient concentrations were compared with community-men, adjusting for age and body mass index.</p><p><strong>Results: </strong>Prevalence of men with micronutrient plasma level below the normal range did not differ between incarcerated and community men. Adjusted means showed modestly lower selenium and higher zinc and copper in men experiencing incarceration. Within prisons, lower selenium was associated with older age, lower pre-incarceration income, and smoking. Zinc was lower with age and in one facility.</p><p><strong>Conclusion: </strong>Overall micronutrient status was reassuring, yet the heterogeneity, possibly reflecting individual vulnerabilities and institutional conditions, supports continued, facility-aware monitoring to identify at-risk groups and protect health.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609553"},"PeriodicalIF":3.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793050","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
Effective adaptations in Individual Placement and Support delivery: lessons from the drug and alcohol treatment context. 在个别安置和支助提供方面的有效适应:来自药物和酒精治疗的经验教训。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-08-03 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609140
Madeline Nightingale, Joanna Hofman, Kankan Zhang, Natalie Picken, Joanne Neale, Andrew Perkins
{"title":"Effective adaptations in Individual Placement and Support delivery: lessons from the drug and alcohol treatment context.","authors":"Madeline Nightingale, Joanna Hofman, Kankan Zhang, Natalie Picken, Joanne Neale, Andrew Perkins","doi":"10.3389/ijph.2026.1609140","DOIUrl":"https://doi.org/10.3389/ijph.2026.1609140","url":null,"abstract":"<p><strong>Objectives: </strong>Guided by the Model for Adaptation Design and Impact (MADI), this paper explores how the Individual Placement and Support (IPS) model has been adapted for delivery in drug and alcohol treatment services in England.</p><p><strong>Methods: </strong>Interviews, focus groups and surveys with IPS practitioners, commissioners of drug and alcohol services, treatment service managers and experts.</p><p><strong>Results: </strong>Efforts to publicize the IPS service and sharing client 'success stories' with treatment staff are perceived to facilitate effective integration as a key implementation outcome. These adaptations also strengthen referrals to the IPS service, alongside changes to the referral process and schemes to incentivize referrals. Employer engagement is supported by careful framing of IPS and sharing client experiences and outcomes. Flexible and supportive communication with clients, adjusting the pace and taking breaks where needed, is perceived as crucial to achieving employment outcomes. Adaptations are shaped by the local and national context, including the scale of IPS delivery across England, which enables peer-to-peer networking and information sharing.</p><p><strong>Conclusion: </strong>Effective adaptations in IPS are those that strengthen integration, tackle stigma, tailor support, and enable learning networks.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609140"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13478017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793102","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
Legitimacy, embedding, and learning framework: lessons from individual placement and support for analyzing sustainment and scale-up of complex psychosocial interventions. 合法性、嵌入和学习框架:来自个人安置的经验教训和对分析复杂社会心理干预的维持和扩大的支持。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-07-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609505
Jaakko Harkko
{"title":"Legitimacy, embedding, and learning framework: lessons from individual placement and support for analyzing sustainment and scale-up of complex psychosocial interventions.","authors":"Jaakko Harkko","doi":"10.3389/ijph.2026.1609505","DOIUrl":"10.3389/ijph.2026.1609505","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a framework of policy-level domains for analyzing the sustainment and scale-up of Individual Placement and Support and, tentatively, other complex evidence-based psychosocial interventions.</p><p><strong>Methods: </strong>Integrative review of 41 empirical studies on contextual determinants of Individual Placement and Support (IPS) sustainment and scale-up was conducted. The results were synthesized inductively and interpreted abductively using implementation science, policy implementation research, and welfare policy literature.</p><p><strong>Results: </strong>The LEL framework organizes recurring external-context patterns into three policy-level domains: Policy Legitimacy addresses policy legitimization and decision chains linking high-level policy decisions to implementation; Policy Embedding addresses multi-level and cross-sector implementation structure; and Policy Learning addresses implementation evidence infrastructure through which implementation experience informs practice, policy, and model refinement.</p><p><strong>Conclusion: </strong>The Legitimacy-Embedding-Learning (LEL) framework proposes policy-level domains for analyzing IPS sustainment and scale-up. It functions as an integrative analytical framework that supports cumulative evidence-building and comparative research within IPS, with testable relevance for other evidence-based complex psychosocial interventions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609505"},"PeriodicalIF":3.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13457161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148712431","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
Epidemiological trends of type 2 diabetes in Middle East and North Africa, 1990-2023: global burden of disease data analysis. 1990-2023年中东和北非2型糖尿病流行病学趋势:全球疾病负担数据分析
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-07-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609710
Awad Alshahrani, Raed Aldahash, Badr F Al-Khateeb, Noof Alwatban, Maryam Alhabas, Seema Nasser, Lubna Alnaim, Ashraf El-Metwally
{"title":"Epidemiological trends of type 2 diabetes in Middle East and North Africa, 1990-2023: global burden of disease data analysis.","authors":"Awad Alshahrani, Raed Aldahash, Badr F Al-Khateeb, Noof Alwatban, Maryam Alhabas, Seema Nasser, Lubna Alnaim, Ashraf El-Metwally","doi":"10.3389/ijph.2026.1609710","DOIUrl":"10.3389/ijph.2026.1609710","url":null,"abstract":"<p><strong>Objective: </strong>This study systematically evaluating temporal trends of type 2 diabetes (T2DM) prevalence, mortality, and DALY estimates from countries in MENA (Middle East and North Africa) region.</p><p><strong>Methods: </strong>The involved a secondary analysis of Global Burden of Disease (GBD) 2023 data regarding age-standardized prevalence, mortality, and DALY rates are calculated for men and women by country and sub-region using 1990 and 2023.</p><p><strong>Results: </strong>Overall, prevalence of T2DM increased from 5.6% in 1990 to 11.5% in 2023. Diabetes-related deaths, peaked between 2010 and 2015, declined to approximately 30 per 100,000 by 2023, disability burdens (DALY rates) rose, among men. Regional variations include rapid increases in Turkey, high rates in Levant, upward trends in North Africa (notably Egypt and Tunisia), and highest DALYs in Saudi Arabia and Bahrain (2,600 to 3,400 per 100,000). Iran and Yemen reported low but increasing disability burdens.</p><p><strong>Conclusion: </strong>T2DM has been consistently increasing over last 30 years in MENA region and has presented itself as a more debilitating and lethal chronic disease over this period. There is a wide range of variation between countries within the MENA region.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609710"},"PeriodicalIF":3.2,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148818458","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
Eyecare health promotion in schools around the Free State Province, South Africa: school-based interventional study. 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 : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609229
Xolani Nyathela, Urvashni Nirghin, Naimah Ebrahim Khan
{"title":"Eyecare health promotion in schools around the Free State Province, South Africa: school-based interventional study.","authors":"Xolani Nyathela, Urvashni Nirghin, Naimah Ebrahim Khan","doi":"10.3389/ijph.2026.1609229","DOIUrl":"10.3389/ijph.2026.1609229","url":null,"abstract":"<p><strong>Objectives: </strong>School-based health promotion is critical for enhancing health literacy and academic performance. In South Africa, preventable visual impairment among school children may be exacerbated by the absence of structured eyecare promotion interventions. The objective of the study was to implement and evaluate the effectiveness of eyecare health promotion in the Thabo Mofutsanyane district, Free State province.</p><p><strong>Methods: </strong>A school-based cross-sectional interventional study was conducted. Following a simple randomised assignment, 10 schools received the intervention while the remaining 10 received no intervention. An adopted and piloted questionnaire was administered at baseline and readministered 6 months after the intervention. The McNemar's chi-square test was used for statistical analysis.</p><p><strong>Results: </strong>The baseline study included 199 participants, and following attrition, stood at 136 learners, parents, and teachers. The learner experimental arm demonstrated a statistically significant change in eyecare knowledge (p < 0.05). While no statistically significant changes were noted among teachers, parents and learners had statistically significant variables.</p><p><strong>Conclusion: </strong>Despite limitations, this study demonstrated that targeted eye health promotion can improve eyecare knowledge.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609229"},"PeriodicalIF":3.2,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13453956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706607","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
From randomised trial to national implementation: employment outcomes from individual placement and support in english alcohol and drug treatment services. 从随机试验到国家实施:英国酒精和药物治疗服务中个人安置和支持的就业结果。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609141
Claire Shaw, Nishanthini Oppilamany, Paul Anders, Jez Stannard, Emma Knight, Amy Baxter, John Marsden
{"title":"From randomised trial to national implementation: employment outcomes from individual placement and support in english alcohol and drug treatment services.","authors":"Claire Shaw, Nishanthini Oppilamany, Paul Anders, Jez Stannard, Emma Knight, Amy Baxter, John Marsden","doi":"10.3389/ijph.2026.1609141","DOIUrl":"10.3389/ijph.2026.1609141","url":null,"abstract":"<p><strong>Objectives: </strong>To compare employment outcomes reported by a completed randomised controlled trial (IPS-AD: Individual Placement and Support - Alcohol and Drug Dependence) with those observed during the English national expansion of IPS services, and to identify factors associated with improved outcomes.</p><p><strong>Methods: </strong>This was a secondary comparative analysis of five employment outcomes - employment rate, time to employment attainment, job tenure (longest single appointment duration), total time employed and job sustainment defined as ≥13 consecutive weeks employment, in two cohorts: the IPS-AD study intervention arm (n = 843) and IPS expansion participants (n = 3,182).</p><p><strong>Results: </strong>Compared with the IPS-AD cohort, the expansion cohort showed a higher employment rate (52% versus 30%; p-value <0.001); faster employment attainment (143 versus 180 days; p-value <0.001); longer job tenure (254 versus 110 days; p-value <0.001); greater total time employed (300 versus 133 days; p-value <0.001); and higher job sustainment (76% versus 42%; p-value <0.001).</p><p><strong>Conclusion: </strong>Expansion outcomes were consistently more favourable than those observed in the IPS-AD study. Factors that may have contributed to improved outcomes included implementation and delivery enhancements, broadened eligibility criteria, and favourable environmental and economic conditions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609141"},"PeriodicalIF":3.2,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706653","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
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