{"title":"Activity of Daily Living and Depressive Symptoms in Chinese Older Adults: A Latent Profile and Mediation Analysis.","authors":"Peng Chen, Wenjian Xu","doi":"10.3389/ijph.2025.1608149","DOIUrl":"10.3389/ijph.2025.1608149","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to examine vulnerable ADL-based subgroups of Chinese older adults, their links to depressive symptoms, and life satisfaction as a mediating factor.</p><p><strong>Methods: </strong>We screened 8,211 participants aged 60 years and above who met the inclusion criteria from 2018 CHARLS. The different subgroups of ADL were identified by latent profile analysis. Life satisfaction and depressive symptoms were compared among the various ADL subgroups. Mediation analysis helped investigate the mediating role of life satisfaction between the various subgroups of ADL and depressive symptoms.</p><p><strong>Results: </strong>Two vulnerable subgroups of ADL were identified (<i>Low Damaged</i> class and <i>High Damaged</i> class), along with another subgroup of ADL (<i>Not Damaged</i> class), comprising the majority of Chinese older adults. The vulnerable subgroups of ADL had significantly lower life satisfaction and higher levels of depressive symptoms. The relationship between depressive symptoms and the vulnerable subgroups of ADL was partially mediated by life satisfaction.</p><p><strong>Conclusion: </strong>The results emphasize the role of life satisfaction in linking ADL with depressive symptoms, indicating potential areas for interventions to reduce depressive symptoms among older adults. This study is limited by its cross-sectional design precluding causal inference, reliance on self-reported data and unexplored moderating factors.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608149"},"PeriodicalIF":2.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12162352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302113","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":"Factors Associated With Teenage Pregnancy in Tanzania: Analysis of the 2022 Tanzania Demographic and Health Survey and Malaria Indicator Survey.","authors":"Tumaini Nyamhanga, Pankras Luoga","doi":"10.3389/ijph.2025.1608146","DOIUrl":"10.3389/ijph.2025.1608146","url":null,"abstract":"<p><strong>Objective: </strong>Few studies on teenage pregnancy in Tanzania have used a nationally representative sample. This study sought to determine the prevalence and factors associated with teenage pregnancy in Tanzania.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of 3,083 teenagers aged 15-19 years drawn from the 2022 Tanzania Demographic and Health Survey.</p><p><strong>Results: </strong>After controlling for other covariates, we found that teenagers aged 18-19 years (AOR = 4.5, 95% CI:3.3, 6.1), those who said that getting permission to access healthcare was not a big problem (AOR = 2.7, 95% CI:1.4, 5.3), and those from the Southern zone (AOR = 2.4, 95% CI: 1.5, 3.9), had higher odds of reporting ever having been pregnant. Those with secondary or higher education levels (AOR = 0.3, 95% CI: 0.19, 0.39) and those who married after age 15 (AOR = 0.4, 95% CI: 0.2, 0.8), had lower odds of reporting ever having been pregnant.</p><p><strong>Conclusion: </strong>This study highlights the significant factors associated with teenage pregnancy among teenagers aged 15-19 years in Tanzania. The education system should facilitate the majority of girls obtaining at least a secondary level of education. Teenager-friendly sexual and reproductive health services need to prioritize older teenagers, with lower education levels and those from poor families.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608146"},"PeriodicalIF":2.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284341","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}
Natalie Dickinson, Llinos Haf Spencer, Shuhua Yang, Caroline Miller, Andrew Hursthouse, Mary Lynch
{"title":"Extreme Weather Events in the UK and Resulting Public Health Outcomes.","authors":"Natalie Dickinson, Llinos Haf Spencer, Shuhua Yang, Caroline Miller, Andrew Hursthouse, Mary Lynch","doi":"10.3389/ijph.2025.1607904","DOIUrl":"10.3389/ijph.2025.1607904","url":null,"abstract":"<p><strong>Objectives: </strong>Extreme Weather Events (EWEs) are increasingly frequent in the United Kingdom (UK) and can lead to adverse health outcomes, resulting in additional pressure on the NHS. The aim of this review is to investigate the health impacts of EWEs on the population in the UK, through an economic lens.</p><p><strong>Methods: </strong>A systematic review of the evidence was conducted. Seven databases were searched for studies related to the public health outcomes of EWEs.</p><p><strong>Results: </strong>48 papers met inclusion criteria: 22 flood, 25 extreme temperature, one wind. Three themes emerged: physical health impacts (predominantly temperature extremes); mental health impacts (predominantly flood-related) and socio-economic considerations (EWEs experienced disproportionately by marginalised populations).</p><p><strong>Conclusion: </strong>Whilst there is a substantial body of research on physical and mental health impacts of EWEs in the UK, there is limited evidence on socio-economic impacts, and little consideration of the economic costs. Building resilience against the health impacts of EWEs is essential. Future studies should consider incorporating cost-benefit analyses (CBA) to investigate the economic costs of EWEs on populations and health systems in the UK, and of potential mitigation efforts.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607904"},"PeriodicalIF":2.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12158791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284340","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}
Samuel Dessu Sifer, Abatalem Minlargeh Abere, Belete Worku
{"title":"Prevalence and Risk Factors of Teenage Pregnancy at Burji District, Southwestern Ethiopia; Mixed Approach Study.","authors":"Samuel Dessu Sifer, Abatalem Minlargeh Abere, Belete Worku","doi":"10.3389/ijph.2025.1608389","DOIUrl":"10.3389/ijph.2025.1608389","url":null,"abstract":"<p><strong>Objectives: </strong>In Africa, the overall prevalence of adolescent pregnancy is 18.8%, with the sub-Saharan African region having a rate of 19.3%. The highest rates are found in East Africa at 21.5%, and in Ethiopia, the prevalence is even higher at 23.6%.</p><p><strong>Methods: </strong>A community-based cross-sectional explanatory sequential mixed approach study was carried out among 458 teenagers in Burji District from 15 January to 15 February 2024. A multistage systematic sampling technique for quantitative and purposive sampling for qualitative data was used. The quantitative data were collected through face to face interview using a structured and pretested questionnaire by trained data collectors while qualitative data were gathered through in depth interviews and focus group discussions. Variables with p-value less than 0.05 were declared as statistically significant.</p><p><strong>Results: </strong>The prevalence of teenage pregnancy was 21.8% (95% CI: 18.0, 26.0). Factors associated with teenage pregnancy included rural residence (AOR: 3.68; 95%CI: 1.29, 10.44), being married (AOR: 2.75; 95%CI: 1.06, 7.15), not using contraceptives (AOR: 5.75; 95%CI: 2.22, 14.86), and not discussing reproductive health issues (AOR: 2.60; 95%CI: 1.04, 6.76). In addition, the qualitative study identified lack of education and access to resources, social and relationship influences, cultural influences and economic and future outlook as a common cause of teenage pregnancy.</p><p><strong>Conclusions: </strong>Consequently, there is a high prevalence of teenage pregnancy in the area. Furthermore, place of residence, marital status, contraceptive use, and discussions about reproductive health issues were identified as independent factors associated with teenage pregnancy.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608389"},"PeriodicalIF":2.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247832","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":"Trauma by the Numbers: A Cross-Sectional Analysis and Categorization of Trauma Cases in the Gaza War.","authors":"Muaaz Wajahath, Elias Nasser, Tariq Nayfeh, Bilal Irfan, Rohit Balasundaram, Mosab Nasser, Khaled J Saleh","doi":"10.3389/ijph.2025.1607877","DOIUrl":"10.3389/ijph.2025.1607877","url":null,"abstract":"<p><strong>Objectives: </strong>To categorize and analyze trauma cases from the Gaza war, identifying injury patterns and informing future humanitarian efforts in conflict zones.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in April 2024 at European Gaza Hospital. Data on demographics and injury types were collected from patients treated by FAJR Scientific's surgical team. Injuries were classified into primary (directly conflict-related), secondary (indirectly conflict-related), and tertiary (unrelated to the conflict). Statistical analyses included Kruskal-Wallis H test, logistic regression, and Fisher's Exact Test.</p><p><strong>Results: </strong>Among the 80 surgical cases analyzed, primary injuries were the most common (53%), predominantly affecting males aged 30-39. Secondary injuries accounted for 14% of cases, while tertiary injuries represented 33%. Significant associations were found between age categories and injury classifications (p < 0.05).</p><p><strong>Conclusion: </strong>The prevalence of primary injuries highlights the severe impact of conflict on civilians, particularly middle-aged males. The findings suggest the need for enhanced orthopedic surgical capacity, integrated chronic disease management, and specialized pediatric care in conflict zones. Improved data collection and analysis are essential for optimizing medical interventions and resource allocation.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607877"},"PeriodicalIF":2.6,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234048","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}
Saliou Diombo Kébé, Adama Diouf, Papa Mamadou Dit Doudou Sylla, Abdou Badiane, Olouwafemi Mistourath Mama, Nicole Idohou-Dossou
{"title":"Ultra-Processed Foods Consumption Is Associated With Intakes of Critical Nutrients Related to Non-Communicable Diseases Among Adults in Dakar, Senegal.","authors":"Saliou Diombo Kébé, Adama Diouf, Papa Mamadou Dit Doudou Sylla, Abdou Badiane, Olouwafemi Mistourath Mama, Nicole Idohou-Dossou","doi":"10.3389/ijph.2025.1608374","DOIUrl":"10.3389/ijph.2025.1608374","url":null,"abstract":"<p><strong>Objectives: </strong>Nutritional transition in Senegal favors the exposure to ultra-processed foods (UPF) which are linked to the development of non-communicable diseases (NCDs). This study aimed to assess UPF consumption and their contribution to dietary intakes of critical nutrients associated with NCDs.</p><p><strong>Methods: </strong>Dietary intakes of 301 urban adults were assessed using a multi-step 24-hour dietary recall. Foods consumed were classified using the NOVA classification, and nutrient composition was determined using nutritional labels or food composition tables.</p><p><strong>Results: </strong>UPF contributed to 17.4% of total energy, 43% of free sugars, 26.9% of total fat, 24.4% of sodium and 24% of potassium intakes. Higher UPF consumption was associated with higher intakes of energy, free sugars, fat, potassium and protein. Higher UPF consumption was also positively associated with a non-recommended intake level of total fat (OR = 2.56; <i>p</i> = 0.002) while a negative association was found with non-recommended intake levels of potassium (OR = 0.01; <i>p</i> < 0.001) and protein (OR = 0.43; <i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>UPF contribute significantly to the intakes of critical nutrients, are associated with <i>poor diet quality and</i> might be a major determinant of the inc<i>idence</i> and prevalence of <i>non-communicable diseases.</i></p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608374"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225434","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":"Detrimental Changes in Individual Health-Promoting Behaviors Among Internally Displaced Israelis.","authors":"Naomi Fliss Isakov, Miri Levi-Shahar, Yulia Balmakov, Ranaa Mahajni Yunis, Ronit Endevelt, Moran Blaychfeld Magnazi","doi":"10.3389/ijph.2025.1607794","DOIUrl":"10.3389/ijph.2025.1607794","url":null,"abstract":"<p><strong>Objectives: </strong>Israel has forcibly displaced more than 200,000 people to hotels or apartments, due to armed conflict. Our study aimed to identify changes in health-promoting behaviors during displacement.</p><p><strong>Methods: </strong>Two online surveys were conducted assessing health-promoting behaviors and body weight before and during displacement. Univariate and multivariate analyses were performed to compare displaced and non-displaced respondents.</p><p><strong>Results: </strong>A total of 997 and 153 participants completed the first and second surveys respectively. A significant decrease in diet quality (P < 0.001), physical activity frequency (P = 0.016), and an increase in diet quantity (P < 0.001) and weight (P = 0.001) were reported among displaced individuals, compared to non-displaced individuals. Living with children, and a healthy pre-war lifestyle were found to be independently protective of detrimental lifestyle change (OR = 0.46, 95% CI0.28-0.76 and OR = 0.63, 95% CI0.40-0.97), risk factors (OR = 2.40, 95% CI1.30-4.43 and OR = 3.54, 95% CI1.71-7.32), for detrimental lifestyle changes.</p><p><strong>Conclusion: </strong>Detrimental changes to health promoting behaviors were reported in all study groups, although they were significantly higher in displaced individuals. Immediate changes did not differ between respondents staying in hotels or apartments, but were sustained only in hotels.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607794"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225431","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}
Anaïs Galli, Mirko S Winkler, Jan Hattendorf, Max N D Friedrich, Issa Bagayogo, Aboubacar Ballo, Carola Bänziger, Hassane Dembélé, Mamadou Sory Keita, Maryna Peter, Alimata Ousséni Tall, Jürg Utzinger, Branwen Nia Owen
{"title":"Baseline Characteristics of a Cluster Randomized Controlled Trial Targeting Hand Hygiene in Primary Healthcare in Burkina Faso and Mali.","authors":"Anaïs Galli, Mirko S Winkler, Jan Hattendorf, Max N D Friedrich, Issa Bagayogo, Aboubacar Ballo, Carola Bänziger, Hassane Dembélé, Mamadou Sory Keita, Maryna Peter, Alimata Ousséni Tall, Jürg Utzinger, Branwen Nia Owen","doi":"10.3389/ijph.2025.1608406","DOIUrl":"10.3389/ijph.2025.1608406","url":null,"abstract":"<p><strong>Objectives: </strong>This study presents baseline characteristics of a cluster randomized controlled trial (cRCT) on hand hygiene in primary healthcare in Burkina Faso and Mali, addressing data gaps on hand hygiene practices in these settings.</p><p><strong>Methods: </strong>We implemented a two-arm cRCT in 48 primary healthcare facilities. Baseline data were collected (January-June 2023), followed by covariate-constrained randomization. We conducted covert hand hygiene observations, hand-rinse sampling for <i>Escherichia coli</i> detection, and a survey on behavioral factors among healthcare workers. The primary outcome is observed handwashing rate.</p><p><strong>Results: </strong>Baseline data included 309 healthcare workers. Trial arms were balanced in hand hygiene adherence, behavioral factors, and <i>E. coli</i> contamination. Hand hygiene adherence was low (12%). <i>E. coli</i> contamination was very high in Burkina Faso (76%) and considerable in Mali (23%). Participants had a high intention to wash their hands (93%) but only a quarter could name all moments for hand hygiene.</p><p><strong>Conclusion: </strong>Poor hand hygiene and <i>E. coli</i> contamination in our setting may heighten nosocomial infection risks. Interventions should address knowledge and build on high intentions to perform hand hygiene.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1608406"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225430","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}
Xuesong Yang, Yanbo Liu, Shiling Chen, Danyang Chen, Xuan Wu, Yanqiong Wu, Cheng Liu, Anne Manyande, Hongbing Xiang, Zhouping Tang
{"title":"Intracerebral Hemorrhage: The Global Differential Burden and Secular Trends From 1990 to 2019 and Its Prediction up to 2030.","authors":"Xuesong Yang, Yanbo Liu, Shiling Chen, Danyang Chen, Xuan Wu, Yanqiong Wu, Cheng Liu, Anne Manyande, Hongbing Xiang, Zhouping Tang","doi":"10.3389/ijph.2025.1607013","DOIUrl":"10.3389/ijph.2025.1607013","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to analyze the global burden and temporal trends of intracerebral hemorrhage from 1990 to 2019 and to project the burden up to 2030, considering variations across regions, sexes, and age groups.</p><p><strong>Methods: </strong>Data were sourced from the GBD (Global Burden of Disease) 2019 study. We assessed ASIR (age-standardized incidence rates), ASMR (age-standardized mortality rates) , and ASDR (age-standardized disability adjusted life year rate) using the BAPC (Bayesian age-period-cohort) model. Spearman's Rho correlation was used to examine the relationship between disease burden and the SDI (Socio-Demographic Index).</p><p><strong>Results: </strong>From 1990 to 2019, the global ASIR, ASMR, and ASDR of intracerebral hemorrhage decreased by 1.52%, 1.64%, and 1.64%, respectively, while absolute case numbers increased. Males consistently exhibited higher ASIR, ASMR, and ASDR than females. The projections suggest that by 2030, the incidence and absolute cases of intracerebral hemorrhage will continue to rise, while mortality rates will decline.</p><p><strong>Conclusion: </strong>Despite reductions in age-standardized rates, the global burden of intracerebral hemorrhage continues to increase due to population growth and aging. Effective prevention and treatment strategies, especially in low-SDI regions, are urgently needed.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607013"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225432","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}
May Thet Nu Noe, Anaïs Masserey, Anita Bober, Stefan T Mol, Irina Guseva Canu
{"title":"Inventory of Mental Health Services in Academia and Researchers' Awareness of Their Availability: Mixed Method Research Protocol and Pilot Study in Switzerland.","authors":"May Thet Nu Noe, Anaïs Masserey, Anita Bober, Stefan T Mol, Irina Guseva Canu","doi":"10.3389/ijph.2025.1607982","DOIUrl":"10.3389/ijph.2025.1607982","url":null,"abstract":"<p><strong>Objective: </strong>To inventory occupational health services (OHS) in European higher education institutions (HEI) and assess researchers' awareness of these services.</p><p><strong>Methods: </strong>The protocol, validated in Switzerland, combined a mapping study of OHS with semi-structured interviews with researchers. Data were analyzed using MAXQDA software and triangulated with OHS inventory data.</p><p><strong>Results: </strong>OHS in 14 Swiss HEI typically include basic medical consultations, mental health counselling, and legal advice. Access varies by users' status, often favoring students. Service varies across institutions, creating potential inequalities. At one Swiss HEI, twelve researchers were interviewed; stress derived primarily from time pressure and work overload. Respondents desired better communication with management and a more supportive environment. Despite the availability of four OHS at this HEI, awareness of, and confidence in these services were low, and confidentiality concerns led many to seek external support.</p><p><strong>Conclusion: </strong>Interviewees had limited awareness of available mental health related OHS, and most decided not to rely on institutional HEI services due to confidentiality related concerns. External psychological help services appear more trusted and potentially more effective.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"70 ","pages":"1607982"},"PeriodicalIF":2.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225433","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}