International Journal of Public Health最新文献

{"title":"Mapping the availability of climate and health education in European schools of public health: a baseline assessment for indicator development.","authors":"Eric Phillip Twomey, Fadilah Fitri Arsy, Robert Otok, Laurent Chambaud","doi":"10.3389/ijph.2026.1609473","DOIUrl":"10.3389/ijph.2026.1609473","url":null,"abstract":"<p><strong>Objectives: </strong>Climate and health education is increasingly recognised as essential for preparing a climate-competent public health workforce, yet reliable European baseline data remain limited. This cross-sectional study assessed the availability of climate and health education in degree-granting Schools of Public Health across the World Health Organization European Region.</p><p><strong>Methods: </strong>A survey of Association of Schools of Public Health in the European Region member institutions was combined with a large-language-model-assisted web scan and manual verification of institutional websites, curricula, syllabi, and programme descriptions.</p><p><strong>Results: </strong>Overall, 268 Schools of Public Health were identified across 53 countries, including 131 ASPHER members and 137 non-members. Of these, 111 institutions (41.4%) offered at least one verified climate and health education programme or course in 2024/2025. Availability was similar among ASPHER members (41%) and non-members (43%). Most identified programmes were offered at master's level, while vocational, bachelor, doctoral, and continuing professional development opportunities were less frequent.</p><p><strong>Conclusion: </strong>Climate and health education is present across much of Europe but remains uneven and concentrated at postgraduate level. The findings provide a verifiable baseline for future monitoring and policy action.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609473"},"PeriodicalIF":3.2,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13349935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148420766","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":"Effects of a family home-based intervention on global health and 24h movements: an exploratory family cluster-based approach to childhood obesity.","authors":"Julie Siroux, Juliette Lemay, Inès Ramos, Vicky Drapeau, Jean-Phillipe Chaput, Elodie Vedrine, Carla Dalmais, Victoria Rousset-Thiry, David Thivel, Yves Boirie, Magalie Miolanne","doi":"10.3389/ijph.2026.1609165","DOIUrl":"10.3389/ijph.2026.1609165","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed at (i) exploring the effects of a 12-month home-based family intervention on perceived global health and 24 h movement patterns among children with overweight/obesity (OW/OB) and their family members; (ii) identifying intra-family behavioral clusters and their influence on the intervention's effectiveness.</p><p><strong>Methods: </strong>142 families (n = 223 legal guardians) with at least one child with OW/OB were included. At baseline and 12 months, perceived health, sleep, physical activity (PA) and sedentary behaviors (SB) were assessed.</p><p><strong>Results: </strong>Children with OW/OB showed poorer physical and mental quality of life (QoL) than normal weight (NW) ones (p < 0.001), and decreased body mass index (BMI) z-score over time (p = 0.001). Guardians with OW/OB improved physical QoL at the end of the program (p = 0.002). For all outcomes, clusters analysis suggested a distinction between NW children and those with OW/OB. Children tended to resemble their guardians of same weight status (WS). Changes in BMI z-scores among children with OW/OB might vary by QoL and behavioral profiles with greatest reductions in clusters having higher baseline global health or PA.</p><p><strong>Conclusion: </strong>This study suggests the potential of family-centered strategies addressing childhood obesity.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609165"},"PeriodicalIF":3.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148446844","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":"Individual placement and support (IPS) integrated with specialized substance use disorder treatment: a socioeconomic analysis based on a randomized controlled trial.","authors":"Kristoffer Andreas Aamodt Andersen, Linn Nathalie Støme, Erlend Marius Aas, Espen Ajo Arnevik, Marianne Riksheim Stavseth, Eline Borger Rognli","doi":"10.3389/ijph.2026.1609386","DOIUrl":"10.3389/ijph.2026.1609386","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a socioeconomic analysis of Individual Placement and Support (IPS) integrated with specialized substance use disorder treatment. Additionally, we explored group differences in the use of social and welfare services and assessed the validity of a previous simulation model.</p><p><strong>Methods: </strong>We used Early Health Technology Assessment (eHTA) to estimate socioeconomic gain using data extracted from a completed randomized controlled trial comparing IPS and enhanced treatment as usual (enhanced TAU) for patients in specialized substance use disorder treatment.</p><p><strong>Results: </strong>IPS was socioeconomically beneficial compared to enhanced TAU during the first year after end of the intervention (€992,224 for IPS, and €778,121 for enhanced TAU), equal to a group difference of €214,103 (modelled for 100 patients). During the trial period, IPS participants showed a total cost saving of €157,593 due to less use of social and welfare services, compared to participants receiving enhanced TAU. These estimates are comparable to our previous eHTA simulation.</p><p><strong>Conclusion: </strong>Our estimates indicate a net socioeconomic gain of IPS starting during the intervention year, which exceeds that of enhanced TAU in the first year following the intervention. Additional cost savings were found in favor of IPS. Our early simulated eHTA proved valid in one scenario.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609386"},"PeriodicalIF":3.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13345976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421038","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":"Concurrent utilisation of cancer screening tests in the general population aged 50-69: an analysis of the 2017 Swiss Health Survey.","authors":"Audrey Butty Dettwiler, Jessica Nakiyingi-Miiro, Jean-Luc Bulliard","doi":"10.3389/ijph.2026.1609624","DOIUrl":"10.3389/ijph.2026.1609624","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed the extent and factors of concurrent utilisation of cancer screenings in Switzerland.</p><p><strong>Methods: </strong>Data from the 2017 Swiss Health Survey, representing 1,091,813 females and 1,072,940 males aged 50-69, were analysed. Weighted descriptive analyses estimated sex-specific proportions of individuals concurrently up to date with recommended screening for cervical, breast, colorectal, prostate and skin cancer. Multivariable binomial weighted logistic regressions examined associations between concurrent utilisation and sociodemographic, lifestyle, health, health services utilisation, security and social support factors.</p><p><strong>Results: </strong>Approximately one in three Swiss residents were concurrent screening users. Concurrent utilisation increased with age and frequent medical visits. Among females, concurrent utilisation was positively associated with living in French- or Italian-speaking Switzerland and having tertiary education, and negatively associated with being divorced, separated or widowed, and with non-European origin. Among males, concurrent utilisation was positively associated with income, and negatively associated with unhealthy lifestyles, low health concern, and higher health insurance deductibles.</p><p><strong>Conclusion: </strong>Further research is needed to clarify the factors underlying differences in screening behaviours. Given the temporal instability of these behaviours, the findings should be interpreted cautiously.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609624"},"PeriodicalIF":3.2,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13337518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404578","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":"COVID-19 disrupted patterns of cause-specific mortality in Switzerland.","authors":"Anthony Hauser, Moritz Wagner, Anna Fesser, Karim Abawi, Anne Laube, Garyfallos Konstantinoudis, Julien Riou","doi":"10.3389/ijph.2026.1609856","DOIUrl":"10.3389/ijph.2026.1609856","url":null,"abstract":"<p><strong>Objectives: </strong>To understand disruptions in mortality patterns during the COVID-19 pandemic beyond deaths directly attributed to SARS-CoV-2.</p><p><strong>Methods: </strong>We analysed Swiss weekly deaths (2011-2021) by age, sex, region, and nine cause groups. For each age group, a Bayesian multivariate Poisson model was fitted to 2011-2019 data, accounting for seasonality, long-term trends, and cross-cause dependence. Comparing predictions with 2020-2021 observations revealed age- and cause-specific excesses.</p><p><strong>Results: </strong>Cardiovascular deaths peaked during the autumn 2020 wave, while no cause showed sustained excess across 2020-2021. In individuals aged ≥80 years, non-COVID respiratory (-25%) and mental/neurological (-12%) deaths declined, largely offset by COVID-19 deaths, leaving a modest +4.5% all-cause excess. Cardiovascular and mental/neurological excesses correlated with COVID-19 and other respiratory excesses, reflecting strong pre-pandemic cross-cause correlations ( <math><mrow><mi>ρ</mi> <mo>></mo> <mn>0.80</mn></mrow> </math> ).</p><p><strong>Conclusion: </strong>These patterns likely reflect three overlapping mechanisms: reduced circulation of non-COVID-19 respiratory pathogens, unrecognized COVID-19 deaths (especially cardiovascular), and mortality displacement, pointing to possible underestimation of the true respiratory burden.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609856"},"PeriodicalIF":3.2,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13338603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404632","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":"Rising clustering of metabolic risk factors and behavioral-metabolic profiles in Viet Nam, 2015-2021: repeated cross-sectional surveys.","authors":"Duy Quang Pham, Thi Tu Quyen Bui, Hung Minh Nguyen, Minh Van Hoang","doi":"10.3389/ijph.2026.1609281","DOIUrl":"10.3389/ijph.2026.1609281","url":null,"abstract":"<p><strong>Objectives: </strong>Evidence on the burden and clustering of metabolic non-communicable disease risks and on data-driven risk profiles remains limited. This study assessed trends in the clustering of metabolic risk factors in Viet Nam from 2015 to 2021 and identified behavioral-metabolic profiles in 2021.</p><p><strong>Methods: </strong>A repeated cross-sectional design was used, using national STEPS data from 2015 (n = 3,074) and 2021 (n = 3,712), both of which included participants who completed all survey components. Behavioral risk factors (smoking, alcohol use, physical inactivity, and low fruit and vegetable intake) and metabolic risk factors (elevated blood pressure, fasting glucose, body mass index (BMI), and total cholesterol) were defined using Asian-calibrated cutoffs. Clustering was defined as the co-occurrence of two or more metabolic risk factors within an individual. Weighted analyses estimated prevalence and clustering, and latent class analysis (LCA) identified behavioral-metabolic profiles.</p><p><strong>Results: </strong>All metabolic risks increased between 2015 and 2021, most sharply for raised fasting glucose (12.0% → 37.7%). This increase was a major contributor to intensified clustering, with the prevalence of ≥2 risk factors increasing from 27.6% to 46.6% and ≥3 risk factors increasing from 8.7% to 20.1%. LCA revealed three profiles: \"Health-Conscious\" (38.1%, low behavioral and metabolic risks), \"Metabolic Risk-Aware\" (34.6%, low behavioral but high metabolic risks, linked to older age), and \"High Behavioral Risk with Moderate Metabolic Comorbidity\" (27.3%, characterized by high smoking and alcohol use together with moderate metabolic abnormalities, concentrated among socioeconomically disadvantaged men).</p><p><strong>Conclusion: </strong>Metabolic risks in Viet Nam increased markedly between 2015 and 2021, with elevated glucose levels playing an important role in multi-risk clustering. These distinct profiles underscore the need for integrated, multi-risk screening and management in primary care, especially targeting older adults and socioeconomically disadvantaged men.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609281"},"PeriodicalIF":3.2,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13370801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455488","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":"Closing the implementation gap: the Joint Action on Cardiovascular Diseases and Diabetes (JACARDI) as a proof of-concept for Europe's Safe Hearts Plan.","authors":"Benedetta Armocida, Beatrice Formenti, Albert Aszalos, Hector Bueno, Ewelina Chawłowska, Hanna Elonheimo, Mounia El Yamani, Irati Erreguerena, Sinikka Kyto, Matilde Leonardi, Jaana Lindström, Agnes Makai, Bernardino Morillo, Luigi Palmieri, Roberta Papa, Markku Peltonen, Helena Safadi, Natalia Skogberg, Anna Tarhanchuk, Hanna Tolonen, Edwin Wouters, Jelka Zaletel, Katarzyna Zukowska, Graziano Onder","doi":"10.3389/ijph.2026.1609906","DOIUrl":"10.3389/ijph.2026.1609906","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609906"},"PeriodicalIF":3.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351855","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 emergency events database, EM-DAT, must be preserved as a global public good.","authors":"Niko Speybroeck, Ilan Noy, Albert Kettner, Regina Below, Gabriele Messori, Wim Thiery, Valentin Wathelet, Aglaé Jézéquel, Damien Delforge, Dewald Van Niekerk","doi":"10.3389/ijph.2026.1609990","DOIUrl":"10.3389/ijph.2026.1609990","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609990"},"PeriodicalIF":3.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351793","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":"Substance use among second-generation immigrants in France: heritage language as a protective factor.","authors":"Stéphane Legleye, Myriam Khlat, Damien Bricard","doi":"10.3389/ijph.2026.1609152","DOIUrl":"10.3389/ijph.2026.1609152","url":null,"abstract":"<p><strong>Objectives: </strong>Study substance use among second-generation immigrants in France (G2) in comparison with first-generation immigrants (G1) and majority population, and particularly the variation according to practice of heritage language.</p><p><strong>Methods: </strong>in a nation-wide probability sample, we focused on the two largest groups (from Maghreb and Southern-Europe: n = 2,736), analysing their use of alcohol, tobacco and cannabis. The main factor of interest was practice of heritage language at home at age 15 (vs. exclusive use of French), and we also considered type of parentage: homogenous (two immigrant parents from the same country) vs. mixed (only one, the other being French).</p><p><strong>Results: </strong>In comparison with the majority population (neither G1 nor G2: n = 19,185), G1 had lower levels of substance use, followed by G2 speaking the heritage language and by G2 with homogeneous parentage. The other G2 reported higher levels of substance use, close to those of the majority population (even higher for tobacco among Maghrebins and cannabis among South-Europeans). These associations remained robust after adjusting for potential individual and contextual confounding variables.</p><p><strong>Conclusion: </strong>Integrating those specificities may help in designing culturally grounded prevention policies benefitting the population at large.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609152"},"PeriodicalIF":3.2,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13310806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351802","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":"Pakistan's HPV vaccination drive: navigating trust, culture, and misinformation in a new era of immunization.","authors":"Umaima Mir, Maria Asghar, Nayab Amjad, Urooj Amjad, Iqra Khan, Shandana Kifayat, Shanlina Kifayat, Muhammad Ali Jan Khan, Khadija Tul Kobra, Zeeshan Wali, Baber Wali, Sobia Shafiq, Asad Ullah, Fazal Jamil, Muhammad Ittefaq, Muhammad Salar Khan","doi":"10.3389/ijph.2026.1609244","DOIUrl":"10.3389/ijph.2026.1609244","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609244"},"PeriodicalIF":3.2,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13319887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368372","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}