International Journal of Public Health最新文献_第7页

Assessing Unmet Need for Mental Healthcare Among Adults in Germany - Results from a Nationwide Study with Data Linkage. 评估德国成年人未满足的心理保健需求——来自一项具有数据链接的全国性研究的结果

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-11 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1608979

Diana Peitz, Felicitas Vogelgesang, Heike Hölling, Thomas G Grobe, Timm Frerk, Ursula Marschall, Julia Thom

{"title":"Assessing Unmet Need for Mental Healthcare Among Adults in Germany - Results from a Nationwide Study with Data Linkage.","authors":"Diana Peitz, Felicitas Vogelgesang, Heike Hölling, Thomas G Grobe, Timm Frerk, Ursula Marschall, Julia Thom","doi":"10.3389/ijph.2026.1608979","DOIUrl":"10.3389/ijph.2026.1608979","url":null,"abstract":"Objectives: To estimate the prevalence of self-reported (un)met need for mental healthcare and associated barriers among adults in Germany and to compare this information with documented mental healthcare use in order to assess the suitability of this indicator for mental health surveillance.Methods: Self-report survey and routine data documented by healthcare providers from 6,558 randomly sampled adults insured with a major German health insurance company built the basis of bivariate and multivariate analyses, also examining influences of sociodemographic determinants and mental health literacy. Prevalence estimates were additionally replicated with representative data from two national health surveys (n = 10,676 and n = 27,102).Results: 57% of individuals with perceived need reported no mental healthcare use in the previous 12 months. Unmet need was associated with younger age, but not with sex or education. Most individuals with an unmet need reported internal barriers in terms of low mental health literacy. Self-report corresponds with documented mental healthcare use.Conclusion: Monitoring self-reported met and unmet need can inform healthcare planning from a patient perspective and addresses the mental health treatment gap.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608979"},"PeriodicalIF":3.2,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13293996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148345483","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

Bridging the implementation gap in cardiovascular prevention: a narrative review and call to action. 弥合心血管预防的实施差距：叙述性审查和行动呼吁。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-10 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609454

Grzegorz Kubielas, Jacek Gonos, Christopher S Lee, Angela Durante, Michela Barisone, Nicola Straiton, Adrian Jurczyk, Katarzyna Kułaga, Maria Jędrzejczyk, Izabella Uchmanowicz

{"title":"Bridging the implementation gap in cardiovascular prevention: a narrative review and call to action.","authors":"Grzegorz Kubielas, Jacek Gonos, Christopher S Lee, Angela Durante, Michela Barisone, Nicola Straiton, Adrian Jurczyk, Katarzyna Kułaga, Maria Jędrzejczyk, Izabella Uchmanowicz","doi":"10.3389/ijph.2026.1609454","DOIUrl":"10.3389/ijph.2026.1609454","url":null,"abstract":"Objectives: Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality worldwide, yet substantial gaps persist between evidence-based prevention strategies and their real-world implementation. This narrative review aimed to identify and synthesize contemporary models, programmes, and implementation strategies in preventive cardiovascular care, highlighting factors that facilitate or hinder adoption at scale.Methods: Narrative synthesis drawing on searches in MEDLINE (PubMed), Embase, and the Cochrane Library (to July 2025), prioritising systematic reviews, major guideline statements, and large multicentre studies.Results: Community programmes yield modest but meaningful reductions in blood pressure, lipids, and glucose. Clinical programmes achieve greater individual-level effects but are constrained by limited reach. Key barriers include misaligned incentives, workforce limitations, and persistent inequities. The Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) frameworks remain underutilised. Emerging digital tools and updated cardiovascular risk models offer new opportunities but require pragmatic integration.Conclusion: Strengthening preventive cardiovascular care requires aligning health-system incentives, integrating implementation science, and leveraging technology to support scalable and equitable prevention models.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609454"},"PeriodicalIF":3.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148329930","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

Invisible victims of border conflict: health and wellbeing of border communities between Cambodia and Thailand. 边界冲突的无形受害者：柬埔寨和泰国边境社区的健康和福祉。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-10 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609740

Virak Sorn

引用次数: 0

Individual placement and support in Mexico: barriers and facilitators. 墨西哥的个人安置和支持：障碍和促进因素。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-10 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609179

J Carlos Arámbula-Román, Elsy Cárdenas-García, Sol Durand-Arias, Ricardo Saracco-Alvarez, Jaime Carmona-Huerta, Jesús Alejandro Aldana-López, Eveling Villafuerte-Jacob, Shoshana Berenzon, Ana Carolina Florence, Bob Drake, Ezra Susser, Franco Mascayano

{"title":"Individual placement and support in Mexico: barriers and facilitators.","authors":"J Carlos Arámbula-Román, Elsy Cárdenas-García, Sol Durand-Arias, Ricardo Saracco-Alvarez, Jaime Carmona-Huerta, Jesús Alejandro Aldana-López, Eveling Villafuerte-Jacob, Shoshana Berenzon, Ana Carolina Florence, Bob Drake, Ezra Susser, Franco Mascayano","doi":"10.3389/ijph.2026.1609179","DOIUrl":"10.3389/ijph.2026.1609179","url":null,"abstract":"Objectives: The Individual Placement and Support (IPS) model has proven effective in different high-income countries. However, its implementation in low- and middle-income countries presents a new challenge. This study identified potential barriers and facilitators for IPS implementation in the metropolitan area of Guadalajara, México, to prepare for a clinical trial.Methods: The study explored potential barriers and facilitators to implementing IPS in the metropolitan area of Guadalajara, Mexico, from the perspectives of 61 diverse stakeholders in mental health interest groups: policymakers, administrators, providers, service users, and potential employers. The study used semi-structured, qualitative interviews and structured questionnaires tailored to each participant group and their specific roles.Results: Major themes of barriers were stigma, limitations in treating people with serious mental illness, difficulties related to users and their support networks, and systems barriers. Potential facilitators included the effectiveness of programs and specific activities, institutional collaboration, patient-centered approach, and characteristics of IPS.Conclusion: The study provided critical information on challenges and potential strategies prior to an upcoming trial of IPS supported employment services in a large, middle-income country.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609179"},"PeriodicalIF":3.2,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13290708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148329884","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

Large trials of psychosocial interventions: examples from individual placement and support. 社会心理干预的大型试验：来自个人安置和支持的例子。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-09 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609143

Justin D Metcalfe, Kim T Mueser, Robert E Drake

{"title":"Large trials of psychosocial interventions: examples from individual placement and support.","authors":"Justin D Metcalfe, Kim T Mueser, Robert E Drake","doi":"10.3389/ijph.2026.1609143","DOIUrl":"10.3389/ijph.2026.1609143","url":null,"abstract":"Objectives: Large demonstration projects for health interventions often use randomized controlled trials (RCTs) to test the effectiveness of interventions implemented at larger scales, serving as crucial contributors to policy and funding decisions. Such trials are subject to limitations common to all RCTs, but their size and importance magnify the costs of failure to satisfy the assumptions for valid causal inference and generalizability. We examine common reasons for such threats to validity.Methods: We examined large (N > 1,000) IPS RCTs for aspects of design and execution that undermine the validity of their results.Results: We identified three large IPS RCTs and identified threats to validity associated with treatment adherence and attrition.Conclusion: Large trials should rely on pilot studies to ensure that difficulties with recruitment, implementation of and participation in interventions, and follow-up measurement do not compromise study validity; intervention fidelity and participation should be measured to permit evaluation of study success. Funders should require and support the use of pilot studies and other prior research to justify the introduction of an intervention to a population and anticipate potential threats to validity.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609143"},"PeriodicalIF":3.2,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13286859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148317103","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

Integrating equity and justice in rheumatic heart disease policy: addressing reproductive health challenges. 将公平和正义纳入风湿性心脏病政策：应对生殖健康挑战。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-04 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609283

Panduleni Penipawa Shimanda, Tekla Shipahu Natangwe Shiindi-Mbidi

引用次数: 0

Tool for identifying occupational exposures and risks in agriculture (TIERRA): application in coffee farming in Uganda. 确定农业职业暴露和风险的工具（TIERRA）：在乌干达咖啡种植中的应用。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-04 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609449

Hannah Wey, Lena Jäggi, Aggrey Atuhaire, Felix Boos, Peter Ssekkadde, Sandra Abeine, Ruth Mubeezi, Samuel Fuhrimann

{"title":"Tool for identifying occupational exposures and risks in agriculture (TIERRA): application in coffee farming in Uganda.","authors":"Hannah Wey, Lena Jäggi, Aggrey Atuhaire, Felix Boos, Peter Ssekkadde, Sandra Abeine, Ruth Mubeezi, Samuel Fuhrimann","doi":"10.3389/ijph.2026.1609449","DOIUrl":"10.3389/ijph.2026.1609449","url":null,"abstract":"Objectives: This study developed a practical, context-sensitive assessment tool to prioritize occupational risks in agriculture (TIERRA). We applied TIERRA in a case study with smallholder coffee farmers in Uganda (FarmCoUganda) to demonstrate its effectiveness.Methods: TIERRA follows a stepwise, participatory process beginning with an inventory of 80 occupational hazards, reviewed by local experts for clarity and prioritized by community stakeholders through a Delphi workshop. Participants rate the likelihood, severity, and risk of hazards. In the Ugandan case study, 31 stakeholders rated 59 hazards relevant to smallholder coffee farmers in Mbale District.Results: Stakeholders prioritized 23 hazards across six categories: biological, chemical, ergonomic, and physical hazards, each comprising three items, plus five environmental and six psychosocial hazards. \"Contact with a pesticide\" received the highest overall risk score. \"Mosquito bites\" emerged as the most significant biological risk. Ergonomic hazards received the highest categorical risk rating.Conclusion: TIERRA fosters stakeholder ownership and facilitates dialogue toward action. It supports the development of tailored farmer surveys, training and safer working conditions. It offers a methodological blueprint for adaptation across diverse agricultural contexts, including in LMICs.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609449"},"PeriodicalIF":3.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148390822","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

COVID-19 testing and mental health service utilization in Ontario: a population-based cohort study. 安大略省COVID-19检测和心理健康服务利用：一项基于人群的队列研究

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-06-02 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609134

Kiran Saqib, Vivek Goel, Joel A Dubin, Jeremy VanderDoes, Zahid Ahmad Butt

{"title":"COVID-19 testing and mental health service utilization in Ontario: a population-based cohort study.","authors":"Kiran Saqib, Vivek Goel, Joel A Dubin, Jeremy VanderDoes, Zahid Ahmad Butt","doi":"10.3389/ijph.2026.1609134","DOIUrl":"10.3389/ijph.2026.1609134","url":null,"abstract":"Objective: To examine differences in mental health-related healthcare utilization for anxiety and depression between individuals who did and did not undergo COVID-19 PCR testing in Ontario. Background: The COVID-19 pandemic has been associated with changes in mental health and healthcare utilization.Methods: We conducted a population-based retrospective cohort study using linked ICES data, including 6,175,114 adults (January 2020-March 2021). Exposure was PCR-positive, PCR-negative, or untested. The outcome was time to first mental health-related healthcare use for anxiety and depression, identified using validated codes. Adjusted hazard ratios (aHRs) were estimated using Cox models with propensity score matching.Results: Individuals who underwent testing had higher mental health-related healthcare utilization than untested individuals. This was observed in PCR-positive (aHR 6.37; 95% CI 6.25-6.50) and PCR-negative groups (aHR 5.91; 95% CI 5.87-5.95). Higher utilization occurred among younger individuals, females, and socioeconomically disadvantaged groups. Results were consistent in matched analyses.Conclusion: Individuals underwent testing had higher mental health service utilization; similar estimates across PCR-positive and PCR-negative groups suggest testing reflects underlying vulnerability and healthcare-seeking behavior rather than a causal effect on mental health outcomes.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609134"},"PeriodicalIF":3.2,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13220775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148137965","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

Development and external validation of an interpretable machine learning model for obesity-depression comorbidity in Korean and US adults. 韩国和美国成年人肥胖-抑郁共病的可解释机器学习模型的开发和外部验证

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-05-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609153

Yuwen Shangguan, Zhenhao Lin, Young-Je Sim, Kunpeng Wu, Yu Chu, Kunyi Huang, Fangxi Chen, Kangkang Ji, Fang Chen, Shangrui Liu

{"title":"Development and external validation of an interpretable machine learning model for obesity-depression comorbidity in Korean and US adults.","authors":"Yuwen Shangguan, Zhenhao Lin, Young-Je Sim, Kunpeng Wu, Yu Chu, Kunyi Huang, Fangxi Chen, Kangkang Ji, Fang Chen, Shangrui Liu","doi":"10.3389/ijph.2026.1609153","DOIUrl":"10.3389/ijph.2026.1609153","url":null,"abstract":"Objective: To investigate the association between physical inactivity and obesity-depression comorbidity (ODC), defined as the co-occurrence of obesity and depression, and to develop an effective screening tool for identifying high-risk individuals to facilitate early intervention.Methods: Data were obtained from 3,357 physically inactive adults enrolled in the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2012). An XGBoost machine learning framework was applied to develop predictive models. Feature selection was conducted using random forest, and the prediction mechanism was interpreted with SHAP values. The model was validated internally using KNHANES 2011-2012 data and externally with the U.S. NHANES dataset.Results: The XGBoost model demonstrated good discriminative performance in internal validation (AUC = 0.783 and 0.744) and achieved an external validation AUC of 0.886. Feature importance analysis revealed that insulin concentration, white blood cell count, and height were the primary predictors of ODC, with insulin exerting the strongest influence.Conclusion: This study developed a high-performing and interpretable prediction model for ODC risk. SHAP-based interpretation identified insulin as the most influential predictor within the model, suggesting that metabolic factors may be important for ODC risk stratification.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609153"},"PeriodicalIF":3.2,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13254829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251584","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

Do youth e-cigarette users perceive smoking as attractive? The dynamics of demographics and contextual factors. 青少年电子烟用户认为吸烟有吸引力吗？人口统计动态和环境因素。

IF 3.2 3区医学

International Journal of Public Health Pub Date : 2026-05-26 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609361

Omar B Da'ar, Maria Alamr, Randah Alalweet, Bandar AlEissa, Farah Kalmey

{"title":"Do youth e-cigarette users perceive smoking as attractive? The dynamics of demographics and contextual factors.","authors":"Omar B Da'ar, Maria Alamr, Randah Alalweet, Bandar AlEissa, Farah Kalmey","doi":"10.3389/ijph.2026.1609361","DOIUrl":"10.3389/ijph.2026.1609361","url":null,"abstract":"Objective: This study examines whether youth e-cigarette users perceive smoking as attractive and how comfort-based norms, industry promotion, and media or environmental exposures shape these perceptions.Methods: Using a nation-wide representative 2022 Global Youth Tobacco Survey data from Saudi Arabia, we analyzed e-cigarette users' perceptions of smoking attractiveness with descriptive statistics and a multivariable regression model to identify associated covariates.Results: Among 5,455 students aged 13-15 years, 14.3% had ever used e-cigarettes, and 26% of users viewed smoking as attractive. More males rated smoking favorably in crude analyses. However, adjusted model showed males had lower odds versus females. Youth exposed to secondhand smoke in enclosed public places, point-of-sale marketing, anti-smoking messages, and counter-branding marketing had reduced odds of viewing smoking as attractive, whereas those who found it as socially comfortable, offered free tobacco products by a company representative, or owning branded items had higher odds. Secondhand smoke at school or home was not significant.Conclusion: Findings suggest prevention may benefit from targeting comfort-based norms and industry promotion, and future research should examine causal effects to guide youth-focused policy.","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609361"},"PeriodicalIF":3.2,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217688","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