{"title":"Whose education matters for later-life health trajectories? A three-generation comparison in China.","authors":"Tingshuai Ge, Qing Han","doi":"10.3389/ijph.2026.1609298","DOIUrl":"10.3389/ijph.2026.1609298","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the effects of own, parental, spousal, and children's education on later-life health trajectories in the Chinese context, exploring variations across health measures and genders in these processes.</p><p><strong>Methods: </strong>Hierarchical linear regression models were employed to the data from China Health and Retirement Longitudinal Study over the period 2011-2020 (N = 15,304 individuals aged 45-85; N = 62,836 person-years).</p><p><strong>Results: </strong>Among men, mental health disparities by own education remained stable with age, while those linked to spousal and children's education widened. For physical health, disparities by own education were stable, whereas those related to children's education diminished with age. Among women, mental health disparities tied to own and family members' education widened with age. Physical health disparities driven by own and children's education increased with age, while those associated with spousal education remained stable.</p><p><strong>Conclusion: </strong>Our findings suggest that family members' education differentially shapes later-life health trajectories, with these processes being sensitive to health measures and gender. Policies that enhance women's education and support disadvantaged families and are essential to reduce health inequalities among aging populations.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609298"},"PeriodicalIF":3.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163211","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}
Tamara Scharf, Marc-Andrea Janggen, Yonas Martin, Julian Jakob, Kali Tal, Nikola Biller-Andorno, Jean-Luc Bulliard, Kevin Selby, Reto Auer, Adrian Rohrbasser
{"title":"Optimizing colorectal cancer screening through quality circles of primary care physicians: a cluster randomized controlled trial.","authors":"Tamara Scharf, Marc-Andrea Janggen, Yonas Martin, Julian Jakob, Kali Tal, Nikola Biller-Andorno, Jean-Luc Bulliard, Kevin Selby, Reto Auer, Adrian Rohrbasser","doi":"10.3389/ijph.2026.1608462","DOIUrl":"10.3389/ijph.2026.1608462","url":null,"abstract":"<p><strong>Objectives: </strong>Colorectal cancer (CRC) screening rates are low in Switzerland. This study tested whether a PCP intervention-training sessions and performance feedback within quality circles (QC) increased CRC screening rates.</p><p><strong>Methods: </strong>A pragmatic randomized controlled trial was conducted in Switzerland (2018-2021) with PCP in QC. The intervention included three training sessions, shared decision-making materials, and performance feedback based on 40 consecutive patients per PCP. The primary outcome was the difference in CRC screening rates between the intervention and control group after 12 months.</p><p><strong>Results: </strong>Of 120 invited QC, nine participated (5 intervention, 4 control). A total of 63 PCPs (32 intervention, 31 control) collected data on 2,112 patients (1,130 intervention, 982 control; mean age 61.5, 53% women). Analysis clustered by PCP and QC showed screening rate was 58% in the intervention group vs. 42% in controls (OR1.98; 95% CI:1.14-3.42). Screening rates in the intervention group increased from 55% to 57.9% (absolute increase: 2.9%; 95% CI:1.1%-6.9%; OR1.29; 95% CI:1.08-1.55, p < 0.01).</p><p><strong>Conclusion: </strong>Training sessions and performance feedback in QC increased screening rates, but few QCs chose to participate.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, identifier NCT03510858.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608462"},"PeriodicalIF":3.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13229839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163172","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":"Issues and principles for legitimate and meaningful One Health monitoring.","authors":"Juliette Colinas, Manon Boiteux, Cécile Aenishaenslin","doi":"10.3389/ijph.2026.1609612","DOIUrl":"10.3389/ijph.2026.1609612","url":null,"abstract":"<p><p>Although the One Health (OH) approach has gained prominence in health governance, no widely accepted method exists to assess the overall state of health across these interconnected domains in geographically defined settings. Available data remain fragmented, and existing evaluation frameworks largely focus on OH implementation rather than its outcomes. Two composite indices-the One Health Index and the Global One Health Index-have attempted to operationalize OH measurement, but their high level of aggregation, limited transparency, and top-down design constrain interpretability and legitimacy. We outline conceptual, logistical, and political challenges associated with measuring and monitoring OH outcomes, examine existing indices to illustrate these limitations, and argue that progress in OH measurement relies less on developing a single universal index than on establishing shared methodological principles. We propose core principles grounded in transparency and contextual relevance and highlight the need for collaborative efforts to develop clearer methodological guidance for more legitimate and meaningful OH monitoring systems.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609612"},"PeriodicalIF":3.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149761","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}
Doris Durán, Mabel Carabali, Usama Bilal, Belinda Nicolau, Jay S Kaufman
{"title":"Multiple cause of death during the COVID-19 pandemic: a population study In Colombia and Brazil.","authors":"Doris Durán, Mabel Carabali, Usama Bilal, Belinda Nicolau, Jay S Kaufman","doi":"10.3389/ijph.2026.1609429","DOIUrl":"10.3389/ijph.2026.1609429","url":null,"abstract":"<p><strong>Objectives: </strong>To assess differences in age-standardized disease-specific mortality rates derived from the underlying cause of death (UCOD) versus multiple cause of death (MCOD) data in two Latin American countries during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Using all death certificates for residents of Brazil (n = 6,207,785) and Colombia (n = 1,180,880) from 2019 through 2022, we extracted UCOD and all contributing causes, assigned weights (50% to UCOD, remainder equally among contributing causes), and calculated annual age- and sex-standardized mortality rates for neoplasms, circulatory diseases, diabetes mellitus (DM), and non-COVID communicable diseases. We then computed rate differences and rate ratios contrasting MCOD with UCOD estimates.</p><p><strong>Results: </strong>MCOD-DM mortality exceeded UCOD by up to 70%. In Colombia, MCOD-CVD surpassed UCOD during 2020-2021, corresponding to approximately 1,950 extra male and 1,560 extra female CVD deaths in 2021. Discrepancies for neoplasms and other communicable diseases were smaller and stable.</p><p><strong>Conclusion: </strong>These findings demonstrate that MCOD methods reveal substantial underestimation of diabetes- and cardiovascular-related mortality, underscoring the value of MCOD surveillance for public health planning.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609429"},"PeriodicalIF":3.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149707","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}
Alessandro Medoro, Giovanni Scapagnini, Sergio Davinelli
{"title":"Beyond ethanol: wine, biological aging, and the Mediterranean context.","authors":"Alessandro Medoro, Giovanni Scapagnini, Sergio Davinelli","doi":"10.3389/ijph.2026.1609910","DOIUrl":"10.3389/ijph.2026.1609910","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609910"},"PeriodicalIF":3.2,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148137987","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}
Abduselam Ahmed Abdela, Tufa Kolola Huluka, Mecha Aboma Yebassa, Samuel Dessu Sifer
{"title":"Food hygiene practice and associated factors among street food vendors in Addis Ababa; Ethiopia; mixed approach study.","authors":"Abduselam Ahmed Abdela, Tufa Kolola Huluka, Mecha Aboma Yebassa, Samuel Dessu Sifer","doi":"10.3389/ijph.2026.1609008","DOIUrl":"10.3389/ijph.2026.1609008","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess food hygiene practices and associated factors among street food vendors in Addis Ababa.</p><p><strong>Methods: </strong>A community-based cross-sectional study with mixed methods was conducted from 1-30 March 2024. A total of 337 vendors participated in the quantitative survey, and 25 took part in qualitative interviews and focus group discussions. Consecutive sampling was applied for the quantitative component and convenience sampling for the qualitative part. Data were collected using structured questionnaires with observational checklists and unstructured guides for qualitative interviews. Multivariable logistic regression identified predictors at p < 0.05, and qualitative data were analyzed thematically.</p><p><strong>Results: </strong>Good hygiene practice was observed in 33.2% (95% CI:28.2-38.3). Significant factors included training (AOR: 2.43), knowledge (AOR:3.44), uninterrupted water supply (AOR: 2.52), professional visits (AOR: 5.42), and work experience >1 year (AOR: 4.68). Qualitative findings revealed barriers including inadequate water and sanitation, poor working conditions, lack of training, financial constraints, and customer pressures.</p><p><strong>Conclusion: </strong>Hygiene practices were generally low. Findings emphasize the need for targeted interventions in training, supervision, and infrastructure to improve food hygiene among street food vendors.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609008"},"PeriodicalIF":3.2,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13215955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148137990","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}
Felix Sisenop, Sarah Arndt, Kim-Julian Behr, Pallavi Chatarajupalli, Ingo Schäfer, Jutta Lindert
{"title":"Potentially traumatic life events and mental health conditions. Identifying the role of resilience in a cross-sectional study from Northwestern Germany.","authors":"Felix Sisenop, Sarah Arndt, Kim-Julian Behr, Pallavi Chatarajupalli, Ingo Schäfer, Jutta Lindert","doi":"10.3389/ijph.2026.1609376","DOIUrl":"10.3389/ijph.2026.1609376","url":null,"abstract":"<p><strong>Objectives: </strong>Potentially traumatic life events (PTEs) are associated with increased risk of depression. Yet there is limited evidence on the association between quantity and type of PTEs and mental health in rural areas. This study examines the relationship between PTEs, resilience and mental health conditions (depression, anxiety) in Northwestern Germany.</p><p><strong>Methods: </strong>Cross-sectional population-based study of adults (n = 354) assessing sociodemographic factors, resilience (BRS), depression (PHQ-9), PTEs (LEC-5). Clusters of PTEs were identified on a conceptual basis. Linear regression analysis investigated association between PTEs and mental health. Resilience as a moderator was tested.</p><p><strong>Results: </strong>Depression was reported by 16.1% (n = 57), anxiety by 11.9% (n = 42) of the participants. PTE clusters identified were accidental/injury (n = 300, 84.7%), loss/life-threatening (n = 299, 84.5%), victimization (n = 218, 61.6%), and war/conflict-related events (n = 88, 24.9%). War/conflict-related events were linked with higher depression (B = 1.330, 95% CI: 0.013, 2.647). Resilience moderated the association between PTEs and depression.</p><p><strong>Conclusion: </strong>Cumulative and type of PTEs (especially war/conflict related) were associated with worse mental health. Resilience moderated associations with depression at lower resilience levels.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609376"},"PeriodicalIF":3.2,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042152","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":"Barriers to utilization of primary healthcare services: a systematic review of experiences in ten selected countries.","authors":"Hakimeh Mostafavi, Efat Mohamadi, Amin Mohammadi, Ahad Bakhtiari, Jawad Jafarzadeh, Alireza Olyaeemanesh, Amirhossein Takian","doi":"10.3389/ijph.2026.1609249","DOIUrl":"10.3389/ijph.2026.1609249","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify the reasons for inadequate use of PHC services to mitigate the barriers to utilization of PHC services in Saudi Arabia, Oman, Türkiye, Pakistan, Iraq, Thailand, China, India, Egypt, and Iran.</p><p><strong>Methods: </strong>This is a systematic review that synthesized the findings of original studies focused on the barriers to the utilization of PHC services. We searched the MEDLINE, Scopus, and Google Scholar databases from February 1, 2000, to December 29, 2023, in English. We conducted content analysis facilitated by MAXQDA-10 software drawn upon Levesque's framework.</p><p><strong>Results: </strong>The screening of articles was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The initial search retrieved 1,613 results, of which we included 29 studies. In terms of methodology, 17 studies used quantitative methods, eight had qualitative approaches, and the remaining studies utilized mixed or other methods. Among the five groups of identified barriers, ability to perceive, ability to reach, and ability to pay were found to be noteworthy barriers that should be considered by health policymakers.</p><p><strong>Conclusion: </strong>Although the main barriers to inadequate use of PHC are related to people, raising awareness about the need for PHC, improving literacy through understandable training, and establishing mobile facilities in remote areas are appropriate strategies for increasing the use of PHC services.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609249"},"PeriodicalIF":3.2,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13202722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148042205","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":"Influence of the Workplace on Influenza and COVID-19 Vaccination Acceptance Among Swiss Healthcare Workers During Season 2021/22.","authors":"Olga Morgel, Astrid Czock, Jan Fehr, Phung Lang","doi":"10.3389/ijph.2026.1608922","DOIUrl":"10.3389/ijph.2026.1608922","url":null,"abstract":"<p><strong>Objectives: </strong>Healthcare workers (HCWs) are essential in preventing and controlling infectious diseases and can influence public trust in vaccines. This study compares vaccination behaviors among HCWs in a Swiss hospital setting with those in primary care and identifies key factors influencing vaccine acceptance.</p><p><strong>Methods: </strong>An online questionnaire was distributed to HCWs at a cantonal hospital in Central Switzerland. The results were compared with a previous nationwide survey of German-speaking HCWs in primary care using descriptive statistics, chi-square tests, and multivariable logistic regression analyses.</p><p><strong>Results: </strong>Influenza vaccination coverage was 37.2% in hospitals and 59.8% in primary care. COVID-19 vaccination rates were high in both settings (89.1% and 92.7%, respectively). Physicians and older HCWs were significantly more likely to be vaccinated than nurses and younger staff. Vaccination training and prior vaccination history were associated with higher vaccination rates and stronger recommendation behavior. The most common reasons supporting vaccination were self-protection and patient protection.</p><p><strong>Conclusion: </strong>Vaccination behavior among HCWs differs considerably by healthcare setting and profession. Targeted vaccination training, particularly for younger HCWs and nurses in hospital settings, may help increase vaccine acceptance.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608922"},"PeriodicalIF":3.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13194077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015514","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":"A systematic review of enhancing urban disaster resilience for smart cities: from a perspective of social network analysis.","authors":"Yongzhu Zhang, Shiyao Zhu","doi":"10.3389/ijph.2026.1609235","DOIUrl":"10.3389/ijph.2026.1609235","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines how Social Network Analysis (SNA) contributes to understanding and enhancing urban resilience, addressing the need to integrate social dimensions beyond technology-driven smart city approaches.</p><p><strong>Methods: </strong>A systematic literature review combining bibliometric and content analysis was conducted on 89 peer-reviewed articles to identify key themes, node types, and applications of SNA in resilience research.</p><p><strong>Results: </strong>Findings show that urban resilience is shaped by interactions among community, institutional, and infrastructure networks, though most studies focus on isolated network types. SNA applications have evolved from small-scale surveys to social media and multi-source data, yet longitudinal analyses remain limited. Highly central nodes are often assumed to enhance resilience, but causal relationships are rarely tested. Additionally, social ties, community engagement, and behavioral factors emerge as critical drivers, while challenges persist in data integration, dynamic analysis, and incorporating human behavior into network models.</p><p><strong>Conclusion: </strong>Advancing SNA for urban resilience requires integrating diverse data sources, longitudinal approaches, and behavioral insights to support more inclusive, adaptive, and evidence-based urban policy and disaster management strategies.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609235"},"PeriodicalIF":3.2,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015572","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}