International Journal of Public Health最新文献

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Immunization Coverage and Associated Factors Among Children Aged 18 to 72 Months in Communities With High Malaria Transmission, Bioko Island. 比奥科岛疟疾高传播社区18至72个月儿童的免疫接种覆盖率及相关因素
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-07 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1608466
Esther Eburi Losoha, Maria Silvia A Lopez Mikue, Guillermo A García, Thabith Athuman, Amanda Ross, Claudia Daubenberger, Sonja Merten
{"title":"Immunization Coverage and Associated Factors Among Children Aged 18 to 72 Months in Communities With High Malaria Transmission, Bioko Island.","authors":"Esther Eburi Losoha, Maria Silvia A Lopez Mikue, Guillermo A García, Thabith Athuman, Amanda Ross, Claudia Daubenberger, Sonja Merten","doi":"10.3389/ijph.2026.1608466","DOIUrl":"10.3389/ijph.2026.1608466","url":null,"abstract":"<p><strong>Objective: </strong>To estimate routine immunization coverage, compare coverage estimates derived from vaccination cards and caregiver recall, and investigate factors associated with incomplete immunization among children aged 18 months to 6 years in communities with a high malaria prevalence in the Malabo district of Equatorial Guinea.</p><p><strong>Methods: </strong>A cross-sectional survey was nested within a larger study and was conducted between September 2019 and March 2020. Children aged 18 months to 6 years living in 13 malaria-endemic communities in Malabo District, Bioko Island were enrolled. Immunization status was ascertained from vaccination cards or caregiver recall.</p><p><strong>Results: </strong>Of the 297 children, with verified immunization status, 86 (29%) were fully immunized according to the national schedule. Coverage estimates were similar whether verified by vaccination card (28%, 34/121) or caregiver recall (30%, 52/176). Children aged 18 months and 2 years had higher completion rates than children aged 2-6 years: 45% (39/86) versus 22% (47/211), aOR = 0.42, 95% CI [0.20, 0.87]). The other factors examined (sex, ethnicity andcommunity area) were not significantly associated with immunization status.</p><p><strong>Conclusion: </strong>Overall immunization coverage in this population was low. Younger children had higher completion rates, possibly reflecting improved program performance in recent years or differential recall bias. Further community based studies, in both urban and peri-urban areas needed to identify reasons for gaps in vaccination coverage and to inform targeted interventions.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608466"},"PeriodicalIF":3.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015504","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
Japanese version of the motivation to change lifestyle and health behaviors for dementia risk reduction scale: a cross-cultural validation. 日本版动机改变生活方式和健康行为对痴呆风险降低的影响:跨文化验证。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-07 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609357
Fumiya Nakai, Toshiro Horigome, Mayu Fujikawa, Haruaki Horie, Masaru Mimura, Taishiro Kishimoto
{"title":"Japanese version of the motivation to change lifestyle and health behaviors for dementia risk reduction scale: a cross-cultural validation.","authors":"Fumiya Nakai, Toshiro Horigome, Mayu Fujikawa, Haruaki Horie, Masaru Mimura, Taishiro Kishimoto","doi":"10.3389/ijph.2026.1609357","DOIUrl":"10.3389/ijph.2026.1609357","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the reliability and validity of a Japanese version of the Motivation to Change Lifestyle and Health Behaviors for Dementia Risk Reduction (MCLHB-DRR) scale, which assesses the motivation to change lifestyle and health behavior for preventing major neurocognitive disorder based on the health belief model.</p><p><strong>Methods: </strong>The scale was translated using Brislin's translation model. A total of 500 Japanese adults aged 40-89 years were recruited online. The translated version was evaluated for content validity, internal consistency, and test-retest reliability over 2 weeks.</p><p><strong>Results: </strong>Exploratory factor analysis revealed a seven-factor model that explained 58% of the variance. Cronbach's α was >0.7 for all seven subscales and item-total correlations were significant for all items. Confirmatory factor analysis exhibited a moderate fit, and the factor loadings were significant for all items. ICC (1,1) showed moderate test-retest reliability.</p><p><strong>Conclusion: </strong>The Japanese version of the MCLHB-DRR test showed high reliability and validity among Japanese older adults.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609357"},"PeriodicalIF":3.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015078","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
Comparative analysis of ARIMA and Holt-Winter's additive models for describing human respiratory syncytial virus activity in Yaoundé, Cameroon. ARIMA和Holt-Winter加性模型在喀麦隆yaound<s:1>人呼吸道合胞病毒活性描述中的比较分析
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-06 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1608524
Moise Henri Moumbeket-Yifomnjou, Chavely Gwladys Monamele, Desmon Toutou Tsafack, Mohamadou Ripa Njankouo, Aristide Mounchili-Njifon, Paul Alain Tagnouokam-Ngoupo, Abdou Fatawou Modiyinji, Boyomo Onana, Richard Njouom
{"title":"Comparative analysis of ARIMA and Holt-Winter's additive models for describing human respiratory syncytial virus activity in Yaoundé, Cameroon.","authors":"Moise Henri Moumbeket-Yifomnjou, Chavely Gwladys Monamele, Desmon Toutou Tsafack, Mohamadou Ripa Njankouo, Aristide Mounchili-Njifon, Paul Alain Tagnouokam-Ngoupo, Abdou Fatawou Modiyinji, Boyomo Onana, Richard Njouom","doi":"10.3389/ijph.2026.1608524","DOIUrl":"10.3389/ijph.2026.1608524","url":null,"abstract":"<p><strong>Objectives: </strong>Human respiratory syncytial virus (HRSV) is a major cause of respiratory infections in children and older adults. This study compared the Autoregressive Integrative Moving Average (ARIMA) and Holt-Winter's Additive models to describe HRSV activity in Yaoundé, Cameroon.</p><p><strong>Methods: </strong>In a three-year retrospective study (July 2020-December 2022), analyzed 1,774 nasopharyngeal samples from patients with severe acute respiratory infections (SARI) and influenza-like illness (ILI) were analysed across five sentinel sites in Yaoundé. The ARIMA model assessed the relationship between HRSV activity and meteorological factors (temperature, humidity, rainfall, solar radiation), while Holt-Winter's Additive model described HRSV activity without climate variables. Model performance was evaluated using stationary R<sup>2</sup> and root mean square error (RMSE).</p><p><strong>Results: </strong>HRSV was detected in 8.5% (151/1774) samples. Holt-Winter's model outperformed ARIMA, achieving a stationary R<sup>2</sup> of 77.6% and an RMSE of 7.40. ARIMA models for individual climate variables performed poorly (<6% R<sup>2</sup>), but the combined 12-variable model improved to 56.4% and an RMSE of 12.94.</p><p><strong>Conclusion: </strong>Holt-Winter's model is more effective for predicting HRSV activity. These findings can guide public health interventions to reduce HRSV's impact in Cameroon.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1608524"},"PeriodicalIF":3.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147987529","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
Sleep Disorders: A Blind Spot in Disease Burden Research. 睡眠障碍:疾病负担研究的盲点。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-06 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609757
Luisa Sophie Welter, Christoph Nissen, Björn Rasch, Raphael Heinzer, Alexandre Nikolaus Datta, Ester Piovesana, Martine Bouvier Gallacchi, Virginie Sterpenich, Claudio Lino Alberto Bassetti
{"title":"Sleep Disorders: A Blind Spot in Disease Burden Research.","authors":"Luisa Sophie Welter, Christoph Nissen, Björn Rasch, Raphael Heinzer, Alexandre Nikolaus Datta, Ester Piovesana, Martine Bouvier Gallacchi, Virginie Sterpenich, Claudio Lino Alberto Bassetti","doi":"10.3389/ijph.2026.1609757","DOIUrl":"10.3389/ijph.2026.1609757","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609757"},"PeriodicalIF":3.2,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147987561","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
Smart city development and medical service performance: evidence from a province-level panel study in China. 智慧城市发展与医疗服务绩效:来自中国省级面板研究的证据。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-04 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609627
Xu Shao, Xi Liu, Jie Che, Bing Yang
{"title":"Smart city development and medical service performance: evidence from a province-level panel study in China.","authors":"Xu Shao, Xi Liu, Jie Che, Bing Yang","doi":"10.3389/ijph.2026.1609627","DOIUrl":"10.3389/ijph.2026.1609627","url":null,"abstract":"<p><strong>Objectives: </strong>This study examines whether smart city development is associated with improvements in medical service performance across Chinese provinces, addressing the limited large-scale quantitative evidence on digital governance and healthcare systems in developing-country contexts.</p><p><strong>Methods: </strong>A balanced province-level panel dataset covering 31 provinces in mainland China from 2013 to 2024 was constructed using national statistical yearbooks and official smart city pilot lists. Medical service performance was measured by a composite Medical Service Performance Index (MSPI) capturing healthcare utilization structure, care quality, and preventive health management capacity. Two-way fixed effects models were applied to estimate the association between smart city exposure and healthcare system performance.</p><p><strong>Results: </strong>Higher smart city exposure is associated with improved medical service performance. In baseline models, smart city exposure is positively related to MSPI (β = 0.182, p < 0.01). Mechanism analyses show improvements in preventive health management (β = 0.184, p < 0.01), care quality (β = 0.135, p < 0.01), and reduced reliance on high-intensity hospital services (β = -0.120, p < 0.01). After accounting for these mechanisms, the direct association becomes statistically insignificant.</p><p><strong>Conclusion: </strong>Smart city development is linked to better medical service performance in China, suggesting that digital governance initiatives may strengthen healthcare systems through improved coordination, care quality, and preventive health management.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609627"},"PeriodicalIF":3.2,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13180713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147972462","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
Expanding equity horizons in knowledge sharing: How can global health journals level up? 扩大知识共享的公平视野:全球卫生期刊如何提升水平?
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-05-01 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609678
Shashika Bandara, Carmen Sant Fruchtman, Nandi Joubert, Lucienne Zinsstag, Ananya Banerjee, Isabel Munoz Beaulieu, Moses Tetui, Vivian Qiang
{"title":"Expanding equity horizons in knowledge sharing: How can global health journals level up?","authors":"Shashika Bandara, Carmen Sant Fruchtman, Nandi Joubert, Lucienne Zinsstag, Ananya Banerjee, Isabel Munoz Beaulieu, Moses Tetui, Vivian Qiang","doi":"10.3389/ijph.2026.1609678","DOIUrl":"10.3389/ijph.2026.1609678","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609678"},"PeriodicalIF":3.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963423","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 Future of Implementation Science for Public Health and Healthcare: Insights From the Swiss Implementation Science Network (IMPACT) Conference 2024. 公共卫生和医疗保健实施科学的未来:来自2024年瑞士实施科学网络(IMPACT)会议的见解。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609478
Sabina M De Geest, Aita Signorell, Sarah Serhal, Kaspar Wyss, Marina Boccardi, Juliane Mielke, Suzanne Dhaini, Bastiaan Van Grootven, Sophie Gendolla, Christina Akre, Carole E Aubert, Thekla Brunkert, Lauren Clack, Guy Haller, Cedric Mabire, Kate Molesworth, Aimad Ourahmoune, Jürg Utzinger, Marie Schneider
{"title":"The Future of Implementation Science for Public Health and Healthcare: Insights From the Swiss Implementation Science Network (IMPACT) Conference 2024.","authors":"Sabina M De Geest, Aita Signorell, Sarah Serhal, Kaspar Wyss, Marina Boccardi, Juliane Mielke, Suzanne Dhaini, Bastiaan Van Grootven, Sophie Gendolla, Christina Akre, Carole E Aubert, Thekla Brunkert, Lauren Clack, Guy Haller, Cedric Mabire, Kate Molesworth, Aimad Ourahmoune, Jürg Utzinger, Marie Schneider","doi":"10.3389/ijph.2026.1609478","DOIUrl":"10.3389/ijph.2026.1609478","url":null,"abstract":"","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609478"},"PeriodicalIF":3.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929540","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
Applying Machine Learning to Predict Loss to Follow-Up Among People Living With HIV in Haiti Using a National Electronic Medical Record Cohort. 使用国家电子医疗记录队列,应用机器学习预测海地艾滋病毒感染者随访损失。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-04-28 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609496
Jiaqin Wu, Bryan Shaw, Babatunji Oni, Kurt Jean-Charles, Darwin Dorestan, Marie Bien-Aime, Daphne Compere-Louis, Venise Dorce, Vladimy Jean-Pierre, Marc Elie Joseph, Nancy Rachel Labbe
{"title":"Applying Machine Learning to Predict Loss to Follow-Up Among People Living With HIV in Haiti Using a National Electronic Medical Record Cohort.","authors":"Jiaqin Wu, Bryan Shaw, Babatunji Oni, Kurt Jean-Charles, Darwin Dorestan, Marie Bien-Aime, Daphne Compere-Louis, Venise Dorce, Vladimy Jean-Pierre, Marc Elie Joseph, Nancy Rachel Labbe","doi":"10.3389/ijph.2026.1609496","DOIUrl":"10.3389/ijph.2026.1609496","url":null,"abstract":"<p><strong>Objectives: </strong>Loss to follow-up (LTFU) among people living with HIV (PLHIV) remains a major barrier to epidemic control. This study developed machine learning (ML) models to forecast individual risk of LTFU using routine electronic medical record (EMR) data.</p><p><strong>Methods: </strong>We analyzed data from Haiti's national EMR database, with 115,822 PLHIV receiving antiretroviral therapy (ART) across 167 health facilities from 2018 to 2024. We trained four ML models, including demographic, clinical, and institutional predictors for LTFU. Model performance was assessed across four quarters using F2-score, recall, precision, ROC-AUC, PR-AUC, and calibration. SHAP values were used to interpret key predictors of LTFU risk.</p><p><strong>Results: </strong>The CatBoost model trained with weight adjustment performed best across all quarters. The highest F2-score and recall were observed in the first quarter, with modest declines over time. Predictive features with the strongest influence included prior visit and viral load test frequency, ART dispensation patterns, and facility location.</p><p><strong>Conclusion: </strong>ML models using national EMR data can effectively forecast LTFU risk among PLHIV in Haiti. Incorporating these models into routine care systems can support proactive, tiered interventions to improve retention outcomes.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609496"},"PeriodicalIF":3.2,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929537","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
Correction: Moderate Wine Consumption, Defined by the Mediterranean Diet, Is Associated With Delayed Biological Aging in Men From the Moli-Sani Study. 更正:根据Moli-Sani研究,地中海饮食定义的适度饮酒与男性延迟生物衰老有关。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-04-27 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609829
Simona Esposito, Augusto Di Castelnuovo, Simona Costanzo, Alessandro Gialluisi, Antonietta Pepe, Emilia Ruggiero, Amalia De Curtis, Sara Magnacca, Mariarosaria Persichillo, Francesc Casanovas-Garriga, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio
{"title":"Correction: Moderate Wine Consumption, Defined by the Mediterranean Diet, Is Associated With Delayed Biological Aging in Men From the Moli-Sani Study.","authors":"Simona Esposito, Augusto Di Castelnuovo, Simona Costanzo, Alessandro Gialluisi, Antonietta Pepe, Emilia Ruggiero, Amalia De Curtis, Sara Magnacca, Mariarosaria Persichillo, Francesc Casanovas-Garriga, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio","doi":"10.3389/ijph.2026.1609829","DOIUrl":"10.3389/ijph.2026.1609829","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/ijph.2026.1609410.].</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609829"},"PeriodicalIF":3.2,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929479","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
Simulated Improvements in Influence at Work and Reduction in Sickness Absence Among Young Employees: A Nationwide Register-Based Study. 模拟改善对工作的影响和减少年轻员工的病假:一项全国性的基于登记的研究。
IF 3.2 3区 医学
International Journal of Public Health Pub Date : 2026-04-23 eCollection Date: 2026-01-01 DOI: 10.3389/ijph.2026.1609400
Jeppe Karl Sørensen, Jimmi Mathisen, Jacob Pedersen, Hermann Burr, Anders Holm, Tea Lallukka, Maria Melchior, Naja Hulvej Rod, Reiner Rugulies, Børge Sivertsen, Stephen Stansfeld, Karl Bang Christensen, Ida Elisabeth Huitfeldt Madsen
{"title":"Simulated Improvements in Influence at Work and Reduction in Sickness Absence Among Young Employees: A Nationwide Register-Based Study.","authors":"Jeppe Karl Sørensen, Jimmi Mathisen, Jacob Pedersen, Hermann Burr, Anders Holm, Tea Lallukka, Maria Melchior, Naja Hulvej Rod, Reiner Rugulies, Børge Sivertsen, Stephen Stansfeld, Karl Bang Christensen, Ida Elisabeth Huitfeldt Madsen","doi":"10.3389/ijph.2026.1609400","DOIUrl":"10.3389/ijph.2026.1609400","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the reduction in sickness absence associated with simulated improvements in influence at work (employees' ability to influence how and when work tasks are performed) among young Danish employees.</p><p><strong>Methods: </strong>We used register data from the Danish Work Life Course Cohort, which included 301,185 individuals aged 15-30 who entered the labor market between 2010 and 2018 (mean follow-up: 2.6 years). Annual influence at work was assessed using a job-exposure matrix, which assigned an average level of influence based on job title. Inspired by the parametric g-formula, we used Poisson regression to predict sickness absence days under a simulated scenario in which the influence increased by one standard deviation.</p><p><strong>Results: </strong>Higher influence was associated with fewer days of sickness absence (rate ratio per one-point increase, range 1-5: 0.71, 95% CI 0.66-0.77). Simulating a standard deviation increase in influence corresponded to a reduction of 0.16 days of sickness absence per person annually, which is equivalent to an estimated reduction of 126,400 (3%) days during the follow-up period. The largest reductions were observed in care work and education.</p><p><strong>Conclusion: </strong>Simulated improvements in influence at work may lead to meaningful reductions in sickness absence among young employees.</p>","PeriodicalId":14322,"journal":{"name":"International Journal of Public Health","volume":"71 ","pages":"1609400"},"PeriodicalIF":3.2,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868250","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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