Journal of Community Health最新文献

{"title":"Social Media Addiction and its Associated Factors Among High School Adolescents in Türkiye.","authors":"Sibel Sert, Alaettin Ünsal, Remziye Can","doi":"10.1007/s10900-026-01578-7","DOIUrl":"10.1007/s10900-026-01578-7","url":null,"abstract":"<p><p>The widespread use of social media among adolescents has raised concerns about social media addiction and its potential impact on psychological well-being. This study aimed to examine social media addiction and its associated factors, including subjective happiness, among high school students. This cross-sectional study was conducted between February and April 2025 among 858 high school students using a cluster sampling design. Data were collected through a self-administered questionnaire including the Social Media Addiction Scale for Adolescents (SMAS-A) and the Subjective Happiness Scale. Non-parametric tests, multiple linear regression analysis, and Spearman correlation analysis were performed. The mean SMAS-A score was 20.8 ± 7.1, indicating a moderate level of social media addiction. Multiple linear regression analysis showed that earlier age of social media initiation, longer daily social media use, poorer friendship relationships, and lower subjective happiness were significant predictors of higher social media addiction scores, whereas female gender was associated with lower addiction levels. A weak but significant negative correlation was observed between social media addiction and subjective happiness. In conclusion, social media addiction among high school students was influenced by both behavioural and psychosocial factors. Interventions addressing excessive social media use and supporting adolescents' well-being may help reduce addiction risk.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"582-589"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729026","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":"Pandemic Preparedness and Health System Resilience: Lessons from Jordan's COVID-19 Response.","authors":"Luay Abu-Qatouseh, Karam Al-Kubaisi, Nahed Al Laham, Ibrahim Al-Adham, Phillip J Collier","doi":"10.1007/s10900-026-01580-z","DOIUrl":"10.1007/s10900-026-01580-z","url":null,"abstract":"<p><p>This review article provides a comprehensive analysis of Jordan's health sector preparedness and response to the COVID-19 pandemic from 2020 to 2025. It critically examines the national response framework, the capacity and challenges of frontline healthcare workers, and the systemic strengths and weaknesses of the healthcare system. The article further explores the multifaceted economic and social impacts of the pandemic on Jordanian society, including the effects on the economy, education, and mental health. Finally, it discusses the post-pandemic improvements and long-term strategies being implemented to strengthen the resilience of Jordan's healthcare system. The findings indicate that while Jordan's initial response was robust and well-coordinated, the prolonged nature of the pandemic exposed significant vulnerabilities in resource availability, practical training, and the psychological well-being of healthcare workers. By 2025, Jordan has made substantial progress in institutional reforms and health system strengthening, although challenges remain in sustaining these improvements. This review synthesizes the key lessons learned [1] and offers evidence-based recommendations for enhancing institutional preparedness and resilience for future public health emergencies. The experience of Jordan provides valuable insights for other resource-constrained settings facing similar health security challenges.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"637-647"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147963786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Electronic Cigarette use in Latin America and the Caribbean: A systematic Review and Meta-analysis.","authors":"Ivan Álvarez-Orozco, Jenny Jurado-Hernández, Hernán Andrés Marín-Agudelo, Edison Salvador-Oscco, Brenda Caira-Chuquineyra, Gustavo Tapia-Sequeiros, Daniel Fernandez-Guzman","doi":"10.1007/s10900-026-01576-9","DOIUrl":"10.1007/s10900-026-01576-9","url":null,"abstract":"<p><p>Electronic cigarette (e-cigarette) use is increasing globally, yet comprehensive prevalence data for Latin America and the Caribbean (LAC) remain limited. We conducted a meta-analysis to estimate the prevalence of e-cigarette use in the LAC region. A comprehensive search was performed in PubMed/Medline, Scopus, Web-of-Science, Embase, SciELO and Virtual-Health-Library, from inception to January 2025. We included observational studies reporting the prevalence of e-cigarette use in the general population of LAC. Pooled prevalence estimates and corresponding 95% confidence intervals (95%CI) were calculated using random-effects meta-analysis models. A total of 82 studies were included, comprising 46 primary studies and 36 reports from international tobacco-related surveys. Lifetime e-cigarette use was highest among adolescents, with a pooled prevalence of 12.5% (95%CI: 9.1%-17.0%; I²=99.5%), compared with 6.4% (95%CI: 2.8%-14.1%; I²=97.5%) in adults. Current e-cigarette use was also most prevalent among adolescents (6.7%; 95%CI: 5.5%-8.3%; I²=99.2%), compared with adults (1.5%; 95%CI: 0.8%-2.9%; I²=98.9%). Adolescent current use varied geographically, ranging from 1.4% (El Salvador) and 2.5% (Mexico) to 14.5% (Jamaica) and 17.2% (Trinidad and Tobago). Meta-regression analysis showed a significant increasing temporal trend in e-cigarette use, with prevalence rising by 0.10% per year (95%CI: 0.01-2.0; p = 0.047), independent of age group. Despite heterogeneity across countries, the prevalence of e-cigarette use in LAC is high, particularly among adolescents, and has increased significantly over time. These findings indicate that e-cigarette use represents a growing public health concern in the region, calling for strengthened regulation, targeted youth prevention, and continuous surveillance.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"563-574"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Value of Community Building and Social Capital for Rural Communities Recovering from Disaster.","authors":"Amber Anderson, Santina Contreras, Emineh Nercissian, Rita V Burke","doi":"10.1007/s10900-026-01583-w","DOIUrl":"10.1007/s10900-026-01583-w","url":null,"abstract":"<p><p>Community building and social capital are essential components of disaster resilience for rural communities. Understanding the specific needs of rural communities and how community building benefits them in times of disaster and recovery is paramount in developing disaster recovery plans for these unique communities. Researchers conducted two focus groups and various informant interviews with the goal of collecting a narrative overview of Happy Camp's residents, recounting their experiences during and after the Slater Fire of 2020. Qualitative analysis of the transcripts identified themes regarding the importance of community mobilization, tribal support, social capital, community organization, external support and recovery, and rural community culture. This narrative overview calls to attention the strengths that rural communities have during disaster recovery, as well as opportunities to better support these communities. The findings from this study reinforce the importance of continuing to advance our understanding of the needs of rural communities in disasters.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"687-694"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148015852","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 Review of Community-Based Frailty and Malnutrition Screening in Older Adults: Current Interventions and Tools.","authors":"Azliyana Azizan, Hafifi Hisham, Ameera Faisal, Farid Rahman","doi":"10.1007/s10900-026-01567-w","DOIUrl":"10.1007/s10900-026-01567-w","url":null,"abstract":"<p><p>Frailty and malnutrition are prevalent and interrelated conditions among community-dwelling older adults, contributing to functional decline, reduced quality of life, and increased healthcare utilization. Early identification through community-based screening offers an important opportunity for prevention; however, screening practices and linked interventions remain heterogeneous across settings. This structured narrative review synthesized peer-reviewed studies published between January 2021 and February 2026 identified through the Scopus database. Eligible studies focused on adults aged ≥ 60 years and examined either community-based frailty or malnutrition screening tools or community interventions that incorporated screenings. Data were synthesized descriptively across two analytical components: screening tools and screening-informed interventions. A total of 42 studies were included. Screening tools ranged from low-resource anthropometric measures and brief questionnaires to structured nutritional indices and multidomain frameworks. Interventions commonly integrated screening with nutrition-focused strategies, physical activity, education, or multidomain lifestyle programs delivered in community settings. Recent studies increasingly emphasized feasibility, early risk identification, and linkage between screening and preventive action. Community-based frailty and malnutrition screening is increasingly used as a gateway to preventive interventions rather than as an isolated assessment. Aligning feasible screening tools with actionable intervention pathways is critical for advancing healthy aging strategies. Future research should prioritize long-term outcomes, implementation sustainability, and system-level integration within community health services.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"590-602"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772892","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":"Correction: Rural/Urban Differences Among American Indian/Alaska Native Peoples in Health Care Access and Outcomes, 2019-2023.","authors":"Katy Backes Kozhimannil, Hailey A Baker, Ingrid E Jacobson, Julia D Interrante, Kyle X Hill, Melissa L Walls","doi":"10.1007/s10900-026-01571-0","DOIUrl":"10.1007/s10900-026-01571-0","url":null,"abstract":"","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"711"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054915","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":"Investigation of the Relationship Between Physical Activity Level, Posture Disorder and Cardiopulmonary System in University Students.","authors":"Abdurrahim Yıldız, Ece Cömer, Sude Sultan Deniz, Rojbin Ektiren","doi":"10.1007/s10900-026-01552-3","DOIUrl":"10.1007/s10900-026-01552-3","url":null,"abstract":"<p><p>To examine the relationship between physical activity level, postural disorders and cardiopulmonary functions in university students. Regular physical activity is known to support postural balance and improve the functions of the cardiopulmonary system through its positive effects on the musculoskeletal system. In this context, considering the prevalence of sedentary lifestyle in university students, the effects of physical activity on these systems were investigated. The study was conducted with 164 volunteer students between the ages of 18-25 years studying at Sakarya University of Applied Sciences. The International Physical Activity Questionnaire (IPAQ) was used to assess the physical activity levels of the participants, the SF-36 Quality of Life Scale was used to assess quality of life, the 6 min Walk Test (6MWT) was used to measure cardiopulmonary capacity, and the Posture Analysis Method was used to assess posture disorders. The findings of the study showed that low physical activity level was associated with postural imbalances and decreased cardiopulmonary capacity. It was observed that as the physical activity level increased, postural disorders decreased and cardiopulmonary functions improved. A positive correlation was found between physical activity levels and physical function, energy/vitality and general health subscales of SF-36 scale. In addition, 6MWT performance showed better results in individuals with higher physical activity levels. It has been demonstrated that regular physical activity supports postural balance and improves the functions of the cardiopulmonary system in university students. It is clear that interventions to increase the level of physical activity will provide significant benefits on students' postural and cardiopulmonary health in this period when sedentary lifestyle is common. It is recommended to develop programs that encourage physical activity in universities.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"575-581"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729036","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":"Business and Service Provider Attitudes Towards Police Involvement in Overdose Response: A Cross-Sectional Survey in Rhode Island Overdose Hotspots.","authors":"Saba Rouhani, Joseph G Rosen, Brandon Del Pozo, Mary Figgatt, Rehan Aslam, Josiah D Rich, Ju Nyeong Park","doi":"10.1007/s10900-026-01570-1","DOIUrl":"10.1007/s10900-026-01570-1","url":null,"abstract":"<p><p>Police presence at overdose scenes can deter life-saving help-seeking behaviors due to fear of legal consequences, leading some jurisdictions to consider police non-attendance policies. However, business stakeholders' attitudes toward the role of law enforcement in overdose response remain understudied. We surveyed 100 business employees and service providers in areas of high overdose concentration in Rhode Island from November 2022 to April 2024. Participants completed structured questionnaires assessing attitudes toward police effectiveness in overdose prevention, service linkage, and public safety. Participants expressed mixed views on police effectiveness: 39% believed police presence helps prevent overdoses, 40% felt it connects people who use drugs to services, and 52% thought it prevents drug selling. Most (66%) agreed police keep communities safe, yet only 5% endorsed incarceration for people who use drugs. Significant variations in attitudes were observed by race, urbanicity, and organization type, including near-universal opposition to incarcerating people who use drugs. While stakeholders valued police for general safety, most did not endorse their effectiveness in overdose prevention and service linkage. Policymakers implementing police non-attendance or alternative response models must proactively engage diverse local stakeholders to address specific safety concerns while leveraging the community's existing receptivity toward non-punitive overdose interventions.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"535-541"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574188","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 Participatory Mixed-Methodology Study of HIV and STI Testing Barriers Among Latino College Students in the California Inland Empire.","authors":"Stephen D Ramos, Andrea Manzur, Nicole Arkadie","doi":"10.1007/s10900-026-01582-x","DOIUrl":"10.1007/s10900-026-01582-x","url":null,"abstract":"<p><p>Young adults in the United States experience a disproportionate burden of HIV and sexually transmitted infections (STIs), with Latino populations and residents of California's inland regions facing compounded disparities. This study examined multilevel barriers to HIV and STI testing among Latino college students in the California Inland Empire using Group Concept Mapping (GCM), a mixed-methods participatory approach. Twenty-six students participated in brainstorming sessions, and nineteen completed sorting and rating activities. Analyses identified five clusters of barriers: access, awareness, and competing priorities; knowledge, social norms, and normalization of testing; structural and healthcare system barriers; emotional and relational barriers; and moralized sexual health stigma rooted in family, cultural, and religious norms. All clusters were rated as moderately to highly important, with access- and knowledge-related barriers emerging as the most influential. Go-zone analyses highlighted actionable targets, including improving access to low-cost testing, integrating sexual health into routine care, enhancing privacy and confidentiality, and fostering supportive provider and peer environments. Barriers perceived as less acceptable to address included culturally embedded stigma and limited sexual health education. Findings underscore the need for multilevel, culturally grounded interventions that address structural, interpersonal, and sociocultural factors to improve testing engagement and advance sexual health equity among Latino college students in underserved regions.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"676-686"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148005399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mpox Awareness and Knowledge Among Residents of the Northern Border Region, Saudi Arabia: Implications for Community Preparedness.","authors":"Baraah Abu Alsel, Elaf Ali A Alenezi, Hajar Abdullah K Alanazi, Fai Tulail N Alenezi, Waten Led Atiwi Alenezi, Munirah Suliman Al Suogaih, Rimas Khalid A Alanazi, Norah Suliman Al Suogaih, Safya E Esmaeel, Fathia Ahmed Mersal, Eslam K Fahmy, Mohammed M Ismail, Manal S Fawzy","doi":"10.1007/s10900-026-01565-y","DOIUrl":"10.1007/s10900-026-01565-y","url":null,"abstract":"<p><p>In August 2024, the World Health Organization declared the ongoing mpox upsurge in Africa a Public Health Emergency of International Concern, underscoring mpox as an emerging global threat. In non‑endemic countries such as Saudi Arabia, understanding community awareness is critical for public health preparedness and prevention. This study assessed mpox awareness and knowledge among residents of the Northern Border Region and identified factors associated with better knowledge, to inform targeted community‑based health communication strategies. A community‑based cross‑sectional survey was conducted between 1 March and 20 August 2025 among 1,362 adults. A structured, pre‑validated questionnaire assessed general knowledge, symptom recognition, and preventive measures. Knowledge scores (0-15) were summarized descriptively and categorized as poor, moderate, or good. Ordinal logistic regression and machine‑learning classifiers were used to identify predictors of higher knowledge and to explore the prediction of adequate knowledge from sociodemographic characteristics and prior mpox awareness, supporting risk stratification for community interventions. Among 1,362 participants (78.1% female; 56.8% aged 18-30 years), 48.4% had previously heard of mpox. Overall knowledge was suboptimal (mean 7.64/15; 50.9% correct); 48.3% had poor knowledge, 38.2% moderate, and 13.5% good. Suboptimal knowledge across sociodemographic groups suggests substantial vulnerability to future mpox introductions in this border region. Social media and other internet sources were the main information channels, underscoring their potential as primary platforms for risk communication. In multivariable ordinal regression, prior mpox awareness was the strongest predictor of higher knowledge (adjusted odds = 4.1), alongside higher education and health‑related occupations. Logistic‑regression-based machine‑learning models showed moderate discrimination and acceptable calibration (AUC‑ROC = 0.72; Brier = 0.19), with prior awareness consistently the most important feature. Mpox knowledge in the Northern Border Region is suboptimal and low across sociodemographic groups, particularly among less educated and non‑health‑sector participants. Prior exposure to mpox information is a central, modifiable determinant of adequate knowledge, underscoring the need for targeted, evidence‑based communication strategies, particularly via widely used digital platforms. Tailored community‑level interventions focusing on less educated and non‑health‑sector groups are essential to strengthen mpox preparedness and broader infectious‑disease readiness in this underserved border region.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"549-562"},"PeriodicalIF":2.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}