Journal of Public Health最新文献

{"title":"What does being \"research active\" mean in public health practice? Exploring behavioural and motivational dimensions of research activity in English local government through perceptions from embedded researchers.","authors":"Rachael C Edwards, Dylan Kneale, Claire Stansfield, Sarah Lester","doi":"10.1007/s10389-024-02369-x","DOIUrl":"10.1007/s10389-024-02369-x","url":null,"abstract":"<p><strong>Aim: </strong>Developing policies and services to address health inequalities occurs within highly complex, political environments, and the literature points to an underutilisation of research. This ineffective mobilisation of evidence is a result of challenges emerging from both research and practice organisations. In response, many interventions have been funded to enhance \"research activity\" in public health decision-making, but we lack a holistic understanding of what characterises research activity in these settings. Addressing this gap, we explored behavioural and motivational dimensions that are viewed as comprising research activity in public health practice.</p><p><strong>Subject and methods: </strong>We undertook seven semi-structured interviews with researchers embedded in local government settings in England. As change agents holding dual affiliations with research and practice organisations, embedded researchers are ideally placed to develop comparative insights on the processes through which research activity is manifested in these contexts and to identify disparities inhibiting the flow of research evidence into practice.</p><p><strong>Results: </strong>We found that research activity is manifested through a variety of behaviours relating to accessing, conducting, and contributing to research, and evidence use. Motivational dimensions underlying engagement with research institutions include concerns around capability, capacity, and local value. Many of these concerns stem partly from narrow conceptualisations of the term \"research\" which are held by academics and decision-makers alike.</p><p><strong>Conclusion: </strong>Interventions seeking to enhance research activity in public health decision-making could benefit from flexibility in their language and application to build cross-organisational understanding of pressures and priorities and to account for variation in research capacity, interest, and skillsets.</p>","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"34 8","pages":"1857-1867"},"PeriodicalIF":3.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wish to die and healthcare use in older people: cross-sectional findings from The Irish Longitudinal Study on Ageing (TILDA).","authors":"M Isabela Troya, Ella Arensman, Robert Briggs, Eve Griffin, Caoimhe Lonergan, Sally Ann Lovejoy, Faraz Mughal, James O Mahony, Mark Ward","doi":"10.1007/s10389-025-02647-2","DOIUrl":"10.1007/s10389-025-02647-2","url":null,"abstract":"<p><strong>Aim: </strong>To examine the relationship between wish to die (WTD) and healthcare use in primary and secondary care among older adults living in Ireland.</p><p><strong>Subject and methods: </strong>Secondary analysis of a nationally representative sample of community-dwelling older adults from The Irish Longitudinal Study on Ageing (TILDA). Primary outcomes were self-reported general practitioner (GP) and emergency department (ED) visits in the last 12 months. Negative binomial regression was used to examine the associations between WTD and healthcare use.</p><p><strong>Results: </strong>Out of 8174 individuals aged 50 and older, a total of 8149 provided information relating to WTD at wave 1. Of these, 279 (3.4%) individuals disclosed a WTD, while 7870 did not. The mean number of self-reported GP visits in the last 12 months was 4.81 (standard error [SE] = 0.29, 95% confidence interval [CI] 4.25-5.37) for those disclosing a WTD (<i>n</i> = 261), while it was 3.59 (SE = 0.04, 95% CI 3.51-3.67) for those without a WTD (<i>n</i> = 7791). WTD was associated with a higher number of GP visits (incidence rate ratio [IRR] = 1.03, <i>p</i> = 0.03, 95% CI 1.00-1.06). After adjusting for relevant covariates, associations between WTD and ED visits were not observed. Female gender, lower education levels, living alone, depressive and anxiety symptoms, chronic health conditions, severe chronic pain, problematic alcohol consumption, smoking, falls, disability, and regular medication use showed significant associations with WTD. Limitations of the study include the presentation of cross-sectional results; thus we do not make causal inferences or conclusions on the directionality/trajectory of WTD and healthcare use.</p><p><strong>Conclusion: </strong>Older adults reporting WTD presented to GPs approximately five times within the previous 12 months. While effect sizes were small, these findings may help inform health services. Future research can further examine potential longitudinal associations and whether GP and ED attendance patterns change over time.</p>","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7618591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integration of Patient Reported Outcomes Data among People with HIV in Washington, DC: A sub-cohort of the DC Cohort Longitudinal Study.","authors":"Shannon Hammerlund, Lauren O'Connor, Michael Horberg, Amanda Castel, Michelle Atmar, Jose Lucar, Princy Kumar, Anne Monroe","doi":"10.1007/s10389-025-02542-w","DOIUrl":"10.1007/s10389-025-02542-w","url":null,"abstract":"<p><strong>Aim: </strong>Patient reported outcomes (PROs) can help to evaluate gaps and areas for improvement along the HIV care continuum. We sought to describe the methodology and processes of a PROs study within the DC Cohort study population, describe the PROs results to date, report on lessons learned, and describe future directions of the research.</p><p><strong>Subject and methods: </strong>Each study site recruited participants from the DC Cohort, a longitudinal study on people with HIV, to complete the electronic PROs baseline and annual follow-up surveys, which consisted of previously validated measures of social determinants of health, mental health, substance use, medication adherence, and other related measures. The recruitment, enrollment, and data linkage process strengths and limitations were described. Participants' PROs survey responses were linked to their DC Cohort data to better understand participant's health overall.</p><p><strong>Results: </strong>There have been 1,739 baseline, 610 first annual, and 142 second annual completed surveys between May 2021 and May 2024. Among PROs participants, the most common reported unmet need was food insecurity (33.5%) and the most common mental health condition was generalized anxiety disorder (39.5%). A majority (59.7%) of participants reported being sexually active, but at least half did not use barrier protection.</p><p><strong>Conclusion: </strong>PROs surveys complement electronic health record data collected in the DC Cohort study, allowing for examination of health outcomes and factors collected in a longitudinal manner. PROs results could be integrated into near-real time dashboards for use by clinicians and incorporated into routine clinical care to provide a more holistic understanding of the patient.</p>","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12412417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data","authors":"C Bunting, A Clery, L McGrath-Lone, M Liu, S Kendall, H Bedford, F Cavallaro, E C Saloniki, K Harron, J Woodman","doi":"10.1093/pubmed/fdae259","DOIUrl":"https://doi.org/10.1093/pubmed/fdae259","url":null,"abstract":"Background The health visiting service in UK promotes the health and wellbeing of families with young children and comprises a universal offer (three mandated contacts between birth and 12 months) and additional contacts based on need. We aimed to understand how the level of health visiting support received varies by family characteristics. Methods Using the Community Services Data Set linked to Hospital Episode Statistics, we identified 52 555 children in 10 local authorities with complete health visiting data for 12 months between April 2016 and March 2020. We analysed variation in health visiting contacts by deprivation, child ethnicity, maternal age, adversity and previous live births. Results 41 340/52 555 children (79%) received the universal service; 63% received ≥1 additional contact and 25% received ≥3 additional contacts. The likelihood of receiving ≥3 additional contacts was greatest for children whose mothers had a history of hospital admissions relating to mental health, violence, self-harm or substance misuse (adjusted relative risk = 1.55, 95% confidence interval 1.26–1.92). Conclusions Most families received health visiting support in addition to the universal service. Policymakers and commissioners should consider how health visiting services can be expanded or targeted more effectively to ensure all families receive the support they need.","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"93 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlates of environmental initiatives in sports organizations with climate change attitudes and subjective well-being","authors":"Christian Kraft, Christoph Bühren, Pamela Wicker","doi":"10.1093/pubmed/fdae261","DOIUrl":"https://doi.org/10.1093/pubmed/fdae261","url":null,"abstract":"Background To recognize the interplay between climate change and public health, this study examines the impact of sports organizations’ environmental initiatives on members’ subjective well-being (SWB) and climate change attitudes (CCA). Drawing on the theoretical tenets of pro-social behavior, organizational initiatives aiming at protecting and improving the natural environment can be viewed as altruistic. This altruism can in turn increase SWB. Methods The analysis uses survey data from the 2022 Eurobarometer, including 27 European countries and 6311 members of different types of sports organizations. Seemingly unrelated regression models were employed to assess the associations of various environmental initiatives with members’ SWB and CCA. Results The total number of initiatives and specific initiatives, such as promoting green energy and waste reduction, are positively correlated with members’ CCA. However, there is no effect on SWB. Conclusion Organizational environmental initiatives may shape members’ attitudes towards climate change but do not seem to affect their SWB. This would suggest that environmental protection does not come at the expense of SWB. Thus, sports organizations represent a context to promote environmental protection along with public health.","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"5 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Sleeping with the enemy’: a cross-sectional study on psychological and emotional violence among couples living in Portugal during the COVID-19 pandemic","authors":"Ana Aguiar, Daniel Santos Cordeiro, Rita Gaio, Sara Soares, Mariana Vieira, Marta Pinto, Raquel Duarte","doi":"10.1093/pubmed/fdae258","DOIUrl":"https://doi.org/10.1093/pubmed/fdae258","url":null,"abstract":"Objective This study aimed to evaluate psychological and emotional violence in relation with sociodemographic characteristics and anxiety and depression symptoms during the COVID-19 pandemic in a sample of Portuguese residents. Methods A cross-sectional online study using snowball sampling collected data on demographics, socioeconomic factors, mental health (anxiety and depression symptoms) and couple psychological and emotional violence. The study spanned three months and included 519 individuals aged 18 or above in a relationship since January 2020 or earlier. Data analysis involved descriptive statistics, t-tests, chi-squared tests, logistic regression models (Odds-Ratio [OR] and 95% Confident Interval [CI]), and cluster analysis (K-medoids) using R software (significance threshold of 0.05). Results The sample was predominantly composed of women (78.8%) with an average age of 36.8 years and 79% holding higher education degrees. Two clusters emerged: Cluster 1 (n = 420) presented fewer psychological and emotional violence victims, while Cluster 2 (n = 99) presented more. Older age (OR = 1.026, 95%CI 1.000–1.052) and depression symptoms (OR = 1.163, 95%CI 1.080–1.252) increased the likelihood of psychological and emotional abuse. Men also had 2.87 times higher odds of being victims (95%CI 0.203–0.599). Conclusions The study underscores the need for comprehensive interventions and prevention measures to address psychological and emotional violence by acknowledging it as a public health concern and pushing for interdisciplinary methods.","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"14 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between neonatal mortality and births not weighed among 400 thousand institutional deliveries in 32 low- and middle-income countries","authors":"Omar Karlsson, Caroline Benski, Mudit Kapoor, Rockli Kim, S V Subramanian","doi":"10.1093/pubmed/fdae249","DOIUrl":"https://doi.org/10.1093/pubmed/fdae249","url":null,"abstract":"Background Low birthweight (LBW) children have a higher risk of neonatal mortality. All institutional deliveries, therefore, should be weighed to determine appropriate care. Mortality risk for newborns who are not weighed at birth (NWB) is unknown. Methods This paper used logit regression models to compare the odds of death for NWB neonates to that of other neonates using data on 401 712 institutional births collected in Demographic and Health Surveys from 32 low- and middle-income countries. Results In the pooled sample, 2.3% died in the neonatal period and 12% were NWB. NWB neonates had a high risk of mortality compared to normal birthweight children (Adjusted odds ratio [AOR] 5.8, 95% CI: 5.3, 6.5). The mortality risk associated with NWB was higher than for LBW. The neonatal mortality risk associated with NWB varied across countries from AOR of 2.1 (95% CI: 1.22, 3.8) in Afghanistan to 94 (95% CI: 22, 215) in Gabon. In the pooled sample, the 12% of children who were NWB accounted for 37% of all neonatal deaths. Conclusions The association between NWB and neonatal mortality may suggest a need to focus on the quality of institutions related to newborn care. However, further studies are needed to determine causality. A health emergency or death may also cause NWB.","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"31 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing vitamin D levels in care homes: the role of healthy building design in preventing respiratory infections","authors":"Andi Andre Pratama Putra","doi":"10.1093/pubmed/fdae254","DOIUrl":"https://doi.org/10.1093/pubmed/fdae254","url":null,"abstract":"The recent article by Willcox et al. in the Journal of Public Health highlights the effectiveness of antiviral prophylaxis and high-dose vitamin D supplementation in reducing acute respiratory infections (ARIs) in care homes. This correspondence extends the discussion by emphasizing the critical role of healthy building design in enhancing vitamin D levels, which is vital for immune function and ARI prevention. Many care home residents suffer from vitamin D deficiency due to limited sunlight exposure. Incorporating architectural elements such as large windows, skylights, and outdoor spaces can significantly increase natural light exposure, thereby boosting vitamin D levels and potentially reducing ARI susceptibility. Despite the benefits of supplementation, addressing environmental factors through healthy building design offers a sustainable, long-term strategy that aligns with public health goals of preventive care and environmental sustainability. Prioritizing such design principles in care home planning and renovation can enhance residents’ health and resilience against infections like influenza and COVID-19.","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"18 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FOMO clouds and vapor trails: the invisible toll of E-cigarettes on youth well-being.","authors":"Rosalia Dewi Nawantara,Nur Eva,Laelatul Arofah,Dwi Sri Rahayu,M Akbar Husein Allsabah","doi":"10.1093/pubmed/fdae262","DOIUrl":"https://doi.org/10.1093/pubmed/fdae262","url":null,"abstract":"","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"32 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Clicks, likes, and mental strikes: the health industry's response to social media challenges.","authors":"","doi":"10.1093/pubmed/fdae264","DOIUrl":"https://doi.org/10.1093/pubmed/fdae264","url":null,"abstract":"","PeriodicalId":16904,"journal":{"name":"Journal of Public Health","volume":"34 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}