Public Health in Practice最新文献

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Letter to editor regarding: “Local authorities need tailored research ethics processes to support research capacity building” [Pub. Health Pract. 10 (2025) 100640] 致编辑的信关于:“地方当局需要量身定制的研究伦理程序来支持研究能力建设”[Pub。保健实践。10 (2025)100640]
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-12-09 DOI: 10.1016/j.puhip.2025.100646
Geoff Middleton , Sarah Varga , Susan Hampshaw , Geraldine Byrne , Alex-Jade Delahunty , Richard Gettings , Lorna Dowrick , Catherine Homer
{"title":"Letter to editor regarding: “Local authorities need tailored research ethics processes to support research capacity building” [Pub. Health Pract. 10 (2025) 100640]","authors":"Geoff Middleton , Sarah Varga , Susan Hampshaw , Geraldine Byrne , Alex-Jade Delahunty , Richard Gettings , Lorna Dowrick , Catherine Homer","doi":"10.1016/j.puhip.2025.100646","DOIUrl":"10.1016/j.puhip.2025.100646","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100646"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145732978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Missed opportunities: The unknown impact of the COVID-19 pandemic on early childhood development in the WHO European region 错失的机会:COVID-19大流行对世卫组织欧洲区域儿童早期发展的未知影响
IF 2.2
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-06-27 DOI: 10.1016/j.puhip.2025.100636
J.M. White , C.L. Goodfellow , A.O. Adeleke , F.P. Awde , Y.W. Chua , A. Jovic , E. Scott
{"title":"Missed opportunities: The unknown impact of the COVID-19 pandemic on early childhood development in the WHO European region","authors":"J.M. White ,&nbsp;C.L. Goodfellow ,&nbsp;A.O. Adeleke ,&nbsp;F.P. Awde ,&nbsp;Y.W. Chua ,&nbsp;A. Jovic ,&nbsp;E. Scott","doi":"10.1016/j.puhip.2025.100636","DOIUrl":"10.1016/j.puhip.2025.100636","url":null,"abstract":"<div><h3>Background</h3><div>Early childhood experiences can promote or adversely affect children's development and wellbeing with lifelong impact. The COVID-19 pandemic disrupted children's and families' lives worldwide. It is important to understand the effect on early childhood development. We aimed to examine what is known about the impact of the COVID-19 pandemic, and the related public health measures, on young children's development.</div></div><div><h3>Study design</h3><div>We carried out a mixed-method study which included a scoping review of review-level evidence about early childhood development over the course of the pandemic compared to beforehand and a web-based survey of early childhood development data published in the WHO European Region.</div></div><div><h3>Methods</h3><div>A systematic search of three databases was used to identify studies, published in English, up to November 2024. Findings were synthesised narratively by developmental domain. A web-based search was used to identify, routinely collected, national surveillance child development data in the WHO European Region. To illustrate the potential role of routine surveillance in the timely identification of developmental concerns, trend data from Scotland was examined.</div></div><div><h3>Results</h3><div>Seven reviews met the inclusion criteria. Most studies examined young children's mental health, while others assessed language development, mother-child bonding, and broader developmental outcomes. Findings were inconsistent, with some studies reporting adverse effects, with others finding no significant changes. There were significant gaps in the availability of national surveillance child development data in WHO European Region countries. Scottish surveillance data identified increases in developmental concerns, which affected disadvantaged groups more.</div></div><div><h3>Conclusions</h3><div>The available evidence about the effect of the COVID-19 pandemic, and related public health measures, on early childhood development is limited and inconclusive. Strengthening data collection and reporting across the WHO European Region is essential for timely and accurate assessment of developmental outcomes and to guide policy development.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100636"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of the pivotal role of environmental toxicant exposure on infectious diseases in low- and middle-income countries 对低收入和中等收入国家环境毒物暴露对传染病的关键作用的系统审查
IF 2.2
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-06-25 DOI: 10.1016/j.puhip.2025.100631
Rehnuma Haque , Md Shariful Islam , Molly Hanson , Md. Zamiur Rahaman , Sadia Afrin , Sristi Shome , Mahbubur Rahman , Syed Moshfiqur Rahman , KM Saif-Ur-Rahman , Rubhana Raqib
{"title":"A systematic review of the pivotal role of environmental toxicant exposure on infectious diseases in low- and middle-income countries","authors":"Rehnuma Haque ,&nbsp;Md Shariful Islam ,&nbsp;Molly Hanson ,&nbsp;Md. Zamiur Rahaman ,&nbsp;Sadia Afrin ,&nbsp;Sristi Shome ,&nbsp;Mahbubur Rahman ,&nbsp;Syed Moshfiqur Rahman ,&nbsp;KM Saif-Ur-Rahman ,&nbsp;Rubhana Raqib","doi":"10.1016/j.puhip.2025.100631","DOIUrl":"10.1016/j.puhip.2025.100631","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this review is to identify which environmental toxicants are linked to infectious diseases in low- and middle-income countries (LMICs) by synthesizing available evidence. It aims to summarize key findings, identify research gaps and provide policy recommendations based on the associations between specific toxicants and disease outcomes.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive search in PubMed, Scopus, Web of Science (core collection), and CENTRAL (the Cochrane Library) to identify studies on bacterial, viral, and parasitic pathogenic activity.</div></div><div><h3>Result</h3><div>This search yielded 11,468 studies, of which 55 met inclusion criteria after screening following the standard methods. A consistent association is found between particulate matter (PM2.5 and PM10) exposure and increased respiratory infection risk, with PM2.5 particularly linked to increased incidence and mortality in diseases like COVID-19 and tuberculosis. Heavy metals, including lead, cadmium, and mercury worsen chronic infections such as HIV/AIDS and hepatitis by increasing body burden and inflammation. The review highlights air pollutants’ substantial impact on infectious disease spread and severity while noting a research gap on other pollutants including persistent organic pollutants (POPs) and polycyclic aromatic hydrocarbons (PAHs). Bias assessment indicates around half the studies show low risk of bias; however, potential biases were noted in confounding variables and blinding of outcome assessment.</div></div><div><h3>Conclusion</h3><div>The systematic review emphasizes the need for research on biological mechanisms underlying these associations and the impacts of other pollutants. Findings advocate for reducing environmental pollution exposure in LMICs to mitigate infectious disease risk.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100631"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicaid reimbursement policies for long-acting reversible contraceptives immediately postpartum: A systematic literature review 产后立即长效可逆避孕药的医疗补助报销政策:系统的文献回顾
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.puhip.2025.100680
Greta Lozano-Ortega , Sarah E. Walker , Simone Crespi , Emilia Kourmaeva , Vanessa Perez Patel
{"title":"Medicaid reimbursement policies for long-acting reversible contraceptives immediately postpartum: A systematic literature review","authors":"Greta Lozano-Ortega ,&nbsp;Sarah E. Walker ,&nbsp;Simone Crespi ,&nbsp;Emilia Kourmaeva ,&nbsp;Vanessa Perez Patel","doi":"10.1016/j.puhip.2025.100680","DOIUrl":"10.1016/j.puhip.2025.100680","url":null,"abstract":"<div><h3>Objectives</h3><div>Medicaid reimbursement for long-acting reversible contraceptives provisioned immediately postpartum (IPP-LARC) has historically been included as part of the diagnosis-related group (DRG) fee for delivery. To rectify this financial disincentive, policies to reimburse hospitals for IPP-LARC, supplemental to the DRG fee, were implemented. This review synthesizes the impact of these policies.</div></div><div><h3>Study design</h3><div>Systematic literature review.</div></div><div><h3>Methods</h3><div>A search in Medline, EMBASE, and CINAHL was executed on November 21, 2022. Impacts on uptake of IPP-LARC, short-interval pregnancy, and author conclusions were synthesized.</div></div><div><h3>Results</h3><div>Twenty studies reporting on Medicaid reimbursement policies across 15 states were included. The average age of women across study populations ranged from 22.2 to 31.0 years; populations were racially, and ethnically diverse; primarily urban hospitals were included. Sixteen studies reported on uptake and 7 studies reported on birth outcomes. Statistically significant increases in uptake after policy implementation were reported in 9 studies across Delaware, Georgia, New York, Rhode Island, Wisconsin, Washington, Louisiana, Missouri, and South Carolina. Policy implementation in South Carolina and Ohio resulted in significantly lower rates of short-interval pregnancy, as reported in 6 studies. Smaller, rural, and religiously affiliated hospitals were significantly less likely to leverage Medicaid policies for IPP-LARC. Key determinants of increased uptake were provider champion advocacy, co-interventions for training hospital staff, and relieving the up-front financial burden associated with stocking LARCs.</div></div><div><h3>Conclusions</h3><div>Medicaid reimbursement policies targeting IPP-LARC access are associated with increased adoption and reduced short-interval pregnancy. Co-interventions supporting hospitals and individuals who are immediately postpartum would further facilitate IPP-LARC access.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100680"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating a healthier economy: A rapid evidence review of inequalities in flexible working arrangements in the UK 创建更健康的经济:对英国灵活工作安排不平等的快速证据审查
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-08-20 DOI: 10.1016/j.puhip.2025.100649
A. Barnes , C. Cartwright , K. Kennedy , A. Formby
{"title":"Creating a healthier economy: A rapid evidence review of inequalities in flexible working arrangements in the UK","authors":"A. Barnes ,&nbsp;C. Cartwright ,&nbsp;K. Kennedy ,&nbsp;A. Formby","doi":"10.1016/j.puhip.2025.100649","DOIUrl":"10.1016/j.puhip.2025.100649","url":null,"abstract":"<div><h3>Objectives</h3><div>Flexible working – the control people have over work scheduling to meet wellbeing needs – is one way to help create a healthier economy. We sought to identify and summarise evidence about inequalities in access to flexible working arrangements in the UK and implications for health and wellbeing to inform policy development.</div></div><div><h3>Study design</h3><div>Rapid evidence review.</div></div><div><h3>Methods</h3><div>A rapid review of peer-reviewed articles and reports from trusted sources was completed on inequalities in access to UK flexible working arrangements to inform regional and local policy development. Published articles were identified through database searches (OVID-Embase, Scopus, Cochrane, Assia-Proquest) in September–October 2024. Data was extracted directly into a table and findings synthesised narratively by theme.</div></div><div><h3>Results</h3><div>Evidence identified was limited in detail, but consistent in reporting inequalities in access to flexible working by occupational status, with some evidence of inequalities by gender, disability, geography and ethnicity; with implications for health promotion. There was limited detail on specific health outcomes or pathways to impacts, though the significance of flexible working for women's well-being and Disabled people was highlighted. Included evidence noted systemic issues in the UK economy (e.g. occupational hierarchies, gendered norms about caring, racism, disability discrimination, ‘ideal worker’ culture that values overwork, flexibility stigma) that contribute to flexible working inequalities.</div></div><div><h3>Conclusions</h3><div>Further research and multi-level policy action is needed to address flexible working inequalities to promote health. Research could usefully focus on intersectional inequality, including systemic societal processes (i.e. stigma, racism, discrimination) shaping flexible working in practice. Policy action could include: evaluating the implementation of existing flexible working legislation in relation to inequality; national-regional-local action to support inclusive business models in which the bargaining positions of employees around flexibility are more equalised (e.g. cooperatives); evaluation and strengthening of Fair Work Charters; and funding and showcasing of flexible working pilots focused on addressing unequal flexible working access.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100649"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Needle length selection for intramuscular vaccine administration: Time for an evidence-based approach 肌注疫苗注射针头长度的选择:循证方法的时机
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1016/j.puhip.2025.100657
Marjan Doppen , Ciléin Kearns , Nethmi Kearns , Thomas Hills , Gabrielle Shortt , Lesley Gray , Mark Weatherall , Nicole J. Moreland , Ali Mirjalili , Richard Beasley
{"title":"Needle length selection for intramuscular vaccine administration: Time for an evidence-based approach","authors":"Marjan Doppen ,&nbsp;Ciléin Kearns ,&nbsp;Nethmi Kearns ,&nbsp;Thomas Hills ,&nbsp;Gabrielle Shortt ,&nbsp;Lesley Gray ,&nbsp;Mark Weatherall ,&nbsp;Nicole J. Moreland ,&nbsp;Ali Mirjalili ,&nbsp;Richard Beasley","doi":"10.1016/j.puhip.2025.100657","DOIUrl":"10.1016/j.puhip.2025.100657","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100657"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital screen exposure in infants, children and adolescents: a systematic review of existing recommendations 婴儿、儿童和青少年接触数字屏幕:对现有建议的系统审查
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-09-26 DOI: 10.1016/j.puhip.2025.100653
Viola Nuvoli , Margherita Camanni , Ilaria Mariani , Simona Ponte , Michelle Black , Marzia Lazzerini
{"title":"Digital screen exposure in infants, children and adolescents: a systematic review of existing recommendations","authors":"Viola Nuvoli ,&nbsp;Margherita Camanni ,&nbsp;Ilaria Mariani ,&nbsp;Simona Ponte ,&nbsp;Michelle Black ,&nbsp;Marzia Lazzerini","doi":"10.1016/j.puhip.2025.100653","DOIUrl":"10.1016/j.puhip.2025.100653","url":null,"abstract":"<div><h3>Objectives</h3><div>This review aimed to synthesise existing recommendations - issued by either United Nations agencies, scientific societies, governmental health authorities, non-profit organisations, or others - on digital screen exposure in infants, children, and adolescents.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>A wide search strategy was utilised - including digital databases (PubMed, EMBASE, Web of Science), Google, ChatGPT, reference lists from and grey literature —up to July 2024. Identified documents were categorized by type, issuing institutions, audience, publication year, and age groups. A synthesis of recommendations on screen time quantity was provided, comparing recommendations from the World Health Organization (WHO) with those from other institutions/bodies.</div></div><div><h3>Results</h3><div>Out of 85,425 records retrieved, 41 documents were identified. Of these, 23 were published by scientific societies, 13 by government/health authorities, two by the WHO, and three by non-profit organisations. In relation to digital screen quantity, most documents aligned: i) for children under 2 years, most documents recommended zero exposure (n = 20/22); ii) for children aged 2–5 years, the majority recommended limiting screen time to 1 h per day (n = 17/21); iii) for children over 5 years and adolescents, the most permissive guidelines suggested a maximum of 2 h per day (n = 8/10). Existing recommendations were either equally strict or more restrictive than WHO guidelines. In regard to the quality of digital screen exposure, 10 key points emerged, along with additional guidance for parents, schools, healthcare professionals, researchers, and industry.</div></div><div><h3>Conclusions</h3><div>There is consensus on the need to limit the quantity of digital screen time for infants, children and adolescents and to ensure good quality exposure. This alignment provides a strong basis for governments and other bodies to agree on local recommendations, as well as strategies to improve their implementation in practice.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100653"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging blue spaces for public health: Co-creating a whole-system action plan 利用蓝色空间促进公共卫生:共同制定一项全系统行动计划
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-10-04 DOI: 10.1016/j.puhip.2025.100665
Niamh Smith , Michail Georgiou , Deryck Irving , Sebastien Chastin
{"title":"Leveraging blue spaces for public health: Co-creating a whole-system action plan","authors":"Niamh Smith ,&nbsp;Michail Georgiou ,&nbsp;Deryck Irving ,&nbsp;Sebastien Chastin","doi":"10.1016/j.puhip.2025.100665","DOIUrl":"10.1016/j.puhip.2025.100665","url":null,"abstract":"<div><h3>Objectives</h3><div><ul><li><span>•</span><span><div>To co-create evidence-based, whole-system recommendations for leveraging blue spaces to enhance public health.</div></span></li><li><span>•</span><span><div>To highlight the salutogenic and equigenic benefits of blue spaces.</div></span></li><li><span>•</span><span><div>To guide decision-makers and practitioners in preserving, revitalising and using urban blue spaces for synergistic benefits to people and the planet.</div></span></li></ul></div></div><div><h3>Study design</h3><div>Systems based co-creation.</div></div><div><h3>Methods</h3><div><ul><li><span>1)</span><span><div>Establish an evidence base through extensive mixed-methods academic research over six years on the health benefits of urban blue spaces.</div></span></li><li><span>2)</span><span><div>Partner with a water-focused national research and innovation program to incorporate policy expertise and reduce siloed working.</div></span></li><li><span>3)</span><span><div>Co-create an action plan with stakeholders using system-based participatory research, following the DISCOVER framework.</div></span></li></ul></div></div><div><h3>Results</h3><div>The full system map consists of 137 variables and 220 causal linkages. The system map is structured around four core mechanisms that illustrate how urban blue spaces influence health: promoting physical activity, fostering social interaction, supporting a healthy environment, and reducing population stress.</div></div><div><h3>Conclusions</h3><div>Four strategic objectives identified, achievable through 12 policy actions. Blue spaces offer significant health benefits that have historically been overlooked in regeneration projects. The co-created recommendations provide a comprehensive guide for decision-makers and practitioners to maximise the health benefits of blue spaces. Implementing these recommendations can lead to synergistic benefits for both people and the planet.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100665"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing epidemiology of child and adolescent mental health requires an immediate policy response 儿童和青少年心理健康流行病学的变化要求立即作出政策反应
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI: 10.1016/j.puhip.2025.100655
Alina Cosma , Michelle Black , Stanislava Vuckovic , Ivana Pavic , Helena Fonseca , Marzia Lazzerini
{"title":"The changing epidemiology of child and adolescent mental health requires an immediate policy response","authors":"Alina Cosma ,&nbsp;Michelle Black ,&nbsp;Stanislava Vuckovic ,&nbsp;Ivana Pavic ,&nbsp;Helena Fonseca ,&nbsp;Marzia Lazzerini","doi":"10.1016/j.puhip.2025.100655","DOIUrl":"10.1016/j.puhip.2025.100655","url":null,"abstract":"<div><div>The epidemiology of child and adolescent mental health is rapidly evolving, necessitating urgent and coordinated responses across health, education, social services, and justice sectors. This commentary highlights key trends in adolescent mental health, emphasizing the shifting social, economic, and technological determinants shaping youth mental health. Recent evidence indicates a rise in mental health challenges, with increased gender disparities, heightened stress from academic pressures, social media exposure, and economic inequalities, among others, shaping adolescent mental health trajectories. Simultaneously, health systems are facing escalating demands for mental health care, compounded by workforce shortages and gaps in training to address emerging conditions such as digital addiction and societal withdrawal. The commentary underscores the importance of preventive, intersectoral, and life course approaches to mental health, advocating for increased investment in prevention, research, workforce development, and integrated care models. Addressing these issues requires evidence-based policies that consider cross-national differences and gendered trends while ensuring sustainable mental health systems for future generations. By prioritizing adolescent mental health within broader public health agendas, we can create a foundation for long-term well-being and social sustainability.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100655"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145218997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disparities in cardiovascular disease prevalence among people living with HIV in South Carolina from 2005 to 2020 2005年至2020年南卡罗来纳州艾滋病毒感染者心血管疾病患病率的差异
IF 1.9
Public Health in Practice Pub Date : 2025-12-01 Epub Date: 2025-09-30 DOI: 10.1016/j.puhip.2025.100662
Haoyuan Gao , Junxiu Liu , Xueying Yang , Bankole Olatosi , Sharon Weissman , Jiajia Zhang
{"title":"Disparities in cardiovascular disease prevalence among people living with HIV in South Carolina from 2005 to 2020","authors":"Haoyuan Gao ,&nbsp;Junxiu Liu ,&nbsp;Xueying Yang ,&nbsp;Bankole Olatosi ,&nbsp;Sharon Weissman ,&nbsp;Jiajia Zhang","doi":"10.1016/j.puhip.2025.100662","DOIUrl":"10.1016/j.puhip.2025.100662","url":null,"abstract":"<div><h3>Objective</h3><div>We investigated the trends and disparities in cardiovascular disease (CVD) among people with HIV (PWH) in South Carolina (SC).</div></div><div><h3>Study design</h3><div>This is a statewide cohort study.</div></div><div><h3>Methods</h3><div>A comprehensive electronic health records database in SC assessed CVD prevalence trends among PWH overall and within two age groups (&lt;50 and ≥ 50 years) from 2005 to 2020. Additionally, we explored disparities in CVD prevalence across subgroups by sex, race and ethnicity, rurality, and HIV transmission mode.</div></div><div><h3>Results</h3><div>This study included 31,984 PWH aged 18 and older. From 2005 to 2020, the prevalence of CVD among PWH in SC increased from 19.9 % to 24.4 % overall (P-trend&lt;0.001) and from 18.1 % to 22.6 % for those aged &lt;50 years (P-trend&lt;0.001) but remained stable from 41.0 to 40.8 among those aged ≥50 years (P-trend = 0.26). Disparities in CVD prevalence by sex, race and ethnicity, rurality, and HIV transmission mode were observed among PWH across both ages &lt;50 years and ≥50 years. For example, among individuals aged&lt;50 years, the prevalence of CVD increased from 23.1 % to 31.2 % for females (P-trend&lt;0.001) while it increased from 15.8 % to 19.6 % for males (P-trend&lt;0.001) (P-interaction&lt;0.001). The corresponding values for aged ≥50 years were from 48.3 % to 50.4 % for females (P-trend = 0.08) and from 35.6 % to 37.5 % for males (P-trend = 0.02) (P-interaction = 0.003).</div></div><div><h3>Conclusion</h3><div>As PWH experience improved and extended life expectancy, this study revealed the prevalence and associated disparities in CVD prevalence across demographics and HIV transmission mode in SC, emphasizing the need for targeted interventions to enhance cardiovascular health in this vulnerable population.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100662"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145264882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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