Public Health in Practice最新文献

{"title":"Validation of the Global Scale for Early Development (GSED) for children 0 to 36 months of age in the Pacific: protocol","authors":"S. Howells ,&nbsp;B. Lam ,&nbsp;D. Kakiakia ,&nbsp;B. Temakei Tebano ,&nbsp;R. Tekeraoi ,&nbsp;R. Katokita ,&nbsp;S.A. Brinkman","doi":"10.1016/j.puhip.2025.100615","DOIUrl":"10.1016/j.puhip.2025.100615","url":null,"abstract":"<div><h3>Objectives</h3><div>Early childhood starting at conception is a period of rapid development and has implications for health and well-being throughout the life-course. Validated measures are critical for countries interested in population level monitoring of child development and to evaluate policies and services aimed at enhancing children's health and development. This project aims to address this need for children aged 0–36 months in Kiribati, a small and widely dispersed island nation in the central Pacific Ocean, by adapting and validating the Global Scale for Early Development Short Form (GSED SF). This study contributes uniquely to the literature as it is the first time that the GSED has been adapted and applied in the Oceania-Pacific region.</div></div><div><h3>Study design</h3><div>Psychometric validation study of the GSED SF in Kiribati.</div></div><div><h3>Methods</h3><div>The Global Scale for Early Development Short Form (GSED SF) adaptation and validation study will involve 500 children, 100 each from five randomly selected villages in South Tarawa, Kiribati. Validity testing will involve established steps: face validity, cultural and context neutrality, test-retest reliability, inter-rater reliability, construct validity and discriminant validity. We will evaluate measurement invariance including differential item functioning and differential test functioning to ensure that the GSED SF is fair and unbiased.</div></div><div><h3>Conclusions</h3><div>This project will provide Kiribati with a tool for monitoring and evaluation of early child development in children from birth to 36 months at the national and programmatic level. The study will also provide the first validation of the GSED SF in the Pacific region.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100615"},"PeriodicalIF":2.2,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107760","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}

{"title":"Improving coastal safety for international visitors to Australia","authors":"William A. Koon ,&nbsp;Robert W. Brander ,&nbsp;Jasmin C. Lawes ,&nbsp;Amy E. Peden","doi":"10.1016/j.puhip.2025.100613","DOIUrl":"10.1016/j.puhip.2025.100613","url":null,"abstract":"<div><h3>Objectives</h3><div>International visitors are a high-risk group for drowning and other fatalities at Australian coastal locations due to lower visitation and familiarity than the resident population. This review of pre-COVID-19 (2005–2019) Australian international visitor coastal fatalities aimed to assess changes in mortality rates and evaluate differences between international visitor and resident death profiles to inform safety measures.</div></div><div><h3>Study design</h3><div>Descriptive, retrospective epidemiological analysis.</div></div><div><h3>Methods</h3><div>Analysis of unintentional coastal fatalities among international visitors to Australia from 2005 to 2019 was conducted using coronial data for fatalities and short-term visitor arrival data. Descriptive analysis comprised demographic, and incident-based variables, while cumulative (2005–2019) and annual fatality rates and 95 % confidence intervals per 100,000 short-term arrivals were calculated. Length of stay was incorporated into the risk measurement per 100,000 visitor-years. Joinpoint regression analysed trends in annual visitor coastal fatality rates.</div></div><div><h3>Results</h3><div>Among coastal deaths 62 % were due to drowning; 12.8 % were international visitors; 7.83 residents died for each visitor fatality with an annual average of 22.5 visitor deaths. The cumulative visitor coastal fatality rate was 0.37 deaths per 100,000 international arrivals (95 %CI: 0.33–0.42), which decreased at a statistically significant level by an annual average of 5.8 % (95 %CI: 9.5 % to −1.9 %; p = 0.007) from 2005 to 2019. Visitors record an exposure-adjusted coastal fatality rate of 6.0/100,000 visitor-years. Visitor coastal deaths occurred in higher proportions in Queensland, at offshore locations, in more remote areas, while snorkelling, and during organised activities.</div></div><div><h3>Conclusions</h3><div>Sustained efforts will require focus on high-risk visitor groups by diverse sectors including tourism, government, and water safety practitioners.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100613"},"PeriodicalIF":2.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072281","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}

{"title":"Cost-utility tele-stroke in adults with acute ischemic stroke. A systematic review","authors":"Luis Alberto López-Romero ,&nbsp;Dora Inés Parra ,&nbsp;Alexandra Cortés Aguilar ,&nbsp;Fabio Alberto Camargo Figuera","doi":"10.1016/j.puhip.2025.100617","DOIUrl":"10.1016/j.puhip.2025.100617","url":null,"abstract":"<div><h3>Introduction</h3><div>Tele-Stroke has been proposed as a solution to increase access to thrombolytic therapy in acute ischemic stroke. <strong>Objective</strong>: Synthesise the evidence of the cost-effectiveness of Tele-Stroke. <strong>Study Design</strong>: Systematic Literature Review.</div></div><div><h3>Methods</h3><div>Systematic review of cost-effectiveness economic evaluations of Tele-Stroke from the Centre for Reviews and Dissemination of the University of York, International HTA Database, PubMed, EMBASE, Cochrane Library, Cost-Effectiveness Analysis Registry, National Institute for Health and Care Excellence, The European Network of Health Economic Evaluation Databases Project and grey literature. Quality assessment, data selection and data extraction were performed by two reviewers. A qualitative synthesis was conducted.</div></div><div><h3>Results</h3><div>Twelve studies, published between 2008 and 2022 in high-income countries were included; 50.00 % were conducted from a health system perspective and the most frequent discount rate was 3 %. Spoke/Hub ratio ranged from 1:1 to 17:2. In 5/12 studies Tele-Stroke was found to be highly cost-effective (dominant intervention: lower cost and higher effectiveness) and only two acceptable (lower cost and lower effectiveness). Incremental Cost Effectiveness Ratio (ICER) per Quality-Adjusted Life Years (QALY) gained ranged from US$ 290,368.77 to US$ 327.44 in 2022. <strong>Conclusions</strong>: Most of the studies showed that the Tele-Stroke programme could be a cost-effective strategy, both from a social and health system perspective; however, most of the studies were from middle-and-high-income countries, which requires analysis before implementation in low-income countries.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100617"},"PeriodicalIF":2.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948793","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}

{"title":"The Financialization of Healthcare in France: Trends and implications","authors":"Benjamin Marchandot ,&nbsp;Olivier Morel","doi":"10.1016/j.puhip.2025.100620","DOIUrl":"10.1016/j.puhip.2025.100620","url":null,"abstract":"<div><div>The healthcare system in France, once celebrated for its universal coverage and accessibility, now grapples with profound transformations driven by corporatization, polarization, and financialization. Initially founded on principles of solidarity and government support, the system provided ample opportunities for doctors to practice either in public hospitals or private settings, with fees regulated to ensure affordability. However, recent decades have seen a shift towards agreements that allow specialists to charge additional fees beyond standard rates, which are covered by private insurance or paid directly by patients. The landscape is further complicated by demographic shifts such as an aging population and rising incidences of chronic diseases, exacerbating healthcare demand while the supply of medical professionals stagnates. Urbanization has concentrated medical services, leading to dominant practices in certain specialties and longer waiting times, especially in rural areas. Financialization has emerged as a pivotal force, with private investors increasingly influencing healthcare delivery. This trend is evident in sectors like medical biology and radiology, where consolidation and profit maximization strategies may prevail, potentially compromising care quality and access. While financial influx may temporarily address funding gaps, it also risks eroding professional autonomy and patient care standards. These developments mark a schism from traditional values of the French healthcare as a public good, raising concerns about equity, regulation, and the ethical implications of intertwining medical practice with financial imperatives in France.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100620"},"PeriodicalIF":2.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942056","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}

{"title":"Treatment outcomes of drug-resistant tuberculosis in Sabah, Malaysia – a retrospective cohort study","authors":"Y.L. Lew ,&nbsp;M.M.D. Goroh ,&nbsp;S.T. Yerkovich ,&nbsp;A.M.H. Seow ,&nbsp;G.S. Rajahram ,&nbsp;R. Teo ,&nbsp;A.B. Chang ,&nbsp;C. Lowbridge","doi":"10.1016/j.puhip.2025.100616","DOIUrl":"10.1016/j.puhip.2025.100616","url":null,"abstract":"<div><h3>Objectives</h3><div>Addressing drug-resistant tuberculosis (DR-TB) is a priority of the tuberculosis (TB) programme. People with DR-TB frequently have worse outcomes and require more costly and complex management, compared with those with drug-sensitive TB (DS-TB). Our study examined the epidemiology of DR-TB in Sabah, Malaysia, a state with high TB burden. We aimed to identify factors associated with poor treatment outcomes.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>Data were derived from a national registry of TB patients from Sabah. Descriptive analyses were used to characterise DR-TB epidemiology, including annual trends. Multivariable logistic regression was used to identify factors associated with poor DR-TB treatment outcomes.</div></div><div><h3>Results</h3><div>Between 2016 and 2021, there were 29,337 registered TB patients, of whom 158 (0.54 %) had DR-TB. The proportion of people with DR-TB between 2016 and 2019 was between 0.32 % and 0.47 % of annual total TB, increasing to 0.97 % in 2021. The proportion of people with DR-TB who were cured or completed treatment (63.1 %) was lower compared with DS-TB (86.0 %). In multivariable analysis, poor DR-TB treatment outcomes (death, lost to follow-up, failed treatment, transferred out &amp; lost) were significantly associated with non-citizen status (adjusted odds ratio [aOR] = 2.49; 95 %CI 1.23–5.13) and male sex (aOR = 2.34; 95 %CI 1.15–4.94).</div></div><div><h3>Conclusions</h3><div>There was an increase in the proportion of TB that was DR-TB, coinciding with the COVID-19 pandemic in Sabah. Non-citizens and male sex were the most significant predictors of poor treatment outcomes among those with DR-TB.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100616"},"PeriodicalIF":2.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935797","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}

{"title":"Cluster clinic model reduces travel distance to access care and improves access equality","authors":"K. Johnstone ,&nbsp;S. Turner","doi":"10.1016/j.puhip.2025.100619","DOIUrl":"10.1016/j.puhip.2025.100619","url":null,"abstract":"<div><h3>Background</h3><div>Travel distance is a barrier to accessing care, especially in large, sparsely populated areas. The cluster clinic model aims to provide paediatric scheduled care in the community setting within NHS Grampian. This work aims to quantify the impact of this model on travel distance and equality of access.</div></div><div><h3>Study design</h3><div>Observational analytical study comparing three models of service delivery.</div></div><div><h3>Methods</h3><div>Three models were compared: All clinics delivered at Royal Aberdeen Children's Hospital (model A), all clinics delivered at cluster clinics (model B), and clinics at both hospital and cluster clinics (model C). Shortest drivable distance from home to clinic was calculated for all children in Aberdeen City and Aberdeenshire. Equality of access was assessed using a Gini coefficient, with values closer to 0 representing better equality, and 1 representing worse equality.</div></div><div><h3>Results</h3><div>In model A, median travel distance was 8.64miles (Q1: 2.96miles, Q3: 25.7miles, Gini: 0.491). For model B, median travel distance was 3.14miles (Q1: 1.46miles, Q3: 9.07miles, Gini: 0.480). In model C, median travel distance was 3.13miles (Q1: 1.35miles, Q3: 9.07miles, Gini: 0.490). No association with index of multiple deprivation was found in any model.</div></div><div><h3>Conclusions</h3><div>The cluster clinic model both significantly reduces travel distance, whilst simultaneously improving access equality. This methodology should be considered to prospectively evaluate implementation of similar models elsewhere.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100619"},"PeriodicalIF":2.2,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935798","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}

{"title":"Recruitment and retention of Chinese men at high risk for lung Cancer: Lessons learned from a pilot trial of a community health worker intervention to increase lung cancer screening uptake","authors":"Jennifer Leng ,&nbsp;Florence Lui ,&nbsp;Chloe Chan ,&nbsp;Ruo Yan Chen ,&nbsp;Minlun Wu ,&nbsp;Bharat Narang ,&nbsp;Francesca Gany","doi":"10.1016/j.puhip.2025.100621","DOIUrl":"10.1016/j.puhip.2025.100621","url":null,"abstract":"<div><h3>Background</h3><div>The U.S. Preventive Services Task Force (USPSTF) currently recommends annual lung cancer screening (LCS) with low-dose computed tomography (LDCT) for asymptomatic 50- to 80-year-old adults with a 20-pack year history who currently smoke or have quit smoking within the past 15 years. Foreign-born Chinese livery drivers are a group at disproportionately high risk for lung cancer due to high smoking prevalence and occupational exposure to airborne contaminants and carcinogens. This paper describes a pilot randomized controlled trial to educate and navigate high-risk, previously unscreened Chinese livery drivers to lung cancer screening, and describes barriers to recruitment and retention.</div></div><div><h3>Study design</h3><div>Pre-pilot and pilot randomized controlled trial.</div></div><div><h3>Methods</h3><div>The study was conducted in two phases, a pre-pilot and pilot randomized controlled trial between December 2019 and June 2023. In the pilot RCT, eligible participants were randomized to either (1) the CHW (Community Health Worker) intervention group or (2) a written materials only control group and participated for 6–12 months.</div></div><div><h3>Results</h3><div>From December 2019 to June 2023, 25 subjects were enrolled: 12 in Phase 1 and 13 in Phase 2 (of 1018 approached). Recruitment barriers included the COVID-19 pandemic, institutional mistrust, smoking-related beliefs, and primary care provider-related barriers.</div></div><div><h3>Conclusions</h3><div>We identified specific socioenvironmental and cultural barriers to LCS uptake among Chinese immigrant men who smoke. Farther upstream cancer education interventions (e.g., provider and community-level education initiatives on LCS) conducted in partnership with community-based organizations should be considered to meet the needs of this population.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100621"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932106","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}

{"title":"Integrating silver diamine fluoride into school-based oral health programs: A pilot study","authors":"Carrie Godes ,&nbsp;Lisa Westhoff ,&nbsp;Tamarinda Barry Godín ,&nbsp;Ryan Richard Ruff","doi":"10.1016/j.puhip.2025.100609","DOIUrl":"10.1016/j.puhip.2025.100609","url":null,"abstract":"<div><h3>Objective</h3><div>Current approaches to school-based caries prevention can increase access to oral healthcare, but are often limited by costs and other logistical challenges. Evidence from large pragmatic trials support the use of silver diamine fluoride (SDF) to prevent and control caries in school dental programs. In this pilot, we developed implementation strategies and integrated SDF into an existing school-based dental program, Smiles For Students (SFS).</div></div><div><h3>Methods</h3><div>This was a single-group observational pilot. Using a school-based SDF implementation toolkit, SFS clinicians received training in clinical protocols as well as ongoing interactive technical assistance to support SDF integration. SDF was then implemented into existing clinical workflows.</div></div><div><h3>Results</h3><div>Following training and implementation, the Smiles For Students program saw a 23 % increase in the number of patients served, a 53 % decrease in the per-child treatment time, a 45 % decrease in labor costs despite increased enrollment, and a 24 % decrease in supply costs. Qualitative feedback indicated strong support for simplified clinical protocols, reduction in cumbersome supplies and materials, and increased flexibility with space and resources.</div></div><div><h3>Conclusions</h3><div>In a pilot implementation project in which SDF was integrated into an existing school-based dental program serving 16 schools, multiple logistical and economic challenges were mitigated and program clinicians utilized both sealants and SDF to meet the needs of participating children.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100609"},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hepatitis B vaccination coverage and associated factors among children living in northwest Ethiopia city administrations: A community-based study","authors":"Mekuanint Geta ,&nbsp;Asrat Hailu ,&nbsp;Yimtubezinash Woldeamanuel","doi":"10.1016/j.puhip.2025.100608","DOIUrl":"10.1016/j.puhip.2025.100608","url":null,"abstract":"<div><h3>Objective</h3><div>A study was being conducted to assess the current vaccination coverage, dropout rates, and associated risk factors in children under 15 years old in northwest Ethiopia.</div></div><div><h3>Study design</h3><div>A community-based cross-sectional survey.</div></div><div><h3>Methods</h3><div>A community-based survey was conducted in northwest Ethiopia from January to March 2024. A two-stage cluster-sampling technique was used to select a representative sample. Sociodemographic information, vaccination history, and epidemiological risk factors were collected using a pre-tested, structured questionnaire. Data analysis was performed using SPSS version 23, employing descriptive statistics, chi-square test, and logistic regression model. Associations of vaccination determinants were investigated, with a p-value &lt;0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>In the study, 808 children were surveyed, with 53.0 % being female and 53.0 % were born at hospitals. Most (52.5 %) were under 5 years old, with a mean age of 5.4 ± 3.5 years. Seven hundred thirty four (90.8 %) had received at least one dose of the hepatitis B vaccine, and 82.7 % had received three doses, with a 9.0 % dropout rate. Among children completely vaccinated against hepatitis B, 366 (54.8 %) were in the age group of 1–4 years. The vaccination coverage was 85.4 %, 82.9 %, and 76.5 % in Bahir Dar, Gondar, and Debre Markos, respectively. Several factors have been identified as predictors of complete hepatitis B vaccination in children, including mothers who attended primary school (AOR = 2.9; 95 % CI: 1.4–5.8) and those with secondary education or higher (AOR = 2.2; 95 % CI: 1.3–4.0), married mothers (AOR = 2.5; 95 % CI: 1.5–4.3), and mothers aged 21–30 years (AOR = 2.7; 95 % CI: 1.3–5.6) and those aged 31–40 years (AOR = 2.8; 95 % CI: 1.4–5.5) were more likely to have their children fully vaccinated. Additionally, children born in hospitals (AOR = 2.4; 95 % CI: 1.3–4.3) or health centers (AOR = 4.0; 95 % CI: 2.2–7.4), increased access to vaccination services (AOR = 2.5; 95 % CI: 1.5–4.3), children aged 1–4 years (AOR = 3.1; 95 % CI: 1.7–5.5) and 5–9 years (AOR = 3.8; 95 % CI: 2.1–7.1) had higher HB vaccination coverage.</div></div><div><h3>Conclusion</h3><div>The complete hepatitis B vaccination coverage in this study was lower than the WHO recommendation for developing countries. Therefore, enhancing the promotion of facility delivery and ensuring easy access to vaccines are crucial for improving children's vaccination coverage.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100608"},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143738390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging abstraction and action: Phenomenology and public health research and practice","authors":"Qin Xiang Ng","doi":"10.1016/j.puhip.2025.100610","DOIUrl":"10.1016/j.puhip.2025.100610","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the role of phenomenological research in public health, highlighting its contributions, challenges, and practical implications.</div></div><div><h3>Study design</h3><div>A narrative review informed by studies employing phenomenological methodologies published in the journals <em>Public Health</em> and <em>Public Health in Practice</em>.</div></div><div><h3>Methods</h3><div>Using the search keywords “phenomenology” and “phenomenological”, eligible original studies were identified in the journals <em>Public Health</em> and <em>Public Health in Practice</em>. The characteristics and findings of the studies were reviewed and discussed in relation to how phenomenology may lead to actionable public health interventions.</div></div><div><h3>Results</h3><div>A total of six studies were reviewed. Data collection methods across the studies included semi-structured interviews, audio and written diaries, and participatory approaches. Analysis techniques commonly used frameworks like Colaizzi’s method and interpretative phenomenological analysis (IPA). The studies addressed a range of public health issues, including barriers to postpartum diabetes screening, experiences of midwives during the pandemic, and strategies for chlamydia screening. Key findings included the depth of lived experiences, the impact of stigma, and the importance of culturally adapted interventions, albeit findings derived from small, purposive samples may face criticism regarding generalisability.</div></div><div><h3>Conclusions</h3><div>There is a notable paucity of phenomenological research in the field of public health. As a methodology, phenomenology enriches public health research and practice by illuminating subjective dimensions of the lived experience often overlooked by traditional metrics. Though challenging to execute, the methodology can achieve a balance between abstraction and actionable outcomes, advancing public health practices that are both empathetic and inclusive.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100610"},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}