Public Health in Practice最新文献

{"title":"A bibliometric mapping of research on antimicrobial resistance and mental health","authors":"Cyril Onwuelazu Uteh ,&nbsp;Ozgun Yetkin ,&nbsp;Claudia Dompe ,&nbsp;Ovinuchi Ejiohuo","doi":"10.1016/j.puhip.2026.100739","DOIUrl":"10.1016/j.puhip.2026.100739","url":null,"abstract":"<div><h3>Objective</h3><div>Antimicrobial resistance and mental health are critical global health concerns, yet the intersection of these fields remains underexplored. This study presents a bibliometric analysis of research trends at the nexus of antimicrobial resistance and mental health.</div></div><div><h3>Study design</h3><div>Bibliometric study design.</div></div><div><h3>Methods</h3><div>Publications related to antimicrobial resistance and mental health from January 1, 2004 to March 13, 2025 were extracted from the Web of Science and Scopus databases. Bibliometric analysis and visualisation were performed using the R-Bibliometrix package (biblioshiny). We analysed publication patterns, citation metrics, and key research themes to identify leading topics, countries, institutions, authors, and journals contributing to this emerging area.</div></div><div><h3>Results</h3><div>The analysis included 3449 documents from 1397 sources, authored by 22,900 researchers, with an annual growth rate of 2.35 % and an average of 41.7 citations per paper. Output increased steadily after 2017, reaching its peak in 2020–2021. PLOS One was the most featured journal (78 articles), and the University of California, San Francisco, led institutional output (173 articles). The United States showed the highest collaboration and publication volume. Thematic and keyword analyses revealed dominant attention to depression, schizophrenia, bipolar disorder, and anxiety, alongside a smaller but growing focus on antimicrobial resistance, particularly its links to the gut–brain axis, where terms such as antibiotic resistance appeared less frequently but formed emerging clusters in recent years.</div></div><div><h3>Conclusion</h3><div>This study identifies research hotspots and gaps in the relationship between antimicrobial resistance and mental health, highlighting the need for public health policies that integrate mental health into antimicrobial resistance strategies. Prioritising this integration and enhancing global surveillance and collaboration are essential to addressing these interconnected challenges effectively.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100739"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078027","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":"Adolescent mortality in Lebanon (2017–2022): Trends, causes, and policy implications","authors":"Cyrine Naja ,&nbsp;Samar Al-Hajj ,&nbsp;Carine Sakr ,&nbsp;Hilda L. Harb ,&nbsp;Salim M. Adib","doi":"10.1016/j.puhip.2025.100700","DOIUrl":"10.1016/j.puhip.2025.100700","url":null,"abstract":"<div><h3>Objectives</h3><div>Adolescents and young adults face a high risk of preventable mortality, yet national-level data in Lebanon are limited. This study aimed to analyze sex-, age-, and region-specific patterns of cause-specific mortality and assess temporal trends among Lebanese youth aged 10–24 years from 2017 to 2022.</div></div><div><h3>Study design</h3><div>Nationwide population-level analysis.</div></div><div><h3>Methods</h3><div>Mortality data from the Lebanese MoPH were analyzed. Causes of death were coded using ICD-10 and grouped into 12 categories. Population denominators were based on 2022 estimates. Crude and ASMR using WHO standard population were calculated. Poisson regression assessed temporal trends, with rate ratios comparing sexes and P-values (&lt;0.05) indicating statistical significance.</div></div><div><h3>Results</h3><div>A total of 2776 deaths occurred, with an overall ASMR of 185.2 per 100,000. Age-specific mortality increased from 116.4 per 100,000 (10–14 years) to 246.1 per 100,000 (20–24 years, P &lt; 0.001). External causes were the leading contributor (64.8 per 100,000), followed by circulatory/cardiovascular diseases and neoplasms. Male mortality exceeded female mortality (243.1 vs. 114.7 per 100,000; P &lt; 0.001), with the largest disparity for external causes (RR = 3.80, P &lt; 0.001). Regional differences were noted, with external deaths highest in North Lebanon and Bekaa, and circulatory deaths concentrated in Bekaa. No significant temporal trends were detected except in South Lebanon.</div></div><div><h3>Conclusions</h3><div>Mortality among Lebanese youth is primarily driven by preventable external and circulatory causes, with pronounced male excess and regional disparities. These findings support evidence-informed interventions, including targeted injury prevention and cardiovascular strategies tailored to high-risk populations and regions.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100700"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798974","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":"Blood donation practice and predictors among university and college students in Ethiopia: A systematic review and meta-analysis","authors":"Hailemariam Gezie ,&nbsp;Mekuriaw Wuhib ,&nbsp;Fekadeselassie Belege Getaneh ,&nbsp;Habtam Gelaye","doi":"10.1016/j.puhip.2025.100687","DOIUrl":"10.1016/j.puhip.2025.100687","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review and meta-analysis aimed to assess the pooled blood donation practice and its predictors among university and college students in Ethiopia.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Multiple databases and search engines, such as PubMed, African Journals Online, Hinari, Google Scholar, and repositories, were searched using search terms created by combining Medical Subject Heading words and phrases for each database. A total of 1306 articles were found, and after removing duplicates and other irrelevant articles, 22 articles were included. Relevant data were extracted using a standardized Excel template and analyzed using STATA 17 software. The prevalence of blood donation practice and its predictors were pooled using a random effects model. Statistical heterogeneity was identified using the Galbraith plot, I², and Q statistic and handled by subgroup analysis, meta-regression, and sensitivity analysis. Publication bias was checked by funnel plot and Egger's test.</div></div><div><h3>Results</h3><div>This systematic review and meta-analysis of 22 studies that included 9048 students revealed that the pooled estimate of blood donation practice was 26 % (CI: 22, 31). Age of students (POR = 3.22; CI: 1.83, 5.68), faculty (POR = 2.44; CI: 1.74, 3.41), knowledge (POR = 2.89; CI: 1.89, 4.41), and attitude (POR = 1.93; CI: 1.43, 2.62) were found to have a significant association with blood donation practice.</div></div><div><h3>Conclusion</h3><div>The pooled estimate of blood donation practice indicated that only a quarter of university and college students donated blood, which is limited. Therefore, Ethiopian Ministry of Health, regional health bureaus, blood banks, the universities and colleges, the students’ council, and other stakeholders shall pay due attention to blood donation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100687"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798990","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":"Empowering healthcare professionals to help smokers quit: Relevance of a smoking cessation online training program","authors":"Dalia Alleaume ,&nbsp;Yasmine Célia Benrabah ,&nbsp;Ingrid Allagbé ,&nbsp;Marie Masure ,&nbsp;Anneliese Depoux ,&nbsp;Marie Malécot ,&nbsp;Anne-Laurence Le Faou","doi":"10.1016/j.puhip.2025.100699","DOIUrl":"10.1016/j.puhip.2025.100699","url":null,"abstract":"<div><h3>Objectives</h3><div>Healthcare professionals are instrumental in aiding smokers to quit, necessitating evidence-based smoking cessation education. Massive Open Online Courses (MOOCs) provide a flexible platform for such education. This study assessed the satisfaction of health professionals with the content of the MOOC “Smoking: Quit Your Own Way!”, distributed over the period 2020–2023, and their success rates in completing of this course.</div></div><div><h3>Study design</h3><div>We conducted a descriptive study.</div></div><div><h3>Methods</h3><div>The study based on quantitative data from 4229 learners on France Université Numérique (FUN) and 1488 on Pédagogie Numérique en Santé (PNS) platforms who completed the satisfaction questionnaire on the content of the MOOC and who answered the quizzes offered during the course.</div></div><div><h3>Results</h3><div>Most participants were women (FUN: 79.7 %; PNS: 84.0 %), with nurses being the largest group (FUN: 27.7 %; PNS: 28.6 %). Satisfaction was high (97.9 %). Weekly quiz success rates ranged from 15.5 % to 30.0 %. Rehabilitation professionals had the highest success rate at 40.2 %, followed by medical doctors at 35.7 %, and dental surgeons at 34.9 %. Midwives and nurses both had a success rate of 32.2 %. Other notable rates included prevention professionals at 30.9 % and psychologists at 27.6 %. The lowest success rates were seen in social professions (16.0 %) and nurse assistants (9.4 %).</div></div><div><h3>Conclusions</h3><div>The “Smoking: Quit Your Own Way!” MOOC effectively train healthcare professionals in smoking cessation, enhancing their theoretical and practical skills to support smokers.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100699"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798988","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":"Unexpected persuasion: The influence of a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation","authors":"A-Reum Jung ,&nbsp;Guiohk Lee","doi":"10.1016/j.puhip.2025.100707","DOIUrl":"10.1016/j.puhip.2025.100707","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the impact of exposure to a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation, considering their smoking status.</div></div><div><h3>Study design</h3><div>Exposure to the anti-smoking campaign was treated as the independent variable, while attitude toward smoking cessation served as the dependent variable. Smoking status (non-smokers vs. smokers) and target group (youth vs. adults) were included as binary moderators in the analysis.</div></div><div><h3>Methods</h3><div>A stratified random sampling approach was employed to select a total of 4758 respondents (2560 adults and 2198 youth) who completed structured questionnaires. These questionnaires assessed respondents’ exposure to the anti-smoking campaign, their attitude toward smoking cessation, smoking status, and demographic information.</div></div><div><h3>Results</h3><div>The findings indicated that exposure to the campaign was positively associated with more favorable attitude toward smoking cessation. Non-smokers exhibited stronger attitude toward smoking cessation compared to smokers. Additionally, exposure to the campaign led to an increase in smoking cessation attitude across all groups, with adults showing more pronounced changes in attitude relative to youth.</div></div><div><h3>Conclusion</h3><div>Unintended persuasive effects were observed among non-target groups, highlighting the need for further investigation into the relationship between targeted messages and their impact on non-target audiences. Such research could enhance the development of more effective and efficient public health campaigns.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100707"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798986","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":"Frameworks encompassing intersectional perspective of artificial intelligence in healthcare. Scoping review","authors":"Sua Amaya-Santos ,&nbsp;Carlos Vargas ,&nbsp;Clara Bermúdez-Tamayo","doi":"10.1016/j.puhip.2025.100713","DOIUrl":"10.1016/j.puhip.2025.100713","url":null,"abstract":"<div><h3>Objectives</h3><div>This study systematically evaluates how existing AI frameworks in healthcare address intersectional bias across the AI lifecycle and explores the mitigation strategies proposed.</div></div><div><h3>Study design</h3><div>Scoping review.</div></div><div><h3>Methods</h3><div>A scoping review was conducted per PRISMA-ScR guidelines, analyzing studies from 2014 to 2024. Searches included MEDLINE (Ovid), PubMed, EMBASE (Ovid), SCOPUS, ESCI, IEEE Xplore, and Google Scholar. Data were extracted on bias-related challenges and mitigation strategies across AI lifecycle phases (development, validation, implementation, monitoring). Studies were ranked by inclusivity (high, medium, or low).</div></div><div><h3>Results</h3><div>Of 374 records, 43 studies met inclusion criteria, primarily from high-income countries. Gender/sex (51.2 %) and race/ethnicity (44.2 %) were the most addressed dimensions, while disability (14 %) and citizenship (9.3 %) were least addressed. Inclusivity was categorized as high (21 studies, 48.8 %), medium (23.2 %), or low (27.9 %). Overall, 14 biases and 21 mitigation strategies were identified.</div></div><div><h3>Conclusions</h3><div>Significant gaps remain in addressing intersectional biases in AI frameworks, particularly for underrepresented groups such as individuals with disabilities and non-citizens. Despite many frameworks demonstrating efforts toward inclusivity, attention to intersectionality remains uneven and largely inconsistent. Mapping biases to lifecycle phases highlights actionable strategies to improve equity and inclusivity in AI-driven healthcare. These findings provide valuable guidance for researchers, policymakers, and developers to create equitable and responsible AI systems.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100713"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145885166","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":"Assessment of cost-effectiveness threshold using a double-bounded dichotomous choice model","authors":"Taito Kitano ,&nbsp;Shinya Tsuzuki","doi":"10.1016/j.puhip.2025.100705","DOIUrl":"10.1016/j.puhip.2025.100705","url":null,"abstract":"<div><h3>Objectives</h3><div>Willingness to pay (WTP) for one quality-adjusted life year (QALY) is highly variable according to survey methodology and can change over time, even within the same population. Our study objective was to assess Japanese WTP per QALY gain using a double-bounded dichotomous choice method for a scenario in the post-COVID-19 pandemic period.</div></div><div><h3>Study design</h3><div>A cross-sectional survey.</div></div><div><h3>Methods</h3><div>We conducted an online survey in 2024 to determine the mean WTP using double-bounded dichotomous choice among 2,500 Japanese adults. Four scenarios were presented (three for a non-fatal disease from three different perspectives and one scenario from an individual perspective) in two series of questions regarding WTP with the disease.</div></div><div><h3>Results</h3><div>The mean WTP per QALY gain with moderate and severe health status was 3.30 (95 % confidence interval: 2.38−4.36) and 3.36 (2.62−4.36) for a non-fatal disease and individual perspective, 7.34 (5.61−9.33) and 4.43 (3.45−5.57) million Japanese Yen (JPY) in 2025 for a non-fatal disease from societal and individual perspectives, 8.44 (6.49−10.56) and 5.58 (4.49−6.87) million JPY for a non-fatal disease from a societal but excluding an individual perspective, respectively; 8.41 (5.78−9.66) million JPY for a fatal disease with 6 months' treatment, 9.95 (7.45−12.71) million JPY for fatal disease with 6 months' prevention, 3.38 (2.78−5.42) million JPY for a fatal disease with 18 months' treatment, and 4.18 (3.29−6.65) million JPY for a fatal disease with 18 months’ prevention, respectively.</div></div><div><h3>Conclusions</h3><div>No significant change was observed in WTP between after versus before the COVID-19 pandemic. However, our findings suggest that questionnaire design may greatly influence response patterns. Further detailed examination is required to understand how these values have changed following the COVID-19 pandemic.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100705"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798971","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":"From prevalence to practice: Integrating dietary energy density into meta-analytic research on obesity in older adults","authors":"Chang Hyung Lee","doi":"10.1016/j.puhip.2026.100729","DOIUrl":"10.1016/j.puhip.2026.100729","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100729"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978122","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":"Ground-based travel to European academic events as an alternative to air travel: Estimating associated greenhouse gas emissions, time and cost","authors":"Joseph Grech ,&nbsp;David A. Richards","doi":"10.1016/j.puhip.2025.100702","DOIUrl":"10.1016/j.puhip.2025.100702","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to identify the number of participants at three differently situated scientific events in Europe realistically able to switch from aviation to ground-based travel, modelling the potential impact of doing so in terms of travel-related greenhouse gas emissions (GHGe), time and costs.</div></div><div><h3>Study design</h3><div>Modelling study.</div></div><div><h3>Methods</h3><div>Travel for participants (N = 137) attending three academic European events in 2025, two centrally, and one peripherally located, was simulated, estimating the associated GHGe, time and cost. Alternative travel scenarios (air- and ground-based), in which participants realistically switched to ground-based travel, were modelled, highlighting differences in travel-related GHGe, time and costs.</div></div><div><h3>Results</h3><div>For this cohort, a central European location gave around 50 % of participants the opportunity to take ground-based travel, reducing total travel GHGe by a maximum of 29 % (14,116 kg of CO₂e). While ground-based journeys took longer, cost differences depended on the availability of international ground-based connections and low-cost airlines.</div></div><div><h3>Conclusions</h3><div>The potential to minimise travel-related, event-driven GHGe is driven by the distance from the participants' departing cities to arrival venue, and the number of participants who live within 1000 kms and/or one day's travel time by ground-based means. The ability to realise these GHGe reductions will depend on the extent to which eligible event participants may choose to shift from aviation to ground-based alternatives, driven by their capabilities to navigate such journeys (that may be more complex), and their motivation, which might be enhanced through financial incentives where ground-based transportation is more expensive.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100702"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145750053","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":"Project RUSH: Implementing and evaluating a community-based teen pregnancy prevention program among Hispanic youth in rural South Texas","authors":"Gerardo J. Pacheco ,&nbsp;Howaida Werfelli ,&nbsp;Ramalingam Shanmugam ,&nbsp;Jose Betancourt ,&nbsp;Alison Johnson","doi":"10.1016/j.puhip.2026.100743","DOIUrl":"10.1016/j.puhip.2026.100743","url":null,"abstract":"<div><h3>Objectives</h3><div>The burden of sexually transmitted infections, HIV, and unintended pregnancies is disproportionate among Hispanic youth (ages 15-19) in Texas as compared to other groups nationally. A community intervention, Project Realistic Understanding of Sexual Health (RUSH) was developed using the Making Proud Choices, an evidence-based teen pregnancy program (TPP). This study aimed to present the use of a community-based participatory research (CBPR) framework in designing and implementing a sexual health intervention for rural Hispanic youth and participant outcomes (knowledge, attitudes, and behaviors).</div></div><div><h3>Study design</h3><div>Single group Pre/Post Design employing a CPBR approach.</div></div><div><h3>Methods</h3><div>A CBPR approach and programmatic evaluation were utilized to design and deliver an evidence-based teen pregnancy prevention program (TPP). A pre-post questionnaire was self-administered to eligible and consenting participants who were recruited via convenience sampling. Project RUSH was delivered over 8-week sessions in community centers throughout the 5-county service area.</div></div><div><h3>Results</h3><div>In total, 160 youth were recruited, and 112 participants completed the intervention with the pre-and-post assessments. The majority self-identified as Hispanic/Latino (76%). Increased knowledge of pregnancy, sexually transmitted infections (STIs), and HIV/AIDS were statistically significant after the intervention. Respondents’ feedback demonstrated satisfaction in the program (setting, facilitators, curriculum).</div></div><div><h3>Conclusion</h3><div>Input and engagement from community stakeholders helped refine the implementation of RUSH. Although a group change was observed, additional research, community engagement, and further analyses are needed to assess long term and support positive sexual behaviors among the youth in rural South Texas.</div></div><div><h3>Implications and contributions</h3><div>The findings support the continued need to develop tailored sexual education community interventions for youth in rural communities.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100743"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187853","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}