Public Health in Practice最新文献

{"title":"Understanding the link between mental health disorders and professional quality of life among humanitarian workers: A cross-sectional study from the Thai-Myanmar border","authors":"Roshan Kumar Mahato,&nbsp;Naw Lar Paw,&nbsp;Kyaw Min Htike,&nbsp;Rajitra Nawawonganun","doi":"10.1016/j.puhip.2025.100694","DOIUrl":"10.1016/j.puhip.2025.100694","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to explore the relationship between mental health disorders and professional quality of life (ProQOL) among humanitarian aid workers (HAWs) along the Thai-Myanmar border focusing on compassion satisfaction, burnout and secondary traumatic stress (STS).</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data was collected through surveys using validated tools to measure compassion satisfaction, burnout, and secondary traumatic stress. An independent <em>t</em>-test and ANOVA were used to compare groups. Linear regression models were applied to assess the relationships between social support, stress, and job outcomes. Pearson correlation was used to explore the associations between key variables, with significance set at P &lt; 0.05.</div></div><div><h3>Results</h3><div>The mean scores were 34.87 ± 6.55 for compassion satisfaction, 24.68 ± 5.31 for burnout and 25.16 ± 6.19 for STS. Higher stress, depression and PTSD significantly increased burnout and STS. Quality of life (QOL) was positively linked with compassion satisfaction and negatively associated with burnout and STS. Multiple linear regression showed that family support (AMD: 1.524, 95 % CI: 1.14–1.91) and QOL (AMD: 0.088, 95 % CI: 0.04–0.14) predicted higher compassion satisfaction. Burnout was negatively associated with family support (AMD: 0.951, 95 % CI: 1.25 to −0.65) and QOL (AMD: 0.054, 95 % CI: 0.09 to −0.01) however positively linked to stress and PTSD.</div></div><div><h3>Conclusion</h3><div>This study provided the mental health challenges of HAWs, emphasizing protective and risk factors that can inform targeted interventions to enhance their well-being in high-risk settings.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100694"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798972","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":"A mixed methods analysis of the implementation policy and practice gap of national food safety standards in China's grassroots areas (2023–2024) —— Based on the tracking evaluation in Ankang, Shaanxi Province","authors":"CuiFengFeng ,&nbsp;CuiXiang ,&nbsp;Uthumporn Utra ,&nbsp;Abdorreza Mohammadi Nafchi","doi":"10.1016/j.puhip.2026.100737","DOIUrl":"10.1016/j.puhip.2026.100737","url":null,"abstract":"<div><h3>Objective</h3><div>This study focuses on Ankang City, Shaanxi Province, to explore the systemic barriers to implementing national food safety standards (NFSS) in grassroots areas of China. Using a mixed-methods approach, it investigates key gaps in policy implementation, practitioner capabilities, and government resource allocation in these regions. The aim is to propose actionable solutions to enhance compliance and effectiveness of National Food Safety Standards of China (NFSSC) in under-resourced areas.</div></div><div><h3>Study design</h3><div>The survey targets county-level practitioners, enterprises, and government regulatory agencies. Additional methods include standard promotion training, field investigations, expert reviews, and exchange seminars. Data were analyzed through thematic coding and statistical evaluation, focusing on seven NFSSC categories, including the National Food Safety Standard for the Use of Food Additives (GB2760-2024) and the National Food Safety Standard for General Hygiene Practices in Catering Services(GB31654-2021).</div></div><div><h3>Methods</h3><div>This study employs a mixed-methods approach, primarily using cross-sectional surveys conducted from October 2023 to November 2024 (n = 185 valid responses from 238 participants).</div></div><div><h3>Results</h3><div>The main findings indicate that: (1) There is a lack of professional competence among practitioners: 97. 8 % of the workforce holds a bachelor degree or lower, with limited opportunities for professional training; (2) Policy implementation barriers: misunderstandings of standards (such as unclear classification in the Hygienic Specifications for Ready-to-Eat Fresh Cut Fruits and Vegetables (GB31652-2021)) and inconsistent enforcement; (3) Resource constraints: insufficient funding and personnel shortages from government regulators and relevant practitioners, leading to significant gaps between policy and practice during standard implementation. Among the 98 preliminary feedbacks, 42 were valid suggestions, most of which focused on promoting standards and providing technical guidance.</div></div><div><h3>Conclusions</h3><div>This study highlights the implementation barriers between national standards and grassroots governance realities. We propose our solutions: (1) Establish and Improve the Third-Party Tracking Evaluation Service System in Grassroots Areas; (2) Optimize Inter-departmental Collaboration Mechanisms and Enhance Standard-related Publicity, Training, and Professional Competence Assessment at the Grassroots Level; (3) Establish an Expert Team or Management Evaluation Institution for Food Safety Standards; (4) Enhance the Special Fund Guarantee Mechanism for Standard Tracking and Evaluation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100737"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182771","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":"Supporting families and building relationships: Evaluation of a home and sleep safety equipment scheme for impoverished communities","authors":"J. Bates ,&nbsp;O.C. Kokogho ,&nbsp;K.E. Dunstan-Smith ,&nbsp;L. Davison ,&nbsp;H.L. Ball","doi":"10.1016/j.puhip.2026.100733","DOIUrl":"10.1016/j.puhip.2026.100733","url":null,"abstract":"<div><h3>Objectives</h3><div>Sleep safety and home safety resources allow families to care for babies and young children, preventing injuries and child death, adverse outcomes that are strongly linked to poverty and social deprivation. Parenthood involves unexpected costs and greater levels of unmet need for safety resources occur in low-income families. We evaluate a local authority scheme which enabled professionals in County Durham to apply for necessary safety equipment on behalf of eligible families.</div></div><div><h3>Study design</h3><div>A holistic review of the first year of the operation of the Start For Life Fund (SFLF) scheme.</div></div><div><h3>Methods</h3><div>A mixed method approach was used comprising: 1) a descriptive analysis of the application data submitted by professionals; 2) an online survey to capture the views and experiences of staff who had and had not used the scheme; 3) semi structured interviews with staff applicants and recipient families.</div></div><div><h3>Results</h3><div>679 families (988 children) were supported during the first operational year, average cost £407 per family (£280/child). Three-quarters of children (72.3 %) were under three; over a third (35.7 %) were pre-birth to 1-year. Staff from seven services and over 20 job roles made applications for families with financial, relationship, housing, domestic violence, and disability-related needs, most from areas with high deprivation scores. 256 staff across 8 service areas submitted survey responses, 39 % of whom had used the scheme which was viewed extremely positively. Interviews with 13 staff and 7 families evidenced how children, families and practitioners benefitted. Recipients reported reduced stress and anxiety about child safety and increased parental confidence.</div></div><div><h3>Conclusions</h3><div>By providing families with the sleep and home safety equipment they can't afford the SFLF gives parents the opportunity to change behaviours and reduce the risk to babies and children from unintentional injury and death. It helps to improve working relationships between practitioners and families, reduces parental experiences of anxiety, and risk to staff of moral injury. Taking steps to reduce unexpected infant death and child unintentional injury is crucial for families in absolute and relative poverty. Other local authorities could emulate this scheme.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100733"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038115","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":"Correlates and Narratives of COVID-19 vaccine uptake in Ghana: A case study","authors":"Lily Yarney ,&nbsp;John Asamoah-Boateng ,&nbsp;Herman Nuake Kofi Agboh ,&nbsp;Gordon Abekah-Nkrumah ,&nbsp;Joel Yarney ,&nbsp;Robert Mayfield Yawson","doi":"10.1016/j.puhip.2025.100683","DOIUrl":"10.1016/j.puhip.2025.100683","url":null,"abstract":"<div><h3>Objectives</h3><div>The COVID-19 pandemic significantly impacted public health and disrupted socioeconomic activities globally. Although vaccination efforts have intensified, overall community uptake of COVID-19 vaccines remain suboptimal. This study explored the facilitators and barriers of vaccine uptake in the New Juaben South Municipality (NJSM) in Ghana.</div></div><div><h3>Study design</h3><div>The Exploratory Case Study Design was employed for the research.</div></div><div><h3>Methods</h3><div>Using concurrent mixed-method approach, quantitative data were collected from 418 randomly selected respondents from eight communities. The qualitative data consisted of responses from 23 participants. Quantitative data were analyzed with SPSS version 28, descriptive statistics, regression analysis, and p-values were used to interpret the findings, whilst participant interviews were recorded, transcribed, and analyzed thematically.</div></div><div><h3>Results</h3><div>The level of COVID-19 vaccine uptake was 53.1 %. Various factors significantly influenced uptake, including age (p = 0.053), occupational category (p = 0.001), education (p = 0.003), income (p = 0.001), awareness of effectiveness of vaccines (p = 0.002), awareness of ongoing vaccination (p = 0.011), infection with coronavirus (p = 0.005), close family member infected with coronavirus (p = 0.039), death of someone due to COVID-19 (p = 0.022) and overall perception towards COVID-19 disease and vaccine (p = 0.001). Additionally, respondents above 47 years of age [AOR = 4.99, CI= (1.32–18.91), p = 0.018)], health workers [AOR = 2.65, CI = (1.03–6.18), p = 0.043)], those with basic education [AOR = 0.50, CI = (0.27–0.92), p = 0.025)], and good perception towards COVID-19 disease and vaccination [AOR = 2.30, CI = (1.37–3.85), p = 0.002)], all had higher odds of COVID-19 vaccine uptake. However, deeply rooted religious and cultural beliefs were major barriers to vaccination uptake.</div></div><div><h3>Conclusion</h3><div>Community-based health communication strategies are essential to counter vaccine misconceptions during pandemics and foster enduring behavioural change.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100683"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799015","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":"Moving from theory to practice: Rethinking socio-economic health inequalities beyond social justice framing","authors":"Ulfah ,&nbsp;Kadek Suhardita ,&nbsp;I Wayan Widana ,&nbsp;Rikas Saputra ,&nbsp;Agung Slamet Kusmanto ,&nbsp;Erfan Ramadhani ,&nbsp;Arizona","doi":"10.1016/j.puhip.2026.100741","DOIUrl":"10.1016/j.puhip.2026.100741","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100741"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188609","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":"Antibiotic knowledge among ethnic minority groups in high-income countries: A mixed–methods systematic review","authors":"Luisa Silva ,&nbsp;Mayuri Gogoi ,&nbsp;Zainab Lal ,&nbsp;Paul Bird ,&nbsp;Nisha George ,&nbsp;Daniel Pan ,&nbsp;Rebecca F. Baggaley ,&nbsp;Pip Divall ,&nbsp;Holly Reilly ,&nbsp;Laura Nellums ,&nbsp;Manish Pareek","doi":"10.1016/j.puhip.2025.100715","DOIUrl":"10.1016/j.puhip.2025.100715","url":null,"abstract":"<div><h3>Objectives</h3><div>Antimicrobial resistance (AMR) is a major global public health concern. Although low-income countries are disproportionately affected by AMR, certain underserved groups in high-income countries (HICs), such as migrants and ethnic minorities, disproportionately bear the burden of AMR. This may be driven by socio-cultural factors including differences in health literacy. This review aimed to investigate the level of antibiotic knowledge amongst different ethnic minority groups in HICs.</div></div><div><h3>Study design</h3><div>This was a mixed-methods systematic literature review.</div></div><div><h3>Methods</h3><div>We searched four databases (MEDLINE, EMBASE, the Cochrane library, CINAHL) to May 5, 2023, for primary studies on knowledge of antibiotics in different ethnic groups in HICs. We included studies in English using qualitative, quantitative and/or mixed-methods approaches and reporting on antibiotic knowledge by ethnicity. We used the convergent integrated approach for data synthesis and the Mixed-Methods Appraisal tool for quality assessment.</div></div><div><h3>Results</h3><div>3935 articles were screened and 24 studies (17 quantitative, 5 qualitative, and 2 mixed-methods) were included, comprising 52778 participants from 8 countries (USA, UK, Australia, New Zealand, Netherlands, Greece, Sweden, Germany). Overall, participants from ethnic minority groups were able to identify common names of antibiotics and were aware of risks of antibiotics and side effects. However, participants thought antibiotics would treat viral-type illnesses. Ethnic minority groups generally had lower levels of knowledge compared to ethnic majority groups.</div></div><div><h3>Conclusions</h3><div>Although ethnic minority communities possessed good levels of knowledge on certain aspects of antibiotics (e.g. being able to identify names of antibiotics), there were gaps in other areas (e.g. misperception that antibiotics are used for viral infections). The lower level of knowledge in ethnic minority groups compared to majority groups may be a contributing factor to health inequalities, which calls for co-designed, culturally competent, educational interventions.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100715"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939308","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":"A comprehensive outside-of-school intervention to promote school attendance and achievement during the COVID-19 pandemic","authors":"Emily M. D'Agostino ,&nbsp;Raha Manyara ,&nbsp;Tyler Erickson ,&nbsp;Angel Chen ,&nbsp;Ashley Peters ,&nbsp;Ashley Blakemore ,&nbsp;Elena Maina ,&nbsp;Cynthia Vargas ,&nbsp;Kanecia O. Zimmerman","doi":"10.1016/j.puhip.2025.100719","DOIUrl":"10.1016/j.puhip.2025.100719","url":null,"abstract":"<div><h3>Objectives</h3><div>School absenteeism predicts poor academic achievement and long-term health inequities. Chronic absenteeism increased dramatically during the COVID-19 pandemic, and both student attendance and achievement disparities widened. This study examined the association between participation in an intensive outside-of-school intervention, Student U, and school absenteeism, as well as changes in attendee academic performance during the pandemic.</div></div><div><h3>Study design</h3><div>Observational cohort study.</div></div><div><h3>Methods</h3><div>A simple linear regression model was performed testing the association between Student U attendance and schools absences. Paired t-tests and a global test for overall improvement using generalized estimating equations were performed to examine changes in pre- and post-test academic performance.</div></div><div><h3>Results</h3><div>The sample included 65 students (Hispanic/Latino, 56.9 %; Non-Hispanic Black/African American, 33.8 %; 80.0 % first-generation college-bound). For every day a 7th-grade student attended Student U, school absences decreased by 0.14 days (p = 0.02). Mean differences in overall improvement for 7th- and 10th-grade student test scores were 23.65 (95 % CI: 19.91, 27.39; p &lt; 0.001) and 22.12 (95 % CI: 15.67, 28.58; p &lt; 0.001), respectively.</div></div><div><h3>Conclusions</h3><div>We demonstrated the association between participation in Student U and lower school absenteeism, as well as improved academic performance across multiple subjects for underserved youth. Findings reinforce the potential for comprehensive and intensive outside-of-school programs to support underserved youth and mitigate inequities following pandemics and other public health emergencies.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100719"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939309","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":"Enhancing antimicrobial stewardship and health literacy in Europe – moving forward through education and empowerment","authors":"Gabor Kertes ,&nbsp;Andrew Robertson ,&nbsp;Lisa Ackerley ,&nbsp;Maria Brink Liljeberg ,&nbsp;Christina Swedmark ,&nbsp;Adrian Shephard ,&nbsp;Thomas Bosch ,&nbsp;Anders Miki Bojesen ,&nbsp;Jessica Carreño Louro ,&nbsp;Michele Calabró ,&nbsp;Dorota Sienkiewicz ,&nbsp;Pikka Jokelainen ,&nbsp;Marianne Bengtsson ,&nbsp;Lisbeth Thyregod ,&nbsp;Nina Sønderberg ,&nbsp;Charan Nelander ,&nbsp;Lars Münter","doi":"10.1016/j.puhip.2025.100711","DOIUrl":"10.1016/j.puhip.2025.100711","url":null,"abstract":"<div><div>Antimicrobial resistance (AMR) is a silent, growing pandemic of global proportions and impact. This commentary encourages relevant stakeholders to increase their joint commitment to collaboration and systemic action, dedicated antibiotic stewardship and health literacy including a stronger, evidence-based self-care to contribute to solving the AMR challenge. Key factors such as the removal of inadequate access to antibiotics, e.g. over-the-counter (OTC) sale of antibiotics, improving self-care and hygiene can help fight the increasing burden of AMR. Along with the increase in health care literacy, these measures can be implemented swiftly to combat the growing rate of AMR development.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100711"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939398","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":"“Reevaluating social networking dependency: Academic achievement beyond quantitative indicators”","authors":"Kadek Suhardita ,&nbsp;I Wayan Widana ,&nbsp;Rikas Saputra ,&nbsp;Erfan Ramadhani ,&nbsp;Putu Ari Dharmayanti ,&nbsp;Sri Datuti ,&nbsp;Rizky Ananda Pohan ,&nbsp;Ulfah ,&nbsp;I Dewa Ayu Eka Purba Dharma ,&nbsp;Laily Tiarani Soejanto ,&nbsp;Arizona","doi":"10.1016/j.puhip.2026.100735","DOIUrl":"10.1016/j.puhip.2026.100735","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100735"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077995","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":"Facilitators and challenges to access fresh fruits and vegetables in a low to middle income group in Bangladesh: Consumers’ perception","authors":"Fariza Fieroze ,&nbsp;Md Badruddin Saify ,&nbsp;Ummey Farwah ,&nbsp;Rumana Huque","doi":"10.1016/j.puhip.2026.100740","DOIUrl":"10.1016/j.puhip.2026.100740","url":null,"abstract":"<div><h3>Objective</h3><div>To explore challenges and barriers faced by vulnerable women and men in accessing fresh foods, and how they overcome existing barriers to healthier dietary improvements in households and communities.</div></div><div><h3>Study design</h3><div>This study employed an explorative qualitative research design.</div></div><div><h3>Methods</h3><div>Using purposive sampling through a local primary healthcare facility, 16 in-depth interviews (8 male, 8 female household heads) and 2 focus group discussions (8 participants each, gender-segregated) were conducted with vulnerable slum populations in Mirpur, Dhaka, Bangladesh, between September 2020 and August 2021. Participants were low-to-middle income household heads responsible for grocery shopping and menu decisions. Data were collected in the local language-Bangla, audio-recorded, transcribed verbatim, and analyzed using thematic framework analysis.</div></div><div><h3>Results</h3><div>Key findings identified price fluctuations as a major factor impacting purchase quantity and consumption. Participants knowingly purchased stale items due to necessity, while personal food preferences often dominated healthy food choices. Limited accessibility to wholesale markets forced dependence on mobile vendors and small shops regardless of product freshness. Furthermore, product availability fluctuated with natural calamities, the pandemic, and seasonal effects, alongside intentional crises created by market intermediaries. Conversely, knowledge of healthy foods helped determine optimal family menus.</div></div><div><h3>Conclusions</h3><div>Given the rising non-communicable disease burden in Bangladesh's urban areas, swift accessibility to fresh fruits and vegetables is vital for increasing healthy dietary intake among low-to-middle income populations.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100740"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187854","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}