Public Health in Practice最新文献

{"title":"Global prevalence of musculoskeletal symptoms among restaurant workers: A systematic review and meta-analysis","authors":"Faezeh Makki ,&nbsp;Javad Koroujde ,&nbsp;Anahita Hejazi ,&nbsp;Ali Sahebi ,&nbsp;Mohammad Aref Rajaee ,&nbsp;Somayeh Tahernejad","doi":"10.1016/j.puhip.2026.100750","DOIUrl":"10.1016/j.puhip.2026.100750","url":null,"abstract":"<div><h3>Objectives</h3><div>To gain a comprehensive understanding of the prevalence of MSSs among restaurant workers, a systematic review and meta-analysis was conducted. The primary objective was to determine the magnitude of this issue and to provide valuable insights for the development and implementation of effective prevention and intervention strategies.</div></div><div><h3>Study design</h3><div>systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and meta-analyses. Relevant studies were identified through a comprehensive search of multiple databases, including PubMed, Scopus, Web of Science, and Google Scholar. A random-effects model was employed for the meta-analysis, and heterogeneity among studies was assessed using the I² statistic. Data analysis was conducted using STATA statistical software (version 14).</div></div><div><h3>Results</h3><div>Following the completing the stages of screening, selection, and evaluation of the quality of the studies, 17 studies were included in the meta-analysis. The results of the meta-analysis showed that The pooled prevalence of MSSs among restaurant workers was 67.01% (95% CI: 57.90-76.12, I2 = 98.2%, P &lt; 0.001). The highest and lowest prevalence rates are related to the low back with a rate of 50.78% (95% CI: 39.45-62.11, I2 = 98.4%, P &lt; 0.001) and hip/thigh with a rate of 19.05% (95% CI: 10.24-27.87, I2 = 98.2%, P &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The relatively high occurrence of MSSs within the restaurant industry necessitates the implementation of preventive measures, including ergonomic interventions, to mitigate their adverse effects.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100750"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188514","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":"Quality of life among tuberculosis patients in Lalitpur, Nepal: A cross-sectional study","authors":"Rewati Raj Karki ,&nbsp;Bhawani Katwal ,&nbsp;Nirmal Sapkota ,&nbsp;Amanuel Yosef ,&nbsp;Nirmal Gautam","doi":"10.1016/j.puhip.2025.100712","DOIUrl":"10.1016/j.puhip.2025.100712","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the Health-related Quality of Life (HRQoL) among Tuberculosis (TB) patients and investigate the association between HRQoL and its associated factors to inform patient-centred care.</div></div><div><h3>Study design</h3><div>Cross-Sectional study.</div></div><div><h3>Methods</h3><div>A structured questionnaire was employed to TB patients attending 23 Direct Observation Treatment System (DOTS) centres in the Lalitpur district. HRQoL was measured using the WHOQOL tool, and multivariate logistic regression was used to identify the factors associated with poor HRQoL.</div></div><div><h3>Results</h3><div>The findings of this study revealed that chronic disease was significantly associated with poor psychological (adjOR = 0.07, 95 % CI: 0.03–0.14) and physical functioning scores (adjOR = 0.45, 95 % CI: 0.23–0.89). Being married enhanced physical functioning (adjOR = 2.12, 95 % CI: 1.19–3.79), while lower education levels negatively affected physical functioning (adjOR = 0.78, 95 % CI: 0.31–0.82).</div></div><div><h3>Conclusions</h3><div>Chronic comorbidities, MDR-TB, and socioeconomic disadvantage were key determinants of poor HRQoL among TB patients. Interventions addressing both clinical and sociodemographic factors such as integrated care for chronic disease, psychosocial support, and targeted social assistance may help improve quality of life and reduce disparities among patients with tuberculosis.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100712"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798987","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":"Prevalence of suicidal ideation, suicide plan, and suicide attempt among firefighters: A systematic review and meta-analysis","authors":"Azadeh Tahernejad ,&nbsp;Sina Ghaffari ,&nbsp;Somayeh Tahernejad ,&nbsp;Faezeh Makki ,&nbsp;Ulrich Wesemann ,&nbsp;Ali Sahebi","doi":"10.1016/j.puhip.2025.100709","DOIUrl":"10.1016/j.puhip.2025.100709","url":null,"abstract":"<div><h3>Objectives</h3><div>The profession of firefighting is one of the most dangerous and stressful occupations, and firefighters are at greater risk of suicide due to the experience of unfortunate incidents. This systematic review and meta-analysis study aimed to investigate the overall prevalence of suicide ideation, plan, and attempt among firefighters.</div></div><div><h3>Study design</h3><div>The present study is a systematic review and Meta-Analysis.</div></div><div><h3>Methods</h3><div>The study followed PRISMA guidelines. The protocol of this study was registered in PROSPERO with the code CRD42023469261. Data sources including PubMed, Scopus, Web of Science, and Google Scholar were used to identify and extract related studies. Searches were conducted without a time limit until the end of July 2023. The random effects model was used for meta-analysis, and the I² index was used to check heterogeneity between studies. Data were analyzed using STATA software (version 14).</div></div><div><h3>Results</h3><div>In this study, 2003 primary articles were identified from the information sources. After the screening, study selection, and quality assessment, 21 articles entered the meta-analysis stage, and 86,989 firefighters were examined. Based on the results of the meta-analysis, the overall prevalence of suicide plan, attempt, and ideation among firefighters was reported as 17.91 % (95 % CI = 7.72.-28.10, I² = 99.5 %, p &lt; 0.001), 24.01 % (95 % CI = 14.92–33.09, I² = 99.9 %, p &lt; 0.001), and 28.29 % (95 % CI = 24.35–32.22, I² = 99.7 %, p &lt; 0.001), respectively. The I² index obtained in all three cases showed very high heterogeneity between the investigated studies.</div></div><div><h3>Conclusion</h3><div>The results of this study showed that firefighters are at relatively high risk of suicide plans, attempts, and ideation. Therefore, it is vital to take necessary measures to prevent suicide among them. It is suggested that firefighters be periodically screened for mental disorders and receive essential training in the field of stress management and increasing psychological resilience.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100709"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798989","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":"Evaluating infant multimorbidity in Ethiopia through the international classification of functioning, disability, and health framework: Results from the performance monitoring for action survey","authors":"E.A. Derso ,&nbsp;S. Fumagalli ,&nbsp;M.G. Valsecchi ,&nbsp;A. Nespoli ,&nbsp;P. Rebora","doi":"10.1016/j.puhip.2025.100697","DOIUrl":"10.1016/j.puhip.2025.100697","url":null,"abstract":"<div><h3>Objective</h3><div>Infant multimorbidity—defined as the co-occurrence of multiple symptoms or conditions—can negatively influence early development and population well-being. This study aimed to apply the International Classification of Functioning, Disability, and Health (ICF) framework to classify infant morbidity and examine its association with social and health-related risk factors.</div></div><div><h3>Study design</h3><div>Cross-sectional analysis of population-based survey data.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2019 Performance Monitoring for Action Ethiopia (PMA-ET) community survey. Using multistage stratified cluster sampling, women aged 15–49 were screened, and those pregnant or postpartum within six weeks were eligible. Mothers reported infant illnesses in the preceding two weeks, which were then classified using the ICF framework. Multivariable weighted logistic regression was conducted to assess associations with selected risk factors.</div></div><div><h3>Results</h3><div>Among 2514 infants, 24.7 % experienced morbidity in the cardiovascular, hematological, immunological, or respiratory domains (ICF code b4); 14.0 % in digestive, metabolic, or endocrine systems (b5); 4.5 % in skin and related structures (b8); 2.5 % in sensory functions and pain (b2); and 1.5 % in mental function (b1). Significant risk factors for b4 morbidity included poor sanitation (adjusted OR = 0.68; 95 % CI: 0.47–0.99), lack of cooking facilities (adjusted OR = 0.72; 95 % CI: 0.52–0.99), and a partner's disapproval of family planning (adjusted OR = 1.40; 95 % CI: 1.05–1.87). For b5 morbidity, lower maternal education and partner disapproval or indifference toward family planning were significant predictors.</div></div><div><h3>Conclusions</h3><div>Addressing household-level determinants and empowering women through education and reproductive autonomy may reduce infant morbidity and support early childhood health.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100697"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799014","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":"Cultivating connection between community, agriculture, food, and green space: A narrative review of agrihoods and their impact on health and wellbeing","authors":"Emma C. Lewis ,&nbsp;M. Renée Umstattd Meyer ,&nbsp;Kathryn M. Janda-Thomte ,&nbsp;Jay E. Maddock ,&nbsp;Marco A. Palma ,&nbsp;Andrew C. McNeely ,&nbsp;Yetunde O. Olawuyi ,&nbsp;Rebecca A. Seguin-Fowler","doi":"10.1016/j.puhip.2025.100695","DOIUrl":"10.1016/j.puhip.2025.100695","url":null,"abstract":"<div><h3>Background</h3><div>Throughout rural and urban communities in the United States, as well as in many places globally, chronic disease rates are high and increasing. Previous evidence suggests that residential environments and their designs play a role in shaping health behaviors and outcomes. Combining land use development with urban agricultural practices to create agriculturally-integrated neighborhoods (‘agrihoods’) has potential for improving the built, natural, and food environments while building community. However, the research on agrihoods is limited, and no structured reviews to date have synthesized the literature pertaining to agrihood impacts on community health. We begin filling this gap by providing a narrative review of the published and grey literature exploring opportunities and challenges of agrihoods for improving health, with an emphasis on integration of community engagement.</div></div><div><h3>Study design</h3><div>This narrative review followed Green and Colleagues’ (2001) “best-evidence synthesis” approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.</div></div><div><h3>Methods</h3><div>A robust search strategy was applied across the PubMed, Embase, Scopus, Science Direct, ProQuest, and Google Scholar databases. All searches and screenings were conducted manually using the primary key term “agrihood/s” and several secondary terms. Eligible peer-reviewed journal articles, reports, and academic theses published until November 2024 were included.</div></div><div><h3>Results</h3><div>We extracted and analyzed 29 sources and organized our findings into four key themes: (1) Opportunities for improved health and wellbeing; (2) Challenges to promoting equal and equitable health; (3) Community-engagement for helping to meet health-related needs; and (4) Recommendations to enhance future development. Within these, fifteen sub-themes are identified and discussed in further detail.</div></div><div><h3>Conclusions</h3><div>This synthesis adds to the scientific knowledge base and can help inform future agrihood initiatives led by researchers, organizations, and developers. We anticipate that the literature on agrihoods will continue to expand as more research is conducted, warranting a future scoping or systematic review.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100695"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799012","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":"Feasibility and acceptability of an adapted WHO alcohol brief intervention: Pilot of a three-armed randomized trial in Sri Lanka","authors":"Dewasmika Ariyasinghe ,&nbsp;Sally Carter ,&nbsp;Cathy Banwell ,&nbsp;Buddhima Lokuge ,&nbsp;Thilini Rajapakse ,&nbsp;Grace Joshy ,&nbsp;Kamalini Lokuge","doi":"10.1016/j.puhip.2025.100704","DOIUrl":"10.1016/j.puhip.2025.100704","url":null,"abstract":"<div><h3>Background</h3><div>Risky drinking (RD) is a major health hazard in Sri Lanka. Alcohol brief intervention (BI) has been proven effective in minimizing RD but has not been utilised in Sri Lanka. We therefore aimed to adapt the WHO alcohol BI and targeted educational material to Sri Lanka, assess their feasibility and acceptability and evaluate appropriateness of methodology and measures for a future RCT.</div></div><div><h3>Study design</h3><div>A three-arm parallel-group pilot RCT.</div></div><div><h3>Methods</h3><div>The BI was adapted based on expert feedback. The study included male inpatients (with AUDIT-C screening score ≥5) of a tertiary hospital. The three study arms were: adapted brief intervention (ABI), education about unit of alcohol (UOA), and feedback on screening results (FOA). Trained research assistants (RAs) screened and implemented the interventions. We report on follow-up rates (feasibility), participant and RA feedback (acceptability), recruitment efficiency and data quality (methodological appropriateness), and appropriateness of outcome measures.</div></div><div><h3>Results</h3><div>The ABI included a structured training manual for implementers, an alcohol information leaflet, and a personal information sheet. Patient follow-up rates were 69 %, 40 % and 71 % for FOA, UOA and ABI arms respectively. Family member recruitment was 31 %. Patient and RA feedback for ABI was overwhelmingly positive. Many patients were abstinent at baseline (37.5 %) and follow-up (75.9 %), mainly due to health concerns. FMQ revealed high ‘total family burden’. Patients struggled with TLFB recall. High childhood adversity prevalence (95.7 %) and low alcohol knowledge were observed.</div></div><div><h3>Conclusions</h3><div>The ABI demonstrated high acceptability among patients and RAs. All three interventions could be trialled in a future RCT. All measures except TLFB proved appropriate. Our innovative approach of evaluating outcomes from family members' perspectives proved feasible and valuable. The inpatient setting was not appropriate, rather a setting where patients continue their day-to-day activities, including usual drinking, should be considered in a future RCT.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100704"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145841110","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":"Parental socioeconomic status and other sociodemographic determinants of health disparities among children and adolescents in Austria","authors":"Maximiliane Dozler ,&nbsp;Michael Berger ,&nbsp;Susanne Mayer","doi":"10.1016/j.puhip.2026.100732","DOIUrl":"10.1016/j.puhip.2026.100732","url":null,"abstract":"<div><h3>Objectives</h3><div>Poor childhood health is a key predictor of adverse health and socioeconomic outcomes, emphasizing the need to address early-life disparities. This study aims to examine parental socioeconomic and sociodemographic factors associated with child and adolescent health in Austria, addressing the gap in European research on this topic.</div></div><div><h3>Study design</h3><div>This a retrospective analysis based on representative data from the 2019 Austrian Health Interview Survey including 5605 participants under the age of 18.</div></div><div><h3>Methods</h3><div>Logistic regression analyses were conducted to examine parent-reported health status (PRHS) and the presence of chronic conditions, assessed with the Children with Special Healthcare Needs Screener. Explanatory variables included parental education, income, employment status, migration background, and family structure, controlling for age, gender, and siblings.</div></div><div><h3>Results</h3><div>PRHS was rated as excellent in 80.92 % of cases, while 19.08 % reported fair to very poor health. Special healthcare needs were present in 8.35 %. Higher income (OR: 1.39, 95 % CI 1.14–1.69), marital partnership (OR: 1.43, 95 % CI 1.09–1.89), and the absence of a migration background (OR: 1.22, 95 % CI 1.02–1.46) were positively associated with PRHS. For special healthcare needs, only migration background showed a significant association, with the absence of a migration background being linked to a higher chronic disease risk (OR: 1.32, 95 % CI 1.01–1.73).</div></div><div><h3>Conclusions</h3><div>PRHS in Austria is shaped by socioeconomic and sociodemographic factors, while special healthcare needs are primarily linked to parental migration background, possibly reflecting underdiagnosis due to access barriers. Our findings suggest that policy measures should address income inequalities and enhance culturally sensitive healthcare access.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100732"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977383","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":"Determinants of caregivers' acceptance of the malaria vaccine: The case of Bamenda and Bamenda III Health Districts in Cameroon","authors":"Loveline Nzenria Aboki ,&nbsp;Nfor Omarine Nlinwe ,&nbsp;Calvin Bisong Ebai ,&nbsp;Loveline Lum Niba ,&nbsp;Mary Bi Suh Atanga","doi":"10.1016/j.puhip.2026.100724","DOIUrl":"10.1016/j.puhip.2026.100724","url":null,"abstract":"<div><h3>Objectives</h3><div>Malaria continues to be a major health burden in sub-Saharan Africa, prompting the introduction of malaria vaccines such as RTS,S/AS01 (Mosquirix™) and R21/Matrix-M to reduce disease incidence. Understanding caregivers’ acceptance is critical for successful vaccine deployment. This study assessed factors influencing malaria vaccine acceptance among caregivers in Bamenda and Bamenda III Health Districts of Cameroon.</div></div><div><h3>Study design</h3><div>This was a cross-sectional survey conducted among 1000 caregivers of children aged five years and below, using a structured questionnaire.</div></div><div><h3>Methods</h3><div>Data on socio-demographics, perceptions, sources of information, and vaccine acceptance were collected. Associations between variables and vaccine acceptance were analyzed using Chi-square tests, with significant factors further explored through post-hoc analysis and odds ratios.</div></div><div><h3>Results</h3><div>Overall, 89.6 % of caregivers indicated their willingness to vaccinate their children. Significant factors associated with vaccine acceptability included source of information (community health events vs. social media, p = 0.037; OR = 1.663, 95 % CI: 1.032–2.68), individual perception (very rejecting vs. very accepting, p = 0.000; OR = 0.098, 95 % CI: 0.05–0 0.193), Sex (male vs. female, p = 0.028; OR = 0.704, 95 % CI: 0.515–0 0.963), religion (other religion vs. Christian, p = 0.001; OR = 0.386, 95 % CI: 0.224–0.663), occupation (NGO employed vs. self-employed, p = 0.045; OR = 2.92, 95 % CI: 1.024–8.327).</div></div><div><h3>Conclusions</h3><div>Most caregivers demonstrated high acceptance of the malaria vaccine, influenced by positive perceptions and trust in healthcare sources. However, misinformation and limited awareness remain barriers. To improve vaccine uptake, targeted health communication strategies should focus on enhancing information accuracy, engaging trusted health professionals, and leveraging mobile health tools. Strengthening community engagement and addressing misconceptions are essential to achieving higher vaccine coverage and advancing malaria control efforts, especially in the Bamenda and Bamenda III Health Districts.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100724"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977381","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":"General self-efficacy in East and West Germany: A comparison of two German representative cohorts in 2014 and 2022","authors":"Anna C. Reinwarth ,&nbsp;Julia Petersen ,&nbsp;Manfred E. Beutel ,&nbsp;Kerstin Weidner ,&nbsp;Vera Clemens ,&nbsp;Elmar Brähler","doi":"10.1016/j.puhip.2025.100718","DOIUrl":"10.1016/j.puhip.2025.100718","url":null,"abstract":"<div><h3>Objectives</h3><div>Empirical evidence increasingly highlights the importance of general self-efficacy (GEF) in preventing disease and promoting quality of life. While it is already known that GEF varies with socio-demographic factors, health variables and personality traits, little is known about the influence of socio-political context. The objective of the study was to examine and compare GEF between 2014 and 2022 in East and West Germany and to test differences regarding sex.</div></div><div><h3>Study design</h3><div>In 2014 (N = 2506) and 2022 (N = 2508), two large representative cohorts from the German general population were surveyed about their GEF using the General Self-Efficacy Short Scale (ASKU).</div></div><div><h3>Methods</h3><div>A three-way ANCOVA were calculated to test the effect of region of residence, survey date, and sex controlling for age on GEF in a combined sample (N = 5014).</div></div><div><h3>Results</h3><div>There was a significant decrease in GEF between 2014 and 2022. Women reported lower GEF than men. A statistically significant interaction was found between survey date and sex and between survey date, region of residence and sex on GEF. Almost the same patterns were observed for the ability to solve difficult and complex tasks well, with the exception, that men in East Germany reported an increase in the ability to solve difficult and complex tasks well from 2014 to 2022. The ability to solve most problems independently and to solve challenging and complex tasks well was mainly influenced by education and household income, rather than by the date of the survey, the region of residence or sex.</div></div><div><h3>Conclusion</h3><div>Although regional differences in GEF were minimal, more pronounced variations emerged across sex and socioeconomic groups. These patterns likely stem from historical socio-political legacies and structural inequalities, potentially amplified by the impact of COVID-19 restrictions.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100718"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939303","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":"Connecticut's substance use primary prevention resource assessment and interactive map initiative","authors":"Shayna D. Cunningham,&nbsp;Jennifer Sussman,&nbsp;Sydney Tabor,&nbsp;Alison Wiser,&nbsp;Megan A. O'Grady","doi":"10.1016/j.puhip.2025.100721","DOIUrl":"10.1016/j.puhip.2025.100721","url":null,"abstract":"<div><h3>Objectives</h3><div>Connecticut consistently reports higher rates of alcohol and cannabis use than national averages. To inform equitable and data-driven prevention planning, this study assessed statewide substance use primary prevention resources and developed an interactive map to visualize and optimize prevention capacity across the state.</div></div><div><h3>Study design</h3><div>Descriptive cross-sectional study.</div></div><div><h3>Methods</h3><div>Surveys of Regional Behavioral Health Action Organizations (RBHAOs) and Local Prevention Councils (LPCs) assessed prevention strategies, funding sources, target populations, and implementation settings. Data were supplemented with web searches of public prevention resources and analyzed descriptively to identify geographic and community-type disparities. Findings informed the design of an interactive ArcGIS map to support planning and resource allocation.</div></div><div><h3>Results</h3><div>Data were collected from all five RBHAOs and 81 % of LPCs, representing 78 % of Connecticut towns. Most towns (92 %) received LPC prevention funding, and 77 % reported at least one additional funding source. The most common prevention strategies were information dissemination (85 %), education (80 %), and social marketing (64 %), primarily implemented in community and school settings. Rural and eastern regions reported fewer prevention resources and lower participation rates.</div></div><div><h3>Conclusions</h3><div>Connecticut's prevention infrastructure employs a comprehensive, multi-strategy approach but shows regional disparities in funding and strategy implementation. The interactive prevention map provides an actionable and adaptable framework for other jurisdictions to assess, visualize, and strengthen substance use prevention systems using standardized, data-driven approaches. Because many existing efforts rely heavily on educational and informational strategies, which alone have limited capacity to produce sustained, population-level change, expanding systems-level and environmental prevention strategies is important for long-term impact and equity.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100721"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939304","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}