Public Health in Practice最新文献

{"title":"A social justice lens on health inequalities: Implications and further considerations","authors":"Kadek Suhardita , I Wayan Widana , Rikas Saputra , Erfan Ramadhani , Putu Ari Dharmayanti , Sri Datuti , Rr Dwi Umi Badriyah , Rizky Ananda Pohan , Ulfah , I Dewa Ayu Eka Purba Dharma , Laily Tiarani Soejanto , Arizona","doi":"10.1016/j.puhip.2026.100734","DOIUrl":"10.1016/j.puhip.2026.100734","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100734"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978170","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":"Insights into cardiovascular health: Knowledge, attitudes, and practices in the Kurdistan region of Iraq","authors":"Ahmed A. Mosa ,&nbsp;Avan Saadi Saleh ,&nbsp;Osama Abdullah M. Taher ,&nbsp;Yousif Hameed Ramadhan ,&nbsp;Kani Fareeq Farooq ,&nbsp;Hajar Hassan Abdulqadir ,&nbsp;Jodi Ramadhan Haji ,&nbsp;Rojeen Chalabi Khalid ,&nbsp;Abdulrahman Ardalan Mahdi ,&nbsp;Rojeen Abdullah Hasso ,&nbsp;Zainab Muhsin Hussein ,&nbsp;Banaz Ameen Mosa ,&nbsp;Ogen Ashur Yohanna ,&nbsp;Arblina Adeeb Yousif ,&nbsp;Ava Anwar M. Maasum ,&nbsp;Salmas S. Ahmed ,&nbsp;Ibrahim A. Naqid ,&nbsp;Ameen M. Mohammad","doi":"10.1016/j.puhip.2025.100686","DOIUrl":"10.1016/j.puhip.2025.100686","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to explores the knowledge, attitudes, and practices related to cardiovascular diseases (CVDs) risk factors among the Iraqi Kurdistan population to identify gaps and guide public health strategies for better cardiovascular health outcomes.</div></div><div><h3>Study design</h3><div>A population-based study.</div></div><div><h3>Methods</h3><div>This population-based study was conducted in Duhok Province and the Zakho Independent Administration within the Kurdistan Region of Iraq from April 20, 2024, to June 15, 2024. A total of 784 participants were enrolled in the study. Data collection was carried out through face-to-face interviews in various public settings using a questionnaire comprising 26 items divided into four sections: sociodemographic characteristics, knowledge, attitudes, and practices.</div></div><div><h3>Results</h3><div>The mean age of the study participants was 32.48 ± 13.63 years. Females made up (54 %) of the sample, and more than half had university or postgraduate education. While a majority recognized smoking (92.1 %), hypertension (81.5 %), and high cholesterol (86.2 %) as significant CVD risk factors, (31.7 %) were unaware that diabetes increases CVD risk. Despite high awareness, only (29.7 %) regularly exercised, and (34.6 %) consumed fast food regularly. The mean KAP score was 20.66 ± 2.63 out of 25, which manifests that participant had good KAP scores toward cardiovascular disease risk factors. The KAP scores were significantly higher among females, married individuals, healthcare workers, non-smokers, those with a family history of CVD, and individuals who obtained their knowledge from physicians.</div></div><div><h3>Conclusions</h3><div>This study reveals a gap between knowledge and practice regarding CVD risk factors in the Kurdistan Region. Awareness is high, but many, especially younger adults and those with lower education, fail to adopt healthy practices. The findings highlight the need for targeted interventions to promote behavioral changes.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100686"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798970","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":"Universal decolonization for methicillin-resistant Staphylococcus aureus and carbapenem-resistant Acinetobacter in elderly homes: A large cohort of over 16,000 residents in Hong Kong","authors":"Edmond Siu-Keung Ma ,&nbsp;Shuk-Ching Wong ,&nbsp;Vincent Chi-Chung Cheng ,&nbsp;David Christopher Lung ,&nbsp;Suet-Yi Lee ,&nbsp;Kristine Luk ,&nbsp;Raymond Wai-Man Lai ,&nbsp;Vivien Wai-Man Chuang ,&nbsp;Enoch Hsu ,&nbsp;Vincent Chow ,&nbsp;Andrea Liu ,&nbsp;Hong Chen ,&nbsp;Edwin Lok-Kin Tsui ,&nbsp;Kwok-Yung Yuen","doi":"10.1016/j.puhip.2025.100706","DOIUrl":"10.1016/j.puhip.2025.100706","url":null,"abstract":"<div><h3>Background</h3><div>We conducted a decolonization program for methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) and carbapenem-resistant <em>Acinetobacter</em> (CRA) among residential care homes for the elderly (RCHE) residents by providing universal decolonization using nasal povidone-iodine and chlorhexidine baths at the RCHEs and during hospitalization.</div></div><div><h3>Objectives</h3><div>1. To investigate the effectiveness of decolonization of MRSA and CRA in elderly homes. 2. To assess the incidence of MRSA and CRA infections bacteremia, associated morbidity and mortality in elderly homes. 3. To investigate MRSA infection reduction and risk ratio amongst the elderly residents.</div></div><div><h3>Study design</h3><div>This quality improvement program adopted a quasi-experimental design.</div></div><div><h3>Methods</h3><div>A total of 20,741 RCHE residents were instructed to apply 10 % povidone-iodine nasal ointment once daily, Monday to Friday, every alternate week, while 2 % chlorhexidine gluconate solution was used for bathing on alternate days. Group 1 included RCHE residents who underwent decolonization at the RCHEs and during hospitalization, whereas Group 2 received decolonization at the RCHEs only. The residents who stayed in the RCHEs other than the 330 invited residents RCHEs were considered the control group when they admitted to their network hospitals. We compared the incidence of any MRSA and CRA infections, bacteremia, and associated death in 2023 with the rates during the baseline period from 2017 to 2019, using Poisson exact test.</div></div><div><h3>Results</h3><div>A total of 257/330 (77.9 %) RCHEs continued the program, involving 16,190 residents. The mean utilization of povidone-iodine ranged from 79.4 % to 96.2 %, whereas chlorhexidine utilization ranged from 79.9 % to 97.2 %. MRSA infection was reduced in Group 1 with a risk ratio of 0.878 (95 %CI: 0.776–0.992, p = 0.035) compared with that at baseline. For bacteremia, larger reductions were noted in Group 1 and Group 2, with risk ratios of 0.719 (95 %CI: 0.448–1.115, p = 0.158) and 0.721 (95 %CI: 0.418–1.192, p = 0.207), respectively, compared to the control 0.785 (95 %CI: 0.621–0.984, p = 0.036). Regarding mortality associated with MRSA, a differential reduction of 51.1 %, 18.7 % and 22.2 % were observed for Group 1, Group 2 and the control respectively. For CRA, no statistically significant reduction was detected in the intervention groups for infection, bacteremia or death.</div></div><div><h3>Conclusions</h3><div>We demonstrated a reduction in hospital admissions due to MRSA infections following the decolonization program for residents in RCHEs and during hospitalization.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100706"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798973","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":"Equal school meals for all - differentiation of school meals according to school social index","authors":"Cordula Hundeshagen,&nbsp;Heike Rosmann","doi":"10.1016/j.puhip.2025.100693","DOIUrl":"10.1016/j.puhip.2025.100693","url":null,"abstract":"<div><h3>Objectives</h3><div>The EU is discussing providing all children healthy food at least once a day through school lunch. In Germany, a School Food Standard (SFS) aims to ensure healthy and sustainable meals, however its implementation is mandatory in only some federal states, while voluntary in others. To address social disadvantages, some states use school social indices to allocate additional funding to disadvantaged schools. This study analyzes German school menus to assess their compliance with SFS requirements under both voluntary and mandatory implementation and examines whether healthy, sustainable lunches are accessible regardless of schools' socioeconomic status.</div></div><div><h3>Study design</h3><div>Exploratory school meal analysis.</div></div><div><h3>Methods</h3><div>A random sample of schools was selected based on the school register and social index, and schools were invited to participate voluntarily. Menus from a state with obligatory (OSFS) and voluntary (VSFS) implementation of the SFS were collected and analyzed. The analysis focused on SFS criteria, including a mixed diet menu, ovo-lacto-vegetarian dishes and criteria for menu planning. Binomial logistic regression and two-step multiple regression models were used to assess the influence of the school social index on compliance with SFS requirements.</div></div><div><h3>Results</h3><div>We analyzed 67 OSFS menus and 79 VSFS menus. No significant influence of the school social index on menu quality was observed. OSFS menus generally met SFS requirements to a greater extent and exhibited a healthier dietary pattern. OSFS menus included more grain products, vegetables, legumes, and salad, fruits, and fatty fish, while containing fewer potato products, fried items, and industrial meat substitutes. They also used more organic products and sustainably sourced fish and provided better labeling for animal species, meat substitutes, additives, and allergens. OSFS menus featured more ovo-lacto-vegetarian options and prioritized seasonal and regional products. However, OSFS menus were less tailored to target audiences, lacked nutritional information, and often failed to clearly describe meal components.</div></div><div><h3>Conclusion</h3><div>Regardless of socioeconomic status, all students receive the same food. OSFS menus better fulfilled SFS requirements and are a healthier and more sustainable option. However, compliance remains incomplete, even in OSFS states. Further research is needed to address implementation barriers and ensure equitable access to healthy school meals.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100693"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145750221","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":"Unraveling the link: Socioeconomic status and health literacy among students in primary schools in the South Macroregion of Poland","authors":"Maria Świątkiewicz-Mośny ,&nbsp;Magdalena Ślusarczyk ,&nbsp;Natalia Ożegalska-Łukasik ,&nbsp;Małgorzata Bała ,&nbsp;Anna Prokop-Dorner ,&nbsp;Aleksandra Piłat-Kobla ,&nbsp;Aleksandra Potysz-Rzyman ,&nbsp;Marianna Zarychta ,&nbsp;Katarzyna Zawisza","doi":"10.1016/j.puhip.2025.100685","DOIUrl":"10.1016/j.puhip.2025.100685","url":null,"abstract":"<div><h3>Objectives</h3><div>Health literacy (HL) is a valuable competence with links to both individual and collective well-being. As of 2016, the WHO recognises HL as a key determinant of health and identifies the need to build and develop health competencies, particularly among children and young people as one of the ways to reduce social inequalities. The objective of our cross-sectional study is to investigate the relationship between family social capital and critical thinking about health among primary school students aged 11 to 15 from the south of Poland and to identify the individual, family-related, and school-related determinants of their health literacy. There are a lot of studies on HL also studies that show HL of children and adolescents. However, our research focuses on investigation on critical thinking about health as the ability to critically evaluate health practices seems to be a key skill in postpandemic world.</div></div><div><h3>Study design</h3><div>School-based cross-sectional survey conducted in 2023 among 303 primary school students (grades 6–8) in southern Poland.</div></div><div><h3>Methods</h3><div>We used the Polish version of validated Claims Evaluation Tool (CET) from the Informed Health Choices project, incorporating socioeconomic indicators and Health Literacy for School-Age Children (HLSAC-10) from HBSC Network test validated in Poland. The questions were translated into Polish, culturally adapted, and validated. The claims were selected due to their adequacy and reliability.</div></div><div><h3>Results</h3><div>Initial findings from CET survey suggest a correlation, with varying strength, between health literacy scores and parental education, individual living space ownership, leisure activities (e.g., holiday affordability), and participation in extra-curricular activities. These results underscore the influence of socioeconomic status on health-related decisions and coping mechanisms, which are of particular relevance in the current infodemic.</div></div><div><h3>Conclusions</h3><div>We conclude that health disparities arise from differences in social status, emphasizing the importance of health literacy in mitigating such disparities and shaping overall health outcomes.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100685"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078028","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":"Actions to bridge the workforce and blood supply gaps - Response to “Health promotion for blood donors: A scoping review”","authors":"Valerie WY. Wong ,&nbsp;Niki BN. So ,&nbsp;Chelly CY. Chu ,&nbsp;Cheuk-Kwong Lee ,&nbsp;Janet YH. Wong","doi":"10.1016/j.puhip.2026.100728","DOIUrl":"10.1016/j.puhip.2026.100728","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100728"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038143","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":"Success factors in prevention activities and training intervention against workplace violence in healthcare: A systematic review","authors":"C. La Barbiera ,&nbsp;C. Mento ,&nbsp;C. Lombardo ,&nbsp;D. Capozza ,&nbsp;A. De Carlo","doi":"10.1016/j.puhip.2026.100736","DOIUrl":"10.1016/j.puhip.2026.100736","url":null,"abstract":"<div><h3>Objectives</h3><div>Workplace violence (WPV) against healthcare workers (HCWs) represents a significant occupational hazard and is a widespread issue globally. WPV is linked to decreased job satisfaction, commitment, and efficiency among healthcare workers, leading to a poorer quality of life. This review aims to identify and evaluate effective strategies for the prevention and intervention against workplace violence in the healthcare sector.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>The review was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A comprehensive literature search was carried out in Web of Science, PubMed, and Scopus databases, focusing on studies published in the last four years. The selection process followed predefined inclusion and exclusion criteria based on the PICOS framework.</div></div><div><h3>Results</h3><div>Out of 442 initially identified studies, eight met the inclusion criteria and were included in the review. The findings indicate that training programs incorporating simulations and behavioral economics principles significantly improve healthcare workers' ability to manage aggression. The use of validated assessment tools to identify risks of violence and the implementation of effective organizational policies have proven essential in reducing the incidence of aggression, thus enhancing the safety and capability of staff.</div></div><div><h3>Conclusions</h3><div>An integrated approach combining advanced training, organizational support, and preventive policies is essential to foster a safer work environment and protect HCWs' well-being. Additional research is necessary to reinforce existing evidence and explore innovative interventions.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100736"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188515","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":"What works to improve health and digital health literacy in disadvantaged groups: A policy-focused evidence brief","authors":"Sashika Harasgama ,&nbsp;Amy Dehn Lunn ,&nbsp;Danielle Lamb ,&nbsp;Anna Gkiouleka ,&nbsp;Helena Painter ,&nbsp;Adnaan Ghanchi ,&nbsp;John Ford","doi":"10.1016/j.puhip.2026.100808","DOIUrl":"10.1016/j.puhip.2026.100808","url":null,"abstract":"<div><h3>The policy challenge</h3><div>Low health literacy disproportionately affects disadvantaged populations and is associated with poorer health outcomes and reduced engagement with health services. Functional literacy skills, such as reading, writing, and numeracy, underpin health literacy and is shaped by cultural and socioeconomic factors. As digital health technologies become more widespread, digital health literacy is increasingly important; however, both low digital health literacy and digital exclusion can limit access to and engagement with health information and services, potentially exacerbating existing inequalities. Here, we review key policy-relevant evidence of what works to improve health and digital literacy for disadvantaged communities.</div></div><div><h3>Key evidence to inform policy</h3><div>This evidence brief synthesises findings across four key population groups: people from low socioeconomic backgrounds, ethnic minority communities, older people with low digital literacy, and people with mental health conditions. Across populations, successful literacy interventions tailored information to the cultural and social needs of their target users, engaged and co-produced with communities in real-world settings, used audiovisual information to improve accessibility and focused on empowering users. Effectiveness in the context of intensity, i.e. contact hours, or intervention type was dependent on population groups studied. Evidence on digital health literacy interventions highlights the importance of usability, skills development and integration with existing health services, although consideration of digital health literacy in intervention design remains inconsistent. There is moderate evidence that health literacy interventions improve knowledge and skills, with mixed evidence for effects on behaviour and service use, and limited evidence for sustained improvements in clinical outcomes.</div></div><div><h3>Further considerations and implications</h3><div>Health and digital health literacy are important drivers of health inequalities, influencing access to, engagement with and experience of health and care services. Interventions are most effective when delivered across individual, organisational and system levels. Policymakers should prioritise culturally tailored, accessible and community-based approaches, while also addressing structural barriers such as digital exclusion. Further research is needed to strengthen the evidence base, particularly on long-term clinical outcomes and implementation in diverse contexts.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100808"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220013","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":"Fifty shades of pregnancy warning labels on wine bottles: An observational study in France","authors":"Olivier Droulers ,&nbsp;Sophie Lacoste-Badie","doi":"10.1016/j.puhip.2025.100714","DOIUrl":"10.1016/j.puhip.2025.100714","url":null,"abstract":"<div><h3>Introduction</h3><div>In 2006, France passed a regulation requiring all alcoholic beverage bottles to carry a health warning aimed at pregnant women. The regulation stated that the pregnancy warning label (PWL) must appear on a contrasting background in a way that is visible, legible, clearly understandable, and indelible. It must not be concealed, obscured, or separated by any other text or image. The current study aims to assess whether current PWLs comply with the legal requirements.</div></div><div><h3>Methods</h3><div>Conducted between January and April 2025, the study is based on observations of PWLs displayed on alcoholic beverage bottles in supermarkets and wine shops across France.</div></div><div><h3>Results</h3><div>The study reveals widespread non-compliance with French regulations regarding PWLs on wine bottles. Common issues include inadequate label size, poor colour contrast, unclear designs, and placement that impairs visibility such as positioning the PWL at the edge of the label, on transparent backgrounds, or among competing logos and text.</div></div><div><h3>Conclusion</h3><div>The findings highlight the limitations of relying solely on general principles like visibility and legibility in health warning legislation. Effective implementation requires clear, detailed, and enforceable regulatory standards.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100714"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939306","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":"‘Bringing services to communities: Identifying service users at risk of developing cardiovascular disease through mobile opportunistic screening in deprived or underserved communities’","authors":"Jill West ,&nbsp;Matthew Humphreys ,&nbsp;Marianne Durand ,&nbsp;Emma Green ,&nbsp;Kevin D. Hochard ,&nbsp;Alex Stewart","doi":"10.1016/j.puhip.2025.100690","DOIUrl":"10.1016/j.puhip.2025.100690","url":null,"abstract":"<div><h3>Objective</h3><div>Individuals in areas of high deprivation face significant health inequalities with a higher prevalence of risk factors for cardiovascular disease (CVD). Whilst some factors are non-modifiable, early identification of modifiable factors and appropriate intervention can improve health outcomes. We assessed modifiable risk factors, particularly in persons with no medical history.</div></div><div><h3>Study design</h3><div>A retrospective cross-sectional study using data of persons attending a mobile opportunistic screening clinic.</div></div><div><h3>Method</h3><div>Data was extracted from the records of 2973 attendees (≥18 years) in Cheshire &amp; Merseyside, January–June 2023 using a standard approach. We classed CVD risk factors as either modifiable or non-modifiable. We grouped the data into those with no risk factors, one or two, and three or more, in relation to their self-reported medical history or clinical findings.</div></div><div><h3>Results</h3><div>Within the total study population of 2973, 79 % had at least one modifiable risk factor for CVD. Our logistic regression model highlighted that non-modifiable factors age and sex were significant predictors of CVD, while males had higher odds than females to report CVD. Of our modifiable factors, only hypertension and mental health diagnosis were significant predictors. BMI was excluded from the multivariable analysis due to missing data.</div></div><div><h3>Conclusion</h3><div>Mobile screening provides improved equitable access to services and engages with underserved communities to deliver targeted health care. It identifies CVD risk in an asymptomatic population, and patients with poorly controlled conditions. This model is highly acceptable to service users and is flexible and targeted in its activities and placement.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100690"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798968","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}