Public Health in Practice最新文献

{"title":"Age of first digital device use and screen media use at age 15: A cross-sectional analysis of 384,591 participants from 55 countries","authors":"Sarah Overgaard Slater ,&nbsp;Lauren Arundell ,&nbsp;Anders Grøntved ,&nbsp;Jo Salmon","doi":"10.1016/j.puhip.2025.100596","DOIUrl":"10.1016/j.puhip.2025.100596","url":null,"abstract":"<div><h3>Objectives</h3><div>We investigated the associations between age of first digital device use and screen media use at age 15.</div></div><div><h3>Study design and methods</h3><div>Utilizing cross-sectional data from the 2018 Program for International Student Assessment, we analyzed responses from 384,591 fifteen-year-olds (50 % girls) from 55 countries on their age of first device use and current frequency of 12 screen behaviours. Behaviors were categorized as social, gaming, recreational, educational/practical (grouped into regular [every day; almost every day] and non-regular users [once or twice a week; once or twice a month; never or hardly ever]. Generalized linear regression, adjusted for highest level of schooling of mother/father and with student sampling and replicate weights to account for the sampling design was used to estimate prevalence ratios (PR) for regular use of each screen activity per additional year of age when first using devices.</div></div><div><h3>Results</h3><div>Higher age of first device use was associated with lower prevalence of being a regular user for nine screen behaviours at age 15, with some sex differences. The strongest association was found for using email’ (PR per increasing year of first device use for total sample: 0.956 [95%CI 0.935; 0.977]; boys: 0.956 [95%CI 0.928; 0.986]) and playing collaborative online games (girls: 0.947 [95%CI 0.905; 0.991]). Later first use of devices was associated with decreased prevalence of regular use for social purposes at age 15.</div></div><div><h3>Conclusion</h3><div>The later children start using digital devices, the less likely they are to be regular users at 15 years, especially social use. Delaying children's introduction to digital devices may decrease future use.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100596"},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring network relations between healthcare access and utilisation in individuals with rare diseases","authors":"Wehrli Susanne ,&nbsp;Dwyer Andrew A ,&nbsp;Matthias Baumgartner R ,&nbsp;Landolt Markus A","doi":"10.1016/j.puhip.2025.100593","DOIUrl":"10.1016/j.puhip.2025.100593","url":null,"abstract":"<div><h3>Background</h3><div>Rare diseases affect fewer than one in 2000 people and impact approximately 400 million individuals globally. High costs, uncoordinated care, and inadequate provider knowledge pose challenges to rare disease care. We aimed to examine the relationship between healthcare access and utilisation among rare disease patients in Switzerland.</div></div><div><h3>Study design</h3><div>A cross-sectional survey was conducted with 314 individuals with a rare disease.</div></div><div><h3>Methods</h3><div>Participants completed the Perception of Access to Healthcare Questionnaire (PAHQ) and provided data on healthcare utilisation (institutional and provider levels). Network analysis assessed nodes were based on expected influence (EI), predictability, and bridge centrality (BC).</div></div><div><h3>Results</h3><div>Four PAHQ subscales (acceptability, availability, adequacy, and awareness) exhibited higher EI and predictability. Conversely, accessibility and affordability of healthcare services had lower EI and predictability scores. In terms of healthcare utilisation, hospitals, private practices, general practictioners (GPs), mental health professionals, and emergency services demonstrated elevated EI and predictability. Specialists and holistic healthcare providers exhibited lower EI and predictability. Affordability, disease course, as well as hospital, and GP utilisation had elevated BC values and emerged as key connectors between access and utilisation.</div></div><div><h3>Conclusion</h3><div>This study illuminates the intricate dynamics of healthcare experiences for patients with rare diseases. This work validates network analysis as a valuable tool for examining healthcare systems. Findings can inform policies that address challenges faced by this vulnerable population, namely care integration for individuals with an unstable disease course.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100593"},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allostatic load score and lifestyle factors in the SWAN cohort: A longitudinal analysis","authors":"Yufan Guan ,&nbsp;Jie Shen ,&nbsp;Juan Lu ,&nbsp;Bernard F. Fuemmeler ,&nbsp;Lisa S. Shock ,&nbsp;Hua Zhao","doi":"10.1016/j.puhip.2025.100590","DOIUrl":"10.1016/j.puhip.2025.100590","url":null,"abstract":"<div><h3>Objectives</h3><div>Allostatic load (AL) has been used to assess chronic stress. Previous studies have assessed associations between lifestyle factors and the AL. However, those studies have yet to evaluate associations longitudinally. Thus, the effect of lifestyle factors on the AL changes over time remains to be determined.</div></div><div><h3>Study design</h3><div>A longitudinal analysis was designed.</div></div><div><h3>Methods</h3><div>Our study included 1976 women identified from the Study of Women's Health Across the Nation (SWAN) who had completed at least seven waves of measurements since baseline. The Poisson mixed effects model was used to model AL and to assess how lifestyle factors affected AL over time.</div></div><div><h3>Results</h3><div>At baseline, the mean AL score was 2.44 (range 0–11). On average, the AL score increased by 3 % (ORs = 1.03, 95 % CI [1.01, 1.05]) per wave over time. For lifestyle factors, women who smoked cigarettes over time had higher AL than those who never smoked. On the other hand, women who ever drank alcohol at baseline, had leisure physical activity over time, and had at least average sleep quality at baseline, and had lower AL than their counterparts. We also identified a statistically significant interaction between alcohol drinking and time (P &lt; 0.01). Furthermore, we generated a healthy score using the four lifestyle factors above to assess the potential accumulative effect of lifestyle factors on AL. We found that the AL increased by 16 % for each additional unhealthy lifestyle factor (ORs = 1.16, 95%CI: 1.12, 1.2).</div></div><div><h3>Conclusions</h3><div>This study demonstrates that lifestyle factors can influence the increase of AL over time.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100590"},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local authorities need tailored research ethics processes to support research capacity building","authors":"A. Levitas ,&nbsp;E. Taylor ,&nbsp;P.L. Navelle ,&nbsp;E. Humphreys ,&nbsp;J. Sheringham","doi":"10.1016/j.puhip.2025.100587","DOIUrl":"10.1016/j.puhip.2025.100587","url":null,"abstract":"<div><h3>Background</h3><div>Local authorities (LAs) are increasingly aiming to become more research active. Research ethics review is an important prerequisite of high-quality research. It is not clear what a LA ethics review process can (or should) look like, or whether it is needed in addition to external review processes. We aim to describe the scope and purpose of research ethics processes in LAs across England, and factors that are salient to their design.</div></div><div><h3>Study design</h3><div>Qualitative interview study.</div></div><div><h3>Methods</h3><div>Staff from 15 LAs in England were recruited to describe their research ethics process using purposeful and snowball sampling. One-hour interviews were conducted using a topic guide with five scenarios, drawn from LA projects. Interview transcripts were thematically analysed using a consensus building process among the research team.</div></div><div><h3>Results</h3><div>Factors salient to the design of research ethics processes in LAs included: definitions of research, research ownership, and the distinct relationship LAs have with research participants. A typology with four models is used to describe existing processes. These models are: <em>No Process; The Assurance Model</em> (where LAs assure an external ethics committee has reviewed projects); <em>The Advice Model</em> (where there is no formal review, but ethical considerations are made through formal and informal advice); and <em>The Review Model</em> (where LAs establish their own formal internal ethics committees). These typologies emerged from divergent understandings of the role of research in LAs and can reflect varied views of research as an activity “done to a local authority”, “done with a local authority” or “owned by a local authority”.</div></div><div><h3>Discussion</h3><div>Research ethics processes in LAs need to reflect various LA approaches to what constitutes research, who owns the research process, and how a LAs relationship with research participants may vary from other settings. As LAs continue articulating what research means in their setting, they need support and guidance to establish research ethics processes that enable research activity, while simultaneously being sensitive to the level of research readiness and distinct LA need.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100587"},"PeriodicalIF":2.2,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leveraging evidence to tackle high-priority concerns in child and adolescent health across Europe and Central Asia","authors":"Michelle Black ,&nbsp;Amy Stevens ,&nbsp;Sophie Jullien ,&nbsp;Susanne Carai ,&nbsp;Gabriele Fontana ,&nbsp;Ingrid Wolfe ,&nbsp;Martin W. Weber","doi":"10.1016/j.puhip.2025.100589","DOIUrl":"10.1016/j.puhip.2025.100589","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100589"},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative analysis of cardiovascular disease prevention in dental practice","authors":"Áine O'Farrell ,&nbsp;Chee H. Liew ,&nbsp;Rosemary Geoghegan ,&nbsp;Gerard T. Flaherty","doi":"10.1016/j.puhip.2025.100586","DOIUrl":"10.1016/j.puhip.2025.100586","url":null,"abstract":"<div><h3>Background</h3><div>The primary prevention of periodontal disease is a global health concern due to its increasing incidence and evolving evidence of its role in cardiovascular disease (CVD). This study aimed to describe dentists’ perceptions and practices regarding CVD prevention in practice.</div></div><div><h3>Study design and methods</h3><div>A qualitative study design, using semi-structured interviews, was used to determine the perceptions, practices, barriers, and enablers of dentists towards the implementation of CVD prevention in practice. Interviews were analysed using a thematic analysis framework. NVivo 12 Pro software was utilised to support the data analysis.</div></div><div><h3>Results</h3><div>Eleven participants (eight female) with a mean employment history of 17.45 years, were interviewed, at which point data saturation was reached. The semi-structured interviews ranged in duration from 45 to 86 min, with a mean duration of 62.5 min. All dentists interviewed were in private practice. Inductive thematic analysis revealed four major themes - dentists’ current practices in relation to preventive cardiology in practice; professional identity and role expectations; barriers to preventive cardiology in practice; and facilitators of preventive cardiology in dental practice.</div></div><div><h3>Conclusions</h3><div>This study highlights the current practices, perceptions and identified barriers and enablers to preventive cardiology in Irish dental practice. Future research should focus on educational interventions to improve the implementation of CVD prevention guidelines in dental practice.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100586"},"PeriodicalIF":2.2,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global prevalence of obesity in the older adults: A meta-analysis","authors":"Ali Asghar Khaleghi ,&nbsp;Nader Salari ,&nbsp;Niloofar Darvishi ,&nbsp;Shadi Bokaee ,&nbsp;Samira Jafari ,&nbsp;Mahvan Hemmati ,&nbsp;Masoud Mohammadi","doi":"10.1016/j.puhip.2025.100585","DOIUrl":"10.1016/j.puhip.2025.100585","url":null,"abstract":"<div><h3>Objective</h3><div>Obesity is a chronic and complex disease defined as the excessive accumulation of body fat and is one of the leading public health problems in developed and developing countries. Due to the importance of obesity, this study was conducted to investigate the prevalence of obesity in the older adults.</div></div><div><h3>Study design</h3><div>meta-analysis.</div></div><div><h3>Methods</h3><div>In this study, systematic review and meta-analysis of study data on the prevalence of obesity in the older adults in the world using keywords including: prevalence, outbreak, Body Mass Index, BMI, obesity, Elderly, aged, older adult, in Science Direct databases, Scopus, PubMed, Web of Science, Iran Doc, Mag Iran, SID and Google Scholar search engine were extracted without time limit until August 2020. The target population under study is the world's elderly, and obesity means a BMI≥30. The Random Effects Model was used to perform the analysis and, Comprehensive Meta-Analysis Software version 2.0 was used for data analysis.</div></div><div><h3>Results</h3><div>In review 44 studies with a total sample size of 45,745,944 prevalence of obesity in the older adults of the world; In a meta-analysis of 25.3 % (95 % CI: 21.9–29). It was found that the highest prevalence of obesity in the older adults in South America with 40.4 % (95 % CI: 12.5–76.4). In addition, continental Europe with 33.6 % (95 % confidence interval: 24.1–44.5). The meta-regression results showed an increasing trend in the prevalence of obesity in the older adults in the world with an increasing sample size and a decreasing trend with increasing the study (P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Given that the prevalence of obesity in the older adults is high, health policymakers must take adequate measures to increase public awareness about the risks of obesity in the older adults.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100585"},"PeriodicalIF":2.2,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143093614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of social networking addiction on the academic achievement of university students globally: A meta-analysis","authors":"Nader Salari ,&nbsp;Hosna Zarei ,&nbsp;Shabnam Rasoulpoor ,&nbsp;Hooman Ghasemi ,&nbsp;Amin Hosseinian-Far ,&nbsp;Masoud Mohammadi","doi":"10.1016/j.puhip.2025.100584","DOIUrl":"10.1016/j.puhip.2025.100584","url":null,"abstract":"<div><h3>Objective</h3><div>There have been a significant surge in the adoption of social networks by different groups over the past decade and students are no exception. These networks create several opportunities for university students, yet they pose a number of threats. Excessive use of social networks can lead to addiction to these networks and can affect students’ academic performance. The aim of this study was to investigate the effect of social media addiction on academic performance of students around the world through a systematic review and meta-analysis.</div></div><div><h3>Study design</h3><div>systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this systematic review and meta-analysis, the keywords of Social Network, Addiction, Academic Performance, and University Students, and their suitable combinations were searched within PubMed, Web of science, JISC Library Hub Discover, the Library of congress, and the Google scholar search engine with no lower time limit and until February 2022. The identified sources were then transferred into the EndNote reference management software. Subsequently, duplicate studies were eliminated, and the remaining studies were evaluated in 3 stages (Screening, Eligibility Evaluation, and Quality Assessment). Heterogeneity of studies was assessed using the I² index, analysis of eligible studies was completed be embracing the random effects model, and the data analysis was performed within the Comprehensive Meta-Analysis (v.2) software.</div></div><div><h3>Results</h3><div>The correlation obtained from meta-analysis −0.172 (95 % CI: −0.320 - (-0.016)) showed that the negative impact of social network addiction on students' academic achievement.</div></div><div><h3>Conclusion</h3><div>There is a negative relationship between social media addiction and students' academic performance. Therefore, it is necessary for students to be aware of the negative consequences of addiction to social networks and improve their academic performance by managing the time when using these networks.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100584"},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and psychometric validation of the frontline health workers’ occupational risk and characteristics in emergencies index (FORCE-index) – The covid Hospital cohort study","authors":"Synne Øien Stensland ,&nbsp;Kristina Bondjers ,&nbsp;John-Anker Zwart ,&nbsp;Leiv Arne Rosseland ,&nbsp;Dan Atar ,&nbsp;Jan Olav Christensen ,&nbsp;Dagfinn Matre ,&nbsp;Kristin Alve Glad ,&nbsp;Tore Wentzel-Larsen ,&nbsp;Hilde Wøien ,&nbsp;Grete Dyb","doi":"10.1016/j.puhip.2025.100582","DOIUrl":"10.1016/j.puhip.2025.100582","url":null,"abstract":"<div><h3>Objectives</h3><div>A lack of tools for the systematic identification of frontline health workers' changing occupational risks, characteristics, and needs, poses a major barrier to supporting vital personnel to stay in practice through health emergencies and beyond. The current study reports on the development and psychometric evaluation of the Frontline health workers’ Occupational Risk and Characteristics in Emergencies index (FORCE-index).</div></div><div><h3>Study design</h3><div>The Covid hospital study is a large, multisite, four-wave, open cohort study of frontline health workers responding to the first four waves of the COVID-19 pandemic (2020–2022).</div></div><div><h3>Methods</h3><div>2496 frontline health workers responded to questionnaires assessing various aspects of their work environment. Using exploratory factor analysis, we estimated the latent structure of the FORCE-index at the first and second waves. This structure was evaluated using confirmatory factor analysis at the third and fourth waves. The internal consistency of the instrument's subscales (e.g., factors) was evaluated using omega reliability, Cronbach's alpha coefficient, and mean inter-item correlation.</div></div><div><h3>Results</h3><div>A nine-factor solution provided best fit to the data. These factors mapped onto the following aspects of the work environment; competency, stress management, familiarity, workload manageability, work performance, infection safety, personal protective equipment, social safety, and social support. Internal consistency for the full FORCE-index and the nine factors was satisfactory.</div></div><div><h3>Conclusions</h3><div>The initial psychometric validation indicates that the FORCE-index is a valid measure which can be used by health authorities, services, and institutions to adequately and systematically assess central aspects of frontline health workers’ work environment that are commonly challenged in health emergencies.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100582"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11787489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global prevalence of malnutrition in older adults: A comprehensive systematic review and meta-analysis","authors":"Nader Salari ,&nbsp;Niloofar Darvishi ,&nbsp;Yalda Bartina ,&nbsp;Fatemeh Keshavarzi ,&nbsp;Melika Hosseinian-Far ,&nbsp;Masoud Mohammadi","doi":"10.1016/j.puhip.2025.100583","DOIUrl":"10.1016/j.puhip.2025.100583","url":null,"abstract":"<div><h3>Objectives</h3><div>Early detection and management of malnutrition is essential for the general health and well-being of the elderly. Various studies have reported different types of malnutrition prevalence in the elderly. the present study was aimed to determine the prevalence of malnutrition in the world’ elderly through conducting a systematic review study and meta-analysis.</div><div>Study Design: systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this review study, data was extracted by searching in national and international databases of SID, MagIran, Google scholar, ScienceDirect, Scopus, PubMed and Web of Science (WoS) without time limit until August 25, 2023. For analysis, Begg and Mazumdar test at a significance level of 0.1 and the corresponding Funnel plot were used. Data analysis was performed with Comprehensive Meta-Analysis software (Version 2).</div></div><div><h3>Results</h3><div>In the review of 98 studies with a total sample size of 79976, the prevalence of malnutrition in the world's elderly was obtained as 18.6 % (95 % confidence interval: 16.4-21.1 %), so that the highest prevalence of malnutrition was in the elderly of Africa with 35.7 %, followed by the America with 20.3 %. According to the subgroup analysis regarding the indicators of malnutrition in the elderly, the highest prevalence of malnutrition in the elderly was obtained as 39.9 % according the NRS-2002 index.</div></div><div><h3>Conclusion</h3><div>Therefore, in addition to raising awareness among families about malnutrition in the elderly and its negative effects on the quality of life of the elderly, it is necessary to take the necessary measures to provide more care for the elderly and also to pay serious attention to the importance of nutrition during old age.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100583"},"PeriodicalIF":2.2,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}