Public Health in Practice最新文献

{"title":"Prevalence and Determinants of Caesarean Section Deliveries in Ghana: A Population-Based Cross-sectional Study","authors":"Christiana Lokko,&nbsp;Jonathan Sackey,&nbsp;E.A. Aboagye","doi":"10.1016/j.puhip.2025.100678","DOIUrl":"10.1016/j.puhip.2025.100678","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the prevalence and determinants of CS deliveries in Ghana, with a focus on institutional, health-related, and contextual factors.</div></div><div><h3>Study design</h3><div>Stratified two-stage cluster design, selecting 618 clusters using probability proportional to size (PPS) and systematic random sampling.</div></div><div><h3>Methods</h3><div>A population-based cross-sectional study was conducted on 4649 women who had given birth within the past five years. The respondents were interviewed using a standardised structured questionnaire and samples were obtained through stratified random sampling. Therefore, bivariate analysis and logistic regression were applied to the data in IBM SPSS version 21 to ascertain the prevalence, association and determinants of CS delivery at a p-value of 0.005.</div></div><div><h3>Results</h3><div>The prevalence of CS found in this current study is 20.1 %, which is higher than the recommended global benchmark range (10 %–15 %). Age, educational level, wealth index, religion, parity, twin status, access to healthcare, self-reported health status, and region significantly determined the likelihood of caesarean section delivery.</div></div><div><h3>Conclusion</h3><div>The caesarean section rate in Ghana has risen to 20.1 %, reflecting both overuse among privileged groups and underuse among disadvantaged populations. Addressing these disparities with targeted, evidence-based interventions is crucial to ensure equitable and medically appropriate CS delivery.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100678"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464872","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":"Gotong royong and COVID-19 vaccination in Indonesia: Linking communal values to collective immunity","authors":"Abram L. Wagner ,&nbsp;Marie Jacobson ,&nbsp;Renie Cuyno Mellen ,&nbsp;Widia Adiratna ,&nbsp;Emily Treleaven ,&nbsp;Aditya L. Ramadona ,&nbsp;Retna Siwi Padmawati ,&nbsp;Yayi Suryo Prabandari","doi":"10.1016/j.puhip.2025.100677","DOIUrl":"10.1016/j.puhip.2025.100677","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the relationship between gotong royong participation and COVID-19 vaccine uptake in Yogyakarta, Indonesia.</div></div><div><h3>Study design</h3><div>Cross-sectional survey.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional survey of 804 adults across rural and urban subdistricts in Yogyakarta province. The survey assessed COVID-19 vaccination status, engagement in gotong royong activities, and demographic, experiential, and normative factors related to vaccination. Multivariable logistic regression models were used to identify associations between gotong royong involvement and vaccination outcomes.</div></div><div><h3>Results</h3><div>Participation in <em>gotong royong</em> was reported by 44.3 % of respondents, with the most common activity being support and assistance (39.2 %). Among all participants, 10.8 % were unvaccinated, 43.9 % completed the primary series, and 41.8 % had received a booster dose. Individuals involved in gotong royong were less likely to be unvaccinated (5.3 % vs. 15.2 %) and, in multivariable analysis, had significantly higher odds of receiving at least one vaccine dose (OR: 3.41; 95 % CI: 1.78–6.54). They were also more likely to report community encouragement for vaccination, including from religious leaders (55.6 % vs. 40.2 %, P &lt; 0.0001) and peers (83.7 % vs. 77.0 %, P = 0.0027).</div></div><div><h3>Conclusions</h3><div>These findings highlight the importance of aligning vaccination campaigns with culturally embedded social structures. Leveraging communal values and trusted local actors may enhance vaccine uptake in collectivist settings and inform broader strategies for routine immunization and pandemic preparedness.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100677"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145464902","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":"In-hospital course of children with COVID-19 infection - Results of the German nationwide inpatient sample","authors":"Karsten Keller ,&nbsp;Ingo Sagoschen ,&nbsp;Volker H. Schmitt ,&nbsp;Stefano Barco ,&nbsp;Visvakanth Sivanathan ,&nbsp;Omar Hahad ,&nbsp;Frank P. Schmidt ,&nbsp;Christine Espinola-Klein ,&nbsp;Stavros Konstantinides ,&nbsp;Thomas Münzel ,&nbsp;Lukas Hobohm","doi":"10.1016/j.puhip.2025.100638","DOIUrl":"10.1016/j.puhip.2025.100638","url":null,"abstract":"<div><h3>Objectives</h3><div>To date, few large studies of clinical outcomes in pediatric COVID-19 patients have been reported.</div></div><div><h3>Study design</h3><div>Epidemiological study of the German nationwide inpatient study (GNIS).</div></div><div><h3>Methods</h3><div>We used the GNIS to analyze all hospitalized children ≤18 years with confirmed COVID-19 diagnosis in Germany between Jan 1st and December 31st, 2020.</div></div><div><h3>Results</h3><div>Overall, 3360 children aged ≤18 years were hospitalized with COVID-19 infection in Germany in 2020 (49.8 % females). Among these, 1640 (48.8 %) were aged ≤6 years, 504 (15.0 %) 7 - ≤12 years and 1216 (36.2 %) were aged 13 - ≤18 years. Among these 3360 patients, 3.3 % were treated with mechanical ventilation and 0.23 % died in the hospital. The frequency of venous thromboembolism (0.18 %), vasculopathy (0.68 %), multisystem inflammatory syndrome caused by COVID-19 (0.65 %), and diagnosis of myocarditis (0.60 %) were low. Besides pneumonia and acute respiratory distress syndrome, obesity (OR 6.1 [95 %CI 2.1–18.2], P = 0.001), heart failure (OR 17.0 [95 %CI 6.8–42.1], P &lt; 0.001) and acute/chronic kidney failure (OR 9.5 [95 %CI 4.0–22.2], P &lt; 0.001) were independently associated with mechanical ventilation. Acute or chronic kidney failure (OR 41.4 [95 %CI 7.8–218.6], P &lt; 0.001), liver disease (OR 18.8 [95 %CI 2.5–143.3], P = 0.005), and necessity of mechanical ventilation (OR 7.6 [95 %CI 1.2–47.4], P = 0.031) were independent risk factors for case-fatality.</div></div><div><h3>Conclusions</h3><div>In Germany in 2020, hospitalized children aged ≤18 years with COVID-19 infection had a low case-fatality. Heart, liver and renal failure were associated with adverse COVID-19 complications, such as the need for mechanical ventilation or death. Myocarditis, vasculopathy and venous thromboembolism were rare complications in this patient group.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100638"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144633276","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 antibiotic-resistant Salmonella in kratom: Three-year monitoring study","authors":"Vaclav Peroutka,&nbsp;Katerina Demnerova,&nbsp;Jana Kadava,&nbsp;Simona Lencova","doi":"10.1016/j.puhip.2025.100652","DOIUrl":"10.1016/j.puhip.2025.100652","url":null,"abstract":"<div><h3>Objectives</h3><div>Kratom, powder from <em>Mitragyna speciosa</em> leaves, is a popular psychoactive drug. It poses a health risk to consumers not only because of its narcotic and stimulating effects, but also because its quality is not controlled by the same laws as other food and pharmaceutical products. Due to the absence of mandatory quality control, kratom carries an increased risk of pathogenic bacteria contamination. Based on previous studies, the most relevant of these from a public health perspective are bacteria of the genus <em>Salmonella</em>, particularly serotypes that may cause severe gastrointestinal illness and exhibit resistance to antimicrobial agents. To assess the scale of the problem, we monitored the occurrence of <em>Salmonella</em> in commercially available kratom in the Czech Republic and determined its antimicrobial resistance.</div></div><div><h3>Study design</h3><div>Original microbiological research (long-term monitoring).</div></div><div><h3>Methods</h3><div>In 2022–2024, we tested 96 different kratom samples, from which <em>Salmonella</em> was isolated by the cultivation method according to EN ISO 6579. Series of biochemical and agglutination tests were used to determine the species, subspecies and serotypes. The disk diffusion method was used for testing susceptibility to 16 antimicrobial agents, and the results were interpreted using EUCAST and CLSI criteria.</div></div><div><h3>Results</h3><div><em>Salmonella</em> was isolated from 16 out of all 96 tested samples. Biochemical and agglutination tests revealed that <em>Salmonella enterica</em> subsp. <em>enterica</em> was the most prevalent species and subspecies (14 samples), with some of the identified serotypes being relatively rare. Regarding the susceptibility to antimicrobial agents, out of all isolates 15 were resistant to at least one tested antimicrobial agent, and three isolates were classified as multidrug resistant.</div></div><div><h3>Conclusions</h3><div>Based on our analysis, the rate of <em>Salmonella</em> contamination did not differ statistically over the three years of study. Our results highlight the need for the continuous monitoring of <em>Salmonella</em> in kratom and provide a basis for the implementation of legal restrictions of its sale.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100652"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095295","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":"Reducing health inequalities through work-a public health emergency?","authors":"N. Amedzro,&nbsp;S. Boorman,&nbsp;G. Allsopp","doi":"10.1016/j.puhip.2025.100659","DOIUrl":"10.1016/j.puhip.2025.100659","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100659"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145361924","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":"Age verification in alcohol online sales and delivery: results from a mystery shopping study in Estonia","authors":"Rainer Reile ,&nbsp;Tiina Kuusik ,&nbsp;Triin Mäll ,&nbsp;Krista Tarlap ,&nbsp;Anneli Sammel","doi":"10.1016/j.puhip.2025.100656","DOIUrl":"10.1016/j.puhip.2025.100656","url":null,"abstract":"<div><h3>Objectives</h3><div>As the current evidence on the adherence to age verification requirement in alcohol online sale and delivery is scarce and inconclusive, we studied the age verification rate of alcohol deliveries via courier and parcel machine services to evaluate the accessibility of alcohol to the minors in Estonia.</div></div><div><h3>Study design</h3><div>Experimental study.</div></div><div><h3>Methods</h3><div>We adapted the mystery shopping methodology to the context of alcohol distance sale in Estonia to study the age verification ratio defined as ID requests during alcohol distance sale deliveries via couriers and parcel machines. A stratified random sample of 110 test purchases was created based on mapping of alcohol vendors offering alcohol distance sales in Estonia. Test purchasers (n = 7) aged 18–19 years old were recruited for the study. In total, 91 test purchases were conducted in between August and September 2024. Descriptive statistics and prevalence ratio from crude and adjusted log-binomial regression models were used to compare the ID validation by key test purchase characteristics.</div></div><div><h3>Results</h3><div>In total, 81.3 % of orders were delivered without ID validation. Although crude proportions of ID validation at the delivery varied for several test purchase characteristics, statistically significantly (p = 0.038) difference was only found for the delivery method. Courier deliveries had substantially lower age verification rate with 87.5 % of orders delivered without ID validation compared to 66.7 % in parcel machine deliveries. After adjustment to other test purchase characteristics, the corresponding prevalence ratio was 1.36 (95 % CI 1.02–1.82).</div></div><div><h3>Conclusions</h3><div>The findings indicate that online alcohol sales are accompanied with inconsistent and ineffective age verification practices that may increase alcohol availability to minors. The study highlights the need for stricter regulations and enforcement to prevent minors from accessing alcohol through online sales and delivery services.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100656"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265456","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":"Exploring physical activity in the nursery setting in England. A qualitative study with staff and children","authors":"M. Winder,&nbsp;S. Busby,&nbsp;E. Wilson","doi":"10.1016/j.puhip.2025.100644","DOIUrl":"10.1016/j.puhip.2025.100644","url":null,"abstract":"<div><h3>Objectives</h3><div>Young children spend substantial time at formal childcare providers, including nurseries. Physical activity (PA) in childcare is highly varied. Qualitative research which can provide more in-depth understanding has been focused on adults, the voice of children is largely missing. This study aimed to triangulate staff and children's views and perspectives to develop a holistic understanding of PA in the nursery setting.</div></div><div><h3>Study design</h3><div>Qualitative study.</div></div><div><h3>Methods</h3><div>Separate focus groups with nursery staff and children in the nursery's preschool room (3 to &lt;5 years of age) were conducted at nurseries (Nottinghamshire, England). Analysis followed Braun and Clarke's 6 steps of thematic analysis.</div></div><div><h3>Results</h3><div>55 children and 47 staff participated. 6 themes were identified: PA and learning theory in the nursery setting, children's understanding of PA, nursery ethos and resource, staff understanding of PA, PA and the link to development, PA in the nursery setting and the interaction with the home environment.</div></div><div><h3>Conclusions</h3><div>The nursery setting was perceived as important for PA and physical development (opportunity for risk taking and peer learning) and promotion of equity. The study identified possible opportunities to enhance PA in nurseries including separating the concepts of outdoors and PA, limiting use of unhealthy rewards, addressing staff knowledge gaps (e.g. recommended daily amount of PA) and including ‘understanding the importance of PA’ into the ‘managing self’ section of the EYFS. Future research should aim to incorporate parental views and explore the use of technology as a learning source for PA.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100644"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810290","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":"Rent as a toxic exposure: The Bronx and Manhattan","authors":"Deborah Wallace","doi":"10.1016/j.puhip.2025.100670","DOIUrl":"10.1016/j.puhip.2025.100670","url":null,"abstract":"<div><h3>Objectives</h3><div>New York City, like many global cities, suffers from an ever-intensifying housing famine, especially of low-cost rental units, which has led to steeply rising rents and housing code violations. The purpose of this study is to explore whether rent affects public health patterns over the Bronx and Manhattan.</div></div><div><h3>Study design</h3><div>Median rent was regressed against public health indicators by borough 2005–2021.</div></div><div><h3>Data and methods</h3><div>Bronx and Manhattan annual birth rates, rates of low-weight births, obesity prevalence, and mortality rates from drug overdose, cerebrovascular disease, heart disease, and diabetes were acquired from the NYC Department of Health. Annual median rent for each borough was acquired from the American Community Survey. Bivariate and multivariate regressions revealed the associations.</div></div><div><h3>Results</h3><div>Both boroughs’ birth rates and obesity prevalence associated strongly with median rent, negatively for birth rate, positively for obesity prevalence. Rates of Bronx low-weight births, of Bronx and Manhattan drug deaths, and of Bronx cerebrovascular deaths declined in the early years but came to a threshold and rose. The threshold year-2021 rates associated strongly with annual median rents for those years. Rates of heart disease and diabetes mortalities showed a threshold effect, but plateaued, not rising.</div></div><div><h3>Conclusion</h3><div>Median rent behaved like a toxic chemical, eliciting defined patterns of public health degradation. The mix of responses to median rent mimic public health responses to the heavy metal lead: some without and some with a threshold. Toxic chemicals are regulated. Rent should be also.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100670"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319796","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":"Satisfaction of indigenous pregnant women with a mobile voice application in Quechua developed by midwives for prenatal care in Peru","authors":"Augusto Felix Olaza-Maguiña,&nbsp;Yuliana Mercedes De La Cruz-Ramirez","doi":"10.1016/j.puhip.2025.100645","DOIUrl":"10.1016/j.puhip.2025.100645","url":null,"abstract":"<div><h3>Objectives</h3><div>Despite the effort shown by health personnel, many of them still have limitations in communicating with Peruvian Quechua-speaking pregnant women. The mobile applications have become an alternative to complement health care during pregnancy, especially if, as in Peru, the use of mobile devices has increased significantly, even in indigenous communities. Thus, the objective of this research was to evaluate the satisfaction of indigenous pregnant women from a Peruvian rural community with a mobile voice application in Quechua developed by midwives for prenatal care.</div></div><div><h3>Study design</h3><div>Cross-sectional study with a questionnaire.</div></div><div><h3>Methods</h3><div>The research was developed with 120 pregnant women from the rural community of Marian (3320 m a.s.l., Huaraz, Peru), who after a thorough explanation and the voluntary signing of a declaration of informed consent, accepted the free installation of the application. Thus, after at least 6 months of use, they answered a previously validated questionnaire with 23 questions between August 2023 and July 2024. A descriptive analysis was applied.</div></div><div><h3>Results</h3><div>It was evidenced that 82.5 % of pregnant women were satisfied with the application. Three (21.4 %) of 14 features were rated with dissatisfaction or indifference such as speed of functions, content about maternal-foetal bonding and appearance, with scores of 2.98, 2.92 and 3.46, respectively. The best valued aspect was the information about warning signs during pregnancy, childbirth and postpartum with a score of 4.71, while the information about activities that promote maternal-foetal bonding received the lowest score (2.92).</div></div><div><h3>Conclusions</h3><div>The majority of indigenous pregnant women from Marian community were satisfied with mobile voice application in Quechua for prenatal care, so with some improvements such as appearance, speed of functions and content about maternal-foetal bonding, it could be used for free in rural areas as a solution proposal to language barriers that limit health care in vulnerable populations.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100645"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722576","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":"Short Communication: What interest and influence do Directors of Public Health in London have in local gambling policy?","authors":"Jenny Blythe Dr","doi":"10.1016/j.puhip.2025.100635","DOIUrl":"10.1016/j.puhip.2025.100635","url":null,"abstract":"<div><h3>Objectives</h3><div>Gambling harms are increasingly conceptualised as a public health issue, affecting not only the individual who gambles but those close to them and to wider society too. However, the Gambling Act 2005 gives public health teams no statutory role in decisions by local councils on ‘land-based’ gambling licensure, unlike alcohol premises licensing where public health teams are a responsible authority. We surveyed Directors of Public Health in London to gain understanding of their interest and influence in local gambling policy.</div></div><div><h3>Study design</h3><div>a survey was created in conjunction with representatives from London public health teams and disseminated via an online platform. It was sent to Directors of Public Health in all 32 London boroughs.</div></div><div><h3>Methods</h3><div>Survey questions were a mixture of fact-finding questions about the public health teams structure (including staff number) and Likert scale questions about their interest and influence in gambling policy, using comparator questions with alcohol policy (where public health teams have a formal role).</div></div><div><h3>Results</h3><div>the response rate for the survey was 28 %. The place of public health teams within individual councils varies widely, as does the number of Full-Time Equivalent staff members. There was positive correlation between a public health teams perceived influence on alcohol and gambling policy. Public health teams identified a wide number of existing effective partnerships within their organisations.</div></div><div><h3>Conclusions</h3><div>The findings suggest that it is public health team integration rather than pure legislative factors that influence their involvement in local gambling policy. Existing effective partnerships, particularly licensing and planning, should be harnessed to further integrate public health teams into decision-making.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100635"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563985","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}