PUBLIC HEALTH REVIEWSPub Date : 2026-10-05eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609595
Kerstin M Grosheintz-Laval, Patrick Kwizera, Mirko S Winkler
{"title":"Discrimination in medical settings as perceived by forcibly displaced people within low- and middle-income countries: a scoping literature review.","authors":"Kerstin M Grosheintz-Laval, Patrick Kwizera, Mirko S Winkler","doi":"10.3389/phrs.2026.1609595","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609595","url":null,"abstract":"<p><strong>Objectives: </strong>Forcibly displaced people are among the most vulnerable populations seeking care. Understanding barriers such as perceived discrimination is critical to ensuring access to high-quality care. This review aims to provide an overview of scientific literature on discrimination faced by forcibly displaced people in healthcare settings in low- and middle-income countries (LMICs).</p><p><strong>Methods: </strong>We searched PubMed and Web of Science for peer-reviewed original studies published between March 2010 and March 2025. Screening, data extraction and reporting followed the PRISMA guidelines for scoping reviews.</p><p><strong>Results: </strong>Thirty-one studies met the inclusion criteria. Most (n = 26) applied qualitative methods. Quantitative findings showed that 10%-44% of refugees reported discrimination in healthcare. Qualitative studies described abuse, disparities in care and costs, and negative impacts on mental health and health-seeking behavior related to perceived discrimination.</p><p><strong>Conclusion: </strong>The review revealed significant gaps in research on discrimination against forcibly displaced people in LMICs, emphasizing the urgent need for more robust evidence to inform policymakers. Existing research demonstrates the importance of strengthening health systems, intercultural competence and inclusive policies to ensure respectful, high-quality care for forcibly displaced populations and other migrants.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609595"},"PeriodicalIF":5.2,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13677560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225127","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-28eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1610119
Emily Ying Yang Chan, Dong Dong, Chun-Ying Leung
{"title":"Keeping it simple: public health diplomacy along the China-Laos railway.","authors":"Emily Ying Yang Chan, Dong Dong, Chun-Ying Leung","doi":"10.3389/phrs.2026.1610119","DOIUrl":"10.3389/phrs.2026.1610119","url":null,"abstract":"","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1610119"},"PeriodicalIF":5.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13654854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166813","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-25eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609952
Elham Raeisi, Sara Maghare Dehkordi, Saeid Yazdanirad, Abdollah Mohammadian-Hafshejani
{"title":"Occupational exposure to extremely low-frequency fields and cardiovascular consequences: a systematic review.","authors":"Elham Raeisi, Sara Maghare Dehkordi, Saeid Yazdanirad, Abdollah Mohammadian-Hafshejani","doi":"10.3389/phrs.2026.1609952","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609952","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to extremely low-frequency (ELF) electromagnetic fields can have harmful effects on human health. The present systematic review study aimed to investigate the relationship between occupational exposure to ELF and cardiovascular outcomes.</p><p><strong>Methods: </strong>Searches were conducted in six electronic bibliographic databases: Scopus, PubMed, Web of Science, Embase, MEDLINE, and Google Scholar. This search included records up to August 19, 2026. The search strategy used two sets of keywords. Following the selection of proper studies, relevant data were extracted by the reviewers. To assess the risk of bias in the included studies, the Joanna Briggs Institute checklist was used.</p><p><strong>Results: </strong>Seven of fourteen studies (50 percent) showed that there is an association between ELF field exposure and cardiovascular outcomes. However, the available evidence is insufficient to establish causality. Some of the outcomes reported in the studies included acute myocardial infarction, arrhythmia, hematological parameters, coronary heart disease, and hypertension.</p><p><strong>Conclusion: </strong>Exposure to ELF fields may be associated with some cardiovascular outcomes. However, the confirmation of this relationship remains ambiguous, and it requires further investigations in future research.</p><p><strong>Systematic review registration: </strong>identifier CRD420251078768.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609952"},"PeriodicalIF":5.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13649620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169596","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-25eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609046
Kateryna Riabchenko, Carlo De Pietro
{"title":"Future of supplementary private hospitalization insurance in Switzerland: a policy brief.","authors":"Kateryna Riabchenko, Carlo De Pietro","doi":"10.3389/phrs.2026.1609046","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609046","url":null,"abstract":"<p><strong>Background: </strong>Voluntary hospitalization insurance (VHI) in Switzerland has lost part of its traditional role as mandatory health insurance has expanded, hospital financing reforms have increased public co-financing of inpatient care, and patterns of hospitalization have changed. Nevertheless, VHI remains strategically important for hospitals, insurers, and some providers.</p><p><strong>Analysis: </strong>This policy brief draws on a structured review of academic and grey literature, regulatory and policy documents, market information, and ten semi-structured interviews with key stakeholders. The analysis identifies four main challenges: growing dependence on mandatory health insurance, changing patterns of hospitalization, non-uniform benefits across insurers and providers, and fragmented tariff arrangements.</p><p><strong>Policy options: </strong>Three policy directions emerge: modernizing VHI through innovation, strengthening communication with policyholders and patients, and improving public reporting on coverage, pricing, and use.</p><p><strong>Conclusion: </strong>Strengthening transparency while enabling innovation is essential if VHI is to remain a credible and sustainable component of the Swiss healthcare system.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609046"},"PeriodicalIF":5.2,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13650426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167071","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-24eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1610300
Margarida Tavares
{"title":"Protecting vaccine confidence: a core function of national immunization programs.","authors":"Margarida Tavares","doi":"10.3389/phrs.2026.1610300","DOIUrl":"10.3389/phrs.2026.1610300","url":null,"abstract":"","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1610300"},"PeriodicalIF":5.2,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138503","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-21eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609391
Salimah R Walani, Shahin Kassam, Zahra Shajani, Aliyah Dosani
{"title":"Public health nurse advocacy as essential for addressing the health impacts of climate change.","authors":"Salimah R Walani, Shahin Kassam, Zahra Shajani, Aliyah Dosani","doi":"10.3389/phrs.2026.1609391","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609391","url":null,"abstract":"<p><strong>Background: </strong>Climate change is transforming the environmental, social and structural determinants of health, intensifying inequities across populations and geographies. Although nurses are at the forefront of addressing climate-related health impacts, nurses' influence on climate policy remains significantly underleveraged. Strengthening the leadership and advocacy of nurses is essential for meeting the escalating population health challenges posed by climate change.</p><p><strong>Analysis: </strong>There is limited organized advocacy for climate action by public health nurses. At the 7th Global Network of Public Health Nursing (GNPHN) Conference, we invited nurses from diverse backgrounds to share their perspectives on climate-related research, practice, and policy.</p><p><strong>Policy options: </strong>The participants agreed to form a global coalition to enhance climate advocacy by public health nurses. Here, we outline four key calls to action emerging from conference discussion: (1) building inclusive research through transdisciplinary collaboration, (2) dismantling inequities by integrating gender and race into climate governance, (3) promoting language consistency through intersectional and equity-oriented frameworks, and (4) integrating climate change content into nursing education.</p><p><strong>Conclusion: </strong>GNPHN conference mobilised public health nurses, creating a platform and transforming awareness into collective action by outlining four calls to action for advancing climate action and advocacy by nurses.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609391"},"PeriodicalIF":5.2,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13636898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115718","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":"Implementation of the World Health Organization's Package of Essential Noncommunicable Disease Interventions: an overview of reviews.","authors":"Hongyi Xu, Yiming Hu, Maoshu Li, Jing Yang, João Joaquim Breda, Jing Wu, Alarcos Cieza","doi":"10.3389/phrs.2026.1609607","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609607","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesize the evidence on the implementation of the World Health Organization's Package of Essential Noncommunicable Disease Interventions (WHO PEN).</p><p><strong>Methods: </strong>This narrative overview of reviews draws on evidence from systematic reviews and other review articles.</p><p><strong>Results: </strong>The findings reveal substantial gaps and challenges in public primary health facilities across many low- and middle-income countries, particularly in workforce capacity and the availability of essential medicines, diagnostics, and equipment. Several delivery strategies-such as high-risk population screening, task-shifting to non-physician health workers, team-based care, integrated HIV-NCD services, and the use of community pharmacies-were shown to effectively support WHO PEN implementation and expand access to NCD services. Strengthening the organization and resourcing of healthcare teams across system levels is essential. Additional promising approaches include leveraging existing service platforms, reinforcing district hospitals, adopting more patient-centered and prevention-oriented models within traditionally hospital-centric systems, and improving quality of care.</p><p><strong>Conclusion: </strong>WHO PEN and similar strategies can improve NCD service delivery and outcomes, but sustained investments, context-specific adaptations, and longer-term evaluations are needed to overcome persistent implementation barriers.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609607"},"PeriodicalIF":5.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13630711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149115801","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-15eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609467
Roxanne Maritz, David Weisstanner, Gerold Stucki, Oliver Stoller, Anke Scheel-Sailer, Christian Sturzenegger, Carla Sabariego
{"title":"Policy brief: how can rehabilitation be strengthened in Switzerland? Evidence-informed policy considerations based on the 2023 World Health Assembly resolution on strengthening rehabilitation in health systems.","authors":"Roxanne Maritz, David Weisstanner, Gerold Stucki, Oliver Stoller, Anke Scheel-Sailer, Christian Sturzenegger, Carla Sabariego","doi":"10.3389/phrs.2026.1609467","DOIUrl":"10.3389/phrs.2026.1609467","url":null,"abstract":"<p><strong>Background: </strong>Rehabilitation needs in Switzerland are rising due to population ageing and the growing prevalence of non-communicable diseases. Yet, these needs are not comprehensively met and rehabilitation remains underrepresented in national strategies. Given the 2023 WHA Resolution on Rehabilitation, there is a growing need to understand how rehabilitation can be strengthened in Switzerland.</p><p><strong>Analysis: </strong>A national stakeholder survey identified challenges for strengthening rehabilitation, including financing and workforce issues, limited integration into primary care, and interprofessional collaboration, while main opportunities focused on policy development and advocacy efforts. Based on these findings, experts developed practical policy considerations through structured workshops and a consolidation survey.</p><p><strong>Policy considerations: </strong>The 22 considerations call for high-level commitment through a National Swiss Rehabilitation Alliance, financing reforms that value rehabilitation as investment, and expansion of affordable, high-quality services across all care levels, among others. They emphasize coordinated care pathways, quality mechanisms, workforce development, modern data systems, stronger research and knowledge translation, and equitable access to assistive technologies.</p><p><strong>Conclusion: </strong>These considerations provide practical directions for integrating rehabilitation into national health priorities and advancing Swiss implementation of the WHA Resolution.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609467"},"PeriodicalIF":5.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13619533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082124","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":"Smoking cessation in pregnancy: a systematic review and meta-analysis of vulnerability approaches and expectant father involvement.","authors":"Bibiana Barrera, Furqan Ahmed, Tilman Brand, Hajo Zeeb","doi":"10.3389/phrs.2026.1609825","DOIUrl":"10.3389/phrs.2026.1609825","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate behavioral and psychosocial smoking cessation interventions and second-hand smoke reduction strategies in pregnancy, focusing on sociocultural vulnerability approaches and expectant father involvement.</p><p><strong>Methods: </strong>Systematic review and meta-analysis (Joanna Briggs Institute methodology; PRISMA 2020). MEDLINE, Scopus, PsycINFO, ASSIA, and CINAHL were searched to October 2023; exclusively pharmacological interventions were excluded. Random-effects meta-analyses examined five vulnerability approaches and two levels of father involvement. Protocol: https://doi.org/10.17605/OSF.IO/DUYF7.</p><p><strong>Results: </strong>Fifty-eight studies (41 RCTs) were included. Individual counseling was most effective for maternal cessation (OR = 1.66, 95% CI: 1.39-1.99). Vulnerability-adapted and standard interventions were comparably effective overall (OR = 1.55 vs. 1.51); socioeconomic inclusiveness yielded the largest subgroup effect (OR = 2.51), although subgroup estimates were exploratory (low to very low certainty). Father involvement did not significantly improve maternal cessation (OR = 1.12), but father-directed interventions were highly effective for paternal cessation (OR = 2.18; high-certainty evidence).</p><p><strong>Conclusion: </strong>Behavioral interventions, particularly individual counseling, are effective in pregnancy. Father-directed approaches merit consideration in antenatal care, although evidence derives from four trials. Socioeconomically inclusive and mental health-integrated interventions are promising but require confirmation.</p><p><strong>Systematic review registration: </strong>https://doi.org/10.17605/OSF.IO/DUYF7, identifier 10.17605/OSF.IO/DUYF7.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609825"},"PeriodicalIF":5.2,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076206","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}
PUBLIC HEALTH REVIEWSPub Date : 2026-09-01eCollection Date: 2026-01-01DOI: 10.3389/phrs.2026.1609690
Marilyn Tseng, Ashley S Watt, Anna K Ostrander, Carolyn Y Fang
{"title":"A systematic review of co-ethnic exposure and cardiometabolic outcomes in racial and ethnic minoritized populations.","authors":"Marilyn Tseng, Ashley S Watt, Anna K Ostrander, Carolyn Y Fang","doi":"10.3389/phrs.2026.1609690","DOIUrl":"10.3389/phrs.2026.1609690","url":null,"abstract":"<p><strong>Objectives: </strong>Urban residential characteristics, including racial and ethnic composition, may be associated with cardiometabolic health. We synthesized the literature on neighborhood co-ethnic exposure and cardiometabolic outcomes among racial and ethnic minoritized populations.</p><p><strong>Methods: </strong>We searched PubMed and Web of Science for studies published through October 2023 examining ethnic density or segregation and cardiometabolic conditions (adiposity, cardiovascular disease, and diabetes). Study quality was assessed using the U.S. National Institutes of Health's Quality Assessment Tool.</p><p><strong>Results: </strong>Forty-five articles representing 34 unique studies were included. Over half relied on self-reported outcomes, and nine were longitudinal. The most common exposure measure was percentage of census tract residents sharing participant's racial/ethnic classification. Over 40% of studies including Black and Hispanic/Latine populations reported an association of greater co-ethnic exposure with poorer cardiometabolic outcomes, compared with 7% of studies including Asian populations. Across all three groups, 25%-40% of studies reported inverse associations.</p><p><strong>Conclusion: </strong>Associations between neighborhood co-ethnic exposure and cardiometabolic outcomes vary both across and within racial/ethnic groups, reflecting interactions among structural (dis)advantage, community stressors, and neighborhood resources. Future research should integrate theoretical frameworks and sociohistorical context.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609690"},"PeriodicalIF":5.2,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13574725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977904","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}