PUBLIC HEALTH REVIEWS最新文献

{"title":"Mitigating Sports-Related Concussions in Adolescent Athletes: A Systematic Review and Meta-Analysis of Communication and Education Interventions.","authors":"Giovanna Pedroni, Yara Barrense-Dias, Michael von Rhein, Oliver Gruebner, Chantal Kuske, Barbara Goeggel Simonetti, Marta Fadda, Anne-Linda Camerini","doi":"10.3389/phrs.2025.1608153","DOIUrl":"10.3389/phrs.2025.1608153","url":null,"abstract":"<p><strong>Objectives: </strong>Sports-related concussions (SRCs) in adolescents may pose severe health consequences, which underscores the importance of adequate prevention, early detection, and management. This systematic literature review and meta-analysis aims to synthesize findings from studies evaluating SRC communication and education interventions targeting adolescent athletes and/or their caregivers.</p><p><strong>Methods: </strong>We included original, peer-reviewed studies published in English between 2014 and 2024. For studies reporting on comparable outcomes, we conducted a meta-analysis based on mean differences between pre- and post-assessment.</p><p><strong>Results: </strong>Of 2,974 identified records, 22 were included. Most SRC communication and education interventions focused on the North American context, targeted adolescent athletes, and combined digital and in-person communication Interventions were generally more effective in increasing knowledge or awareness than in shifting attitudes or reporting behaviors. The quality of the included studies varied considerably. The studies tended to be short-term and effects appeared independent of the target group, features, or outcome assessments.</p><p><strong>Conclusion: </strong>Given the findings of this review and meta-analysis, future interventions should aim towards long-lasting attitude change fostering intentions to and behaviours promoting the prevention and early detection of SRCs.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608153"},"PeriodicalIF":3.5,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200285","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":"Primary Stroke Screening and Hydroxyurea Treatment for Sickle Cell Anemia in Pediatric Healthcare Settings in East and Central Africa: A Narrative Review of Capacity Gaps and Opportunities.","authors":"Teresa Smith Latham, Katarzyna Czabanowska, Suzanne Babich, Faith Yego-Kosgei, Lisa M Shook, Russell E Ware","doi":"10.3389/phrs.2025.1608359","DOIUrl":"10.3389/phrs.2025.1608359","url":null,"abstract":"<p><strong>Objectives: </strong>Sickle cell anemia (SCA) is associated with increased morbidity and mortality and impacts resource-limited settings with limited capacity for diagnosis and treatment. This review provides context for the magnitude of the problem, describes screening methods to prevent stroke, and factors that impact outcomes.</p><p><strong>Methods: </strong>A narrative review was conducted. Topics included background information on SCA, its clinical characteristics, complications including primary stroke, and available treatment options. Social, economic, and political factors in East and Central Africa were described.</p><p><strong>Results: </strong>A total of 37 publications were categorized into four themes: morbidity and mortality of SCA in sub-Saharan Africa; TCD screening for risk of primary stroke in children; treatment of children with SCA in resource-limited settings; and approaches to capacity gaps.</p><p><strong>Conclusion: </strong>SCA represents a public health problem in sub-Saharan Africa. TCD screening with hydroxyurea treatment can improve outcomes and prevent primary stroke. Multiple barriers exist, including limited diagnostic screening, inconsistent availability of and access to hydroxyurea, and knowledge gaps. These barriers are influenced by social, economic and policy factors that can be addressed to build capacity and improve outcomes.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608359"},"PeriodicalIF":3.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180379","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":"Are Wearables Effective in LMICs?","authors":"Malika Sachdeva, Adeline Dugerdil, Antoine Flahault, Verena Carrara","doi":"10.3389/phrs.2025.1607940","DOIUrl":"10.3389/phrs.2025.1607940","url":null,"abstract":"<p><strong>Objectives: </strong>To provide an overview of research conducted in low- and middle-income countries that present the impact of wearables on non-communicable diseases' health outcomes, and factors that influence the adoption of wearables in these countries.</p><p><strong>Methods: </strong>We conducted a scoping review following the Arksey and O'Malley framework. Two databases, PubMed and Web of Science, were searched for relevant articles published between January 2010 and June 2023. We included studies set in low- and middle-income countries that focused either on the impact of wearables on changes in body mass index, blood pressure, and glycated hemoglobin levels or on the factors influencing wearables adoption.</p><p><strong>Results: </strong>A total of seventeen studies were included in the review out of the 890 identified during the search. Our findings suggest that wearables might be effective in improving health outcomes, such as body-mass-index and diastolic blood pressure, especially when used in conjunction with other health interventions.</p><p><strong>Conclusion: </strong>Wearables such as pedometers can be effective in improving health outcomes. Their widespread use in low- and middle-income countries is limited by different factors, including technological literacy, network coverage, and cultural considerations.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607940"},"PeriodicalIF":3.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143758","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":"Health Education and Promotion Interventions to Mitigate Geophagic Practise: A Scoping Review.","authors":"Mohora Feida Malebatja, Moreoagae Bertha Randa, Mathildah Mpata Mokgatle, Oluwafemi Omoniyi Oguntibeju","doi":"10.3389/phrs.2025.1607614","DOIUrl":"https://doi.org/10.3389/phrs.2025.1607614","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to review health education and promotion interventions that will assist in mitigating the practise of geophagy to reduce the potential health risks, mortalities and morbidities that are linked to geophagic practise.</p><p><strong>Methods: </strong>A scoping review was carried out guided by Arksey and O'Malley's (2005) methodological framework and PRISMA reporting flowchart.</p><p><strong>Results: </strong>This scoping review found that health education and promotion interventions focusing on geophagy, nutrition, the uptake of iron and folic acid supplements, the potential health risks of geophagy, anaemia risk during pregnancy, oral and intravenous iron therapy and randomised trials are some of the methods that are currently used to prevent and control the practise of geophagy amongst women of reproductive age at antenatal care units, school and community level.</p><p><strong>Conclusion: </strong>It is concluded that the existing health education and promotion interventions that can assist women of reproductive age to cease the practise of geophagia are not effective. More emphasis should be given to the establishment of health education awareness programmes on the practise of geophagy, nutrition, and iron and folic acids uptake at community level.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607614"},"PeriodicalIF":3.5,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12074957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081129","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":"Strategies for Managing the COVID-19 Pandemic and Lessons Learnt: An Irish Perspective.","authors":"Alison Connolly, Peter Noone, Conor Buggy, Edel Costello, Frances Wright, Claire Farrell, Geraldine Lenehan, Michael Gillen, Peter Coulahan, Patrick Wall, Patricia McDonnell, Nuala Flavin","doi":"10.3389/phrs.2025.1607427","DOIUrl":"10.3389/phrs.2025.1607427","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) announced the end of the emergency phase of Corona Virus Disease 2019 (COVID-19) in May 2023. Nations across the world address the effects of the pandemic and the need to plan for future pandemics. Ireland heavily focused on isolation and social distancing to curb the infection rate early in the pandemic. These long and extended lockdowns gave Ireland a very unique experience during the COVID-19 pandemic.</p><p><strong>Analysis: </strong>Ireland's COVID-19 pandemic management was discussed by an expert panel on the strengths in our national pandemic action plans, areas not sufficiently addressed and requirements to ensure future pandemic preparedness plans are robust.</p><p><strong>Policy options: </strong>Recommendations include having a more strategic plan to protect society's most vulnerable people, a flexible national policy that swiftly implements advances in scientific knowledge and good practices, a robust communication plan including localised information to prevent \"pandemic fatigue,\" and address challenges from restrictions, lockdowns and isolation such as mental health and wellbeing.</p><p><strong>Conclusion: </strong>Lessons learnt from the Irish COVID-19 pandemic experience can be utilised for pandemic preparedness plans, nationally and internationally.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607427"},"PeriodicalIF":3.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988315","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":"Devastating \"DANA\" Floods in Valencia: Insights on Resilience, Challenges, and Strategies Addressing Future Disasters.","authors":"Jose M Martin-Moreno, Eva Garcia-Lopez, Mariano Guerrero-Fernandez, Jose L Alfonso-Sanchez, Paul Barach","doi":"10.3389/phrs.2025.1608297","DOIUrl":"https://doi.org/10.3389/phrs.2025.1608297","url":null,"abstract":"<p><strong>Background: </strong>The unprecedented DANA floods that struck Valencia, Spain on October 29, 2024, caused catastrophic human, economic, and ecological damages, resulting in 223 fatalities, the displacement of 15,000 residents, and long-term health and environmental consequences and incurred financial losses estimated over 50 billion euros. Vulnerabilities in urban planning, ambiguous command and control oversight, delayed warnings, and insufficient preparedness underscored systemic gaps in the flood preparedness and management.</p><p><strong>Analysis and policy options: </strong>Urgent actions, including stricter urban zoning laws, implementing comprehensive early warning systems, and fostering community-based disaster preparedness are needed to mitigate future risks. A One Health approach that addresses the interconnectedness of human, animal, and environmental health is critical. Investments in resilient infrastructure and communication strategies, including mobile alerts and public education campaigns, can significantly mitigate overall impacts. Moreover, prioritizing mental health interventions and long-term recovery plans are essential for fostering community resilience.</p><p><strong>Conclusion: </strong>The Valencia floods catastrophe is a painful reminder of the devastating potential of extreme weather and the critical importance of preparedness and clear governance underscore the pressing needs for integrated disaster management frameworks. An effective system of cooperation between local and national governments is essential to avoid the confusion and delays seen during this disaster. Strengthening prevention, preparedness, and response measures, and fostering political and community cohesion, can enable societies to build adaptive capacity to effectively tackle the increasing challenges of climate-driven extreme weather disasters. Future leaders must act with urgency and transparency to build trust and put citizens' safety above all else.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608297"},"PeriodicalIF":3.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001880","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":"Engaging Scientists in Science Policy: Experiences From Canada.","authors":"Steven Lâm, Sarah Raza, Lisa Hansen","doi":"10.3389/phrs.2025.1607130","DOIUrl":"https://doi.org/10.3389/phrs.2025.1607130","url":null,"abstract":"<p><strong>Background: </strong>Training scientists in science policy is crucial to enhance scientific advice for decision-making. However, there are limited opportunities for scientists to receive such training.</p><p><strong>Analysis: </strong>We reflected on our participation in a one-year postgraduate science policy fellowship program in Canada. Although recently discontinued in 2023, this fellowship allowed us to refine practical policy skills, contribute to policy outputs that advanced our office's mandate, and access career pathways beyond academia.</p><p><strong>Policy options: </strong>Recognizing the value of engaging scientists in policy, we advocate for continued offerings of science policy training, alongside rigorous evaluation to inform program changes. Additionally, we encourage increased financial support early on for graduate students to sustain a talent pool of scientists who will become future science policy leaders. Lastly, we urge more scientists and students to be active in science policy spaces.</p><p><strong>Conclusion: </strong>By openly sharing our experiences and learnings from the fellowship, we seek to contribute to ongoing discussions on the importance of science policy training and its role in bridging the gap between science and decision-making.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607130"},"PeriodicalIF":3.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051710","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":"Effect of Climate Change on West Nile Virus Transmission in Italy: A Systematic Review.","authors":"Antonio Lorenzon, Michele Granata, Pietro Verzelloni, Luigi Tommasi, Lucia Palandri, Marcella Malavolti, Annalisa Bargellini, Elena Righi, Marco Vinceti, Stefania Paduano, Tommaso Filippini","doi":"10.3389/phrs.2025.1607444","DOIUrl":"https://doi.org/10.3389/phrs.2025.1607444","url":null,"abstract":"<p><strong>Objectives: </strong>West Nile Virus (WNV) infection prevalence is increasing in recent years in Europe, particularly in Italy. Such increase has been related to climate and environmental factors. Our review aims to assess the relation between climate change-related factors and the spread of WNV in Italy.</p><p><strong>Methods: </strong>We conducted a literature search across four online databases until 22 January 2025, using as search terms WNV, its vectors, and climate change.</p><p><strong>Results: </strong>Out of 282 unique articles, we included 29 eligible papers published between 2011-2025, most of them assessing distribution of the main WNV vector (<i>Culex pipiens</i>) and epidemiology of the infection in relation to climate/environmental factors. We found a positive strong association of WNV transmission with temperature and agricultural land use. Associations with other environmental variables also emerged, but they were either weak or inconsistent.</p><p><strong>Conclusion: </strong>Despite some inconsistencies in the results, likely due to heterogeneity in study methodologies and interactions of environmental variables, review findings indicate that some climate change-related factors favor WNV spread through its vectors in Italy, in line with exploratory observations obtained on the entire Europe.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD42023430636, identifier CRD42023430636.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607444"},"PeriodicalIF":3.5,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986477","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":"Factors Influencing the Acceptability and Uptake of HIV Self-Testing Among Priority Populations in Sub-Saharan Africa: A Scoping Review.","authors":"Felix Emeka Anyiam, Maureen Nokuthula Sibiya, Olanrewaju Oladimeji","doi":"10.3389/phrs.2025.1608140","DOIUrl":"https://doi.org/10.3389/phrs.2025.1608140","url":null,"abstract":"<p><strong>Objectives: </strong>To identify and synthesize the factors influencing the acceptability and uptake of HIV self-testing (HIVST) among Priority Populations (PPs) in Sub-Saharan Africa (SSA) through a comprehensive scoping review.</p><p><strong>Methods: </strong>Using Arksey and O'Malley's framework refined by Levac, we systematically reviewed the literature on factors affecting HIVST uptake and acceptability among PPs in SSA. The review included searches in six databases (Embase, Medline (via Ovid), PubMed, PsycINFO, Web of Science, WHO Global Health Library), as well as grey literature, including (Google Scholar and OpenGrey), limiting publications to 2010-2023.</p><p><strong>Results: </strong>The review found evidence indicating that HIVST is widely accepted and considered convenient among priority groups. Key challenges include limited post-test counseling and linkage to care, which hinder effective implementation. Peer-led and digital distribution strategies show the potential to increase uptake. However, user errors and economic constraints pose significant barriers to scaling HIVST, underscoring the need for targeted interventions to address these implementation challenges for optimal impact.</p><p><strong>Conclusion: </strong>While HIVST can boost testing rates among PPs in SSA, overcoming access and utilization barriers is crucial. Interventions addressing economic, educational, and systemic challenges are essential for successful HIVST integration into broader HIV prevention and care efforts.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1608140"},"PeriodicalIF":3.5,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051476","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":"Advancing Mammographic Screening Among Underserved Groups: A Systematic Review and Meta-Analysis of Intervention Strategies to Increase Breast Cancer Screening Uptake.","authors":"Allegra Ferrari, Deborah Jael Herrera, Wessel Van De Veerdonk, Wendy D'haenens, Andrea Ruiz Alejos, Nigus Bililign Yimer, Sheila Orwa, Liesbet Van Bos, Sarah Talboom, Lilu Ding, Mathieu Goossens, Guido Van Hal","doi":"10.3389/phrs.2025.1607873","DOIUrl":"https://doi.org/10.3389/phrs.2025.1607873","url":null,"abstract":"<p><strong>Objectives: </strong>Breast cancer (BC) is a leading cause of cancer related disability and mortality. Despite efforts to implement mammography screening programs, uptake rates vary widely due to socioeconomic factors and accessibility challenges. To improve participation, interventions targeting barriers faced by underserved groups are crucial for promoting equitable screening and early detection.</p><p><strong>Methods: </strong>A systematic search and meta-analysis was performed to identify strategies to reduce disparities and enhance participation in BC screening, with particular attention to underserved groups, including individuals with low SES, underinsured, with immigrant background or part of ethnic minority.</p><p><strong>Results: </strong>The meta-analysis of 44 randomized studies involving 161,141 individuals (of which 14,720 belonged to underserved groups) showed that, compared to usual care, interventions regarding BC screening were effective in increasing mammography uptake [pooled OR 1.55 (95%CI 1.39-1.73)], particularly, among underserved groups [pooled OR 1.81 (95%CI 1.43-2.28)]. Overall, the most effective were educational interventions. Among underserved groups, reminders, telephonic interventions, navigation services and cultural-sensitive approaches were highly effective.</p><p><strong>Conclusion: </strong>Combining these strategies can simultaneously address multiple barriers, ensuring comprehensive support throughout the BC screening process and improved access to screening for underserved groups.</p><p><strong>Systematic review registration: </strong>Identifier CRD42023393352.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"46 ","pages":"1607873"},"PeriodicalIF":3.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002044","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}