PUBLIC HEALTH REVIEWS最新文献

{"title":"Non-pharmacological and physical strategies for managing dental anxiety: a systematic review with implications for dental education.","authors":"Angelika Wawrzyniak, Natalia Sadowska, Maria Pawlak-Mojsiewicz, Natalia Walczuk, Diana Masłyk, Izabela Barczyk, Piotr Skomro, Magdalena Sroczyk-Jaszczyńska, Karina Kijak, Helena Gronwald, Lidia Szczucka, Adam Andrzej Garstka, Danuta Lietz-Kijak","doi":"10.3389/phrs.2026.1609316","DOIUrl":"https://doi.org/10.3389/phrs.2026.1609316","url":null,"abstract":"<p><strong>Objectives: </strong>Dental anxiety remains a significant barrier to effective oral healthcare, contributing to treatment avoidance and poorer clinical outcomes. This systematic review aimed to evaluate the effectiveness of non-pharmacological and physical interventions in reducing dental anxiety and improving patient cooperation.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed/MEDLINE, Scopus, Dentistry & Oral Sciences Source, and Google Scholar for studies published between 1971 and 2024. Randomized controlled trials, quasi-experimental, and observational studies assessing non-pharmacological or technology-assisted interventions in children and adults were included. Study selection and data extraction were performed independently by two reviewers. The certainty of evidence was assessed using the GRADE framework.</p><p><strong>Results: </strong>A total of 126 studies were included in the qualitative synthesis. Interventions were grouped into three categories: technological/physical (e.g., computer-controlled anesthesia, Er:YAG laser, TENS), sensory-relaxation (e.g., aromatherapy, breathing techniques, hypnosis), and digital/interactive (e.g., mobile applications, audiovisual distraction, humanoid robots). The majority of studies reported reductions in anxiety or improvements in patient cooperation. The strongest evidence supported computer-controlled anesthesia systems while moderate-certainty evidence was identified for aromatherapy, laser-based interventions, and audiovisual distraction. Several additional interventions demonstrated potentially beneficial effects, although the certainty of evidence remained limited due to methodological weaknesses.</p><p><strong>Conclusion: </strong>Non-pharmacological and physical interventions can effectively reduce dental anxiety and enhance treatment acceptance across diverse patient populations. Integrating these strategies into routine clinical practice and dental education may improve patient-centered care and reduce reliance on pharmacological methods. Further high-quality studies are needed to confirm long-term effectiveness and support implementation.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD420251229878, identifier CRD420251229878.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609316"},"PeriodicalIF":5.2,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13472981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762364","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":"Use and impact of risk-based eligibility models in low-dose computed tomography lung cancer screening: a systematic review.","authors":"Veronika Elisabeth Mikl, Mohammad Azizzadeh, Marie-Kathrin Breyer, Kevin Ten Haaf, Valentin Ritschl, Judit Simon, Tanja Stamm","doi":"10.3389/phrs.2026.1609133","DOIUrl":"10.3389/phrs.2026.1609133","url":null,"abstract":"<p><strong>Objectives: </strong>Low-dose computed tomography lung cancer screening (LDCT-LCS) significantly reduces mortality, yet identifying high-risk individuals while reducing over-screening remains challenging. Risk-based eligibility models are promising to optimize participant selection. Within the European context, we assessed the types, outcomes, and impact of these risk-based eligibility models for LDCT-LCS.</p><p><strong>Methods: </strong>We systematically reviewed prediction model studies (PROSPERO CRD42025648906) across EMBASE, MEDLINE, and Cochrane Central Register of Controlled Trials. We included original research on adults aged 18+ at risk for LC, excluding East-Asian populations. Study characteristics, model type, performance and outcomes were extracted for narrative synthesis.</p><p><strong>Results: </strong>The review included 46 articles (2003-2025), identifying 39 risk-prediction models. Models were primarily statistical (72%); PLCOm2012 was most frequent. Age (100%), smoking duration (91%), and intensity (72%) were the most common variables. Risk models improved eligibility and demonstrated cost-effectiveness over traditional criteria, though heterogeneity and population-specific calibration remain challenges.</p><p><strong>Conclusion: </strong>Risk-based eligibility models improve LDCT-LCS efficiency by enhancing detection rates and personalization. While PLCOm2012 is prominent, addressing model heterogeneity, ensuring population-specific validation, and calibration are crucial to optimize LDCT-LCS outcomes in Europe.</p><p><strong>Systematic review registration: </strong>Identifier CRD42025648906.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609133"},"PeriodicalIF":5.2,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13430644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670755","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":"Ventilation and filtration strategies to reduce respiratory infections in schools: a scoping review.","authors":"Elisabetta Erriu, Jennifer Hasselgard-Rowe, Elsa Gaillard, Antoine Flahault","doi":"10.3389/phrs.2026.1608923","DOIUrl":"10.3389/phrs.2026.1608923","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review examines evidence on ventilation and filtration strategies in schools and their association with respiratory infection incidence and proxy indicators such as CO2, particulate levels, and absenteeism.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines, we searched PubMed, Embase, and Web of Science (19 March 2025) for studies published between 2020 and 2025 in English, French, or Italian. Eligible designs included interventional, observational, and modelling studies, as well as reviews. Screening and data extraction were performed using Rayyan, and similar publications were verified with LiteRev.</p><p><strong>Results: </strong>Sixty-two studies met inclusion criteria. Mechanical ventilation, especially with high-efficiency filtration, was associated with lower CO2, fewer airborne particles, and reduced infection incidence or absenteeism. Natural ventilation showed variable effectiveness influenced by climate and window use. Hybrid systems and multilayered approaches provided the greatest reductions in estimated infection risk.</p><p><strong>Conclusion: </strong>Ventilation and filtration strategies reduce respiratory infection risk in schools. Mechanical and hybrid systems perform more reliably than natural ventilation. Further research should address feasibility, safety, sustainability, and implementation in low-resource settings.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1608923"},"PeriodicalIF":5.2,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707673","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":"Interwoven urban crises: how health, housing, and climate change intersect.","authors":"Ana Isabel Ribeiro, George Richard Lueddeke, Nino Kuenzli","doi":"10.3389/phrs.2026.1609638","DOIUrl":"10.3389/phrs.2026.1609638","url":null,"abstract":"","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609638"},"PeriodicalIF":5.2,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13415012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621590","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":"Personalised prevention and management of kidney stones: a narrative review on the importance of integrating environmental, social and genetic factors.","authors":"Aleksandra Leonova, Rosa Sinisi, Stefano Alba, Vincenzo Andracchio, Alberto Piana, Carmela Leonessa, Giuseppina Rose, Vito Summa, Giuseppe Passarino, Paolina Crocco","doi":"10.3389/phrs.2026.1609208","DOIUrl":"10.3389/phrs.2026.1609208","url":null,"abstract":"<p><p>Kidney stone disease (KSD) is a prevalent, multifactorial, and common disorder influenced by environmental and genetic factors, with increasing global incidence and high recurrence rates. Despite advances, understanding the interplay between urinary biochemistry, lifestyle, climate, and genetic predispositions remains essential for effective management. In this review, we evaluate current concepts on KSD pathophysiology, epidemiology, stone composition, and formation mechanisms, alongside recent diagnostic and therapeutic developments. We emphasize integrating genetic, environmental, and clinical data to inform personalized prevention and treatment strategies. These insights support tailored approaches that may improve patient outcomes and reduce recurrence, highlighting the potential of personalized medicine in addressing the complex etiology of KSD.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609208"},"PeriodicalIF":5.2,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13396294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585329","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":"Structural barriers to implementing individual placement and support in Japanese disability policies and Labor systems.","authors":"Sosei Yamaguchi, Teruo Hayashi","doi":"10.3389/phrs.2026.1608934","DOIUrl":"10.3389/phrs.2026.1608934","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to contextualize structural barriers to the implementation of Individual Placement and Support (IPS) in Japan.</p><p><strong>Analysis: </strong>We examined the position of Japan's employment service policies for individuals with mental illness within the OECD framework for IPS implementation and identified key challenges. A mixed-methods approach was employed, combining a narrative search of Japanese policy documents with systematic searches of Japanese IPS research. According to the OECD framework, Japan's IPS implementation was positioned between the stages of \"Building the foundations for integrated mental health, skills, and work policy\" and \"Shifting from trials to a scaled-up integrated approach.\" A major barrier was the absence of a comprehensive vocational service system for individuals with a diagnosis of severe mental illness.</p><p><strong>Policy options: </strong>Advancing IPS dissemination in Japan requires multifaceted strategies, including grassroots efforts by service providers, strengthened advocacy, incorporation of employer and client perspectives, and consideration of resource allocation across populations with varying levels of needs.</p><p><strong>Conclusion: </strong>While macro-level research on IPS implementation remains scarce in Japan, the practical and feasible policy considerations identified in this study could be beneficial in Japan as well as other non-Western contexts encountering similar implementation challenges.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1608934"},"PeriodicalIF":5.2,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550549","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":"Bright days, dark nights: translating science on the non-visual effects of light into public health guidance.","authors":"Maya Piper, Kai Broszio, Jan Denneman, Marijke Gordijn, Elise McGlashan, Renske Lok, Raymond P Najjar, Luke Price, David Sliney, Oliver Stefani, Juliette van Duijnhoven, Laura Kervezee, Manuel Spitschan","doi":"10.3389/phrs.2026.1609683","DOIUrl":"10.3389/phrs.2026.1609683","url":null,"abstract":"<p><strong>Background: </strong>Light is a daily environmental exposure that can influence circadian timing, sleep, alertness, mood, and cognition, yet public health guidance still focuses mainly on optical-radiation hazards rather than healthy patterns of visible light and darkness.</p><p><strong>Analysis: </strong>This policy brief translates recent evidence and expert consensus on the non-visual effects of ocular light exposure into public health guidance. The evidence supports a practical 24-h pattern: brighter light during the morning and daytime, lower light in the evening, and darkness or near-darkness during sleep. This principle should be communicated as general guidance rather than a universal dose, because responses vary with timing, intensity, spectrum, duration, prior light exposure, age, work schedules, health status, and geography.</p><p><strong>Policy options: </strong>Public health organizations can communicate plain-language guidance, integrate light into workplaces, schools, healthcare, elder care, housing, and public buildings, align daylight messages with sun-safety advice, and support research, measurement, and melanopic labeling.</p><p><strong>Conclusion: </strong>Clear, proportionate guidance on light and darkness can help people and institutions structure daily environments to support circadian alignment, sleep, alertness, mental health, and wellbeing.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609683"},"PeriodicalIF":5.2,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550555","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":"Systematic review of initiatives promoting health career paths for secondary-level students.","authors":"Julia Stiz, Anne-Linda Camerini","doi":"10.3389/phrs.2026.1609646","DOIUrl":"10.3389/phrs.2026.1609646","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review examined healthcare career promotional initiatives targeting secondary-level students to characterize initiative types, evaluate their effectiveness at influencing students' knowledge, interest, attitudes, and healthcare career pathways, and identify factors influencing program success.</p><p><strong>Methods: </strong>A pre-registered systematic review was conducted following PRISMA guidelines. Seven databases were searched. Analysis and interpretation were guided by a modified Motivation-Opportunity-Ability (MOA) model. Study quality was assessed with adapted checklists.</p><p><strong>Results: </strong>Fifty studies with a total of 5,315 participants were included. Forty-four initiatives were North American, targeting grades eleven and twelve through camps, courses, internships, mentorships, and continuum programs. Studies observed short-term improvements in interest, attitudes, knowledge, and career pathways. The success of initiatives was associated with flexibility, accessibility, funding, cultural relevance, and community involvement. Risk of bias assessment was heterogeneous, ranging from moderate to high.</p><p><strong>Conclusion: </strong>Current healthcare career promotional initiatives are promising but constrained by moderate quality, geographical limitation, and heterogeneity. <i>The Integrated MOA-Informed Model</i> offers a valuable framework for the design and evaluation of future initiatives, highlighting the need for more rigorous, diverse, and longitudinal evaluations.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/view/CRD42024515728, identifier CRD42024515728.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609646"},"PeriodicalIF":5.2,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473143","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":"Key determinants of self-management in patients with non-dialysis-dependent chronic kidney disease: a systematic review.","authors":"Alimzhan Muxunov, Dina Kalinina, Ikechi Okpechi, Racquel Lowe-Jones, Abduzhappar Gaipov, Zhanat Kuanshaliyeva, Symbat Bayakhmetova, Meruyert Madikenova, Antonio Sarria-Santamera","doi":"10.3389/phrs.2026.1609108","DOIUrl":"10.3389/phrs.2026.1609108","url":null,"abstract":"<p><strong>Objectives: </strong>Adoption of recommended self-management behaviors has been associated with a lower risk of disease progression, cardiovascular morbidity, and mortality in patients with chronic kidney disease (CKD). This systematic review aims to identify factors associated with the adherence of non-dialysis-dependent CKD (NDD-CKD) patients to recommended self-management practices.</p><p><strong>Methods: </strong>Following PRISMA guidelines, we searched PubMed, Embase, Scopus, Medline, and CINAHL Plus databases from 1st January 2010 to 30th June 2024. The extracted data included associations of variables with self-management scores. The findings were descriptively presented in a grouped tabular form. The study was registered with the PROSPERO, CRD42024547304.</p><p><strong>Results: </strong>From 1,914 studies identified, 16 cross-sectional studies with 3,658 participants were selected for inclusion. Objective CKD knowledge, health literacy, self-efficacy and social support consistently showed positive associations with self-management across multiple studies.</p><p><strong>Conclusion: </strong>This systematic review revealed multiple factors associated with self-management in NDD-CKD patients, with disease-related knowledge, health literacy, and self-efficacy showing the most consistent positive associations across studies. Healthcare providers and policymakers should develop and implement health literacy and awareness programs as a strategy for improving patient outcomes.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=547304, identifier CRD42024547304.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1609108"},"PeriodicalIF":5.2,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449711","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":"Poor adherence to cancer therapy in Ethiopia: systematic review and meta-analysis.","authors":"Astewle Andargie Baye, Yirgalem Abere, Demewoz Kefale, Yeshiambaw Eshetie, Mengistu Ewunetu, Lakachew Yismaw Bazezew, Gebrie Kassaw Yirga, Gebrehiwot Berie Mekonnen","doi":"10.3389/phrs.2026.1608819","DOIUrl":"10.3389/phrs.2026.1608819","url":null,"abstract":"<p><strong>Objectives: </strong>Poor adherence significantly compromises the effectiveness and success of cancer treatment. Understanding the full scope and contributing factors of poor adherence is essential for improving patient care. Therefore, this review aimed to determine the pooled prevalence of poor adherence to cancer therapy in Ethiopia.</p><p><strong>Methods: </strong>The preliminary concepts were registered into PROSPERO. Comprehensive searches of multiple databases were conducted to identify relevant articles. A random-effects model was used to estimate the pooled effect size. Heterogeneity was assessed using the I² statistic. Publication bias was evaluated through both qualitative and quantitative methods. Additionally, a sensitivity analysis was done to ensure the robustness of the studies.</p><p><strong>Results: </strong>The analysis includes 15 studies with a total of 7,115 cancer patients. The result indicates that, the overall pooled prevalence of poor adherence to cancer therapy in Ethiopia was 41.45% (95% CI: 33.37-49.52). Comorbidity, treatment side-effects, and residency settings are factors independently associated with poor adherence.</p><p><strong>Conclusion: </strong>Poor adherence to cancer therapy in Ethiopia is significant. Therefore, efforts are needed to increase adherence. Comprehensive and timely management of comorbid conditions and treatment adverse effects can increase adherence to treatment.</p>","PeriodicalId":35944,"journal":{"name":"PUBLIC HEALTH REVIEWS","volume":"47 ","pages":"1608819"},"PeriodicalIF":5.2,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13345979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424812","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}