AIMS Public HealthPub Date : 2025-08-05eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025038
Amir Khorram-Manesh, Gulcan Taskiran Eskici, Lesley Gray
{"title":"Enhancing global disaster preparedness: A scoping review of the current integration of situational awareness and disaster mindset in healthcare education.","authors":"Amir Khorram-Manesh, Gulcan Taskiran Eskici, Lesley Gray","doi":"10.3934/publichealth.2025038","DOIUrl":"10.3934/publichealth.2025038","url":null,"abstract":"<p><p>Current disaster medicine programs and simulation exercises often fail to adequately incorporate crucial elements such as situational awareness and a disaster mindset. This gap in training can significantly impact the effectiveness of healthcare professionals' responses during real-world disasters and public health emergencies. In this review, we examined the literature to explore the critical role of situational awareness and a disaster mindset in enhancing healthcare provider preparedness for disaster events, proposing the integration of innovative technologies, such as virtual and augmented reality, to create immersive simulations that foster situational awareness and a resilient disaster mindset. Addressing this educational gap will improve healthcare professionals' confidence and optimize patient outcomes during crises.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"735-766"},"PeriodicalIF":4.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349073","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}
AIMS Public HealthPub Date : 2025-08-05eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025039
Mona Gamal Mohamed, Eman Abdelaziz Ahmed Dabou, Shaimaa Abdelsamad, Shaimaa Hashem Elsalous
{"title":"Cholera outbreaks: Public health implications, economic burden, and preventive strategies.","authors":"Mona Gamal Mohamed, Eman Abdelaziz Ahmed Dabou, Shaimaa Abdelsamad, Shaimaa Hashem Elsalous","doi":"10.3934/publichealth.2025039","DOIUrl":"10.3934/publichealth.2025039","url":null,"abstract":"<p><strong>Background: </strong>Cholera remains a persistent and deadly global public health threat, with recent years witnessing a resurgence of large-scale outbreaks, particularly in conflict-affected and resource-limited regions. The disease disproportionately affects vulnerable populations lacking access to clean water, sanitation, and essential healthcare services.</p><p><strong>Objective: </strong>This systematic review aimed to synthesize evidence published between 2019 and 2024 to examine the evolving public health implications, economic burden, and prevention strategies associated with cholera outbreaks globally.</p><p><strong>Methods: </strong>Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive literature search was conducted across the major databases. Eligible studies were screened and assessed for quality and relevance using predefined inclusion criteria and standardized appraisal tools.</p><p><strong>Results: </strong>The review reveals an integrated perspective on cholera by analyzing the intersection of epidemiological trends, health system readiness, and socioeconomic vulnerabilities. Emerging factors such as climate change, population displacement, and political instability were identified as key contributors to cholera outbreaks. Innovative tools, including predictive modeling and artificial intelligence, demonstrate promise for early detection and response. The review also highlights the benefits and challenges of oral cholera vaccines (OCVs), the critical need for sustainable water and sanitation infrastructure, and the importance of community-based interventions.</p><p><strong>Conclusion: </strong>This review reinforces the urgency of adopting a multisectoral, systems-based approach to cholera prevention. Applying the \"One Health\" framework and aligning public health strategies with economic and policy insights can significantly enhance global efforts to reduce cholera's incidence and mortality. The findings inform key research and policy priorities to strengthen preparedness and resilience in high-burden settings.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"767-795"},"PeriodicalIF":2.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349059","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}
AIMS Public HealthPub Date : 2025-07-15eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025037
Carmela Mento, Maria Catena Silvestri, Clara Lombardo, Amelia Rizzo, Fabrizio Turiaco, Maria Rosaria Anna Muscatello, Fabio Presaghi
{"title":"Phubbing and phubber behavior: A new perspective in clinical psychological assessment.","authors":"Carmela Mento, Maria Catena Silvestri, Clara Lombardo, Amelia Rizzo, Fabrizio Turiaco, Maria Rosaria Anna Muscatello, Fabio Presaghi","doi":"10.3934/publichealth.2025037","DOIUrl":"10.3934/publichealth.2025037","url":null,"abstract":"<p><strong>Background: </strong>The term \"Phubbing\" has been defined as a behavior in which a person snubs another in a social setting by focusing on their phone instead of having a conversation. Phubbing is a common phenomenon and reduces the quality of social interactions in people, particularly those in adolescence.</p><p><strong>Objective: </strong>We aimed to validate in Italian, the Generic Scale of Phubbing (GSP), and Generic Scale of Being Phubbed (GSPB), in order to measure the experiences of phubbing, and being phubbed, through confirmatory factor analysis (CFA).</p><p><strong>Methods: </strong>We investigated whether the factor structure of GSP and GSBP may be replicated for the Italian sample, through confirmatory factor analysis (CFA). For the assessment, we used the Generic Scale of Being Phubbed, the Generic Scale of Phubbing, the Internet Addiction Test, and Brief COPE.</p><p><strong>Results: </strong>We found that four important factors of phubbing are nomophobia, interpersonal conflict, self-isolation, and acknowledgement of problems, and phubbing behavior is predictive of social disconnectedness.</p><p><strong>Conclusion: </strong>The GSP and GSBP instruments can be useful in the clinical setting to identify specific psychological dimensions associated with phubbing, such as nomophobia and social isolation.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"716-734"},"PeriodicalIF":2.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349086","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":"A data-driven mathematical model for evaluating the societal and economic burden of delayed access to innovative medicines.","authors":"Foteini Theiakou, Catherine Kastanioti, Dimitris Rekkas, Nikolaos Kontodimopoulos, Dimitris Zavras","doi":"10.3934/publichealth.2025036","DOIUrl":"10.3934/publichealth.2025036","url":null,"abstract":"<p><strong>Background: </strong>This study presents a novel mathematical framework to quantify the societal and economic impacts of delays in the reimbursement and distribution of innovative medicines.</p><p><strong>Methods: </strong>Utilizing the concept of years of life lost (YLL) as a measure of premature mortality, the framework calculated the impact of delay on YLL, years of potential productive life lost (YPPLL), and cost of productivity loss (CPL). The proposed model incorporated mortality probabilities through the Heligman-Pollard (HP) model, examining how delays influence health outcomes, particularly for patients awaiting treatments like Icosapent ethyl.</p><p><strong>Results: </strong>The findings reveal that extended delays significantly increase mortality and economic losses, emphasizing the need for timely access to high-value therapies. This mathematical framework not only emphasizes the adverse effects of delayed reimbursement on populations but also highlights the importance of high-quality data in accurately assessing these effects. By ensuring completeness, consistency, and reliability in healthcare data, the framework advocates for evidence-based policy decisions that promote equitable healthcare access and minimize disparities.</p><p><strong>Conclusions: </strong>The present study underscores the importance of efficient pharmaceutical policymaking in maximizing the societal benefits of innovative treatments, ensuring that both health outcomes and economic sustainability are prioritized in healthcare systems.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"700-715"},"PeriodicalIF":2.7,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349070","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}
AIMS Public HealthPub Date : 2025-07-02eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025035
Chukwuemeka E Ogbu, Stella C Ogbu, Maureen Ezechukwu, Sushma Lamsal, Ifeanyi I Momodu
{"title":"Clustering of behavioral and chronic health risk factors and their association with self-reported health and cardiovascular disease outcome among adults in North Carolina.","authors":"Chukwuemeka E Ogbu, Stella C Ogbu, Maureen Ezechukwu, Sushma Lamsal, Ifeanyi I Momodu","doi":"10.3934/publichealth.2025035","DOIUrl":"10.3934/publichealth.2025035","url":null,"abstract":"<p><strong>Background: </strong>In 2024, North Carolina (NC) had a smoking rate of 17.2% and a higher-than-average rate of binge and heavy drinking. These behaviors often cluster with other health risks such as hypertension, hypercholesterolemia, and diabetes, thus leading to significant disparities in cardiovascular, physical, and mental health outcomes across the state. However, limited research has examined these clustering patterns within North Carolina.</p><p><strong>Objective: </strong>This study seeks to investigate the associations between latent class membership, defined by clustering of behavioral and chronic health risk factors, and cardiovascular disease, self-reported health status, physical health status, and mental health status.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis using the 2017, 2019, and 2021 North Carolina Behavioral Risk Factor Surveillance System (BRFSS) data. A latent class analysis (LCA) was used to identify distinct health risk profiles among adults based on smoking, alcohol use, physical activity, fruit and vegetable intake, hypertension, elevated cholesterol, and diabetes status. Multivariable logistic regression models were used to examine associations between latent class membership and four outcomes: cardiovascular disease (CVD), self-reported general health, physical health status, and mental health status. Analyses were adjusted for sociodemographic variables, and age-stratified analyses were conducted.</p><p><strong>Results: </strong>The LCA identified two distinct classes: \"Moderate drinking overweight non-smokers\" (Class 1) and \"High behavioral and chronic risk profile\" (Class 2). Class 1 was characterized by moderate alcohol consumption, overweight status, and low smoking prevalence, while Class 2 reflected a higher prevalence of smoking, binge drinking, hypertension, diabetes, and elevated cholesterol. Membership in Class 2 was significantly associated with increased odds of CVD (OR = 1.93; 95% CI: 1.60-2.34), poor self-reported health (OR = 1.69; 95% CI: 1.46-1.96), ≥14 days of poor physical health (OR = 1.82; 95% CI: 1.55-2.15), and ≥14 days of poor mental health (OR = 1.68; 95% CI: 1.43-1.97). In age-stratified analyses, the strongest associations were observed among young adults (18-39 years), with significantly higher odds of CVD (OR = 6.84; 95% CI: 2.79-16.72), poor physical health (OR = 2.32; 95% CI: 1.58-3.40), and poor mental health (OR = 2.12; 95% CI: 1.60-2.81). Similar but attenuated associations were observed among adults aged 40-59 and ≥60 years.</p><p><strong>Conclusion: </strong>These findings support the importance of targeted public health efforts in North Carolina that address the co-occurrence of behavioral and chronic health risk factors, especially among younger populations. Syndemic-informed interventions which focus on behavioral and proximal chronic disease risk factors may help reduce CVD burden and improve the population health.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"675-699"},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349100","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":"Comparing predictors of emotional intelligence among medical and nursing staff in national health system and military hospitals: A cross-sectional study in Greece.","authors":"Vassiliki Diamantidou, Evangelos C Fradelos, Athina Kalokairinou, Daphne Kaitelidou, Petros Galanis","doi":"10.3934/publichealth.2025034","DOIUrl":"10.3934/publichealth.2025034","url":null,"abstract":"<p><strong>Background: </strong>Emotional intelligence (EI) is a crucial skill in the healthcare industry, closely related to empathy, communication, and stress tolerance. Although EI has been well researched among healthcare workers, there is little information comparing organizational structures.</p><p><strong>Objective: </strong>Our purpose of this study was to examine the EI of medical staff employed by the Armed Forces (military) and National Health System (NHS) hospitals in Athens, Greece, and investigate the connection between EI and professional or demographic traits.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from November 2022 to July 2023 involving 1108 healthcare professionals (nurses and physicians) recruited through convenience sampling. Participants worked in ICUs, surgical, and medical departments of four military and three NHS hospitals in Attica EI was measured using the Greek-validated Wong and Law EI Scale (WLEIS). Bivariate and multivariable linear regression analyses were carried out. Analyses of bivariate and multivariable linear regression were performed.</p><p><strong>Results: </strong>Healthcare professionals in NHS hospitals demonstrated significantly higher EI scores across all dimensions compared to those in military hospitals (<i>p</i> < 0.001). Contrary to several earlier findings, male professionals showed higher values in emotional regulation and overall, EI. Higher EI is related to greater professional experience and permanent work status. Healthcare professionals who were working on rotated shifts reported higher scores for EI compared with those who were working morning shifts.</p><p><strong>Conclusions: </strong>The EI of medical and nursing staff is influenced by work experience, employment stability, and organizational structure. Military hospitals and the hierarchical structures of such hospitals may pose an obstacle to emotional growth and expression. This underscores the necessity of specialized EI training in these settings. Finally, these results highlight the necessity of the development of EI to enhance patient care and teamwork.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"657-674"},"PeriodicalIF":2.7,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349080","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}
AIMS Public HealthPub Date : 2025-06-23eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025033
J A Parraca, D Salas-Gómez, R Dinis, A Denche-Zamorano, A Vega-Muñoz, P Tomas-Carus
{"title":"Overview and current status of published research on cancer, sarcopenia and physical activity: A bibliometric analysis.","authors":"J A Parraca, D Salas-Gómez, R Dinis, A Denche-Zamorano, A Vega-Muñoz, P Tomas-Carus","doi":"10.3934/publichealth.2025033","DOIUrl":"10.3934/publichealth.2025033","url":null,"abstract":"<p><strong>Introduction: </strong>Cancer is a global health problem; the presence of secondary symptoms such as sarcopenia in cancer patients is relatively common. Physical activity (PA) is notable for its protective role against sarcopenia; however, there is currently no bibliometric analysis of research related to cancer, sarcopenia, and physical activity.</p><p><strong>Methods: </strong>A search on the Web of Science (WoS) Core Collection database was performed on this topic, and a bibliometric analysis of the identified publications was performed using traditional bibliometric laws.</p><p><strong>Results: </strong>121 publications were found. Annual publications presented an exponentially growing trend from 2012 to 2023 (<i>R<sup>2</sup></i> = 91%). The United States of America was the country with the most documents worldwide. Newton, R. U. and Galvao, D. A. were highlighted as the most prolific and prominent co-authors. The Cancers and Journal of Cachexia, Sarcopenia and Muscle were the journals with the highest number of published documents. 36 papers, having 37 or more citations, were the most cited papers. The author keywords and keywords Plus® identified thematic clusters related to research on this topic, such as cancer, physical activity, aging, muscle, skeletal muscle, osteoporosis, malnutrition, body composition, cachexia, survival, and frailty.</p><p><strong>Conclusion: </strong>Research on cancer, sarcopenia, and physical activity has followed an exponential growth trend, which reveals growing interest in the topic. Significant authors and collaborative groups in the field were identified, as well as the journals and countries with the highest number of publications and the research trends most followed by researchers.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 3","pages":"632-656"},"PeriodicalIF":2.7,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12538244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349064","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}
AIMS Public HealthPub Date : 2025-06-17eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025032
Louise A Ellis, Tanja Schroeder, Maree Saba, Kate Churruca, Janet C Long, Annie Haver, Kristin Akerjordet, Kristiana Ludlow, Inger Johanne Bergerød, Sini Nevantaus, Jan-Willem Weenink, Zoe Gonzales, Samantha Spanos, Hilda Bø Lyng, Cecilie Haraldseid-Driftland, Daniel Adrian Lungu, Malin Knutsen Glette, Mari Lahti, Florin Tibu, Andreas Chatzittofis, Juana Maria Delgado-Saborit, Eila Kankaanpää, Viviana Wuthrich, Robyn Clay-Williams, Jeffrey Braithwaite, Siri Wiig
{"title":"Supporting the mental wellbeing of aged care workers: A systematic review of factors and interventions.","authors":"Louise A Ellis, Tanja Schroeder, Maree Saba, Kate Churruca, Janet C Long, Annie Haver, Kristin Akerjordet, Kristiana Ludlow, Inger Johanne Bergerød, Sini Nevantaus, Jan-Willem Weenink, Zoe Gonzales, Samantha Spanos, Hilda Bø Lyng, Cecilie Haraldseid-Driftland, Daniel Adrian Lungu, Malin Knutsen Glette, Mari Lahti, Florin Tibu, Andreas Chatzittofis, Juana Maria Delgado-Saborit, Eila Kankaanpää, Viviana Wuthrich, Robyn Clay-Williams, Jeffrey Braithwaite, Siri Wiig","doi":"10.3934/publichealth.2025032","DOIUrl":"10.3934/publichealth.2025032","url":null,"abstract":"<p><strong>Background: </strong>The aged care sector faces significant challenges due to rising demand from aging populations and chronic diseases, in addition to workforce shortages, contributing to staff stress, burnout, and poor mental wellbeing. In this review, we synthesized quantitative studies on factors and interventions to improve the mental wellbeing of the aged care workforce across indicators and system levels.</p><p><strong>Methods: </strong>Five academic databases (Medline, Embase, Scopus, PsycInfo, and CINAHL) were searched from January 2014 to May 2024, using keywords related to aged care, care workers, and mental wellbeing. Quantitative studies examining factors or outcomes of interventions related to staff wellbeing were included. Identified factors were classified as micro-, meso-, and macro-level using a combined inductive and deductive approach.</p><p><strong>Results: </strong>Eighty-nine studies were included: 64 (72%) identified significant factors, and 25 (28%) evaluated interventions aiming to improve workers' mental wellbeing. Almost half concentrated on nursing staff (<i>n</i> = 38, 43%), with others addressing direct care workers (<i>n</i> = 25, 28%) or aged care workers more broadly (<i>n</i> = 19, 21%). From the synthesis, a multi-level model of factors affecting aged care worker wellbeing was developed, comprising 11 themes and 39 sub-themes; 3 micro-level themes (1. personal factors, 2. work engagement, and 3. skills and abilities), 6 meso-level themes (4. job demands, 5. professional relations, 6. job control, 7. leadership, 8. professional development, and 9. workplace resources), and 2 macro-level themes (10. policy and regulation and 11. structure and governance). Among the 25 intervention studies, most entailed micro-level changes (<i>n</i> = 24, 96%), including relaxation, emotion regulation, and behavioral management education training.</p><p><strong>Conclusions: </strong>Understanding system-level factors is a key to designing comprehensive improvement approaches. Our new model can help guide organizations in developing targeted strategies to promote mental wellbeing and strengthen care delivery. While individual-focused interventions have shown benefits, organizational and broader system-level strategies to improve mental wellbeing are pivotal for achieving sustainable change.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 2","pages":"600-631"},"PeriodicalIF":4.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691952","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}
AIMS Public HealthPub Date : 2025-05-28eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025031
Wenpeng You
{"title":"Nursing and midwifery workforce expansion as a strategic lever to reduce maternal mortality: Global evidence and policy implications from an ecological study.","authors":"Wenpeng You","doi":"10.3934/publichealth.2025031","DOIUrl":"10.3934/publichealth.2025031","url":null,"abstract":"<p><strong>Background: </strong>This global cross-sectional study analyzed data from 266 \"countries\" and territories to evaluate the relationship between the nursing and midwifery workforce size (NMWS) and maternal mortality ratios (MMR). Drawing from five major United Nations and World Bank databases, the study offers robust and generalizable insights across diverse health systems and economic settings.</p><p><strong>Methods: </strong>The study examined the association between the NMWS and MMR using scatterplots, bivariate and partial Pearson correlation coefficients, and multiple and stepwise linear regression models. Key confounding variables, including economic affluence measured by the gross domestic product (GDP) per capita adjusted for purchasing power parity, total fertility rate, and urbanization, were included to isolate the independent contribution of the NMWS to maternal health outcomes at the global and regional levels.</p><p><strong>Results: </strong>The NMWS accounted for 49.13 percent of the global variation in maternal mortality ratios, which indicates a strong inverse relationship. After adjusting for economic and demographic variables, the NMWS remained a significant independent predictor and explained 11.09 percent of the variance. A stepwise regression identified the NMWS as the second most influential predictor of maternal mortality after economic affluence and the fertility rate. The association was strongest in low- and middle-income countries, where workforce shortages and the maternal mortality rates are highest.</p><p><strong>Conclusions: </strong>This study identifies the NMWS as a critical and measurable factor in reducing maternal mortality worldwide. This study's findings provide compelling evidence for a strategic investment in the nursing and midwifery workforce. Expanding this workforce is essential to improve the maternal health outcomes, especially in countries with limited resources, and should be prioritized in global maternal health and workforce planning strategies.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 2","pages":"579-599"},"PeriodicalIF":3.1,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691933","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}
AIMS Public HealthPub Date : 2025-05-26eCollection Date: 2025-01-01DOI: 10.3934/publichealth.2025030
Nicola Magnavita, Francesco Marcatto, Igor Meraglia, Giacomo Viti
{"title":"Relationships between individual attitudes and occupational stress. A cross-sectional study.","authors":"Nicola Magnavita, Francesco Marcatto, Igor Meraglia, Giacomo Viti","doi":"10.3934/publichealth.2025030","DOIUrl":"10.3934/publichealth.2025030","url":null,"abstract":"<p><p>Understanding the impact of work attitudes on occupational stress is essential to promote employee wellbeing and productivity. This study investigates the associations between different work attitudes (work annoyance, individual social capital, overcommitment, and work engagement) and the perceived stress. A cross-sectional survey conducted among 1290 employees from various occupational sectors assessed their attitudes and stress levels using validated psychometric scales. Statistical analyses, including a hierarchical regression and a moderation analysis, examined the predictive value of each attitude and the potential buffering role of social capital. The results indicate that work annoyance and overcommitment are positively associated with stress, which suggests that perceiving job conditions as frustrating and investing excessive effort without the appropriate rewards contribute to psychological strain. Conversely, social capital and work engagement exhibit a protective effect, with workplace relationships and a positive approach to work mitigating stress levels. Moreover, social capital moderates the relationship between overcommitment and stress, thus highlighting its buffering effect. These findings emphasize the importance of fostering a supportive work environment that reduces negative attitudes while promoting engagement and social cohesion. Organizational interventions aimed at improving workplace relationships, recognizing employees' contributions, and encouraging a balanced work culture could be effective strategies to enhance the workers' wellbeing and mitigate occupational stress.</p>","PeriodicalId":45684,"journal":{"name":"AIMS Public Health","volume":"12 2","pages":"557-578"},"PeriodicalIF":4.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691937","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}