{"title":"Outcomes of a CBT-based anxiety workshop on higher education students' mental health, stigma, learning, and career certainty.","authors":"Zamira Hyseni Duraku, Sarah Kwan-Yee Ng, Viola Greiçevci, Fatime Rrahmani, Besarta Buqaj, Marigona Jusufi, Fjolla Bytyçi","doi":"10.1177/22799036251381227","DOIUrl":"10.1177/22799036251381227","url":null,"abstract":"<p><strong>Background: </strong>Higher education students often face stress, academic pressure, and limited mental health support in low-resource settings. Although brief cognitive-behavioral therapy (CBT)-based interventions are scalable, their impact is often measured solely by mental health outcomes. This study explored the broader outcomes of a CBT-based Anxiety Toolbox Workshop on students' mental well-being, academic functioning, social support, and help-seeking attitudes.</p><p><strong>Design and methods: </strong>The study employed a retrospective qualitative design using open-ended self-report questions administered at the workshop's conclusion. Fifty-four first year undergraduate students (<i>M</i> = 19.3 years, SD = 0.8) from a major public university in Kosovo participated. A deductive thematic analysis was conducted based on predetermined themes aligned with the objectives.</p><p><strong>Results: </strong>Participants reported reduced stress, emotional overload, and academic anxiety following the workshop. These improvements were supported by practical coping tools, including mindfulness techniques, cognitive reframing, and peer discussions. The workshop also enhanced time management, study routines, and academic focus, particularly through structured strategies and daily planning. Beyond academic benefits, participants expressed increased confidence in career decisions and perceived social support. The workshop also helped reduce internalized stigma, challenge stereotypes around psychological help, and improve readiness to seek support.</p><p><strong>Conclusion: </strong>The findings suggest a brief CBT-informed intervention can enhance students' emotional well-being, academic performance, and prosocial attitudes. This study demonstrates the potential of low-intensity, structured programs to meet student needs and reduce barriers to support in a real-world academic setting. Future research should investigate the long-term impacts and cross-cultural adaptability of such interventions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 4","pages":"22799036251381227"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233815","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}
Stuart Rennie, Ujunwa Onyeama, Kristen Sullivan, Suzanne Day, Ann Dennis
{"title":"Risks, concerns, and benefits of molecular HIV Epidemiology in Public Health Practice: A qualitative exploration of perspectives among affected and interested communities.","authors":"Stuart Rennie, Ujunwa Onyeama, Kristen Sullivan, Suzanne Day, Ann Dennis","doi":"10.1177/22799036251382304","DOIUrl":"10.1177/22799036251382304","url":null,"abstract":"<p><strong>Background: </strong>In the United States, HIV surveillance is a critical component of the National HIV/AIDS Strategy which includes evaluating HIV sequences for molecular HIV epidemiology (MHE). With MHE, HIV sequences that are generated from clinical drug resistance tests are reported to health departments and analyzed for outbreak detection.</p><p><strong>Design and methods: </strong>We conducted a qualitative study guided by a social ecological framework to identify perspectives on risks, concerns, and perceived benefits of MHE among communities affected by HIV and surveillance policies. From 2020 to 2021, we interviewed 41 participants from five participant groups: public health leaders/staff, HIV advocates/Community Based Organization (CBO) leaders, people living with HIV (PLWH), ethicists, and HIV care providers. We conducted a thematic analysis of the interview data, identifying key perceived risks, concerns, and benefits related to MHE.</p><p><strong>Results: </strong>Our analysis revealed that while MHE was largely viewed as beneficial across groups (including PLWH and HIV advocates/CBO leaders), significant risks, concerns, and uncertainties continue to be associated with the approach, including privacy and confidentiality issues, adverse impacts on HIV testing and care, and potential for criminalization and stigmatization of PLWH.</p><p><strong>Conclusions: </strong>These findings demonstrate the ongoing need for meaningful community engagement and ongoing qualitative research on the practice of MHE among different community groups and social contexts to ensure the responsible use of this new surveillance tool.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 4","pages":"22799036251382304"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239643","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}
Aziah Daud, Ijlal Syamim Mohd Basri, Elyas Ahmad, Suhaily Mohd Hairon, Nor Azali Azmir, Azlis Sani Md Jalil, Rusli Nordin
{"title":"Whole-body vibration exposure and its predictors among food delivery riders in eastern Peninsular Malaysia.","authors":"Aziah Daud, Ijlal Syamim Mohd Basri, Elyas Ahmad, Suhaily Mohd Hairon, Nor Azali Azmir, Azlis Sani Md Jalil, Rusli Nordin","doi":"10.1177/22799036251380905","DOIUrl":"10.1177/22799036251380905","url":null,"abstract":"<p><strong>Background: </strong>Chronic exposure to whole-body vibration (WBV) is a significant contributor to work-related musculoskeletal disorders (WMSDs) among motorcyclists. In Malaysia, these riders experience a higher prevalence of WMSDs compared to non-occupational motorcyclists. This study aimed to quantify WBV exposure among food delivery riders in Eastern Peninsular Malaysia and to identify predictors of WBV exposure exceeding the Exposure Action Value (EAV) as defined by the EU Vibration Protection Directive 2002/44/EC.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 191 food delivery riders in Eastern Peninsular Malaysia. WBV exposure was measured using a calibrated Larson Davis HVM 100 Human Vibration Meter with a tri-axial accelerometer seat pad, following ISO 2631-1 standards. Data were analyzed using Blaze Software and SPSS 24.0. Daily Vibration Exposure, A(8), was calculated and compared with EAV and Exposure Limit Value (ELV). Multiple logistic regression was used to determine predictors of WBV exposure above the EAV limit.</p><p><strong>Results: </strong>The mean (SD) A(8) value was 0.624 (0.317) m/s², which exceeded the EAV limit. Three riders surpassed the ELV limit. Significant predictors of WBV exposure above the EAV included increased average working days (aOR = 1.56; 95% CI = 1.11, 2.19; <i>p</i> = 0.011), presence of WMSDs (aOR = 2.93; 95% CI = 1.37, 6.28; <i>p</i> = 0.006), and lack of motorcycle suspension service (aOR = 0.39; 95% CI = 0.19, 0.82; <i>p</i> = 0.012).</p><p><strong>Conclusion: </strong>Food delivery riders in Eastern Peninsular Malaysia are frequently exposed to high levels of WBV exposure. These findings underscore the urgent need for interventional studies and preventive measures to reduce WBV exposure and mitigate the prevalence of WMSDs among this vulnerable occupational group.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 4","pages":"22799036251380905"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12495188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233738","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":"Mental health and social exclusion in Indonesia: A public health perspective.","authors":"Gerardia Gadisvania Sibbald, Aris Ananta, Teguh Dartanto, Diah Widyawati","doi":"10.1177/22799036251380782","DOIUrl":"10.1177/22799036251380782","url":null,"abstract":"<p><strong>Background: </strong>Mental health and social exclusion are increasingly recognized as intertwined public health challenges. The aftermath of the COVID-19 underscores the need to integrate psychological well-being into national development and social inclusion agendas. Evidence and causal analyses from Southeast Asia remain sparse.</p><p><strong>Design and methods: </strong>This study combines longitudinal descriptive trends from the Indonesian Family Life Survey with an instrumental variable probit regression using cross-sectional data and examines the causal relationship between mental health and key dimensions of social exclusion: employment status and community participation. To address potential endogeneity and bidirectionality, \"family mental health history\" was employed as an instrumental variable, offering a theoretically plausible and statistically valid proxy for exogenous variation in individual mental health.</p><p><strong>Results: </strong>Descriptive findings showed that poorer mental health was associated with lower levels of employment and community participation. Instrumental variable results indicated that a one-point increase in the mental health index (worse mental health) reduced the probability of working by 25.3% and of participating in community life by 26.8%. The results support a robust negative association between mental health and social inclusion.</p><p><strong>Conclusions: </strong>This study makes a novel contribution by isolating the causal effect of mental health on social exclusion in an LMIC. Grounded in the capability approach, the findings illustrate how impaired mental health limits real freedoms and reinforces exclusion. The IFLS provides rare longitudinal, nationally representative evidence from Indonesia.</p><p><strong>Public health implications: </strong>Findings support integrated strategies to improve mental health and enhance inclusion-critical for LMICs navigating post-pandemic recovery and social transformations.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 4","pages":"22799036251380782"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12496468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239640","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":"Effectiveness of Youth-Led awareness and advocacy intervention in shaping adolescents' attitudes toward tobacco products in Nepal: A quasi-experimental study.","authors":"Sandeepa Karki, Dhurba Khatri, Shishir Paudel, Yamuna Chhetri, Ganesh Shetty, Prashant Khadka, Pratikshya Pandey, Bhagawan Koirala","doi":"10.1177/22799036251380778","DOIUrl":"10.1177/22799036251380778","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use among adolescents (aged 10-19 years) remains a pressing public health concern, particularly in low-and middle-income countries like Nepal. Despite the presence of tobacco control policies, adolescents continue to access tobacco products. This study assessed effectiveness of a youth-led intervention in shaping adolescents' attitudes toward tobacco products in Budhanilkantha Municipality, Nepal.</p><p><strong>Design and methods: </strong>Quasi-experimental pre-post study was conducted among 305 adolescents. The intervention, implemented under the \"Youth for Tobacco Initiative,\" included sensitization, peer-led education, and stakeholder engagement. Data were collected using a structured, self-administered questionnaire, which was completed by students in their classroom setting. The questionnaire assessed sociodemographic characteristics, tobacco exposure, and attitudes toward tobacco use. Changes in attitudes were analyzed using paired <i>t</i>-tests and McNemar's test, with effect size measured by Cohen's <i>d</i>. Statistical significance was set at the 5% level.</p><p><strong>Results: </strong>Age of the participants ranged between 12 and 18 years (mean age: 15.0 ± 1.32 years). At baseline, 18.7% of adolescents reported tobacco use, and 13.8% reported currently smoking tobacco. Post-intervention, there was a statistically significant improvement in attitudes toward tobacco (mean score increased from 5.86 to 6.12; <i>p</i> = 0.001), with higher recognition of secondhand smoke harms and greater support for public smoking bans. The proportion of adolescents who anticipated smoking in the future declined. Although the effect size was small (Cohen's <i>d</i> = 0.26), the change was meaningful.</p><p><strong>Conclusions: </strong>Youth-led awareness initiatives can positively influence adolescents' attitudes toward tobacco, particularly through peer education and community involvement. Integrating such interventions into broader, multi-sectoral strategies can enhance their long-term impact.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251380778"},"PeriodicalIF":1.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214042","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}
Maram Alakhras, Dana S Al-Mousa, Badera Al Mohammad, Kelly Spuur
{"title":"Assessing job satisfaction and turnover intentions among radiologists across Jordanian hospitals: A nationwide study.","authors":"Maram Alakhras, Dana S Al-Mousa, Badera Al Mohammad, Kelly Spuur","doi":"10.1177/22799036251377614","DOIUrl":"10.1177/22799036251377614","url":null,"abstract":"<p><strong>Background: </strong>Job satisfaction among physicians is a critical issue in public health care due to its impacts on the ability to deliver care and job turnover. The purpose of this study was to assess job satisfaction (JS) and intention to leave among radiologists in Jordan and identify demographic characteristics influencing them, and to investigate correlation between JS and intention to leave.</p><p><strong>Methods: </strong>This study included 123 Jordanian radiologists. The questionnaire consisted of three parts concerning sociodemographic characteristics, JS, and intention to leave. An independent t-test, one-way analysis of variance, and Pearson correlation tests were used for analysis.</p><p><strong>Results: </strong>Most participants were male (64.2%), worked at public hospitals (71.5%), in general radiography (61.0%). Only 4 (3.3%) were satisfied with their jobs, 27 (58.5%) were ambivalent and 47 (38.2%) were dissatisfied. JS was significantly associated (<i>p</i>-value = 0.02) only with the type of hospital employment, radiologists working at private hospitals were more satisfied than radiologists who worked at public hospitals. JS was inversely related to intention to leave and was significant for all domains except for fringe benefits and operating procedures.</p><p><strong>Conclusion: </strong>The majority of Jordanian radiologists were either ambivalent or dissatisfied. Job dissatisfaction was seen to inversely correlate with radiologists' intention to leave. Given the worldwide shortage of radiologists, it is in the interest of healthcare management to improve radiologists' JS and decrease their intention to leave by formulating strategies that include maintaining adequate staffing, improving work environment, addressing financial expectations, and offering appropriate remuneration and promotions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251377614"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214012","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}
Adriana Manuka, Irsida Mehmeti, Antonia Radaelli, Eduart Hashorva, Carlo Zanotto, Carlo De Giuli Morghen
{"title":"Orthopoxvirus zoonosis: A potential threat across the Balkan countries.","authors":"Adriana Manuka, Irsida Mehmeti, Antonia Radaelli, Eduart Hashorva, Carlo Zanotto, Carlo De Giuli Morghen","doi":"10.1177/22799036251380906","DOIUrl":"10.1177/22799036251380906","url":null,"abstract":"<p><p>Monkeypox disease (mpox) is an endemic zoonosis, previously restricted to Central and Western African countries. Since 2022, it is the most common orthopoxvirus (OPXV) zoonotic disease observed in non-endemic countries, including Europe and America, and 333 cases of mpox were already confirmed in the Balkan countries. To monitor and control the spread of mpox, a surveillance program was established in line with WHO guidelines. Although the risk of disease has diminished, sporadic cases still occur. The reemergence of mpox cases at the end of 2024 in Greece, where the first case was registered at the end of May 2022, and the first case recorded in Kosovo raised concerns about a potential outbreak of mpox in the Balkans. Here, we describe the clinical data of significant cases to provide a better understanding in terms of epidemiology, clinical symptoms and diagnostic methods for the detection of this disease. Our results reveal that mpox was diagnosed mainly among young and middle-aged men and people with high-risk behaviors, mostly as coinfections with the human immunodeficiency virus (HIV). This suggests that measures for effective tracing as well as vaccination of high-risk groups of the population are essential pillars to control mpox outbreaks.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251380906"},"PeriodicalIF":1.8,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12484926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214151","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}
Feten Fekih-Romdhane, Fouad Sakr, Amthal Alhuwailah, Leila Sarra Chaibi, Mai Helmy, Hanaa Ahmed Mohamed Shuwiekh, Nedjem Eddine Boudouda, Btissame Zarrouq, Abdallah Y Naser, Kamel Jebreen, Mohammed Lakhdar Roubi, Bassam Abdul Rasool Hassan, Nisma Merdad, Rizwana Amin, Inad Nawajah, Ali Haider Mohammed, Sinan Subhi Farhan, Omar Abdulwahid AlAni, Majda Cheour, Mariam Dabbous, Diana Malaeb, Sahar Obeid, Souheil Hallit
{"title":"Validation of the abridged version of the autism-spectrum quotient (AQ-28) in the Arabic-speaking adult general population.","authors":"Feten Fekih-Romdhane, Fouad Sakr, Amthal Alhuwailah, Leila Sarra Chaibi, Mai Helmy, Hanaa Ahmed Mohamed Shuwiekh, Nedjem Eddine Boudouda, Btissame Zarrouq, Abdallah Y Naser, Kamel Jebreen, Mohammed Lakhdar Roubi, Bassam Abdul Rasool Hassan, Nisma Merdad, Rizwana Amin, Inad Nawajah, Ali Haider Mohammed, Sinan Subhi Farhan, Omar Abdulwahid AlAni, Majda Cheour, Mariam Dabbous, Diana Malaeb, Sahar Obeid, Souheil Hallit","doi":"10.1177/22799036251377610","DOIUrl":"10.1177/22799036251377610","url":null,"abstract":"<p><strong>Background: </strong>The field of autism research in adults has not yet emerged in Arab countries, which is in part due to the lack of valid, reliable autism measures. The objectives of this study were to assess the psychometric properties of the abridged version of the autism-spectrum quotient (AQ-28) in a sample of non-clinical Arabic-speaking adults.</p><p><strong>Methods: </strong>A cross-sectional web-based study was carried-out from February to April 2024. Adults aged over 18 years from the general population of Lebanon (<i>N</i> = 1076, mean age of 27.90 ± 11.81 years, 63.8% females) were recruited using the snowball sampling technique. The AQ-28 was administered to participants, along with the relationship Questionnaire, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, and the Jong-Gierveld Loneliness Scale.</p><p><strong>Results: </strong>The original five-factor model of the AQ-28 had good fit to the data: RMSEA = 0.061 (90% CI: 0.059-0.064), SRMR = 0.060, CFI = 0.848, TLI = 0.831, and an excellent internal consistency (Cronbach's α = 0.91). Measurement invariance has been established across sex. Mean sum scores observed in male participants were significantly higher than those displayed by females. Autistic traits as measured by the Arabic AQ-28 correlated positively with loneliness (<i>r</i> = 0.16; <i>p</i> < 0.001), depression (<i>r</i> = 0.17; <i>p</i> < 0.001) and anxiety (<i>r</i> = 0.15; <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Findings suggest that Arabic-language version of the AQ-28 provided by this study is valid, reliable, and suitable for use among Arabic-speaking adults to measure core trait dimensions of autism and screen for autism spectrum disorder. It is our hope that the new scale will generate interest among researchers in the yet unexplored field of autism research in Arab countries.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251377610"},"PeriodicalIF":1.8,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201707","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":"Worry, risk perception, vaccine perception, and vaccine acceptance: Testing three competing path models in the context of COVID-19.","authors":"Yixin Chen","doi":"10.1177/22799036251374804","DOIUrl":"10.1177/22799036251374804","url":null,"abstract":"<p><strong>Background: </strong>Although previous studies have identified worry about COVID-19 as an important determinant of COVID-19 vaccine-related intentions and behaviors, the exact mechanism by which worry influences these intentions and behaviors is still being investigated.</p><p><strong>Design and method: </strong>An online survey was conducted among 310 U.S. university students from mid-June to mid-July 2021, measuring worry about COVID-19, COVID-19 risk perception (perceived probability and perceived severity), vaccine perception (perceived vaccine safety and perceived vaccine effectiveness), and vaccine acceptance, along with demographics. Three models were tested using structural equation modeling (SEM): (1) worry, risk-perception, and vaccine-perception variables influence vaccine acceptance simultaneously; (2) worry partially mediates the relationships between risk/vaccine-perception variables and vaccine acceptance; (3) risk- and vaccine-perception variables partially mediate the relationship between worry and vaccine acceptance. All models are the originally specified models.</p><p><strong>Results: </strong>Results of SEM analyses suggest that Model (3) fit the data best (CFI = 1.000, TLI = 1.000, and RMSEA = 0.000). SEM analysis for Model (3) found that perceived probability of contracting COVID-19 is negatively, worry about COVID-19 is positively, and perceived vaccine safety (the strongest predictor) is positively associated with vaccine acceptance. Perceived severity of contracting COVID-19 and perceived vaccine effectiveness are non-significant predictors. Worry indirectly affects vaccine acceptance through perceived probability (negative) and perceived vaccine safety (positive).</p><p><strong>Conclusions: </strong>COVID-19 vaccine campaigns targeting college students should emphasize vaccine safety, use reasonable worry as an emotional cue, and avoid overemphasizing the likelihood of contracting COVID-19.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251374804"},"PeriodicalIF":1.8,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193055","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":"Correspondence on \"Association of low knowledge about cardiovascular disease and lack of lifestyle changes after the COVID-19 pandemic with higher cardiovascular risk in Peruvian residents\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1177/22799036251382871","DOIUrl":"10.1177/22799036251382871","url":null,"abstract":"","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251382871"},"PeriodicalIF":1.8,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12464385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187134","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}