Journal of Public Health Research最新文献

{"title":"Exploring the perspective of Malaysian Community Pharmacists on Sports Pharmacy Services: A qualitative study.","authors":"Ming Chiang Lim, Eng Wee Chua, Tuan Mazlelaa Tuan Mahmood, Farrah-Hani Imran, Ahmad Fuad Shamsuddin, Adliah Mhd Ali","doi":"10.1177/22799036261428545","DOIUrl":"10.1177/22799036261428545","url":null,"abstract":"<p><strong>Introduction: </strong>Pharmacists have emerged as important healthcare professionals in the field of sports, playing a crucial role in ensuring athlete safety and well-being. This study aims to explore the perspective of community pharmacists in Malaysia on sports pharmacy services, an emerging and underexplored area within community pharmacy practice.</p><p><strong>Methods: </strong>Semi-structured online interview were conducted among community pharmacists between February and August 2024. Data were transcribed verbatim and analyzed using framework method, with themes mapped to the constructs of the Integrated Behavioral Model.</p><p><strong>Results: </strong>Eleven pharmacists were interviewed, yielding three themes: the moral imperative and gatekeeper role; structural and capability deficits; and the conditional intention to adopt a new niche. Participants demonstrated a positive attitude toward clean sport and identified a professional gap in protecting amateur athletes from unregulated supplements. However, a significant intention-behavior gap was revealed where the willingness to act is currently obstructed by environmental constraints, specifically the lack of standardized policies, remuneration models, and private counseling infrastructure, alongside low personal agency regarding the specialized needs of athletes. Furthermore, intention was found to be conditional on knowledge as those with prior anti-doping education viewed the service as a strategic business niche, while those without focused on professional risk.</p><p><strong>Conclusion: </strong>Community pharmacists need enhanced knowledge and training to deliver extended services related to sports. Addressing identified barriers will require collaboration between government, pharmacy bodies, and anti-doping agencies. Findings may guide future studies to develop sports pharmacy as a valuable niche in community pharmacy services.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261428545"},"PeriodicalIF":1.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12979872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463940","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":"Adherence and barriers to key antenatal interventions among pregnant women in an urban district of Ghana: A cross-sectional study.","authors":"Enoch Acheampong, Rosemond Serwaa Appiah, Grace Kisiwaa Agyei, Frederick Inkum Danquah, Kofi Baffoe-Sarpong, Abena Kyerew Abebrese","doi":"10.1177/22799036261423655","DOIUrl":"https://doi.org/10.1177/22799036261423655","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed Adherence and Barriers to Key Antenatal Interventions among Pregnant Women in an Urban District of Ghana.</p><p><strong>Methods: </strong>The study used a cross-sectional design to quantitatively assess the uptake and barriers to key interventions among 200 pregnant women who were selected through simple random sampling. Data was first entered into a Microsoft Excel sheet and exported to Stata version 16 in the same format.</p><p><strong>Results: </strong>The uptake of Sulfadoxine-Pyrimethamine for Intermittent Preventive Treatment in pregnancy (SP-IPTp) was found to be inadequate among 48.0%, those with adequate SP-IPTp uptake, 58.34% were in their third-trimester gestation, 8.33% were in their first trimester and 85.58% of third-trimester expectant mothers had inadequate uptake of SP-IPTp. The uptake of Iron and Folic Acid Supplementation (IFAS) was high (81.5%). Barriers influencing the uptake of ANC interventions were financial constraints (62.07%), lack of permission from work (19.54%), feeling healthy and therefore not needing ANC (10.34%), and distance to the hospital (8.05%). For SP-IPTp, the leading barrier was drug unavailability at health facilities (63.71%), forgetfulness (31.82%) and adverse reactions during previous pregnancies (29.55%) were the most frequently cited barriers to IFAS uptake. For deworming therapy, 94.12% of participants reported that the medication was not administered at ANC.</p><p><strong>Conclusion: </strong>This study makes significant contributions to maternal and child health research and policy by providing empirical evidence on the gaps between the coverage and actual uptake of key antenatal care (ANC) interventions such as SP-IPTp, IFAS, and deworming therapy among pregnant women in Ghana.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261423655"},"PeriodicalIF":1.8,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391026","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":"Quality of life and associated factors 1 year after road traffic injuries in Ethiopia.","authors":"Hailemichael Mulugeta, Ayalew Zewdie, Wakgari Deressa","doi":"10.1177/22799036261430121","DOIUrl":"https://doi.org/10.1177/22799036261430121","url":null,"abstract":"<p><strong>Background: </strong>Road traffic injuries (RTIs) can cause serious physical, psychological, and social consequences, impacting survivors' quality of life (QoL). This study assessed the QoL and associated factors 1 year after RTIs in Ethiopia.</p><p><strong>Design and methods: </strong>A cohort study with one-time follow-up phone interview was conducted among 330 adult RTI patients 1 year after discharge from a Trauma Hospital in Ethiopia. Predictors were collected using structured questionnaires, and QoL was assessed using the WHOQOL-BREF tool. Descriptive statistics were used to summarize participant characteristics and QoL scores, while a multivariable linear regression model was employed to identify predictors of QoL.</p><p><strong>Results: </strong>A total of 326 survived, and four deaths occurred in 1 year. Most participants were male (<i>n</i> = 258, 78.2%), and the median age was 31.5 years (IQR: 25-44). Mean scores for physical health, psychological health, social relationship, and environmental health QoL domains were 56.2, 73.6, 70.5, and 57.8, respectively. More than half (58.0%) reported poor overall QoL. Concussion, amputation and internal injuries (β = -4.39, <i>p</i> = 0.022), history of surgical intervention (β = -5.56, <i>p</i> = 0.037), poor health satisfaction (β = -31.4, <i>p</i> < 0.001), not returning to normal life (β = -17.9, <i>p</i> < 0.001) or work (β = -5.95, <i>p</i> = 0.030), and perceived lack of opportunities (β = -8.98, <i>p</i> = 0.001) were significantly associated with reduced overall QoL.</p><p><strong>Conclusions: </strong>A substantially high number of survivors experience poor QoL. The findings highlight that injury type, health status, and post-injury reintegration status were key determinants. Enhancing post-discharge rehabilitation, psychosocial support, and employment reintegration programs is essential to improve QoL.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261430121"},"PeriodicalIF":1.8,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391173","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":"Disabled and left behind: U.S. poor housing through a social determinants of health lens.","authors":"Patricia R Lawrence, Pat M Barrett, Melissa A Treanor, Madelief L Tilder, Lauren B Leeder, Raeda K Anderson, Chloe M Sellers, Daniel S Pasciuti","doi":"10.1177/22799036261426204","DOIUrl":"10.1177/22799036261426204","url":null,"abstract":"<p><strong>Background: </strong>Social determinants of health (SDOH), the conditions in which people live, work, play, and learn, are largely responsible for health inequities seen among individuals with disabilities. However, less is known about relationships between SDOH and poor housing for disabled adults. Using state-level SDOH proxy variables for economic stability, education, healthcare access, and the social and community context, this secondary data analysis examined the interrelated effects of SDOH proxy variables on poor housing for disabled adults in the United States.</p><p><strong>Design and methods: </strong>We used quantitative comparison and regression analysis of national, state-level estimates from the 2023 Annual Disability Statistics Compendium and 2021 American Community Survey data to investigate poor housing outcomes for disabled adults. We intentionally examine state-level estimates of prevalence rates, rather than individual-level data, to better understand the systemic nature of SDOH relationships for disabled adults.</p><p><strong>Results: </strong>Compared to non-disabled adults, a higher percentage of disabled adults reside in poor housing, have lower state-level employment rates, have higher rates of high school-only education, lower rates of 4-year college degrees, and have lower voter turnout. SDOH proxy variables of employment and education were consistently strong predictors of state-level poor housing for both disabled and non-disabled adults. When all four SDOH proxy variables were included in the regression analysis, they accounted for 62.6% and 62.7% of the variability in state-level poor housing for disabled and non-disabled adults, respectively.</p><p><strong>Conclusions: </strong>Findings suggest that including SDOH domains provides a robust model for understanding housing challenges for both disabled and non-disabled adults.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261426204"},"PeriodicalIF":1.8,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378940","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":"What leads to vaccine compliance? Evidence from healthcare workers.","authors":"Alessandro Demichelis, Marco Marini, Dario Menicagli, Giovanna Mancini, Ennio Bilancini, Folco Panizza, Tommaso Bellandi, Leonardo Boncinelli, Paolo Pin, Giacomo Galletti, Roberta Caldesi, Gustavo Cevolani","doi":"10.1177/22799036251401950","DOIUrl":"10.1177/22799036251401950","url":null,"abstract":"<p><strong>Background: </strong>Vaccine hesitancy is a problematic phenomenon for vaccination campaigns. It played a significant role during the recent COVID-19 pandemic, where the role of HealthCare Workers (HCW) was particularly relevant. Understanding the motivation of HCW regarding vaccines is, therefore, paramount.</p><p><strong>Design and methods: </strong>We presented an online questionnaire to 5283 Italian HCW to investigate the role played by personal reasons and the potential perception of risk, the social environment, and the vaccine efficacy and safety perception in affecting HCW willingness to adhere to the vaccination campaign.</p><p><strong>Results: </strong>First, we discovered that those who took the vaccine to minimize health risk tended to vaccinate earlier, whereas those who did it due to social pressure received it later. Second, that those who indicated acquaintances as more important than the workplace in their vaccination choice showed more altruistic-related reasons to vaccinate, and the reverse held true. Third, that regarding two salient features of the vaccine, namely safety and efficacy, only the former was playing a role in the willingness to vaccinate, whereas the latter did not show an impact.</p><p><strong>Conclusions: </strong>The lessons that can be taken from these results are that future communication campaigns that push toward a timely vaccination should focus less on the social pressure, especially the one related to work environments, and more on the internal motivations of workers. Moreover, we can conclude that emphasizing the safety features of vaccines tend to play a more significant role in shaping vaccine behaviors than emphasizing efficacy.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036251401950"},"PeriodicalIF":1.8,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379069","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":"Integrated model of disaster surveillance information system based on community and school in Indonesia.","authors":"Arief Hargono, Kurnia Dwi Artanti, Erni Astutik, Siti Shofiya Novita Sari, Dayinta Annisa Syaiful","doi":"10.1177/22799036261423638","DOIUrl":"https://doi.org/10.1177/22799036261423638","url":null,"abstract":"<p><strong>Introduction: </strong>Effective disaster management requires an integrated approach based on community and school entities, encompassing preparedness, response, and recovery. This study aims to develop an integrated model for community and school-based disaster surveillance information systems.</p><p><strong>Method: </strong>This research was operational research that employs a mixed method, utilizing document study for obtaining quantitative data also Focus Group Discussions for obtaining qualitative data. Those identifying data and information needed to develop integrated disaster surveillance information system model.</p><p><strong>Results: </strong>The findings highlight the critical role of community-based interventions, from pre, during, and post disaster. Strategic data surveillance consists of disaster risk factors, preparedness, mitigation, early warning system, emergency, rapid health assessment, also community-based rehabilitation, and reconstruction. School identifications, infrastructures, contingency plan, risk map, and disaster preparedness team are also obtained in this disaster surveillance information system model. Information consists of disaster risk indicators, such as hazard, vulnerability, capacity, risk, high risk area, and trend of disaster risk factors are also acquired in each area as well as educational institution.</p><p><strong>Conclusion: </strong>The study demonstrates that integrated and participatory approaches to disaster management strengthen disaster contingency plan. Policymakers and practitioners are urged to prioritize routine disaster surveillance data collection to contribute to policymaking.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261423638"},"PeriodicalIF":1.8,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147366969","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":"Descriptive analysis of anaphylactic events reported in the FDA Adverse Event Reporting System (FAERS).","authors":"Nehad Jaser Ahmed","doi":"10.1177/22799036261427948","DOIUrl":"https://doi.org/10.1177/22799036261427948","url":null,"abstract":"<p><strong>Background: </strong>Anaphylaxis is a severe, life-threatening reaction with a growing global prevalence. Drugs are a leading trigger in adults, but real-world data on the severity and specific agents involved are limited. This study aimed to utilize the FDA Adverse Event Reporting System database to systematically identify cases of drug-induced anaphylaxis, quantify the distribution of outcomes, and identify the medications most frequently associated with these severe reactions.</p><p><strong>Design and methods: </strong>A retrospective pharmacovigilance study was conducted using FAERS data from its inception to September 2025. Cases were identified by searching for anaphylaxis-related preferred terms. Data on patient demographics, reporter type, outcomes, and suspect drugs were extracted and analyzed descriptively.</p><p><strong>Results: </strong>Among 98,081 cases analyzed, the vast majority (91.10%) were serious but non-fatal, with a 5.53% fatality rate. Reports were most common in adults aged 18-64 (49.79%) and females (55.44%). A dramatic increase in annual reports was observed from 1969 to 2025. Antibiotics (25.00%), analgesics (20.00%), and radiocontrast media (15.00%) were the most frequently reported drug categories. The top individual drugs associated with anaphylaxis included omalizumab, propofol, and infliximab.</p><p><strong>Conclusion: </strong>This analysis underscores the significant and growing public health burden of drug-induced anaphylaxis. The findings emphasize the need for continued clinician vigilance and enhanced pharmacovigilance to improve patient safety.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261427948"},"PeriodicalIF":1.8,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357004","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":"The influence of the IMPACT approach and healthcare workers' knowledge on antenatal care commodities availability in North Western Tanzania.","authors":"Anold Musiba, Stanley Mwita, Eliada Kajelly, Anthony Kapesa, Boniphace Marwa, Domenica Morona","doi":"10.1177/22799036261427033","DOIUrl":"https://doi.org/10.1177/22799036261427033","url":null,"abstract":"<p><strong>Background: </strong>The Information Mobilized for Performance Analysis and Continuous Transformation (IMPACT) approach model was introduced to promote the generation and utilization of quality data for evidence-based decision-making. Thus, this study aimed to determine the influence of the IMPACT approach and healthcare workers' knowledge on the availability of antenatal care (ANC) commodities.</p><p><strong>Methods: </strong>The research was carried out from July to August 2023 in Itilima District, Simiyu, Tanzania. Mixed methods were employed in a quasi-experimental and case study design. The data were collected by a self-administered questionnaire and complemented by in-depth interviews for the qualitative component. Longitudinal changes were assessed via paired sample <i>t</i>-tests.</p><p><strong>Results: </strong>Of 90 participants in a quantitative design, the majority (64.8%) reported having good knowledge of the IMPACT approach. All health facilities had adequate stock of ANC health commodities. Compared to the baseline year, that is, 2019, significant differences were observed in the performance trends, particularly in 2022, with a mean (SD) of 17.1 ± 36.0, <i>p</i> < 0.001. The qualitative findings indicate that awareness of the IMPACT approach is widespread among healthcare workers, with most describing it as a tool for strengthening data-driven decision-making and improving supply chain visibility.</p><p><strong>Conclusion: </strong>This study revealed that most healthcare workers have good knowledge of the IMPACT approach. The IMPACT approach was reported to improve the availability of ANC commodities. A strong emphasis should be placed on the use of health commodities data for decision-making.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261427033"},"PeriodicalIF":1.8,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953988/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357026","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":"The impact of educational interventions on breast self-examination practice, knowledge, and beliefs among women: A systematic review and meta-analysis.","authors":"Benazir Mahar, Malina Binti Osman, Fatimah Ahmad Fauzi, Sani Aliyu","doi":"10.1177/22799036261423725","DOIUrl":"https://doi.org/10.1177/22799036261423725","url":null,"abstract":"<p><strong>Objective: </strong>Breast self-examination (BSE) enhances self-awareness and may lead to earlier detection and treatment by increasing familiarity with one's breasts. BSE may facilitate the earlier detection of abnormalities and prompt medical consultation. Educational interventions are significant in promoting BSE practices, strengthening knowledge, and modifying beliefs among women.</p><p><strong>Methods: </strong>This systematic review critically examines the current body of literature to thoroughly analyze the impact of educational interventions on BSE knowledge, beliefs, and practices in women. Studies based on experimental/interventional design, conducted globally on BSE practice, knowledge, and beliefs among women aged above 18 years, were included in this review.</p><p><strong>Results: </strong>A total of 24 studies with 5095 participants were included. The interventions consistently improved women's knowledge, beliefs, and BSE-related outcomes. Meta-analysis of 10 experimental studies (<i>n</i> = 2424) showed a significant increase in BSE practice likelihood among intervention participants (OR = 8.30, 95% CI: 4.42-15.57; <i>I</i> ² = 88%).</p><p><strong>Conclusion: </strong>In conclusion the current systematic literature review demonstrates the efficacy of interventions in enhancing understanding of BSE and promoting practices among women.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261423725"},"PeriodicalIF":1.8,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327671","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":"Cancer awareness in Georgia: A cross-sectional study of knowledge gaps in symptoms, risk factors, and screening programs.","authors":"Ketevan Gachechiladze, Ivane Kiladze, Tina Beruchashvili, Kakhaber Jakeli, Ivane Kechakmadze, Nino Ganugrava","doi":"10.1177/22799036261423726","DOIUrl":"https://doi.org/10.1177/22799036261423726","url":null,"abstract":"<p><strong>Objective: </strong>To assess public awareness of cancer symptoms, risk factors, and available screening programs, and to examine their association with sociodemographic parameters in Georgian population.</p><p><strong>Methods: </strong>A cross-sectional study (2023-2024) surveyed 385 adults via random-digit dialing using the Georgian version of the Cancer Awareness Measure (CAM), which comprises 9 symptom and 11 risk factor items. No stratification or demographic weighting was applied. A pilot test (<i>n</i> = 20) was conducted prior to ethical approval. Chi-square and <i>t</i>-tests assessed categorical and continuous variables; multivariate analysis used linear regression, with <i>p</i> < 0.05 considered significant.</p><p><strong>Results: </strong>Among the 385 respondents, 57.7% demonstrated low-to-average awareness of cancer symptoms. Women exhibited significantly greater awareness than men (β = 0.19, <i>B</i> = 1.56, 95%CI: 0.7-2.4; <i>p</i> < 0.001), and awareness was positively associated with household income (β = 0.17, <i>B</i> = 0.67, CI: 0.23-1.1; <i>p</i> < 0.001). Only 5.7% of respondents demonstrated high knowledge of cancer risk factors, with urban residents and those with higher incomes showing significantly greater awareness.</p><p><strong>Conclusions: </strong>Improving cancer awareness and facilitating earlier diagnosis will require scalable, equity-oriented educational initiatives that account for gender and socioeconomic disparities. Implementing such programs across schools, primary care settings, and mass media, alongside the expansion of cancer screening services, may substantially enhance timely detection and reduce inequities in cancer outcomes.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 1","pages":"22799036261423726"},"PeriodicalIF":1.8,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147276951","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}