Journal of Public Health Research最新文献

{"title":"Application of machine learning for early detection of chronic diseases in Africa.","authors":"Samson Otieno Ooko, Ruth Oginga","doi":"10.1177/22799036251373012","DOIUrl":"10.1177/22799036251373012","url":null,"abstract":"<p><strong>Background: </strong>Chronic diseases such as diabetes, hypertension, and cardiovascular conditions continue to burden African public health systems, especially due to late diagnosis. This study explores the application of Machine Learning (ML) for the early detection of diabetes using a localized dataset of 768 electronic health records from a clinic in Africa.</p><p><strong>Design and methods: </strong>A Design Science Research methodology was used to evaluate and compare different ML algorithms which includedDecision Trees, Support Vector Machines, Naïve Bayes, and a Neural Network (NN). preprocessing and hyperparameter tuning was applied to optimized the model perfomance. The models were tested for feasibility in edge-based deployment scenarios which are ideal for implimentation in the African setting.</p><p><strong>Results: </strong>The optimized NN model achieved the highest accuracy (89%), minimal latency (1 ms), and low memory usage (1 kB RAM), making it suitable for deployment in resource-constrained environments. While the dataset is limited in scope, it sets a foundation for future cross-regional studies.</p><p><strong>Conclusion: </strong>This study demonstrates the potential of edge-deployable ML models in supporting early chronic disease detection in Africa and recommends future work in regulatory alignment, ethical safeguards, and multi-site validations.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251373012"},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082186","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":"Prevalence and associated factors of attention deficit hyperactivity disorder symptoms among Palestinian university students.","authors":"Fatima Masoud Al-Amouri, Sondos Qurom, Malak Daoud, Marwah Daas, Yahya Shbaitah, Manal Badrasawi","doi":"10.1177/22799036251373010","DOIUrl":"10.1177/22799036251373010","url":null,"abstract":"<p><strong>Background: </strong>Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention and hyperactivity. It affects both children and adults, including university students, and is associated with their academic and functional impairments.</p><p><strong>Aims: </strong>This study mainly aims to estimate the prevalence of ADHD among university students and explore its associated factors, including sleeping hygiene, physical activity, dietary habits, and psychological well-being.</p><p><strong>Design and methods: </strong>This study utilized a cross-sectional design among university students at AN-Najah National University in Palestine. Data were collected through an online questionnaire, which included sociodemographic and medical history. Lifestyle was evaluated using the sleeping hygiene index (SHI) for sleeping quality and the international physical activity questionnaire-short form (IPAQ-SF) for physical activity. The Mediterranean diet adherence screener (MEDAS) was used to assess participants' adherence to the Mediterranean diet. For psychological well-being evaluation, the general health questionnaire-12 (GHQ-12) was used. While the adult ADHD self-reported scale (ASRS) was utilized for ADHD screening.</p><p><strong>Results: </strong>A total of 402 undergraduates were included in the final analysis. Within the sample, 85.1% were female, and 29.6% were reported to have positive probable ADHD. Univariate analysis revealed that ADHD symptoms were significantly associated with having chronic diseases (<i>p</i> = 0.002), younger age, poor sleeping hygiene, and poor mental health (<i>p</i> < 0.001). Multivariate analysis indicated that age, sleeping hygiene, psychological well-being, and chronic diseases are significant predictors of ADHD (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Probable ADHD showed a notable prevalence among university students and is associated with sociodemographic, lifestyle, and mental health factors, underscoring the importance of comprehensive support systems within educational instuitions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251373010"},"PeriodicalIF":1.8,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082213","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":"Prevalence of pulmonary tuberculosis and its associated risk factors among suspected patients visiting Durbete Primary Hospital, northwest Ethiopia: A cross-sectional study.","authors":"Maritu Demelash, Endalkachew Nibret, Zebasil Minichil, Daniel Mekonnen","doi":"10.1177/22799036251373008","DOIUrl":"10.1177/22799036251373008","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) remains the leading cause of communicable disease-related mortality worldwide. The present study aimed to determine the prevalence of pulmonary tuberculosis (PTB), rifampicin resistance pattern, and to identify the major explanatory risk factors among suspected patients visiting Durbete Primary Hospital (DPH).</p><p><strong>Design and methods: </strong>A cross-sectional study was conducted among patients suspected with PTB at DPH from February to June 2022. All eligible suspected PTB patients aged ≥18 years were included in the study. Data on risk factors were collected using questionnaire. Two spot sputum specimens were collected from each enrolled patient according to WHO guidelines. Sputum was examined by GeneXpert and Ziehl-Neelsen microscopy. Logistic regression models were used to determine the strength of association between dependent variable and risk factors and to identify the major explanatory risk factors.</p><p><strong>Results: </strong>Of the total of 180 PTB suspected patients who participated in the study, 17 (9.44%, overall prevalence) were identified as having PTB. Participants who had an unknown history of hypertension (AOR = 8.483; 95% CI 1.059-67.935) and who had contact with known PTB cases (AOR = 16.108; 95% CI 1.983-130.844) were significantly associated with the prevalence of PTB (<i>p</i> < 0.05). One (6.25%; 1/16) specimen that was detected as positive by the GeneXpert was found to be resistant to rifampicin.</p><p><strong>Conclusion: </strong>This study showed a relatively high prevalence of PTB among suspected patients. Periodic surveillance of PTB and educating the local community about major risk factors, such as contact with known PTB cases, are necessary to reduce the prevalence of PTB.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251373008"},"PeriodicalIF":1.8,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12437237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082225","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":"Knowledge, attitude and preventive practices towards onchocerciasis among residents of Ogun Waterside Local Government, IJEBU South-West, Nigeria: A cross-sectional study.","authors":"Taiwo Mofadeke Jaiyeola, Adewale Allen Sokan-Adeaga, Tajudeen Tunde Tairu, Samuel Abiodun Kehinde, Esther Oluwabukunola Tella, John Adedayo Olanrewaju, Elizabeth Temitope Adekoya, Ekerette Emmanuel Udoh","doi":"10.1177/22799036251376882","DOIUrl":"10.1177/22799036251376882","url":null,"abstract":"<p><strong>Background: </strong>Onchocerciasis is prevalent near riverine environments, where black flies breed in large quantity. The study assessed the knowledge, attitudes, and preventive practices (KAP) towards onchocerciasis among residents of Ogun Waterside Local Government Area (OGWLGA), Nigeria.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 267 respondents aged between 18 and 60 years in OGWLGA using a purposive sampling technique. A semi-structured pre-tested questionnaire comprising information on socio-demographic characteristics, KAP towards onchocerciasis was used. Questions on KAP were scored: 0 for incorrect and 1 for correct answers and computed into overall scores. The mean score of the population studied were used as the cut-off point for each segment. Knowledge Scores ≥21 was good knowledge, Attitude scores ≥6 was positive attitude, and practice scores ≥4 was good practice. Data was analyzed with SPSS version 24 using descriptive statistics and inferential statistics with <i>p</i> set at <0.05.</p><p><strong>Results: </strong>The mean age of respondents was 42.1 ± 11.2 years. Over half (56.9%) of the respondents had good knowledge of onchocerciasis, but less than half had a positive attitude 111 (41.6%) and good practice 119 (44.6%) towards onchocerciasis prevention. Participants with good knowledge were more likely to have a positive attitude (aOR = 13.08, 95%CI: 6.47-26.42, <i>p</i> ≤ 0.001) and 14 good prevention practices (aOR = 14.66, 95%CI = 6.49-33.12, <i>p</i> ≤ 0.001) when compared to those with poor knowledge.</p><p><strong>Conclusion: </strong>Health education efforts should emphasize the need to translate good knowledge into positive attitudes and prevention practices that can lead to onchocerciasis elimination in the communities.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251376882"},"PeriodicalIF":1.8,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076302","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":"Assessing changes in non-alcoholic sugary beverage prices in Agincourt following South Africa's Health Promotion Levy: A pre- and post-implementation study.","authors":"Chengetai Dare, David Canning, Micheal Kofi Boachie, Carlos Riumallo Herl, Susan Goldstein, Evelyn Thsehla, Karen Hofman","doi":"10.1177/22799036251358299","DOIUrl":"10.1177/22799036251358299","url":null,"abstract":"<p><strong>Background: </strong>Taxing sugar-sweetened beverages (SSBs) effectively reduces consumption when it leads to increased consumer prices and demand is sufficiently responsive, alongside other factors. Given the significant disparities in health outcomes between urban and rural provinces, this study to seeks to measure the changes in the prices of SSBs in rural South Africa and estimate the extent of the tax passthrough following the introduction of the Health Promotion Levy (HPL).</p><p><strong>Design and methods: </strong>We employed pre-post regression analyses techniques using the 2023 HAALSI Nutritional Establishment survey data.</p><p><strong>Results: </strong>The results show that the HPL led to an increase in prices (in real terms), and the price increase was more than that of the HPL. On average, the price of carbonated beverages increased by ZAR2.24 per litre (95% CI: 1.65-2.83) post the introduction of the HPL. However, the price increase was only registered during the period the HPL was introduced. The tax passthrough for carbonates was estimated at 1.87, implying that the tax was overshifted to consumers.</p><p><strong>Conclusions: </strong>This study shows that introduction of the HPL led to an increase in prices of carbonated beverages in Agincourt. The value of the HPL was however eroded over time by inflation. Considering that the effective tax burden of the HPL is substantially below the 20% minimum threshold recommended by the World Health Organisation, it is important that the government raises the HPL to maintain its value. Increasing the HPL is important to incentivise people to reduce SSB consumption.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251358299"},"PeriodicalIF":1.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066029","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":"Hospital costs attributable to obesity, diabetes, and hypertension in COVID-19 patients in South Africa.","authors":"Loes Lindiwe Kreeftenberg, Micheal Kofi Boachie, Evelyn Thsehla","doi":"10.1177/22799036251331252","DOIUrl":"10.1177/22799036251331252","url":null,"abstract":"<p><strong>Background: </strong>The Coronavirus disease (COVID-19) pandemic has highlighted the inequities that exist in many countries worldwide. Access to health services and the cost of services due to the rise in the number of COVID-19 cases are some of the issues that countries have had to contend with. Those with pre-existing conditions such as hypertension, obesity and diabetes have had to bear the brunt of the COVID-19 crisis.</p><p><strong>Objectives: </strong>The aim of this study is to estimate the hospital costs attributable to obesity, diabetes and hypertension in COVID-19 patients in South Africa.</p><p><strong>Design and methods: </strong>A prevalence-based disease-specific cost of illness approach was conducted to estimate the direct medical costs of hypertension, obesity and diabetes in COVID-19 patients. The population attributable fraction was computed and multiplied by the total treatment cost of COVID-19. A total of 78,464 hospital admissions were included based on data collected for Wave 1 (D614G variant) between June and August 2020.</p><p><strong>Results: </strong>The direct healthcare costs attributed to hypertension in COVID-19 admissions were estimated to be approximately US$2.7 million. The total costs of admissions attributed to obesity were estimated to be approximately US$1.2 million. The cost attributable to diabetes was estimated to be approximately US$1.7 million across the public sector wards.</p><p><strong>Conclusion: </strong>COVID-19 patients with an additional diagnosis of hypertension, obesity and diabetes have shown to exert a heavy financial burden on South Africa's healthcare system. The study emphasizes the importance of investing in the prevention of non-communicable diseases (NCDs) as a key component of future pandemic planning and response strategies. Preventing underlying conditions such as NCDs can decrease costs and mortality, and help populations better withstand future pandemics.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251331252"},"PeriodicalIF":1.8,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12432303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065995","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":"Solid waste management practices and its key factors among households in resource-limited settings, Northwest Ethiopia.","authors":"Abraham Teym, Mekonnen Moges, Tarikuwa Natnael, Tilahun Dires, Tirsit Ketsela Zeleke","doi":"10.1177/22799036251373015","DOIUrl":"10.1177/22799036251373015","url":null,"abstract":"<p><strong>Background: </strong>Proper handling of solid waste plays a vital role in protecting both the environment and public health. Despite this, inadequate waste handling remains a major challenge in many developing nations, including Ethiopia, threatening ecological balance and community health.</p><p><strong>Objective: </strong>This study aimed to identify key factors influencing solid waste management practices among households in resource-limited settings in Northwest Ethiopia in 2024.</p><p><strong>Design and methods: </strong>A cross-sectional study was carried out at the community level, involving 558 households in Debre Markos town selected using a multi-stage sampling technique. Data entry was performed using EpiData, and statistical analysis was conducted with SPSS Version 26. To determine factors associated with effective solid waste management practices, both bivariate and multivariate analyses were applied, considering odds ratios with 95% confidence intervals and a significance level set at <i>p</i> < 0.05.</p><p><strong>Result: </strong>A total of 378 (67.7%) households exhibited improper solid waste management practices. Households with higher education levels were significantly more likely to manage waste properly (AOR = 3.43; 95% CI: 1.15-7.85), as were those with higher income levels (AOR = 2.78; 95% CI: 1.53-6.42). A positive attitude toward waste management was also associated with better practices (AOR = 2.41; 95% CI: 1.13-5.77), along with participation in cleanup campaigns (AOR = 1.45; 95% CI: 1.12-3.79). Moreover, households willing to pay for waste management services were significantly more likely to engage in proper waste management (AOR = 7.28; 95% CI: 2.84-13.85).</p><p><strong>Conclusions: </strong>This study revealed that the majority of households (67.7%) practiced poor solid waste management. Key factors influencing these practices include education level, income, attitudes, family size, participation in cleanup campaigns, and willingness to pay for services. Based on the study's findings, the authors recommend that the town administration implement training programs to raise awareness about the consequences of poor solid waste management. Promoting positive attitudes, encouraging participation in cleanup activities, and considering financial incentives are crucial for improving solid waste management practices.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251373015"},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066001","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":"Corrigendum to \"COVID-19 and its association with meteorological, climate, and environmental factors: A systematic review\".","authors":"","doi":"10.1177/22799036251379223","DOIUrl":"10.1177/22799036251379223","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/22799036251358298.].</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251379223"},"PeriodicalIF":1.8,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066043","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":"Risk factors for childhood falls in Ghana: A multi-center cross-sectional study.","authors":"Jacob Solomon Idan, Emmanuel Kweku Nakua, Shadrach Mintah, Joycelyn Serwaa Stevens, Eric Adjei-Boadu","doi":"10.1177/22799036251365570","DOIUrl":"10.1177/22799036251365570","url":null,"abstract":"<p><strong>Background: </strong>Childhood injuries, particularly falls, are a significant public health concern in Low- and Middle-Income Countries (LMICs). In 2021, falls among persons less than 18 years was estimated to be approximately 350,000 with Low- and Middle-Income Countries mostly affected. This study aims to assess the risk factors associated with falls among children in Ghana using data from multiple teaching hospitals.</p><p><strong>Design and methods: </strong>A cross-sectional study was conducted using data from four tertiary teaching hospitals in Ghana. The study included 1555 children under 18 years who presented with unintentional injuries between January 2017 and December 2020. Generalized logistic regression was used to identify risk factors for falls.</p><p><strong>Results: </strong>Falls were the predominant injury mechanism, accounting for 55% of all reported injuries. Children aged 5-12 years constituted the largest proportion (47%) of fall cases, with males (69%) experiencing falls more frequently than females (31%). Urban residents accounted for 64% of fall injuries compared to rural (22%) and peri-urban (14%) areas. After adjustment for confounders, younger age groups showed significantly higher falls risk: infants (aRR = 1.16), toddlers (aRR = 1.61), and preschoolers (aRR = 1.46) compared to adolescents. Being Male (aRR = 1.16) and guardian's tertiary education level (aRR = 1.46) were also identified as significant risk factors of fall.</p><p><strong>Conclusions: </strong>This study identified age, gender, and guardian's education level as significant risk factors for childhood falls in Ghana. These findings provide insight for targeted interventions to reduce fall-related injuries among children in Ghana and similar LMICs.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251365570"},"PeriodicalIF":1.8,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065971","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 influencing factors among older adults in the end of COVID-19 era: A cross-sectional study.","authors":"Witchaya Sitthisasithorn, Sivarat Ratthanasathian","doi":"10.1177/22799036251373005","DOIUrl":"10.1177/22799036251373005","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has impacted all age groups, with older individuals experiencing health effects and lifestyle changes. This study explored factors associated with quality of life (QoL) among older adults and examined how a history of COVID-19 infection and quarantine varied across these factors in the post-pandemic period.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among older adults attending a primary care clinic between November 2023 and January 2024. Sociodemographic data and information on patients' history of COVID-19 infection and quarantine were collected. The WHOQOL-BREF-THAI was used to assess QoL. Bivariate and multiple logistic regression analyses identified factors associated with a history of COVID-19 and QoL.</p><p><strong>Results: </strong>The study received 195 survey responses. Most participants had moderate to poor QoL, were female (69.74%), and had a mean age of 67.07 years (<i>SD</i> = ±5.69). Marital and living status were associated with individual's COVID-19 infection history, with living with family linked to higher infection risk. The presence of underlying disease and social media use were significantly associated with quarantine history. QoL was associated with education, income, and physical and social activities, but not with COVID-19 history.</p><p><strong>Conclusions: </strong>Household health precautions should be emphasized. Chronic conditions and social media use were linked to quarantine, possibly due to challenges in maintaining in-person contact. Enhancing social and physical activities may improve QoL among older adults. These findings provide valuable insights for healthcare providers and policymakers to better support older adults in future health crises, including promoting social and physical engagement and addressing sociodemographic factors.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"14 3","pages":"22799036251373005"},"PeriodicalIF":1.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001640","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}