Journal of Public Health Research最新文献

{"title":"Obesogenic dietary behaviours and work environment among primary healthcare workers in Limpopo Province: A cross-sectional analysis.","authors":"Mashita Audrey Lehlohonolo, Mphasha Mabitsela Hezekiel, Skaal Linda","doi":"10.1177/22799036251388583","DOIUrl":"10.1177/22799036251388583","url":null,"abstract":"<p><strong>Background: </strong>Overweight and obesity are escalating public health challenges in South Africa. Healthcare workers (HCWs), expected to model healthy behaviours, are increasingly exposed to obesogenic environments, placing them at higher risk for poor dietary habits and obesity. This study investigated the prevalence of obesity and assessed dietary behaviours and workplace environmental influences among primary healthcare workers in Limpopo Province.</p><p><strong>Methods: </strong>A quantitative cross-sectional design was used. A total of 174 healthcare workers from clinics in Lepelle-Nkumpi Municipality participated. Stratified random sampling ensured representation across nursing, allied health, and support staff. Data were collected using a validated, self-administered questionnaire and Food Frequency Questionnaire. Anthropometric measurements were taken to calculate Body Mass Index (BMI). Data were analysed using SPSS version 28, with descriptive statistics and chi-square tests (<i>p</i> < 0.05) employed to explore associations.</p><p><strong>Results: </strong>Among participants, 76% were overweight (28%) or obese (48%), with significantly higher obesity prevalence among females (<i>p</i> = 0.001). A substantial proportion reported weekly fast-food consumption (50%), access to fast-food vendors near clinics (39.1%), and regular exposure to food advertisements (40.8%). Diets were characterized by frequent intake of full cream milk (64.9%), chicken with skin (53.4%), fried foods (47.7%), and low consumption of fruits and vegetables. Only 21.8% consumed traditional vegetables like spinach/morogo daily.</p><p><strong>Conclusion: </strong>This study reveals a high prevalence of overweight and obesity among healthcare workers, linked to unhealthy dietary patterns shaped by workplace food environments, fast-food access, and time constraints. Findings highlight the need for multi-level, culturally sensitive interventions and further exploration of home-based dietary influences.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036251388583"},"PeriodicalIF":2.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714097","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":"\"They hide because they fear\": Barriers and opportunities for tuberculosis control in rural Indonesia through the PRECEDE-PROCEED lens.","authors":"Anita Lufianti, Bagoes Widjanarko, Eti Poncorini Pamungkasari, Ari Probandari","doi":"10.1177/22799036261474129","DOIUrl":"10.1177/22799036261474129","url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) remains a significant public health challenge in rural Indonesia, where structural barriers, limited health literacy, and persistent stigma hinder effective disease control. Systematic exploration of contextual obstacles and opportunities for youth empowerment interventions in TB control remains limited.</p><p><strong>Objective: </strong>This study explored contextual barriers and opportunities to enhance TB awareness and community involvement in rural Indonesia, using the PRECEDE-PROCEED model to identify predisposing, enabling, and reinforcing factors influencing TB control behaviours.</p><p><strong>Methods: </strong>An exploratory qualitative study using a phenomenological approach was conducted in Central Java, Indonesia (February-August 2024). Data were collected through semi-structured interviews with 18 key informants and two focus group discussions with 11 participants. Reflexive thematic analysis was conducted using NVivo 12, with trustworthiness ensured through prolonged engagement, triangulation, member checking, and COREQ adherence.</p><p><strong>Results: </strong>Nine themes emerged across three domains. Predisposing factors included persistent TB misconceptions and stigma characterised by fear, shame, and social avoidance. Enabling factors comprised structural barriers (inadequate housing, poor ventilation), weaknesses in TB detection (human resource shortages, low TPT coverage), suboptimal health cadre effectiveness, and resource constraints. Reinforcing factors encompassed inconsistent treatment supervision, limited multi-stakeholder involvement, notably absent educational institution engagement, and programme evaluation gaps. Critically, these barriers interacted across domains through cascading mechanisms, with stigma amplifying system weaknesses and undermining supervision.</p><p><strong>Conclusion: </strong>TB control in rural Indonesia faces interconnected barriers across all three PRECEDE-PROCEED domains. Young people and schools are underutilised resources with strong potential as agents of change, justifying the development of community-based youth empowerment interventions.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261474129"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714091","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":"AI-driven neuroimaging for Alzheimer's disease: Addressing genetic and ethnic bias in diagnostic modeling.","authors":"Hamna Binte Iqbal, Ayesha Janjua, Raghabendra Kumar Mahato","doi":"10.1177/22799036261474536","DOIUrl":"10.1177/22799036261474536","url":null,"abstract":"","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261474536"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714145","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":"Evaluation of Google search trends for COVID-19 vaccination administration efforts within an urban department of public health.","authors":"Sae H Han, Nicholas D Soulakis","doi":"10.1177/22799036261474138","DOIUrl":"10.1177/22799036261474138","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the utility of the Google COVID-19 Vaccination Search Insights (VSI) dataset for predicting and forecasting COVID-19 vaccine doses.</p><p><strong>Methods: </strong>This retrospective, ecological time-series analysis used Google VSI data and Chicago Data Portal COVID-19 Daily Vaccinations dataset to predict and forecast weekly COVID-19 vaccination doses administered in Chicago between January 4, 2021 and December 20, 2021. Model performance was evaluated using root mean squared error (RMSE) and mean percent differences between the predicted and forecasted vaccination values and actual doses administered.</p><p><strong>Results: </strong>SARIMAX models incorporating Google COVID-19 vaccination search frequencies, lagged by an average of 1.67 weeks, improved in-sample predictive accuracy relative to univariate SARIMA models, with gains most pronounced in high-vulnerability communities (High CCVI ZIP codes; mean RMSE reduction 84.73% across cross-validation iterations). Improvements in out-of-sample forecasting were similarly concentrated in High CCVI ZIP codes; in the remaining ZIP codes, SARIMAX forecasts were less accurate than SARIMA. SARIMAX forecasts produced narrower 95% confidence intervals across all strata, indicating greater model confidence.</p><p><strong>Conclusions: </strong>These findings demonstrate the potential utility of the Google COVID-19 VSI dataset as a supplementary tool for informing COVID-19 vaccination distribution planning and resource allocation, particularly in socially vulnerable communities.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261474138"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714128","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":"Erratum to \"System dynamics of preadolescent mental wellbeing: A multi-actor perspective in Amsterdam using systems archetypes\".","authors":"","doi":"10.1177/22799036261472551","DOIUrl":"https://doi.org/10.1177/22799036261472551","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/22799036261455634.].</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261472551"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714158","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":"Relationships between health behaviors and body fat percentage among nigerian immigrants in the dallas-fort worth metroplex, United States.","authors":"Samuel Ayeni, Philip Esposito, Meena Shah","doi":"10.1177/22799036261470908","DOIUrl":"10.1177/22799036261470908","url":null,"abstract":"<p><strong>Background: </strong>The Nigerian immigrant population in the United States (U.S.) has increased substantially over the past three decades; however, limited research has examined the relationships between health behaviors and body fat percentage in this population. This study investigated the associations between physical activity, dietary intake, and body fat percentage among foreign-born Nigerians residing in the Dallas-Fort Worth metroplex, U.S.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 70 Nigerian immigrants using convenience sampling. Body fat percentage was assessed using bioelectrical impedance analysis, physical activity was measured with the International Physical Activity Questionnaire-Short Form, and dietary intake was evaluated using the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24). Binomial logistic regression analyses were performed to examine the associations between physical activity, dietary intake, and body fat percentage.</p><p><strong>Results: </strong>The prevalence of overweight and obesity was 34.29% and 28.57%, respectively. No statistically significant associations were observed between physical activity level, fruit intake, vegetable intake, red meat consumption, and body fat percentage (p > 0.05). Specifically, low physical activity level was not significantly associated with body fat percentage (OR = 4.25, 95% CI: 0.57-31.94, p = 0.16). Participants also reported low mean daily fruit intake (0.74 ± 0.78 cup equivalents/day) and high mean daily red meat consumption (4.73 ± 4.56 ounce equivalents/day) relative to U.S. dietary recommendations (1.5-2 cup equivalents/day and 1.7-2.6 ounce equivalents/day, respectively).</p><p><strong>Conclusion: </strong>No significant associations were found between selected health behaviors and body fat percentage. However, the observed dietary patterns warrant further investigation in larger longitudinal studies.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261470908"},"PeriodicalIF":2.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714161","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":"Perinatal depression, and the perspective of individuals with legal backgrounds in India: Exploring policy gaps and human rights implications.","authors":"Ritika Behl, Vivek Nemane","doi":"10.1177/22799036261474133","DOIUrl":"10.1177/22799036261474133","url":null,"abstract":"<p><strong>Background: </strong>Perinatal Depression (PND) remains an underrecognized public health concern in India, despite its myriad consequences for women, children and families. Unmet perinatal mental health (PMH) needs may have a multifaceted adverse impact on human rights advancements. However, in India, awareness about PND and PMH amongst healthcare providers and law enforcement agencies remains limited, which is critical for law and policy reforms.</p><p><strong>Objectives: </strong>This study assesses awareness and perceptions of PND and PMH among individuals holding Indian law degrees (IHLD), with a focus on the currently implemented mental health and rights (MHR) and the reproductive health and rights (RHR) frameworks, and their human rights implications.</p><p><strong>Study design and methods: </strong>Two online, cross-sectional surveys were conducted with IHLD using purposive and snowball sampling. Separate surveys were conducted to effectively cover the implementation of the MHR and RHR frameworks, to avoid confusion among participants, given the absence of integrated PMH services. Surveys included multiple-choice questions, with a small number of open-ended questions. Quantitative data were analysed descriptively, while cross-survey comparisons were made at the aggregate level to identify trends.</p><p><strong>Results: </strong>Most participants (90.6%, <i>n=106</i>) in the first survey perceived a positive role of legal interventions in improving health statuses, but only 38.5% (<i>n=45</i>) self-rated themselves as aware of the latest MHR reforms. Almost half of the participants in both surveys, covering MHR (49.6%, n=58/117) and RHR (40.6%, n=41/101) frameworks, were unsure about the availability of PMH services. The majority of participants in both surveys agreed that the existing policy gap results in potential rights violations for women and children, making heightened awareness imperative.</p><p><strong>Conclusion: </strong>IHLD's awareness levels and perspectives can strongly influence their representation of vulnerable population groups in the courts and in the dispensation of justice. Law and policy reforms can increase awareness about PND and PMH among IHLD. However, professional development programs for IHLD and their involvement in multisectoral collaborative approaches are critical.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261474133"},"PeriodicalIF":2.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714084","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":"Beyond main effects: Age, education, and immigration history shape self-rated health among Latin Americans in Canada.","authors":"Keren M Escobar, Nicolaus Espitia, Peter Felsman","doi":"10.1177/22799036261465331","DOIUrl":"10.1177/22799036261465331","url":null,"abstract":"<p><strong>Background: </strong>Latin Americans represent one of the fastest growing populations in Canada, yet remain largely absent from national health research. Recent descriptive data suggest Latin Americans report higher SRH than the Canadian average, but little is known about how sociodemographic and migration-related factors shape these outcomes.</p><p><strong>Design and methods: </strong>This study used pooled data from the 2015-2018 cycles of the Canadian Community Health Survey (<i>N</i> = 203,754) to examine SRH among Latin Americans (<i>n</i> = 1,799) compared with Whites (<i>n</i> = 168,225) and other racialized groups (<i>n</i> = 33,730). Logistic regression models assessed associations between ethnicity and fair/poor SRH, adjusting for sociodemographic, socioeconomic, and health-related covariates. Interaction terms tested whether associations varied by age, sex, education, income, and immigration history.</p><p><strong>Results: </strong>Across all models, Latin Americans did not differ significantly from Whites in odds of reporting fair/poor SRH (Model 4 OR = 0.88, 95% CI [0.65, 1.19]). However, significant interaction effects indicated that the association between ethnicity and SRH varied by age, education, and immigration history. Relative to Whites, older Latin Americans and those with primary education demonstrated higher odds of fair/poor SRH, whereas some more recent immigrant subgroups demonstrated comparatively lower odds.</p><p><strong>Conclusions: </strong>Aggregate comparisons may obscure important heterogeneity in the association between ethnicity and SRH across sociodemographic and immigration-related subgroups. Findings highlight the importance of intersectional and disaggregated analyses in understanding health inequities among Latin Americans in Canada and underscore the need for culturally responsive policies that address structural and migration-related inequities.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261465331"},"PeriodicalIF":2.1,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714132","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 \"Improved prediction of childhood anemia using hybrid ensemble learning and dual-level explainability\".","authors":"","doi":"10.1177/22799036261473759","DOIUrl":"https://doi.org/10.1177/22799036261473759","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/22799036261462908.].</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261473759"},"PeriodicalIF":2.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714115","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":"Dropout from the maternity continuum of care and its determinants among women in Ethiopia: A systematic review and meta-analysis.","authors":"Yeshiwas Ayale Ferede, Agerie Mengistie Zeleke, Ayanaw Dinku Abebe, Jember Ayelgne Beyene, Worku Chekol Tassew","doi":"10.1177/22799036261470483","DOIUrl":"10.1177/22799036261470483","url":null,"abstract":"<p><strong>Background: </strong>The maternity continuum of care including antenatal care (ANC), skilled birth attendance, and postnatal care is essential for reducing maternal and neonatal morbidity and mortality, yet many women in Ethiopia discontinue care.</p><p><strong>Methods: </strong>A systematic review and meta-analysis of observational studies was conducted using five databases (Web of Science, Scopus, PubMed, Cochrane Library, and Google Scholar), covering studies published from 1/1/2015- 4/10/2025. A total of six studies involving 3,181 participants were included. A random-effects model was applied, and heterogeneity was assessed using the I² statistic. Publication bias was evaluated using funnel plot symmetry and Egger's regression test.</p><p><strong>Results: </strong>The pooled prevalence of dropout from the continuum was 61.81% (95% CI: 48.53-75.10), with substantial heterogeneity (<b>I</b> ^<b>2</b> <b>=</b> 100<b>%</b>). Key associated factors included lack of media exposure, unplanned pregnancy, fewer than four ANC visits, rural residence, and limited awareness of maternal health services. Dropout was highest between ANC and skilled birth attendance.</p><p><strong>Conclusion: </strong>This review suggests a substantial level of dropout from the maternity continuum of care in Ethiopia. Strengthening health education, improving access to information, promoting adequate ANC visits, and expanding community-based interventions may help improve continuity of maternal care.</p>","PeriodicalId":45958,"journal":{"name":"Journal of Public Health Research","volume":"15 3","pages":"22799036261470483"},"PeriodicalIF":2.1,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13459673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714130","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}