Archives of Public Health最新文献

{"title":"The effectiveness of a community-based online low-glycaemic index diet and lifestyle recommendations intervention for people with type 2 diabetes: a randomized controlled trial.","authors":"Jinhua Chen, Lixia Lv, Xinyi Zhao, Yan Liu, Shaozheng Zhong, Gu Yu, Yijun Wang, Chunyan Yang, Jun Chen, Yongzhen Ye, Shuqin Zeng, Honglin Luo, Danyao Zhang, Yuelei Wu, Shuyi Liu","doi":"10.1186/s13690-025-01552-0","DOIUrl":"10.1186/s13690-025-01552-0","url":null,"abstract":"<p><strong>Background: </strong>The community health workers (CHWs)-led model is an important strategy for managing type 2 diabetes mellitus (T2DM) in China. However, existing community-based dietary and health education interventions in diabetes management are insufficient. Meanwhile, emerging mobile health (mHealth) has emerged as a promising tool for improving disease management. Current evidence on the combined efficacy of mHealth technologies and CHWs strategies remains limited.</p><p><strong>Objective: </strong>This study evaluates the effectiveness of an online dietary and health education intervention delivered through a tertiary hospital's WeChat official account (WOA) for T2DM patients, examining its influence on glycated hemoglobin (HbA1c) levels, body mass index (BMI), serum lipid profiles, and diabetes-specific quality of life (DSQL).</p><p><strong>Methods: </strong>This randomized clinical trial was conducted in two community health centers in China, enrolling adults diagnosed with T2DM. Participants were randomly assigned to two groups over 3 months. The control group received standard care, while the intervention group accessed online low glycaemic index (GI) dietary and lifestyle recommendations via the WOA. This group was instructed to monitor blood glucose levels, upload daily dietary photos, review health education notifications, and participate in real-time communication with the diabetes management team via the WOA.</p><p><strong>Results: </strong>A total of 178 participants were randomized to the control group (mean [SD] age, 57.07 [10.96] years, n = 89) and the intervention group (mean [SD] age, 57.18 [10.61] years, n = 89). After 3 months, significant improvements were observed in the intervention group compared to the control group, with lower HbA1c levels (mean 7.82%, SD 0.43%; p = 0.001), BMI (mean 24.35, SD 1.25 kg/m²; p < 0.001), low-density lipoprotein cholesterol (mean 2.38, SD 0.21 mmol/L; p < 0.001), and DSQL scores (mean 43.24, SD 7.23; P < 0.001), whereas high-density lipoprotein cholesterol (mean 1.35, SD 0.37 mmol/L; p = 0.001) was significantly higher. Subgroup analysis at 3 months showed that age, education, disease duration, comorbidity, and BMI influenced the effectiveness of HbA1c reduction.</p><p><strong>Conclusion: </strong>Overall, the WOA-based intervention effectively engages patients in community diabetes management, leading to improved glycemic control, weight reduction, lipid metabolism optimization, and better quality of life.</p><p><strong>Trial registration: </strong>ChiCTR2400081045.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"61"},"PeriodicalIF":3.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of safety-related statutory information for herbal products under the pharmaceutical legislation between 1965 and 2021 in Finland: a content analysis of product information.","authors":"Sari M Koski, Anna Hietikko, Marja Airaksinen, Pirjo Laitinen-Parkkonen","doi":"10.1186/s13690-025-01549-9","DOIUrl":"10.1186/s13690-025-01549-9","url":null,"abstract":"<p><strong>Background: </strong>The study aim was to investigate implementation of safety-related statutory information for herbal products under the pharmaceutical legislation between 1965 and 2021 in Finland. The study period covered Finland's whole marketing authorisation system divided into five periods according to changes in legislation (1965-1982, 1983-1987, 1988-1993, 1994-2004 and 2005-2021).</p><p><strong>Methods: </strong>The study was carried out using qualitative content analysis focusing on herbal products granted marketing authorisations, registrations and licenses under the pharmaceutical legislation. Safety-related information in the summaries of product characteristics (SmPC), package leaflets (PL) and their predecessors (i.e., preliminary PLs called brochures) from 1965 to 2021 were analysed, particularly focusing on contraindications - including special warnings and precautions. The herbal product information data were searched from the archives of the Finnish Medicines Agency (Fimea). All searched information was from publicly available EU and Finnish legislations, administrative regulations, and approved product information of SmPC, PL and their predecessors.</p><p><strong>Results: </strong>The study material consisted of 207 herbal medicinal products after excluding six products because no data was found for them. Contraindications (including special warnings and precautions) were included in product information more systematically since 2005. Within 1965-1982, only 2/13 (15%) licensed products were equipped with a brochure. During 1994-2004 of the products 64/78 (82%) were equipped with the SmPC, PL or brochure. This legislation period can be seen as a watershed in implementation of SmPC into practice in Finland before the full (100%) implementation during the period 2005-2021. Of the contraindication (including special warnings and precautions) information, hypersensitivity/allergy information was included clearly most frequently.</p><p><strong>Conclusions: </strong>This study is based on a unique archive material covering years 1965-2021 in Finland. It shows successful national implementation of statutory product information for herbal products and how safety-related product information on contraindications (including special warnings and precautions) has improved during the study period, particularly since legislative changes in 2005. Currently, all herbal products under pharmaceutical supervision are medicinal products which are controlled like any other medicinal products for patient safety.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"60"},"PeriodicalIF":3.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11881298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double stigma of menstruation and premenstrual disorders for middle eastern women.","authors":"Negin Eissazade, Shayan Eghdami, Mohammadreza Shalbafan","doi":"10.1186/s13690-025-01557-9","DOIUrl":"10.1186/s13690-025-01557-9","url":null,"abstract":"<p><p>Emphasizing the historical exclusion of women from medical research, our letter sheds light on the double stigma of menstruation and premenstrual disorders faced by Middle Eastern women, and calls for collaborative efforts among healthcare professionals and policymakers to implement comprehensive anti-stigma strategies.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"59"},"PeriodicalIF":3.2,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11877803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating CDC recognition for the National DPP in socially vulnerable communities: barriers, facilitators, and recommendations.","authors":"Taynara Formagini, Ariba Rezwan, Daphnee Rodriguez, Maya Venkataramani, Matthew James O'Brien, Elva Arredondo, Boon Peng Ng","doi":"10.1186/s13690-025-01532-4","DOIUrl":"10.1186/s13690-025-01532-4","url":null,"abstract":"<p><strong>Background: </strong>The CDC National Diabetes Prevention Program (National DPP) lifestyle change program is a nationwide initiative to prevent or delay the onset of type 2 diabetes in adults with prediabetes. The CDC recognition status (i.e., pending, preliminary, full, or full-plus) signifies that a program meets specific quality, fidelity, and effectiveness standards. However, organizations-especially those serving socially vulnerable communities -often face significant challenges in achieving and maintaining this recognition. We aimed to explore the barriers and facilitators related to achieving and maintaining CDC recognition among organizations delivering the National DPP in socially vulnerable communities.</p><p><strong>Methods: </strong>This qualitative descriptive study used a web-based questionnaire to gather insights from 27 organizations delivering the National DPP in socially vulnerable communities. Respondents shared their experiences regarding challenges in attaining and maintaining CDC recognition, strategies to overcome these challenges, and recommendations for CDC support. Thematic analysis was conducted to identify and report emerging themes.</p><p><strong>Results: </strong>Funding availability, strong partnerships with community organizations, and flexible program delivery models were identified as key facilitators for achieving and maintaining CDC recognition. Major barriers included difficulties with participant recruitment and retention as well as insufficient funding to support program delivery costs. Respondents recommended increasing flexibility in recognition requirements, advocating for better reimbursement models, expanding training opportunities, and promoting collaboration between delivery organizations to enhance sustainability.</p><p><strong>Conclusion: </strong>Our study highlights key factors influencing the achievement and maintenance of CDC recognition for delivering the National DPP lifestyle change program among organizations in socially vulnerable communities. Addressing these factors through flexible program requirements (e.g., risk-adjusted models), improved funding models, strengthened support from the CDC, and collaboration between organizations could improve program sustainability.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"57"},"PeriodicalIF":3.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying risk factors for postpartum depression in Mashhad, Iran, 2017-2024: a population-based case-control study.","authors":"Amin Moradi, Mehdi Norouzi, Ehsan Mosa Farkhani","doi":"10.1186/s13690-025-01544-0","DOIUrl":"10.1186/s13690-025-01544-0","url":null,"abstract":"<p><strong>Background: </strong>Postpartum depression (PPD) is a common and debilitating disorder affecting mothers worldwide. This study aimed to identify risk factors and the frequency of PPD in Mashhad, Iran.</p><p><strong>Methods: </strong>A population-based case-control study was conducted using data from the Sina Health Information System (SINAEHR) from March 1, 2017, to June 20, 2024. The Edinburgh Postpartum Depression Scale was used to identify cases (score > 12) and controls (score ≤ 12). Bivariate and multivariate logistic regression analyses were performed to determine risk factors associated with PPD.</p><p><strong>Results: </strong>Among 108,952 women evaluated, 3,407 (3.03%) were diagnosed with PPD and matched with an equal number of controls. Significant risk factors for PPD included maternal age ≤ 20 years (OR = 1.76, 95% CI: 1.31-2.36), history of abortion (OR = 1.25, 95% CI: 1.15-1.42), cesarean delivery (OR = 1.22, 95% CI: 1.11-1.34), preterm delivery (OR = 1.99, 95% CI: 1.67-2.37), twin births (OR = 2.10, 95% CI: 1.41-3.24), and drug use (OR = 5.76, 95% CI: 2.90-11.33). Psychological factors were strongly associated with PPD, including history of anxiety (OR = 2.48, 95% CI: 2.06-2.93), domestic violence (OR = 4.08, 95% CI: 2.43-6.59), history of depression (OR = 5.31, 95% CI: 4.58-6.61), and psychological distress (OR = 4.94, 95% CI: 3.91-6.23).</p><p><strong>Conclusion: </strong>This study identified multiple risk factors for PPD, with psychological factors showing the strongest associations. These findings highlight the importance of screening for mental health issues and providing targeted support to high-risk women during pregnancy and the postpartum period to prevent and manage PPD effectively.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"58"},"PeriodicalIF":3.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the transferability potential of policy practices for older people.","authors":"Mihaela Ghența, Aniela Matei, Franziska Rothe, Marja Aartsen, Iuliana Precupetu","doi":"10.1186/s13690-025-01548-w","DOIUrl":"10.1186/s13690-025-01548-w","url":null,"abstract":"<p><strong>Background: </strong>Policies in the fields of health and long-term care are constantly under pressure to ensure the balance between economic stability and an adequate quality of life for all the citizens in need, while policy makers are engaged in finding the most adequate responses to population ageing concerns. Demographic changes create multiple concerns to which policy makers and practitioners need to develop interventions. The aim of this paper is to assess the transferability potential of selected best practices from Norway to Romania in order to increase the social inclusion of older people.</p><p><strong>Methods: </strong>This approach comprises a mixture of methods. It uses a SWOT analysis to select best practices and a Policy Delphi methodology with experts in relevant fields of social policy for older people (health and long-term care) to assess the transferability potential of those best practices.</p><p><strong>Results: </strong>The results suggest that the transferability of best practices is closely linked to the national context.</p><p><strong>Conclusions: </strong>The transferability of best practices from one national context to another is an effective way to advance social policies for older persons, provided that the economic, social, political and cultural circumstances are considered. The results highlight the need for change in the development of policy measures for the selected domains of social policy. To create such change, policy makers should consider the level of development of health and long-term care systems.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"56"},"PeriodicalIF":3.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11869553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy ageing for older adult people with intellectual disability: a scoping review.","authors":"Nadia El Mrayyan, Marianne Holmgren, Gerd Ahlström","doi":"10.1186/s13690-025-01528-0","DOIUrl":"10.1186/s13690-025-01528-0","url":null,"abstract":"<p><strong>Background: </strong>The increasing longevity of people with intellectual disability creates a need for a healthy-ageing perspective, translated into evidence-based interventions in this multi-morbidity group. Accordingly, the aim of this scoping review was to identify, summarise and analyse the empirical research on healthy ageing in older adults with intellectual disability.</p><p><strong>Methods: </strong>This review was based on the PRISMA 2020 guidelines for Scoping Reviews (PRISMA-ScR) and a PICO protocol (Patient/population, Intervention, Comparison/control, and Outcome). Empirical studies in English were included if they concerned older adults with intellectual disability with an average age of at least 45 and were based on a clearly expressed healthy-ageing perspective. An information specialist conducted a search in 11 databases with no geographical or temporal restrictions. Two independent researchers performed study selection, quality assessment and data extraction. Disagreements were resolved in consultation with a third researcher. A textual narrative synthesis was based on PICO domains and the seven research questions.</p><p><strong>Results: </strong>The 11 studies were all from developed countries and had different designs: qualitative, mixed-method and one systematic review. Only three studies highlighted the term \"healthy ageing\", most used synonymous terms. Eight studies focused on healthy ageing on the individual level, three on the organisational and societal level. The intervention studies in the systematic review were mainly nonrandomised, concerned interventions varying in intensity and duration, considered different research questions and employed different outcome measures.</p><p><strong>Conclusions: </strong>The findings highlight a major knowledge gap concerning evidence-based interventions with a healthy-ageing perspective in the case of older adults with intellectual disability. There is an urgent need to initiate healthy-ageing studies in developing countries, where such people are even more vulnerable to stigma and discrimination than those in developed countries. Our findings confirm the need to scale up healthy-ageing interventions in line with the WHO's ambition to develop evidence-based approaches to optimise the functional capacity of all older people, including older adults with intellectual disability, by 2030.</p><p><strong>Registration: </strong>The study is registered in the International Prospective Register of Systematic Reviews (PROSPERO), CRD42022337211 (13 June 2022).</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"55"},"PeriodicalIF":3.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11866571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usability of technological tools to overcome language barriers in healthcare- a scoping review.","authors":"Annika Kreienbrinck, Saskia Hanft-Robert, Alina Ioana Forray, Asithandile Nozewu, Mike Mösko","doi":"10.1186/s13690-025-01543-1","DOIUrl":"10.1186/s13690-025-01543-1","url":null,"abstract":"<p><strong>Introduction: </strong>In many healthcare contexts globally, where the languages of care providers and service users do not match, miscommunication can lead to inaccurate diagnoses and subpar treatment outcomes. The development and use of technological tools to overcome language barriers are increasing, but usability and evaluation of these tools vary widely.</p><p><strong>Objectives: </strong>This scoping review's objectives are (i) to identify and describe the technological tools used in direct service user-provider communication to overcome language barriers in a healthcare setting, (ii) to identify how the usability of these tools was evaluated, and (iii) to identify the challenges and benefits of using such technological tools.</p><p><strong>Methods and analysis: </strong>The scoping review followed the JBI methodology. Studies published between January 2019 and July 2024 were identified using a search strategy with variations of the keywords \"technological tools,\" \"language barrier,\" and \"health care\" in the following six databases and research platforms: PubMed, PsycArticle, Scopus, EBSCOhost, ProQuest, and Web of Science. All literature on individuals using a technological tool to overcome language barriers in a healthcare context was included and exported into the screening assistant software Rayyan. The search was limited to articles written in German or English. The literature was screened twice by three independent reviewers in a blinded fashion, and all relevant data were presented in a descriptive summary.</p><p><strong>Results: </strong>Based on 16 publications, this scoping review identified 16 technological tools, categorized as fixed-phrase or machine translation apps, to overcome language barriers in a healthcare setting. Usability was assessed in 13 publications applying diverse methods, i.e., surveys, observations, and application data analysis. Technological tools hold potential as a means to address language barriers in healthcare by facilitating communication and supporting diagnostic processes. However, their usability is often constrained by challenges related to translation accuracy, accessibility, and learnability.</p><p><strong>Conclusion: </strong>Future research and policy efforts should focus on standardizing evaluation methods and diversifying development regionally, linguistically, and interdisciplinary. Rather than broadly promoting these tools, emphasis should be placed on ensuring they are reliable and efficient for their intended use to maximize their effectiveness and relevance in specific healthcare contexts.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"52"},"PeriodicalIF":3.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of factors influencing attrition among clinical traditional Chinese medical major graduates: based on a discrete choice experiment.","authors":"Jinying Su, Yichun Gu, Jiaqi Yuan, Botao Tian, Shimeng Liu, Huaxin Yu, Yaqun Wang, Lihang Sun, Yulin Zhang, Da He","doi":"10.1186/s13690-025-01539-x","DOIUrl":"10.1186/s13690-025-01539-x","url":null,"abstract":"<p><strong>Background: </strong>Traditional Chinese Medicine (TCM) is essential for promoting health worldwide. Despite governmental support, TCM faces critical challenges, including workforce shortages and high attrition rates, with many clinical TCM graduates pursuing non-clinical careers. This study aims to explore the employment preferences of these graduates and to propose strategies for retaining TCM professionals, optimizing the input-output ratio of TCM education, and supporting the sustainable development of the TCM industry.</p><p><strong>Methods: </strong>A stratified sampling method was used to select clinical TCM major graduates from 16 universities of Chinese medicine. A Discrete Choice Experiment (DCE) was conducted to investigate the factors influencing the attrition of clinical TCM professionals, including monthly income, work location, housing security, workload, work environment, and promotion opportunities. A mixed logit model was applied to analyze the DCE data.</p><p><strong>Results: </strong>A total of 273 clinical TCM major graduates were included in the primary DCE analysis. The monthly income was more important than other attributes (RAI = 48.03%). Among non-economic factors, participants expressed the strongest willingness to decrease workload, being willing to forgo 3,370.312 yuan (approximately $500.3) in monthly income to reduce heavy workloads to moderate levels. Other significant factors included work environment (RAI = 13.64%), housing security (RAI = 9.47%), and promotion opportunities (RAI = 5.33%), with work location being the least important (RAI = 3.3%). Subgroup analysis showed that rural graduates were more willing than urban graduates to forgo monthly income for promotion opportunities. Graduates from the central region of China valued work environment and housing security more than those from the eastern and western regions. Postgraduates were more likely than undergraduates to give up monthly income for housing security.</p><p><strong>Conclusion: </strong>In addition to economic factors, non-economic factors are also critical considerations for clinical TCM major graduates in their employment decisions. A combination of measures, including offering lower workloads, better work environments, housing security, and promotion opportunities, should be adopted to stabilize the employment environment for clinical TCM graduates.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"54"},"PeriodicalIF":3.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11852512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between intention and action: the paradoxes of female vaccination.","authors":"Libia Santos-Requejo, Obdulia María Torres-González","doi":"10.1186/s13690-025-01542-2","DOIUrl":"10.1186/s13690-025-01542-2","url":null,"abstract":"<p><strong>Background: </strong>The article addresses two paradoxes related to the vaccination of women in the context of the COVID-19 pandemic. The first paradox lies in the fact that, though women tend to be more concerned about health issues, they declare less of an intention to vaccinate than do men. The second paradox is that, despite reporting less intention to vaccinate, women actually take up vaccines more than men. This article sets out to study the reasons for these paradoxes.</p><p><strong>Methods: </strong>We used information from a representative sample of the Spanish population. A dichotomous variable was created ('change' versus 'consistency', in relation to respondents' intention and final decision to get vaccinated), and two logistic regression models were applied: one for the group of women and the other for the group of men.</p><p><strong>Results: </strong>Several factors have been identified as influencing the change of opinion: such as trust in the health system, conspiracy beliefs about vaccines, positive evaluation of science and technology, level of knowledge, ideology and religion. It is noteworthy that several differences are found between men and women in terms of the factors causing them to change their opinion about vaccination.</p><p><strong>Conclusions: </strong>The most relevant conclusion is that intention studies in the field of vaccination lose predictive power in the case of women's vaccination. It should also be noted that, with women, there are no factors that conclusively explain their change of opinion. Therefore, if the factors influencing vaccination behaviour are to be discovered, it is necessary to modify the questions included in the questionnaires in order to find the variables that explain women's behaviour.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"53"},"PeriodicalIF":3.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11853196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}