Archives of Public Health最新文献

{"title":"Cumulative handgrip strength and longitudinal changes in cognitive function and daily functioning among people aged 50 years and older: evidence from two longitudinal cohort studies.","authors":"Bin Han, Ziqian Zeng, Ying Wen, Chu Chen, Daomei Cheng, Yachao Li, Ning Huang, Jia Ruan, Dan Zhao, Qingping Xue","doi":"10.1186/s13690-025-01624-1","DOIUrl":"10.1186/s13690-025-01624-1","url":null,"abstract":"<p><strong>Background and purpose: </strong>Our study assesses the association between cumulative handgrip strength and longitudinal changes in cognitive function and daily functioning.</p><p><strong>Methods: </strong>Two comparative cohort studies were used, including the English Longitudinal Study of Ageing (ELSA) and the Survey of Health, Ageing and Retirement in Europe (SHARE). Cumulative handgrip strength was calculated using three repeated measurements of handgrip strength. Linear mixed regression models evaluated the association between cumulative handgrip strength and longitudinal changes in cognitive function and daily functioning. Cox regression models were performed to determine the association between cumulative handgrip strength and the risk of cognitive and functional impairment.</p><p><strong>Results: </strong>Individuals with lower levels of cumulative handgrip strength had lower global cognition (β: -0.244; 95% CI: -0.317, -0.170 for ELSA and -0.359; -0.406, -0.311 for SHARE) and experienced a faster decline in cognitive function over time (-0.025; -0.037, -0.013 for ELSA, and -0.019; -0.026, -0.013 in SHARE). We found lower levels of cumulative handgrip strength were associated with lower daily functioning (β: 0.267; 95% CI: 0.161, 0.374 for ELSA and 0.153; 0.079, 0.227 for SHARE), and a faster decline in daily functioning over time (0.105; 0.081, 0.129 for ELSA and 0.217; 0.195, 0.238 for SHARE). Furthermore, lower levels of cumulative handgrip strength were related to a higher risk of cognitive and functional impairment.</p><p><strong>Conclusions: </strong>Our study suggested that lower levels of cumulative handgrip strength was related to an accelerated decline in cognitive function and daily functioning. Persistently strengthening muscle strength should be emphasized in preventing neurodegenerative disorders and disabilities.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"150"},"PeriodicalIF":3.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295077","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":"Unmet health-related needs in patients with Crohn's disease in Belgium: a mixed-methods study.","authors":"Claudia Schönborn, Muriel Levy, Mats De Jaeger, Renaud Van Goethem, Ugo Leonard, Rani Claerman, Robby De Pauw, Laurence Kohn, Irina Cleemput, Charline Maertens de Noordhout","doi":"10.1186/s13690-025-01632-1","DOIUrl":"10.1186/s13690-025-01632-1","url":null,"abstract":"<p><strong>Background: </strong>Measuring health-related unmet needs is crucial for identifying innovation gaps and developing targeted strategies to address them. This study focused on measuring the unmet needs of patients with Crohn's disease in Belgium using a standardised methodology that can facilitate comparisons across different diseases. Crohn's disease is a chronic condition characterised by a rising incidence over the past century and limited progress in understanding its causes or advancing effective treatments.</p><p><strong>Methods: </strong>We conducted an online survey (n = 150) and semi-structured interviews (n = 20) with adults affected by Crohn's disease. Descriptive statistics were used to analyse survey results, and thematic analysis was applied to interview transcripts. Unmet needs were classified a-priori into health, healthcare, and social aspects.</p><p><strong>Results: </strong>The study revealed unmet needs beyond the well-known symptoms of Crohn's. One in five survey respondents waited over a year for a diagnosis, and 18% considered their treatment as rather or very burdensome. At least 75% reported diarrhoea, fatigue, and abdominal cramps as rather or very burdensome, and around 40% experienced rather or very burdensome stress, anxiety, or depression. These symptoms, perceived as invisible, caused embarrassment, impacted sexual and family life, and led to social withdrawal. Psychological support was generally deemed insufficient, and around 40% of survey participants would have liked to be more involved in treatment decision-making. Only 50% of respondents who had interrupted work for at least a month returned to previous work levels, and 65% of the whole sample experienced financial impacts due to the disease.</p><p><strong>Conclusions: </strong>Crohn's patients experienced not only burdensome physical symptoms, but were also frequently affected by significant psychological symptoms, which significantly affected their quality of life. Although specialist care was adequate, faster diagnosis and better psychological support are needed. Future studies should explore the unmet needs of children and adolescents with Crohn's disease to complete the picture.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"151"},"PeriodicalIF":3.2,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295078","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":"Association patterns of work-family balance, perceived stress and turnover intentions among female medical workers in China (2022-2023): integration network and pathway analysis.","authors":"Yin Lin, Jia Li","doi":"10.1186/s13690-025-01631-2","DOIUrl":"10.1186/s13690-025-01631-2","url":null,"abstract":"<p><strong>Background: </strong>Female healthcare workers often experience heightened stress and increased turnover intentions due to work-family imbalance, which significantly disrupts the normal functioning of the healthcare system. The work-family balance is a multidimensional construct, and the complex relationships among its various dimensions, stress levels, and turnover intentions remain unclear.</p><p><strong>Methods: </strong>The study was conducted among 436 female healthcare workers in China from May 2022 to January 2023, using the work-family balance scale, perceived stress scale and turnover intention scale. A network analysis and path analysis of the data were conducted through R software and the PROCESS macro in SPSS.</p><p><strong>Results: </strong>The feedback, adjustment and defense nodes were the important nodes of the work-family balance, perceived stress and turnover intention network. Adjustment, defense and conversion between the two roles are more strongly associated with perceived stress and turnover intention. Moreover, adjustment, defense and conversion play parallel chain mediation roles between perceived stress and turnover intention.</p><p><strong>Conclusions: </strong>The family and work of female medical staff can be mutually conflicting (adjustment and defense) and reinforcing (feedback). Moreover, once the mutual conflict and intrusion between family and work intensify, female healthcare workers' stress and turnover intention may increase, even if their work can provide resources for their families. This further suggests that hospital management systems could help female healthcare workers adjust their energy allocation between work and family areas by setting precise work hours, reducing work intrusion at home, and lowering stress and turnover intentions.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"149"},"PeriodicalIF":3.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286840","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":"Research on the impact of hospital organizational behavior on physicians'patient-centered care.","authors":"Pengwei Zhang, Haotong Zhang, Angyang Wang","doi":"10.1186/s13690-025-01620-5","DOIUrl":"10.1186/s13690-025-01620-5","url":null,"abstract":"<p><strong>Objectives: </strong>This study seeks to examine the impact of hospital organizational behavior on Physicians' Patient-centered care and aims to offer innovative insights and strategies for enhancing the quality of healthcare services.</p><p><strong>Methods: </strong>A conceptual model was developed based on organizational behavior theory. Data were collected via questionnaires from 10 large public hospitals in China, encompassing eight independent variables, including hospital organizational culture, change behavior, and motivational behavior, as well as moderating variables like physician title and control variables such as personality traits. SPSS software was used for descriptive statistics, correlation analysis, covariance testing, and multiple linear regression analysis.</p><p><strong>Results: </strong>(1) The study of the 10 large public hospitals revealed a coexistence of four types of organizational cultures. Support-oriented and innovation-oriented cultures were dominant, followed by rule-oriented cultures, while goal-oriented cultures scored relatively low. Additionally, these hospitals showed effective organizational change behaviors in technology and resource optimization, as well as inter-professional teamwork. Incentives related to employee welfare systems and development programs also demonstrated high implementation effectiveness. (2) Supportive and innovation-oriented hospital cultures positively influence Physicians' Patient-centered care, while goal-oriented cultures negatively impact Physicians' Patient-centered care. (3) In public hospitals, organizational change behaviors such as technology and resource optimization, along with inter-professional teamwork, positively influence Physicians' Patient-centered care. Additionally, organizational incentives like employee welfare systems and training programs enhance Physicians' Patient-centered care. (4) The moderating variable of physician title negatively affects the relationship between the employee welfare system and Physicians' Patient-centered care, as well as the relationship between the staff development program and Physicians' Patient-centered care.</p><p><strong>Conclusions: </strong>Hospital organizational behavior significantly impacts Physicians' Patient-centered care. Supportive and innovative cultures, effective change behaviors, and incentives enhance Physicians' Patient-centered care. Addressing limited resources and high demand is essential for optimizing healthcare service quality.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"148"},"PeriodicalIF":3.2,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12153082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276269","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":"Exploring the multi-level correlates of sports participation among Chinese adults based on ecological models and hierarchical regression: evidence from national survey dataset.","authors":"Yizhen Chao, Yaqing Wang, Zhenzhan Chang","doi":"10.1186/s13690-025-01621-4","DOIUrl":"10.1186/s13690-025-01621-4","url":null,"abstract":"<p><strong>Background: </strong>The numerous benefits of adult participation in sports are widely acknowledged. However, the sports participation (SP) rate among Chinese adults remains low. Moreover, the correlates of SP across countries may differ significantly compared to the existing literature. In addition, as a form of health behavior, SP is shaped by multiple factors at both individual and environmental levels, as outlined by the ecological model. This study systematically incorporates variables across these levels to explore the multidimensional correlates of SP among Chinese adults.</p><p><strong>Methods: </strong>This study utilized data from the 2021 China General Social Survey (CGSS), screening 1,613 valid samples. The dataset included the dependent variable-sport participation and 41 independent variables across seven dimensions ranging from the individual level to the environmental level. Data analysis was conducted using descriptive statistics, the univariate analysis, and hierarchical regression analysis.</p><p><strong>Results: </strong>In the final model, eight variables were significantly associated with sport participation. At the individual physiological level, age (p < 0.001) and health issues influence (p < 0.001) were strongly and independently associated with SP. At the individual psychological level, health perception for society (p < 0.001) was significantly associated with SP. At the individual socioeconomic level, education (p < 0.001) was a significant factor. At the individual lifestyle level, watching competitions (p < 0.001) and friend socializing (p < 0.001) were strongly associated with SP. At the family environment level, no variables were significantly associated with SP; however, the variable children (p = 0.078) warrants caution. At the community environment level, the variable suitable for sports (p = 0.001) was significantly associated with SP. At the social environment level, the type of settlement (p < 0.001) also showed a significant association. The remaining variables demonstrated no significant relationship with sport participation.</p><p><strong>Conclusion: </strong>This study highlights the multilayered factors influencing SP among Chinese adults, confirming that this behavior is shaped by influences spanning individual to environmental levels. The findings align with, yet differ from, those of many existing studies on sport participation. Notably, the most novel findings relate to age, which differs significantly from the results reported in much of the existing literature.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"147"},"PeriodicalIF":3.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267718","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":"The qualitative accounts of black informal carers of people with psychosis and their experiences accessing mental health services: a systematic review.","authors":"Angela Kibia, Jiarui Li, Kalya Aung, Juliana Onwumere","doi":"10.1186/s13690-025-01640-1","DOIUrl":"10.1186/s13690-025-01640-1","url":null,"abstract":"<p><strong>Background: </strong>Individuals from Black racially minoritised backgrounds are disproportionately diagnosed with psychotic disorders at higher rates. This presents unique caregiving challenges to informal (unpaid) carers. Black informal carers are more likely to face socio-economic challenges, including exposure to racism and discrimination, that impact their caregiving experiences and access to support. This systematic review aims to explore two primary questions: METHODS: A systematic review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases CINAHL, PsycINFO, EMABSE and MEDLINE via OVID were searched for articles reporting qualitative accounts of Black racially minoritised informal carers supporting a relative with psychosis from inception to 4th December 2024. The Critical Appraisal Skills Programme tool was used to assess the quality of included studies.</p><p><strong>Results: </strong>669 records were identified from the database searches and 11 studies were included in this systematic review. Seven key themes were identified from qualitative carer accounts that reflected issues related to stigma, shame and secrecy; mistrust and fear; faith communities; police relations; knowledge gaps; system navigation, and the cultural misfit of services.</p><p><strong>Conclusions: </strong>Black racially minoritised informal carers in psychosis report several challenges in their roles, operating at individual, community, and societal levels. Improving our awareness of these issues and intervening to address their impacts are important as part of necessary steps required to provide effective support for Black informal carers and families affected by psychosis.</p><p><strong>Registration: </strong>PROSPERO registration number: CRD42023438867.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"144"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250402","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":"Radiotherapy and time to initial treatment following a cancer diagnosis among First Nations Australians: results from a population-based analysis.","authors":"Sewunet Admasu Belachew, Ming Li, Shafkat Jahan, Siddhartha Baxi, Joan Cunningham, Kalinda E Griffiths, Gail Garvey","doi":"10.1186/s13690-025-01638-9","DOIUrl":"10.1186/s13690-025-01638-9","url":null,"abstract":"<p><strong>Background: </strong>First Nations Australians experience poorer cancer outcomes than other Australians. This is attributable to multidimensional factors, including disparities in access to cancer services and treatments. Radiotherapy (RT) is an important component of cancer treatment yet evidence of its utilisation among First Nations Australians is limited. We aimed to examine RT utilisation, time to the treatment, and associated factors in First Nations Peoples diagnosed with cancer in Queensland, Australia.</p><p><strong>Methods: </strong>First Nations Queenslanders (N = 1884) and other Queenslanders (N = 104,204) diagnosed with any cancer between 1st July 2011 and 30th June 2015 and their RT details between 1st July 2011 and 30th June 2018 were identified using the Cancer CostMod dataset, comprising Queensland Cancer Registry data linked with Queensland Hospital Admitted Patient Data Collection (QHAPDC) and Medicare Benefits Schedule (MBS). Analysis was limited to those with non-missing Indigenous status who linked to MBS and/or QHAPDC records (N = 105, 983). Differences in RT utilisation and waiting times by First Nations status were tested using logistic regressions, non-parametric tests, and quantile regression.</p><p><strong>Results: </strong>Among 105, 983 people with a cancer diagnosis in Queensland, 28.6% had RT, with external Beam RT(EBRT) as the predominant type (n = 29,387, 96.9%). One-third (33.5%) of First Nations cancer patients received RT at least once, compared to 28.5% of other Queensland cancer patients (P < 0.001). After adjustment for covariates, First Nations cancer patients had a greater likelihood of RT utilisation than other Queenslanders (adjusted odds ratio(aOR): 1.15; 95% (confidence-interval (CI): 1.04-1.27) and more pronounced within the first year after diagnosis (aOR: 1.23: 95% CI:1.11-1.37). Among those receiving any RT, the median time from cancer diagnosis to first RT was 118 days (Interquartile-range (IQR): 55-232) for First Nations and 132 days (IQR: 59-258) for other Queenslanders (P = 0.034).</p><p><strong>Conclusions: </strong>A higher proportion of First Nations cancer patients received RT than other Queensland cancer patients, particularly in the first year following diagnosis. However, RT utilisation for all cancer patients was notably lower (28.6%) than the national optimal RT(EBRT) rate of 48%. This finding highlights the need for RT to align with optimal care standards, which is crucial for improving cancer outcomes.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"142"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250400","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":"Seasonal prevalence of child undernutrition and its associated factors in the west Gojjam zone, Ethiopia.","authors":"Melesse Belayneh Yayeh, Memme Girly Makua","doi":"10.1186/s13690-025-01600-9","DOIUrl":"10.1186/s13690-025-01600-9","url":null,"abstract":"<p><strong>Background: </strong>Seasonal variation in child undernutrition in developing countries such as Ethiopia is a growing concern, which requires policymakers, program directors, and healthcare providers to mitigate this issue. However, there is a dearth of evidence on seasonal variability.</p><p><strong>Objective: </strong>We assessed the seasonal prevalence of undernutrition and its associated factors in children in West Gojjam, Ethiopia, in 2024.</p><p><strong>Methods: </strong>A longitudinal cross-sectional study was conducted among 844 mother‒child pairs from December 2023 to September 2024. The child anthropometric measurement data were first analysed via the WHO Anthro software version 3.2.2 and then exported to SPSS v. 29 software for further analysis.</p><p><strong>Results: </strong>The seasonal prevalence rates of stunting, wasting and underweight were 35.5%, 8% and 17.9% in December; 36.6%, 15.5% and 20.4% in March; 39.2%, 19.2% and 24.6% in June; and 38.2%, 8.1%, and 17% in September, respectively. Childhood waste is significantly associated with factors such as June and March, being male, having unimproved toilet types, having the poorest wealth index, not using contraceptives, not visiting ANC, lacking vitamin A supplementation, and having a larger family size. Factors such as child age, lack of education of mothers, poorest wealth index, poorer wealth index, and low child dietary diversity score were positively associated with stunting in children. Underweight was significantly associated with factors such as June month, being male, age of the child, lack of education of mothers, and the poorer and poorerpoorest wealth index.</p><p><strong>Conclusions: </strong>This study revealed high seasonal variation in child undernutrition, a public health problem. The factors significantly associated with child undernutrition were season, male sex, child age, unimproved toilet type, poorer and poorest wealth index, no use of contraceptives, not visiting ANC, not taking vitamin A supplements, larger family size, lack of maternal education, and low child dietary diversity score. Therefore, the design strategies focus on reducing the seasonal burden and addressing factors such as maternal health, household education, and the economic status of the participants.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"146"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250401","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":"Outcome and process evaluation of a social norms approach intervention on nonmedical use of prescription stimulants for study performance among Flemish university students: a quasi-experimental study.","authors":"Katleen Derickx, Hanna van Roozendaal, Koen Ponnet, Benedicte Deforche, Annelies Thienpondt, Guido Van Hal","doi":"10.1186/s13690-025-01603-6","DOIUrl":"10.1186/s13690-025-01603-6","url":null,"abstract":"<p><strong>Background: </strong>Students are increasingly engaging in the nonmedical use of prescription stimulants (NMUPS) to enhance their study performance. However, little research has been conducted on the effectiveness of interventions to reduce NMUPS. This study assessed the effect of a social norms approach (SNA) intervention on NMUPS and the perception of NMUPS for study performance among Flemish students. Additionally, a process evaluation of the intervention was performed.</p><p><strong>Methods: </strong>A social media campaign, containing social norm messages based on data from 'Head in the Clouds?' (HITC) survey edition 2021, ran from December 2022 to April 2023 at the University of Antwerp. Data from the HITC survey was also used as baseline measurement (Antwerp: n = 2,963, Ghent: n = 8,598). Afterward, a post-intervention survey was conducted among the students of the University of Antwerp (n = 1,827) and Ghent University (n = 3,333), the latter serving as the control group. A quantitative process evaluation among the intervention group was conducted according to the guidance of the Medical Research Council for process evaluation of complex interventions.</p><p><strong>Results: </strong>A difference-in-difference approach showed that students of the intervention group at endline estimated NMUPS for study performance among peers significantly lower (P < .0001; Est. = -3.792; SE = 0.805)-and thus closer to the real social norm. There was no significant influence (P = 0.421; OR = 1.10; 95% CI = 0.87 to -1.39) of the intervention on NMUPS for study performance. The process analysis showed that 18.7% of the intervention group had seen the campaign. Most of them found the campaign credible (83.6%) and clear (website: 90.8%; videos 94.7%; images: 92.4%). The overall satisfaction was 6.38 (SD 1.68) out of 10. Very few students (3.1%) had seen the campaign via TikTok, compared to Facebook (64.0%) and Instagram (53.3%), although 35.7% of the total budget had been spent on TikTok.</p><p><strong>Conclusions: </strong>The results of this study confirm that an SNA intervention could reduce the misperceptions of NMUPS among students. However, the hypothesis that the behavior of NMUPS for study performance would be reduced subsequently could not be demonstrated. Follow-up research is needed to investigate long-term effects. The implementation of the intervention might be improved by making more optimal use of the campaign budget.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"145"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250398","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":"Previous or current infection with SARS-CoV-2 virus and its impact on maternal and neonatal health outcomes in Benin: a sero-epidemiological study in pregnant women.","authors":"Manfred Accrombessi, Patrice Dangbemey, Landry Assongba, Anges Yadouleton, Edouard Dangbenon, Nelly Wakpo, Martin C Akogbeto, Natacha Protopopoff, Jackie Cook, Benjamin Hounkpatin","doi":"10.1186/s13690-025-01633-0","DOIUrl":"10.1186/s13690-025-01633-0","url":null,"abstract":"<p><strong>Background: </strong>SARS-CoV-2 (COVID-19) has emerged as a significant global public health challenge, revealing critical vulnerabilities within health systems worldwide. While extensive data on COVID-19 is available from high-income countries, information remains scarce in lower-income regions, particularly regarding its impact on pregnant women. This study aims to evaluate the burden of COVID-19 among pregnant women and its effects on maternal and birth outcomes during the third wave in Benin.</p><p><strong>Methods: </strong>A cross-sectional, hospital-based survey was conducted from May 19 to September 19, 2022, at the Lagune Mother and Child Teaching Hospital. A standardized questionnaire was administered, and nasal swabs along with serological analysis were performed on 437 pregnant women. Multivariate logistic regression was used to assess risk factors and evaluate the impact of previous or current COVID-19 exposure on maternal and birth adverse outcomes.</p><p><strong>Results: </strong>SARS-CoV-2 was detected in less than 1% of pregnant women through PCR testing of nasal swab samples. Among the study population, 14.4% of women were vaccinated against COVID-19. A total of 81.1% of women tested positive for antibodies, suggesting prior exposure or infection to SARS-CoV-2 or vaccination. Notably, 78.6% of unvaccinated women had detectable antibodies, which serves as a more accurate proxy for infection prevalence. No significant association was found between prior COVID-19 exposure and adverse maternal and birth outcomes (aOR: 0.48, 95% CI 0.15-1.51).</p><p><strong>Conclusions: </strong>Although PCR testing revealed a low incidence of active SARS-CoV-2 infection, the high prevalence of IgG antibodies among pregnant women suggests widespread prior exposure or infection. Vaccination was identified as a strong predictor of detectable IgG antibodies. Notably, despite the presence of antibodies, no significant association was found between prior COVID-19 exposure and adverse maternal or birth outcomes. These findings highlight the need for further research to explore the potential long-term effects of COVID-19 infection on pregnancy outcomes and to better understand the relationship between antibody presence and maternal and fetal health.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"143"},"PeriodicalIF":3.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250399","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}