Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed
{"title":"Educational determinants of immunization coverage among internally displaced persons (IDPs) in Mogadishu: a cross-sectional study.","authors":"Yusuf Hared Abdi, Yakub Burhan Abdullahi, Mohamed Sharif Abdi, Sharmake Gaiye Bashir, Naima Ibrahim Ahmed","doi":"10.1186/s13690-025-01707-z","DOIUrl":"10.1186/s13690-025-01707-z","url":null,"abstract":"<p><strong>Background: </strong>Immunization remains a cornerstone of global public health; however, Somalia faces critical challenges in achieving equitable vaccination coverage, particularly among internally displaced individuals (IDPs). The National immunization rates for diseases such as diphtheria-tetanus-pertussis (DTP3), measles, and polio remain below 50%, exacerbated by decades of conflict, fragile healthcare infrastructure, and socioeconomic disparities. IDPs in Somalia encounter unique barriers, including overcrowded living conditions and limited access to healthcare and mobility, which disrupt care continuity. This study examined the immunization coverage disparities between IDPs and urban residents in Somalia, focusing on the sociodemographic and attitudinal determinants of vaccine uptake. By analyzing factors such as education, income, marital status, and vaccine perceptions, this study aimed to inform targeted strategies to improve vaccination access in conflict-affected settings.</p><p><strong>Method: </strong>A cross-sectional study was conducted in March 2025 across two IDP camps (ANFAC and Sahal) in Somalia's Banadir Region. Using stratified systematic sampling, 384 participants were enrolled, and data were collected via structured questionnaires administered in Somali. Vaccination status was verified through immunization cards or self-reports, and the predictor variables included age, education, occupation, income, marital status, and attitudes toward vaccine safety and efficacy. Statistical analysis employed Chi-square tests and multivariate logistic regression were used to identify the determinants of vaccine uptake with adjustments for confounders.</p><p><strong>Result: </strong>This study revealed significant immunization disparities primarily associated with educational attainment. Participants with secondary education achieved vaccination rates of 72.6% versus 41.2% among those without formal education. Multivariate analysis identified secondary education (AOR = 3.82, 95% CI: 1.74-8.40, p = 0.001) and tertiary education (AOR = 7.95, 95% CI: 3.33-19.01, p < 0.001) as the strongest predictors of full vaccination, followed by marital status (divorced/widowed: AOR = 0.33, 95% CI: 0.14-0.81, p = 0.015). Household income and positive vaccine attitudes showed no significant association in the adjusted model.</p><p><strong>Conclusion: </strong>Educational disparities emerge as the most critical barrier to immunization among Somali IDPs. The findings highlight the need for integrated interventions prioritizing community-led education programs and mobile vaccination clinics with cold chain capacity. These strategies, combined with health system strengthening for mobile populations, could reduce zero-dose children by 50% and advance Immunization Agenda 2030 targets. The study underscores that improving access to education may have greater impact on vaccine uptake than economic interventions alone.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"222"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974494","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":"Survey on the disease spectrum of Chinese patients at the outpatient clinic of the 30th Chinese medical aid team in Guinea.","authors":"Wenzheng Li, Jin Sheng, Jianpeng Zhang, Yunhua Lin, Guodong Hu, Qing Huang, Zhanqi Wang, Zhenzhou Tao, Yunbo Bai, Chao Wang, Yanbo Zhu, Lingzhi Zhang, Yulei Liu, Wenchuan Wang, Meiting He, Yahong Sun, Xiantao Song, Lingjuan Zhou","doi":"10.1186/s13690-025-01698-x","DOIUrl":"10.1186/s13690-025-01698-x","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the disease spectrum of Chinese patients attending the 24-hour outpatient clinic of the 30th Chinese medical aid team in Guinea, providing a theoretical basis for improving medical service quality.</p><p><strong>Methods: </strong>Patients visiting the outpatient clinic from November 1, 2023, to December 31, 2024, were included in this cross-sectional study. Data on demographics, primary diagnoses, comorbidities, and management approaches were analyzed.</p><p><strong>Results: </strong>Over 14 months, 565 patients were treated, totaling 667 visits, averaging 47.6 ± 11.9 visits per month. Male patients accounted for 571 visits (85.6%). The average age was 40.0 ± 10.4 years, with 78.9% under 50 years old. Patients from the capital, Conakry, comprised 349 visits (52.3%). Internal medicine conditions accounted for 352 visits (52.8%), with common diseases as respiratory and gastrointestinal infections (80 visits, 12.0%), cardiovascular diseases (75 visits, 11.2%), neurological diseases (48 visits, 7.2%), and malaria (41 visits, 6.1%). Surgical conditions totaled 292 visits (43.8%), with acute trauma (134 visits, 20.1%), urinary stones (48 visits, 7.2%), and chronic musculoskeletal injuries (40 visits, 6.0%) being the most frequent. Among general patients, 498 visits involved medication from the clinic pharmacy, 41 visits required outpatient surgeries, 26 visits involved plaster casts, splints, or bandages, and 20 visits led to hospitalization at the Sino-Guinea Friendship Hospital. A total of 57 visits (8.5%) were recommended for transfer to other hospitals or return to China for treatment, with all such patients receiving basic examinations and care. One mass casualty incident was managed, involving 52 visits, with an average patient age of 45.3 ± 8.0 years, all due to acute trauma.</p><p><strong>Conclusion: </strong>Patients were predominantly young and middle-aged males. Respiratory and gastrointestinal infections, cardiovascular diseases, neurological disorders, malaria, acute trauma, urinary stones, and chronic musculoskeletal injuries were common among Chinese expatriates in Guinea. The outpatient clinic at the Sino-Guinea Friendship Hospital effectively meets the basic healthcare needs of the local Chinese population.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"220"},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974689","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}
Judit Zemp, Cigdem Erol, Estelle Kaiser, Carole E Aubert, Nicolas Rodondi, Elisavet Moutzouri
{"title":"A systematic review of evidence-based clinical guidelines for vitamin D screening and supplementation over the last decade.","authors":"Judit Zemp, Cigdem Erol, Estelle Kaiser, Carole E Aubert, Nicolas Rodondi, Elisavet Moutzouri","doi":"10.1186/s13690-025-01709-x","DOIUrl":"10.1186/s13690-025-01709-x","url":null,"abstract":"<p><strong>Background: </strong>Amid growing evidence from observational data and trials with various results on the association between vitamin D and multiple diseases, numerous clinical guidelines were generated [1, 2]. The aims of this systematic review were to compare guidelines regarding recommendations for vitamin D screening and supplementation in the general adult population such as healthy people without pre-existing conditions or co-morbidities, but also for specific populations and find consensus for clinical practice.</p><p><strong>Methods: </strong>A systematic electronic search for clinical guidelines was conducted in the following databases: PubMed, Embase (Ovid), Cochrane Reviews and Google Scholar for the period from January 2013 to June 2024. Guidelines related to vitamin D screening and supplementation, targeted to the general adult population as well as to specific populations, released in Europe or North America in English, were included. Guidelines only aimed at children and adolescents, pregnant or breastfeeding women were excluded.</p><p><strong>Results: </strong>We identified 5853 records. After screening 92 full text studies, 31 guidelines were included for the final analysis. Two third of the guidelines recommended screening for people at risk for vitamin D deficiency, no guideline recommended screening for the general population. Almost one third recommended against any screening or did not specify, when screening would be appropriate. Half of the included guidelines recommended supplementation for people at risk, with varying definitions of people at risk. One third of these guidelines were aimed at people with osteoporosis and recommended vitamin D supplementation with varying doses, mainly with a dosage between 400 to 1000IU/day, one third recommended supplementation especially for the older population with a similar dosage, with varying age ranges for the definition of older people. There was no recommendation for supplementation for the general adult population without risk factors.</p><p><strong>Conclusions: </strong>Clinicians base their clinical practice on guidelines to improve and standardize the care for their patients. During our research we found many guidelines with very different recommendations for screening and for supplementation of vitamin D deficiency, so it was difficult to get a consensus. However, no guideline recommended screening or supplementation for the general adult population. No clear consensus could be reached for older people, people with osteoporosis or people with conditions increasing the risk for vitamin D deficiency, but most guidelines targeting these populations recommended supplementation with 400 to 1000IU/d and a vitamin D threshold with a minimum of 50 to 75 nmol/l. In that matter, further research is needed to get more conclusive data to get a better understanding of the effects of vitamin D deficiency and the benefit of a sufficient vitamin D level to generate standardized ","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"221"},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974464","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":"Magnitude of neonatal mortality and its association with maternal and child health care in sub-Saharan africa: a systematic review and meta-analysis.","authors":"Belayneh Hamdela Jena, Mesfin Menza Jaldo, Yohannes Yirga Demesa, Biruk Assefa Kebede, Lamesginew Mossie Melaku","doi":"10.1186/s13690-025-01710-4","DOIUrl":"10.1186/s13690-025-01710-4","url":null,"abstract":"<p><strong>Background: </strong>Neonatal mortality remains a problem in sub-Saharan Africa (SSA). Findings of primary studies varied in magnitude of neonatal mortality, characteristics of the study population, and association of maternal and child health care with neonatal mortality. Thus, this review was aimed at estimating the pooled magnitude of neonatal mortality and its association with maternal and child health care in SSA.</p><p><strong>Methods: </strong>Databases (PubMed, ScienceDirect, and Hinari for health via Research4Life) and gray literature sources were accessed. Relevant studies were retrieved from related studies via snowballing. A combination of medical subject headings (MeSH terms) using Boolean operators and key words related to neonatal mortality were used to search studies. Full-text articles published from observational studies in SSA included. Heterogeneity was assessed using a forest plot and Higgins's I<sup>2</sup> test. When heterogeneity was evident, a sensitivity and subgroup analysis were done. A weighted inverse variance random-effects model was applied to estimate the pooled effect sizes. Publication bias was assessed using a funnel plot and Egger's regression test. A trim and fill analysis was considered when publication bias exists.</p><p><strong>Results: </strong>A total of 57 studies were included to answer the review questions. The pooled neonatal mortality rate among live births was 32 per 1,000 live births (95% CI: 25, 42), and among neonates admitted to neonatal intensive care units was 16.5% (95% CI: 13.9, 19.5%) in SSA. Lack of antenatal care visits [Odds ratio (OR) = 2.19, 95% CI: 1.61, 2.98], giving childbirth outside of a health institution or home [OR = 1.44, 95% CI: 1.13, 1.84], and late initiation of breastfeeding [OR = 3.49, 95% CI: 1.98, 6.15] increased the odds of neonatal mortality.</p><p><strong>Conclusions: </strong>Neonatal mortality in SSA remains high. Maternal health services such as exposure to antenatal care and institutional delivery and child health services such as early initiation of breastfeeding were related to reducing the burden of neonatal mortality. Thus, much effort and commitment are needed to achieve the United Nations' sustainable development goal of reducing neonatal mortality.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"219"},"PeriodicalIF":3.2,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974733","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":"AI applications in disaster governance with health approach: A scoping review.","authors":"Pirhossein Kolivand, Samad Azari, Ahad Bakhtiari, Peyman Namdar, Seyed Mohammad Ayyoubzadeh, Soheila Rajaie, Maryam Ramezani","doi":"10.1186/s13690-025-01712-2","DOIUrl":"10.1186/s13690-025-01712-2","url":null,"abstract":"<p><strong>Introduction: </strong>The increasing frequency and severity of disasters worldwide underscore the urgent need for robust systems that facilitate effective information sharing and decision-making. This study explores the current and potential applications of artificial intelligence (AI) in disaster governance, with a particular focus on health. By examining the transformative capabilities of AI, the study aims to provide practical insights to inform both national and international disaster management policies.</p><p><strong>Methods: </strong>A scoping review methodology was adopted to investigate the role of AI in disaster management. Systematic searches were conducted in PubMed, Scopus, and Web of Science databases, covering the period from 2000 to 2024. The search strategy employed keywords related to artificial intelligence, disaster management, governance, and health.</p><p><strong>Findings: </strong>The review identified three core themes where AI enhances disaster governance: governance functions, by improving policy mechanisms, legitimacy, and health system resilience; information-based strategies, through real-time data, predictive analytics, and modeling; and operational processes, by strengthening logistics, communication, and social media management. Together, these applications improve preparedness and response capacity.</p><p><strong>Conclusions: </strong>This study provides a structured framework for integrating artificial intelligence into disaster governance with a health-oriented approach. By synthesizing evidence across three thematic domains-governance functions, information-based strategies, and operational processes-it highlights how AI can enhance decision-making, strengthen system resilience, and enable more coordinated and equitable disaster responses. These findings offer practical guidance for policymakers and health professionals to develop adaptive, data-driven strategies in the face of increasing global disaster risks.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"218"},"PeriodicalIF":3.2,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974541","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":"Healthcare burden and clinical outcomes of polypharmacy in older adults: a population-based cohort study in South Korea.","authors":"Zhaoyan Piao, Kyung Sun Oh, Euna Han","doi":"10.1186/s13690-025-01703-3","DOIUrl":"10.1186/s13690-025-01703-3","url":null,"abstract":"<p><strong>Background: </strong>Polypharmacy is a prevalent issue in aging societies, with potential health and cost implications. This study evaluated the impact of polypharmacy on hospitalization rates and healthcare expenditure among individuals aged 65 years and older in South Korea.</p><p><strong>Methods: </strong>We analyzed integrated data from the 2012-2016 Korean National Health and Nutrition Examination Survey alongside administrative claims data from the National Health Insurance Service and Health Insurance Review and Assessment Service. Medical costs were calculated as total annual per capita expenses, encompassing outpatient visit, hospitalization, and drug costs. Key clinical outcomes included hospitalization and mortality. To evaluate the effects of polypharmacy on outpatient visits, medication costs, and total expenditures, we performed a multivariable linear regression analysis. A two-part model was used to estimate hospitalization costs.</p><p><strong>Results: </strong>The analysis included 3,297 participants. Polypharmacy was significantly associated with higher hospitalization risk (OR, 1.52; 95% CI, 1.28-1.81) and mortality (OR, 3.17; 95% CI, 1.19-8.44). Polypharmacy also corresponded with increased healthcare expenditures, particularly in total, outpatient visit, and medication costs, with the highest associations observed in individuals aged 65-79 and those living alone. Multivariable linear regression revealed a higher annual average total healthcare cost by 872,018 KRW, with outpatient and medication costs by 324,879 KRW and 536,721 KRW, respectively (p < 0.05) for polypharmacy group than the counterparts.</p><p><strong>Conclusion: </strong>This study demonstrates that polypharmacy among older adults is significantly associated with higher healthcare costs and risks of hospitalization and mortality. Findings suggest that integrated care models, incorporating medication reviews and tailored care plans, alongside community resources to support isolated seniors, may mitigate healthcare costs and improve health outcomes.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"217"},"PeriodicalIF":3.2,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974727","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}
Paola Nardone, Serena Broccoli, Angela Spinelli, Marta Buoncristiano, Silvia Andreozzi, Mauro Bucciarelli, Marco Giustini, Silvia Ciardullo
{"title":"Changes in physical activity and sedentary behaviours of children living in Italy due to the COVID-19 pandemic: the EPaS-ISS study.","authors":"Paola Nardone, Serena Broccoli, Angela Spinelli, Marta Buoncristiano, Silvia Andreozzi, Mauro Bucciarelli, Marco Giustini, Silvia Ciardullo","doi":"10.1186/s13690-025-01701-5","DOIUrl":"10.1186/s13690-025-01701-5","url":null,"abstract":"<p><strong>Background: </strong>Most governments worldwide introduced containment measures to protect people from the risk of SARS-CoV-2 virus infection which also affected children. The COVID-19 pandemic and the resulting confinement at home may have affected physical health and mental well-being especially among vulnerable young people, widening health disparities. Therefore, the aim of the EPaSS-ISS study was to study the changes in physical activity and sedentary behaviours among 8-9 years old Italian students during the pandemic of COVID-19 compared with before the pandemic.</p><p><strong>Methods: </strong>Data were collected using a web questionnaire. The target population was parents of children attending third-grade primary schools and living in Italy. A cluster sample design was used. Logistic regression models were used to explore changes between the pre-pandemic and pandemic periods in children's studying hours, active play and screen time. The possible effects of gender, geographical area of residence, parents' nationality and educational level, family structure, family-perceived wealth, availability of home outdoor spaces and house size were investigated. A stratification by sociodemographic characteristics of children and parents was also included in the analysis.</p><p><strong>Results: </strong>4863 children were included: 47.9% were females, the average age was 8 years and 9 months (SD ± 5 months). The parents reported that 44.3% of their children increased the time spent studying at home, 52.7% the screen time for non-educational purposes on weekdays, and 47.3% at weekends; 44% of the children decreased their time spent playing actively outside school hours on weekdays and 39.3% at weekends. A larger increase of sedentary lifestyle was found among children with at least one parent with a medium (OR:2.57; 95%CI:1.78-3.72) or high educational level (OR:3.32, 95%CI:2.29-4.82), with low family-perceived wealth (OR:1.21; 95%CI:1.03-1.41), with both Italian parents (OR:1.44; 95%CI:1.10-1.90), resident in Centre (OR:1.25; 95%CI:1.04-1.50) or South (OR:1.26; 95%CI:1.05-1.51) Italy. No outdoor spaces (OR:2.14; 95%CI:1.82-2.51) and home size < = 90m2 (OR:1.41; 95%CI:1.05-1.68) had also a negative effect on children's behaviours.</p><p><strong>Conclusions: </strong>In Italy physical activity decreased and sedentary behaviours increased among 8-9 years old children during the COVID 19 pandemic.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"214"},"PeriodicalIF":3.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974528","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}
Romana Haneef, Nour Mahrouseh, Pascal Bessonneau, Stephanie Vandentorren, Nicolas Minier, Francis Chin, Olivier Bruyère, Brecht Devleesschauwer, Grant M A Wyper
{"title":"Social inequalities in COVID-19-related years of life lost in metropolitan France, 2020.","authors":"Romana Haneef, Nour Mahrouseh, Pascal Bessonneau, Stephanie Vandentorren, Nicolas Minier, Francis Chin, Olivier Bruyère, Brecht Devleesschauwer, Grant M A Wyper","doi":"10.1186/s13690-025-01704-2","DOIUrl":"10.1186/s13690-025-01704-2","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has directly, and indirectly, exacerbated existing social health inequalities. People living in socially deprived areas are at greater risk of most adverse outcomes from COVID-19. The aim of this study was to quantify the extent of social inequalities in COVID-19 related YLL (Years of Life Lost) in metropolitan France during 2020.</p><p><strong>Methods: </strong>The French national mortality database was used to identify COVID-19 related deaths. The French deprivation (FDep) index was used to assign deaths to a municipality-based social deprivation quintile of the French metropolitan population. Residual life expectancy at age of death was defined using the Global Burden of Disease (GBD) 2019 reference aspirational life table, and YLL was estimated for each registered death. Health inequalities were measured using gap measures between least and most deprived areas (absolute and relative), distributional measures (slope index of inequality (SII), relative index of inequality (RII)) and measure of potential impact (population attributable fraction (PAF)). The PAF was estimated using the least socially deprived quintile (Q1) as the reference level.</p><p><strong>Results: </strong>In 2020, the overall age standardized YLL rate related to COVID-19 per 100 000 population was 836, ranging from 831 in the least deprived quintile (Q1) to 1058 in the most deprived quintile (Q5), reflecting the non-linear distribution between deprivation quintiles and COVID-19 YLL. The absolute gap was 227 and relative range was 1.27. The SII was 234.3 [95% confidence interval (CI): 226.6-241.9] COVID-19 YLL age standardized per 100 000 population. The rate in the most deprived areas (Q5) was around 67% higher than the mean population rate (RII = 1.33). The PAF estimate was not consistent (PAF = 0.36%) with gap and distributional measures of inequality.</p><p><strong>Conclusions: </strong>COVID-19 cause-specific mortality was unequally socially distributed across areas. Our analysis highlighted marked inequalities in YLL estimates across urban and rural municipalities of France, the more disadvantaged a municipality, the higher YLL it has. Further research is needed to better investigate the mechanisms driving such inequalities, particularly regarding the wider role of social determinants of health, which has strong impact on the excess mortality risks.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"215"},"PeriodicalIF":3.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974648","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}
Francesco Salis, Maristella Belfiori, Francesco Ortu, Paola Piano, Stefano Del Giacco, Antonella Mandas
{"title":"Correction: Is there a relationship between the route of HIV transmission and cognitive performance in older individuals living with HIV?","authors":"Francesco Salis, Maristella Belfiori, Francesco Ortu, Paola Piano, Stefano Del Giacco, Antonella Mandas","doi":"10.1186/s13690-025-01708-y","DOIUrl":"10.1186/s13690-025-01708-y","url":null,"abstract":"","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"216"},"PeriodicalIF":3.2,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974523","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}
Lorraine B Robbins, Teresa J Ng, Jessica Sender, Lauren M Pageau, Hesam Varpaei, Madelyn Smalley, Sam VanDeRiet, Jiying Ling
{"title":"Effects of parental-involved physical activity and nutrition interventions for young adolescents aged 10-13 years: a meta-analysis.","authors":"Lorraine B Robbins, Teresa J Ng, Jessica Sender, Lauren M Pageau, Hesam Varpaei, Madelyn Smalley, Sam VanDeRiet, Jiying Ling","doi":"10.1186/s13690-025-01679-0","DOIUrl":"10.1186/s13690-025-01679-0","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a major health problem among young adolescents (ages 10-13), placing them at risk for chronic conditions. Promoting physical activity (PA) and healthy eating are recommended to mitigate the problem. However, many young adolescents must rely on their parents to assist them in attaining adequate PA and nutrition. This meta-analysis aims to evaluate the effects of parental-involved PA and nutrition interventions on improving body mass index (BMI), moderate to vigorous physical activity (MVPA), percent body fat, and waist circumference among young adolescents.</p><p><strong>Methods: </strong>In January 2023, a comprehensive literature search for studies published from inception to 2023 (no date limits) was conducted using the CINAHL (Cumulative Index to Nursing and Allied Health Literature), PubMed, Cochrane, PsycINFO, ERIC (Educational Resources Information Center), Sociological Abstracts, SportDiscus, and Web of Science databases. Randomized controlled trials and quasi-experimental studies with a control group that tested parental-involved PA and nutrition interventions and included young adolescents were identified for inclusion. Five independent reviewers screened 11,153 titles/abstracts, while 6 independent reviewers screened 109 full texts. Hedges' g was calculated using random effects modeling. Results of the meta-analysis were reported following PRISMA guidelines. Comprehensive meta-analysis software was used to perform exploratory moderation analyses.</p><p><strong>Results: </strong>Twenty-seven reports describing 19 studies published from 2004 to 2023 were included in this review, which was conducted from 2023 to 2024. A total of 6,582 young adolescents participated in these interventions. Pooled effect sizes for improving the outcomes were estimated: BMI (g = - 0.30), MVPA (g = 0.31), percent body fat (g = - 0.37), and waist circumference (g = - 0.34). Follow-up effects were very small for BMI (g = - 0.07). Treatment-based (treatment, clinic-based, clinician-delivered), as opposed to prevention-based interventions, yielded greater effects on reducing BMI, percent body fat, and waist circumference.</p><p><strong>Conclusions: </strong>Parental-involved PA and nutrition interventions have potential to reduce BMI and improve other weight-related health outcomes. Caution is advised when interpreting the results because of some presence of publication bias in parental BMI and the high heterogeneity in BMI and waist circumference. Despite some limitations, this study provides an important foundation for continued research.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"213"},"PeriodicalIF":3.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974620","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}