Archives of Public Health最新文献

{"title":"The correlation between high temperature and cognitive function: a CHARLS 2018 cross-sectional study.","authors":"Lu-Shi Kong, Duo Chen, Jin-Dan Zhang, Xiao-Fen Cheng, Yi-Li Zhang, Bei Li","doi":"10.1186/s13690-025-01665-6","DOIUrl":"10.1186/s13690-025-01665-6","url":null,"abstract":"<p><strong>Background: </strong>Extreme temperature-related events can have a negative impact on the health of populations, especially the elderly. However, there is a lack of research on the relationship between heat exposure and cognitive function in older adults. We aim to explore the association between temperature and cognitive function through a national study of middle-aged and older adults.</p><p><strong>Methods: </strong>This study was based on data from the 2018 wave of the China Health and Retirement Longitudinal Study, which screened 6,605 participants who met the inclusion criteria and merged historical meteorological data. We controlled for temperature-related meteorological variables and covariates affecting cognitive function, and used Generalized Linear Model to investigate the correlation between ambient temperature exposure and cognitive function in middle-aged and older Chinese adults. Stepwise regression was used to examine the mediating role of depression levels in the impact of temperature on cognitive function.</p><p><strong>Results: </strong>After controlling for covariates and meteorological variables, the number of days of high temperature exposure was significantly negatively associated with cognitive function. The number of days of high temperature exposure was positively associated with depression, and depression was negatively associated with cognitive function. Mediation effect analyses indicated that depression playing a partial mediating role in the association between high temperature exposure and cognitive function.</p><p><strong>Conclusions: </strong>High temperatures exposure was significantly associated with reduced cognitive function, and depression levels may partially mediate this association. This finding has important implications for the design of public policies to reduce the role of high temperatures on mental health.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"181"},"PeriodicalIF":3.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601994","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":"Preconception health beliefs and intentions predict behaviours among expectant male partners: a cross-sectional study.","authors":"Tristan Carter, Danielle Schoenaker, Kris Rogers, Jon Adams, Amie Steel","doi":"10.1186/s13690-025-01627-y","DOIUrl":"10.1186/s13690-025-01627-y","url":null,"abstract":"<p><strong>Background: </strong>The preconception period allows couples to plan and prepare for pregnancy. However, males can often consider this integral public health topic as a female domain. To better understand and support behaviour change for males before conception, this study aimed to identify and explore the preconception and pregnancy planning health beliefs and intentions of expectant male reproductive partners of pregnant women in Australia.</p><p><strong>Methods: </strong>An online cross-sectional survey [2020-2021] among males aged 18-49 years who were the reproductive partner (expectant partner) of a pregnant female. Recruitment occurred via social media. The 80-item survey consisted of five sections. Survey items regarding beliefs and intentions were formulated using the Theory of Planned Behaviour. Associations between participants' beliefs, subjective norms, perceived behavioural control, and intentions related to three outcomes (regular exercise, healthy diet, and alcohol avoidance) were estimated using Structural Equation Modelling.</p><p><strong>Results: </strong>Expectant partners' (n = 136) had a mean age of 31 years. Their beliefs toward regular exercise and their perceived behavioural control to exercise regularly were associated with a greater intention to exercise regularly (Standardised estimate β = 0.54; p = 0.0087 and β = 0.43; p = 0.02, respectively). The beliefs of expectant partners toward alcohol avoidance and their perceived behavioural control toward alcohol avoidance were associated with a greater intention to avoid alcohol (β = 0.43; p < 0.001 and β = 0.36; p < 0.001, respectively). For the healthy diet outcome, subjective norms of expectant partners, and perceived behavioural control to adopt a healthy diet were associated with an intention to adopt a healthy diet (β = 0.23; p = 0.04 and β = 0.47; p < 0.001, respectively). Intention was in turn associated with behaviour for all three outcomes.</p><p><strong>Conclusion: </strong>Our study demonstrated that the preconception intentions of expectant partners were associated with their preconception behaviours; especially for the intention to exercise regularly or to avoid alcohol. Further studies examining paternal preconception health beliefs, and intentions and the motivations behind health behaviours for males are needed to help develop targeted preconception health promotion messages and interventions that support males to optimise their preconception health.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"182"},"PeriodicalIF":3.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610021","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":"Does neuropathic low back pain negatively influence work capacity? A cross-sectional study among Hungarian workers.","authors":"Imre Varadi, Tibor Toth, Eva Fejes, Zsolt Nemeskeri, Miklos Kovacs, Antal Tibold, Rita Nyulas, Gergely Feher","doi":"10.1186/s13690-025-01674-5","DOIUrl":"10.1186/s13690-025-01674-5","url":null,"abstract":"<p><p>Low back pain (LBP) is a leading cause of disability worldwide and neuropathic low back pain (NLBP) represents a subset of LBP that involves nerve injury or dysfunction. This condition has been shown to have significant impacts on physical, psychological, and social well-being. The aim of our study was to investigate the association of NLBP on Work Ability Index (WAI) among postal delivery workers taking many covariates into account. Demographic data, risk factors and concomitant diseases were included into our analysis as well as psychometric questionnaires of burnout (Mini Oldenburg Questionnaire-MOLBI), depression (Beck Depression Inventory-BDI) and insomnia (Athens Insomnia Scale-AIS). Low back pain categories (nociceptive, mixed or neuropathic) were assessed by the painDETECT questionnaire. Working capacity was measured by the Work Ability Index (WAI). This cross-sectional study was conducted between May 2021 and January 2022 among postal delivery workers in Hungary. Overall 1034 responders took part in our survey, 368 males (35.6%) and 666 females (64.4%). Based on the results of the WAI questionnaire, participants could be divided as having poor (3.8%, 39/1034), moderate (18.5%, 191/1034), good (43.8%, 453/1034) and excellent 33,9%, 351/1034) working ability. Due to the low number of participant in the poor WAI group after the setup of a logistic regression analysis we also employed LASSO (Least Absolute Shrinkage and Selection Operator) regression with tenfold cross-validation as well as we applied Firth's penalized likelihood regression, which reduces small-sample bias in logistic regression. In the final analysis poor WAI was associated with depression (aOR = 2.31, 95% CI: 1.89-2.82, p = 0.008), sleep disturbance (aOR = 1.85, 95% CI: 1.42-2.41, p = 0.012) and NLBP (aOR = 3.10, 95% CI: 2.95-3.98, p = 0.002). Targeted interventions addressing depression and sleep disturbance in individuals with NLBP may help preserve or improve work ability and overall functioning.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"180"},"PeriodicalIF":3.2,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12239279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601972","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":"Associations between previous local health expenditures and COVID-19 mortality outcomes large cities in the united states: results from a forward-selecting linear regression analysis.","authors":"Matthew R Boyce, John Kraemer, Rebecca Katz","doi":"10.1186/s13690-025-01667-4","DOIUrl":"10.1186/s13690-025-01667-4","url":null,"abstract":"<p><strong>Background: </strong>Decision-making before the COVID-19 pandemic-including the budgeting and expending of public health financing-may have impacted the ability of health systems to mitigate the health consequences of the outbreak. Theoretically, greater investments in public health preceding an outbreak ought to improve health outcomes during an emergency response. Following this reasoning, this research investigates the relationship between local public health expenditures and pandemic-related mortality in the 50 most populous cities in the United States in 2020.</p><p><strong>Methods: </strong>Forward-selecting linear regression models were used to examine this relationship. Dependent variables included local-level measures of the excess mortality and COVID-19 mortality rates; the primary independent variable was the five-year average of local public health expenditures per capita (2015-2019). Data on other demographic, socioeconomic, and pandemic response considerations that may have modified or confounded this relationship were included in regression models.</p><p><strong>Results: </strong>Multiple linear regression models suggested that previous local government public health expenditures were not meaningfully associated with improved pandemic mortality outcomes as measured by excess mortality or reported COVID-19 mortality. Instead, results suggest that education and temporal considerations were the factors that were significantly associated with mortality levels during the first year of the pandemic in large cities in the United States.</p><p><strong>Conclusions: </strong>Acknowledging broader public health financing trends that are characterized by decreasing and unpredictable funding streams, these results suggest that addressing public health emergencies at the scale of the COVID-19 pandemic in the United States will likely require more substantial and sustained investments in public health, nuanced and data-informed approaches for allocating financing, structural changes to the public health system that address social-determinants of health, or a combination of these approaches.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"179"},"PeriodicalIF":3.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585347","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 General Health System of Cyprus: a questionnaire analysis based on public perception.","authors":"George Evripides, Paul Christodoulides","doi":"10.1186/s13690-025-01654-9","DOIUrl":"10.1186/s13690-025-01654-9","url":null,"abstract":"<p><p>A medical health system (MHS) can be viewed as a diverse network of organizations, experts, and resources devoted to promoting, maintaining, and restoring health and well-being in people and societies. There are numerous MHS throughout the world, and their success depends on a number of aspects that should be met. One such MHS is the newly established General Health System (GHS) of Cyprus, a blend of national HS and Social Health Insurance, supported by beneficiaries, employers, and the state. Following the results of a recent study, based on the same questionnaire, the aim of the present study is to attempt a further assessment on how the various factors (constructs) and demographic variables of people of Cyprus interact in their view of the GHS. The questionnaire was constructed on the basis of the available literature and the information gathered about MHS and their features. It includes 5-point Likert-scale items reflecting relevant factors such as Satisfaction (SAT), Trust (TRU), Reliability (REL), Expectations (EXP), Improvement factors (IMP), and Comparison of the Cyprus Health System before and after the implementation of GHS (COM), and others. The questionnaire was completed by 445 individuals in all districts of Cyprus between January and March of 2024. The descriptive statistics analysis of the questionnaires led to useful findings such as the particularly low mean values for the constructs of SAT, TRU and REL. Another finding is that there is not much variation in the mean values among the categories of groups such as gender, age, education level, annual income, work sector, and residence district. To this end an Analysis of Variance, followed by a multiple regression analysis on all constructs was done, in order to clarify/verify certain issues, which led to conclusions that can be used for the amelioration of the GHS. Demographic variables such as age group and income level have influences on all constructs mentioned above and must be tackled differently by GHS stakeholders. There is a strong correlation between SAT, TRU and REL and COM meaning that if one aims to make reforms on GHS targeting higher SAT, they should enhance TRU, REL, and COM.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"178"},"PeriodicalIF":3.2,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565337","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 role of health insurance on healthcare utilisation among women in Tanzania: insights from Tanzania demographic and health survey 2022.","authors":"Amani Anaeli, Alphoncina Kagaigai, Pankras Luoga, Tumaini Nyamhanga, Malale Tungu","doi":"10.1186/s13690-025-01623-2","DOIUrl":"10.1186/s13690-025-01623-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Globally, health insurance is viewed as a viable health financing option for improving access to healthcare. In Tanzania, as in other countries, it is actively promoted to enhance service accessibility. However, there are limited empirical studies on the association between having health insurance and women visiting health facilities. The available studies covered small areas and used small sample size. This study aimed to determine the relationship between health insurance status and utilisation of healthcare among women aged 15-49 using Tanzania Demographic and Health Survey (TDHS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;This study analysed secondary data of 15,254 women drawn from the 2022 (TDHS). The survey is conducted after every five years by the National Bureau of Statistics. The dependent variable was healthcare utilisation status and the key independent variable was health insurance status of a woman. The analysis took into account for complex sampling design. The analysis involved descriptive analysis to get frequency and percentage distribution of respondents. Bivariable analysis and multivariable logistic regression were conducted to assess the magnitude of association between dependent and independent variables. A cut-off point of p-value &lt; 0.05 was used to determine the significant level of statistical significance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The prevalence of healthcare utilisation among Tanzanian women was 53%. After controlling for other covariates, women who were covered by health insurance had 1.37 times higher odds of healthcare utilisation compared to those who were not covered by health insurance (AoR:1.37, 95% CI: 1.14, 1.65), women aged 25-34 years had 1.38 times higher odds of healthcare utilisation compared to those who were aged 15-24 years (AoR:1.38, 95% CI: 1.24, 1.54). Women who were in union had 2 times higher odds of healthcare utilisation compared to those who were not in union (AoR: 2.1, 95% CI: 1.88, 2.35). Women who were working had 1.71 times higher odds of utilising healthcare services compared to those who were not working (AoR: 1.71, 95% CI: 1.56, 1.88). Women who watched or listened to mass media at least once a week had 1.37 times higher the odds of healthcare utilisation compared to those who did not watch or listen to mass media at all (AoR:1.37, 95% CI: 1.2, 1.56). However, place of residence was not a significant factor.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The present study shows a statistically significant association between being insured and the utilisation of healthcare services among women aged 15-49 years. This indicates that insurance status helps women utilise healthcare services in Tanzania. The findings from this study also highlighted demographic factors including age, marital union, working, and use of mass media as important factors influencing utilisation of healthcare among women. It is imperative to educate the community on the importance of health ins","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"176"},"PeriodicalIF":3.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12225034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561618","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":"Intergenerational support dynamics and the sandwich generation: analyzing the effect of family migration on health among the Chinese migrant workers.","authors":"Houyi Zhang, Fengxian Qiu, Jing Liu","doi":"10.1186/s13690-025-01647-8","DOIUrl":"10.1186/s13690-025-01647-8","url":null,"abstract":"<p><strong>Background: </strong>China's landscape of social mobility is shifting from individual to household-level migration. This highlights the increasingly crucial role of family-based relocation in the lives of migrant workers. Therefore, the impact of household migration on migrant workers' health has emerged as a central topic in scholarly discourse.</p><p><strong>Methods: </strong>Grounded in the social vulnerability theory, the family stress theory and the life course theory, this study utilizes data from the 2017 China Migrants Dynamic Survey to rigorously examine the effect of family factors on migrant workers' health outcomes. Quantitative methods used in this study include propensity score matching, heterogeneity tests, total effect analysis, robustness checks, mediation modeling, and endogeneity test.</p><p><strong>Results: </strong>This study demonstrates that household migration intensifies health vulnerabilities among migrant workers through the interplay of intersecting structural forces. Analyses from the life course perspective reveal that cumulative socioeconomic precarity and family obligations amplify health risks, with nuclear family units facing heightened stressors arising from dual financial and cultural pressures. Empirical evidence identifies a paradoxical mechanism whereby collectivist norms and survival imperatives drive individuals to prioritize intergenerational welfare over personal health. These findings highlight how the health trajectories of migrant workers become embedded in systemic vulnerabilities, where migration patterns intersect with institutional exclusion to transform family strategies into chronic health burdens across life stages.</p><p><strong>Conclusions: </strong>By adopting an integrated analytical framework that accounts for structural, familial, and individual-level factors, the study contributes to a more comprehensive understanding of the multifactorial influences on migrant workers' health outcomes. The findings underscore the need to shift public service policies from a sole focus on individual workers to addressing the holistic needs of migrant households. Such a transition is critical for mitigating the health burdens associated with household migration and ensuring that policy interventions align with the complex realities of family-centered migration strategies in contemporary China.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"177"},"PeriodicalIF":3.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561617","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":"Health transition of Thai migrant women in Japan: a preliminary cross-sectional study in a country with insufficient migrant health data.","authors":"Eiko Kobori, Yuko Maeda, Kanami Kamata, Miho Nozue, Hideki Fukuda, Hiroko Miura","doi":"10.1186/s13690-025-01649-6","DOIUrl":"10.1186/s13690-025-01649-6","url":null,"abstract":"<p><strong>Background: </strong>Most research on the healthy migrant effect (HME) of migrants and the reduction in such health advantages due to long-term residence has been conducted in countries with a high proportion of migrants. However, in Japan, where there is a low migrant population of 2.0% and a low Migrant Integration Policy Index (MIPEX) rating, only limited health data on migrants is available from official statistics, and no residence length data is available. Therefore, health indicators in studies on the HME in Japan are limited to the cause of death or mortality, and residence length data are estimated from migration historical background or surrogates from age. The study aimed to compare the health status of Thai women residing in Japan with that of Japanese women and clarify the health transition of Thai women due to long-term residence in multiple health indicators.</p><p><strong>Methods: </strong>We conducted a cross-sectional study using self-administered questionnaires among Thai residents in Japan aged 20 years or older, assessing their health outcomes, such as subjective symptoms, and health behaviors, such as smoking. Chi-square or binomial tests were performed to compare the health outcomes and behaviors of the Thai migrants during the early stages of migration and the subsequent long-term residence with those of the Japanese population.</p><p><strong>Results: </strong>HME was observed only among Thai women aged 20-39 years who had resided in Japan for less than 10 years, with a lower prevalence of subjective symptoms compared to Japanese women in the same age group. HME was not observed in middle-aged women with less than 10 years of residence. Long-term residents exhibited poorer health outcomes and behaviors than Japanese women across most age-groups, despite undergoing more frequent health examinations. Statistically significant differences were particularly noted among middle-aged women.</p><p><strong>Conclusions: </strong>These results indicate that the duration of residence is associated with migrant health, with longer stays in Japan linked to a decline in health among migrants, thereby suggesting the need to collect migrant health data in official statistics and position migrants as targets for primary and secondary prevention in public health.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"172"},"PeriodicalIF":3.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555340","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":"Use of health services by the Brazilian population with chronic kidney disease: a cross-sectional analysis, National Health Survey, 2019.","authors":"Yasmim Dos Anjos Ribeiro, Ana Carolina Silva Gonçalves, Danilo Lemes Naves Gonçalves, Luciana Saraiva da Silva","doi":"10.1186/s13690-025-01598-0","DOIUrl":"10.1186/s13690-025-01598-0","url":null,"abstract":"<p><strong>Background: </strong>Chronic kidney disease (CKD) is frequently diagnosed at advanced stages, resulting in high morbidity, mortality, and substantial economic burdens due to increased healthcare utilization and system costs. The relationship between CKD diagnosis and healthcare utilization remains unexplored in Brazilian population-based studies. Therefore, this study aimed to analyze the associations between health service utilization indicators and the presence of CKD in the Brazilian population.</p><p><strong>Methods: </strong>This was a cross-sectional study with a sample of 90,846 participants from the 2019 National Health Survey. Sociodemographic, clinical, and behavioral variables were collected. CKD was defined by self-reported prior diagnosis. The indicators of use of health services were a search for a health service or professional in the last two weeks, impairment of usual activities due to illness in the last two weeks, and hospitalizations for 24 h or more in the last 12 months. Other variables related to the use of health services, such as having health insurance, the time since the last consultation, and the type of health service most used, were also assessed. Logistic regression analysis was carried out to assess the associations between indicators of health service use and CKD.</p><p><strong>Results: </strong>CKD increased the chance of hospitalization in the last 12 months by 3.16 times (OR 3.16; 95% CI 2.76-3.62) and the chance of impairment in usual activities due to illness by 3 times (OR 2.99; 95% CI 2.63-3.40). In addition, the presence of CKD increased the chance of the individual seeking health services 2.5 times in the last two weeks (OR 2.50; 95% CI 2.23-2.81), with primary health care (42.5%), private clinics or private outpatient clinics (21.2%) and emergency care units (17.2%) being the most sought-after services.</p><p><strong>Conclusion: </strong>CKD tripled the chance of hospitalization in the last 12 months and impaired usual activities due to illness, doubling the population's search for health services in the last two weeks. Primary health care has proven to be the leading health service for individuals with CKD.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"175"},"PeriodicalIF":3.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555341","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":"Contributions of District Health Information Software 2 (DHIS2) to maternal and child health service performance in Ethiopia: an interrupted time series mixed-methods study.","authors":"Taddese Alemu Zerfu, Moges Asressie, Amare Abera Tareke, Zenebu Begna, Tigist Habtamu, Netsanet Werkneh, Tariku Nigatu, Meskerem Jisso, Addisalem Genta","doi":"10.1186/s13690-025-01641-0","DOIUrl":"10.1186/s13690-025-01641-0","url":null,"abstract":"<p><strong>Background: </strong>The District Health Information Software 2 (DHIS2) is the primary digital platform for health management information systems (HMIS) in Ethiopia, aligning with the nation's digitization strategy. Despite widespread implementation, its effectiveness on key health service indicators, particularly maternal and child health (MCH) services, remain unclear.</p><p><strong>Objective: </strong>This study aimed to evaluate the contribution of DHIS2 on data use and the performance of selected MCH indicators in Ethiopia, comparing data before and after the implementation of DHIS2.</p><p><strong>Methods: </strong>We analysed data from primary health care units (PHUs) across five diverse regions of Ethiopia, encompassing urban, agrarian, and pastoralist settings. A mixed-methods approach was employed, combining quantitative and qualitative methods to provide a comprehensive understanding of the data. The quantitative component involved examining performance reports of selected maternal and child health (MCH) indicators from 2013 to 2022 to assess changes before and after the implementation of the District Health Information System 2 (DHIS2). Data were collected electronically and analysed using descriptive statistics and interrupted time series (ITS) analyses to identify trends and patterns. The qualitative component included interviews and focus group discussions with health workers and stakeholders to explore contextual factors influencing MCH service utilization and performance. The data were analysed thematically using OpenCode 4.1 software.</p><p><strong>Results: </strong>The implementation of DHIS2 significantly contributed to the enhancement of MCH data utilization within PHU facilities. This improvement supported decision-making processes in various aspects of maternal and child healthcare delivery, including target setting, resource allocation, program monitoring, and clinical service provision. Specifically, DHIS2 led to increased monthly mean performance of key indicators such as antenatal care visits, skilled birth attendance, and immunization rates. Notable improvements in service delivery were observed, with significant increases in institutional delivery rates over time.</p><p><strong>Conclusions: </strong>The study highlights DHIS2's significant contribution to improving MCH services in Ethiopia, with increased institutional delivery rates and ANC coverage reflecting enhanced data-driven decision-making. Most facilities relied on DHIS2 for resource allocation and program monitoring, though challenges like offline usage and accessibility persist. To maximize impact, improving offline data management, training staff, leveraging real-time reporting, and addressing accessibility through connectivity investments are recommended.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"173"},"PeriodicalIF":3.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555339","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}