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Age-specific comorbidity risks in osteoarthritis: implications for healthy aging across diverse populations. 骨关节炎的年龄特异性合并症风险:对不同人群健康老龄化的影响
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-02 DOI: 10.1186/s13690-025-01670-9
Lilu Ding, Ruoqi Dai, Dian Jin, Zhanyi Li, Jing Qian, Jiahao Zhu, Jingyou Miao, Hui Zhang, Jing Wang, Yan Xu, Yingjun Li
{"title":"Age-specific comorbidity risks in osteoarthritis: implications for healthy aging across diverse populations.","authors":"Lilu Ding, Ruoqi Dai, Dian Jin, Zhanyi Li, Jing Qian, Jiahao Zhu, Jingyou Miao, Hui Zhang, Jing Wang, Yan Xu, Yingjun Li","doi":"10.1186/s13690-025-01670-9","DOIUrl":"10.1186/s13690-025-01670-9","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA), a leading cause of disability worldwide, is increasingly recognized for its systemic impact. Despite its prevalence, the age-dependent effects of OA remain underexplored, particularly regarding its association with comorbidities across the life course.</p><p><strong>Methods: </strong>Using the UK Biobank (78,825 incident OA cases; 301,071 age-/sex-matched controls; age range: 40-86 years) and the CHARLS cohort (China, 5,735 participants, age range: 45-92 years), we employed Cox models with age as the time scale to estimate hazard ratios (HRs) for OA-associated comorbidities, including bone diseases, metabolic disorders, and mental health conditions, stratified by age at diagnosis. Analyses adjusted for sociodemographic factors and population-attributable fractions (PAFs) were calculated to quantify preventable burdens.</p><p><strong>Results: </strong>OA was associated with significantly increased risks across multiple comorbidities. All comorbidities exhibited an age-dependent gradient: relative risks were highest in younger individuals and declined with age, while absolute risks increased due to OA's higher prevalence in older populations. For example, HRs for metabolic disorders declined from 2.55 (95% CI: 2.36-2.76) in those aged 40-49 to 1.77 (95% CI: 1.74-1.81) in those aged ≥ 70. Validation in CHARLS confirmed these patterns.</p><p><strong>Conclusion: </strong>The systemic effects of OA vary substantially by age at onset. Younger individuals face elevated proportional risks likely shaped by behavioral, occupational, and structural factors, while older adults bear a larger absolute burden. These findings underscore the need for age-sensitive strategies to reduce long-term health consequences of OA and promote healthy aging.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"174"},"PeriodicalIF":3.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555387","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}
引用次数: 0
Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment. 中国围产期抑郁症群体心理干预偏好:一个离散选择实验。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-01 DOI: 10.1186/s13690-025-01643-y
Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang
{"title":"Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment.","authors":"Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang","doi":"10.1186/s13690-025-01643-y","DOIUrl":"10.1186/s13690-025-01643-y","url":null,"abstract":"<p><strong>Background: </strong>Perinatal depression (PND) is a public health issue that causes a considerable disease burden on health systems and patients' families. Group psychological interventions are intended to prevent PND. This study aimed to identify maternal preferences for group psychological interventions and provide evidence for intervention design and implementation in China.</p><p><strong>Methods: </strong>A discrete choice experiment (DCE) was conducted in southern China from January to February 2023. Based on a literature review, expert consultation, and qualitative interviews, six attributes of group psychological interventions were selected for the DCE: cost, qualification of care provider, care method (online/offline), care receiver, institution for care delivery and starting time of care. A mixed-logit regression model was used to analyze preferences, willingness to pay, and potential uptake rate.</p><p><strong>Results: </strong>The survey included 517 participants. They reported preferring free interventions provided by psychologists, available online and offline, with their spouses, and at the hospital where they received routine maternity care. Participants had no significant preferences for starting time of care. Inviting spouses to attend the intervention was the most valued attribute. The preferences of the different subgroups of respondents were diverse.</p><p><strong>Conclusion: </strong>Considering pregnant women's needs and preferences when designing group psychological interventions will help to increase their willingness to participate in the intervention for PND prevention. Future maternal group psychological interventions could invite spouses and other informal family caregivers to accompany them, reduce or waive fees for pregnant women through financial support, and provide online interventions for pregnant women in the third trimester and postpartum period.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"168"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545466","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}
引用次数: 0
The major risk factor of stroke across Indonesia; a nationwide geospatial analysis of universal health coverage program. 印度尼西亚中风的主要危险因素;全民健康覆盖计划的全国地理空间分析。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-01 DOI: 10.1186/s13690-025-01613-4
Andi Alfian Zainuddin, Rais Reskiawan A Kadir, Hedi Kuswanto, Jumraini Tammasse, Nurul Qalby, Andi Afdal Abdullah, Ari Andini Junaidi, Al Asyary
{"title":"The major risk factor of stroke across Indonesia; a nationwide geospatial analysis of universal health coverage program.","authors":"Andi Alfian Zainuddin, Rais Reskiawan A Kadir, Hedi Kuswanto, Jumraini Tammasse, Nurul Qalby, Andi Afdal Abdullah, Ari Andini Junaidi, Al Asyary","doi":"10.1186/s13690-025-01613-4","DOIUrl":"10.1186/s13690-025-01613-4","url":null,"abstract":"<p><strong>Background: </strong>Stroke is the leading cause of mortality in Indonesia, with hypertension and diabetes mellitus (DM) recognized as well-established risk factors. Moreover, recent epidemiological studies have documented rising incidence, morbidity and mortality of these conditions. Understanding their spatial distribution and interrelationships is crucial for developing targeted public health interventions. This study aims to analyze the geographic distribution of stroke, DM, and hypertension across Indonesia's provinces, evaluate their spatial correlations, and explore their interconnections using advanced spatial modeling techniques.</p><p><strong>Methods: </strong>The data were collected from the Social Health Insurance Administration Body, which manages Indonesia's universal health coverage, between 2017 and 2022. Crude incidence rates for the diseases were calculated and spatial distribution patterns were analyzed using Global and local Moran analysis. A spatial autoregressive (SAR) model was employed to assess the spatial dependence and interrelationships between these diseases.</p><p><strong>Results: </strong>The crude incidence rates of stroke, hypertension, and DM were 158.47, 2716.34, and 1503.06 per 100,000 population, respectively. Significant spatial heterogeneity was observed, with certain provinces consistently appearing as high-risk areas across all three diseases. Through SAR analysis, our study identified a significant positive spatial association between DM and stroke incidence, indicating that provinces with higher DM rates also tend to experience elevated stroke burden.</p><p><strong>Conclusion: </strong>This study mapped the geographical and spatial distribution of stroke, DM, and hypertension across Indonesia and found the pivotal role of DM in driving stroke incidence. By prioritizing high-incidence regions and addressing specific risk factors, targeted interventions can significantly reduce stroke cases and enhance public health outcomes in Indonesia.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"169"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545468","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}
引用次数: 0
Longitudinal bidirectional association between gastrointestinal disease and depression symptoms among middle-aged and older adults in China. 中国中老年人胃肠道疾病与抑郁症状的纵向双向关联
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-01 DOI: 10.1186/s13690-025-01671-8
Juncheng Guo, Mengxue Su, Jingbiao Huang, Xiaohu Wang, Jianji Li, Haisheng Wu, Yuan He
{"title":"Longitudinal bidirectional association between gastrointestinal disease and depression symptoms among middle-aged and older adults in China.","authors":"Juncheng Guo, Mengxue Su, Jingbiao Huang, Xiaohu Wang, Jianji Li, Haisheng Wu, Yuan He","doi":"10.1186/s13690-025-01671-8","DOIUrl":"10.1186/s13690-025-01671-8","url":null,"abstract":"<p><strong>Background: </strong>Longitudinal reciprocity between gastrointestinal disease (GID) and depression has not been explored among middle-aged and older adults.</p><p><strong>Method: </strong>This study included 12,366 participants aged 45 and above from the 2015, 2018 and 2020 survey waves of the China Health and Retirement Longitudinal Study (CHARLS) conducted in China. Depression was defined as a score of 10 or higher on the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10). The GID was identified on the basis of the presence of physician-diagnosed stomach or other digestive diseases, excluding tumors or cancers. Cox proportional hazards models were used to explore the longitudinal relationship between baseline GID and subsequent depression onset, as well as the association between baseline depression and newly reported GID. To assess bidirectional associations and the strength of different directional associations simultaneously, cross-lagged panel models (CLPMs) were also employed. Stratification analyses were performed to identify vulnerable populations for each directional path.</p><p><strong>Results: </strong>The baseline prevalence rates of GID and depression were 24.6% and 32.8%, respectively. Cox models revealed significant associations between baseline GID and new-onset depression (HR = 1.36, 95% CI: 1.25, 1.48) and between baseline depression and newly reported GID (HR = 1.61, 95% CI: 1.41, 1.84). After controlling for both confounders and interwave correlations, the CLPM demonstrated longitudinal bidirectional associations between GID and depression across three survey waves (P value < 0.001 for all cross-lagged coefficients) and revealed that gastrointestinal health was the stronger driving force in its dynamic interaction with depression. Females and urban residents are more susceptible to the impact of GID on depression onset, with females also being more vulnerable to depression influencing GID onset.</p><p><strong>Conclusion: </strong>GID may stem from worsening depression, whereas GID itself contributes to the aggravation of depression among middle-aged and older adults, suggesting that targeted interventions for either gastrointestinal health or depression may yield reciprocal benefits over time.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"171"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545551","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}
引用次数: 0
The association between spirometry measurement quality, cognitive function, and mortality. 肺活量测定质量、认知功能和死亡率之间的关系。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-01 DOI: 10.1186/s13690-025-01660-x
Consuelo Quispe-Haro, Tatyana Court, Magdalena Kozela, Abdonas Tamosiunas, Nadezda Capkova, Hynek Pikhart, Martin Bobák
{"title":"The association between spirometry measurement quality, cognitive function, and mortality.","authors":"Consuelo Quispe-Haro, Tatyana Court, Magdalena Kozela, Abdonas Tamosiunas, Nadezda Capkova, Hynek Pikhart, Martin Bobák","doi":"10.1186/s13690-025-01660-x","DOIUrl":"10.1186/s13690-025-01660-x","url":null,"abstract":"<p><strong>Background: </strong>Population studies that assess lung function usually exclude results of individuals with poor-quality measurements, which often means excluding many subjects. Impaired cognition is frequently associated with poor-quality spirometry; excluding such subjects may introduce a selection bias in studies with lung function as either outcome or exposure. We investigated the association between poor-quality spirometry and impaired cognitive function and whether poor-quality spirometry is associated with future mortality risk independently of cognitive function.</p><p><strong>Methods: </strong>We used data from a prospective cohort in three Central and Eastern European countries; 12,087 individuals aged 45-75 years (54% females) with complete information on variables of interest were included. Standard memory, verbal fluency, and executive cognitive domain tests were converted into latent variable z-scores and divided into quartiles. Spirometry tests were classified into two categories based on repeatability criteria: good- (71%) vs. poor-quality spirometry (29% of participants). Those with good-quality spirometry were further classified, using forced vital capacity (FVC) and forced expiratory volume in the first second (FEV<sub>1</sub>), as healthy spirometry (63%) or impaired spirometry (8%). Multinomial logistic regression was used to assess the association between poor-quality spirometry and cognitive function, and a Cox proportional regression was used to analyze the risk of total mortality over a 17-year follow-up.</p><p><strong>Results: </strong>After controlling for a range of covariates, higher cognitive function predicted lower odds of poor-quality spirometry. In the highest cognitive function quartile, compared with the lowest quartile, the odds ratio of poor-quality spirometry was 0.82 (95%CI: 0.72-0.92). Impaired spirometry was associated with higher mortality risk even after adjusting for cognition (adjusted hazard ratio 1.63, 95%CI: 1.45-1.84), but mortality risk was similar in subjects with poor- vs. good-quality (HR 1.02, 95%CI: 0.93-1.10).</p><p><strong>Conclusion: </strong>Higher cognitive function was associated with a lower risk of poor-quality spirometry. The lack of independent association of poor-quality spirometry with mortality suggests that excluding poor-quality spirometry measurements from analyses is unlikely to introduce a major bias. However, discarding poor-quality spirometry from epidemiological analyses might imply the exclusion of vulnerable subjects. These findings should be confirmed in future studies representing other populations.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"170"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545467","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}
引用次数: 0
Preferences and challenges regarding medical decision-making among patients with a migration background in Belgium: a focus group study. 比利时移民背景患者的医疗决策偏好和挑战:焦点小组研究。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-07-01 DOI: 10.1186/s13690-025-01648-7
Amina Yakhlaf, Flore Vermijs, Katrien Bombeke, Veerle Buffel, Sarah Van de Velde, Josefien van Olmen, Paul Van Royen, Edwin Wouters, Nina Van Eekert
{"title":"Preferences and challenges regarding medical decision-making among patients with a migration background in Belgium: a focus group study.","authors":"Amina Yakhlaf, Flore Vermijs, Katrien Bombeke, Veerle Buffel, Sarah Van de Velde, Josefien van Olmen, Paul Van Royen, Edwin Wouters, Nina Van Eekert","doi":"10.1186/s13690-025-01648-7","DOIUrl":"10.1186/s13690-025-01648-7","url":null,"abstract":"<p><strong>Background: </strong>The growing cultural diversity in Belgium, with over one third of the population having a migration background, presents distinct challenges for primary healthcare, particularly in doctor-patient interactions. Medical decision-making (MDM) is at the core of clinical practice in primary healthcare. According to existing literature, MDM may be complicated not only by general challenges arising in intercultural health communication, but also by specific cultural preferences concerning patient autonomy. This study aims to examine preferences and challenges regarding MDM among patients with a migration background in Belgium, from the perspectives of patients and general practitioners (GPs).</p><p><strong>Methods: </strong>Data were collected through five focus group discussions (FGDs), organised in November and December 2023. Three FGDs involved patients from the major migrant population groups in Belgium (Moroccan (n = 6), Turkish (n = 6), and sub-Saharan African (n = 7), and two FGDs involved GPs (n = 13). The data were analysed through reflexive thematic analysis.</p><p><strong>Results: </strong>Our results show that preferences and challenges revolved around four key components of MDM: Exchange of medical information, decision-making agency, patient-provider relationship, and treatment plan. These preferences and challenges were shaped by a complex interplay of factors at the individual (e.g., patient education, provider attitudes), interpersonal (e.g., family dynamics, language barriers), institutional (e.g., legal framework, medical education), and cultural levels (e.g., religion, health beliefs).</p><p><strong>Conclusions: </strong>Our study highlights the importance of adopting an intersectional and multilayered perspective on MDM, which considers how various factors interact and shape preferences and challenges in MDM, depending on the individual and their context. Although it is impossible for GPs to be aware of every cultural preference, this study shows how GPs can engage in more culturally sensitive interactions with their patients. By also addressing the institutional factors that contribute to challenges in MDM, this approach can improve person-centred care by better accommodating each patient's unique needs and preferences.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"167"},"PeriodicalIF":3.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545552","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}
引用次数: 0
Primary, secondary and tertiary prevention of long-term benzodiazepine receptor agonists use in Belgium: a policy Delphi. 比利时长期使用苯二氮卓受体激动剂的一级、二级和三级预防:政策德尔菲。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-06-23 DOI: 10.1186/s13690-025-01580-w
Pauline Van Ngoc, Beatrice Scholtes, Jean-Luc Belche, Melissa Ceuterick
{"title":"Primary, secondary and tertiary prevention of long-term benzodiazepine receptor agonists use in Belgium: a policy Delphi.","authors":"Pauline Van Ngoc, Beatrice Scholtes, Jean-Luc Belche, Melissa Ceuterick","doi":"10.1186/s13690-025-01580-w","DOIUrl":"10.1186/s13690-025-01580-w","url":null,"abstract":"<p><strong>Background: </strong>The long-term use of benzodiazepine receptor agonists (BZRAs) poses a significant public health challenge in Belgium because of the associated risks of physical and psychological dependence. Despite guidelines recommending short-term use, BZRAs are frequently prescribed beyond the recommended duration, leading to chronic use and associated harm. To address this issue, a policy Delphi study was conducted to assess targeted strategies for preventing long-term BZRA use through the lenses of primary, secondary, and tertiary prevention.</p><p><strong>Methods: </strong>The study involved a panel of experts, including healthcare professionals and patients, who participated in two rounds of questionnaires to evaluate 27 policy recommendations. These recommendations were assessed for feasibility, support, and importance, and participants were also asked whether the necessary conditions were in place to implement each recommendation. This approach aimed to identify areas of consensus and divergence among participants.</p><p><strong>Results: </strong>Key findings reveal a strong consensus on the need for awareness campaigns aimed at healthcare professionals and the general public to highlight the risks associated with BZRA withdrawal. There was also significant support for implementing training programs to equip healthcare providers with the skills needed to manage BZRA withdrawal effectively. However, some recommendations, such as increasing remuneration for long follow-up consultations and establishing a peer support \"benzo-buddy\" system, garnered less agreement, suggesting that these proposals require further refinement.</p><p><strong>Conclusion: </strong>This study highlights the complexity of addressing long-term BZRA use and advocates for a comprehensive, multifaceted approach. This approach should integrate education, awareness, and tailored healthcare practices to increase prevention efforts. The findings emphasise the importance of coordinated interventions across different levels of prevention to effectively mitigate long-term use on BZRAs in Belgium. By refining and implementing these strategies, the likelihood of achieving meaningful improvements in the management and reduction of chronic BZRA use could be significantly increased, contributing to better public health outcomes.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"164"},"PeriodicalIF":3.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477423","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}
引用次数: 0
Development and validation of a measurement instrument for physical activity-related health literacy (PA-HL): a study protocol. 体育活动相关健康素养(PA-HL)测量工具的开发和验证:一项研究方案
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-06-23 DOI: 10.1186/s13690-025-01661-w
Elena Fitzner, Thomas Hering, Kevin Dadaczynski
{"title":"Development and validation of a measurement instrument for physical activity-related health literacy (PA-HL): a study protocol.","authors":"Elena Fitzner, Thomas Hering, Kevin Dadaczynski","doi":"10.1186/s13690-025-01661-w","DOIUrl":"10.1186/s13690-025-01661-w","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) constitutes an effective strategy for the prevention and management of non-communicable diseases (NCDs). Research demonstrates that a substantial proportion of the adult population in Germany does not reach the recommendations for PA. Health literacy (HL) is significantly associated with health behaviours, including PA levels, and various health outcomes. However, no measurement instrument currently exists that assesses HL within the PA context whilst focusing on information processing competences. Therefore, this research aims to integrate HL and PA concepts and to develop a novel measurement instrument for physical activity-related HL (PA-HL) in Germany emphasising information processing competences.</p><p><strong>Methods: </strong>The development and evaluation process employs a mixed-methods design. The instrument development follows a three-phase methodology: First, the conceptualization of PA-HL is defined, including its dimensions and information processing competences with PA focus. Second, during scale development, content and face validity of items are tested through a three-round eDelphi process with experts in HL and PA fields, and cognitive interviews with adults. Third, the novel instrument undergoes psychometric testing in a cross-sectional pilot study utilising principal component analysis and confirmatory factor analysis.</p><p><strong>Discussion: </strong>Through utilising health information on PA, individuals should be enabled to influence their own PA behaviour and that of others to maintain and promote health. The novel PA-HL measurement instrument could be employed in future research and practice to identify the population support needs and difficulties in processing health information on PA. This should facilitate the development and evaluation of public health interventions tailored to the specific needs of population group requirements.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"165"},"PeriodicalIF":3.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477412","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}
引用次数: 0
Adopting drone technology for blood delivery: a feasibility study to evaluate its efficiency and sustainability. 采用无人机技术进行血液输送:评估其效率和可持续性的可行性研究。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-06-23 DOI: 10.1186/s13690-025-01650-z
Pammi Gauba, Anita Nangia, Shalini Bahadur, Sangeeta Pahuja, Shweta Dang, Rambha Pathak, Kiran Agarwal, Sunita Sharma, Deepti Ambalkar, Manoj Jha, Ranju Singh, Priyanka Virdi, Rakesh Gupta, Shambhavee Singh, Ravindra Pandey, Bhuvan Adhlakha, Pragati Agarwal, Kuldeep Nigam, Sumit Aggarwal
{"title":"Adopting drone technology for blood delivery: a feasibility study to evaluate its efficiency and sustainability.","authors":"Pammi Gauba, Anita Nangia, Shalini Bahadur, Sangeeta Pahuja, Shweta Dang, Rambha Pathak, Kiran Agarwal, Sunita Sharma, Deepti Ambalkar, Manoj Jha, Ranju Singh, Priyanka Virdi, Rakesh Gupta, Shambhavee Singh, Ravindra Pandey, Bhuvan Adhlakha, Pragati Agarwal, Kuldeep Nigam, Sumit Aggarwal","doi":"10.1186/s13690-025-01650-z","DOIUrl":"10.1186/s13690-025-01650-z","url":null,"abstract":"<p><strong>Background: </strong>Understanding what drives effective implementation is the key to making more sustainable developments. Blood and its components are critical for life-saving transfusions, however, their availability at the point of care is often limited. Moreover, the logistical challenges associated with blood product transport are substantial and maintaining the cold chain throughout the supply route is crucial to sustain their functional integrity as the temperature fluctuations can compromise its oxygen-carrying capacity. Furthermore, factors such as unpredictable demand, remote geographical locations, and extreme climatic conditions can further compound these difficulties. With India's diverse and distinct topographical variations and geographical spread, last-mile service deliveries of healthcare supplies face multiple challenges. Unmanned Aerial Vehicles (UAVs) or drones are emerging technologies with the potential to leapfrog the last mile logistics solution for transporting medical supplies thus, strengthening the overall healthcare system.</p><p><strong>Methods: </strong>This study investigates the impact of drone-based delivery on the quality and stability of blood components, relative to conventional transport methods along with the operational challenges associated with implementing a drone-based blood delivery system. To achieve these objectives, the EPIS (Exploration, Preparation, Implementation, Sustainment) framework was adopted, which facilitates a systematic approach to this complex implementation process. The drone-related technical and logistic challenges encountered during the study were also identified.</p><p><strong>Results: </strong>The study documents the challenges experienced by the study team during the drone-based delivery of blood while maintaining the biochemical parameters of blood components. During the drone based transportation the temperature, integrity of blood cells, and other parameters were maintained, while slight changes in few parameters were observed via both transportation modes. In this study the drone travelled around 36 km in 8 min, while van took around 55 min to cover the same distance.</p><p><strong>Conclusions: </strong>The present study was done to assess the impact of drone-based delivery on the blood components after the transportation and their comparison to conventional modes of transportation, also, to lay foundation for the successful and sustainable drone-based blood delivery programs. This study suggests that the blood and its components can be transported safely by drone following standard guidelines, which could be helpful particularly in determining blood in emergency situation and difficult terrains.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"163"},"PeriodicalIF":3.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477410","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}
引用次数: 0
Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study. 中国老年人休闲活动与内在能力轨迹的关系:中国健康与退休的纵向研究。
IF 3.2 3区 医学
Archives of Public Health Pub Date : 2025-06-23 DOI: 10.1186/s13690-025-01651-y
Xinyi Zhang, Xiao Zheng, Ting Zheng, Mengjie Zhang, Lingli Yang, Benli Xue, Xinru Li, Yanan Wang, Chichen Zhang
{"title":"Associations between leisure activities with trajectories of intrinsic capacity among Chinese older adults: the China health and retirement longitudinal study.","authors":"Xinyi Zhang, Xiao Zheng, Ting Zheng, Mengjie Zhang, Lingli Yang, Benli Xue, Xinru Li, Yanan Wang, Chichen Zhang","doi":"10.1186/s13690-025-01651-y","DOIUrl":"10.1186/s13690-025-01651-y","url":null,"abstract":"<p><strong>Background: </strong>The global population ageing presents new challenges in older adult care. To elevate the quality of life of older adults, it is essential to explore their intrinsic capacity over time. Engaging in leisure activities may exert a positive impact, which is crucial for promoting healthy ageing.</p><p><strong>Method: </strong>This study used longitudinal data from the China Health and Retirement Longitudinal Study (CHARLS). Group-based trajectory modeling was applied to identify the trajectories of intrinsic capacity, and respondents were categorized accordingly. Leisure activities were assessed based on their intellectual and social components. The impact of social and intellectual activities on intrinsic capacity trajectories was analyzed through multinomial logistic regression, with odds ratios (OR) and 95% confidence intervals (CI) reported.</p><p><strong>Results: </strong>Among the 1,344 respondents aged 65 and above at baseline, trajectory analysis revealed three distinct longitudinal patterns of intrinsic capacity: \"persistently low trajectory\" (n = 288, 21.43%), \"persistently moderate trajectory\" (n = 666, 49.55%), and \"persistently high trajectory\" (n = 390, 29.02%). After adjusting for sociodemographic factors, more frequent engagement in intellectual activities (OR 0.37, 95% CI 0.26-0.53) and social activities (OR 0.36, 95% CI 0.25-0.51) was associated with a reduced likelihood of being in the \"persistently low trajectory\" of intrinsic capacity.</p><p><strong>Conclusion: </strong>This study indicates that increased participation in social and intellectual activities is linked to more favorable trajectories of intrinsic capacity. Therefore, older adults should be encouraged to engage more in leisure activities to promote better ageing outcomes.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"162"},"PeriodicalIF":3.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12183806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477411","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}
引用次数: 0
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