International Journal of Environmental Research and Public Health最新文献

RETRACTED: Wee et al. Triaging Medical Referrals Based on Clinical Prioritisation Criteria Using Machine Learning Techniques. Int. J. Environ. Res. Public Health 2022, 19, 7384. 撤稿：Wee et al。使用机器学习技术基于临床优先级标准的医疗转诊分诊。Int。j .包围。公共卫生，2022,19,7384。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-29 DOI: 10.3390/ijerph22050700

Chee Keong Wee, Xujuan Zhou, Ruiliang Sun, Raj Gururajan, Xiaohui Tao, Yuefeng Li, Nathan Wee

引用次数: 0

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-21 DOI: 10.3390/ijerph22040652

Julien Jacquier-Bret, Philippe Gorce

{"title":"Work-Related Musculoskeletal Disorder Prevalence by Body Area Among Nurses in Asia: Systematic Review and Meta-Analysis.","authors":"Julien Jacquier-Bret, Philippe Gorce","doi":"10.3390/ijerph22040652","DOIUrl":"https://doi.org/10.3390/ijerph22040652","url":null,"abstract":"Nurses are highly exposed to work-related musculoskeletal disorders (WMSDs). Several studies on this have been carried out in different Asian countries, but no synthesis was conducted. The aim of this study was to map the evidence of WMSDs among nurses in Asia. A systematic review and a meta-analysis with subgroups were performed during October 2024. Five open databases were scanned without a date limit. The article selection and data extraction processes were performed independently by two reviewers. The results report was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Among the 15,751 unique identified records, 40 studies were included, covering a total of 19,903 Asian nurses. A high heterogeneity (Cochran's Q test and I2 statistic) was evidenced between the studies. The meta-analysis polled an overall prevalence of 84.3% (95% CI: 81.1-87.4%). The lower back (58.4%, 95% CI: 52.9-63.8%), neck (45.7%, 95% CI: 38.1-53.2%) and shoulder (43.0%, 95% CI: 36.2-49.9%) were the three most exposed areas. Subgroup analyses have shown that the presence of WMSD is steadily increasing, and that years of practice reduce the exposure of the neck and shoulder, while the lower back becomes more exposed. Further efforts are needed to prevent WMSDs among Asian nurses, in order to improve their quality of life at work.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Academic, Initial Licensure, Employment Factors, and NCLEX-RN Performance of Philippine-Educated Nurses. 菲律宾教育护士的学历、初始执照、就业因素与NCLEX-RN绩效之间的关系。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-21 DOI: 10.3390/ijerph22040653

James Montegrico, Zhuo Job Chen

{"title":"Association Between Academic, Initial Licensure, Employment Factors, and NCLEX-RN Performance of Philippine-Educated Nurses.","authors":"James Montegrico, Zhuo Job Chen","doi":"10.3390/ijerph22040653","DOIUrl":"https://doi.org/10.3390/ijerph22040653","url":null,"abstract":"The United States' nursing shortage attracted internationally educated nurses (IENs) to take the National Council Licensure Examination-Registered Nurses (NCLEX-RN), which is required to practice nursing in the U.S. Philippine-educated nurses (PENs) comprised more than half of IENs in the U.S. nursing workforce. From 2002 to 2021, only 45.8% of 177,730 PENs passed the exam. Published studies investigating IEN NCLEX-RN performance are limited. This study addresses this gap in the literature. This study determined the association between academic, initial nursing licensure, and employment factors on PEN NCLEX-RN pass rates. A retrospective correlation research design was used to determine the association among the research variables. Participants were recruited through online nursing groups. Descriptive statistics compared characteristics of PENs who passed or failed the NCLEX on the first attempt. Chi-squared and Fisher's exact tests were used to determine the association between the research variables. Initial nursing licensure and nursing workplace were significantly associated with PENs passing the NCLEX-RN. Identifying unique PENs' contextual characteristics is critical in preparing them to pass the NCLEX-RN. Findings provide input to educational and regulatory bodies to improve the NCLEX-RN individual outcomes and Philippine NCLEX-RN pass rates.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Community-Engaged Ethnographic Investigation into Public Transit Among Older Adults Experiencing Homelessness. 一项社区参与的老年人无家可归者乘坐公共交通的民族志调查。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-21 DOI: 10.3390/ijerph22040654

Whitney Thurman, Tara Hutson, Dylan Lowery, Amy Patten, Alexandra A Garcia

{"title":"A Community-Engaged Ethnographic Investigation into Public Transit Among Older Adults Experiencing Homelessness.","authors":"Whitney Thurman, Tara Hutson, Dylan Lowery, Amy Patten, Alexandra A Garcia","doi":"10.3390/ijerph22040654","DOIUrl":"https://doi.org/10.3390/ijerph22040654","url":null,"abstract":"Nearly 50% of single homeless adults are over the age of 50, and adults aged 50 years and older are the fastest growing subpopulation of the homeless in the U.S. This subpopulation has unique mobility needs and barriers to transportation. We used rapid ethnographic assessments to explore the practices, needs, perceptions, and values of unhoused older adults in relation to their efforts to access and navigate health and social services via public transit. We conducted 23 observations of 12 participants as they navigated public transit to meet their travel needs. Our data consist of 65 h of observations with field notes, walking interviews, and travel diaries. Two themes-waiting and friction-encompassed participants' experiences of mobility and their ongoing negotiations that involved time, space, individual ability, and interpersonal interactions within their environmental context. For this population, attainment of housing and improved health and well-being is contingent on access to reliable transportation-a condition that is not met in many communities. For the participants in our study, the physical demands of accessing public transit combined with the cognitive load of interpreting multi-step directions in specific time schedules were often insurmountable. The public transit system was often hostile, such that participants were stigmatized and segregated. Professionals who work with older homeless individuals must consider the capacity of their clients to successfully navigate public transit, and policymakers should consider the transit needs of their entire population when designing transit systems.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","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 Impact of Non-Acoustic Factors on Chinese Community Response to Noise: A Systematic Review. 非声学因素对中国社区对噪声反应的影响：一个系统综述。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-21 DOI: 10.3390/ijerph22040651

Wenkai Wang, Hui Ma, Chao Wang

{"title":"The Impact of Non-Acoustic Factors on Chinese Community Response to Noise: A Systematic Review.","authors":"Wenkai Wang, Hui Ma, Chao Wang","doi":"10.3390/ijerph22040651","DOIUrl":"https://doi.org/10.3390/ijerph22040651","url":null,"abstract":"Noise pollution has become one of the most prominent environmental issues in China. Although many studies have summarized the impact of non-acoustic factors on noise annoyance, the unique mechanisms of these factors within the context of Chinese society and culture still require systematic investigation. In this study, a systematic review of articles obtained from the CNKI, WanFang, WoS Core Collection, and Scopus databases (up to December 2024) was conducted, and 42 articles were included in a qualitative analysis to summarize the patterns of non-acoustic factors' influence on the community response of Chinese residents to noise. The results revealed the following: (1) The effects of non-acoustic factors on Chinese residents are significant, with the trends for factors such as noise sensitivity, attitude to noise source, health status, perceived quality of the living environment, and education level influencing the Chinese community response to noise having been basically clarified. However, the influence of the remaining factors and the unique influences of various non-acoustic factors await further quantitative analyses. (2) Interactions among various factors deserve close attention. The interactions between non-acoustic factors, as well as those between non-acoustic factors and sound source types, have been reflected in some studies. These may be significant for explaining the effects of non-acoustic factors and merit further research. (3) Compared to international studies, research on non-acoustic factors in China is relatively limited in quantity and unevenly distributed, which is insufficient to support further quantitative analysis or a detailed exploration of the underlying mechanisms. Therefore, more studies are necessary to support the future rationalization of noise policies and national standards in China.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measurement and Evaluation of Dust Concentrations in the Air After the Kahramanmaraş Earthquake in Turkey. 土耳其kahramanmaraku地震后空气中粉尘浓度的测量与评价。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-20 DOI: 10.3390/ijerph22040649

Tuğçe Oral, Müge Ensari Özay, Rüştü Uçan, Dilek Aker, Emine Can, Bengisu Altınten

{"title":"Measurement and Evaluation of Dust Concentrations in the Air After the Kahramanmaraş Earthquake in Turkey.","authors":"Tuğçe Oral, Müge Ensari Özay, Rüştü Uçan, Dilek Aker, Emine Can, Bengisu Altınten","doi":"10.3390/ijerph22040649","DOIUrl":"https://doi.org/10.3390/ijerph22040649","url":null,"abstract":"The 6 February 2023 earthquake in Kahramanmaraş, Turkey, caused significant debris accumulation, raising concerns about air quality and public health. This study assessed dust concentrations during debris removal and emergency response efforts over a five-day period. Post-disaster respirable and total dust concentrations were measured using dust monitoring devices and the MDHS-14/3 gravimetric method. Scanning electron microscopy (SEM) and energy-dispersive X-ray (EDX) analyses identified fibrous structures and elements associated with asbestos, suggesting potential long-term health risks such as asbestosis and lung cancer. The average respirable dust concentration was 30.84 mg/m3, and the total dust concentration was 33.66 mg/m3. The findings emphasize the urgent need for protective measures to mitigate exposure risks for affected populations and emergency responders. Integrating health risk assessments into disaster management strategies are crucial to reducing long-term public health impacts.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Socio-Behavioral Correlates of Metabolic and Inflammatory Risk in a University Sample Residing Along the U.S./Mexico Border: A Pilot Study Concomitantly Collecting Survey Data, Blood and Hair Samples, and Physical Measures. 在居住在美国/墨西哥边境的大学样本中探索代谢和炎症风险的社会行为相关性：一项收集调查数据、血液和头发样本和物理测量的试点研究。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-20 DOI: 10.3390/ijerph22040647

Gabriel A Frietze, Cai Xu, Bibiana Mancera, Elisa Robles-Escajeda, Alyssa A Martinez, Michelle Gil, Diana P Flores, Khodeza Begum, Panfeng Liang, Abhijit Mandal, Michael Nsiah-Nimo, Nilotpal Sanyal, Ming-Ying Leung, Michael J Kenney, Robert A Kirken

{"title":"Exploring Socio-Behavioral Correlates of Metabolic and Inflammatory Risk in a University Sample Residing Along the U.S./Mexico Border: A Pilot Study Concomitantly Collecting Survey Data, Blood and Hair Samples, and Physical Measures.","authors":"Gabriel A Frietze, Cai Xu, Bibiana Mancera, Elisa Robles-Escajeda, Alyssa A Martinez, Michelle Gil, Diana P Flores, Khodeza Begum, Panfeng Liang, Abhijit Mandal, Michael Nsiah-Nimo, Nilotpal Sanyal, Ming-Ying Leung, Michael J Kenney, Robert A Kirken","doi":"10.3390/ijerph22040647","DOIUrl":"https://doi.org/10.3390/ijerph22040647","url":null,"abstract":"Hispanic adults have an increased incidence of type 2 diabetes (T2D) at a younger age and diagnosis of certain cancers, including liver, stomach, and colorectal, which may be attributed to metabolic health. Several key metabolic health indicators, such as hemoglobin A1c (HbA1c), body mass index (BMI), and waist-to-hip ratio (WHR), have been linked to obesity. The purpose of this pilot study was to explore the complex relationships between socio-behavioral factors that lead to the increased incidence of metabolic syndrome (e.g., HbA1c) and chronic inflammation (interleukins) in Hispanics. Two hundred and twelve Hispanic participants (Mage = 43.45, SD = 15.36) who identified predominantly as female (72.17%) were included in the study. Correlational analyses revealed that HbA1c was positively associated with age and negatively associated with several socio-behavioral factors, including overall health, quality of life, physical health, physical performance, social support, mother's education, and father's education. These findings highlight the importance of social support and parental involvement in diabetes management. The focused integration of socio-behavioral and biological data provides a powerful foundation for future research and the development of targeted interventions.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Train-the-Trainer Approach to Build Community Resilience to the Health Impacts of Climate Change in the Dominican Republic. 在多米尼加共和国建立社区抵御气候变化对健康影响的能力的培训师方法。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-20 DOI: 10.3390/ijerph22040650

Hannah N W Weinstein, Kristie Hadley, Jessica Patel, Sarah Silliman, R Yamir Gomez Carrasco, Andres J Arredondo Santana, Heidi Sosa, Stephanie M Rosa, Carol Martinez, Nicola P Hamacher, Haley Campbell, James K Sullivan, Danielly de Paiva Magalhães, Cecilia Sorensen, Ana Celia Valenzuela González

{"title":"A Train-the-Trainer Approach to Build Community Resilience to the Health Impacts of Climate Change in the Dominican Republic.","authors":"Hannah N W Weinstein, Kristie Hadley, Jessica Patel, Sarah Silliman, R Yamir Gomez Carrasco, Andres J Arredondo Santana, Heidi Sosa, Stephanie M Rosa, Carol Martinez, Nicola P Hamacher, Haley Campbell, James K Sullivan, Danielly de Paiva Magalhães, Cecilia Sorensen, Ana Celia Valenzuela González","doi":"10.3390/ijerph22040650","DOIUrl":"https://doi.org/10.3390/ijerph22040650","url":null,"abstract":"Communities in the Dominican Republic (DR) face increased natural disasters, poor air quality, food insecurity, and health impacts related to climate change. We evaluated the success of a train-the-trainer program to empower community leaders, women, and at-risk youth with the knowledge and skills to increase individual and community resilience in Cristo Rey, Dominican Republic. Three in-person two-day courses were conducted between July and August 2024 at the Universidad Iberoamericana. Each session included eight lectures and collaborative learning activities on climate change science, adaptation, resilience, and health impacts. Intra-group analyses comparing pre- and post-course surveys assessed participants' climate change awareness, literacy, and communication and response skills. One hundred and four attendees participated in the survey study. Of the 100 participants with demographic data, 55% (n = 55) were 35 years old or younger, 70% (n = 70) identified as female, and 45% (n = 45) lived in Cristo Rey. The participants reported high baseline climate change awareness. Compared to before the course, the participants reported increased literacy regarding the environmental impacts of climate change relevant to the DR and the specific health impacts (p-value < 0.05) and increased climate change-related communication and response skills (p-value < 0.001). This study suggests competency-based, regional-specific courses deployed in a train-the-trainer model, have the potential to equip community members with knowledge to protect their health.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting Youth Mental Wellbeing: A Photovoice Project with Adolescents and Young Adults in the Hospital Context. 促进青少年心理健康：在医院背景下的青少年和年轻人的照片之声项目。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-20 DOI: 10.3390/ijerph22040648

Federica Graziano, Federica Toppino, Lisa Vennettillo, Giovanni Abbate Daga, Deborah Concas, Giulia Mazzone, Paola Quarello, Guido Teghille, Giulia Zucchetti, Chiara Davico

{"title":"Promoting Youth Mental Wellbeing: A Photovoice Project with Adolescents and Young Adults in the Hospital Context.","authors":"Federica Graziano, Federica Toppino, Lisa Vennettillo, Giovanni Abbate Daga, Deborah Concas, Giulia Mazzone, Paola Quarello, Guido Teghille, Giulia Zucchetti, Chiara Davico","doi":"10.3390/ijerph22040648","DOIUrl":"https://doi.org/10.3390/ijerph22040648","url":null,"abstract":"Given the importance of youth mental health for public policy, it is crucial to involve young people directly in participatory research to investigate their views and translate their demands into concrete actions. The aim of the study was to define the concept of mental wellbeing as perceived by a group of adolescent and young adult patients in two large hospitals in northwestern Italy and to find out, together with them, what institutions can do to promote youth wellbeing. Thirty-nine participants (13-25 years old, 90% female), divided into four groups, took part in a Photovoice workshop. Individual interviews were conducted with 21 participants and the transcripts were thematically analyzed. The photos were categorized into five themes: nature, traveling, passions and leisure, relationships, and animals. The definition of mental wellbeing can be traced back to eight themes: sharing experiences and emotions with others, calm and tranquility, personal fulfilment, sense of belonging, pleasant physical sensations, freedom and discovery, involvement and commitment, and happiness. The key recommendations for promoting mental wellbeing were providing information about mental health, tackling the stigma of mental illness, and providing psychological support in school and health services. The implications of these findings for policy makers involved in planning health services for young people are discussed.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Agroforestry for Food Security and Public Health: A Comprehensive Review. 农林业促进粮食安全和公共卫生：综合综述。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-19 DOI: 10.3390/ijerph22040645

Daniel Roberto Jung, Oduvaldo Vendrametto

{"title":"Agroforestry for Food Security and Public Health: A Comprehensive Review.","authors":"Daniel Roberto Jung, Oduvaldo Vendrametto","doi":"10.3390/ijerph22040645","DOIUrl":"https://doi.org/10.3390/ijerph22040645","url":null,"abstract":"Global food systems face mounting pressure from intersecting crises of food insecurity, malnutrition (affecting over 2.8 billion people), and climate change, necessitating transformative solutions. Agroforestry systems (AFS), integrating trees with crops and/or livestock, offer a promising pathway by synergistically enhancing food production, ecological stability, and public health outcomes. However, realizing this potential is hindered by gaps in understanding the complex interactions and trade-offs between these domains, limiting policy and practice effectiveness. This comprehensive review aimed to synthesize current evidence on how agroforestry integrates food security, public health, and environmental sustainability and to identify critical research gaps that limit its widespread adoption and optimization. Following the SPAR-4-SLR protocol, a systematic literature search was conducted across Web of Science and Scopus, with thematic analysis using VosViewer and quantitative synthesis of key metrics. The review confirms agroforestry's multifaceted benefits, including enhanced dietary diversity, improved micronutrient intake (e.g., 18% reduction in vitamin A deficiency), significant carbon sequestration (0.5-2 Mg C/ha/year), soil health improvements (50-70% less erosion), income generation (+40%), and climate resilience (2-5 °C cooling). Key gaps identified include the need for longitudinal health studies, better quantification of climate-health interactions and non-material benefits, policy-health integration strategies, and analyses of economic-nutritional trade-offs.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0