International Journal of Environmental Research and Public Health最新文献

{"title":"Postpartum OGTT Non-Adherence in Regional and Rural Australia: A Longitudinal Study.","authors":"Michelle Culhane, Shelley Jedrisko, Joanne Harris, Michelle Johnson, Nourah Lababidi, Christina Aggar","doi":"10.3390/ijerph23040539","DOIUrl":"10.3390/ijerph23040539","url":null,"abstract":"<p><p><b>Background:</b> Postpartum oral glucose tolerance test (OGTT) screening after gestational diabetes mellitus (GDM) enables early detection and prevention of type 2 diabetes, yet adherence is suboptimal, particularly in regional and rural areas. This study examined lifestyle behaviour and health-related quality-of-life factors associated with OGTT non-adherence over time. <b>Methods:</b> A longitudinal cohort study of women with prior GDM in regional and rural New South Wales, Australia, was conducted. Binary logistic regression models examined associations between lifestyle behaviours, health-related quality of life, and OGTT non-adherence at 3, 18, and 36 months postpartum. <b>Results:</b> OGTT non-adherence increased over time. Multivariable models were not statistically significant at any timepoint. At 3 months postpartum, several lifestyle and health-related quality-of-life variables were associated with non-adherence; however, these associations were not sustained at later timepoints. No consistent predictors of non-adherence were identified across follow-up. <b>Conclusions:</b> All women with prior GDM remain at risk of missed postpartum screening, with engagement declining over time. Findings should be interpreted as exploratory, reflecting time-specific patterns rather than stable predictors. Early postpartum represents a critical window for intervention, while longer-term strategies require flexible, integrated, and accessible models of care to support sustained diabetes prevention, particularly in regional and rural populations.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822807","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}

{"title":"RETRACTED: Choi, H.-S.; Lee, B.-M. A Complex Intervention Integrating Prism Adaptation and Neck Vibration for Unilateral Neglect in Patients of Chronic Stroke: A Randomised Controlled Trial. <i>Int. J. Environ. Res. Public Health</i> 2022, <i>19</i>, 13479.","authors":"Hyun-Se Choi, Bo-Min Lee","doi":"10.3390/ijerph23040536","DOIUrl":"https://doi.org/10.3390/ijerph23040536","url":null,"abstract":"<p><p>The journal retracts the article titled \"A Complex Intervention Integrating Prism Adaptation and Neck Vibration for Unilateral Neglect in Patients of Chronic Stroke: A Randomised Controlled Trial\" [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786792","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}

{"title":"Oral Function, Frailty and Mortality in Older Adults: Evidence from the Chilean National Health Survey 2016-2017.","authors":"Gustavo Sáenz-Ravello, Mauricio Baeza, Laura Sáenz-Ravello, Carol Guarnizo-Herreño, Jorge Gamonal","doi":"10.3390/ijerph23040538","DOIUrl":"10.3390/ijerph23040538","url":null,"abstract":"<p><strong>Background: </strong>Oral health is an often-overlooked component of healthy ageing, as a sign of cumulative functional decline. This study explored the association between oral functional status and all-cause mortality.</p><p><strong>Methods: </strong>This was a secondary analysis of the 2016-2017 Chilean National Health Survey linked to mortality records through December 31, 2022. In total, 223 participants aged ≥ 60 years were included (<i>N</i> = 1,016,557). Minimum dentition (MD) was defined as ≥10 teeth, prosthesis use was self-reported, and frailty was assessed using a modified Fried phenotype. Survey-weighted Cox models estimated associations with all-cause mortality, adjusting for age, sex, area, education, frailty, diabetes, and hypertension.</p><p><strong>Results: </strong>In the survey-weighted Cox model, each category representing MD and/or prosthesis use was associated with lower mortality hazards compared with the reference group (<10 teeth and no prostheses): prostheses only (HR 0.17, 95% CI 0.05-0.61), MD only (HR 0.16, 95% CI 0.04-0.74), and MD with prostheses (HR 0.08, 95% CI 0.01-0.46). Increasing age and rural residence were associated with higher mortality hazards, whereas estimates for sex, education, frailty, diabetes and hypertension were imprecise and generally compatible with no clear association.</p><p><strong>Conclusions: </strong>These findings are hypothesis-generating and support further evaluation of oral functional status as a marker of broader health vulnerability in aged Chileans.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822750","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}

{"title":"The Mediating Role of Burnout and Secondary Traumatic Stress in the Relationship Between Perceived Stress and Quality of Life Among Nurses.","authors":"Marin Mamić, Tihomir Jovanović, Božica Lovrić, Gabriela Katharina Pomper, Ivana Mamić, Ivana Barać, Robert Lovrić, Goranka Rafaj, Danijela Kumpović, Ivan Vukoja","doi":"10.3390/ijerph23040540","DOIUrl":"10.3390/ijerph23040540","url":null,"abstract":"<p><p>(1) Background: Nurses are exposed to occupational stressors that may impair their well-being and quality of life. This study examined whether burnout and secondary traumatic stress mediate the relationship between perceived stress and physical and psychological quality of life. (2) Methods: A cross-sectional study included 294 nurses employed at the Clinical Hospital Center Osijek, Croatia. Data were collected using the Perceived Stress Scale (PSS-10), the Burnout and Secondary Traumatic Stress subscales of the Professional Quality of Life Scale (ProQOL-5), and the physical and psychological domains of the WHOQOL-BREF. Pearson correlations and path analysis were used. (3) Results: Perceived stress showed significant negative effects on physical (β = -0.291; <i>p</i> < 0.001) and psychological quality of life (β = -0.217; <i>p</i> < 0.001), and positive effects on burnout (β = 0.230; <i>p</i> < 0.001) and secondary traumatic stress (β = 0.171; <i>p</i> = 0.002). Burnout significantly mediated both relationships, while secondary traumatic stress did not. The model explained 20.8% and 19.3% of variance in physical and psychological quality of life. (4) Conclusions: Burnout represents an important pathway linking perceived stress with poorer quality of life among nurses.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822648","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}

{"title":"Urban Homelessness in California: A Multicity Analysis of Structural Constraints and Policy Implementation.","authors":"Peter G Kreysa","doi":"10.3390/ijerph23040537","DOIUrl":"10.3390/ijerph23040537","url":null,"abstract":"<p><p>Across California, the seven largest cities-Los Angeles, San Diego, San Jose, San Francisco, Fresno, Sacramento, and Long Beach-carry a disproportionate share of the state's homelessness crisis, even though they operate under the same statewide policy framework. Each city's homelessness system reflects its own history, political climate, and housing market conditions, and this study shows that a common set of structural forces especially severe housing scarcity, fragmented behavioral-health systems, and uneven local capacity shapes homelessness across these urban areas while producing different outcomes on the ground. Drawing on multidisciplinary research, statewide policy analyses, and municipal data, the analysis compares how cities interpret and implement key interventions, including permanent supportive housing, interim shelter expansion, prevention strategies, and enforcement-oriented responses. The findings make clear that California's homelessness crisis cannot be reduced to a single cause; instead, understanding it requires a systems-oriented perspective that accounts for the intertwined economic, social, and policy forces shaping conditions in each community. By situating city-level strategies within broader statewide patterns, the study identifies points of convergence and divergence, as well as persistent structural constraints that limit the effectiveness of current responses, underscoring the need for coordinated, scalable, and context-responsive policy solutions.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822748","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}

{"title":"RETRACTED: Khalil-ur-Rehman et al. Impact of Substantive Staging and Communicative Staging of Sustainable Servicescape on Behavioral Intentions of Hotel Customers through Overall Perceived Image: A Case of Boutique Hotels. <i>Int. J. Environ. Res. Public Health</i> 2021, <i>18</i>, 9123.","authors":"Khalil-Ur-Rehman, Mohammad Adnan, Naveed Ahmad, Miklas Scholz, Muhammad Khalique, Rana Tahir Naveed, Heesup Han","doi":"10.3390/ijerph23040533","DOIUrl":"https://doi.org/10.3390/ijerph23040533","url":null,"abstract":"<p><p>The journal retracts the article titled \"Impact of Substantive Staging and Communicative Staging of Sustainable Servicescape on Behavioral Intentions of Hotel Customers through Overall Perceived Image: A Case of Boutique Hotels\" [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786849","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}

{"title":"Out of Sight: Sex Differences in Public and Semi-Public Drug Use Settings Among People Who Use Opioids in Baltimore, Maryland.","authors":"Carl A Latkin, Lauren Dayton, Ananya Bhaktaram, Melissa A Davey-Rothwell, Haley Bonneau, Grace Tian Yi, Oluwaseun Falade-Nwulia","doi":"10.3390/ijerph23040534","DOIUrl":"10.3390/ijerph23040534","url":null,"abstract":"<p><strong>Background: </strong>Drug use settings are critical determinants of overdose risk and other drug-related harms. Although sex differences in drug use patterns are well documented, less is known about sex differences in the types of locations where people use drugs. This study examined sex differences in drug use settings among people who use opioids.</p><p><strong>Methods: </strong>Data were from the baseline survey of the OASIS project, a community-based study conducted in Baltimore, Maryland (N = 869), focusing on 9 specific types of locations where participants reported drug use in the past 30 days: their own residence, someone else's residence, street, alley, park, abandoned building, public restroom, car, and other locations. Bivariate and multivariable logistic regression models examined associations between sex and drug use settings, adjusting for age, race, education, homelessness, and frequency of drug use.</p><p><strong>Results: </strong>The sample included 346 women and 523 men. In adjusted models, women had significantly lower odds than men of using drugs on the street (aOR = 0.49, 95% CI 0.35-0.70), in alleys (aOR = 0.50, 95% CI 0.35-0.69), parks (aOR = 0.57, 95% CI 0.42-0.78), abandoned buildings (aOR = 0.53, 95% CI 0.38-0.75), cars (aOR = 0.55, 95% CI 0.41-0.73), and other locations (aOR = 0.59, 95% CI 0.37-0.94). Sex was not significantly associated with drug use at one's own residence or someone else's residence.</p><p><strong>Conclusions: </strong>Women who use opioids were significantly less likely than men to use drugs in public and semi-public settings, which may reflect gendered patterns of stigma, interpersonal violence, and safety concerns. Harm reduction programs should focus on making current drug use settings safer and developing additional safer settings with an emphasis on addressing barriers for women to access harm reduction services, including women-centered overdose prevention centers and household-based overdose response training.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822773","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}

{"title":"Diet Cost and Affordability in Queensland: A Two-Year Cross-Sectional Study.","authors":"Renae Earle, Tessa Kenney, Kora Uhlmann, Meron Lewis, Nicola Malone, Martin O'Flaherty, Simone Nalatu","doi":"10.3390/ijerph23040535","DOIUrl":"10.3390/ijerph23040535","url":null,"abstract":"<p><p>Diet affordability is a critical determinant of food security, health and wellbeing. However, the cost and affordability of diets have not been routinely measured in Queensland (Australia) in over a decade. This study assessed the cost and affordability of healthy (based on national healthy eating guidelines) and habitual (less healthy, based on national reported intake) diets across six Queensland regions. Data were collected in 35 communities, over two years (2023 and 2024), using the evidence-based Healthy Diets Australian Standardised Affordability and Pricing protocol. Data were analyzed relative to a six-person intergenerational Aboriginal and Torres Strait Islander reference household. Results indicate that, across Queensland, healthy diet costs are above the threshold for food stress in Aboriginal and Torres Strait Islander households. On average, healthy diets were 30% cheaper than the habitual diet (which include alcohol and takeaway foods) but cost at least 26% of household income (above the 25% threshold for food stress). In 2023, healthy diets were on average 31% more expensive in remote communities compared to urban and regional centers. In 2024, the cost of a healthy diet in remote communities decreased significantly by 24%, narrowing diet cost differences between remote and non-remote regions. This shift could be associated with the implementation of a freight subsidy in remote Queensland, or other influences on remote food pricing. Findings highlight diet-related cost-of-living challenges for Aboriginal and Torres Strait Islander families, underscore the need for ongoing monitoring and provide insight for policy interventions (such as targeted subsidies) to improve diet affordability and reduce nutrition-related health inequity.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822636","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}

{"title":"Evaluation of a National Breast Cancer Screening Program in a Middle-Income Country: The Case of Kazakhstan.","authors":"Yuliya Semenova, Zhandos Burkitbayev, Sanzhar Shalekenov, Oxana Shatkovskaya, Gauhar Dunenova, Alma Zhylkaidarova, Azat Chinaliyev, Baurzhan Anapiya, Asel Sadvakassova, Ayan Yerekesh, Zhadyra Karashutova, Almira Manatova, Lyudmila Pivina","doi":"10.3390/ijerph23040532","DOIUrl":"10.3390/ijerph23040532","url":null,"abstract":"<p><p>Breast cancer (BC) is the most common cancer in Kazakhstan, and a population-based breast cancer screening program was introduced in 2008, initially targeting women aged 50-60 years. It was subsequently expanded in 2018 to include women aged 40-70 years. This study evaluates the national BC screening program from its introduction in 2008 onward, focusing on program outputs, outcomes, and associated expenditures. Several administrative datasets and official sources were analyzed, including the legislative acts database, analytical reports on cancer screening programs, and cancer reporting forms. Trends in key indicators were summarized using the average annual percent change (AAPC). From the program's inception, the absolute number of women screened increased steadily, with an AAPC of 6.23%. In contrast, the proportion of eligible women covered by screening declined over time, particularly following the expansion of the target age groups in 2018. Stage I BC detected through screening accounted for only about 50% of all stage I BC cases diagnosed nationwide, while the contribution of screening to stage II cancers was below 30%. Neither the introduction nor the subsequent expansion of the BC screening program was associated with statistically significant immediate or trend changes in national BC incidence or mortality rates. These findings may inform evidence-based discussions on potential refinements to BC screening policy and practice in Kazakhstan.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822661","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}

{"title":"The Enforcement of Intimate Image Offences and the Effectiveness of Victim Services in Taiwan: A Qualitative Study Using Reflexive Thematic Analysis.","authors":"Wen-Ling Hung","doi":"10.3390/ijerph23040525","DOIUrl":"10.3390/ijerph23040525","url":null,"abstract":"<p><p>(1) Background: The non-consensual dissemination of intimate images constitutes a severe form of online gender-based violence (OGBV) that inflicts profound harm on victims' sexual privacy, psychological well-being, and social functioning. Taiwan enacted comprehensive legislative reforms in 2023-commonly referred to as the \"Four Acts on Sexual Violence Prevention\"-to strengthen criminal responses and expand victim protection mechanisms. However, the extent to which these reforms have translated into effective frontline practice remains insufficiently examined. (2) Methods: This qualitative study employed reflexive thematic analysis to investigate frontline professionals' experiences with enforcing intimate image offence legislation and delivering victim support services. Semi-structured, in-depth interviews were conducted with 20 practitioners, including social workers, police officers, prosecutors, and lawyers. (3) Results: Three superordinate themes emerged across macro, meso, and micro structural levels. At the macro level, limited public awareness and persistent victim-blaming attitudes undermine prevention, help-seeking, and reporting. At the meso level, legislative fragmentation, challenges in preserving and analysing digital evidence, and inter-agency coordination gaps constrain enforcement capacity. At the micro level, procedural delays, risks of secondary victimization, and perceived inadequacies in compensation and support mechanisms weaken victims' trust in institutional responses. (4) Conclusions: While Taiwan's legislative reforms represent a significant institutional advancement, legal reform alone is insufficient to address digital sexual violence effectively. Comprehensive responses require integrated public education initiatives, enhanced inter-agency coordination, strengthened digital investigation capacity, and trauma-informed victim protection practices across all structural levels. In particular, the findings underscore an urgent public health need to establish rapid digital evidence preservation and takedown mechanisms to limit the proliferation of non-consensual sexual images and mitigate the associated mental health harms among victims.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"23 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13115819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822696","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}