International Journal of Environmental Research and Public Health最新文献

{"title":"Relationship Between Brazilian Dietary Patterns and the Global Syndemic: Data from the CUME Study.","authors":"Jéssica Bevenuto Mattar, Marcos Heil Costa, Ana Luiza Gomes Domingos, Helen Hermana Miranda Hermsdorff, Adriano Marçal Pimenta, Josefina Bressan","doi":"10.3390/ijerph22050805","DOIUrl":"https://doi.org/10.3390/ijerph22050805","url":null,"abstract":"<p><p>Global food systems are contributing to a shift toward unhealthy diets, which is linked to the three components of the global syndemic. This cross-sectional study evaluates how dietary patterns in Brazil are associated with the components of the global syndemic. Anthropometric and food intake data were obtained from the CUME Study-a prospective cohort conducted with a sample of Brazilian university graduates. BMI was used to assess obesity. Insufficient intake of micronutrients was considered undernutrition. Carbon, water, and ecological footprints were used to assess the environmental impact of dietary patterns. Dietary patterns were identified through principal components analysis. Linear regression models were used to evaluate associations between dietary patterns and the components of the global syndemic. The Unhealthy Dietary Pattern was positively associated with BMI and had the highest environmental impact. The Brazilian Dietary Pattern was also positively associated with BMI but had the lowest environmental impact. The Healthy Dietary Pattern was the most protective against micronutrient inadequacy. Diet affected the environment and people's health in this sample. The dietary patterns identified here as contributing to poor health and environmental damage can help the government develop policies that incorporate the costs of these effects into the prices of food.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Sedentary and Nutritional Behaviour Patterns in Relation to Overweight and Obesity Among Youth from Different Demographic Backgrounds in Saudi Arabia.","authors":"Anwar Al-Nuaim, Ayazullah Safi","doi":"10.3390/ijerph22050813","DOIUrl":"https://doi.org/10.3390/ijerph22050813","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of overweight and obesity has increased over the last three decades, becoming a major public health concern. This issue is particularly pressing in terms of the impact it has on the population of the Kingdom of Saudi Arabia (KSA). Thus, the aim of this research was to explore the nutritional and lifestyle habits of youth in the Al-Ahsa region of the KSA.</p><p><strong>Methods: </strong>This cross-sectional study included a total of 1270 secondary-school boys and girls (15-19 years) from all five of the Al-Ahsa Governorate districts. BMI and waist circumference measurements were recorded using anthropometric measurements, and the lifestyle-Arab Teens Lifestyle Survey (ATLS) was used to measure sedentary and eating habits.</p><p><strong>Results: </strong>Chi-square analysis revealed that a higher proportion of females (90.68%) than males (79.18%) exceeded two hours of daily sedentary time. Frequent sugary drink consumption (>3 times per week) was similar in males (67.40%) and females (66.11%). Students from different geographical locations showed significant differences in exceeding cut-off scores for fast food (χ² = 24.503, <i>p</i> < 0.001), cakes/doughnuts (χ² = 8.414, <i>p</i> = 0.015), sweets/candy (χ² = 19.613, <i>p</i> < 0.001), and energy drinks (χ² = 21.650, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>Al-Ahsa is the largest governorate in the KSA. It has some of the largest health risks regarding obesity and poor lifestyle habits. This study highlights the major need for future research and policy interventions.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurodegenerative Disease and Association Football (NDAF): Systematic Review and Meta-Analysis.","authors":"Nathan E Howarth, Chen Ji, John Batten, Alan J Pearce, Helen Dawes, Adam J White, Gabriele DeLuca, Samantha Bureau, Christopher J Nowinski, Michelle A Miller","doi":"10.3390/ijerph22050806","DOIUrl":"https://doi.org/10.3390/ijerph22050806","url":null,"abstract":"<p><p>There is increasing concern that head injuries in Association Football (or soccer) may lead to adverse health outcomes. The aim of this study was to determine whether head impacts or injuries are associated with an increased risk of neurodegenerative disease. We performed a systematic search using PubMed, Embase, and Ovid (up to April 2025). Studies included investigated neurodegenerative diseases in football in comparison to control athletic and general populations. Data were extracted according to PRISMA guidelines. Studies with an odds ratio (OR) were included in the meta-analysis. A total of ten studies were included in this review, of which nine were suitable for meta-analysis from eight cohorts. The risk for developing any neurodegeneration was 1.69 OR (95%CI 1.11 to 2.59; <i>p</i> = 0.01); for Dementia, it was 2.16 OR (95%CI 1.60 to 2.93; <i>p</i> < 0.01; for Motor Neurone Disease (MND), it was 1.39 OR (95%CI 0.67 to 2.53; <i>p</i> = 0.21); for Parkinson's Disease (PD), it was 1.14 OR (95%CI 0.55 to 2.89; <i>p</i> = 0.79). Heterogeneity was reduced following the removal of two studies and the revised risk scores for any neurodegenerative disease; Dementia increased, with that for MND reaching significance, 1.81 OR (95%CI 1.22 to 2.30; <i>p</i> = 0.01), but there remained no association with PD. Evidence suggests that professional football significantly increases the odds of neurodegenerative disease.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Effectiveness of Strategies Addressing Environmental Noise: A Systematic Literature Review.","authors":"Nick Verhaeghe, Bo Vandenbulcke, Max Lelie, Lieven Annemans, Steven Simoens, Koen Putman","doi":"10.3390/ijerph22050803","DOIUrl":"https://doi.org/10.3390/ijerph22050803","url":null,"abstract":"<p><p>Environmental noise, a significant public health concern, is associated with adverse health effects, including cardiovascular diseases, cognitive impairments, and psychological distress. Noise reduction strategies are essential for mitigating these effects. Despite evidence of their health benefits, limited information exists on the cost-effectiveness of such strategies to guide resource allocation. This study systematically reviewed economic evaluation studies of interventions aimed at reducing environmental noise to assess their cost-effectiveness and inform policymaking. A systematic review following PRISMA 2020 guidelines was conducted across MEDLINE, EMBASE, and Web of Science. Eligible studies were full economic evaluations addressing environmental noise reduction strategies, assessing both costs and health effects. Screening and data extraction were performed independently by two reviewers. Quality appraisal employed the CHEERS 2022 checklist. Narrative synthesis was used to analyze findings due to heterogeneity in study designs, methodologies, and outcomes. Costs were standardized to 2024 euros. From 2906 identified records, five studies met the inclusion criteria, primarily focused on traffic-related noise. Three studies conducted cost-utility analyses, and two employed cost-benefit analyses. Reported interventions included sound insulation, take-off trajectory adjustments, and noise barriers. Economic evaluations varied significantly in methodologies, cost categories, and health outcomes. The health economic studies yielded mixed results, ranging from findings that demonstrated cost-effectiveness to those where the costs exceeded the benefits. There are currently too few health economic evaluations to draw robust conclusions about the cost-effectiveness of environmental noise mitigation strategies. Future research should adopt standardized approaches and robust sensitivity analyses to enhance evidence quality, enabling informed policy and resource allocation decisions.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Impairment Among Drug-Resistant Tuberculosis Patients in Rural Eastern Cape: A Retrospective Analysis of Audiometric Findings.","authors":"Lindiwe Modest Faye, Mojisola Clara Hosu, Ntandazo Dlatu, Vatiswa Henge-Daweti, Teke Apalata","doi":"10.3390/ijerph22050810","DOIUrl":"https://doi.org/10.3390/ijerph22050810","url":null,"abstract":"<p><p>Hearing loss (HL) is a major global health concern, with drug-induced ototoxicity contributing significantly, particularly in patients undergoing treatment for drug-resistant tuberculosis (DR-TB). In South Africa, where both TB and HIV are prevalent, the risk of treatment-related auditory damage is especially high. This study aimed to assess the prevalence and predictors of hearing impairment among DR-TB patients in rural Eastern Cape, South Africa. A retrospective analysis was conducted on 438 DR-TB patients treated between 2018 and 2020, using pure tone audiometry (PTA) to assess hearing status post-treatment. Demographic, clinical, and lifestyle data were extracted from patient records and analyzed using logistic regression. The overall prevalence of hearing loss was 37.2%. Risk was significantly associated with an older age, a male gender, DR-TB classification (MDR, pre-XDR, and XDR), unsuccessful treatment outcomes, and substance use. Prevalence of HL increased notably in patients aged 70 and older. Lifestyle factors, particularly combined use of tobacco, alcohol, and drugs, were linked to higher odds of HL. These findings underscore the need for routine audiometric screening and personalized treatment monitoring in DR-TB care, especially for high-risk populations. Early identification of ototoxicity risk factors can inform safer treatment regimens and improve patient outcomes in resource-limited settings.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Horizon Scan of Neurotechnology Innovations.","authors":"Shona Haston, Sean Gill, Katie Twentyman, Elizabeth Green, Opeyemi Agbeleye, Claire Eastaugh, Dawn Craig, Sonia Garcia Gonzalez-Moral, Andrew Mkwashi","doi":"10.3390/ijerph22050811","DOIUrl":"https://doi.org/10.3390/ijerph22050811","url":null,"abstract":"<p><p>Neurotechnology is a rapidly emerging field with vast potential within healthcare, but also has inherent concerns. There is, therefore, a need to ensure the responsible and ethical development and regulation of these technologies. This horizon scan aimed to provide an overview of neurotechnologies in development and those approved by the FDA as of June 2024 for a range of conditions relating to mental health, healthy ageing, and physical disability. Searches of clinical trials, conferences, journals, and news were performed in March 2024. Relevant technologies were identified through a process of screening, data extraction and synthesis. A total of 81 unique neurotechnologies were identified, with 23 relating to mental health, 31 to healthy ageing, and 42 to physical disability. A total of 79% percent did not yet have FDA approval and 77.4% were at earlier stages of development (pilot/feasibility studies), with 22.6% at pivotal or post-market stages. Digital elements were common features of the technologies, including software, apps, and connectivity to other devices; however, there were only three technologies with an identifiable AI component. A complex regulatory landscape and unique ethical and safety concerns associated with neurotechnology could pose challenges to innovators, though the emerging nature of the field also provides an opportunity to pre-emptively address potential issues.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of Patient Satisfaction with Quality of Primary Healthcare in Almaty During COVID-19 Pandemic.","authors":"Dinara Shaki, Gulshara Aimbetova, Venera Baysugurova, Marina Kanushina, Aigerim Chegebayeva, Muratkhan Arailym, Erkebulan Merkibekov, Indira Karibayeva","doi":"10.3390/ijerph22050804","DOIUrl":"https://doi.org/10.3390/ijerph22050804","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to assess patient satisfaction with the quality of healthcare services at selected public primary healthcare facilities in Almaty during the COVID-19 pandemic and to identify associated demographic and facility-related factors.</p><p><strong>Methods: </strong>A cross-sectional, quantitative study was conducted over a period of 6 months, from 30 June to 31 December 2021, through a web-based survey. An adapted questionnaire was employed to survey the respondents. In total, 1035 respondents participated in the study. To examine the relationship between demographic and facility characteristics and patient satisfaction, we utilized the proportional odds model for ordinal logistic regression.</p><p><strong>Results: </strong>A total of eight primary healthcare organizations from the public sector in Almaty participated in the survey. The analysis identified significant demographic predictors of patient satisfaction, such as marital status, social status, self-perceived health, and the use of online consultations. Among the facility-related factors, only the availability of a cross-ventilation system emerged as a significant predictor.</p><p><strong>Conclusions: </strong>This study provides evidence for the factors influencing patient satisfaction with primary healthcare services in Almaty during the COVID-19 pandemic. Both demographic characteristics and facility-level attributes were found to significantly affect satisfaction levels. These findings underscore the need for targeted structural and organizational improvements in primary healthcare settings, especially during public health emergencies. Addressing these gaps through infrastructural upgrades, enhanced preparedness, and the integration of patient-centered care models can help to bolster trust and resilience within Kazakhstan's healthcare system.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players.","authors":"Corlia Janse van Vuuren, Zanette Lowe, Karen Bodenstein","doi":"10.3390/ijerph22050807","DOIUrl":"https://doi.org/10.3390/ijerph22050807","url":null,"abstract":"<p><p>Aligned with the worldwide shift towards promotional and preventative health care, the South African government has introduced a re-engineered primary health care plan, facilitated through a National Health Insurance (NHI) platform. Community health workers (CHWs) are key role-players in most universal health care systems. This article shares insider perspectives from 31 CHWs in one of the South African NHI pilot districts. Based on their perspectives, the authors share recommendations to strengthen the NHI plan. Recommendations comprise of the inclusion of a dedicated CHW team leader and reporting nurse, ongoing CHW education and training with an accompanying portfolio of evidence, and awareness campaigns on the role of CHWs within the South African re-engineered primary health care plan and NHI platform.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic Evaluation of Proactive PTSI Mitigation Programs for Public Safety Personnel and Frontline Healthcare Professionals: A Systematic Review and Meta-Analysis.","authors":"Hadiseh Azadehyaei, Yue Zhang, Yan Song, Tania Gottschalk, Gregory S Anderson","doi":"10.3390/ijerph22050809","DOIUrl":"https://doi.org/10.3390/ijerph22050809","url":null,"abstract":"<p><p>Public safety personnel and frontline healthcare professionals are at increased risk of exposure to potentially psychologically traumatic events (PPTEs) and developing post-traumatic stress injuries (PTSIs, e.g., depression, anxiety) by the nature of their work. PTSI is also connected to increased absenteeism, suicidality, and performance decrements, which compromise occupational and public health and safety in trauma-exposed workers. There is limited evidence on the cost effectiveness of proactive \"prevention\" programs aimed at reducing the risk of PTSIs. The purpose of this meta-analysis is to measure the economic effectiveness of proactive PTSI mitigation programs among occupational groups exposed to frequent occupational PPTEs, focusing on the outcomes related to PTSI symptoms, absenteeism, and psychological wellness. Findings from 15 included studies demonstrate that proactive interventions can yield substantial economic and health benefits, with Return On Investment (ROI) values ranging widely from -20% to 3560%. Shorter interventions (≤6 months) often produced higher returns, while longer interventions (>12 months) showed more moderate or negative returns. Notably, the level at which an intervention is targeted significantly affects outcomes-programs aimed at managers, such as the 4 h RESPECT training course, demonstrated a high ROI and broad organizational impact by enhancing leadership support for employee mental health. Sensitivity analyses highlighted significant variability based on the organizational context, program design, and participant characteristics. The majority of proactive interventions successfully reduced psychological distress and enhanced workplace outcomes, although thoughtful consideration of program design and implementation context is essential.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EAT-Lancet Diet Components Acquisition According to Food Insecurity and Poverty Status in Brazil: An Analysis of National Household Budget Survey 2017-2018.","authors":"Eduardo De Carli, Mariana Alves Ferreira, Lucas de Almeida Moura, Valéria Troncoso Baltar, Dirce Maria Lobo Marchioni","doi":"10.3390/ijerph22050808","DOIUrl":"https://doi.org/10.3390/ijerph22050808","url":null,"abstract":"<p><p>The EAT-Lancet diet outlines target consumption for specific food components but overlooks accessibility and cost issues, which may hinder adherence among vulnerable populations. This study examines the acquisition profile of EAT-Lancet diet components by food security and poverty status, using data from 57,920 households in the 2017-2018 Brazilian Household Budget Survey. Poverty and food insecurity were defined according to the World Bank per capita income cutoffs and the Brazilian Food Insecurity Scale, respectively. Food acquisition was classified into 15 EAT-Lancet diet components and expressed as per capita daily averages (g, % of total available energy, and % of food expenditure), by food security and poverty strata. Brazilian households were 37.9% food-insecure and 12% poor. Compared to more privileged counterparts, these households prioritized the acquisition of staples like refined cereals and legumes over most EAT-Lancet diet adequacy components, such as fruits, vegetables, whole grains, nuts, and peanuts. While lower energy shares from moderation components were only slightly evident for red meat and dairy among food-insecure households, pronounced reductions in added sugars and vegetable oils were seen among the poor. These findings suggest that public policies should synergically address particularities of different deprivation contexts to promote sustainable diets in Brazil.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}