International Journal of Environmental Research and Public Health最新文献

{"title":"Illicit Drug Use and Sociodemographic Correlates Among Adolescents in a Brazilian Metropolitan Region: A School-Based Cross-Sectional Study.","authors":"Luíza Eduarda Portes Ribeiro, Luisa Sorio Flor, Carlos Augusto Lopes, Franciéle Mabotti Costa Leite","doi":"10.3390/ijerph22091373","DOIUrl":"10.3390/ijerph22091373","url":null,"abstract":"<p><p>(1) Introduction: Drug use among adolescents remains persistent, including in school settings, thus requiring attention. This study analyzed the prevalence of drug experimentation and current use among high school students and their associated factors. (2) Methods: An analytical cross-sectional study was conducted in 2023 with 4610 students from public and private high schools in the Metropolitan Region of Grande Vitória, Brazil. Data were collected using tablets and a questionnaire. Sociodemographic variables were considered. Bivariate analyses and Poisson regression were used. (3) Results: Drug experimentation was reported by 22% of students (23.5% girls; 19.8% boys), and current use by 8.7% (9.2% girls; 8.0% boys). Higher lifetime use was observed among older adolescents (RP: 1.44) and those from higher socioeconomic classes (RP: 1.24). Statistically significant associations were found in LGBTQIAPN+ students (RP: 1.54 experimentation; RP: 1.76 current use) and Black students (RP: 1.33; 1.59). Being in a relationship (RP: 1.41; 1.42), currently working (RP: 1.36; 1.62), and having separated parents (RP: 1.29; 1.37) were also associated. (4) Conclusions: The high prevalence of drug use among adolescents highlights the need for targeted public policies, especially school-based actions promoting mental health, diversity, and racial equity. This study identifies vulnerable subgroups at greater risk.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179895","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":"Factors Preventing Students with Disabilities from Participating in Sports at Rural Universities in Limpopo Province.","authors":"Tobias Johannes Mokwena, Takalani Grace Tshitangano, Shonisani Elizabeth Tshivhase","doi":"10.3390/ijerph22091370","DOIUrl":"10.3390/ijerph22091370","url":null,"abstract":"<p><p>Students with disabilities face challenges that limit their participation in sports activities designed to promote social cohesion. This study examined factors that discourage students with disabilities from engaging in sports at rural universities in Limpopo Province. A qualitative research approach with an exploratory design was employed. Purposive sampling was used to select participants. Trustworthiness was ensured through measures of credibility, confirmability, transferability, and dependability. Credibility was established through prolonged engagement with participants during the data collection process. Confirmability was maintained by transcribing interview recordings verbatim without alterations. Transferability was supported by employing an appropriate study approach, design, target population, and inclusion criteria. Dependability was ensured by minimizing bias in participant selection. Data were collected through semi-structured interviews with sixteen students with disabilities, ten staff members from disability units at rural universities, and three staff members from sports and recreation units. Ethical principles-including informed consent, anonymity, privacy, confidentiality, and harm prevention-were consistently upheld throughout the study. Data analysis was conducted using a thematic reflexive analysis approach. Five main themes emerged: perceptions of including students with disabilities in sports programs; barriers preventing their participation; university support for students with disabilities interested in sports; the importance of engaging in sports programs; and interventions to encourage participation among students with disabilities. People with disabilities experience social exclusion, discrimination, and a lack of trained staff to support them in sports. The development and implementation of inclusive sports facilities can help address the challenges that prevent people with disabilities from participating in sports programs. An intersectoral approach is needed to ensure that people with disabilities participate in sports activities that promote a healthy lifestyle at universities.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179964","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":"Trauma-Informed Understanding of Depression Among Justice-Involved Youth.","authors":"Richard Dembo, Alexis Swezey, Rachel Herrera, Luz Melendez, Camille Geiger, Kerry Bittrich, Jennifer Wareham, James Schmeidler","doi":"10.3390/ijerph22091371","DOIUrl":"10.3390/ijerph22091371","url":null,"abstract":"<p><p>The association between adverse childhood experiences (ACEs) and depression has been the focus of a number of prevalent studies in recent years-particularly among high-risk youth. Depression remains a significant mental health issue among justice-involved youth. There is a well-established correlation between depressed mood and conduct problems (e.g., conduct disorder and oppositional defiant disorder) during childhood and adolescence, which tends to become more prevalent during adolescence. Studies of justice-involved youth reveal high prevalence rates of depression and other mood disorders. Drawing on the relevant literature, we conducted multigroup structural equation model (SEM) analyses to assess the relationships between experiencing ACEs, sexual assault victimization, and depression among male (<i>n</i> = 226) and female (<i>n</i> = 98) youth entering a post-arrest intake facility in the Florida, U.S.A. juvenile justice system in 2024-2025. The youths averaged 15 years in age, and most were attending middle school or high school. Confirmatory factor analyses (CFAs) were completed to estimate a latent variable labeled depression. Sexual assault victimization and ACEs were hypothesized to be related to each other and were specified as predictors of depression. This trauma/stress experiences and depression model was estimated in two multigroup analyses, across birth gender groups (male or female) and race groups (non-Black or Black) for the youth in this study. The results indicated that there are several notable conclusions from the SEM analyses. First, depression was a scalar invariant in the two multigroup analyses, permitting clearer comparisons of the specified predictors of this construct across groups. Second, for the race-based SEM, experience of sexual assault and the total ACE score were significantly related only in the model for Black youth. The fit of the model was \"poorest\" among non-Black youth, although even in this case, sexual assault experiences were a significant predictor of depression. Finally, for the gender-based model, sexual assault and ACEs were significant predictors of depression among both male and female youth. Model fit results underscore the important role of abuse trauma and ACEs in understanding these youths' depression symptoms, and they help contribute to the literature on this topic.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179878","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":"Determinants of Caregiving Subgroups for Mexican American Caregivers Assisting Older Adults at Home and Their Influence on Perceived Stress.","authors":"Karen E Schlag, Xiaoying Yu, Soham Al Snih, Monique R Pappadis","doi":"10.3390/ijerph22091374","DOIUrl":"10.3390/ijerph22091374","url":null,"abstract":"<p><p>Patterns of family caregiving of older adults have been identified based on aspects such as care-related tasks and intensity and are associated with caregiver well-being. A gap remains, however, in understanding how individual-, relational-, and cultural-level factors concurrently inform caregiving groups within multicultural families. In this study, we identified caregiving patterns among Mexican American individuals aiding older adults by drawing from a variety of care recipient and caregiver characteristics. We also assessed relationships between established subgroups and perceived caregiver stress. Using data from the 2016 Hispanic Established Populations for the Epidemiological Study of the Elderly (Caregiver supplement, Wave 9, N = 460), we performed latent class analysis to determine caregiving subgroups from 8 indicator variables representing patient needs, family characteristics, and caregiver health and support. Findings identified four caregiving subgroups that varied based on older adults' care needs and caregivers' family status, nativity, and health. Results from multivariable linear regression indicated that caregivers from the <i>Moderate Burden/Non-cohabitating</i> group perceived significantly less stress than those in the <i>Elevated Burden & Health Risk</i> group. In conclusion, we demonstrated how multi-level factors shape caregiving patterns, which can inform support efforts for multicultural families.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179681","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":"Effect of Spherical Adsorptive Carbon Among Chronic Kidney Disease Patients: A Nationwide Cohort Study.","authors":"Dong Hui Shin, Keunryul Park, Jae Won Yang, Jun Young Lee","doi":"10.3390/ijerph22091365","DOIUrl":"10.3390/ijerph22091365","url":null,"abstract":"<p><p>Spherical Adsorptive Carbon (SAC), a type of oral sorbent, is prescribed to chronic kidney disease (CKD) patients to remove uremic toxins. However, evidence regarding its effectiveness in delaying chronic kidney disease (CKD) progression remains insufficient. We aimed to evaluate the impact of SAC on CKD progression in patients with CKD stage 3 or higher using nationwide data. In this retrospective cohort study, we included patients diagnosed with CKD stage ≥3 from the Korea National Health Insurance System database between January 2020 and December 2022. Outcomes were compared between SAC users (N = 1289) and non-users (N = 1289) after 1:1 propensity score matching (PSM). After PSM, the time from index date to end-stage kidney disease (ESKD) was significantly longer in the SAC user group compared to the non-user group (246.8 days vs. 118.6 days, <i>p</i> < 0.001). In Cox regression analysis, the risk of ESKD was significantly lower in the SAC group (HR = 0.37, 95% CI: 0.29-0.48). However, the risk of dialysis initiation did not show a significant difference between the two groups (HR = 0.83, 95% CI: 0.27-2.59). This nationwide cohort study suggests that SAC treatment may delay progression from CKD stage 3 to ESKD, although it did not significantly reduce the risk of dialysis initiation.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179852","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":"Getting To(wards) Know(ing) Together: An Innovative Collaborative Approach in Residential Care for People with (Severe) Intellectual Disabilities and Behaviour That Challenges.","authors":"Gustaaf F Bos, Vanessa C Olivier-Pijpers, Alistair R Niemeijer","doi":"10.3390/ijerph22091368","DOIUrl":"10.3390/ijerph22091368","url":null,"abstract":"<p><p>People with moderate to severe intellectual disabilities (M/S ID) and behaviour that challenges are still almost exclusively encountered and understood within a highly specialized professional care system context. They are almost invisible in the societal mainstream, where a wider variety of perspectives on (everyday) manners, encounters, relationships and life applies. These (and other) exclusionary dynamics render everyday relations with residents with M/S ID whose behaviours challenge still largely dependent on the interpretative frameworks and actions of professionals. Professionals are trained and socialized within highly specialized professional care system contexts, despite a growing scientific and professional awareness that behaviour that challenges is a multifaceted and contextual phenomenon. In this paper, we report on a pioneering initiative (titled Project WAVE) which aimed to cultivate a fresh and comprehensive approach to behaviours that challenge within stagnant care practices. Our goal was to foster an innovative collaborative paradigm by facilitating an extensive and enduring exchange between \"insiders\"-professionals of specialized care system contexts-and \"outsider-researchers\"-individuals socialized through alternative avenues. We present our epistemological and methodological approach, the data collection process (a multiple case-informed community of practice), and the most important lessons learned.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179926","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 Gut Microbiota of Peruvian Children Under the Age of Two During the Complementary Feeding Period.","authors":"Ayat Kutbi, Junming Gong, Douglas Dluzen, Mihai Pop, Yuejin Li","doi":"10.3390/ijerph22091369","DOIUrl":"10.3390/ijerph22091369","url":null,"abstract":"<p><p>The gut microbiota plays a crucial role in early childhood development. Dysbiosis in this community has been linked to risk of disease. The transition from an exclusive milk-based diet to complementary feeding and eventual weaning is crucial for the development and maturation of the gut microbiota. However, the impact of breastfeeding duration during the complementary feeding period (typically 6 to 24 months of age) on microbial development trajectories remains incompletely characterized. Here, we investigated whether prolonged breastfeeding during the complementary feeding window influences gut microbiota succession by comparing children who continued breastfeeding with those who were fully weaned at the same ages. We analyzed 16S rRNA gene sequencing profiles of fecal samples collected from a cohort of Peruvian children at 6, 12, 18, and 24 months of age. Samples were categorized into two groups: a complementary feeding group (BF), which received both complementary foods and breast milk, and a post-weaning group (NBF), which had stopped receiving breast milk for over 7 days. We conducted both alpha and beta diversity to assess within- and between-sample microbial variation. Relative abundances of microbial taxa at the phylum and genus levels were also quantified. The results showed a clear age-related increase in both species richness and species evenness across early childhood, while BF had more gradual changes relative to NBF. Marked differences in community composition were observed between BF and NBF children at 12, 18, and 24 months, respectively. Children who continued breastfeeding maintained a <i>Bifidobacterium</i>-rich, lower-diversity microbiota for a longer period, whereas weaned children at the same age exhibited accelerated microbiota development toward an adult-like profile enriched in Bacteroidota and Bacillota (formerly Firmicutes). These findings suggest that breastfeeding during the complementary feeding period exerts a significant influence on gut microbiota development through the first two years of life, which is most likely independent of complementary food. The study provides potential implications for children's health and nutrition guidelines from a perspective of gut microbiota succession.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179951","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":"Sedentary Behavior, Physical Inactivity, and the Prevalence of Hypertension, Diabetes, and Obesity During COVID-19 in Brazil.","authors":"Jeferson Roberto Collevatti Dos Anjos, Igor Massari Correia, Chimenny Auluã Lascas Cardoso de Moraes, Jéssica Fernanda Corrêa Cordeiro, Atila Alexandre Trapé, Jorge Mota, Dalmo Roberto Lopes Machado, André Pereira Dos Santos","doi":"10.3390/ijerph22091367","DOIUrl":"10.3390/ijerph22091367","url":null,"abstract":"<p><strong>Objectives: </strong>To analyze, across the periods before, during, and after the implementation of Social Isolation and Distancing Measures (IMDIS): (a) changes in the prevalence of non-communicable chronic diseases (NCDs), stratified by age group in the Brazilian population; and (b) the association between physical inactivity (PI), insufficient moderate-to-vigorous physical activity (MVPA), and sedentary behavior (SB) with the occurrence of these conditions. This cross-sectional study used data from VIGITEL (Brazil's Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Survey), an annual population-based telephone survey conducted across the country. Data were collected in 2019, 2021, and 2023, with a total sample size of 101,226 participants. Arterial hypertension (AH) and diabetes mellitus (DM) were self-reported, and obesity (OB) was diagnosed using body mass index. PI, insufficient MVPA, and SB were identified via VIGITEL indicators. Chi-square tests assessed differences in prevalence overall and by age group. Logistic regression models estimated odds ratios (ORs) for associations between demographic variables, behavioral factors, and the studied periods. The prevalence of AH and DM was highest among individuals over 60 years, reaching 61% after IMDIS, a period when OB also peaked across all age groups. Individuals aged 30-59 and those over 60 had higher odds of AH, DM, and OB across all periods. Female participants had higher ORs for AH and DM both before and after IMDIS. PI and insufficient MVPA were associated with increased odds of AH, DM, and OB in all periods, while SB significantly elevated the OR for OB at all time points. After IMDIS, there was an increase in the prevalence of AH, DM, and OB among older adults and younger individuals. PI, insufficient MVPA, SB, and advanced age were all associated with a greater likelihood of NCDs at every stage of the study. The high post-IMDIS rates of AH, DM, and OB highlight the need for urgent public health strategies. Low-cost programs, such as live videos and online group sessions, should be included in national physical activity guidelines. These initiatives are affordable, aligned with WHO goals, and reduce PI in IMDIS scenarios. Incorporating them into Academia da Saúde and Agita Brasil strengthens NCD prevention and increases the resilience of the health system for future health crises.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179751","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":"Noise Annoyance and Sleep Disturbance Due to Road Traffic and Railway Noise in Germany.","authors":"Sarah Leona Benz, Julia Kuhlmann, Jonas Bilik, Manfred Liepert, Dirk Schreckenberg","doi":"10.3390/ijerph22091366","DOIUrl":"10.3390/ijerph22091366","url":null,"abstract":"<p><p>Environmental noise exposure is omnipresent, but the type of noise source and its appraisal may differ in varying contexts. For instance, studies have found significant differences in annoyance ratings between urbanisation levels. In this article, a re-analysis of existing survey data is presented, assessing noise annoyance and sleep disturbance from road traffic and railway noise in a random sample stratified by rural, suburban, and inner-city areas. Noise exposure was estimated using modelled <i>L</i>_den and <i>L</i>_night levels. Exposure-response curves showed greater annoyance at lower road traffic noise levels compared to the WHO guidelines (10% highly annoyed at 35 dB <i>L</i>_den vs. WHO 53 dB <i>L</i>_den). Railway noise annoyance aligned with the WHO estimates; however, sleep disturbance was lower at comparable exposure levels (3% highly sleep-disturbed at 53 dB <i>L</i>_night vs. WHO 44 dB). This re-analysis provides robust exposure-response relationships. The findings indicate higher levels for road traffic noise annoyance in Germany compared to international standards. A resulting policy implication is to link regular population surveys to noise action planning as a form of public participation. This approach enables the development of measures tailored to local conditions and supports the estimation of potential impacts, such as the number of people who may benefit from reduced noise exposure.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179816","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":"Impacts of Ambient Temperatures on Pediatric Anemia in Sub-Saharan Africa: A Regional Ecological Study.","authors":"Muhammad A Saeed, Adeena Zaidi, Mohammad R Saeed, Harris Khokhar, Binish Arif Sultan, Sami Khan, Adam Dawer, Haris Majeed","doi":"10.3390/ijerph22091364","DOIUrl":"10.3390/ijerph22091364","url":null,"abstract":"<p><p>Anemia has been a growing concern for the pediatric population in sub-Saharan Africa. Emerging risk factors for anemia under five years of age in low-income countries are multifaceted, including infectious diseases, nutritional deficiencies, hidden hunger, and various economic determinants, and its health burdens include childhood stunting and reduced cognitive function diminished school performance in children. However, the influence of climatic factors, particularly ambient temperatures, on pediatric anemia remains understudied. In this population-based study, we assess the region-specific associations between pediatric anemia and ambient temperatures in 43 countries in Africa from 2000 to 2019. Using generalized linear regression models (upon adjusting for covariates), we found that the risk of temperatures on pediatric anemia varies across four African regions, whereby the Central and Southern African regions have a positive association between pediatric anemia and ambient temperatures, and Western and Eastern regions are negatively affected. The study aims to provide evidence to stakeholders to curtail the onset of pediatric anemia in high-risk African regions to set up key interventions based on the sustainability goals set by the World Health Organization.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179928","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}