International Journal of Environmental Research and Public Health最新文献

{"title":"Evidenced Interventions Supporting the Psychological Wellbeing of Disaster Workers: A Rapid Literature Review.","authors":"Carolyn Deans, Shannon Carter","doi":"10.3390/ijerph22091454","DOIUrl":"10.3390/ijerph22091454","url":null,"abstract":"<p><p>This rapid literature review was conducted to better understand the evidence base for interventions aimed at improving psychological well-being in disaster response workers. Three databases were searched: MEDLINE, APA PsycArticles, and Embase. Grey literature reviewed included results of a Google Scholar search and organisation-recommended reports and articles. Of the 959 screened records, 25 studies were included, 13 of which evidenced the benefit of the studied intervention, and two included screening tools to identify at-risk workers. The results showed that evidence-based interventions exist to support disaster response workers to varying degrees in terms of perceived stress, anxiety, depression, post-traumatic stress symptoms, burnout, sleep quality, somatic symptoms, irrational performance beliefs, and emotional and social well-being. Identified interventions featured neurofeedback, psychoeducation, mindfulness, reflective practice, and adjustments to cognitions or behaviours. Interventions varied in delivery (online with pre-recorded content, asynchronous, and guided learning), context (delivered to groups, individuals, and in work or private settings), and facilitator (psychologists, mental health practitioners, and medical doctors). Several interventions improved aspects of psychological well-being in disaster response workers; however, most findings were produced by quasi- or non-experimental designs, suggesting further research is required to clearly ascertain their benefits.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179876","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":"Attitudes Toward Older Adults: A Descriptive Cross-Sectional Study in Chilean University Students.","authors":"Igor Cigarroa, Jesus Alonso, María Gabriela Vallejos, Maria Antonia Parra-Rizo, Daniel Basoalto, Daniela Robles-Tapia, Yeny Concha-Cisternas, Rafael Pizarro, Juana Borja-González, Rodrigo Yañez-Yañez","doi":"10.3390/ijerph22091450","DOIUrl":"10.3390/ijerph22091450","url":null,"abstract":"<p><p><b>Background</b>: Ageism is a growing concern in aging societies and can affect future professionals' attitudes toward older adults. <b>Objective</b>: To analyze the association between attitudes toward old age, self-perceptions of aging, and contact with older adults in the community among students at a private university in Chile. <b>Methods</b>: A descriptive, cross-sectional study was conducted with 515 university students aged 18 to 42 years from 11 campuses of Santo Tomás University in Chile. Attitudes toward older adults were assessed using the Kogan's Attitudes toward Older People Scale (KAOP), and additional data on self-perceptions of health and aging, and contact with grandparents or older adults, were collected through a self-designed questionnaire. Statistical analyses included chi-square tests, one-way ANOVA, and Bonferroni post hoc comparisons. <b>Results</b>: A majority of students (61.2%) exhibited low-level positive attitudes toward older adults. Female students and those aged 26-42 years had significantly more positive attitudes than male and younger students (<i>p</i> < 0.05). Students with a healthier self-perception of aging (<i>p</i> = 0.011) and those who maintained contact with grandparents or older adults (<i>p</i> = 0.006) showed significantly more favorable attitudes toward aging. Nationality was also associated with attitudes, with Chilean students scoring higher than their foreign counterparts. <b>Conclusions</b>: Positive attitudes toward older adults among university students were associated with gender, age, self-perception of aging, and intergenerational contact. These findings highlight the importance of integrating educational and intergenerational programs in higher education to reduce ageism and promote respectful and inclusive perceptions of aging.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179857","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":"Anxiety and Depression Among University Students in Cali, Colombia: A Cross-Sectional Analysis of the Prevalence and Contributing Factors.","authors":"Florencio Arias-Coronel, Carlos Andres Garibello-Millan, Diana María Dávila-Vidal, María Fernanda Serna-Orozco, Mauricio Solórzano-Alarcón","doi":"10.3390/ijerph22091445","DOIUrl":"10.3390/ijerph22091445","url":null,"abstract":"<p><p>Depression and anxiety are mental health conditions that can significantly impact individuals' well-being, with various risk factors contributing to their severity. This study aimed to characterise the prevalence of anxiety and depression among a university population and examine the associated sociodemographic factors.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted with 394 students from a higher education institution. Sociodemographic factors were analysed using two validated instruments: the Hamilton Anxiety Scale and the PHQ-9 (Depression Symptom Test). The statistical analyses included Pearson's chi-square test and Fisher's exact test to assess associations.</p><p><strong>Results: </strong>The mental health outcomes were significantly influenced by several factors. Key variables associated with anxiety and depression included academic overload (* <i>p</i> < 0.001), gender (* <i>p</i> < 0.001), father's education level (* <i>p</i> < 0.001), socioeconomic status (* <i>p</i> < 0.001), and sexual orientation (* <i>p</i> < 0.001). These findings highlight the complex interplay between sociodemographic factors and mental health in university students.</p><p><strong>Conclusions: </strong>Early identification and interventions for anxiety and depression should be considered to provide timely and relevant mental health programmes for university students.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179801","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 Double Burden of Isolation and Unemployment: Suicide Risk in Structurally Vulnerable Populations in Japan-A Case Study of Akita Prefecture (2018-2022).","authors":"Roseline Yong","doi":"10.3390/ijerph22091447","DOIUrl":"10.3390/ijerph22091447","url":null,"abstract":"<p><p>Suicide in Japan remains elevated and uneven across regions. We hypothesized that (H1) unemployment and (H2) living alone each increase suicide mortality, and that (H3) their combination yields more-than-additive risk, especially among middle-aged men. Using specially tabulated mortality data (2018-2022) from the Japan Suicide Countermeasures Promotion Center, we cross-classified deaths and denominators into 24 strata by sex, age (20-39, 40-59, ≥60), employment (employed/unemployed), and cohabitation (with others/alone). Five-year average rates per 100,000 were computed; between-group differences were tested with chi-square (Holm-adjusted contrasts). Additive interaction between unemployment and living alone was quantified with the Interaction Contrast (ICR) and Synergy Index (SI), and Akita rates were benchmarked against national strata. Prefecture-level quantification and national benchmarking are rarely reported in Japan. Rates differed significantly across employment-by-cohabitation groups in every sex-by-age stratum (<i>p</i> < 0.001). Unemployment and living alone each elevated risk, with the highest rate reported among unemployed men aged 40-59 who were living alone (317.1; >14× employed, cohabiting peers at 22.1). Additive interaction was strongest in men aged 40-59 (ICR = 198.3; SI = 3.05) and present in men aged 20-39 and ≥60; among women, interaction was most evident at the ages of 40-59 and sub-additive at ≥60. Compounded effects among men were consistently larger in Akita than nationally, whereas the largest absolute burden fell on unemployed men aged ≥60 who were living with others (203 deaths). The novelty of this investigation lies in quantifying additive interaction with national benchmarking and contrasting per capita risk with absolute burden to guide dual-track prevention. The findings are ecological.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179909","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":"Prevalence of Depressive Symptoms Amongst Pregnant Women Attending Antenatal Clinics at Quaternary Hospital in Johannesburg, South Africa: A Cross-Sectional Study.","authors":"Ugasvaree Subramaney, Lawrence Chauke","doi":"10.3390/ijerph22091446","DOIUrl":"10.3390/ijerph22091446","url":null,"abstract":"<p><p>Antenatal depression significantly contributes to maternal and neonatal morbidity worldwide; however, the rate of screening, particularly in low- and middle-income countries (LMICs), remains very low. This cross-sectional survey study was aimed at determining the prevalence of depressive symptoms among women aged 18 to 34 years attending antenatal clinics at a quaternary hospital in Johannesburg, South Africa, utilizing a Biographical Questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). The study is based on a total of 151 questionnaires. The mean age of the study population was 27.6 years (range: 18-34). Majority of participants identified themselves as Black (138, 91.4%), had previously been pregnant (111, 73.5%), were in the third trimester of pregnancy (89, 58.9%), were unemployed or seeking employment (108, 71.5%), and had no pre-existing medical (107, 70.9%) or mental illnesses (143, 94.7%). The prevalence of antenatal depressive symptoms among the study population was 43.7% (66/151), and 18 (27.3%) of the women who screened positive had suicidal ideation. The prevalence of antenatal depressive symptoms in this study exceeds that reported in other regions, underscoring the urgent need for universal screening throughout pregnancy and provision of perinatal mental healthcare services for pregnant and postpartum women.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179836","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":"Role of Field Epidemiology in Environmental and Climate Change-Related Health Incidents in Wales: A Qualitative Analysis Through Expert Interviews.","authors":"Omer Faruk Sonmez, Behrooz Behbod, Christopher Roberts, Marco Barracchia, Astghik Baghinyan, Lichita Indra, Katarzyna Czabanowska","doi":"10.3390/ijerph22091452","DOIUrl":"10.3390/ijerph22091452","url":null,"abstract":"<p><p>Climate change and environmental degradation pose significant challenges to public health globally, intensifying the frequency and severity of related health incidents. Field epidemiology, traditionally focused on infectious disease outbreaks, is now increasingly recognised as vital in addressing environmental and climate-related health threats. This study explores how organisations like Public Health Wales (PHW) can develop field epidemiology services responsive to these emerging challenges. Semi-structured interviews were conducted with 18 global and national experts in field epidemiology, environmental health, and related disciplines. An inductive content analysis approach was used to identify themes relating to best practices, challenges, competencies, and future directions in environmental field epidemiology. Key findings emphasise the necessity for integrated, multi-sectoral collaboration, capacity building in One Health competencies, and innovative surveillance systems that incorporate environmental and climate data and exposure measures. Participants highlighted barriers such as fragmented governance, data quality issues, and resource constraints. The evolving role of field epidemiology includes applications of environmental and climate-related health phenomena to encompass prevention, preparedness, and recovery phases, supported by technological advancements and holistic health security frameworks. To effectively address environmental and climate-related health incidents, field epidemiology services must evolve towards integrated, multidisciplinary, and adaptive frameworks. Organisations like PHW may consider strengthening international collaboration, investing in workforce development, and implementing integrated surveillance systems that incorporate environmental drivers of health. These strategic priorities align with global public health functions and support resilient health systems capable of mitigating climate-related health risks.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179769","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":"Access to Food Establishments via Meal Delivery Applications: A Study of University and Non-University Settings in a Brazilian Metropolis.","authors":"Paloma Aparecida Anastacio Barros, Daniela Silva Canella, Paula Martins Horta","doi":"10.3390/ijerph22091448","DOIUrl":"10.3390/ijerph22091448","url":null,"abstract":"<p><p>This study aimed to characterize access to food establishments through a meal delivery application in university and non-university settings within a Brazilian metropolis. This cross-sectional study used data from a leading meal delivery platform. All establishments delivering to four public and four private university campuses in Belo Horizonte, Brazil were identified. For comparison, one corresponding non-university location was selected for each campus (yielding eight campus-location pairs). Each location corresponds to a central address within the paired neighborhood that was entered into the app to simulate delivery availability. Pairing criteria were based on geographic region and income levels. Information on establishment categories (classified by keywords), delivery distances, delivery fees, and geographic centrality was collected and analyzed descriptively. The number of available establishments ranged from 7176 to 11,440 across the assessed locations. Most establishments were categorized under keywords referring to snacks (e.g., burgers, savory snacks, pizza), regardless of location. Delivery distances ranged from 0 to 19.6 km, with shorter distances observed for university addresses and corresponding locations situated in central neighborhoods of the city, and longer distances for peripheral areas. Only 4.7% of establishments offered free delivery, and higher delivery fees were more frequent in non-university locations. No significant differences were observed between public and private universities. Food establishments are widely accessible via the app; however, central areas tend to have broader service coverage. Regardless of whether the location is a university or non-university setting, or whether it is central or peripheral, there is a predominance of establishments classified under keywords associated with unhealthy food options.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179779","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":"Too Hot to Ignore: The Escalating Health Impact of Heatwaves in Brazil.","authors":"Jessica M Neves, Klauss K S Garcia, Beatriz F A Oliveira, Marco A Horta","doi":"10.3390/ijerph22091451","DOIUrl":"10.3390/ijerph22091451","url":null,"abstract":"<p><p>Heatwaves (HWs) are becoming more frequent and severe, posing a significant threat to human health. Studies have shown that extreme heat, whether as incremental temperature increases or prolonged HWs, is associated with an increased risk of heat-related illnesses. However, there is still limited understanding of how these impacts unfold in Brazil, given its unique social, environmental, and health-system contexts. I this perspective article, we explore the effects of HWs on human physiology, examine the social and biological factors that contribute to heat stress, and identify vulnerable populations at disproportionate risk. We also discuss the potential consequences of extreme heat in other aspects of society, such as agriculture and energy, and assess the challenges of strengthening resilience in Brazil's health sector. Our key contribution are to make visible the hidden burden of heat-related mortality, to examine how fragmented governance constrains the adaptive capacity of Brazil's health sector, and to reflect on pathways to strengthen resilience to heatwaves.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179919","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 Luminos Project: Co-Designing a Short-Stay Suicide Support Model for Young People.","authors":"Aims Hansen, Samantha Speirs, Kirsten Panton, Jacinta Freeman, Zrinka Highfield, Kieren Marshall, Eleanor Tighe, Laura Hemming, Bep Uink, Francis Mitrou, Vu Vuong, Ashleigh Lin","doi":"10.3390/ijerph22091449","DOIUrl":"10.3390/ijerph22091449","url":null,"abstract":"<p><p><i>Background:</i> Suicide was the leading cause of death among young Australians aged 15-24 years old in 2023, with 392 lives lost. The continued high numbers of youth suicide demand urgent exploration of alternative approaches to suicide intervention in this population. The United Kingdom-based suicide service Maytree offers an innovative short-term stay for people experiencing suicidal thoughts. Grounded by the Maytree model-of-care, the aim of the current study was to co-design a short-stay service responsive to the specific needs of suicidal young people. <i>Methods:</i> Semi-structured and focus group interviews with young people (<i>n</i> = 38), caregivers (<i>n</i> = 11) and key local stakeholders (<i>n</i> = 26) in Perth, Western Australia. <i>Results:</i> Deductive and inductive thematic analysis identified 8 core themes: benefits, service design, staffing, operations, referrals, challenges and safety, measures of success, and language. Endorsement of the Luminos model as beneficial to young people experiencing thoughts of suicide was nearly unanimous. <i>Conclusions:</i> These findings provide actionable insights for the development of alternative, youth-informed suicide support services.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12470033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179952","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 Healing Environment for Healthcare Staff in Paediatric Settings: A Cross-National Semi-Structured Survey on Healthcare Staff Satisfaction.","authors":"Silvia Mangili, Beatrice Pattaro, Andrea Brambilla, Gaia Ferraguzzi, Cristiana Caira, Stefano Capolongo","doi":"10.3390/ijerph22091444","DOIUrl":"10.3390/ijerph22091444","url":null,"abstract":"<p><strong>Background: </strong>The existing literature emphasises that the hospital environment plays a critical role in the experiences of patients and healthcare workers. To better understand the perspectives of healthcare staff in such settings, a questionnaire-based study was conducted at two paediatric hospitals: Vittore Buzzi Hospital (Milan, Italy) and Queen Silvia Children's Hospital (Gothenburg, Sweden).</p><p><strong>Objective: </strong>The study had two main objectives: to collect feedback from healthcare staff via a post-occupancy evaluation focused on perceived environmental quality and to compare staff perceptions across different geographical and cultural contexts.</p><p><strong>Methods: </strong>A semi-structured survey tool consisting of 42 closed-ended items (40 of which used a 5-point Likert scale) and 2 open-ended questions was employed. The items assessed the presence and quality of specific environmental and functional features.</p><p><strong>Results: </strong>The findings reveal significant contrasts between the two hospitals. Staff at the Swedish hospital reported higher satisfaction levels across most areas, whereas the Italian hospital demonstrated significant shortcomings. Common concerns in both hospitals included limited space for medical and administrative staff and the absence of private offices for doctors.</p><p><strong>Conclusions: </strong>This study confirms that environmental quality affects not only patients, but also staff, impacting their satisfaction, perceived efficiency, and emotional well-being. The contrasting outcomes highlight the significant influence that differences in architectural design, spatial layout, and investment in staff-oriented spaces can have on the day-to-day experiences of healthcare professionals.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179877","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}