International Journal of Environmental Research and Public Health最新文献

{"title":"MPOWER Tobacco Control Policies' Effects on Lip and Oral Cavity Cancer Trends in MERCOSUR Countries.","authors":"Laila Menezes Hagen, Fernanda Joly Macedo, Amanda Ramos da Cunha, Fernando Neves Hugo, José Miguel Amenábar","doi":"10.3390/ijerph22040644","DOIUrl":"https://doi.org/10.3390/ijerph22040644","url":null,"abstract":"<p><strong>Background: </strong>As tobacco is the main risk factor for oral cancer, it is important to understand the burden of this disease in light of the Framework Convention on Tobacco Control. For MERCOSUR, tobacco control is a topic of interest. The aim of this study was to describe MPOWER measure scores and to evaluate the trends in lip and oral cavity cancer (LOC) incidence, mortality and Disability-Adjusted Life Years (DALYs), from 2005 to 2021, in MERCOSUR countries.</p><p><strong>Methods: </strong>This is an ecological descriptive study, where the MPOWER measure scores were extracted from the Global Health Observatory of World Health Organization, and the Age-standardized Rates (ASRs) of LOC for MERCOSUR countries were obtained from the Global Burden of Diseases 2021 results tool. The trends of LOC ASRs were obtained using the Prais-Winsten method.</p><p><strong>Results: </strong>Paraguay and Venezuela had lower MPOWER scores over time than Argentina, Brazil and Uruguay. These last three countries showed LOC trends decreasing for most indicators among males, while Paraguay and Venezuela showed increasing trends in incidence for both males and females, and no decreasing trends.</p><p><strong>Conclusion: </strong>This study suggests that MERCOSUR countries with a history of more rigorous MPOWER tobacco control policies are exhibiting decreasing trends in LOC burden.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992176","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":"Disparities in Utilization of the World Trade Center Health Program Among World Trade Center Rescue and Recovery Workers and Volunteers.","authors":"Caleb D Ayers, Rebecca D Kehm, James E Cone, Jiehui Li","doi":"10.3390/ijerph22040643","DOIUrl":"https://doi.org/10.3390/ijerph22040643","url":null,"abstract":"<p><p>The 11 September 2001 World Trade Center (WTC) rescue and recovery workers (RRWs) included first responders (FDNY and NYPD), volunteers, and other workers. Volunteers were often more vulnerable than first responders to adverse health outcomes resulting from the exposure. It is not yet known whether there are differences in WTC Health Program (WTCHP) utilization by worker type. This is a cross-sectional study of 20,012 WTCHP-eligible RRWs to examine whether worker type was associated with WTCHP utilization based on self-reported data from four WTC Health Registry follow-up surveys (2006-2021), using multivariable log-binomial regression adjusted for sociodemographic factors and comorbidities. We also examined factors associated with WTCHP utilization by worker type. Overall, 9584 RRWs (47.9%) reported receiving WTCHP services, but only 22.5% of volunteers reported WTCHP utilization. After adjustment, first responders and other workers were, respectively, 2.73 (95% CI = 2.56, 2.92) and 1.69 (95% CI = 1.58, 1.80) times more likely to utilize WTCHP service than volunteers. Sociodemographic factors and comorbidities were consistently associated with WTCHP utilization across worker types, except for race/ethnicity. Among those eligible, the volunteer group reported the lowest utilization of WTCHP among worker types, suggesting that WTC volunteers should be a priority group for outreach regarding access and utilization of WTCHP.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055837","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":"Integrating Australian Native Foods for a More Sustainable Food System: A Qualitative Co-Design Study with Aboriginal Communities.","authors":"Carla Vanessa Alves Lopes, John Hunter, Renee Cawthorne, Shirley Gilbert, Ayoola Shogunle, Cassandra Ebsworth, Mike Bartlett, Rimante Ronto, Seema Mihrshahi","doi":"10.3390/ijerph22040646","DOIUrl":"https://doi.org/10.3390/ijerph22040646","url":null,"abstract":"<p><p>(1) Background: Integrating native foods into food systems has shown promising benefits for health, the environment, and the revitalisation of Aboriginal culture. This study aims to explore the benefits, facilitators, and barriers of integrating Australian native foods into the current food system and how traditional knowledge around these foods can be revitalised in a culturally safe way. (2) Methods: This qualitative co-design study involved the following four phases: (I) Relationship building with the communities and cultural training for the research team; (II) Establishment of the Aboriginal Reference Group (ARG) for community involvement and governance; (III) Data collection through interviews and focus groups with participants from two urban Aboriginal communities in Sydney and experts in native foods; and (IV) Collaborative data analysis using both deductive and inductive thematic analysis. (3) Results: We interviewed 22 participants who acknowledged the nutritional, health, cultural, environmental, and economic benefits of Australian native foods. They strongly identified the impact of colonisation and imposed Western culture as root barriers impacting other barriers at the structural, socioeconomic, social, and environmental levels. Participants aspire to achieve food security and sovereignty in a more sustainable food system including native foods. To achieve their aspirations, a framework based on Aboriginal values and principles was developed to guide multicomponent initiatives using native foods. (4) Conclusions: A compassionate food model based on emancipatory community-based and land-based education is essential, connecting ancient and contemporary knowledge to transform the food system. Future research should focus on implementing and evaluating the multicomponent interventions suggested by the participants.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053756","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":"Perception of the Food Environment and Food Security Levels of Residents of the City of Rio de Janeiro.","authors":"Paulo César Pereira de Castro Junior, Yoko Ametista Carvalho Suéte Matos, Roberta Teixeira de Oliveira, Rosana Salles-Costa, Aline Alves Ferreira","doi":"10.3390/ijerph22040642","DOIUrl":"https://doi.org/10.3390/ijerph22040642","url":null,"abstract":"<p><p>The way individuals perceive and interact with the food environment can contribute to a higher prevalence of food insecurity (FI).</p><p><strong>Objective: </strong>To evaluate the perception of the food environment and its association with FI in households in the city of Rio de Janeiro, Brazil.</p><p><strong>Methods: </strong>Cross-sectional study. The survey was conducted with a sample of 2000 households, a representative stratified sample, with a margin of error of 4.9 percentage points and a 95% confidence interval (CI95%) in the city of Rio de Janeiro. The studies were evaluated using the Brazilian Food Insecurity Scale (EBIA). Perceptions of the food environment were measured by assessing the perceived availability, price, and quality of fruits and vegetables (FVs) and ultra-processed foods (UPFs) sold in the neighborhood. To analyze the association between stage variations and the perceived food environment, we conducted multinomial logistic regression, considering a 95%CI.</p><p><strong>Results: </strong>Household heads in Rio de Janeiro perceive that both FVs and UPFs are available in their neighborhoods. However, UPFs are perceived as cheaper and more diverse than FVs, regardless of the level of food safety. In the association analysis, a greater relative risk ratio was found for heads of households who perceive an unfavorable scenario in the food environment for FVs, in terms of availability (RRR = 5.6; 95%IC: 3.0-10.4), quality (RRR = 4.5; 95%IC: 2.6-7.9), and price (RRR = 2.5; 95%IC: 1.7-3.6), to experience a situation of moderate/severe FI.</p><p><strong>Conclusions: </strong>The way individuals interact with and perceive their territories can reflect on access to adequate and healthy food, especially in households in a situation of FI.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055241","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":"Correction: Karoui et al. Nitrogen Dioxide Inhalation Exposures Induce Cardiac Mitochondrial Reactive Oxygen Species Production, Impair Mitochondrial Function and Promote Coronary Endothelial Dysfunction. <i>Int. J. Environ. Res. Public Health</i> 2020, <i>17</i>, 5526.","authors":"Ahmed Karoui, Clément Crochemore, Najah Harouki, Cécile Corbière, David Preterre, Cathy Vendeville, Vincent Richard, Olivier Fardel, Valérie Lecureur, Jean-Marie Vaugeois, François Sichel, Paul Mulder, Christelle Monteil","doi":"10.3390/ijerph22040635","DOIUrl":"https://doi.org/10.3390/ijerph22040635","url":null,"abstract":"<p><p>In the original publication [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043166","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":"Correction: Yang et al. Expression of Hepcidin and Ferroportin in the Placenta, and Ferritin and Transferrin Receptor 1 Levels in Maternal and Umbilical Cord Blood in Pregnant Women with and without Gestational Diabetes. <i>Int. J. Environ. Res. Public Health</i> 2016, <i>13</i>, 766.","authors":"Anqiang Yang, Jun Zhao, Minhua Lu, Ying Gu, Yunlong Zhu, Daozhen Chen, Jinyan Fu","doi":"10.3390/ijerph22040636","DOIUrl":"https://doi.org/10.3390/ijerph22040636","url":null,"abstract":"<p><p>In the original publication [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026696/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056585","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":"Burnout Persists in Teachers in Ireland Post-COVID-19: A Qualitative Follow Up Comparative Study.","authors":"Ellen Ní Chinseallaigh, Matthew Shipsey, Elisha Minihan, Blanaid Gavin, Fiona McNicholas","doi":"10.3390/ijerph22040641","DOIUrl":"https://doi.org/10.3390/ijerph22040641","url":null,"abstract":"<p><p>Teacher burnout, a combination of emotional exhaustion, depersonalization, and diminished personal accomplishment has been increasing, notably during the COVID-19 pandemic. Our 2022 study revealed significant burnout levels, identifying that teachers' pandemic experiences had adverse \"Consequences\" that left them feeling \"Overburdened\", and \"Abandoned\". Although COVID-19 has receded, recent findings indicate that Irish teachers continue to face heightened demands without adequate support. This follow-up comparative study aims to deepen understanding of post-pandemic teacher burnout by using the same questions from the 2022 study to understand and analyse these evolving stressors. A qualitative, comparative approach was employed. Participants (<i>n</i> = 337) were recruited from various school types across Ireland. A Study Specific Questionnaire (SSQ) with open-ended questions allowed for thematic analysis, comparing responses with 2022 themes to explore continuity and changes in burnout experiences. Thematic analysis revealed four major themes: (1) Administrative Overload-increasing paperwork and curriculum changes; (2) Unrealistic Expectations-pressures from parents, society, and authorities; (3) Lack of Community Support and Empathy-teachers reported a sense of isolation and a need for mutual support; and (4) Inadequate Mental Health and Professional Support-insufficient mental health resources for both educators and students. The study underscores the urgent need for systemic changes to address teacher burnout in Ireland. Recommendations include reducing administrative load, clarifying professional boundaries, fostering empathy within the school community, and expanding mental health services. Addressing these factors is essential for sustaining a resilient educational system in the post-pandemic context.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055816","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":"A Review on the Multidisciplinary Approach for Cancer Management in the Eastern Mediterranean Region: A Focus on Nutritional, Lifestyle and Supportive Care.","authors":"Ayoub Al-Jawaldeh, Asmus Hammerich, Faisal Abdulghafar Aldayel, Giuseppe Troisi, Hanin Al-Jawaldeh, Hassan Aguenaou, Heba Alsawahli, Ibtihal Fadhil, Imen Sohaibani, Jalila El Ati, Jihan Azar, Lamia Mahmoud, Maha Barbar, Majid Mqbel Alkhalaf, Nahla Gafer, Taghreed Mohammed Alghaith, Zaynab Mahdi, Mandy Taktouk","doi":"10.3390/ijerph22040639","DOIUrl":"https://doi.org/10.3390/ijerph22040639","url":null,"abstract":"<p><p>Cancer is one of the leading causes of global morbidity and mortality and one of the most challenging global health conditions, impacting the lives of millions every year. The Eastern Mediterranean Region (EMR) is not on track to achieve the sustainable development goal (SDG) target 3.4 which aims to reduce premature mortality (i.e., before the age of 70 years) for non-communicable diseases (NCDs), including cancer, by a third by year 2030; instead, it is projected that the EMR will experience the least progress towards achieving this target. This review therefore highlights the importance of context-specific cancer management, with a focus on nutritional, lifestyle and supportive care, in the EMR. A comprehensive literature search was conducted using electronic databases, including PubMed, Scopus and Google Scholar, as well as the Academy of Nutrition and Dietetics and key oncology institutes. Nutritional and lifestyle management is a fundamental aspect of cancer care which should be context-specific, achievable and individualized to minimize symptoms and side effects, while maximizing benefits and better addressing the needs of the patients with cancer. A multidisciplinary approach that integrates medical, nutritional, psychological and palliative care is essential to address this growing issue effectively. Cancer care and management requires coordinated efforts from policymakers, healthcare providers and communities to implement evidence-based interventions and promote cancer awareness.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040062","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":"Rewriting the Narrative: Advancing Justice and Equity in the U.S. Food System.","authors":"Marie A Bragg, Nathalie Lissain, Zora G Hall, Brittany N Edghill, Omni Cassidy, Roxanne Dupuis, Karen Watson","doi":"10.3390/ijerph22040638","DOIUrl":"https://doi.org/10.3390/ijerph22040638","url":null,"abstract":"<p><p>The concept of 'food justice' recognizes the systemic injustices embedded in the U.S. food system and the urgent need for transformative policies to ensure equitable access to affordable, nutritious, and culturally relevant food. Limited access to these foods drives food insecurity and increases the prevalence of diet-related diseases in low-income and minority communities. Dominant narratives that individualize hunger and food insecurity often blame the individual and overlook the underlying structural factors that sustain these issues. These narratives have considerable influence. They shape public opinion and can also guide policy decisions. This commentary explores the goals of the food justice movement in the U.S., describes how the food and racial justice movements intersect, and examines the role of commercial marketing and public policy in shaping the food justice discourse. We also reflect on the efforts that should be made to reframe these dominant narratives and facilitate meaningful change in the food environment.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023959","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":"Treatment Use Among U.S. Adults with a Substance Use Disorder: Associations with Symptom Severity, Problem Self-Perception, Comorbid Mental Illness, and Mental Health Treatment.","authors":"Namkee G Choi, C Nathan Marti","doi":"10.3390/ijerph22040640","DOIUrl":"https://doi.org/10.3390/ijerph22040640","url":null,"abstract":"<p><p>Using data from the 2022 and 2023 National Survey on Drug Use and Health, we examined factors associated with treatment use for substance use disorder (SUD), perceived SUD treatment needs, and reasons for treatment non-use. Of U.S. adults, 18.1% had any past-year SUD (alcohol use disorder [AUD] and/or any drug use disorder [DUD]), 14.4% of those with SUD received SUD treatment in the past year, and 5.5% of those who did not receive treatment had a perceived need for treatment. Treatment use was significantly associated with AUD and DUD severities (aOR = 3.85, 95% CI = 2.82-5.26 for severe AUD; aOR = 2.82, 95% CI = 2.27-3.47 for severe DUD), problem self-perception (aOR = 2.12, 95% CI = 1.74-2.58), and mental health treatment use (aOR = 6.07, 95% CI = 4.73-7.78). Perceived treatment needs among those who did not use treatment were also significantly associated with AUD and DUD severities, problem self-perception, and any mental illness. The most frequently reported reasons for treatment non-use among those with perceived need were self-sufficiency beliefs, lack of readiness to stop using or start treatment, stigma-related concerns, and health insurance/cost problems. The findings underscore the importance of screening SUD and educating about the harms of untreated SUD in increasing motivation and readiness for treatment use among people with SUD.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051546","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}