International Journal of Environmental Research and Public Health最新文献

{"title":"Molecular Effects of Physical Activity and Body Composition: A Systematic Review and Meta-Analysis.","authors":"Jenni Chambers, Clare M P Roscoe, Corinna Chidley, Agnieszka Wisniewska, Aparna Duggirala","doi":"10.3390/ijerph22040637","DOIUrl":"https://doi.org/10.3390/ijerph22040637","url":null,"abstract":"<p><p>Physical activity (PA) and body composition are important lifestyle factors that influence public health. Research suggests that DNA regions (CpG site locations) are differentially methylated in a physically active population. This meta-analysis aimed to identify CpG sites associated with various levels of PA and associated metabolic pathways. The meta-analysis followed PRISMA guidelines using PubMed, SportDISCUS, Embase, Scopus, Cochrane and Web of Science. Epigenomic analyses performed on DNA of participants with no underlying health conditions were included. Articles were screened using Rayyan AI and extracted CpG sites, and their location were confirmed using the EWAS catalogue. Six studies comprising 770 subjects were included in this meta-analysis. The meta-analysis was performed on clinical metrics extracted from the six studies and showed that BMI, blood pressure, insulin and glucose testing are significantly improved upon PA intervention. Amongst the included studies, a total of 257 CpG sites were differentially methylated in physically active participants, with 134 CpGs located in 92 genes associated with obesity-related pathways. The identified differentially methylated genes either belonged to the lipid metabolism or insulin signalling pathway. The genes which were differentially regulated in multiple tissue types and studies are JAZF1 (insulin signalling, and lipid and carbohydrate metabolism pathways) and NAV1 (mTOR signalling pathway). In conclusion, the current epigenomic meta-analysis showed that PA levels induce differential DNA methylation signatures on genes that affect metabolism. To understand the positive molecular effects of PA, further research on the above candidate genes needs to be conducted amongst various levels of a physically active population.</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/PMC12026539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989314","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":"Environmental Health Literacy of Brazilian Indigenous People.","authors":"Bernardo Oliveira Buta, Wauana Sheeva Costa Silva Manchineri, Matheus Britto Froner, Maria Berta Ecija, Debora Helena Rosa Cardoso, Benjamin Miranda Tabak","doi":"10.3390/ijerph22040625","DOIUrl":"https://doi.org/10.3390/ijerph22040625","url":null,"abstract":"<p><p>Environmental health literacy (EHL) is essential for individuals to protect themselves from environmental health risks. Indigenous populations are particularly vulnerable to these risks, given the historical threats they have suffered from the advance of agricultural frontiers and impacts of deforestation, mining, and extreme weather events. This study investigates the dimensions of EHL among indigenous communities in Brazil, considering the scarcity of research in this field. Using a scale adapted to measure EHL in topics such as air, water, and food, it was possible to access the EHL levels of a sample of different Brazilian indigenous ethnic groups. Statistical analysis included descriptive methods and the Wilcoxon and Kruskal-Wallis tests. The results revealed significant variations in EHL levels, influenced by factors such as gender, place of residence, age, education, access to health services, and potable water. In addition, the presence of traditional actors, such as midwives, was identified as an important factor in the transmission of health knowledge. The research highlights the need for public policies that respect the cultural specificities of indigenous communities and promote self-care and environmental preservation, contributing to the development of culturally sensitive public health strategies.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055226","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 Potential Role of Ecotoxicological Data in National Essential Medicine Lists: A Cross-Sectional Analysis.","authors":"Camila Heredia, Aine Workentin, Gillian Parker, Navindra Persaud","doi":"10.3390/ijerph22040632","DOIUrl":"https://doi.org/10.3390/ijerph22040632","url":null,"abstract":"<p><strong>Background: </strong>Medicines affect the environment throughout their lifecycle, from production and distribution to use and disposal. They contribute to the pollution of air, water, and soil, impacting ecosystems and human health. Recognizing these risks, regulatory bodies and organizations have highlighted pharmaceutical pollution as a global concern, emphasizing the need for environmental risk assessments and sustainable practices.</p><p><strong>Methods: </strong>This study reviewed the essential medicines lists (EMLs) from 158 countries and examined the available ecotoxicological data. Medicines with high bioaccumulation, persistence, and toxicity were identified and cross-referenced with their inclusion in EMLs. Additionally, we analyzed the presence of alternative medicines with similar therapeutic effects but potentially lower environmental risks.</p><p><strong>Results: </strong>Five medicines-ciprofloxacin, ethinylestradiol, levonorgestrel, ibuprofen, and sertraline-were selected as illustrative examples due to their high environmental persistence and toxicity. All were listed in the 2023 WHO model list, with ciprofloxacin appearing in 94.3% of national EMLs.</p><p><strong>Conclusions: </strong>This study underscores the limited availability of ecotoxicological data, which hinders environmental risk assessment for medicines. EMLs could serve as a tool to enhance the awareness and data mobilization of pharmaceutical pollution. Incorporating environmental criteria into EMLs could support more sustainable medicine selection and regulatory practices.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055966","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":"Barriers and Facilitators for Implementing Digital Interventions for Anxiety and Depression in Latin America: A Scoping Review.","authors":"Bárbara Battistotti Vieira, Léa Savoy, Kathya Acuña Luna, Antoine Flahault, Jennifer Hasselgard-Rowe","doi":"10.3390/ijerph22040628","DOIUrl":"https://doi.org/10.3390/ijerph22040628","url":null,"abstract":"<p><p>Mental health disorders have a high prevalence in Latin America (LATAM), with an estimated 6.7% of the population suffering from anxiety and 4% from depression. Digital mental health interventions (DMHIs) have been implemented to address these issues. However, there has yet to be a clear picture of these interventions in the region. This scoping review aims to analyze DMHIs' characteristics and the barriers and facilitators for their implementation in five LATAM countries (Brazil, Chile, Colombia, Mexico, and Peru). To achieve this goal, four databases (PubMed, APA PsycNet, Scielo, and LILACS) were searched using relevant search terms in English, Spanish, and Portuguese. A total of 484 references were identified and narrowed down to 15 articles included in the final analysis. The studies mostly consisted of RCTs and mixed-methods studies. Most of the DMHIs were designed for individuals, with a focus on targeted communication and personal health tracking. Interventions targeting healthcare professionals were less common, primarily focusing on decisional support. The most prominent barriers to the successful implementation of DMHIs included insufficient healthcare professional training (40%) and resistance from clinicians and organizational culture (40%), while common facilitators included easy access to the interventions (46.7%) and increased training and support for clinical teams (46.7%). Positive outcomes were reported in terms of both effectiveness (33.3%), with many interventions showing results equal to or better than traditional methods (33.3%), and patient satisfaction (33.3%).</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055221","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":"Why Do Emergency Medical Service Employees (Not) Seek Organizational Help for Mental Health Support?: A Systematic Review.","authors":"Sasha Johnston, Polly Waite, Jasmine Laing, Layla Rashid, Abbie Wilkins, Chloe Hooper, Elizabeth Hindhaugh, Jennifer Wild","doi":"10.3390/ijerph22040629","DOIUrl":"https://doi.org/10.3390/ijerph22040629","url":null,"abstract":"<p><p>Emergency medical service (EMS) ambulance employees play a critical role in emergency healthcare delivery. However, work-related experiences can compromise their mental health and job satisfaction. Despite available supportive services offered by EMS organizations, employee uptake remains low, while mental ill health and suicide rates remain higher than those of the general population. Understanding barriers to and enablers of such support is crucial for addressing factors that connect employees with the services designed to help. This systematic review identified 34 relevant articles and utilized an innovative process of integrating quantitative and qualitative aspects of the primary and gray literature to provide a qualitative synthesis of barriers and facilitators as perceived by EMS employees. Themes of employee (in)ability to ask for help, tailored person-centered support, and education and training about mental health were overarched by organizational culture. Barriers included perceived organizational obligation rather than genuine care, alongside machismo and stigma. Enablers included valuing and acknowledging employee risk by providing time and normalizing support utilization at work. Reframing machismo from dominance, competition, and toughness to respect, perseverance, and courage; promoting adaptive coping; and providing time and training were essential. Future research should aim to understand the factors influencing employee utilization of supportive interventions based on these themes.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062940","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":"Food Safety in Informal Markets: How Knowledge and Attitudes Influence Vendor Practices in Namibia.","authors":"Winnie L N Sheehama, Tanusha Singh","doi":"10.3390/ijerph22040631","DOIUrl":"https://doi.org/10.3390/ijerph22040631","url":null,"abstract":"<p><p><b>Background</b>: Informal markets are essential to ensuring food accessibility and supporting economic livelihoods throughout sub-Saharan Africa; however, food safety in these settings remains poorly regulated and under-resourced. As such, foodborne illnesses originating from such settings pose serious public health threats. Despite the growing reliance on ready-to-eat street foods in Namibia, little is known about the food safety knowledge, attitudes, and practices (KAP) of food handlers in informal settings. This study investigated food handlers' KAP regarding food safety at the Oshakati Mini Market, northern Namibia, to inform environmental health practitioners and guide policymakers in improving food safety measures. <b>Methods</b>: A cross-sectional study was conducted with 103 food handlers using a self-administered questionnaire which assessed sociodemographic characteristics, food safety knowledge (15 items), attitudes (10 items), and practices (12 items). Data were analysed using descriptive statistics, Pearson correlation, and multiple linear regression to identify associations between KAP scores and respondent characteristics. <b>Results</b>: The majority of respondents were female (60.2%), aged 30-49 years (69.0%), and had only primary-level education. Only 15.5% had received formal food safety training. The mean knowledge score was 64.7% (SD = 14.2), and the mean practice score was 58.2% (SD = 13.8). Attitudes were predominantly negative (60.2%), despite 95.1% acknowledging the importance of handwashing. Poor practices included low use of protective clothing (28.2%), smoking in food areas (21.4%), and inadequate utensil hygiene. Knowledge was positively correlated with good practices (r = 0.745, <i>p</i> < 0.01), while attitudes were negatively correlated with good practices (r = -0.745, <i>p</i> < 0.01). Regression analysis revealed that age negatively influenced knowledge (β = -0.265, <i>p</i> < 0.01), while work experience positively predicted both knowledge (β = 0.393, <i>p</i> < 0.01) and practices (β = 0.393, <i>p</i> < 0.01). <b>Conclusions</b>: Food handlers in Oshakati's informal market exhibited moderate knowledge but sub-optimal food safety practices and largely negative attitudes. Limited training and education were key contributing factors. These findings highlight an urgent need for structured, context-specific food safety training and regulatory enforcement to reduce foodborne disease risk and strengthen public health interventions in Namibia's informal food economy.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058211","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":"Contributions of Health Psychology to Climate Change: A Review.","authors":"Elisa Kern de Castro, Marta Reis","doi":"10.3390/ijerph22040634","DOIUrl":"https://doi.org/10.3390/ijerph22040634","url":null,"abstract":"<p><p>Climate change poses a significant threat to human health, necessitating interdisciplinary approaches to mitigate its effects. Health psychology, with its focus on behavior change and well-being, is uniquely positioned to contribute to climate action. This review examines how health psychology can address climate-related challenges, emphasizing psychological responses to environmental stressors, behavior modification strategies, and public health interventions. The findings indicate that climate change functions as a psychological stressor, contributing to anxiety, depression, and eco-distress. Additionally, behavioral science insights are underutilized in climate governance, despite their potential to drive sustainable actions. Health psychology can enhance climate adaptation by promoting pro-environmental behaviors, fostering resilience, and integrating psychological well-being into policy frameworks. However, barriers such as limited interdisciplinary collaboration and insufficient emphasis on systemic change hinder progress. To maximize impact, health psychologists must engage in climate governance, advocate for policy integration, and address both individual and collective behavior change. Future research should explore the intersection of mental health, climate resilience, and behavior adaptation to develop comprehensive strategies for tackling climate change. This review underscores the urgent need for health psychology to play a more active role in shaping climate policy and fostering sustainable, health-promoting behaviors.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043250","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: Lu et al. An Assessment of Temporal and Spatial Dynamics of Regional Water Resources Security in the DPSIR Framework in Jiangxi Province, China. <i>Int. J. Environ. Res. Public Health</i> 2022, <i>19</i>, 3650.","authors":"Mengtian Lu, Xiaoying Wang, Weihong Liao, Chao Wang, Xiaohui Lei, Hao Wang","doi":"10.3390/ijerph22040630","DOIUrl":"https://doi.org/10.3390/ijerph22040630","url":null,"abstract":"<p><p>Siyu Wang was included as an author 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":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043256","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":"Cannabis Hyperemesis Syndrome in Youth: Clinical Insights and Public Health Implications.","authors":"Jamie A Seabrook, Morgan Seabrook, Jason A Gilliland","doi":"10.3390/ijerph22040633","DOIUrl":"https://doi.org/10.3390/ijerph22040633","url":null,"abstract":"<p><p>This review focuses on Cannabis Hyperemesis Syndrome (CHS) in youth, a condition linked to chronic cannabis use and characterized by cyclic vomiting, abdominal pain, and dehydration. The objectives were to explore CHS progression in youth and its impact on health, and to assess current treatment strategies. There are the three distinct phases of CHS: prodromal, hyperemetic, and recovery. During the prodromal phase, individuals experience early morning nausea and discomfort, often mistakenly alleviated by continued cannabis use. The hyperemetic phase is marked by severe vomiting, dehydration, and complications like electrolyte imbalances, leading to potentially serious health risks. Temporary relief may be experienced through hot showers or baths. In the recovery phase, symptoms gradually resolve, and normal eating and bathing habits return. The review emphasizes the physical and psychological impacts of CHS on youth, highlighting the potential for misdiagnosis and the importance of early intervention. It stresses the need for targeted educational efforts in schools, healthcare settings, and public health campaigns to prevent delayed diagnosis and improve outcomes. Findings underscore the importance of increasing healthcare provider awareness and promoting preventive education. The review also advocates for further research into CHS pathophysiology to improve diagnostic and treatment protocols for young populations.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992839","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":"Period Poverty and Barriers to Menstrual Health Equity in U.S. Menstruating College Students: A Scoping Review.","authors":"Lea Sacca, Diana Lobaina, Sara Burgoa, Vama Jhumkhawala, Meera Rao, Goodness Okwaraji, Yasmine Zerrouki, Joshua Sohmer, Michelle Knecht, Maria C Mejia, Panagiota Kitsantas","doi":"10.3390/ijerph22040619","DOIUrl":"https://doi.org/10.3390/ijerph22040619","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aims to fill research gaps by exploring four guiding research questions. First, we aim to understand the major barriers encountered by U.S. menstruating college students in accessing menstrual health products at their educational institutions, households, and community. Second, we aim to identify social determinants of health (SDoH) that significantly influence and contribute to menstrual health inequities experienced by U.S. college students. Third, we aim to explore the measurement tools that have been used to assess menstrual health inequities experienced by U.S. menstruating college students. Lastly, we aim to determine the lessons learned and recommendations to improve overall menstrual health outcomes in U.S. menstruating college students.</p><p><strong>Study design: </strong>This scoping review followed the Arksey and O'Malley framework (2005) and incorporated recommendations from the Joanna Briggs Institute (JBI) for the extraction, analysis, and presentation of results.</p><p><strong>Methods: </strong>The four databases searched were PubMed, Embase (Ovid), Web of Science, and Cochrane Library (Medline). Included articles were (1) published between 2000 and 2023, (2) focused on menstruating college students in the United States, (3) addressed menstrual health, menstrual equity, and period poverty in college campuses in the U.S., and/or (4) explored challenges encountered by menstruating college students in accessing menstrual health products.</p><p><strong>Results: </strong>A total of seven studies were retained for assessment. The most frequently cited Healthy People 2030 categories were economic stability (<i>n</i> = 5) and social and community context (<i>n</i> = 5). The most-cited barriers were sorted into the \"Financial Constraints and Accessibility\" (<i>n</i> = 13) theme category.</p><p><strong>Conclusions: </strong>Our study highlights practical applications and several recommendations for the future design, adoption, implementation, and evaluation of effective evidence-based interventions to address period poverty and subsequent barriers imposed by menstruating college students specific SDoH. More research is needed to further explore the health implications of menstrual health on mental, physical, and socioeconomic outcomes of menstruating individuals, particularly young adults experiencing different challenges as they venture into college and build their careers.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041380","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}