International Journal of Environmental Research and Public Health最新文献

{"title":"Trends and Gaps in Colorectal Cancer Screening Research in the Arab World: A 16-Year Bibliometric Analysis (2007-2023).","authors":"Noura Abbas, Laudy Chehade, Hawraa Tarhini, Zahi Abdul Sater, Ali Shamseddine","doi":"10.3390/ijerph22020264","DOIUrl":"10.3390/ijerph22020264","url":null,"abstract":"<p><p>Colorectal cancer (CRC) is a significant public health concern, ranking third in incidence and second in mortality worldwide. Despite rising CRC incidence rates in the Arab world, understanding of trends and patterns in CRC screening research remains limited. This study addresses this gap through a bibliometric analysis of CRC screening research in the Arab world from 2007 to 2023. We conducted an extensive literature search in Web of Science and Scopus databases, analyzing 124 articles using the Bibliometrix Package in R. Our findings revealed a 16.5% annual growth in research output, with significant increases from 2014 onwards. Saudi Arabia led in scientific production, followed by Lebanon, Jordan, and Egypt, while Qatar had the highest country production when adjusted for population size. Disparities in research output relative to the CRC burden were evident, especially in lower-resource countries. Three regional clusters were identified: Saudi Arabia, with strong collaborations with Canada and Egypt; a second cluster including Lebanon, UAE, Jordan, Qatar, Iraq, and Oman; and a third cluster featuring Morocco, with significant collaboration with France. Thematic analysis showed a focus on CRC screening awareness, barriers, and adherence but a lack of studies on implementation strategies and cost-effectiveness. This analysis highlights significant trends and gaps in CRC screening research in the Arab world, underscoring the need for increased investment in CRC research and screening initiatives to improve outcomes in the region.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505219","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":"Voluntary HIV Testing and Counselling Initiatives in Occupational Settings: A Scoping Review.","authors":"Holly Blake, Mehmet Yildirim, Stephanie J Lax, Catrin Evans","doi":"10.3390/ijerph22020263","DOIUrl":"10.3390/ijerph22020263","url":null,"abstract":"<p><p>Voluntary HIV testing and counselling (VCT) in the workplace could reach population groups who may be at risk for HIV but may not readily seek out testing from other services. We conducted a scoping review to understand (a) the nature of evidence related to initiatives and interventions for vocationally active adults on VCT in occupational settings, and (b) any facilitators and barriers to the delivery of and/or engagement with VCT initiatives/interventions in the workplace. JBI scoping review methodology was followed. The protocol was pre-registered. Included studies focused on vocationally active adults (population), VCT interventions or initiatives (concept), and workplaces in any sector or country (context). The review included studies published after 2000, in English, and of any research design. Studies relating to mandatory workplace HIV screening were excluded. MEDLINE, CINAHL, Scopus, PsycINFO, and the Cochrane Central Register of Control Trials were searched. Sources of grey literature included Google Scholar and governmental and organisational websites. One reviewer screened titles and abstracts; a second reviewer independently screened 10%. Data extraction utilised a modified JBI data extraction tool. We identified 17 studies reporting on 12 workplace VCT interventions (20,985 participants, 15-70 years). Studies were conducted in eight countries between 2001 and 2022. Interventions were delivered in organisations of different types, sizes and sectors. Testing included rapid blood tests and oral fluid self-tests. Where reported, the average on-site HIV testing uptake rate was 63%, and the average linkage to care rate was 86.85%. Views of workers, employers and service providers were largely positive. Barriers included being male, masculinity-driven workplace culture, HIV-related stigma, poor knowledge, low risk perceptions, lack of time and low support. Facilitators included on-site testing for convenience and accessibility, rapid and free tests, organisational, managerial and peer support, and embedding HIV tests within general health checks. Evaluation methods varied, although randomised trial designs were uncommon. Despite the limited number of studies, the workplace appears to be a viable route to the delivery of community-based VCT, albeit barriers should be addressed. Reporting quality of interventions and associated evaluations is variable and could be improved with the use of appropriate checklists.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505408","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":"Musculoskeletal Complaints Among Female Childcare Workers in German Daycare Centres-A Survey Study with a Comparison Group.","authors":"Roxana Dauer, Anja Schablon, Albert Nienhaus","doi":"10.3390/ijerph22020270","DOIUrl":"10.3390/ijerph22020270","url":null,"abstract":"<p><p>Childcare workers are at risk of musculoskeletal complaints due to various stresses. Comparative studies focusing on this group are lacking. In a cross-sectional study, we asked female childcare workers and women from the general population (comparison group) about musculoskeletal complaints, categorised by body regions, and private/occupational risk factors. The childcare workers were recruited from Hamburg daycare centres and the comparison group from the residents' registration office. The survey was conducted between October 2022 and July 2023. Odds ratios (ORs) were calculated in logistic regressions for factors influencing the occurrence of complaints that limited participants' work or leisure activities in the past 12 months. Questionnaires from 218 female childcare workers and 250 from the comparison group were analysed. The comparison group had a 17.3% response rate. No response rate could be calculated for childcare workers. ORs for childcare workers were statistically significantly higher for complaints relating to the neck/cervical spine, shoulders/upper arms, knees and lumbar spine/lower back (OR between 1.7 and 3.2). This is the first study to compare the prevalence of musculoskeletal complaints in female childcare workers with other working women. The results show statistically significant differences, highlighting the need for interventions that address individual and workplace factors.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505300","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":"Predictors for Anxiety and Stress in Long COVID: A Study in the Brazilian Population.","authors":"Daniel de Macêdo Rocha, Andrey Oeiras Pedroso, Laelson Rochelle Milanês Sousa, Elucir Gir, Renata Karina Reis","doi":"10.3390/ijerph22020258","DOIUrl":"10.3390/ijerph22020258","url":null,"abstract":"<p><p>Anxiety and stress are major challenges for public health and represent significant symptoms in long COVID. Despite the repercussions on quality of life and mental health, their impacts have not been systematically consolidated in the Brazilian population. Our objective was to analyze the indicators and predictors of anxiety and perceived stress in people who have experienced long COVID in different regional contexts in Brazil. This cross-sectional survey was carried out in the five regions of Brazil and included 4239 adult individuals who had at least one diagnosis of COVID-19. Participants responded to questions on the Depression, Anxiety, and Stress Scale (DASS-21). The GAMLSS class of regression models estimated the predictors associated with the outcomes investigated. The results showed a predominance of participants with a single diagnosis of COVID-19 (65.4%), mild clinical conditions (89.5%), and high adherence to immunization strategies (98.4%). Overall, 48.5% of participants had residual symptoms that started between 4 and 12 weeks after the acute phase of COVID-19 infection. Positive screening for anxiety and perceived stress was associated with female gender, diagnosis of chronic diseases, presence of physical symptoms, moderate or severe clinical condition in the acute phase of the infection, and the need for hospitalization. Through this study, we confirmed that anxiety and stress, developed or exacerbated during the post-COVID-19 phase, represent significant challenges in the Brazilian population. Sociodemographic, clinical, and care conditions were predictors of the outcomes assessed. Knowing these repercussions can allow for personalizing mental health care and help structure evidence-based public policies.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504999","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":"Mental Health in the Chilean Incarcerated Population: A Screening Approach.","authors":"Guillermo Sanhueza, Jessica Candia, Liza Zúñiga","doi":"10.3390/ijerph22020268","DOIUrl":"10.3390/ijerph22020268","url":null,"abstract":"<p><p>From both a social and epidemiological perspective, incarcerated individuals in Latin America face a series of accumulated disadvantages in different areas, one of them being the deterioration in their mental health linked to confinement and the negative effects of incarceration. However, since mental health evaluations at the intake phase are virtually non-existent for incarcerated populations in Chile, the diagnosis of, monitoring of, and intervention initiatives on mental health issues are very limited, thus limiting the possibilities of causal relationship analysis and evidence-based interventions. Thus, the first step to making the topic of mental health more visible to public policy is to gather more evidence about it in prison settings. This article analyzed-using a screening approach-the presence, suspicion, or absence of psychopathology using the GHQ-12 instrument among a sample of 1159 incarcerated individuals grouped in 20 prisons throughout Chile. Our main results show that there are about 22.3% of Chilean inmates with presence of some form of psychopathology, plus an additional 51.8% with the criteria for suspected psychopathology; we also found significant, bivariate relationships between various mental health items and gender, the type of prison, and age, so that incarcerated women, younger inmates, and those housed in public prisons reporting more problems than their counterparts. Finally, we discuss the implications of our findings for the improvement of prison life in Chile and the possibility of social reintegration for incarcerated people.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505292","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 Effects of Food Security on Academic Performance of University Students at a Hispanic-Serving Institution.","authors":"Eva M Moya, Gregory S Schober, Amy Wagler, Jessica Ayala-Demeo Brown, Silvia M Chavez-Baray, Panfeng Liang, Robbie Kennebrew","doi":"10.3390/ijerph22020266","DOIUrl":"10.3390/ijerph22020266","url":null,"abstract":"<p><p>Several studies find that low food security has negative effects on academic performance in higher education in the U.S., but the samples for these studies often have low percentages of Hispanic students. Consequently, it remains unclear if food security affects academic performance in predominantly Hispanic settings. Our study aims to analyze whether food security affects academic performance at a Hispanic-Serving Institution (HSI). Using original survey data collected on 2020 students enrolled at a large research-intensive HSI and cumulative logit models, we assess whether food security influences concentration and graduation delays among students at an HSI in the U.S.-Mexico border region. Our findings strongly suggest that low food security reduces concentration and increases delays for graduation at the HSI. The results have important implications for HSI leaders who want to improve student success, and we offer recommendations for future programs and investments to build student food security at HSIs. Because food security is a strong social determinant of health, the study is closely related to the topic of addressing social determinants of health to improve Hispanic health outcomes. When universities take action to build food security among HSI students, they simultaneously make an investment to improve Hispanic health outcomes.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505358","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":"Youth Tobacco Control in the Digital Age: Impact of South Carolina's Youth Tobacco Education and Vaping Cessation Social Media Programs.","authors":"Carolyn A Stalgaitis, Susan Dang, Catherine Warner, Sharon Biggers, LaQuanna Jackson, Jeffrey W Jordan","doi":"10.3390/ijerph22020269","DOIUrl":"10.3390/ijerph22020269","url":null,"abstract":"<p><p>To maintain relevance, youth tobacco control programs must leverage popular social media platforms and address evolving behaviors. Recognizing this, the South Carolina Department of Public Health and Rescue Agency implemented culturally tailored social media campaigns (<i>Down and Dirty</i>, <i>Fresh Empire</i>), a broad vaping social media campaign (<i>Behind the Haze</i>), and an Instagram-based vaping cessation program (<i>Quit the Hit</i>, <i>QTH</i>). This study examines program impact. The social media campaigns were evaluated via online cross-sectional surveys in 2019-2023. Analyses examined awareness and reception overall and among target audiences and compared knowledge, attitudes, and beliefs between campaign-aware and unaware participants. The impact of <i>QTH</i> was assessed via online baseline and follow-up surveys in 2021-2023. Analyses examined program feedback and changes in cessation confidence and tobacco use from baseline to follow-up. Over one-third of participants recalled the social media campaigns, and recall of featured facts was higher among the campaign-aware participants than the unaware participants. <i>QTH</i> participants' confidence in quitting increased from baseline to follow-up, while any 30-day vaping and average number of days of vaping decreased. This innovative social media program reached high-risk youth with educational content and empowered teens to quit vaping, providing a model for comprehensive youth tobacco control programs.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505344","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":"Exploring Pesticide Knowledge, Practices, and Health Perceptions Among Farmers in Akkar, Lebanon.","authors":"Nisreen Hassan Akkouch, Jalal Halwani, Issam Shaarani","doi":"10.3390/ijerph22020260","DOIUrl":"10.3390/ijerph22020260","url":null,"abstract":"<p><strong>Background: </strong>The unregulated and widespread use of agricultural pesticides in Lebanon has led to critical health and environmental challenges. Small-scale farmers in Akkar, a key agricultural region, are particularly vulnerable due to limited knowledge, unsafe practices, and insufficient access to safety resources.</p><p><strong>Objectives: </strong>This study evaluates the knowledge, practices, and perceived health impacts of pesticide use among small-scale farmers in Akkar. It aims to identify gaps and provide targeted recommendations for interventions that enhance safety, sustainability, and environmental conservation.</p><p><strong>Methods: </strong>A cross-sectional survey involving 151 farmers was conducted from November 2022 to January 2023 using a validated questionnaire. Descriptive statistics, regression analysis, and Tukey's HSD post hoc tests were used to assess knowledge and practice scores and identify predictors.</p><p><strong>Results: </strong>Farmers demonstrated moderate knowledge (mean score: 0.545) and practices (mean score: 0.607). However, environmental awareness was low, with only 9.3% recognizing water contamination risks. Alarmingly, 37.7% of farmers reported using no protective gear, while 67.5% experienced acute symptoms such as respiratory irritation and skin issues. Education was a significant predictor of knowledge (<i>p</i> < 0.01).</p><p><strong>Conclusions: </strong>This study underscores the pressing need for tailored educational programs, accessible protective equipment, stricter regulatory frameworks, and environmental conservation strategies to reduce health risks and promote sustainable pesticide use.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505236","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":"Healthy Behavior for Preventing Cognitive Disability in Older Persons.","authors":"Fulvio Lauretani, Antonio Marcato, Crescenzo Testa","doi":"10.3390/ijerph22020262","DOIUrl":"10.3390/ijerph22020262","url":null,"abstract":"<p><p>Sufficient levels of physical activity are fundamental for preventing cardiovascular disease, dementia, and ultimately disability in older persons, yet this protective factor is nullified when excessive hours are spent in continuous sitting. Balancing physical activity and sedentary behavior is crucial for influencing metabolic parameters and vascular patterns, both central and peripheral, thereby reducing the risk of cardiovascular diseases, vascular dementia, and cognitive impairment. The primary goal of geriatric medicine is to improve quality of life and prevent disability by promptly identifying frail older individuals, thus mitigating both cognitive and motor impairments. Achieving this objective requires not only the optimization of pharmacological treatments but also the active promotion of a healthy lifestyle. In this context, investigating preclinical stages of disability, such as Motoric Cognitive Risk (MCR) Syndrome, which integrates physical and cognitive components of decline, becomes essential. However, despite robust evidence supporting these interventions, greater efforts are needed from the geriatric medical community to bridge the gap between scientific recommendations and everyday clinical practice. Integrating these guidelines into routine care is pivotal for delivering personalized interventions that address both physical inactivity and prolonged sedentary behavior. More research should aim to strengthen this balance, providing clearer, actionable strategies for clinicians to implement, thereby fostering the formation of evidence-based public health guidelines on physical activity specifically tailored for older persons.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505303","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":"Digital Stress-Preventive Management Competencies: Definition, Identification and Tool Development for Research and Practice.","authors":"Glauco Cioffi, Cristian Balducci, Stefano Toderi","doi":"10.3390/ijerph22020267","DOIUrl":"10.3390/ijerph22020267","url":null,"abstract":"<p><p>The digital transformation of work and the rise of remote workers (RWs) are gaining growing interest in occupational health science. However, research on managers' role in well-being can be developed more. Aiming to bridge this gap, this study first defines and explores the Digital Stress-Preventive Management Competencies (DMCs) and then develops and validates an indicator tool with a three-phase procedure. Phase 1 consisted of a literature review and interviews with experts to identify DMCs, followed by item generation, content analysis and competencies conceptualization. Phase 2 was devoted to tool validation, comprising exploratory and confirmatory factor analysis with 247 RWs. Phase 3 explored the concurrent validity by investigating the relationship between DMCs and psychosocial factors via structural equation modeling (sample Phase 2) and polynomial regression with response surface analysis on 50 manager-team dyads (RWs 218). Two key competencies were identified: supportive ICT-mediated interaction (SIMI) and avoidance of abusive ICT adoption (AAIA). The final nine-item tool revealed a two-factor structure and good psychometric properties. SIMI was associated with superior support and role, while AAIA was linked to demands and control reported by RWs. These findings suggest that the DMCs identified and the related tool have potential applications in future organizational intervention content and for research purposes.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505121","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}