International Journal of Environmental Research and Public Health最新文献

{"title":"A Commercial Determinants of Health Perspective on the Food Environments of Public Hospitals for Children and Young People in High-Income Countries: We Need to Re-Prioritize Health.","authors":"Elena Neri, Claire Thompson, Caroline Heyes, Nancy Bostock, Wendy Wills","doi":"10.3390/ijerph22040601","DOIUrl":"https://doi.org/10.3390/ijerph22040601","url":null,"abstract":"<p><p>There is growing evidence that public hospitals in high-income countries-in particular, Anglo-Saxon neoliberal countries (USA, UK, Canada, New Zealand, and Australia)-have been engaging with food retailers to attract private capital and maximise their incomes in a drive to reduce costs. Added to which, public hospital food can have a substantial influence on the health of children and young people. However, there is still relatively little research on food for young people in healthcare settings. This is concerning, as an appropriate food intake is vital not only for the prevention of and recovery from diseases, but also for the physical growth and psychological development of young people. This critical narrative review examined the available evidence on hospital food provision, practices, and environments, as well as children's experiences of hospitalization in high-income countries, drawing on both peer-reviewed articles and the grey literature. Our analytical lens for this review was the Commercial Determinants of Health (CDOH), a framework that necessitates a critical examination of commercial influences on individual, institutional, and policy practices relevant to health. Our findings illustrate the mechanisms through which the CDOH act as a barrier to healthy food and eating for children in hospitals in high-income countries. Firstly, hospital food environments can be characterised as obesogenic. Secondly, there is a lack of culturally inclusive and appropriate foods on offer in healthcare settings and an abundance of processed and convenience foods. Lastly, individualised eating is fostered in healthcare settings at the expense of commensal eating behaviours that tend to be associated with healthier eating. Public hospitals are increasingly facing commercial pressures. It is extremely important to resist these pressures and to protect patients, especially children and adolescents, from the marketing and selling of foods that have been proven to be addictive and harmful.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056092","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":"Engineering Integrated Care Expansion and Innovation: Drawing upon Nursing Leadership.","authors":"Kathleen R Delaney, Margaret R Emerson, Victoria Soltis-Jarrett, Amy J Barton, Mary Weber","doi":"10.3390/ijerph22040598","DOIUrl":"https://doi.org/10.3390/ijerph22040598","url":null,"abstract":"<p><p>In the United States (US), a longstanding solution to the unmet need for mental health treatment is integrated behavioral health care (IBH). Within a primary care model, problems are identified and treatment combines care for physical, mental and substance use disorders. Treatments are delivered through the collaboration of primary and behavioral health providers. According to US federal billing guidelines, in one integrated model, the Collaborative Care Model (CoCM), the psychiatric consultant must be a medical professional trained in psychiatry and capable of prescribing medications, i.e., either a psychiatrist, Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant. The development of integrated care has been slow for particular vulnerable populations, in part due to the lack of psychiatric consultants. PMHNPs are increasingly taking on the role of psychiatric consultants on CoCM teams and creating nurse-led IBH models for underserved populations. In this paper, eight such models are discussed along with implementation challenges and the strategies used to address them. Nurse leaders have the capacity to enhance and expand integrated care, particularly for underserved populations, through the optimal utilization of care teams, expanding measured outcomes, and developing measures for team-based effectiveness. Future directions are proposed that will accelerate this PMHNP-led expansion of IBH.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036165","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":"Extreme Weather, Vulnerable Populations, and Mental Health: The Timely Role of AI Interventions.","authors":"Mehak Batra, Bircan Erbas","doi":"10.3390/ijerph22040602","DOIUrl":"https://doi.org/10.3390/ijerph22040602","url":null,"abstract":"<p><p>Environmental disasters are becoming increasingly frequent and severe, disproportionately impacting vulnerable populations who face compounded risks due to intersectional factors such as gender, socioeconomic status, rural residence, and cultural identity. These events exacerbate mental health challenges, including post-traumatic stress disorder (PTSD), anxiety, and depression, particularly in low- and middle-income countries (LMICs) and underserved areas of high-income countries (HICs). Addressing these disparities necessitates inclusive, culturally competent, intersectional, and cost-effective strategies. Artificial intelligence (AI) presents transformative potential for delivering scalable and culturally tailored mental health interventions that account for these vulnerabilities. This perspective highlights the importance of co-designing AI tools with at-risk populations, integrating these solutions into disaster management frameworks, and ensuring their sustainability through research, training, and policy support. By embedding mental health resilience into climate adaptation strategies, stakeholders can foster equitable recovery and reduce the long-term mental health burden of environmental disasters.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023957","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 Definition Dilemma: How Definitions of Disability Shape Statistics on Social Participation.","authors":"Judith Baart, Willem Elbers, Alice Schippers, Sarah Polack","doi":"10.3390/ijerph22040603","DOIUrl":"https://doi.org/10.3390/ijerph22040603","url":null,"abstract":"<p><p>To monitor progress in including persons with disabilities, including in interventions which can improve their health and quality of life, it is crucial to collect data on their participation. However, there are many different ways of defining disability and thus categorising individuals as disabled/not disabled, which may impact measures of participation. This study aims to assess the relationship between three different measures of disability and the level of participation of persons with disabilities. We analysed data from a population-based survey of disability amongst Syrian refugees in Istanbul, which collected data on disability using the Washington Group enhanced set of disability questions as well a two-question set asking about perceived activity limitations due to disability. The prevalence of disability ranged from 13.5 to 22.4% depending on the measure used. The group of people that are categorised as disabled also differs, indicating who is being seen as disabled changes when a different measure is used. Levels of participation, with regards to paid work, education and being partnered, also varied by measure, for example, being in paid work ranged from 26% to 38%. These findings underscore the importance of carefully selecting and clearly defining disability measures in studies, (health) interventions and policy contexts.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048161","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":"Tracking Interpersonal Violence: A 13-Year Review of Cases in a Referral Hospital (2009-2022).","authors":"Andrés Santiago-Sáez, Montserrat Lázaro Del Nogal, Patricia Villavicencio Carrillo, María Teresa Martín Acero, Cesáreo Fernández Alonso, Raquel Lana Soto","doi":"10.3390/ijerph22040607","DOIUrl":"https://doi.org/10.3390/ijerph22040607","url":null,"abstract":"<p><p>Interpersonal violence involves intentional physical harm or force with psychological effects, influenced by interpersonal and societal factors. Health systems play a vital role in detecting and addressing such violence, requiring improved training and surveillance. Our hospital established a registry of suspected violence cases reported by healthcare professionals to enhance understanding, prevention strategies, and recognition of violence types and risk factors. Since 2009, all admitted patients suspected of experiencing violence were included, regardless of age or gender. Data from 2009 to 2022 covered demographics, violence details, medical interventions, and legal actions. Among 1284 patients, 83.4% were seen in the emergency department, with women comprising 80.8%, and with a mean age of 33.19 years. Reports of violence rose from 1.9% in 2009 to 16.9% in 2022. Risk factors included pregnancy [5.6%], age below 18 or over 80 [18.9%], disability [10.2%], and psychiatric conditions [11.3%]. Perpetrators were known in 56.8% of cases, mainly intimate partners [25.2%], with 29.4% of victims living with the aggressor. Doctors were primary reporters, and injury reports were issued in 65.5% of cases. Violence types included physical [44.5%], sexual [22.4%], psychological [13.3%], and economic [12.5%], with 36.3% of cases involving multiple types. Routine hospital screening and trained staff can improve victim support and enable injury prevention programs.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Practice of Physical Activity and Satisfaction with Health Status on Older Adults' Perceived Motor Competence.","authors":"José C Calero-Cano, María Espada, Javier Abián-Vicén, Pablo Abián","doi":"10.3390/ijerph22040606","DOIUrl":"https://doi.org/10.3390/ijerph22040606","url":null,"abstract":"<p><p>Due to the increase in the number of elderly people in the world, research related to the elderly is becoming more and more relevant, especially with the objective of understanding the factors which can affect the preservation of an adequate quality of life. The objectives of this research were to analyze older adults' perceived motor competence according to the practice of physical activity, satisfaction with health status, and social and demographic characteristics. This research followed a descriptive quantitative methodology using a survey. The \"Standardized Questionnaire on Physical Activity and the Elderly\" was administered to a total of 933 Spanish older adults (≥65 years old) (46.9% men, 53.1% women). The results show that the people who engaged in physical activity and/or sport on a regular basis had the best perception of their motor competence (<i>p</i> < 0.001). The more satisfied the subjects were with their health status, the higher the scores they obtained in their perceived motor competence (<i>p</i> < 0.001). Finally, the younger age group (≤74 years old), men, and people of a higher social class perceived their motor competence more satisfactorily (<i>p</i> < 0.001). The significance level was set at <i>p</i> < 0.05. The conclusions indicate a positive effect of physical activity on the perception of motor competence in older adults.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044229","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":"Dirty Utility Rooms of Hospitals in Saudi Arabia: A Multi-Regional Case Study.","authors":"Khalid Alkhurayji, Abdulmunim Alsuhaimi, Dalal Alshathri, Dlal Almazrou","doi":"10.3390/ijerph22040604","DOIUrl":"https://doi.org/10.3390/ijerph22040604","url":null,"abstract":"<p><p><b>Background:</b> The dirty utility room (DUR) plays a vital role in maintaining and optimizing the safety of patients and healthcare staff. A substantial gap exists in the literature concerning the current topic in terms of empirical studies and reviews. Therefore, this study aims to shed light on the subject and provide reliable evaluations. <b>Methods:</b> A qualitative case study design (observational) was used. We included the DURs of hospitals in multiple regions of the Kingdom of Saudi Arabia/in wards and units of each hospital. To achieve data saturation, visits across wards and ICUs were conducted until no new information was retrieved. NVivo Software version 14 was used for management and analysis of the data. We used our notes to initiate codes and then created themes involving the six steps of thematic analysis for the observational study. <b>Results:</b> Among several main hospitals in the central, western, eastern, southern, and northern geographical locations in Saudi Arabia that included DURs, a total of 24 DURs were explored to capture all relevant aspects related to the observations. Considering the range of items presented in DURs, the majority of hospitals exhibited a substantial lack of equipment. There were disagreements regarding the definition of DURs and the name of DURs. The observers agreed with the practice of urine disposal, which is performed by hand. The observers from all regions mutually agreed that stool disposal methods for patients involved diapers and the cleaning of patients manually with bed sheets. Several risks of infection control were observed related to DUR design and protocols. <b>Conclusions:</b> This national observational study of DURs in Saudi Arabian hospitals revealed major inadequacies in the design, equipment, and processes that are critical for infection control and healthcare quality, emphasizing the critical necessity for standardized methods and appropriate equipment.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027818","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":"Predicting Weight Control Intentions: An Extended Model of Goal-Directed Behavior.","authors":"Hyun Ju Yun, Yumi Jang, Jee Hye Lee","doi":"10.3390/ijerph22040600","DOIUrl":"https://doi.org/10.3390/ijerph22040600","url":null,"abstract":"<p><p>This study aimed to develop an extended model of goal-directed behavior (MGB) to more thoroughly explain the intention of adults to control body weight. The extended model integrates the crucial constructs and a newly added construct, mental health, as a formative second-order factor in the weight control context into the original MGB. An online survey was conducted with 239 undergraduate students, who responded to the constructs of attitude, subjective norms, anticipated emotions, desire, and mental health. A descriptive analysis was conducted, and the fit of the proposed research model was verified using structural equation modeling. The results showed that the known constructs of attitude, subjective norm, and anticipated emotions were critical predictors of desire in the context of weight control. In addition, desire influenced intention to control weight. Furthermore, mental health had a significant causal relationship with the variables in the extended goal-directed behavior. It broadens the weight control literature by emphasizing the role of affective factors in weight control behavior, expanding the MGB theory with mental health, and providing empirical evidence for an effective weight control intervention program.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058213","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":"Revisiting Cultural Issues in Suicide Rates: The Case of Western Countries.","authors":"Diego De Leo, Mujde Altin","doi":"10.3390/ijerph22040596","DOIUrl":"https://doi.org/10.3390/ijerph22040596","url":null,"abstract":"<p><p>Suicidal behaviors among different age groups show epidemiological differences between countries. Specifically, suicide rates for the younger populations appear to be lower in Latin-origin countries (such as Italy, Spain, and Portugal) in comparison to other Western countries (especially Anglo-Saxon countries such as Canada, New Zealand, and Australia). The opposite seems to be true for the older population, suggesting a cross-cultural pattern for suicidal behavior in different ages. The current study replicates a study published in 1999 and compares suicide data between 1990 and 1994 with more recent data from the years 2016 and 2020 to investigate the persistence of previously observed trends. Basically, the recent years' data confirm the patterns evidenced a quarter of a century ago, and substantially confirm the existence of suicide trends embedded with countries' cultural factors and traditions. This investigation underlines the importance of incorporating anthropology, sociology, ethnography, and geography while studying culture-related patterns in suicide.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989402","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":"Second-Hand Smoke Exposure and Risk of Lung Cancer Among Nonsmokers in the United States: A Systematic Review and Meta-Analysis.","authors":"Safa Elkefi, Gabriel Zeinoun, Achraf Tounsi, Jean-Marie Bruzzese, Corina Lelutiu-Weinberger, Alicia K Matthews","doi":"10.3390/ijerph22040595","DOIUrl":"https://doi.org/10.3390/ijerph22040595","url":null,"abstract":"<p><p>This study aims to explore the link between exposure to tobacco smoke among nonsmokers and the risk of lung cancer in the United States. We searched six databases for studies on second-hand smoke (SHS) and lung cancer following PRISMA guidelines. Following the random effects model and specific statistical methods, our meta-analysis analyzed studies based on SHS exposure type. A total of 19 eligible studies were included in the review and 15 in the meta-analysis. We covered exposure from parents (childhood), spouses and partners (household), and work-related exposure (colleagues), with higher risk among non-smoking children and domestic partners. Findings reveal a consistent link between SHS exposure and increased lung cancer risk for this population (exposure effect sizes: 1.05-3.11). Analysis of childhood SHS exposure reveals a distinct increased risk associated with parental exposure. For nonsmokers living with smoking spouses, there is a marked 41% increase in risk. Higher risk was associated with more and more prolonged SHS exposure. Exposure to SHS in the workplace shows a correlation with lung cancer risk. Our findings highlight increased SHS-related lung cancer risk, particularly among non-smoking children and domestic partners, intensifying with the amount and duration of exposure, indicating the significant impact of SHS within domestic environments.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021818","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}