International Journal of Environmental Research and Public Health最新文献

{"title":"Characterization of Background Exposures to Ethylene Oxide in the United States: A Reality Check on Theoretical Health Risks for Potentially Exposed Populations near Industrial Sources.","authors":"Christopher R Kirman, Patrick J Sheehan, Abby A Li, James S Bus, Steave H Su, Pamela J Dopart, Heather N Watson, Emma E Moynihan, Rick Reiss","doi":"10.3390/ijerph22040597","DOIUrl":"https://doi.org/10.3390/ijerph22040597","url":null,"abstract":"<p><p>Ethylene oxide (EO) is an industrial chemical and sterilant that is released into ambient air from natural and unregulated anthropogenic sources that contribute to background exogenous exposure and from regulated industrial sources that contribute to additional exogenous exposure for near-facility populations. Metabolic processes contribute to substantial background endogenous exposures to EO, complicating the interpretation of the relation between total background exposure and the health significance of added industrial exogenous exposure. In 2021, Kirman and colleagues characterized the total and endogenous equivalent background concentrations for U.S. populations, which are substantially greater than the USEPA 2016 EO cancer reassessment risk-specific concentrations (0.00011-0.011 ppb), suggesting that the consideration of background exposure could be used as a reality check for the utility of the reassessment in managing EO risk for industrially exposed populations. New exposure biomarker data and background ambient concentration data for EO have become available since the 2021 assessment and are used here to refine the estimates of U.S. population total and endogenous equivalent background EO concentrations. Refined equivalent background concentrations as well as total equivalent exposure estimates for U.S. smokers provide context as to the health significance of near-industry population added exposure and a reality check for the utility of USEPA and TCEQ risk-specific concentrations in managing and communicating EO risk.</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/PMC12026671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018429","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":"Association Between Area-Level Deprivation and Cardio-Metabolic Risk Factors Among the Adult Population in Russia.","authors":"Anastasia A Zelenina, Svetlana A Shalnova, Oksana M Drapkina","doi":"10.3390/ijerph22040594","DOIUrl":"https://doi.org/10.3390/ijerph22040594","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases have been the leading cause of death in the Russian population to date.</p><p><strong>Methods: </strong>Using generalized estimating equations, we examined the links of area-level socio-economic and environmental deprivation with cardiovascular disease risk factors in the adult population as a whole, as well as in men and women separately.</p><p><strong>Results: </strong>People living in more economically deprived areas had 61 percent higher odds of being obese (Q4: odds ratio (OR) 1.61; 95% confidence interval (CI): 1.20-2.16), 2.32 times higher odds of having chronic kidney disease (OR 2.32; 95% CI: 1.56-3.44), up to 57 percent higher odds of having hyperuricemia (OR 1.57; 95% CI: 1.31-1.88), and up to 80 percent higher odds of having diabetes mellitus (OR 1.80; 95% CI: 1.71-1.89), compared to those in the least deprived areas. Individuals living in the most environmentally deprived areas were associated with higher odds of hypertension (OR 1.37; 95% CI: 1.19-1.57) and these associations persisted for both when considering men (OR 1.38; 95% CI: 1.19-1.61) and women (OR 1.37; 95% CI: 1.14-1.65) separately.</p><p><strong>Conclusions: </strong>This is the first study to examine the relationship of area characteristics with cardio-metabolic risk factors such as elevated blood pressure and prediabetes, taking into account individual characteristics among the Russian population.</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/PMC12026931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992221","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":"Peritraumatic Distress Affected the Course of Depressive Symptoms During the COVID-19 Pandemic Lockdown in Subjects with Affective and Anxiety Disorders.","authors":"Claudia Carmassi, Carlo Antonio Bertelloni, Valerio Dell'Oste, Sara Fantasia, Lucia Maggioni, Mirella Ruggeri, Branko Ristic, Chiara Bonetto, Sarah Tosato","doi":"10.3390/ijerph22040593","DOIUrl":"https://doi.org/10.3390/ijerph22040593","url":null,"abstract":"<p><p>In western countries, the COVID-19 pandemic represented a unique scenario of a global threat of contagion of a life-threatening illness, as confirmed by the need for exceptional and never adopted measures represented by national lockdowns. This study aimed to investigate peritraumatic distress in the framework of the lockdown and to measure the impact on the course of depressive symptoms during the \"first wave\" of the COVID-19 pandemic in Italy. A sample of 131 subjects (52.7% females; mean age 47.0 ± 15.9 years), looking for a first or follow-up psychiatric visit at the outpatient psychiatric services of two Italian university hospitals, was recruited between 1 June 2020 and 30 July 2020 and assessed by the Hamilton Rating Scale for Depression (HAM-D) and the Peritraumatic Distress Inventory (PDI) at the time of enrolment in the study (T0). The HAM-D was administered again after 3 months (T1). Higher PDI scores significantly predicted the persistence or worsening of depressive symptoms. These results give further evidence of the possible interplay between peritraumatic distress and depressive symptoms in the framework of a global health threat such as the COVID-19 pandemic.</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/PMC12026545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027819","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":"Modelling an Optimal Climate-Driven Malaria Transmission Control Strategy to Optimise the Management of Malaria in Mberengwa District, Zimbabwe: A Multi-Method Study Protocol.","authors":"Tafadzwa Chivasa, Mlamuli Dhlamini, Auther Maviza, Wilfred Njabulo Nunu, Joyce Tsoka-Gwegweni","doi":"10.3390/ijerph22040591","DOIUrl":"https://doi.org/10.3390/ijerph22040591","url":null,"abstract":"<p><p>Malaria is a persistent public health problem, particularly in sub-Saharan Africa where its transmission is intricately linked to climatic factors. Climate change threatens malaria elimination efforts in limited resource settings, such as in the Mberengwa district. However, the role of climate change in malaria transmission and management has not been adequately quantified to inform interventions. This protocol employs a multi-method quantitative study design in four steps, starting with a scoping review of the literature, followed by a multi-method quantitative approach using geospatial analysis, a quantitative survey, and the development of a predictive Susceptible-Exposed-Infected-Recovered-Susceptible-Geographic Information System model to explore the link between climate change and malaria transmission in the Mberengwa district. Geospatial overlay, Getis-Ord Gi* spatial autocorrelation, and spatial linear regression will be applied to climate (temperature, rainfall, and humidity), environmental (Land Use-Land Cover, elevations, proximity to water bodies, and Normalised Difference Vegetation Index), and socio-economic (Poverty Levels and Population Density) data to provide a comprehensive understanding of the spatial distribution of malaria in Mberengwa District. The predictive model will utilise historical data from two decades (2003-2023) to simulate near- and mid-century malaria transmission patterns. The findings of this study will be used to inform policies and optimise the management of malaria in the context of climate change.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055822","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 Effectiveness of Debriefing on the Mental Health of Rescue Teams: A Systematic Review.","authors":"Francesca Ancarani, Pedro Garijo Añaños, Bain Gutiérrez, Juan Pérez-Nievas, Germán Vicente-Rodríguez, Fernando Gimeno Marco","doi":"10.3390/ijerph22040590","DOIUrl":"https://doi.org/10.3390/ijerph22040590","url":null,"abstract":"<p><p><b>Background</b>: Rescue teams and emergency services face high levels of mental health problems due to their frequent exposure to traumatic situations. Critical incident stress debriefing (CISD) is widely used as a psychological intervention for emergency responders and military personnel exposed to traumatic events. However, its effectiveness remains controversial, with systematic reviews yielding mixed results and some evidence of negative and harmful outcomes. This systematic review, conducted according to PRISMA guidelines, evaluates the evidence on the efficacy of CISD in mitigating psychological distress and preventing post-traumatic stress disorder (PTSD). <b>Methods</b>: A systematic search was conducted in PubMed and PsycINFO from inception to November 2024. Eligibility criteria included randomized controlled trials (RCTs) and cohort studies assessing the impact of CISD on PTSD, anxiety, depression, and psychological distress. Two independent reviewers screened studies, extracted data, and assessed the risk of bias using the PEDro scale. Data narrative synthesis was applicable. <b>Results</b>: A total of 6 out of 371 studies were included, comprising 4751 participants. The PEDro scale showed that one study was of high methodological quality, four were of acceptable quality, and two had deficiencies. The findings revealed mixed outcomes: while some studies reported a reduction in PTSD symptoms, others found no significant effect or even potential harm. Heterogeneity in intervention implementation, population characteristics, and study quality influenced the results. Risk of bias was moderate to high in several studies, with limitations in sample size and follow-up duration. No specific effects have been studied in mountain rescue teams. <b>Conclusions</b>: Current evidence does not unequivocally support the efficacy of CISD in preventing PTSD and psychological distress. Given methodological concerns and potential adverse effects, alternative debriefing methods, such as Battlemind debriefing, warrant further exploration. Future research should focus on well-powered RCTs with standardized intervention protocols to enhance reliability.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055287","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 Impact of Morning Meditation and Sleep Quality on Affective and Health Outcomes in Healthcare Workers.","authors":"Ana Junça-Silva, Marisa Kulyk, António Caetano","doi":"10.3390/ijerph22040592","DOIUrl":"https://doi.org/10.3390/ijerph22040592","url":null,"abstract":"<p><strong>Background: </strong>Health is a critical factor influencing key workplace outcomes, including job attitudes, behaviors, and performance. This study investigated the role of daily micro-breaks, specifically morning meditation practices, and positive affective experiences (i.e., positive affect) at work in predicting health-related outcomes, namely vitality and mental health. Using a non-experimental design, this study tested a moderated mediation model in which sleep quality moderates the relationship between morning meditation and positive affect, which, in turn, predicts end-of-the-day health-related outcomes.</p><p><strong>Methodology: </strong>Data were collected twice a day from 44 healthcare employees over five consecutive workdays using a daily survey approach.</p><p><strong>Key results: </strong>Multilevel modeling analyses revealed that morning meditation was significantly associated with increased positive affect and improved health indicators at the end of the workday. Moreover, sleep quality moderated the relationship between morning meditation and positive affect, such that the conditional indirect effect of meditation on end-of-day mental health and vitality via positive affect was significant when sleep quality from the preceding night was poor.</p><p><strong>Conclusions: </strong>These findings underscore the interactive effect of prior-night sleep quality and morning meditation on affective and health-related outcomes by the end of the day. By identifying sleep quality as a key boundary condition, we contribute to a more nuanced understanding of when meditation is most beneficial. Our findings have significant implications for both research and practice, particularly in high-stress environments such as healthcare, where optimizing employee well-being is crucial for both individual and organizational performance.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058214","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 Support Preferences for Young Women Who Self-Harm: A Qualitative Study.","authors":"Demee Rheinberger, Smrithi Ravindra, Aimy Slade, Alison L Calear, Amy Wang, Brittany Bunyan, Helen Christensen, Isabel Mahony, Isabella Gilbert, Katherine Boydell, Lorna Hankin, Samantha Tang","doi":"10.3390/ijerph22040587","DOIUrl":"https://doi.org/10.3390/ijerph22040587","url":null,"abstract":"<p><p>Rates of self-harm among young women have been increasing in recent years across multiple high-income nations. Given the negative outcomes associated with self-harm, it is essential that young women who engage in self-harm receive the support that best addresses their specific needs. The aim of the current study is to explore support preferences among Australian young women with a history of self-harm. Semi-structured interviews were conducted with 27 young women (<i>M</i> = 20.9, <i>SD</i> = 2.1) with a history of self-harm, recruited through social media posts. Interviews were audio-recorded and transcribed verbatim. Data were analysed using a Reflexive Thematic Analysis approach. Thematic analysis of the data identified themes pertaining to the following: (1) the types of support young women want around self-harm, and (2) how young women would like to receive support for self-harm. Regarding the former, participants expressed wanting information about self-harm and self-harm interventions, education about self-harm for those around them, age-specific mental health education, and alternative coping strategies. Some participants expressed not wanting any support. Regarding the latter, participants wanted self-harm information to be provided by health professionals and in school settings, and preferred for information to be provided in written or digital forms. The findings highlight the need to improve access to formal mental health support among young women, the importance of young people being able to access support confidentially, and the need for young peoples' caregivers and health professionals to be educated about self-harm. Additionally, the findings support a role for schools in providing information about mental health and available support.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056119","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":"Adolescent Vulnerability to Internet Media Exposure: The Role of Self-Mastery in Mitigating Post-Traumatic Symptoms.","authors":"Michelle Slone, Ayelet Peer, Michael Egozi","doi":"10.3390/ijerph22040589","DOIUrl":"https://doi.org/10.3390/ijerph22040589","url":null,"abstract":"<p><p>The internet has revolutionized communication, becoming central to daily life. Consequently, news consumption shifted dramatically with increased media access, exposing individuals to global traumatic events, such as armed conflicts. Adolescents are particularly vulnerable to the negative effects of this exposure due to their media expertise and developmental stage. Young adults are more mature and independent but remain vulnerable to the harmful effects of internet exposure. This study examined the relationship between internet media exposure to armed conflict and post-traumatic symptoms and psychiatric symptomology among adolescents and young adults. Additionally, self-mastery was explored as a resilience factor in both groups. A sample of 329 participants, including 159 adolescents (ages 12-18) and 168 young adults (ages 20-26), completed questionnaires assessing direct and internet media exposure to armed conflict events, self-mastery, post-traumatic symptoms and psychiatric symptomology. Structural equation modeling (SEM) revealed that internet media exposure was positively associated with post-traumatic symptoms and psychiatric symptomatology only among adolescents, whereas direct exposure was significantly related to post-traumatic symptoms only among young adults. Self-mastery moderated these effects in both groups, buffering the psychological impact of the most relevant exposure. The findings underscore the need for interventions that foster self-mastery to mitigate the adverse effects of traumatic media exposure, particularly among adolescents. Developmental implications are discussed.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036136","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":"Vulnerability and Complexity: Wartime Experiences of Arab Women During the Perinatal Period.","authors":"Maram Awad-Yasin, Lia Ring, Elad Mijalevich-Soker, Orit Taubman-Ben-Ari","doi":"10.3390/ijerph22040588","DOIUrl":"https://doi.org/10.3390/ijerph22040588","url":null,"abstract":"<p><p>Pregnancy and transition to motherhood are significant experiences accompanied by manifold changes, particularly during times of crisis, such as exposure to traumatic events, which involve further levels of complexity and vulnerability. This is especially true for Arab women in Israel, considering the interactions between their physical, mental, and social environments, and their impact on health during pregnancy and childcare in wartime. This study sought to examine the experience of Arab women in Israel, who experienced intersectional marginalization as women in a traditional patriarchal society who belong to a minority group, during the perinatal period, following the events of 7 October 2023, and the subsequent Israel-Hamas war. Semi-structured in-depth interviews were conducted with ten participants in different stages of pregnancy and young mothers to infants up to a year old. The thematic analysis revealed four main themes: <i>The impact of the war on intrapersonal identity</i>; <i>The impact within the couple's relationship identity</i>; <i>The impact on family identity</i>; <i>Socio-political identity</i>. Shining a spotlight on the experiences of Arab women in Israel and their daily functioning in the current complex reality reveals unique challenges, encompassing profound feelings of fear, anxiety, and imposed silence. Deepening the understanding of marginalized women's experiences can help policymakers in the field of women's health to design tailored adaptations in health policies for Arab women from minority groups, navigating the complexities of transitioning to motherhood during periods of social instability and wartime challenges.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051547","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":"Social Contexts and Immigration Policies Directly Impact Immigrant Health.","authors":"Maria De Jesus, Ernesto Castañeda","doi":"10.3390/ijerph22040586","DOIUrl":"https://doi.org/10.3390/ijerph22040586","url":null,"abstract":"<p><p>At the end of 2023, an estimated 117 [...].</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036174","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}