Public Health最新文献

{"title":"Co-creation experiences among adults in diverse contexts: A Health CASCADE scoping review","authors":"Lauren McCaffrey ,&nbsp;Bryan McCann ,&nbsp;Maria Giné-Garriga ,&nbsp;Qingfan An ,&nbsp;Greet Cardon ,&nbsp;Sebastien François Martin Chastin ,&nbsp;Rabab Chrifou ,&nbsp;Sonia Lippke ,&nbsp;Quentin Loisel ,&nbsp;Giuliana Raffaella Longworth ,&nbsp;Katrina Messiha ,&nbsp;Mira Vogelsang ,&nbsp;Emily Whyte ,&nbsp;Philippa Margaret Dall","doi":"10.1016/j.puhe.2024.11.002","DOIUrl":"10.1016/j.puhe.2024.11.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This scoping review aimed to summarise available evidence relating to co-creation experiences among adults in diverse contexts. Understanding how participation in co-creation processes shapes experiences is important as it can offer insights into the improved development and effective use of such processes. Co-creation has increasingly gained attention due to its many claimed advantages and benefits to participants. There is however a lack of aggregated literature on stakeholders’ experience of the co-creation process.</div></div><div><h3>Study design</h3><div>Scoping review.</div></div><div><h3>Methods</h3><div>Arksey and O'Malley's methodological framework for conducting scoping reviews was used. A systematic search was conducted in Scopus and the Health CASCADE Co-creation Database (an open access curated database of 13,501 articles, screened for inclusion based on criteria relating to co-creation participatory research). Themes were generated through thematic analysis.</div></div><div><h3>Results</h3><div>We included 80 publications. Positive co-creation experiences were linked to establishing interpersonal relationships and positive group dynamics, enhanced well-being, personal development, satisfaction and fulfilment. Negative experiences were associated with initial uncertainties, project-related challenges, interpersonal issues, dissatisfaction, and disengagement.</div></div><div><h3>Conclusion</h3><div>This review offers insights into how co-creation shaped experiences and demonstrates the scope and characteristics of co-creation experiences. It highlights the need for further research, particularly in understanding the mechanisms underpinning and explaining experiences and in strategies for promoting positive experiences and mitigating negative experiences.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 29-36"},"PeriodicalIF":3.9,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of circadian syndrome with risk of hyperuricemia among middle-aged and older adults in China: The first nationwide cohort study","authors":"Dandan Wang ,&nbsp;Lilin Chen ,&nbsp;Wenxing Shi ,&nbsp;Tiantian Zhang","doi":"10.1016/j.puhe.2024.10.002","DOIUrl":"10.1016/j.puhe.2024.10.002","url":null,"abstract":"<div><h3>Objectives</h3><div>No studies have been conducted to explore the association of circadian syndrome (CircS) and hyperuricemia. We addressed the gap by investigating the association of CircS and the risk of hyperuricemia among middle-aged and older adults in China.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>We utilized a nationwide cohort from the China Health and Retirement Longitudinal Study, 7009 adults aged at least 45 years were enrolled at baseline in 2011, and 4415 participants followed up to 2015. CircS was assessed using seven components including five components used to define metabolic syndrome and two components of lack of sleep and depression. Multivariable logistic regression analysis was applied to examine the association of CircS and hyperuricemia. Stratified analyses were used to identify the vulnerable subgroup.</div></div><div><h3>Results</h3><div>Among the 7009 participants (mean age: 60.6 [SD: 9.8] years), 52.8 % were women. Compared to participants without CircS, those with CircS had a higher risk of hyperuricemia (adjusted odds ratio, aOR 2.246, 95 % CI:1.819–2.773). After 4-year follow-up, 457 (10.4 %) cases developed as hyperuricemia. The longitudinal analyses showed that CircS had a higher risk of incident hyperuricemia (aOR 2.136, 1.740–2.620). The association was stronger in women and those with kidney disease. Sensitivity analysis showed that individuals with ≥ six CircS components had the highest risk of hyperuricemia.</div></div><div><h3>Conclusions</h3><div>This nationwide cohort first revealed that CircS was related to an increased risk of hyperuricemia among Chinese adults. Our findings provide epidemiological evidence regarding the importance of CircS management as a preventative strategy for hyperuricemia.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 23-28"},"PeriodicalIF":3.9,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relating mental health, health-related quality of life and well-being in the aftermath of the COVID-19 pandemic: A cross-sectional comparison in 14 European countries in early 2023","authors":"Zhuxin Mao ,&nbsp;Koen Pepermans ,&nbsp;Philippe Beutels","doi":"10.1016/j.puhe.2024.11.010","DOIUrl":"10.1016/j.puhe.2024.11.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To understand country-level differences in the population's health and well-being in Europe in the aftermath of the COVID-19 pandemic, while also investigating the internal relationships among health and well-being outcomes.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We collected representative panel-based samples of 1000 adult respondents per country across 14 Western European countries in early 2023. The survey used standardised instruments to assess health and well-being, including EQ-5D-5L, GHQ-12, PHQ-9, general satisfaction, the Brief Resilience Scale and the ULS-6 (Loneliness) Scale. Summary statistics of the aggregate scores for each country were calculated and ranked. Multidimensional unfolding was used to visualize the rank relationships across countries and the indices, whereby a closer distance between a country and an index indicated a higher/better rank. Additionally, two key objective country-level indices (GDP growth rate and excess mortality rates) were integrated into the analysis.</div></div><div><h3>Results</h3><div>Austria was found to report better status on most of the indices, while Sweden and the UK ranked consistently worse than the other countries. The loneliness, EQ-VAS and satisfaction scores were plotted further from the mental well-being scores and EQ-5D utility scores. Countries that did well in controlling excess mortality and maintaining economic growth tended to exhibit lower performance in self-reported well-being.</div></div><div><h3>Conclusion</h3><div>This study presents the variability in health and well-being across 14 West-European countries. Discrepancies between countries in self-reported outcomes reveal the complex interrelationship among different aspects of well-being. The study also highlights the complexities and challenges in optimising policies to maximize the overall well-being of society.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 16-22"},"PeriodicalIF":3.9,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antimicrobial Prescription Assessment Tool (AmPAT) development and validation for assessing the rationality of antimicrobial prescriptions in primary and secondary healthcare settings in India","authors":"Adarsh Bansal ,&nbsp;Madhu Gupta ,&nbsp;Nusrat Shafiq ,&nbsp;Atul Saroch ,&nbsp;Tanvi Kiran ,&nbsp;Jayashree Muralidharan","doi":"10.1016/j.puhe.2024.11.009","DOIUrl":"10.1016/j.puhe.2024.11.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Antimicrobials prescribed without indications can lead to antimicrobial resistance (AMR). This study aimed to develop a validated support and audit antimicrobial prescription assessment tool (AmPAT) to assess the rationality of prescriptions by generalist medical doctors in outpatient settings at primary and secondary healthcare facilities.</div></div><div><h3>Study design</h3><div>Multiphase content validity study.</div></div><div><h3>Methods</h3><div>AmPAT was developed in four phases. Phase 1 involved item identification and development based on literature and expert suggestions. In phase 2, the face and content validity were assessed using the Delphi technique in two rounds (16 experts in round 1 and 19 in round 2). The content validity ratio (CVR) and content validity index (CVI) were calculated. A pilot study was conducted in Phase 3 in primary and secondary-level healthcare facilities (n = 92 prescriptions) in Chandigarh, India. Five experts assessed the rationality of 30 prescriptions for inter-rater reliability. The inter-rater agreement and internal consistency were calculated using Fleiss-Kappa statistics and Cronbach's alpha, respectively. Phase 4 included a large cross-sectional study (n = 945 prescriptions) for estimating the internal consistency of AmPAT.</div></div><div><h3>Results</h3><div>AmPAT was developed with 19 items under three sections (patient, clinical, and treatment details). The mean CVR was 0.91 (range 0.16–1.00), and mean CVI was 0.96 (range 0.58–1.00). The kappa value was 0.91 (range 0.59–1.00) for inter-rater agreement. The Cronbach's alpha was 0.75 (95%CI 0.66–0.82) and 0.76 (0.68–0.82) in phases 3 and 4, respectively.</div></div><div><h3>Conclusion</h3><div>AmPAT, with good reliability, inter-rater agreement, and internal consistency, was developed to assess the rationality of antimicrobials prescribed in outpatient departments at primary and secondary-level healthcare settings.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 7-15"},"PeriodicalIF":3.9,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying the prevalence and determinants of respiratory syncytial virus (RSV) vaccine hesitancy in US adults aged 60 or older","authors":"M. Motta ,&nbsp;T. Callaghan ,&nbsp;M. Padmanabhan ,&nbsp;J. Ross ,&nbsp;L.M. Gargano ,&nbsp;S. Bowman ,&nbsp;D. Yokum","doi":"10.1016/j.puhe.2024.08.004","DOIUrl":"10.1016/j.puhe.2024.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>Federal regulators recently authorised two vaccines designed to prevent infection with respiratory syncytial virus (RSV) for adults aged 60 or older. While some efforts have been made to study vaccine uptake thus far, few have studied this group's intentions to vaccinate, as well as potential barriers to vaccination. This omission is noteworthy as adults aged 60 or older may be at an increased risk of experiencing severe complications from RSV infection.</div></div><div><h3>Study design &amp; Methods</h3><div>We fielded a nationally representative survey of 1200 US adults (<em>n</em> = 362 aged 60+). Respondents aged 60 or older were asked a series of questions about their willingness to receive an RSV vaccine, vaccine safety, and efficacy attitudes, and their knowledge about vaccination eligibility.</div></div><div><h3>Results</h3><div>We find that a majority of seniors (53%) intend to refuse an RSV vaccine. As of late fall 2023, just 14% of those eligible had already received an RSV vaccine. Multivariate regression models suggest that belief in the safety and efficacy of the RSV vaccine, as well as previous flu and COVID-19 vaccine uptake, are associated with increased RSV vaccination intentions.</div></div><div><h3>Conclusions</h3><div>We document high levels of RSV vaccine hesitancy among adults aged 60 or older and show that negative vaccine attitudes and non-vaccination behaviors motivate RSV vaccine refusal. Our work thereby raises the possibility that efforts to communicate the safety and efficacy of RSV vaccination may have beneficial effects on RSV vaccine uptake.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 3-6"},"PeriodicalIF":3.9,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of Disease in Latin America: Towards a data-driven public health approach","authors":"D.C. Malta,&nbsp;P.J. Garcia,&nbsp;M.J. Rios-Blancas,&nbsp;A.L.P Ribeiro","doi":"10.1016/j.puhe.2024.11.001","DOIUrl":"10.1016/j.puhe.2024.11.001","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"238 ","pages":"Pages 1-2"},"PeriodicalIF":3.9,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated care for chronic diseases: An evolutionary step for emerging primary health care systems","authors":"Muslim Abbas Syed,&nbsp;Mohamed Ahmed Syed,&nbsp;Andrew CK. Lee","doi":"10.1016/j.puhe.2024.11.007","DOIUrl":"10.1016/j.puhe.2024.11.007","url":null,"abstract":"<div><div>Globally, people are living longer, and many will have multiple, complex chronic diseases. These chronic diseases are often a leading cause of death and disability particularly in emerging developed countries. For these emerging nations, the current trajectory of gradual health system change is likely to lag changing population needs and escalating cost pressures. Consequently, there is a need for a stepwise evolutionary change in the approach to care delivery in these countries. The integrated care (IC) concept describes a collaborative model for organizing healthcare systems, particularly for chronic disease management that pulls together health systems, social science, managerial and patient-centered perspectives. The IC approach could help drive forward efforts to improve population health outcomes, reduce duplication and inefficiency in health care systems, and could be the solution needed by emerging developed countries.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 456-457"},"PeriodicalIF":3.9,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of regular health check-ups with a reduction in mortality in 625,279 elderly participants with hypertension: A population-based cohort study","authors":"Zhengxin Li ,&nbsp;Junru Wu ,&nbsp;Qing Wen ,&nbsp;Sangya Fu ,&nbsp;Xuejing Sun ,&nbsp;Tian He ,&nbsp;Wen Zhang ,&nbsp;Yao Lu ,&nbsp;Hong Yuan ,&nbsp;Jingjing Cai","doi":"10.1016/j.puhe.2024.10.024","DOIUrl":"10.1016/j.puhe.2024.10.024","url":null,"abstract":"<div><h3>Objectives</h3><div>Health check-ups constitute an essential part of China's primary health care policy and a key measure for health screening and risk assessment for elderly people with hypertension and chronic diseases. The role of health check-ups in reducing the incidence of cardiovascular and all-cause mortality remains controversial. This study aimed to investigate the relationship between health check-ups and cardiovascular and all-cause mortality in elderly individuals with hypertension.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>This study included 625,279 elderly participants with hypertension. Associations of regular and irregular health check-ups with cardiovascular disease related (CVD-related) mortality, all-cause mortality and non-CVD-related mortality were tested via the inverse probability of treatment weighting (IPTW) matching and Cox proportional hazard models. Adjusted hazard ratios (HRs) and 95 % confidence intervals (CIs) were estimated for mortality.</div></div><div><h3>Results</h3><div>A total of 625,279 participants completed health assessments. During a median follow-up of 5.43 years, 45,927 CVD-related deaths and 25,519 non-CVD-related deaths were recorded. After IPTW, regular health check-ups were significantly associated with reduced CVD-related mortality and all-cause mortality (HR: 0.442, 95 % CI: 0.434–0.450; and HR: 0.441, 95 % CI: 0.435–0.448, respectively). An even stronger association between regular health check-ups and reduced CVD-related mortality was observed in participants with diabetes (HR: 0.40, 95 % CI: 0.39–0.42, P for interaction &lt;0.001), dyslipidaemia (HR: 0.43, 95 % CI: 0.42–0.44, P for interaction &lt;0.001) and a high risk or very high risk of hypertension (HR: 0.41, 95 % CI: 0.40–0.42, P for interaction &lt;0.001).</div></div><div><h3>Conclusions</h3><div>Regular health check-ups may be associated with reductions in CVD mortality and all-cause mortality in the elderly population with hypertension, especially in individuals with diabetes, dyslipidaemia and a high risk or very high risk of hypertension.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 458-465"},"PeriodicalIF":3.9,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142639927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of parents' lifestyle on Schoolchildren's consumption of ultra-processed food","authors":"G.A.L. Oliveira ,&nbsp;V.S.S. Gonçalves ,&nbsp;E.Y. Nakano ,&nbsp;N. Toral","doi":"10.1016/j.puhe.2024.11.005","DOIUrl":"10.1016/j.puhe.2024.11.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the association between schoolchildren's consumption of ultra-processed foods (UPFs) and various lifestyle factors of their parents in Brazil.</div></div><div><h3>Study design</h3><div>Cross-sectional population-based study with parent-child dyads aged 6–11.</div></div><div><h3>Methods</h3><div>The sample was distributed proportionally across Brazilian macro-regions and type of school. Recruitment utilized the snowball technique, and participants filled in an online questionnaire. Initially, parents provided data on education, eating practices, food consumption markers, screen time, and physical activity. Subsequently, their children reported their UPF consumption using the Illustrated Questionnaire on Food Consumption for Brazilian Schoolchildren. The UPF consumption among children was assessed using the NOVA score. Poisson's regression log-linear analysis was performed (p &lt; 0.05) with adjustments for macro-regions, type of school (as a proxy for socioeconomic status), gender, and age of the child.</div></div><div><h3>Results</h3><div>This study included a total of 2021 child-parent dyads. On average, children consumed 3.5 UPFs on the previous day. We found a significant association between high consumption of UPFs by the child and parents with less healthy eating practices (p &lt; 0.05), excessive screen time (p &lt; 0.05), and high UPF consumption (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>These findings demonstrate a relationship between Brazilian schoolchildren's consumption of UPFs and various lifestyle factors of their parents, particularly regarding eating practices, food consumption markers, screen time, and physical activity. This underscores the importance of the home food environment in shaping children's health during this critical developmental stage of life, emphasizing the need to incorporate support for family lifestyle factors into public health policies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 443-448"},"PeriodicalIF":3.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender-dependent effect of physical activity on the risk of incident multimorbidity during the COVID-19 pandemic: Findings from the PAMPA cohort, Brazil","authors":"Natan Feter ,&nbsp;Felipe Mendes Delpino ,&nbsp;Felipe Fossati Reichert ,&nbsp;Eduardo L. Caputo ,&nbsp;Airton J. Rombaldi ,&nbsp;Caroline Huckembeck ,&nbsp;Jayne Santos Leite ,&nbsp;Carine Nascimento da Silva ,&nbsp;Júlia Cassuriaga ,&nbsp;Ricardo Alt ,&nbsp;Marcelo Cozzensa da Silva","doi":"10.1016/j.puhe.2024.11.006","DOIUrl":"10.1016/j.puhe.2024.11.006","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to investigate the association between physical activity (PA) and the risk of incident multimorbidity in adults from southern Brazil during the COVID-19 pandemic.</div></div><div><h3>Study design</h3><div>Prospective Study.</div></div><div><h3>Methods</h3><div>We analyzed data from the Prospective Study about Physical and Mental Health (PAMPA) cohort, a longitudinal study of adults living in southern Brazil. The baseline assessment occurred in June/July 2020, and further data collection occurred 6 and 12 months later. Participants with no multimorbidity (2 or more simultaneous chronic conditions) at baseline were included in the present analysis. PA weekly volume, status, type, and place were also assessed at baseline.</div></div><div><h3>Results</h3><div>Over one year, 30.8 % of participants developed multimorbidity. Men participants, classified as physically active before or during the pandemic, had reduced risk of multimorbidity. Practicing PA at home reduced the risk in both genders, while PA at and out of home only reduced the risk in women participants. Endurance and combined activities reduced the risk among women, while strength activities reduced the risk in both genders.</div></div><div><h3>Conclusions</h3><div>PA reduced the risk of incident multimorbidity among adults in southern Brazil, with different parameters moderating this effect between genders.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"237 ","pages":"Pages 449-455"},"PeriodicalIF":3.9,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}