Public Health最新文献

{"title":"A qualitative study on deaf individuals’ access to health knowledge and services in Lebanon","authors":"Carmel Bouclaous,&nbsp;Majd Rachid ,&nbsp;Leen Echtay ,&nbsp;Racha Abdallah ,&nbsp;Aya Abdelrazzak ,&nbsp;Lynn Chakas","doi":"10.1016/j.puhe.2025.105830","DOIUrl":"10.1016/j.puhe.2025.105830","url":null,"abstract":"<div><h3>Objectives</h3><div>This study seeks to assess the situation of Lebanese deaf individuals who use sign language, explore their understanding of common pathologies and how they acquire health knowledge, identify the challenges they encounter within the healthcare system, and gather their proposed solutions for improving health communication and services.</div></div><div><h3>Study design</h3><div>Focus group design.</div></div><div><h3>Methods</h3><div>A focus group of 10 deaf individuals was conducted. The discussions were facilitated by the research team, with a Lebanese sign language interpreter present to provide real-time translation and ensure meaningful and inclusive dialogue. Audio recordings were transcribed and coded.</div></div><div><h3>Results</h3><div>Findings revealed significant challenges pertaining to health literacy, patient-physician communication, limited access to sign language interpreters in healthcare settings, inadequate health information in accessible formats, difficulty in navigating the healthcare system, and lack of awareness among healthcare providers about the needs of the deaf community, leading to impaired autonomy and lack of trust.</div></div><div><h3>Conclusions</h3><div>Potential solutions include enhancing the accessibility of health information and patient-physician communication, especially through sign language interpretation, implementing logistical accommodations to facilitate navigation through the healthcare system, such as extended appointments, text-based booking systems, and virtual tours. Additionally, updating governmental policies and insurance guidelines, and incorporating cultural sensitivity training into medical education and practice, can significantly improve their experience. Government initiatives involving the deaf civil community must be implemented to address the structural and cultural barriers to accessible and equitable healthcare.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105830"},"PeriodicalIF":3.9,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321769","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":"Severe maternal morbidity in Louisiana by race, rurality, poverty, and availability of care","authors":"Veronica Gillispie-Bell ,&nbsp;Shalmali Bane ,&nbsp;Jane Martin ,&nbsp;Peiyi Kan ,&nbsp;Mahasin S. Mujahid ,&nbsp;Suzan L. Carmichael","doi":"10.1016/j.puhe.2025.105824","DOIUrl":"10.1016/j.puhe.2025.105824","url":null,"abstract":"<div><h3>Objectives</h3><div>Race-ethnicity and place-based variables such as rurality, ZIP code-level poverty, and county maternity care desert status have been associated with severe maternal morbidity and maternal mortality rates in the US. We examined these associations in Louisiana, which has one of the highest maternal mortality rates in the US.</div></div><div><h3>Study design</h3><div>This was a birth cohort study.</div></div><div><h3>Methods</h3><div>We used state-wide inpatient birth hospitalization discharge data in Louisiana between 2016 and 2021. Mixed-effects logistic regression models with individuals nested within ZIP codes were used to estimate adjusted odds ratios (aOR) for non-transfusion severe maternal morbidity (nt-SMM, defined using the CDC index) according to race-ethnicity and place-based variables (overall and stratified by race-ethnicity).</div></div><div><h3>Results</h3><div>Among 326,597 birth hospitalizations, 2486 (0.77 %) involved nt-SMM. Non-Hispanic Black and Hispanic individuals had increased risk of nt-SMM compared to Non-Hispanic White individuals, after adjustment for sociodemographic factors, a comorbidity index, and place-placed variables (aORs 1.36, 95 %CI 1.23–1.51 and 1.39, 95 %CI 1.21–1.59, respectively). Residence in a maternity care desert county or rural ZIP code did not increase risk; however, residence in a ZIP code in the highest quartile of poverty was associated with increased risk (aOR 1.26, 95 %CI 1.04–1.51). When stratified by race and ethnicity, an increased risk remained for Non-Hispanic Black and Hispanic individuals residing in the highest-poverty ZIP codes (aORs 1.33, 95 % CI 1.00–1.78 and 1.32, 95 % CI 1.05–1.65, respectively), and a potential increased risk associated with living in a maternity care desert emerged for Black individuals (aOR 1.33, 95 % CI 1.00–1.76), but confidence intervals included 1.00.</div></div><div><h3>Conclusions</h3><div>In Louisiana, to reduce the rate of nt-SMM, social factors must be addressed, especially for non-Hispanic Black individuals living in areas with the highest levels of poverty and in maternity care deserts, as they had the highest risks in this population.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105824"},"PeriodicalIF":3.9,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330731","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 influence of the utilization of health insurance on the relationship between health shocks and poverty vulnerability among rural elderly in China: A study of different household structures","authors":"Xinnan Du ,&nbsp;Shiping Gu ,&nbsp;Yunyi Wu ,&nbsp;Jie Zhao ,&nbsp;Sangsang Li ,&nbsp;Dan Han ,&nbsp;Mei Zhang ,&nbsp;Ling Zhi Sang ,&nbsp;Yizhou Ao ,&nbsp;Jing Wang","doi":"10.1016/j.puhe.2025.105797","DOIUrl":"10.1016/j.puhe.2025.105797","url":null,"abstract":"<div><h3>Objectives</h3><div>The study aimed to clarify the mechanism linking health shocks, health insurance utilization and poverty vulnerability among households of rural elderly in China, and explore the effect of household structure on the mechanism.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data were obtained from an on-site survey supported by China's National Natural Science Foundation in 2022, targeting rural elderly with chronic diseases and their families. In total, 2169 Chinese rural residents aged ≥60 years with chronic diseases and their families were interviewed. Health shocks were represented as a latent variable comprising five specific variables. Health insurance usage was categorized into three options. Poverty vulnerability was assessed with a poverty line standard of $1.9 per capita daily consumption. Household structures were classified into three types. A structural equation model was constructed to explore the mechanism between these factors in the total study population and different household types. Entropy weight method assessed health shock scores. The Karlson-Holm-Breen (KHB) mediation decomposition method was applied to decompose the mediating effect of health insurance utilization in empty-nest and left-behind children's households.</div></div><div><h3>Results</h3><div>Findings showed that health insurance utilization mediates the link between health shocks and poverty vulnerability (a = 0.061, b = −0.01, c = 0.119; all <em>P</em> &lt; 0.05). No mediation was observed in expand core households; however, in empty-nest and left-behind children's households, significant effects were seen (for empty-nest elder households, a = 0.032, b = −0.043, c = 0.078; for left-behind children's households, a = 0.066, b = −0.025, c = 0.123; all <em>P</em> &lt; 0.05). The utilization of basic health insurance and medical financial assistance exhibits the highest mediation decomposition values among empty-nest and left-behind children's households, reaching 87.31 % and 64.89 %, respectively.</div></div><div><h3>Conclusions</h3><div>Health insurance utilization is crucial for countering health shocks and poverty vulnerability among rural households; however, its efficacy differs among household structures.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105797"},"PeriodicalIF":3.9,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314169","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":"A qualitative study exploring the barriers and facilitators of conducting the SARS-CoV2 Immunity & Reinfection Evaluation (SIREN) study during the COVID-19 pandemic: Implications for developing resilient NHS research structures","authors":"Atiya Kamal ,&nbsp;Jack Haywood ,&nbsp;Dominic Sparkes ,&nbsp;Anna Howells ,&nbsp;Sophie Russell ,&nbsp;Susan Hopkins ,&nbsp;Jasmin Islam ,&nbsp;Victoria Hall","doi":"10.1016/j.puhe.2025.105818","DOIUrl":"10.1016/j.puhe.2025.105818","url":null,"abstract":"<div><h3>Objectives</h3><div>The SARS-CoV-2 Immunity and Reinfection Evaluation (SIREN) study is a prospective multicentre cohort study established to evaluate the immune response to SARS-CoV-2 following infection and vaccination in UK healthcare workers. The aim of this study is to explore barriers and facilitators experienced by SIREN sites to set-up and run the study, and implications for future research within NHS systems.</div></div><div><h3>Study design</h3><div>Qualitative study.</div></div><div><h3>Methods</h3><div>Seven focus groups (n = 33) and three one-to-one semi-structured interviews (n = 3) were conducted via MS Teams with SIREN site teams and SIREN participants.</div></div><div><h3>Results</h3><div>A thematic analysis indicates a decentralised model, multidisciplinary team working, pre-existing networks, visible senior support, diverse recruitment methods, and co-design methods contributed to the success of SIREN. Barriers to setting up SIREN sites included limited experience of running a large-scale study, lack of processes and resources, and limited organisational support. Providing SIREN sites with the flexibility to develop models of practice that consider the local context worked well. More centralised support including documents, templates and provision for peer support and shared learning can lower the administrative burden of local site teams.</div></div><div><h3>Conclusions</h3><div>Participation in the SIREN study has strengthened the research infrastructure of local sites and promoted more collaborative research processes which should be maintained to address future challenges at pace within NHS systems.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105818"},"PeriodicalIF":3.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144314170","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":"‘Family Matters’: A multilevel analysis of household-level clustering of overweight and obesity among adults in India","authors":"Prashant Kumar Singh ,&nbsp;Lucky Singh ,&nbsp;Kakoli Borkotoky ,&nbsp;Mohd Usman ,&nbsp;Chandan Kumar ,&nbsp;Shalini Singh","doi":"10.1016/j.puhe.2025.105814","DOIUrl":"10.1016/j.puhe.2025.105814","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the clustering of overweight and obesity among adults within Indian households.</div></div><div><h3>Study design</h3><div>Nationally representative cross-sectional study.</div></div><div><h3>Methods</h3><div>Data from the fifth round of the National Family Health Survey (NFHS-5, 2019-21) were analyzed to assess the prevalence of overweight and obesity among adults aged 15–54 years. The study encompassed 636,699 households and 761,885 individuals. Households were categorized based on the presence of overweight or obese members, and multilevel logistic regression was used to evaluate variations at the household, community, district, and regional levels.</div></div><div><h3>Results</h3><div>Nearly 20 % (95 % CI:19.1–19.5) of households in India had all adults classified as overweight, and 10 % (95 % CI:9.4–9.7) had all adults classified as obese. In states, such as Manipur, Kerala, Arunachal Pradesh, and Sikkim, over 30 % of households had all adults overweight. Additionally, in Tamil Nadu and Punjab, two out of every five households had all adults classified as obese. Among the households belonging to the richest wealth quintile, one in four had all members overweight, and 17.3 % (95 % CI:16.8–17.7) had all members classified as obese. The proportion of households with all obese members was nearly twice as high in urban areas (14.3–15.0 %) compared to their rural counterparts (7.1–7.4 %). Households belonging to Scheduled Tribes reported the lowest proportion of households with all members classified as obese, at only 4.2% (95% CI: 3.9–4.5), while households belonging to forward ('others') social group recorded the highest proportion, at 12.2% (95% CI: 11.8–12.5).</div></div><div><h3>Conclusion</h3><div>The clustering of overweight and obesity within households, particularly in southern states, among affluent populations, and in urban settings, underscores the importance of family-centered approaches to obesity prevention and intervention.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105814"},"PeriodicalIF":3.9,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308131","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":"Mental healthcare experiences of Ukrainian displaced people in the Netherlands: Their perspectives and as observed by professionals","authors":"E.M. Gishlarkaev,&nbsp;M.H. Donker,&nbsp;B.C. Groot-Sluijsmans","doi":"10.1016/j.puhe.2025.105796","DOIUrl":"10.1016/j.puhe.2025.105796","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to explore the experiences of Ukrainian people who are displaced with the Dutch mental healthcare system. It provides insights to inform policy, guide healthcare providers, and ultimately improve mental health services tailored to the needs of this group.</div></div><div><h3>Study design</h3><div>This study employs a qualitative research design grounded in a social-constructivist paradigm.</div></div><div><h3>Methods</h3><div>The study conducted semi-structured interviews with a mix of fourteen Ukrainian displaced individuals and professionals in Eindhoven in the Netherlands in 2024. The data collection focused on participants' experiences and perceptions regarding mental healthcare. A reflexive thematic analysis has been used to analyze the data.</div></div><div><h3>Results</h3><div>This study identified three key themes: (1) Stress sources; (2) Barriers to accessing mental healthcare; and (3) Alternative coping mechanisms. Barriers include difficulties navigating the healthcare system, language barriers, and stigma. While these challenges limit access to care, displaced individuals also turn to social support from family, friends, and community resources to address their mental health needs.</div></div><div><h3>Conclusion</h3><div>The findings emphasize the need for targeted strategies in mental healthcare for Ukrainian displaced people in the Netherlands. To address the gap between available mental health services and their effective utilization, recommendations include improving the accessibility of information on mental health resources, offering culturally sensitive support, and fostering supportive relationships between Ukrainian displaced people and healthcare providers. By addressing this, services can become more responsive to the unique needs of this group.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105796"},"PeriodicalIF":3.9,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144279768","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":"Medicalisation of public health: a narrative review","authors":"Ana Raquel Nunes","doi":"10.1016/j.puhe.2025.105827","DOIUrl":"10.1016/j.puhe.2025.105827","url":null,"abstract":"<div><h3>Objectives</h3><div>To critically examine the medicalisation of public health and its implications for addressing upstream social, environmental, and structural determinants of health.</div></div><div><h3>Study design</h3><div>Narrative review.</div></div><div><h3>Methods</h3><div>A thematic analysis was conducted on 40 peer-reviewed studies that discuss the shift in public health paradigms from systemic and social determinants to biomedical models. The selected literature was reviewed to identify recurring themes and implications related to the medicalisation of public health.</div></div><div><h3>Results</h3><div>The analysis revealed four key implications of the medicalisation of public health: an over-reliance on technical and biomedical solutions, the individualisation of health issues, which often neglects broader social contexts; the marginalisation of community-led and interdisciplinary approaches; and the emergence of ethical and equity concerns arising from exclusionary practices. These outcomes collectively reflect a narrowing of public health's scope and effectiveness in addressing root causes of health inequalities.</div></div><div><h3>Conclusions</h3><div>The findings underscore the urgent need to realign public health with its foundational mission of addressing systemic determinants. This includes promoting interdisciplinary collaboration, prioritising prevention and social reform, and embedding ethical frameworks to counterbalance biomedical dominance. Restoring balance through holistic public health strategies that integrate both biomedical and structural approaches is essential for achieving resilience, sustainability, and equity in responding to contemporary global health challenges.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105827"},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144272382","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 association between perceived stress and obesity among young adults: mediating effect of health status","authors":"Yeongju Kim ,&nbsp;Hyekyung Woo","doi":"10.1016/j.puhe.2025.105816","DOIUrl":"10.1016/j.puhe.2025.105816","url":null,"abstract":"<div><h3>Objectives</h3><div>The present study aims to analyze the impact of stress on obesity and the mediating effect of subjective health perception among health conditions that have recently attracted attention as a risk factor for obesity in young adults in Korea.</div></div><div><h3>Study design</h3><div>A cross-sectional study based on data from a national health survey.</div></div><div><h3>Methods</h3><div>Data were obtained from the 8th Korea National Health and Nutrition Examination Survey (2019–2021). The study participants were 3053 individuals aged 19–34 years. To analyze effect of health status on the association between stress and obesity, mediating effect analysis was used.</div></div><div><h3>Results</h3><div>For both men and women, higher perceived stress levels were associated with worse subjective health perception (β = 0.257, <em>p &lt; 0.001</em>; and β = 0.380, <em>p &lt; 0.001</em>, respectively), and “bad” subjective health perception was more likely than “good” subjective health perception to be associated with obesity (β = 0.319, <em>p &lt; 0.001</em>; and β = 0.377, <em>p &lt; 0.001</em>, respectively). The more stress that men and women felt, the more likely they were to suffer from obesity (β = 0.136, <em>p &lt; 0.05</em>; and β = 0.195, <em>p &lt; 0.001</em>, respectively). In addition, analysis of the mediating effect of subjective health perception on the effect of stress on obesity revealed that for men, stress affected obesity through subjective health perception, while for women, stress had a direct effect on obesity as well as an indirect effect through subjective health perception.</div></div><div><h3>Conclusions</h3><div>To effectively prevent and manage obesity in young adults, health conditions such as stress and subjective health should be considered in tandem, and more systematic strategies that differ according to gender are required.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105816"},"PeriodicalIF":3.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263606","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":"Smoking patterns among individuals with hypertension in Iran: findings from the nationwide STEPS survey 2021","authors":"Sarmad Salehi ,&nbsp;Ali Golestani ,&nbsp;Nazila Rezaei ,&nbsp;Yosra Azizpour ,&nbsp;Mina Mirzad ,&nbsp;Maryam Fotouhi ,&nbsp;Sepehr Khosravi ,&nbsp;Ozra Tabatabaei-Malazy","doi":"10.1016/j.puhe.2025.105798","DOIUrl":"10.1016/j.puhe.2025.105798","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate smoking patterns and their relationship with uncontrolled blood pressure in Iranian adults with hypertension.</div></div><div><h3>Study design</h3><div>A cross-sectional study was conducted to explore the research objectives.</div></div><div><h3>Methods</h3><div>This study used data from the 2021 national Stepwise Approach to Chronic Disease Risk Factor Surveillance (STEPS) survey, which employed a clustered sampling technique to recruit Iranian adults aged ≥18 years from urban and rural areas across 31 provinces. Hypertension was defined as a systolic blood pressure (SBP) ≥140 mmHg, diastolic blood pressure (DBP) ≥90 mmHg, a history of hypertension diagnosis or use of antihypertensive medication. Smoking behaviours, including cigarette and hookah use, were assessed using the STEPS questionnaire. Data on sociodemographic variables, physical activity (min/weeks) and comorbidities were also collected. This study used t-tests and chi-square tests, as well as multivariable regression models adjusting for covariates, to examine the relationship between smoking status and blood pressure.</div></div><div><h3>Results</h3><div>Among 27,874 participants, 8883 with hypertension were included in the analysis. The weighted prevalence of uncontrolled hypertension was 71.25 %. Smoking patterns revealed that 58.75 % were never smokers, 3.47 % were ex-smokers, 12.13 % were current smokers and 25.65 % were passive smokers. Current smokers had a higher prevalence of controlled hypertension (31.43 %) compared to ex-smokers (26.05 %), but the differences were not statistically significant (p = 0.225). Current smokers had 44 % lower odds of being ≥60 years (versus 18–39-year-olds) and were 8.32 times more likely to be male than female. Higher body mass index (BMI) and a higher wealth index were each associated with reduced odds of smoking, whereas alcohol consumption was linked to increased odds. Current smoking was associated with a 0.24 mmHg increase in SBP and a 0.35 mmHg decrease in DBP, but these associations were not statistically significant.</div></div><div><h3>Conclusions</h3><div>This study revealed a high prevalence of smoking among hypertensive individuals, especially among younger males, those with lower BMI and alcohol users. These findings underscore the need for culturally tailored smoking cessation programmes and longitudinal research to clarify the causal pathways of tobacco use in this high-risk group.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"246 ","pages":"Article 105798"},"PeriodicalIF":3.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144263605","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":"Investigating the contextual drivers and factors impacting child growth failure in mining communities: A Structural Equation Modeling approach","authors":"Herbert Tato Nyirenda,&nbsp;David Mulenga,&nbsp;Hilda Nyambe-Silavwe","doi":"10.1016/j.puhe.2025.105801","DOIUrl":"10.1016/j.puhe.2025.105801","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate contextual drivers impacting child growth-failure.</div></div><div><h3>Study design</h3><div>Employed a cross-sectional study design.</div></div><div><h3>Methods</h3><div>The study Comprised a random sample of 781 under-five children and their caregivers. Structured interviews were conducted with caregivers, and anthropometric measurements were taken from the children. Bivariate chi-square, Structural Equation Modeling and multivariate logistic regression analyses were performed.</div></div><div><h3>Results</h3><div>Over half (51 %) of the children were female. On average, households consisted of 6.1 ± 2.7 SD persons. Primary caregivers had an average age of 24.2 ± 9.4 while the children's average age was 21.3 ± 15.7 SD months. The average height of children was 80.4 ± 13.7 SD with a height-for-age Z-Score of 0.2 ± 4.9 SD. Further, 35 % of children experience child growth failure. Drivers include; age-caregiver [AOR = 1.04, 95 % CI = 1.028–1.056], high-school education [AOR = 0.24, 95 % CI = 0.089–0.677], unemployment-housewife [AOR = 0.45, 95 % CI = 0.226–0.901], feeding-strategies [AOR = 0.39, 95 % CI = 0.226–0.663] and cooking-duration [AOR = 2.16, 95 % CI = 1.131–4.129].</div></div><div><h3>Conclusion</h3><div>Child growth failure remains a concern, with individual and contextual-level factors identified as significant contributors and thus crucial to take them into account when designing nutrition interventions in vulnerable communities.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105801"},"PeriodicalIF":3.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242662","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}