Public Health最新文献

{"title":"The impact of the home life environment and organised extracurricular activities on adolescent cannabis use: Findings from the Irish Planet Youth Survey","authors":"Fionn P. Daly ,&nbsp;Seán R. Millar ,&nbsp;Emmet Major ,&nbsp;Peter M. Barrett","doi":"10.1016/j.puhe.2025.03.013","DOIUrl":"10.1016/j.puhe.2025.03.013","url":null,"abstract":"<div><h3>Objectives</h3><div>Adolescent cannabis use is a significant public health concern. This study aimed to investigate how the home life environment and involvement in extracurricular activities correlate with teenage cannabis use in Ireland.</div></div><div><h3>Study design</h3><div>Cross-sectional study</div></div><div><h3>Methods</h3><div>We analysed data from the Planet Youth 2020 survey, an anonymous questionnaire among school-going adolescents in the West of Ireland. Adolescents with complete data pertaining to age, gender, and cannabis use were included (n = 4897). Multinomial logistic regression examined factors associated with cannabis use more than 12 months ago, within the previous 12 months (but not 30 days), and within the previous month (vs. never used). Exposure variables of interest included factors related to the home life environment (parental rule-setting, parental monitoring, being outside after midnight in the previous week, and intergenerational closure), and adolescent involvement in extracurricular activities (sports, arts, volunteering, and/or afterschool clubs).</div></div><div><h3>Results</h3><div>Overall, 908 (18.5 %) adolescents reported previous cannabis use. Specifically, 182 (3.7 %) had used cannabis more than a year ago, 361 (7.4 %) had used cannabis within the last year (but not 30 days), while 365 (7.5 %) had used cannabis within the past month. Being outside after midnight in the previous week, a lack of parental rule-setting, parental monitoring, intergenerational closure, and lack of participation in sports or volunteering were all associated with increased odds of adolescent cannabis use.</div></div><div><h3>Conclusion</h3><div>Cannabis use is relatively common among adolescents in Ireland. Social environment factors related to cannabis use, both within the home and in the wider community, may provide valuable insights for actionable primary prevention interventions at the grassroots level.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 375-381"},"PeriodicalIF":3.9,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783687","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":"Gardening initiatives as an approach to cancer prevention for children and youth","authors":"Christina Gillies ,&nbsp;Courtney Baay","doi":"10.1016/j.puhe.2025.03.015","DOIUrl":"10.1016/j.puhe.2025.03.015","url":null,"abstract":"<div><h3>Objectives</h3><div>Gardening initiatives may be used to address modifiable risk factors for cancer from an early age. This review synthesizes evidence on the effects of gardening initiatives on modifiable cancer risk factors among school-aged children and youth.</div></div><div><h3>Study design</h3><div>Rapid review.</div></div><div><h3>Methods</h3><div>A rapid review was conducted in March 2024 using databases (e.g., MEDLINE, PubMed), registers (e.g., ClinicalTrials.gov), and other sources (e.g., Healthevidence.org, Google Scholar). Two reviewers independently screened and selected articles for inclusion, and one completed quality appraisal. Peer-reviewed studies from the past ten years on gardening initiatives in schools, daycares, or community settings in high-income countries were included. Studies had to report health outcomes for children and youth (aged 0–18 years) related to modifiable cancer risk factors including: nutrition behaviors, body weight, physical activity (PA), sedentary behavior, psychosocial factors, and ultraviolet ray (UVR) behaviors.</div></div><div><h3>Results</h3><div>This resulted in forty-eight included studies. Most measured outcomes related to nutrition behaviors, psychosocial factors, body weight, and PA. Fewer studies measured sedentary behavior, and none included UVR behaviors. Gardening initiatives generally led to positive nutrition behaviors (e.g., improved knowledge, dietary diversity), increased PA, decreased sedentary behavior, and improved psychosocial factors (e.g., depression, social cohesion). Effects on body weight and abdominal adiposity were inconclusive.</div></div><div><h3>Conclusions</h3><div>Gardening initiatives in educational and community settings could help prevent cancer by improving diet, PA, and psychosocial health in children and youth. However, more rigorous, longitudinal studies are needed to better understand their effectiveness, mechanisms, and long-term impact on cancer prevention into adulthood.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 367-374"},"PeriodicalIF":3.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776959","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":"Life within: Unraveling the patterns and correlates of smokeless tobacco use in pregnant women across India","authors":"Amrita Gupta ,&nbsp;Nilesh Gawde ,&nbsp;K. Anil Kumar ,&nbsp;Muthusamy Sivakami ,&nbsp;Sulabha Parasuraman","doi":"10.1016/j.puhe.2025.03.016","DOIUrl":"10.1016/j.puhe.2025.03.016","url":null,"abstract":"<div><h3>Objectives</h3><div>Tobacco use during pregnancy is of significant concern as it is associated with adverse outcomes in expecting mothers and their fetuses. Smokeless tobacco use is widespread among women in India. However, there is a dearth of studies on smokeless tobacco use and its determinants during pregnancy in India. The study examines the prevalence and predictors of smokeless tobacco use, quit attempts, advice from healthcare providers to quit, and intentions to quit among pregnant women in India.</div></div><div><h3>Study design</h3><div>The study utilizes the Global Adult Tobacco Survey (GATS) 2 (2016–17) India data. GATS 2 was conducted in all 30 states and two union territories. GATS is a nationally representative household survey of individuals aged 15 years or above. A multistage sampling procedure was conducted separately for urban and rural areas.</div></div><div><h3>Methods</h3><div>The sample size for the study was 1403 currently pregnant women at the time of the survey. Bivariate analysis, multivariable regression, Chi-square test, and phi coefficient were utilized.</div></div><div><h3>Results</h3><div>Smokeless tobacco use was reported by 7.4 % of pregnant women, highest among older age groups, Scheduled Tribes, poorer households, and North-Eastern and EAG states. About 64.4 % visited a healthcare provider, but only 23.7 % were asked about tobacco use, and 20.2 % were advised to quit. Quit attempts were made by 43.6 %, and only 20 % planned to quit within 12 months. Age, caste, education, occupation, and state of residence were statistically significant predictors of tobacco use, but not knowledge of the ill effects of smokeless tobacco use.</div></div><div><h3>Conclusions</h3><div>Addressing Smokeless tobacco use among pregnant women in India requires a multifaceted approach combining targeted interventions, strengthened healthcare provider support, health education campaigns, and evidence-based policies. Health education and awareness campaigns should disseminate accurate and comprehensive information about the risks of smokeless tobacco use during pregnancy on mother and child.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 359-366"},"PeriodicalIF":3.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777543","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":"Effect of working hours and shift work on preterm birth among Australian women in paid work during pregnancy: Prospective cohort study","authors":"Haimanot Abebe Adane ,&nbsp;Ross Iles ,&nbsp;Jacqueline A. Boyle ,&nbsp;Luke R. Sheehan ,&nbsp;Alex Collie","doi":"10.1016/j.puhe.2025.03.021","DOIUrl":"10.1016/j.puhe.2025.03.021","url":null,"abstract":"<div><h3>Objective</h3><div>In Australia, the rate of preterm births increased from 8.3 % in 2010 to 8.7 % in 2021, posing risks not only during pregnancy and the neonatal period but also for long-term offspring development. While global studies highlight predictors of preterm birth, limited research explores the link between working conditions, such as long working hours, shift work, and preterm birth in Australian women.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>This study analysed data from the Australian Longitudinal Study on Women's Health, including 2241 employed women who reported 2522 singleton births between 1996 and 2018. Mixed-effects logistic regression was used to account for repeated births from the same women. Data analysis was performed using STATA version 17.</div></div><div><h3>Results</h3><div>Long working hours were initially associated with an increased risk of pre-term birth (AOR 1.61, 95 % CI: 1.02–2.55), but this association became non-significant after adjusting for obstetric and health factors (AOR 1.21, 95 % CI: 0.76–1.92). Similarly, shift work showed no significant association with preterm birth (AOR 0.59, 95 % CI: 0.31–1.13). Low educational status (AOR 1.86, 95 % CI: 1.04–3.31), smoking (AOR 2.48, 95 % CI: 1.17–5.25), gestational hypertension (AOR 2.75, 95 % CI: 1.32–5.23), primiparity (AOR 2.02, 95 % CI: 1.13–3.63), asthma history (AOR 2.01, 95 % CI: 1.05–3.84) and lack of private health insurance (AOR 1.86, 95 % CI: 1.14–3.05) remained significantly associated with higher odds of preterm birth.</div></div><div><h3>Conclusion</h3><div>This study initially found a link between working over 40 hours per week and preterm birth, but this association was nullified after adjusting for health and obstetric factors. Additionally, shift work showed no significant association with preterm birth. Low educational status, smoking, gestational hypertension, asthma, primiparity, and lack of private health insurance were significantly associated with preterm birth. Addressing chronic diseases and social inequalities is crucial to reducing preterm birth rates.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 352-358"},"PeriodicalIF":3.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768536","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":"Regional differences in COVID-19 vaccine uptake and their determinants among Swedish older adults","authors":"Yiyi Xu ,&nbsp;Fredrik Nyberg ,&nbsp;Ailiana Santosa ,&nbsp;Ulrika Marking ,&nbsp;Jerker Jonsson ,&nbsp;Magnus Gisslén ,&nbsp;Jonas W. Wastesson ,&nbsp;Kristina Johnell","doi":"10.1016/j.puhe.2025.03.028","DOIUrl":"10.1016/j.puhe.2025.03.028","url":null,"abstract":"<div><h3>Objectives</h3><div>Regional differences in vaccine uptake constitute a threat to vaccination efforts. This study investigated factors contributing to such variation in COVID-19 vaccination (throughout the pandemic, including first, sixth dose and a 2023 autumn booster) among adults ≥65 years in Sweden.</div></div><div><h3>Study design</h3><div>This Swedish nationwide register-based cohort study comprised over 2 million older adults. The study periods began on December 27, 2020 for the first dose, February 1, 2022 for the sixth dose, and October 1, 2023 for the seasonal booster dose, ending on January 31, 2024.</div></div><div><h3>Methods</h3><div>We calculated regional age- and sex-standardized vaccine uptake rates over these periods. We used mixed-effects Poisson regression to identify associations between potential predictors (both individual- and regional-level sociodemographic and health-related factors) and vaccine uptake.</div></div><div><h3>Results</h3><div>The overall uptake was 95 % for the first dose, 66 % for the sixth, and 73 % for the seasonal booster. The time trend for uptake of the first dose was similar among the 21 Swedish regions. However, for the sixth and booster doses, larger, more populous regions were slower and had lower uptake rates. Individual-level factors were stronger predictors for vaccine uptake than regional-level. Male sex, born outside of Sweden, having low income and low education were associated with lower uptakes.</div></div><div><h3>Conclusions</h3><div>Regional differences in vaccine uptake emerged for subsequent doses as national prioritization and coordination was relaxed. Our findings underscore the importance of minimizing regional variation through targeted interventions.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 324-331"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760829","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":"How is the restrictive vaccine vial opening policy of the childhood vaccination programme experienced by health care workers and health facility users? A qualitative study in rural Guinea-Bissau","authors":"Julie Odgaard Vedel ,&nbsp;Jailson Sydenei Dias Martins ,&nbsp;Igualdino Da Silva Borges ,&nbsp;Quique Bassat ,&nbsp;Ane Bærent Fisker ,&nbsp;Maria Maixenchs","doi":"10.1016/j.puhe.2025.02.038","DOIUrl":"10.1016/j.puhe.2025.02.038","url":null,"abstract":"<div><h3>Objectives</h3><div>Any remaining doses of unpreserved multi-dose vaccines must be discarded 6 h after reconstitution. In many countries, these multi-dose vaccines are only opened if a certain number of children are present. In Guinea-Bissau, this results in health facilities (HFs) limiting BCG, measles, and yellow fever vaccinations to predefined days.</div><div>This study aims to explore views, perceptions and experiences of caregivers of vaccine-eligible children and health care workers (HCWs) on the vaccination programme and restrictive vial opening policy (RVOP).</div></div><div><h3>Study design</h3><div>A qualitative study nested within an ongoing vaccine trial in rural Guinea-Bissau.</div></div><div><h3>Methods</h3><div>Focus group discussions (FGDs) and semi-structured interviews were conducted in the regions Biombo, Oio, and Farim and a thematic networks analysis was performed.</div></div><div><h3>Results</h3><div>Vaccines were well considered, and no caregivers (n = 29, 4 FGDs) or HCWs (n = 9), expressed negative perceptions of vaccines.</div><div>Most caregivers reported several difficulties in seeking and obtaining vaccinations, especially unpreserved multi-dose vaccines, including vaccine stock-outs, HCW strikes, cost/availability of transportation, and waiting time at HFs. Many stated returning to the same HFs repeatedly was their only option for obtaining vaccinations.</div><div>Most HCWs perceived the RVOP as a logical result of limited vaccine availability but balancing vaccine uptake and dose wastage negatively affected their sense of purpose and job satisfaction.</div><div>To optimize the vaccination process, many participants recommended abandoning the RVOP, and allocating more resources to the HFs.</div></div><div><h3>Conclusions</h3><div>The RVOP afflicts both caregivers and HCWs and is one of several persisting barriers for vaccinations in rural Guinea-Bissau that should be addressed.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 332-339"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760830","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":"Global and regional burden of breast cancer attributable to high BMI, 1990–2036: A comprehensive analysis","authors":"Yuzhou Cai ,&nbsp;Ying Ye ,&nbsp;Jingxian Qian","doi":"10.1016/j.puhe.2025.03.025","DOIUrl":"10.1016/j.puhe.2025.03.025","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess global, regional, and national trends in breast cancer burden attributable to high body mass index (BMI) from 1990 to 2021 and provide projections up to 2036 using data from the Global Burden of Disease (GBD) 2021 study.</div></div><div><h3>Study design</h3><div>Systematic analysis of the GBD 2021 dataset.</div></div><div><h3>Methods</h3><div>We extracted high BMI-related breast cancer data from the GBD 2021 dataset, covering 204 countries and territories. Age-standardized mortality rates (ASMR), disability-adjusted life years (DALYs), and estimated annual percentage changes (EAPCs) were calculated to analyze temporal patterns and regional differences. Future trends were projected using the Bayesian age-period-cohort (BAPC) model.</div></div><div><h3>Results</h3><div>In 2021, high BMI contributed to 44,707 breast cancer deaths and 1,041,309 DALYs globally, reflecting a 138.5 % and 142.7 % increase, respectively, compared to 1990. While global age-standardized mortality and DALY rates remained relatively stable, the absolute burden significantly increased, particularly in low- and middle-SDI regions. High-SDI regions exhibited the highest age-standardized rates, but low-SDI regions showed the fastest growth. Projections indicate that the global burden of breast cancer due to high BMI will continue to rise until 2036, driven by increasing obesity rates and insufficient healthcare resources.</div></div><div><h3>Conclusions</h3><div>High body mass index is a major driver of the global breast cancer burden, showing increasing trends not only in high-income regions but more prominently in low-SDI regions. Effective strategies, including public health interventions targeting obesity management, are needed to control the rising burden.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 340-351"},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760828","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":"Antibiotic prescribing patterns in the community and primary care settings through a gender lens: A systematic review","authors":"Muhammad Asaduzzaman ,&nbsp;Md. Zamiur Rahaman ,&nbsp;Sadia Afrin ,&nbsp;Rifat Ara ,&nbsp;Seemab Mehmood ,&nbsp;Elena Boriani ,&nbsp;KM Saif-Ur-Rahman","doi":"10.1016/j.puhe.2025.03.020","DOIUrl":"10.1016/j.puhe.2025.03.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Gender differences affect exposure to infections, including drug-resistant ones. However, data on the relationship between gender and antibiotic use are limited. This systematic review examines gender differences in antibiotic prescribing patterns in community and primary care settings.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>We searched Web of Science (Core Collection), PubMed, Scopus, Cochrane Database, and EMBASE for studies published between January 2014 and April 2024. We included studies of any design that analyzed antibiotic prescribing patterns for patients consulting general practitioners. We excluded studies that did not examine gender differences, unpublished reports, and non-English articles. We conducted a narrative synthesis of the findings. The review is registered in PROSPERO (CRD42023476119).</div></div><div><h3>Results</h3><div>Our search identified 12,853 citations, from which we included 11 studies conducted in 10 countries. Most studies (n = 7) were cross-sectional. Gender analysis of antibiotic prescribing in the included studies did not show a consistent pattern in the likelihood of antibiotic prescription based on gender. The most commonly prescribed antibiotics were azithromycin, amoxicillin, cephalexins, penicillin, clarithromycin, and metronidazole, primarily for respiratory infections, sinusitis, bronchitis, pneumonia, COVID-19, skin, and musculoskeletal diseases. Most studies did not report dose compliance.</div></div><div><h3>Conclusions</h3><div>Our systematic review identifies gender as a factor in antibiotic prescribing that remains insufficiently explored. Further research and policy discussions are needed to examine global prescribing patterns through a gender lens.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 311-318"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747485","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":"The impact of alcohol control policy on assaults and sexual assaults in Lithuania: An interrupted time-series analysis","authors":"Laura Miščikienė ,&nbsp;Huan Jiang ,&nbsp;Alexander Tran ,&nbsp;Jürgen Rehm ,&nbsp;Mindaugas Štelemėkas ,&nbsp;Shannon Lange","doi":"10.1016/j.puhe.2025.03.027","DOIUrl":"10.1016/j.puhe.2025.03.027","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of the current study was to test the impact of three alcohol control policy enactments (in 2008, 2017 and 2018) on assaults and sexual assaults in Lithuania. The hypothesis tested was that alcohol control policy implementation is associated with a reduction in the occurrence of both assaults and sexual assaults.</div></div><div><h3>Study design</h3><div>An interrupted time-series analysis.</div></div><div><h3>Methods</h3><div>To estimate the unique impact of three alcohol control policies, interrupted time-series analyses were conducted. Three alcohol policy enactments, based on the World Health Organization “best buys” framework, and the following stringent criteria: (1) pricing policies had to have resulted in decreased affordability, defined in terms of the price of alcohol increasing at a higher degree than average disposable income; or (2) availability policies that aimed to reduce alcohol use for a large portion of the general population were selected for evaluation.</div></div><div><h3>Results</h3><div>The alcohol control policy implemented in 2017 was statistically significantly associated with a reduction of 29.9 % (exp(-0.35379)-1) in the rate of sexual assaults, after adjusting for the financial recession and COVID-19-related lockdowns and smooth functions of time.</div></div><div><h3>Conclusions</h3><div>Study provides evidence that alcohol control policies, particularly those focusing on major alcohol tax increases that reduces alcohol affordability can contribute to reducing rates of sexual assault. The current findings, along with the consistent evidence linking alcohol use to sexual violence, supports the need for comprehensive strategies for mitigating violence to include alcohol.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 319-323"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747032","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":"Residential greenness exposure and repeatedly measured hyperglycemic markers in women with gestational diabetes mellitus: A birth cohort study in Foshan, China","authors":"Man He ,&nbsp;Qingmei Lin ,&nbsp;Xi Su ,&nbsp;Yushi Liu ,&nbsp;Weidong Luo ,&nbsp;Zilong Zhang ,&nbsp;Huaicai Zeng ,&nbsp;Hualiang Lin ,&nbsp;Xiaoling Guo ,&nbsp;Yin Yang","doi":"10.1016/j.puhe.2025.03.024","DOIUrl":"10.1016/j.puhe.2025.03.024","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the association between residential greenness exposure and repeatedly measured hemoglobin A1c (HbA1c) levels during pregnancy in women with gestational diabetes mellitus (GDM).</div></div><div><h3>Study design</h3><div>This was a cohort study.</div></div><div><h3>Methods</h3><div>This study was conducted in Foshan City, Southern China from January 1, 2016 to August 31, 2022. Women with GDM who had two HbA1c measurements during their pregnancy were included in the analysis. Residential greenness was assessed using the satellite-derived Normalized Difference Vegetation Index (NDVI) and Enhanced Vegetation Index (EVI) in different buffer areas. Multivariable linear regression models were used to investigate the associations between residential greenness exposure and glycemic levels during middle and late pregnancy. Linear mixed-effect models were used to analyze the association between greenness exposure and repeatedly measured glycemic levels.</div></div><div><h3>Results</h3><div>Among 5,814 pregnant women with GDM, the mean HbA1c levels were 5.04 (±0.54) % and 5.39 (±0.57) % in middle and late pregnancy, respectively. Greenness exposure before and throughout pregnancy was associated with decreased HbA1c levels from middle to late pregnancy. In the adjusted models, each 0.1 increase in NDVI and EVI value was associated with a 0.01 % (95 % confidence interval [CI]: −0.02 %, −0.01 %) to 0.03 % (95 % CI: −0.04 %, −0.01 %) decrease in HbA1c levels during middle and late pregnancy. Similar findings were observed in a longitudinal analysis of the associations between greenness exposure and HbA1c levels.</div></div><div><h3>Conclusions</h3><div>Greater residential greenness exposure was associated with lower HbA1c levels from middle to late pregnancy in women with GDM.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 304-310"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747031","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}