Public Health最新文献

{"title":"Extreme heat exposure in the first 1000 days: Implications for childhood stunting in Bangladesh","authors":"Wameq Azfar Raza ,&nbsp;Farzana Misha ,&nbsp;Syed Shahadat Hossain ,&nbsp;Jahida Gulshan ,&nbsp;Bazlur Rashid ,&nbsp;Sheikh Mohammad Sayem ,&nbsp;Souvik Ghosal Aranya ,&nbsp;Deepika Chaudhery","doi":"10.1016/j.puhe.2025.02.002","DOIUrl":"10.1016/j.puhe.2025.02.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Stunting is a critical public health issue in Bangladesh, a country highly vulnerable to climate change and increased extreme heat exposure. Limited research has examined the relationship between extreme heat during the first 1000 days of life and stunting. This study provides the first evidence from Bangladesh on the likelihood of stunting among children aged 24–59 months following exposure to extreme heat during this crucial developmental period.</div></div><div><h3>Study design</h3><div>The study utilized district-level panel data from the 2012 and 2019 Multiple Indicator Cluster Surveys, comprising of 24,035 children aged 24–59 months, paired with daily temperature records reflecting conditions from the child's firth 1000 days.</div></div><div><h3>Methods</h3><div>A multilevel logistic regression model with district-level random effects assessed the relationship between extreme heat exposure and stunting.</div></div><div><h3>Results</h3><div>A 1 % increase in extreme heat days during the first 1000 days of life was associated with higher odds of stunting (adjusted odds ratio [AOR] 1.56, 95 % confidence interval [CI] 1.25–1.95, p &lt; 0.0001) at 24–59 months of age. Post-birth exposure to extreme heat showed a stronger association with stunting (AOR 1.67, 95 % CI 1.37–2.03, p = 0.063) than in utero exposure (AOR 1.28, 95 % CI 1.14–1.44, p &lt; 0.0001).</div></div><div><h3>Conclusion</h3><div>Escalating extreme heat threatens decades of progress in reducing stunting in Bangladesh. Mitigation efforts targeting the first 1000 days of life are critical, alongside further research to disentangle the specific effects of extreme heat on child growth within the broader context of climate change.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 83-88"},"PeriodicalIF":3.9,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422444","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":"Experiences with a co-creation process to adapt a healthy sleep intervention with adolescents: A Health CASCADE process evaluation","authors":"Lea Rahel Delfmann ,&nbsp;Janneke de Boer ,&nbsp;Margrit Schreier ,&nbsp;Katrina Messiha ,&nbsp;Benedicte Deforche ,&nbsp;Simon C. Hunter ,&nbsp;Greet Cardon ,&nbsp;Ann Vandendriessche ,&nbsp;Maïté Verloigne","doi":"10.1016/j.puhe.2025.02.006","DOIUrl":"10.1016/j.puhe.2025.02.006","url":null,"abstract":"<div><h3>Objectives</h3><div>Co-adaptation is a collaborative process to adapt existing interventions to new contexts and offers a promising way to scale (co-created) public health interventions. However, there is limited understanding of how co-adaptation processes are experienced. This study examined whether a robust co-creation process can be maintained when adapting a previously co-created intervention to promote adolescents' healthy sleep. Adolescents' experiences during this co-adaptation process were explored, using five key dimensions of co-creation (1) multistakeholder collaborative action, 2) co-learning towards innovation, 3) contextual knowledge production, 4) generating meaning, 5) open, trustful, and inclusive dialogue) as the guiding framework.</div></div><div><h3>Study design</h3><div>Qualitative observational study.</div></div><div><h3>Methods</h3><div>Qualitative data were collected from a co-adaptation process with an action group of adolescents (n = 8) and researchers (n = 2). Over eleven sessions (50 min) following Intervention Mapping, a needs assessment was conducted, and the original intervention's goals and materials were adapted. Data sources included session transcripts, facilitator reflections, adolescent evaluations (n = 5), and focus group transcripts (n = 3), elaborating on adolescents' experiences during sessions, and were analysed using Qualitative Content Analysis (QCA).</div></div><div><h3>Results</h3><div>All five dimensions of co-creation were reflected in adolescents' experiences of co-adapting the healthy sleep intervention. They enjoyed collaborating, committed to the project, reported ongoing possibilities for learning, and produced contextual knowledge from their lived experiences. The process felt meaningful, with a respectful atmosphere. However, challenges like the exclusion of students outside the group and time constraints were also encountered.</div></div><div><h3>Conclusions</h3><div>The presence of the five dimensions of co-creation in this study demonstrates that robust co-creation research can be maintained also when co-adapting a previously co-created intervention to a new context with a new group of stakeholders.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 69-74"},"PeriodicalIF":3.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422442","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":"Role of obesity-related anthropometric indicators on cognitive function in obese older adults: A systematic review and meta-analysis","authors":"Kochaphan Phirom ,&nbsp;Sothida Nantakool ,&nbsp;Busaba Chuatrakoon ,&nbsp;Kitttipan Rerkasem","doi":"10.1016/j.puhe.2025.01.040","DOIUrl":"10.1016/j.puhe.2025.01.040","url":null,"abstract":"<div><h3>Objectives</h3><div>The association between obesity and cognitive function in older adults remains inconsistent due to the use of various anthropometric indicators, such as body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR). More conclusive evidence is warranted. The aim of this study was to systematically summarize and synthesize the association between specific obesity-related anthropometric indicators (BMI, WC, and WHR) and cognitive function in obese older adults. Higher BMI, WC, or WHR is linked to cognitive decline in this population.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was carried out using PubMed, CINAHL, Scopus, Embase, and the Cochrane Library (from their inception to October 2023). Studies investigating the association between obesity indicators, including BMI, WC, WHR, and cognitive performance in older adults were included. The weighted mean difference (WMD), Odds Ratio, and 95 % confidence interval (CI) were used to estimate the pooled effect size. A random-effects model was employed as the main method. Subgroup analyses and the certainty of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach were assessed (registered number: CRD42023461770).</div></div><div><h3>Results</h3><div>Thirty-three eligible studies, involving 83,251 participants, were included. Obese older adults, as assessed by WC, had lower Mini-Mental State Examination (MMSE) scores than non-obese counterparts (WMD −0.84, 95 % CI −1.64 to −0.05, very low certainty). Those measured by WHR had a 31 % higher risk of cognitive impairment (OR 1.31, 95 % CI 1.12 to 1.53, moderate certainty). Subgroup analysis revealed a lower Montreal Cognitive Assessment (MoCA) score in obese group classified by WHO criteria compared to controls (WMD -1.67, 95 % CI -2.94 to −0.39).</div></div><div><h3>Conclusion</h3><div>This review suggests an association between obesity, as measured by WHR and WC, and poorer cognitive performance in older adults. WHR is moderately recommended for identifying cognitive impairment-related obesity, while WC recommendations are limited by very low evidence certainty.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 60-68"},"PeriodicalIF":3.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403331","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 global burden and trends of asthma from 1990 to 2021, and its changes during the COVID-19 pandemic: An observational study","authors":"Xiaofang Fu ,&nbsp;Danruo Fang ,&nbsp;Minjie Ge ,&nbsp;Qingqing Chen ,&nbsp;Huaqiong Huang ,&nbsp;Rong Liu","doi":"10.1016/j.puhe.2025.01.027","DOIUrl":"10.1016/j.puhe.2025.01.027","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to comprehensively analyze the global burden and trends of asthma, along with their variations during the COVID-19 pandemic.</div></div><div><h3>Study design</h3><div>An observational study.</div></div><div><h3>Methods</h3><div>The data on age-standardized rates of incidence (ASIR), prevalence (ASPR), and deaths (ASDR) for asthma were accessed from the Global Burden of Disease 2021. Estimated annual percentage changes (EAPCs) and annual percent changes (APCs) were calculated to describe secular trends. The rate differences between the average rates of 2020–2021 and those of 2018–2019 represent the change in the burden of asthma before and during the COVID-19 pandemic.</div></div><div><h3>Results</h3><div>In 2021, the global ASIR, ASPR, and ASDR of asthma were 516.70, 3340.12, and 5.2 per 100,000, with EAPCs of −1.04 %, −1.59 %, and −2.03 %, respectively. However, from 2018 to 2021, the global ASIR and ASPR of asthma showed a significant upward trend, with APCs of 0.41 % (95 % CI: 0.11 %–0.86 %) and 0.28 % (95 % CI: 0.04 %–0.69 %), respectively. During the COVID-19 pandemic, the global ASIR and ASPR increased significantly (rate differences were 5.26 and 23.10 per 100,000, respectively), especially in the high SDI regions (rate differences were 16.28 and 51.05 per 100,000, respectively), and among children aged under 5 (rate differences were 12.73 and 82.09 per 100,000, respectively).</div></div><div><h3>Conclusion</h3><div>During the COVID-19 pandemic period in 2020–2021, the incidence and prevalence of asthma have exhibited an upward trend globally, especially in high SDI regions and among children under 5 years old. This necessitates increased attention and intervention.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 47-54"},"PeriodicalIF":3.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386946","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":"Assessment of willingness to pay for a quality-adjusted life year in the post COVID-19 pandemic era in Japan","authors":"Taito Kitano ,&nbsp;Shinya Tsuzuki","doi":"10.1016/j.puhe.2025.01.033","DOIUrl":"10.1016/j.puhe.2025.01.033","url":null,"abstract":"<div><h3>Objectives</h3><div>Data regarding willingness to pay (WTP) for one quality-adjusted life year (QALY) may need to be updated given rapidly changing modern lifestyles and dynamic shifts of population's values related to healthcare and economic factors as influenced by the COVID-19 pandemic.</div></div><div><h3>Study design</h3><div>A cross-sectional study using online-based questionnaire surveys.</div></div><div><h3>Methods</h3><div>We conducted an online survey in March 2024 of 2,000 Japanese adults aged 20–69 years to evaluate their individual WTP for one QALY gained. We constructed a case scenario in which participants were asked to answer a series of yes/no questions to evaluate their willingness to pay for a new treatment to prolong a patient's life with a certain health status for one year. The scenario was stratified by the treatment cost per case, the annual number of patients, and the health status of patients. A probit model was implemented to estimate the WTP for one QALY gained and included the total cost, the total QALYs gained, recruitment method, participant's age, sex, household income, and educational background as explanatory variables.</div></div><div><h3>Results</h3><div>WTP per one QALY gained was estimated to be 16.98 [95%CI 14.43−19.91] million Japanese yen. A positive QALY gain (<em>p</em> &lt; 0.001), male sex (<em>p</em> &lt; 0.001), and higher household income (<em>p</em> &lt; 0.001) were positively correlated with having a higher WTP. A higher total cost (<em>p</em> &lt; 0.001), increased age (<em>p</em> = 0.002) and living alone (<em>p</em> &lt; 0.001) were negatively correlated with WTP.</div></div><div><h3>Conclusion</h3><div>Our study showed that the updated WTP threshold for a QALY gained was much larger than previously reported values. This suggests that WTP data should be reviewed and updated regularly.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 55-59"},"PeriodicalIF":3.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386947","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 Mexican drug war: Homicides and deaths of despair, 2000–2020","authors":"Abhery Das ,&nbsp;Eileen Lee ,&nbsp;Devoja Ganguli ,&nbsp;Tim A. Bruckner","doi":"10.1016/j.puhe.2025.01.011","DOIUrl":"10.1016/j.puhe.2025.01.011","url":null,"abstract":"<div><h3>Objectives</h3><div>In 2006, the Mexican government deployed their army on Drug Trafficking Organizations (DTOs). The attempt to remove cartel leaders spurred further conflict between DTOs and led to substantial increases in Mexico's homicide rate. The public display of homicide victims and the media coverage of violence may have elicited feelings of fear and depression, increasing the risk of deaths of despair. We examined whether, in Mexico, homicides correspond positively with region-specific rates of deaths of despair.</div></div><div><h3>Study Design</h3><div>We applied a fixed effects Poisson count model controlling for population-at-risk, unemployment rates, marriage rates, year indicators, and general seasonality and trend in deaths of despair.</div></div><div><h3>Methods</h3><div>We utilize data from the National Institute of Statistics, Geography and Informatics to obtain homicides (per 100,000 population) as our exposure and the count of deaths of despair (e.g., alcoholic liver disease, suicide, and drug-related deaths) as our outcome. Our sample size comprised 8064 state-months from 32 Mexican states between 2000 and 2020. We applied a fixed effects Poisson count model controlling for population-at-risk, unemployment rates, marriage rates, year indicators, and general seasonality and trend in deaths of despair.</div></div><div><h3>Results</h3><div>Homicides (per 100,000 population) correspond with a 1.8 % increase in deaths of despair ([IRR] = 1.018; 95 % CI, 1.007–1.029). When examining type of death, alcoholic liver disease deaths drive this relation with a 1.6 % increase ([IRR] = 1.016; 95 % CI, 1.003–1.030) as a function of homicides (per 100,000 population).</div></div><div><h3>Conclusions</h3><div>Large and public acts of violence may induce adverse mental health, and in turn, greater deaths of despair (specifically alcoholic liver disease deaths) among Mexican populations not directly connected to homicide-related violence. Prevention efforts should target alcohol misuse and liver disease patients in Mexico.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"240 ","pages":"Pages 217-222"},"PeriodicalIF":3.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386636","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 association between health literacy and unmet medical needs by gender","authors":"Jisu Ko ,&nbsp;Jae Hyeok Lim ,&nbsp;Dan Bi Kim ,&nbsp;Min Jeong Joo ,&nbsp;Yun Seo Jang ,&nbsp;Eun-Cheol Park ,&nbsp;Suk-Yong Jang","doi":"10.1016/j.puhe.2025.01.036","DOIUrl":"10.1016/j.puhe.2025.01.036","url":null,"abstract":"<div><h3>Objectives</h3><div>Understanding the factors influencing unmet medical needs (UMN) is crucial for developing effective interventions. This study aims to investigate the association between health literacy (HL) and UMN by gender.</div></div><div><h3>Study design</h3><div>Quantitative survey analysis.</div></div><div><h3>Methods</h3><div>We used data from the 2021 Korea Health Panel (KHP) with 10,073 participants. Variable of interest was HL, measured using the HLS-EU-Q16, and the dependent variable was an UMN, measured based on respondents' self-reported experiences of unmet medical needs due to financial or non-financial reasons over the past 12 months. First, the UMN experience was investigated, and then the reason for the occurrence was investigate. Multiple logistic regression was used to assess the association between HL and UMN after adjusted.</div></div><div><h3>Results</h3><div>UMN rates with problematic and inadequate HL were 12.7 % and 12.5 %, respectively, for males; and 14.3 % and 13.2 %, respectively, for females. HL was significantly associated with UMN among both male and female participants, with adjusted odds ratios of 1.37 and 1.85, respectively; and 1.46 and 1.50, respectively, for problematic and inadequate HL. The odds ratio of UMN was associated with low HL in the groups under 30 years of age for both men and women. The UMN odds ratio was also associated with high academic achievement and the non-exercise group with low HL.</div></div><div><h3>Conclusion</h3><div>Low HL is associated with a higher likelihood of UMN. These findings emphasize the importance of improving HL to reduce the occurrence of UMN, warranting further research in this area.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 39-46"},"PeriodicalIF":3.9,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386945","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":"Pathways of how health literacy and social support are associated with health outcomes in 17 European countries: Results of mediation analyses","authors":"Orna Baron-Epel ,&nbsp;Thomas Link ,&nbsp;Robert Griebler ,&nbsp;Henrik Bøggild ,&nbsp;Eva-Maria Berens ,&nbsp;Éva Bíró ,&nbsp;Deirdre Coy ,&nbsp;Saskia Maria De Gani ,&nbsp;Doris Schaeffer ,&nbsp;Kristine Sørensen ,&nbsp;Christopher Le ,&nbsp;Maria Lopatina ,&nbsp;Gillian Rowlands ,&nbsp;Rajae Touzani ,&nbsp;Stephan Van den Broucke ,&nbsp;Ferenc Vincze ,&nbsp;Mitja Vrdelja ,&nbsp;Sanja Vrbovsek ,&nbsp;Diane Levin-Zamir","doi":"10.1016/j.puhe.2025.01.032","DOIUrl":"10.1016/j.puhe.2025.01.032","url":null,"abstract":"<div><h3>Objectives</h3><div>To estimate and compare (1) how social support (SS) acts as a mediator for the association between health literacy (HL) and health outcomes, and (2) how HL acts as a mediator for the association between SS and health outcomes.</div></div><div><h3>Study design</h3><div>Mediation analyses.</div></div><div><h3>Methods</h3><div>Data from the Health Literacy Survey 2019 (HLS₁₉) were analyzed including 42,445 participants in 17 European countries. Four mediation models were tested with two health outcomes: self-reported health (SRH) and health-related limitations (Global Activity Limitations Indicator, GALI). In two models, SS was the mediator between HL and SRH and in the other two models HL was the mediator between SS and GALI.</div></div><div><h3>Results</h3><div>SS is a significant mediator of the association between HL and SRH in all countries and between HL and GALI in eight countries. Up to 25–30 % of the total effect was mediated by SS. In addition, HL is a significant mediator of the association between SS and SRH in 15 countries and between SS and GALI in eight countries. With regard to SRH, SS may be regarded as the more relevant mediator between HL and SRH; whereas for GALI, HL can be considered the mediating factor between SS and GALI, as the proportions mediated were higher in the respective models in most countries.</div></div><div><h3>Conclusions</h3><div>Both HL and SS may serve as significant mediators in the models of both health measures, but to different extents. Planning interventions to mutually improve SS and HL may help communities improve health.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 12-18"},"PeriodicalIF":3.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386253","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":"Lifestyle behaviours and physical, psychological, and cognitive multimorbidity among older hypertensive population in remote areas of China","authors":"Yifei Feng ,&nbsp;Saiyi Wang ,&nbsp;Lipei Zhao ,&nbsp;Xinghong Guo ,&nbsp;Zhanlei Shen ,&nbsp;Yijing Zhang ,&nbsp;Clifford Silver Tarimo ,&nbsp;Chengzeng Wang ,&nbsp;Hang Fu ,&nbsp;Shuai Jiang ,&nbsp;Yanran Duan ,&nbsp;Yudong Miao ,&nbsp;Jian Wu","doi":"10.1016/j.puhe.2025.02.005","DOIUrl":"10.1016/j.puhe.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>With the intensification of aging, the proportion of people affected by multimorbidity is steadily increasing worldwide. In remote areas of China, where economic development is lagging and healthcare resources are limited, the older hypertensive population may experience a higher burden of multimorbidity. However, comprehensive evidence is still lacking on how specific combinations of lifestyle behaviours (LBs) impact particular multimorbidity health outcomes in older hypertensive individuals.</div></div><div><h3>Study design</h3><div>A cross-sectional study was conducted among the older hypertensive population (aged ≥65 years) from 1 July to August 31, 2023 in Jia County, a remote area of China.</div></div><div><h3>Methods</h3><div>A total of 40 diseases were categorized into physical, psychological and cognitive disorders. Multivariable-adjusted logistic regression models were used to estimate ORs and 95 % CIs for the associations between LBs and multimorbidity.</div></div><div><h3>Results</h3><div>Among 17,728 participants, the prevalence of physical, psychological, cognitive, physical-psychological multimorbidity (PPsM), physical-cognitive multimorbidity (PCM), psychological-cognitive multimorbidity (PsCM), and physical-psychological-cognitive multimorbidity (PPsCM) were 63.55 %, 30.12 %, 64.55 %, 22.31 %, 42.03 %, 22.57 %, and 16.74 %, respectively. Compared to participants without any healthy LBs, those with five healthy LBs were associated with a lower risk of physical, psychological, cognitive, PPsM, PCM, PsCM, and PPsCM. Overall, the risk of adverse outcomes decreased with the number of healthy LBs (<em>P</em>_trend&lt;0.001). However, combinations of healthy LBs of the same quantity but from different categories exhibited varying impacts on the outcomes.</div></div><div><h3>Conclusions</h3><div>Multimorbidity involving physical, psychological, and cognitive disorders poses a significant challenge for managing hypertention. Strengthening the capacity of primary healthcare workers to promote healthy lifestyle practices and identifying the optimal LB combinations should be prioritized in the management of hypertensive individuals in remote areas of China.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 24-32"},"PeriodicalIF":3.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386943","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":"Identifying and mitigating the public health consequences of meta-ignorance about \"Long COVID\" risks","authors":"Matt Motta ,&nbsp;Timothy Callaghan ,&nbsp;Medini Padmanabhan ,&nbsp;Jennifer Cornacchione Ross ,&nbsp;Lisa M. Gargano ,&nbsp;Sarah Bowman ,&nbsp;David Yokum","doi":"10.1016/j.puhe.2025.02.003","DOIUrl":"10.1016/j.puhe.2025.02.003","url":null,"abstract":"<div><h3>Objectives</h3><div>While past work studies public concern about \"Long COVID,\" fewer have asked what the public knows and/or purports to know about Long COVID. This is an important oversight, as low knowledge and/or \"meta-ignorance\" (Dunning Kruger Effect; DKE) concerning Long COVID might undermine public willingness to take action to protect themselves and others from endemic COVID-19.</div></div><div><h3>Study design</h3><div>In a nationally representative survey of US adults, we measure the correspondence between Americans’ objective and perceived Long COVID knowledge.</div></div><div><h3>Methods</h3><div>We estimate a series of multivariate regression models that assess (a) the socio-demographic correlates and (b) public health consequences of Long COVID meta-ignorance.</div></div><div><h3>Results</h3><div>We detect prevalent meta-ignorance about Long COVID. Greater than one fifth of Americans express high confidence in their perceived Long COVID knowledge, despite exhibiting lower than average objective knowledge. The expression of DKE is associated with a series of deleterious public health and health policy outcomes, including: opposition to workplace COVID-19 vaccine mandates, annual COVID-19 vaccine hesitancy, and an increased likelihood of being sick with Long COVID.</div></div><div><h3>Conclusion</h3><div>Our work provides novel insights into the promises and potential limitations of health communication efforts to provide the public with basic facts about the causes and consequences of Long COVID.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 19-23"},"PeriodicalIF":3.9,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386269","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}