Public Health最新文献

{"title":"Mind the (widening) gap: why public health must engage with AI now","authors":"Paula del Rey Puech ,&nbsp;Rebecca Payne ,&nbsp;Jasjot Saund ,&nbsp;Martin McKee","doi":"10.1016/j.puhe.2025.106047","DOIUrl":"10.1016/j.puhe.2025.106047","url":null,"abstract":"<div><h3>Objectives</h3><div>This commentary aims to highlight the opportunities and challenges that Artificial Intelligence (AI) presents for public health.</div></div><div><h3>Study design</h3><div>Narrative commentary and conceptual analysis.</div></div><div><h3>Methods</h3><div>The commentary draws on material developed for a forthcoming book by the European Observatory on Health Systems and Policies. Sources were selected to highlight both the potential and the limitations of AI integration at population levels, with a focus on equity, governance, and implementation. The analysis is informed by established public health principles: prevention, systems thinking, and the social determinants of health.</div></div><div><h3>Results</h3><div>AI applications in public health go beyond process automation and operational efficiency. By integrating and processing diverse, multi-modal data sources, its implementation presents opportunities to understand the wider determinants of health at a more nuanced level and identify populations at risk with greater precision. Additionally, AI has the potential to help understand and support behaviour change in sophisticated ways, enhance disease surveillance and modelling, and enable more targeted and responsive public communication and engagement strategies. However, there are several barriers to realise AI's potential in public health, including system fragmentation, data access limitations, resource constraints, implementation challenges, workforce readiness gaps, and technological limitations such as bias and generative AI “hallucinations”.</div></div><div><h3>Conclusion</h3><div>Without deliberate engagement, AI risks reinforcing existing inequities. Practical steps for action include embedding AI training in public health education, building multidisciplinary teams, investing in data infrastructure, and ensuring participatory approaches. AI will continue to shape public health systems, whether or not public health professionals engage. We argue that the public health community is both uniquely positioned and ethically obligated to engage proactively with AI.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106047"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145493020","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":"Corrigendum to “Association between trajectories of life-course group sports participation and dementia: A 3-year longitudinal study” [Public Health. 243 (2025) 105721. Doi: 10.1016/j.puhe.2025.03.033]","authors":"Mitsuya Yamakita ,&nbsp;Taishi Tsuji ,&nbsp;Satoru Kanamori ,&nbsp;Junko Saito ,&nbsp;Yuko Kai ,&nbsp;Yukako Tani ,&nbsp;Takeo Fujiwara ,&nbsp;Naoki Kondo ,&nbsp;Katsunori Kondo","doi":"10.1016/j.puhe.2025.106053","DOIUrl":"10.1016/j.puhe.2025.106053","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106053"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642021","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 impacts of extreme weather events on health services and systems: A systematic review of reviews","authors":"Martina Valente ,&nbsp;Clara Del Prete ,&nbsp;Giulia Facci ,&nbsp;Francesco Musso ,&nbsp;Stefano Cenati ,&nbsp;Sara Calligaro ,&nbsp;Luca Ragazzoni ,&nbsp;Francesco Barone-Adesi","doi":"10.1016/j.puhe.2025.106049","DOIUrl":"10.1016/j.puhe.2025.106049","url":null,"abstract":"<div><h3>Objectives</h3><div>Beyond health impacts, Extreme Weather Events (EWEs) disrupt health services and systems, an aspect often overlooked in favour of individual health outcomes. This systematic review of reviews aimed to systematically map the diverse impacts of EWEs on health services and systems, offering essential information to enhance disaster preparedness across different healthcare delivery settings.</div></div><div><h3>Study design</h3><div>A systematic review of reviews was chosen as the best method to achieve the study objective, following PRISMA guidelines for conduct and reporting.</div></div><div><h3>Methods</h3><div>PubMed, Scopus, and Web of Science were searched for narrative or systematic reviews, with or without a meta-analysis, published in the past 10 years. We evaluated the impact of floods, storms, heatwaves, cold spells, and wildfires on different components, from pre-hospital care to primary care and pharmacies. Results were thematically analysed to categorise impacts by hazard type, affected component, and impact type.</div></div><div><h3>Results</h3><div>A total of 114 reviews were included, detailing EWEs’ consequences on health services and systems, and showcasing the heterogeneity of impacts across different healthcare delivery settings and hazard types. Floods and storms disrupt hospital and pre-hospital services through infrastructure damage and road closures. Heatwaves increase ambulance dispatches, emergency department visits, hospitalisations, and primary care use, due to heat exposure and chronic disease exacerbation. Increased particulate matter levels during wildfires was also associated with increased healthcare use.</div></div><div><h3>Conclusions</h3><div>These findings highlight the significant impact of EWEs on health services and systems, and underscore the need for appropriate adaptation measures. They offer practical evidence to enhance health system preparedness and reduce the impact of EWEs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106049"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570220","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 access and acceptance barriers with under- and non-vaccination of children <5 years in Australia: A national cross-sectional survey of parents","authors":"Jessica Kaufman ,&nbsp;Maryke S. Steffens ,&nbsp;Suzanna Vidmar ,&nbsp;Katarzyna T. Bolsewicz ,&nbsp;Julie Leask ,&nbsp;Maria Christou-Ergos ,&nbsp;Majdi Sabahelzain ,&nbsp;Justin Boxall ,&nbsp;Margie Danchin","doi":"10.1016/j.puhe.2025.106082","DOIUrl":"10.1016/j.puhe.2025.106082","url":null,"abstract":"<div><h3>Objectives</h3><div>Data on barriers to childhood vaccine uptake are needed to understand and address declining coverage. This study aimed to measure access and acceptance barriers to routine childhood vaccination faced by parents in Australia.</div></div><div><h3>Study design</h3><div>National cross-sectional online survey.</div></div><div><h3>Methods</h3><div>We recruited Australian parents/carers of children aged &lt;5 years using an online panel from March–April 2024. We measured 15 access and acceptance barriers to routine childhood vaccine uptake using the validated Vaccine Barriers Assessment Tool. Parents reported their child's vaccination status (up-to-date, partially vaccinated, or unvaccinated) and demographics. We calculated prevalence of vaccination barriers and associations between barriers and parent location, financial stress, number of children, and child vaccination status. Data were weighted using the 2021 estimated resident parent population.</div></div><div><h3>Results</h3><div>Of 2000 parents surveyed, 94.0 % reported up-to-date child vaccination, 4.5 % partial, and 1.5 % unvaccinated. In all three vaccination status groups the most common barrier was feeling distressed when thinking about vaccination (60.2 % in total). Compared to parents of up-to-date children, the partially vaccinated group reported more access barriers like difficulty getting an appointment (24.8 % vs 8.5 %, PD 16.3 %, 95 % CI: 6.3–26.3) and affordability (20.5 % vs 10.4 %, PD 10.0 %, 95 % CI: 0.7–19.3). Acceptance barriers like not believing vaccines are safe were more associated with non-vaccination.</div></div><div><h3>Conclusions</h3><div>Along with strategies to improve vaccine acceptance, interventions addressing access issues like reducing appointment costs should be prioritised for partially vaccinated children. Annual assessment of social and behavioural barriers amenable to intervention will enable comparison over time to inform policy and practice.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106082"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679284","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":"Spatial and temporal patterns and determinants of chronic disease multimorbidity among middle-aged and older adults in China: Evidence from two longitudinal cohort studies","authors":"Jiaojiao Lv ,&nbsp;Yanran Huang ,&nbsp;Fan Du,&nbsp;Jiaxuan Wang,&nbsp;Mingxia Jing","doi":"10.1016/j.puhe.2025.106084","DOIUrl":"10.1016/j.puhe.2025.106084","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to investigate the spatial and temporal heterogeneity in the evolution and determinants of multimorbidity among middle-aged and elderly populations, thereby providing data support for formulating regionalized prevention and control measures for multimorbidity.</div></div><div><h3>Study design</h3><div>Retrospective analysis of two longitudinal cohort studies.</div></div><div><h3>Methods</h3><div>We utilized longitudinal data from five waves of the China Health and Retirement Longitudinal Study (CHARLS, 2011–2020) and the China Family Panel Study (CFPS, 2012–2020), focusing on individuals aged 45 years and older. Sociodemographic information and chronic disease prevalence were extracted and analyzed using geographic information system (GIS) technology to identify spatial and temporal patterns in the development of multimorbidity and the identification of determinants influencing multimorbidity across different provinces.</div></div><div><h3>Results</h3><div>Between 2011 and 2020, the prevalence of chronic diseases among middle-aged and elderly individuals showed a fluctuating but overall upward trend at both the national level and within the regions of China. A spatial pattern of stepwise increase from east to west emerged, with Henan Province consistently serving as the epicenter of multimorbidity prevalence. Significant spatial autocorrelation was detected in the distribution of multimorbidity. Moreover, the determinants behind multimorbidity exhibited marked spatial heterogeneity, indicating region-specific influences. Alcohol consumption leads to increased risk of multimorbidity, especially in the East China regions. The Northwest region is the primary location where smoking has a negative effect.</div></div><div><h3>Conclusions</h3><div>Multimorbidity among middle-aged and elderly adults in China is not only highly prevalent but also increasing at a rapid pace. The spatial distribution highlights the need for geographically differentiated public health strategies. Particular attention should be paid to the higher prevalence among women, and targeted tobacco and alcohol control policies are especially warranted in northwestern regions of the country.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106084"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684802","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":"Consumers of illicit tobacco in West Yorkshire (UK): A repeated cross-sectional analysis of novel epidemiological data","authors":"Cristian Lungu ,&nbsp;Hein Heuvelman ,&nbsp;Scott Crosby ,&nbsp;Charlotte Jaques ,&nbsp;Bridgette M. Bewick","doi":"10.1016/j.puhe.2025.106035","DOIUrl":"10.1016/j.puhe.2025.106035","url":null,"abstract":"<div><h3>Objectives</h3><div>The trading and subsequent consumption of illicit tobacco poses a significant challenge to both individual and public health, whilst constituting a notable annual expenditure towards combatant strategies. This study aimed to explore how the characteristics of illicit tobacco consumption have changed over time with the purpose of producing epidemiological evidence to inform health policy and strategic intervention.</div></div><div><h3>Study design</h3><div>Secondary analysis of a repeated cross-sectional survey.</div></div><div><h3>Methods</h3><div>We used anonymised quantitative data collected between 2014 and 2021 in West Yorkshire to investigate: (1) temporal trends and regional variation in the prevalence of illicit tobacco use; (2) sociodemographic risk factors for consuming illicit tobacco; and (3) attitudes and patterns of use amongst those consuming illicit tobacco. We analysed the data using graphical methods, bivariate statistics, and multivariate regression methods.</div></div><div><h3>Results</h3><div>We observed a paradoxical trend such that whilst the prevalence of illicit tobacco consumption fell between 2014 and 2021, those who self-identified as illicit smokers consumed illicit tobacco at higher rates.</div></div><div><h3>Conclusion</h3><div>If the consumption of illicit tobacco is to be successfully targeted by public health intervention, a sound understanding of its epidemiological profile is key. Our findings suggest a clear patterning of illicit tobacco consumption along various sociodemographic dimensions and relay important information on the motivations for, and attitudes towards, illicit tobacco use. As such, our findings have important implications for the development of targeted interventional strategies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106035"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570223","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":"Sexual orientation, crime victimization, and relationship to the offender: Insights from New Zealand police records, 2014–2024","authors":"A.L. Gilmour ,&nbsp;B.A. Feinstein ,&nbsp;A. Plum","doi":"10.1016/j.puhe.2025.106027","DOIUrl":"10.1016/j.puhe.2025.106027","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine sexual orientation differences in crime victimization rates by strangers and known offenders in a nationally representative sample of 2.58 million cisgender New Zealand (N.Z.) residents.</div></div><div><h3>Study design</h3><div>We linked N.Z. Census data and police records from 2014 to 2024 to examine sexual orientation differences in rates of crime victimization (any crime, sexual assault, crime with a weapon, violence, and serious violence) separately for cisgender men and women. We further examined rates of each crime offence by strangers versus known offenders by sexual orientation, stratified by gender.</div></div><div><h3>Methods</h3><div>We used logistic regression stratified by gender, adjusting for demographic covariates.</div></div><div><h3>Results</h3><div>Sexual minority (SM) individuals faced higher victimization risk across categories of crime compared to heterosexual people, with the most consistent heightened risk observed for sexual assault. Bisexual people experienced heightened risk of victimization from both strangers and known offenders, whereas homosexual men generally experienced heightened risk of victimization from known offenders and homosexual women from strangers.</div></div><div><h3>Conclusions</h3><div>There are differences in risk of being offended by strangers and known individuals by sexual orientation, with particularly stark disparities observed for women and bisexual individuals. Policymakers and social service organizations should consider the unique vulnerabilities of subsets of SM individuals when implementing crime prevention strategies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106027"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145569985","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":"Cultural adaptation and validation of health literacy instrument for school-age children in Iranian adolescents","authors":"Mehrsadat Mahdizadeh ,&nbsp;Nooshin Peyman ,&nbsp;Fatemeh Goldani Moghaddam ,&nbsp;jamshid Jamali ,&nbsp;Melika Babaei","doi":"10.1016/j.puhe.2025.106059","DOIUrl":"10.1016/j.puhe.2025.106059","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to determine the validity and reliability instrument of the health literacy for school-age children (HLSAC) in Iranian adolescents (HLSAC-IA).</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>This study was conducted on 487 adolescents in Khorasan, in east of Iran. Data were collected using the health literacy instrument for school-aged children. The English version of the instrument was translated into Persian using forward and backward translation methods and adapted to the Iranian culture. Content validity ratio (CVR) and content validity index (CVI) were used to calculate content validity. TLI, CFI, χ²/df, and RMSEA indices were calculated for construct validity and model fit. Intra-class correlation coefficient (ICC) and Cronbach's α were used to determine reliability.</div></div><div><h3>Results</h3><div>The mean age of adolescents was 14.92 ± 46 years. Most were girls (73.1 %) and students (88.1 %). The CVR and CVI were 0.925 and 0.810, respectively. The results of the confirmatory factor analysis showed that the loadings of the confirmatory factor were between 0.616 and 0.741. The indices (TLI = 0.966, CFI = 0.981, RMSEA = 0.050, and (χ²/df = 2.222)) showed a good fit of the model in confirmatory factor analysis. ICC and Cronbach's α were 0.881 and 0.91, respectively.</div></div><div><h3>Conclusions</h3><div>The Persian version of the health literacy questionnaire for school-aged children comprising 5 components and 10 items demonstrates good validity and reliability and is suitable for evaluating health literacy interventions and adolescent health literacy.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106059"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662580","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":"Avoiding corporate amnesia in health systems – the need for organizational memory","authors":"Muslim Abbas Syed ,&nbsp;Mohamed Ahmed Syed ,&nbsp;Andrew C.K. Lee","doi":"10.1016/j.puhe.2025.106060","DOIUrl":"10.1016/j.puhe.2025.106060","url":null,"abstract":"<div><div>Balancing finite resources with rising demand remains a universal challenge for healthcare systems. Organizational decision making is increasingly shaped by cost-efficiency, yet efficiency is often mistakenly equated with effectiveness. Systems may reduce costs and waiting times but still fail to improve individual health outcomes, risking population health in pursuit of financial balance. In England, efforts to curb the ballooning health budget include the dissolution of NHS England and its merger with the Department of Health and Social Care. These reforms, while aimed at streamlining services, risk eroding organizational memory—knowledge embedded in people, processes, and practices. Organizational memory guides current decisions, prevents repetition of failed measures, and supports innovation. Its loss, especially through staff attrition and restructuring, may paradoxically undermine the very improvements these reforms seek to achieve. Singapore's healthcare system offers a counterfactual example, demonstrating how effective use of organizational memory—through electronic health records, regionalized clusters, and preventive care initiatives—can lead to adaptive, efficient, and high-quality care. Gulf Cooperation Council countries, including Qatar, are adopting similar strategies, using rich patient data to inform research and policy. Organizational memory is not an afterthought but a foundational asset. As healthcare systems evolve under financial, technological, and patient-centered pressures, preserving and leveraging organizational memory is essential. Reforms must be designed not only to improve efficiency but also to sustain effectiveness and ensure long-term improvements in patient outcomes.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106060"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642052","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":"Cancer deaths attributable to lifestyle risk factors in five Latin American countries","authors":"Paloma Ferrero-Hernández ,&nbsp;Claudio Farías-Valenzuela ,&nbsp;Leandro F.M. Rezende ,&nbsp;Eduardo Augusto Fernandes Nilson ,&nbsp;Jacqueline Wahrhaftig ,&nbsp;Luis Felipe Castelli Correia de Campos ,&nbsp;Gerson Ferrari","doi":"10.1016/j.puhe.2025.106079","DOIUrl":"10.1016/j.puhe.2025.106079","url":null,"abstract":"<div><h3>Objectives</h3><div>Cancer is the leading cause of premature death in Latin America, driven largely by modifiable lifestyle factors such as poor diet, physical inactivity, alcohol intake and tobacco use. In this study, we estimated the burden of cancer deaths attributable to lifestyle risk factors in five Latin American countries.</div></div><div><h3>Study design</h3><div>Comparative risks assessment modeling study.</div></div><div><h3>Methods</h3><div>Data were obtained from national surveys Argentina, Brazil, Chile, Colombia, and El Salvador, comprising 259,327 adults aged 15 to ≥85 years. Lifestyle risk factors included fruit and vegetable consumption, physical activity, alcohol use, and tobacco. The Preventable Risk Integrated ModEl (PRIME) was applied to estimate the impact of these factors on cancer mortality under 75 years by sex. The model compared baseline distributions with counterfactual scenarios based on World Health Organization (WHO) recommendations to assess potential reduction in annual cancer deaths.</div></div><div><h3>Results</h3><div>Women reported higher fruit and vegetable intake, whereas men were more physically active and had higher levels of alcohol consumption and tobacco use. Following WHO recommendations could prevent or postpone 103,217 deaths under 75 years (95 % uncertainty interval [95 % UI]: 92,577 to 113,659), with Brazil contributing to nearly half and Argentina over a quarter of them. Most averted deaths were among women, except in Colombia and El Salvador, where a higher proportion was observed among men. Lung cancer accounted for the largest share of preventable deaths (28,596, 95 % UI: 20,804 to 35,326), followed by stomach, esophageal, and pancreatic cancers.</div></div><div><h3>Conclusion</h3><div>Promoting healthy lifestyle could significantly reduce or delay cancer deaths in individuals under 75 in Latin American countries.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"250 ","pages":"Article 106079"},"PeriodicalIF":3.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684616","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}