Public Health最新文献

{"title":"Synergistic impact of high body-mass index on HBV/HCV-related liver cancer burden globally: Analysis and projections 1990–2050","authors":"Yicheng Liang ,&nbsp;Xiaohong Lin ,&nbsp;Min Zhang ,&nbsp;Shuai Wang ,&nbsp;Yuqi Dong ,&nbsp;Zhonghao Xie ,&nbsp;Xiaoshun He ,&nbsp;Weiqiang Ju ,&nbsp;Maogen Chen","doi":"10.1016/j.puhe.2025.105893","DOIUrl":"10.1016/j.puhe.2025.105893","url":null,"abstract":"<div><h3>Objectives</h3><div>To quantify and forecast the global, regional, and national disease burden of hepatitis B virus (HBV) and hepatitis C virus (HCV)-related liver cancer attributable to high body-mass index (BMI) from 1990 to 2050.</div></div><div><h3>Study Design</h3><div>A global burden and projection study utilizing GBD 2021 data analysis.</div></div><div><h3>Methods</h3><div>Data from the Global Burden of Disease (GBD) Study 2021 were analyzed to estimate deaths, disability-adjusted life years (DALYs), and age-standardized rates (ASRs) associated with HBV/HCV-related liver cancer attributable to high BMI globally and across regions. Temporal trends from 1990 to 2021 were assessed using estimated annual percentage change (EAPC) and hierarchical cluster analysis. Forecasts for disease burden to 2050 employed Autoregressive Integrated Moving Average (ARIMA) and exponential smoothing (ES) models.</div></div><div><h3>Results</h3><div>In 2021, globally, high BMI contributed to approximately 15,698 HBV-related deaths and 17,090 HCV-related deaths, a marked increase since 1990. Burdens were higher among males, older populations, and exhibited substantial regional variations, with the greatest burden observed in China and increasing trends notable in Central Asia, Australasia, and North America. Forecasting models project a continued rise in liver cancer burden attributable to high BMI through 2050.</div></div><div><h3>Conclusions</h3><div>The disease burden of HBV/HCV-related liver cancer attributable to high BMI has significantly increased globally and is projected to further rise. Public health initiatives integrating viral hepatitis control with obesity prevention are urgently needed to mitigate future disease burdens.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105893"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724062","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":"Factors influencing hepatitis C test uptake following exposure to an infected healthcare worker: Insights from a patient notification exercise","authors":"Allan McLeod ,&nbsp;Amanda Weir ,&nbsp;Ruth Mellor ,&nbsp;Alistair Greer ,&nbsp;Kirsty M. Roy ,&nbsp;Trish Tougher ,&nbsp;Karen Lorenzetti ,&nbsp;David J. Goldberg ,&nbsp;John M. Logan","doi":"10.1016/j.puhe.2025.105878","DOIUrl":"10.1016/j.puhe.2025.105878","url":null,"abstract":"<div><h3>Objectives</h3><div>Following the identification of a hepatitis C (HCV) RNA positive healthcare worker, a Patient Notification Exercise (PNE) was undertaken in Lanarkshire, Scotland in 2016. This study analyses the results of the PNE to explore the demographics of those contacted and examines the factors associated, particularly geographic distance to a testing clinic, was associated with not being tested.</div></div><div><h3>Study design</h3><div>Cross-sectional observational study.</div></div><div><h3>Methods</h3><div>Eligible patients were identified using electronic health records and offered HCV screening through local clinics. A cross-sectional study examined demographics of the cohort and factors associated with not being tested for HCV were analysed using binary logistic regression.</div></div><div><h3>Results</h3><div>The study cohort included 6828 individuals, and 19.8 % of these were not tested for HCV during the PNE. In the regression analysis, the odds of not being tested were highest in men (adjusted OR = 1.79, 95 % CI 1.57–2.02, p &lt; 0.0001), those aged &lt;30 years (aOR = 2.76, 95 % CI 1.98–3.85, p &lt; 0.0001) and those living in the most deprived areas (aOR = 1.58, 95 % CI 1.29–1.92, p &lt; 0.001). There was no evidence that distance to testing clinic was a barrier to testing.</div></div><div><h3>Conclusions</h3><div>The PNE had a high response rate with 80.2 % test uptake and no additional related infections were found Test uptake varied across different groups with men, younger people and those living in deprived areas less likely to participate. Targeted strategies, such as tailored communication or increased testing options, should be used to improve uptake rates in future exercises.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105878"},"PeriodicalIF":3.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724061","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 network approach to understanding psychosocial and economic factors in suicidal ideation among young adults","authors":"Minjae Choi ,&nbsp;Joshua Kirabo Sempungu ,&nbsp;Hanul Park ,&nbsp;Sujeong Yu ,&nbsp;Eun Hae Lee ,&nbsp;Joon Hee Han ,&nbsp;Yo Han Lee","doi":"10.1016/j.puhe.2025.105873","DOIUrl":"10.1016/j.puhe.2025.105873","url":null,"abstract":"<div><h3>Objectives</h3><div>Suicidal ideation results from complex interconnections among psychosocial and economic factors. We aimed to identify factors associated with suicidal ideation and explore the patterns of their interactions within a network structure.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We analyzed data from the 2022 Seoul Young Adult Panel Study, a representative sample of 4996 young adults in Seoul, South Korea. Suicidal ideation was assessed alongside demographic, economic, and psychological factors. Logistic regression analysis was conducted to identify psychosocial and economic factors associated with suicidal ideation. Subsequently, a network analysis was used to explore the structural relationships among these factors.</div></div><div><h3>Results</h3><div>The prevalence of suicidal ideation among young adults was 14.5 %. Logistic regression analysis showed some psychosocial (i.e., future orientation, happiness, social withdrawal, depression symptoms, and loneliness) and economic (i.e., debt, financial hardship, and objective and subjective income) factors were associated with suicidal ideation. Network analysis showed that depression symptoms and loneliness, as core factors within the network, had stronger connections to suicidal ideation compared to other factors. Other psychosocial (e.g., social withdrawal) and economic (e.g., financial hardship) factors were less directly associated with suicidal ideation but indirectly associated with it through the mediation of depression symptoms and loneliness.</div></div><div><h3>Conclusions</h3><div>Our analysis showed connections between psychosocial and economic factors and suicidal thoughts. Depression and loneliness were central, but other psychosocial and economic factors also played an important role through their connections to these key factors. A comprehensive and collaborative public health approach is important for reducing suicide risk across the population.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105873"},"PeriodicalIF":3.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721760","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":"Associations of changes in the dynapenia and cognitive function in middle-aged and older adults","authors":"Jeongran Ko ,&nbsp;Byeong-Hwan Jeon ,&nbsp;Junghoon Kim","doi":"10.1016/j.puhe.2025.105879","DOIUrl":"10.1016/j.puhe.2025.105879","url":null,"abstract":"<div><h3>Objectives</h3><div>Dynapenia is the age-related loss of muscle strength. Decreased muscle strength, including handgrip strength, is associated with cognitive impairment in older adults, possibly due to weakening of the neuromuscular system. However, changes in muscle strength and cognitive function may occur simultaneously and reflect aging. We aimed to investigate the relationship between repeated measures of muscle strength and changes in cognitive function and new-onset mild cognitive impairment (MCI) in middle-aged and older adults.</div></div><div><h3>Study design</h3><div>A prospective cohort study.</div></div><div><h3>Methods</h3><div>This study used data from the Korean Longitudinal Study of Aging, which was conducted from 2006 to 2020. The participants included 10,516 adults aged ≥45 years. Muscle strength was measured using handgrip strength and was divided into quartiles according to sex. Dynapenia was defined as handgrip strength &lt;28 kg in men and &lt;18 kg in women. MCI was defined as a Korean Mini-Mental State Examination score &lt;24.</div></div><div><h3>Results</h3><div>In our repeated-measures longitudinal analysis, the odds ratios (OR) for MCI were 1.84 (95 % confidence intervals [CI]: 1.71–1.97) for dynapenia; 2.07 (95 % CI: 1.85–2.31), the lowest absolute handgrip strength; and 2.17 (95 % CI: 1.95–2.42), the lowest relative handgrip strength. After a 14-year follow-up, the hazard ratio for MCI was 1.29 (95 % CI: 1.15–1.46) in the newly diagnosed dynapenia group and 1.29 (95 % CI: 1.14–1.47) in the persistent dynapenia group.</div></div><div><h3>Conclusions</h3><div>Dynapenia and low muscle strength were associated with an increased risk of MCI over time. Furthermore, persistent and newly diagnosed dynapenia were associated with an increased risk of new-onset MCI in middle-aged and older Korean adults.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105879"},"PeriodicalIF":3.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144721759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burden of aortic aneurysm in China from 1990 to 2021: A comparative analysis with G20 countries based on the Global Burden of Disease Study 2021","authors":"Cong Li ,&nbsp;Jian Chen ,&nbsp;Fan Yang ,&nbsp;Yu Huang ,&nbsp;Guangyao Hua ,&nbsp;Yu Kuang ,&nbsp;Dongqin Cai ,&nbsp;Shunming Liu ,&nbsp;Xue He ,&nbsp;Yan Wang ,&nbsp;Jingyan Peng ,&nbsp;Jianrong Jiang ,&nbsp;Zhenchao Du ,&nbsp;Tengda Huang ,&nbsp;Zhishen Peng ,&nbsp;Heng Li ,&nbsp;Lei Liu ,&nbsp;Jianfang Luo ,&nbsp;Xiaohong Yang ,&nbsp;Honghua Yu","doi":"10.1016/j.puhe.2025.105883","DOIUrl":"10.1016/j.puhe.2025.105883","url":null,"abstract":"<div><h3>Objectives</h3><div>Aortic aneurysm (AA) is a life-threatening disease with high mortality. Up-to-date, information on AA burden in China is limited, which is required for health-care planning, resource allocation, and disease prevention. This study investigated the burden of AA in China from 1990 to 2021, and then compared it with other G20 countries.</div></div><div><h3>Study design</h3><div>A comprehensive analysis of the Global Burden of Disease Study 2021 data.</div></div><div><h3>Methods</h3><div>Estimates of mortality and years of life lost (YLLs) for AA were generated from the Global Burden of Diseases Study (GBD) 2021. Mortality was estimated from vital registration data with the cause of death ensemble model, and YLLs were calculated with the use of standard GBD lifetables. The age-specific and sex-specific patterns, attributable risk factors, and trends regarding the burden of AA in China as well as other G20 nations were summarized.</div></div><div><h3>Results</h3><div>In 2021, there were an estimated 9.04 thousand (95 % uncertainty interval 7.04 to 11.58) deaths due to AA in China, representing a 241.29 % increase since 1990. The age-standardised death rate was 0.46 per 100,000 (0.36–0.59), with a 37.27 % increase from 1990 to 2021. The 2021 YLLs count was 242.11 thousand (185.41–315.41) in China, an increase of 180.74 %, with an age-standardised YLLs rate of 12.4 per 100,000 (9.54–16.09), an increase of 38.89 % since 1990. Both mortality and YLLs were higher in males than in females within all age groups. An upward trend with age in mortality and YLLs was observed. In 2021, smoking remained a major attributable risk factor for AA burden in Chinese males, but high systolic blood pressure was the major factor in females. Furthermore, high body-mass index has risen to the top three risk factors both in males and females. Compared with G20 countries, China was ranked 10th in deaths number in 1990 and then increased to 6th in 2021, and YLLs also increased from 5th to 4th. From 1990 to 2021, unlike China, most G20 countries presented decreased age-standardised rates of death and YLLs, with the largest decrease in Australia, Canada, United Kingdom, and United States of America.</div></div><div><h3>Conclusions</h3><div>AA remains a serious threat to public health in China, especially for the male and elderly population. Smoking, high systolic blood pressure, and high body-mass index were major attributable risk factors for AA in China. Targeted and cost-effective interventions are urgently needed in China to reduce this burden.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105883"},"PeriodicalIF":3.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714446","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":"Early childhood risk factors for unhealthy weight control behaviour in adolescents","authors":"Natasha Yvonne Hall ,&nbsp;Ha Le ,&nbsp;Cathrine Mihalopoulos ,&nbsp;S. Bryn Austin ,&nbsp;Long Le","doi":"10.1016/j.puhe.2025.105875","DOIUrl":"10.1016/j.puhe.2025.105875","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the childhood risk and protective factors that are associated with unhealthy weight control behaviours (UWCB) in adolescence.</div></div><div><h3>Study design</h3><div>Longitudinal study.</div></div><div><h3>Methods</h3><div>The Longitudinal Study of Australian Children Kindergarten cohort waves 1, collected in 2004 (4–5 years, N = 4985), and wave 6 collected in 2014 (14–15 years) was used. Predictor variables at wave 1 included gender, country of birth, study child weight category (from BMI z score), social development score, screen time, childhood injury, primary carer mental illness status, teacher conflict scale, stressful life events, socioeconomic position and an interaction term, study child weight category (from BMI z score) and stressful life events. UWCBs were measured at wave 6. Multivariable logistic modelling using odds ratio was used to explore the predictors of UWCB at wave 6.</div></div><div><h3>Results</h3><div>Statistically significant risk factors at age 4–5 years for UWCB at age 14–15 years included female sex (OR = 1.81, 95 % CI 1.28, 2.55), obese weight compared to healthy weight (OR = 3.72, 95 % CI 1.56, 8.84) and study child injured more than once (OR = 2.08, 95 % CI 1.13, 3.82). The statistically significant protective factor included a one-point increase in socioeconomic position (OR = 0.76, 95 % CI 0.65, 0.90) and underweight compared to healthy weight (OR = 0.15, 95 % CI 0.03, 0.74). However, underweight individuals who experienced stressful life events had an increased risk of UWCB (OR = 1.50, 95 % CI 1.01, 2.22).</div></div><div><h3>Conclusions</h3><div>This study has identified the childhood risk factors for adolescent UWCB. Risk factors that may have potential to be reduced include childhood injury and stressful life events, with the analysis identifying that underweight individuals within these groups are at a heightened risk. Therefore, development of interventions targeting these modifiable stressful events in childhood need to be established and evaluated.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105875"},"PeriodicalIF":3.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711669","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":"Facilitators and challenges of co-creating digital public health interventions: A Health CASCADE multi-case exploratory study","authors":"Vinayak Anand-Kumar ,&nbsp;Margrit Schreier ,&nbsp;Nehal Bakshi ,&nbsp;Katrina Messiha ,&nbsp;Giuliana Raffaella Longworth ,&nbsp;Qingfan An ,&nbsp;Danielle Marie Angello ,&nbsp;Sebastien Chastin ,&nbsp;Sonia Lippke","doi":"10.1016/j.puhe.2025.105847","DOIUrl":"10.1016/j.puhe.2025.105847","url":null,"abstract":"<div><h3>Objectives</h3><div>This study identifies facilitators and challenges in the co-creation of digital health interventions for public health.</div></div><div><h3>Study design</h3><div>An exploratory multiple case study design was used to analyse three co-created digital health interventions.</div></div><div><h3>Methods</h3><div>Data were collected for three digital health interventions via expert interviews (<em>n</em> = 11), open-ended survey responses (<em>n</em> = 10), and project descriptions. Qualitative content analysis was conducted to identify common themes across cases.</div></div><div><h3>Results</h3><div>Key facilitators included leveraging co-creator expertise, maintaining regular co-creator exchanges, ensuring an adaptive development process, carrying out a needs analysis and adopting a feasible design. Key challenges included resource constraints, difficult co-creator relationships, poor planning of co-creation, difficulties in recruiting and acknowledging co-creators, distributing workload fairly, and unclear expectations and skills/knowledge gap amongst co-creators.</div></div><div><h3>Conclusions</h3><div>Findings suggest that while the facilitators and challenges of digital health interventions reported here reflect previous literature relating to non-digital health interventions, digital settings present unique challenges, including effective integration of co-creators across iteration cycles and enabling collaboration across a large array of disciplines. Understanding facilitators and challenges in digital health intervention co-creation may help teams plan how to effectively include all relevant co-creators in the process. Future research should further explore how co-creation impacts digital health intervention adoption, user engagement, and long-term effectiveness.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105847"},"PeriodicalIF":3.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703326","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 role of lifestyle in the progression of cardiometabolic disease: A retrospective cohort study","authors":"Shuoji Geng ,&nbsp;Songhe Shi ,&nbsp;Chunxia Zhang ,&nbsp;Yanhuan Bian ,&nbsp;Mo Zhang ,&nbsp;Hong Liu","doi":"10.1016/j.puhe.2025.105866","DOIUrl":"10.1016/j.puhe.2025.105866","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to explore the impact of lifestyle factors (LFs) on the transition from no cardiometabolic disease (CMD) to first CMD, subsequently to cardiometabolic multimorbidity (CMM), and then to death.</div></div><div><h3>Study design</h3><div>Retrospective cohort study.</div></div><div><h3>Methods</h3><div>The data from the annual health checkup database for residents of the Electronic Health Management Center in Xinzheng, China. A total of 100,231 participants aged ≥40 years who were free of type 2 diabetes mellitus (T2DM), ischemic heart disease (IHD), and stroke at baseline were enrolled. CMM was defined as ≥2 diseases of T2DM, IHD, and stroke. We used multi-state models to explore the impact of LFs (smoking, drinking, dietary habits, physical activity, and body size) in different stages of CMD progression.</div></div><div><h3>Results</h3><div>During a mean follow-up of 4.19 years, 47272 participants developed at least one CMD, 10734 developed CMM, and 13378 died afterward. The hazard ratios (95 % confidence intervals) for each additional high-risk lifestyle factor for transitions from no CMD to first CMD and from first CMD to CMM were 1.44 (1.43–1.46) and 1.14 (1.12,1.17), while those for the risk of death for transitions from no CMD, first CMD, and CMM were 1.16 (0.92,1.46), 1.12 (1.06,1.17) and 1.25 (1.20,1.30). When first CMDs were further subdivided into T2DM, IHD, and stroke, we found that even at the same transition stage, the five high-risk LFs had different impacts on disease-specific transitions.</div></div><div><h3>Conclusions</h3><div>Our findings emphasize the importance of incorporating comprehensive lifestyle interventions into the management of CMD in middle-aged and older adults.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105866"},"PeriodicalIF":3.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703323","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":"Social context for health literacy: Public libraries as health hubs","authors":"Asih Asikin-Garmager ,&nbsp;Brittney Thomas ,&nbsp;Diana Brace ,&nbsp;Kirsten Crowhurst ,&nbsp;Hannah Sinemus ,&nbsp;Nesibe Karakis ,&nbsp;Stefania Acosta Ramirez ,&nbsp;Sharon Han ,&nbsp;Laura Bartlett","doi":"10.1016/j.puhe.2025.105869","DOIUrl":"10.1016/j.puhe.2025.105869","url":null,"abstract":"<div><h3>Objectives</h3><div>Public libraries are a vital source of health information in their communities. The study expands on social context literature to include public libraries as integral to communities' health literacy development. To support public libraries as community health hubs, the NNLM <em>All of Us</em> Program Center (NAPC) funded projects to strengthen public libraries’ capacity to provide accurate and timely health literacy resources and training.</div></div><div><h3>Study design</h3><div>Document analysis of grant application and activity report submissions from NAPC-funded organizations.</div></div><div><h3>Methods</h3><div>The study focused on projects that were led by or involved public libraries to understand libraries’ role in social contexts for health literacy. The applications and reports were analyzed for health literacy components and intended demographics.</div></div><div><h3>Results</h3><div>Findings show diverse strategies implemented by funded libraries and community organizations to strengthen their communities’ health literacy, both at the individual and organizational level. Strategies included supporting capacity building and library infrastructure through professional development and purchase of technology, increasing free health activities relevant to community needs, and hosting health fairs that bring community healthcare partners together for library users.</div></div><div><h3>Conclusion</h3><div>Overall, the study highlights the potential transformative role of public libraries in closing health literacy gaps within communities. It provides evidence that libraries are part of the social context that develops health literacy education and that libraries can serve as vital public health allies by utilizing institutional resources, professional training, and strategic partnerships.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105869"},"PeriodicalIF":3.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703325","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":"Paris 2024 Olympic and Paralympic Games: Description of public health-related events","authors":"Audrey Geoffroy,&nbsp;Aurélien Zhu-Soubise,&nbsp;Alexis Ardoin","doi":"10.1016/j.puhe.2025.105852","DOIUrl":"10.1016/j.puhe.2025.105852","url":null,"abstract":"<div><h3>Objectives</h3><div>The Olympic and Paralympic Games (OPG) represent one of the largest mass gathering events held globally. The 2024 Paris OPG took place between July 27th and August 11th (Olympic Games) and between August 28th and September 8th (Paralympic Games). This study describes the 2024 Paris OPG-related disease reports.</div></div><div><h3>Study design</h3><div>A cross-sectional study was conducted in France in 2024.</div></div><div><h3>Methods</h3><div>Data were collected from the Regional Health Agency of the Ile-de-France area, as part of its routine operations, through a dedicated software program named ‘Health Surveillance and Safety Information System’. All OPG-related events were described, including their notifications and outcomes.</div></div><div><h3>Results</h3><div>In total, eight OPG-related events were reported. Six of these events involved food poisoning in tourists, employees or athletes; however, only one of these six was validated after investigation. The seventh event was the presence of Listeria, which was reported in cabbage served at the Olympic Village; however, no symptomatic case occurred. Finally, an individual who tested positive for dengue fever attended an outdoor competition during the viremia period. The mosquito control team visited the OPG site and found no adult vector nor larvae.</div></div><div><h3>Conclusions</h3><div>No serious health events were reported for the 2024 OPG. However, improvements on surveillance remain necessary, especially in creating user-friendly reporting systems and the active participation of laboratories.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"Article 105852"},"PeriodicalIF":3.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703324","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}