Public Health最新文献

{"title":"Prevalence and modifiable determinants of hypertension among women in Bangladesh: A modified poisson regression analysis of nationwide data 2022","authors":"Maliha Mahazabin ,&nbsp;Meem Haque ,&nbsp;Murfia Rahman Muna ,&nbsp;Susmita Rani Dey ,&nbsp;Fatima Tuz Johora ,&nbsp;Mir Fhamid Ahsan Alvi","doi":"10.1016/j.puhe.2025.105960","DOIUrl":"10.1016/j.puhe.2025.105960","url":null,"abstract":"<div><h3>Objectives</h3><div>Hypertension in women must be detected early and managed properly. Identifying risk factors among women in a certain region or country can help prevent its effects and lower the risk of early death. Our study aimed to identify prevalence and modifiable determinants of hypertension among ever-married women in Bangladesh.</div></div><div><h3>Study design</h3><div>Nationwide cross-sectional study.</div></div><div><h3>Methods</h3><div>The study employed latest 2022 Bangladesh Demographic and Health Survey (BDHS) dataset, selecting 4737 ever-married women for analysis. Modified Poisson regression with robust variance was applied to estimate the prevalence ratios of the determinants in our investigation, utilizing a 95 % confidence interval and a significance threshold of p &lt; 0.05.</div></div><div><h3>Results</h3><div>The study revealed high prevalence of hypertension in Rangamati (Parbattya Chattagram) and Sylhet. Regarding modifiable determinants, higher prevalence was found among women with overweight (aPR: 1.81; 95 % CI: 1.63–2.01), hyperglycemia (aPR: 1.29; 95 % CI: 1.12–1.49), those who took doctor-prescribed medication for mental health (aPR: 1.40; 95 % CI: 1.08–1.80), those who experienced intimate partner violence (IPV) (aPR: 1.18; 95 % CI: 1.03–1.36), and those who smoke tobacco (aPR: 1.25; 95 % CI: 1.04–1.50). Moreover, lactation is associated with a decreased risk of developing hypertension (aPR: 0.49; 95 % CI: 0.41–0.58) among Bangladeshi women.</div></div><div><h3>Conclusions</h3><div>Governments and NGOs should initiate awareness programs encouraging women in weight management, tobacco smoking cessation, and stress management techniques. Educational campaigns should be implemented throughout the antenatal and prenatal stages to enhance breastfeeding practices. Additionally, robust policies, legal assistance, and support should be provided for the management of IPV to reduce the risk of hypertension among women.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105960"},"PeriodicalIF":3.2,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245691","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":"Child marriage prevention as a preconception health strategy: A modelling-based cost-benefit analysis in Senegal","authors":"Sébastien Poix ,&nbsp;Patrick O'Donnell ,&nbsp;Dervla Kelly ,&nbsp;Khalifa Elmusharaf","doi":"10.1016/j.puhe.2025.105964","DOIUrl":"10.1016/j.puhe.2025.105964","url":null,"abstract":"<div><h3>Objectives</h3><div>This modelling study evaluates the costs and benefits of implementing community sensitisation interventions to prevent child marriage in Senegal. By focusing specifically on the prevention of neonatal mortality and stillbirths, it offers a new perspective on the broader health implications of such interventions, addressing a critical gap in the economic evaluation of preconception health strategies.</div></div><div><h3>Study design</h3><div>Model-based economic evaluation.</div></div><div><h3>Methods</h3><div>We developed a deterministic, cohort-based simulation model to estimate the economic and societal impacts of community sensitisation to prevent child marriage in rural Senegal. The model compared a <em>status quo</em> and an intervention scenario to measure the interventions's impact in a cohort of adolescent girls over three years. The model's inputs, including intervention costs, effect size, and epidemiological and demographic parameters, were derived from secondary sources. The neonatal deaths and stillbirths prevented were monetised using a value of a statistical life-based approach.</div></div><div><h3>Results</h3><div>The intervention is projected to reduce the prevalence of child marriage by 3.4 % after three years. As a result, we estimated that 2579 adolescent pregnancies, 86 neonatal deaths, and 46 stillbirths would be prevented within the cohort of adolescent girls. The benefit-cost ratio was 4.2:1, indicating a net benefit of US$3.2 for every dollar invested.</div></div><div><h3>Conclusions</h3><div>These findings demonstrate the substantial economic and health benefits of child marriage prevention as a preconception health strategy. The study highlights the importance of addressing upstream determinants of maternal and child health. It also underscores the need for further cost-benefit analyses of preconception interventions in low and middle-income countries.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105964"},"PeriodicalIF":3.2,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219536","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":"Number of Austrian SARS-CoV-2 infections in the 2024/2025 season: Analysis of national wastewater data","authors":"Uwe Riedmann ,&nbsp;Wolfgang Rauch ,&nbsp;Hannes Schenk ,&nbsp;Herbert Oberacher ,&nbsp;John PA. Ioannidis ,&nbsp;Stefan Pilz","doi":"10.1016/j.puhe.2025.105970","DOIUrl":"10.1016/j.puhe.2025.105970","url":null,"abstract":"<div><h3>Objectives</h3><div>Adaptation of SARS-CoV-2 policies requires information on contemporary infection trends. As SARS-CoV-2 infections are no longer actively tracked, indirect measures such as estimations based on wastewater data are needed.</div></div><div><h3>Study design</h3><div>This is a retrospective observational study.</div></div><div><h3>Methods</h3><div>We estimated total SARS-CoV-2 infections in the entire population of Austria from April 1, 2024, to March 31, 2025, based on wastewater monitoring data. The applied method builds on a previously published approach that estimated infection prevalence during the pandemic by fitting wastewater measurements to seroprevalence data.</div></div><div><h3>Results</h3><div>Between April 1, 2024, and March 31, 2025, we estimate 2.5 million new infections in Austria. Active infections peaked at 337,000 in late September and decreased thereafter. Infection rates in winter were substantially lower compared to previous years.</div></div><div><h3>Conclusion</h3><div>The findings indicate the earliest annual fall/winter peak and the lowest annual infections since 2020. Policy makers, physicians and high-risk individuals should be aware of the ongoing seasonal SARS-CoV-2 infection waves and their variability in timing.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105970"},"PeriodicalIF":3.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219535","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":"Monitoring suicidal ideation trends and risk factors among Dutch youth during and following the COVID-19 pandemic.","authors":"I J Rahmon, A Postema, M W G Bosmans, E Marra, M L A Dückers","doi":"10.1016/j.puhe.2025.105902","DOIUrl":"10.1016/j.puhe.2025.105902","url":null,"abstract":"<p><strong>Objectives: </strong>We examined trends and risk factors for self-reported suicidal ideation among Dutch youth (12-25 years) during and following the COVID-19 pandemic.</p><p><strong>Study design: </strong>A repeated cross-sectional survey study.</p><p><strong>Methods: </strong>This study was performed among representative panels (N ∼ 5.000 youth per wave). Trends were assessed between September 2021 and September 2023. In March 2022, and in March 2023 and September 2023, selected sociodemographic, health, and social activity variables were analysed as potential risk factors using random forest and logistic regression analyses.</p><p><strong>Results: </strong>Data from nine survey waves were included, totalling 42,099 participants. Results showed a significant increase in self-reported suicidal ideation following the Omicron lockdown of December 2021 and January 2022, ranging from 8.6 % in December 2021 to 18.8 % in September 2023 (P ≤ 0.001). Severe loneliness and poor psychological well-being were identified as significant risk factors.</p><p><strong>Conclusions: </strong>This study reveals how the COVID-19 context influenced Dutch youth suicidal ideation trends, emphasizing that pandemic-era suicide prevention should focus on loneliness and poor psychological well-being. However, there is no need for significant adaptation to different stages of the pandemic, as key risk factors and their associations with suicidal ideation remained consistent across survey waves.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105902"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812575","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 initiation of breastfeeding in anglophone and francophone West African countries: Systematic review and meta-analysis of associated factors.","authors":"Martha O Lewis-Koku, Catharine A K Fleming, Lucy N Pachuau, Nagwa F Elmighrabi, Kingsley E Agho","doi":"10.1016/j.puhe.2025.105900","DOIUrl":"10.1016/j.puhe.2025.105900","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the benefits of early initiation of breastfeeding (EIBF) as a preventive medicine, the practice is suboptimal in West Africa (48.7 %), and there is limited systematic review evidence on the associated factors. This study aimed to aggregate the evidence on factors associated with EIBF in Anglophone and Francophone West African countries.</p><p><strong>Study design: </strong>A systematic review and meta-analysis was conducted to explore the research objectives.</p><p><strong>Methods: </strong>Six databases were searched for published studies that reported factors associated with EIBF in Anglophone and Francophone West African countries from January 1, 2008 to March 31, 2024. All relevant studies were reviewed, and odds ratios were extracted and meta-analysed.</p><p><strong>Results: </strong>The pooled analysis showed that caesarean section delivery in both Anglophone (AOR: 0.74; 95 % CI: 0.69, 0.81) and Francophone (AOR: 0.25; 95 % CI: 0.21, 0.30) regions, and unskilled birth attendance (AOR: 0.79; 95 % CI: 0.75, 0.83), babies perceived to be small at birth (AOR: 0.93; 95 % CI: 0.88, 0.98), rural residence (AOR: 0.89; 95 % CI: 0.85, 0.94) and mothers who wanted pregnancy now or later (AOR: 0.89; 95 % CI: 0.85, 0.92) in Anglophone regions delayed initiation of breastfeeding (DIBF). All 17 studies included were classified as medium or high quality.</p><p><strong>Conclusion: </strong>Future interventions and policies to improve EIBF should focus on addressing the factors associated with DIBF, with particular emphasis on babies delivered via caesarean section. This is crucial in reducing neonatal mortalities in the region to progress towards attaining Sustainable Development Goals 2 and 3 by 2030.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105900"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817963","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":"Are workers protected? Analyzing sun protection policies in Andalusian municipalities.","authors":"A Rodríguez-Martínez, N Blázquez-Sánchez, F Rivas-Ruiz, X Montoya-Wiedeman, V González-Gil, F J Dolz-López, S Aguilar-Agudo, A Paniego-Alonso, M V De Gálvez, Y Gilaberte-Calzada, D Moreno-Ramírez, J Aguilera, M De Troya-Martín","doi":"10.1016/j.puhe.2025.105884","DOIUrl":"10.1016/j.puhe.2025.105884","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to assess the sun protection policies and practices (SPPP) of Andalusian municipalities (Spain) as employers of outdoor workers since excessive ultraviolet radiation (UVR) exposure is the leading preventable cause of skin cancer.</p><p><strong>Study design: </strong>A descriptive cross-sectional study was conducted on the occupational implementation of SPPP by local councils employing outdoor workers in Andalusia, a region located in Southern Spain where high levels of UVR are recorded.</p><p><strong>Methods: </strong>The Occupational Sun Protection Policies and Practices Survey (OSPPP-S) was designed and piloted.</p><p><strong>Results: </strong>Sixty-one Andalusian municipalities were included in the analysis, representing a response rate of 7.8 %. These municipalities reported employing a total of 29,332 (median: 255; IQR: 616) workers of which 12,611 (median: 90; IQR: 302) work outdoors (43 %). In 21.3 % of the municipalities, sun protection policies are included in the occupational risk prevention plan, 23 % have complete health surveillance plans (identification of vulnerable workers and periodic sun damage assessment) and 41 % do offer sun protection education. Regarding sun protection personal protective equipment, we found that municipalities do not provide their workers with sunglasses (63.2 %), sunscreen (63.2 %), long-sleeved shirts (42.3 %), long trousers (42.3 %) or hats (24.6 %). Nevertheless, 42.7 % of the surveyed municipalities believe the occupational sun protection of their workers to be adequate or totally adequate.</p><p><strong>Conclusions: </strong>Andalusian municipalities have very poor occupational SPPP. These results show an urgent need to implement strategies for the prevention of diseases associated with UVR overexposure to protect outdoor workers.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105884"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805100","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 between caregiver health literacy and patient characteristics in pediatric new onset diabetes mellitus.","authors":"Jean Potter, Olivia Sterns, Sara Einis, Svetlana Azova, Caroline Kohler, Gretchen Waldman, Katharine Garvey, Erinn T Rhodes","doi":"10.1016/j.puhe.2025.105892","DOIUrl":"10.1016/j.puhe.2025.105892","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe the health literacy of caregivers of patients with new onset diabetes mellitus (NODM) presenting to a large, pediatric medical center and to describe the association between caregiver health literacy and patient characteristics.</p><p><strong>Study design: </strong>This was a retrospective, cohort study. Caregiver health literacy was assessed using the Newest Vital Sign (NVS). NVS is scored 0-6: adequate literacy (AL) (4-6); possibility of limited literacy (PLL) (2-3); and high likelihood of limited literacy (HLLL) (0-1).</p><p><strong>Methods: </strong>Bivariate and multivariable analyses were performed with caregiver health literacy as the predictor. P < 0.05 was considered significant.</p><p><strong>Results: </strong>Between January 1, 2016 and December 31, 2023, there were 1832 NODM patients [mean age 10.2 (4.8) years, 46 % female]; 1701 (92.8 %) caregivers completed NVS: 92.3 % AL, 5.2 % PLL, and 2.5 % HLLL. Among 1091 diagnosed before January 1, 2023, 561 (51.4 %) and 136 (12.5 %) utilized a continuous glucose monitor (CGM) and insulin pump, respectively, within 12 months. Lower health literacy was associated with higher odds of interpreter use (PLL p < 0.001; HLLL p < 0.001), of tailored diabetes education (PLL p < 0.001; HLLL p < 0.001), and longer length of stay (PLL p < 0.001; HLLL p < 0.001). HLLL (adjusted odds ratio [aOR] 0.25, 95 % confidence interval [CI] 0.06, 0.94) but not PLL (aOR 1.06, 95% CI 0.44, 2.57) was associated with lower odds of CGM use within 12 months.</p><p><strong>Conclusions: </strong>Patients with NODM whose caregivers have lower health literacy represent a high-risk population associated with increased resource utilization, longer hospitalization, and risk for decreased uptake of diabetes technology. A health-literacy informed approach to initial education may offer opportunities to support the individual needs of caregivers.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105892"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812572","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":"Emotional Literacy: The Missing Link in health literacy for underserved populations public health, special issue on health literacy.","authors":"Lærke Mygind, Thea Toft Amholt, Mette Kurtzhals, Peter Elsborg, Inge Forum Blicher, Michael Seeberg, Kasper Kiilerich, Peter Bentsen","doi":"10.1016/j.puhe.2025.105888","DOIUrl":"10.1016/j.puhe.2025.105888","url":null,"abstract":"<p><p>Health literacy is recognised as key to reducing health disparities. In this commentary, we discuss findings and implications of a feasibility study of a family-oriented, multi-component, play-based intervention that initially was designed to target basic literacy, food literacy, and physical literacy in tandem with parenting practices to improve underserved children's wellbeing. The study showed that the providers could not effectively work with these literacies until a more basic set of social and emotional skills, or emotional literacy, had been developed. The study made it abundantly clear that working with severely underserved populations implied that such skills, that might be taken for granted in less impacted families, needed to be an explicit point of intervention. We propose an empirically based, stepwise approach to intervention and present a model highlighting the complex interaction between social vulnerability, promotion of health literacy, and intervention strategy. Implications for health literacy interventions and public health are discussed.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105888"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812574","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 e-Health exercise interventions on physical activity and number of steps in healthy older people: A network meta-analysis of randomised controlled trials.","authors":"María López-González, Susana Priego-Jiménez, Patricia Lorenzo-García, Beatriz Rodríguez-Martín, Abel Ruiz-Hermosa, Celia Álvarez-Bueno","doi":"10.1016/j.puhe.2025.105898","DOIUrl":"10.1016/j.puhe.2025.105898","url":null,"abstract":"<p><strong>Objectives: </strong>e-Health physical activity interventions have been shown to promote positive changes in health behaviours that benefit both physical and mental health. The aim of this study was to determine which type of e-Health intervention was the most effective at increasing physical activity levels in older people.</p><p><strong>Study design: </strong>Systematic review and network meta-analysis.</p><p><strong>Methods: </strong>A literature search was conducted up to July 2025. Randomised controlled trials reporting the effects of e-Health exercise programmes on increasing physical activity and the number of steps were included. Standard pairwise meta-analysis and network meta-analysis were performed for direct and indirect comparisons between interventions to calculate the effect size (ES) and 95 % confidence interval (CI).</p><p><strong>Results: </strong>Sixteen studies with a total study population of 2296 participants were included in this network meta-analysis. The intervention that showed the highest ES for increasing daily physical activity was the computer phone-based intervention (ES = 0.47; 95 % CI: 0.11, 0.84; compared to the control group). This intervention consists of providing participants with a tablet computer preloaded with an application (app) that offers recommendations on healthy habits and physical activity. Regarding the number of daily steps, the highest ES was observed with the wearable physical activity intervention (ES = 1.06; 95 % CI: 0.20, 1.92; compared to the control group). This intervention combines the use of devices such as pedometers and accelerometers with motivational instructions aimed at achieving a daily step goal.</p><p><strong>Conclusions: </strong>Results showed that phone-based e-Health interventions and wearable physical activity training programmes were the most effective interventions for increasing daily physical activity and number of steps per day, respectively.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105898"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812573","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":"Development of a machine learning model to predict the probability of health checkup participation in Japan.","authors":"Asuka Oyama, Midori Noguchi","doi":"10.1016/j.puhe.2025.105889","DOIUrl":"10.1016/j.puhe.2025.105889","url":null,"abstract":"<p><strong>Objectives: </strong>Enhancing health checkup participation is crucial for early detection and treatment of noncommunicable diseases and for improving public health. Effectively increasing health checkup rates requires identifying and encouraging individuals likely to adopt health-oriented behaviours. We aimed to develop a machine learning model to predict the participation probability in a specific health checkup in the following year.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>We analysed data from 58,863 National Health Insurance-insured individuals in Kochi Prefecture, Japan, who underwent specific health checkups during the fiscal years (FYs) 2013-2017. The dataset includes physical measurements, blood pressure measurements, blood and urine tests, and self-reported questionnaires. Predictive models for FY2018 participation were developed using LightGBM and evaluated using the area under the receiver operating characteristic curve (AUC) and reliability curves. SHAP was used to assess the feature's importance. External validation for FY2019 and FY2020 assessed temporal robustness.</p><p><strong>Results: </strong>Predictive accuracy for FY2018 was high, with AUCs of 0.824 (95 % confidence interval [95 % CI]: 0.813-0.835) for men and 0.820 (95 % CI: 0.810-0.830) for women. External validation of FY2019 showed AUCs of 0.821 and 0.807 for men and women, respectively. In FY2020, prediction accuracy declined, with AUCs of 0.798 and 0.794 for men and women, respectively. Key predictive features included years since the last checkup, past checkup frequency, age, systolic blood pressure, and lifestyle factors.</p><p><strong>Conclusions: </strong>By developing an accurate model to predict future health checkup participation, we identified a novel indicator that enables efficient, optimized recommendations and may help improve participation rates.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"247 ","pages":"105889"},"PeriodicalIF":3.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805101","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}