Public Health最新文献

{"title":"Disparities in global response to public health emergencies: A tale of two pathogens","authors":"Danielle Solomon, Andrew C.K. Lee","doi":"10.1016/j.puhe.2026.106431","DOIUrl":"10.1016/j.puhe.2026.106431","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"257 ","pages":"Article 106431"},"PeriodicalIF":3.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585655","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":"Identification of challenges to implementation of infection control guidance in primary care during COVID-19 incidents: Lessons for pandemic planning.","authors":"Lorna J Duncan, Jade Meadows, Jonathan Roberts","doi":"10.1016/j.puhe.2026.106293","DOIUrl":"10.1016/j.puhe.2026.106293","url":null,"abstract":"<p><strong>Objectives: </strong>Despite service delivery modifications to minimise transmission in primary care during the pandemic, 609 COVID-19 incidents linked to English general practice (GP) were mandatorily reported to the United Kingdom Health Security Agency (UKHSA) between March 2020 and April 2022. This study aimed to identify themes in case management records of GP-linked COVID-19 incidents to inform future infection prevention and control (IPC).</p><p><strong>Study design: </strong>Thematic analysis was undertaken of all GP-linked COVID-19 incidents reported to UKHSA in South West England.</p><p><strong>Methods: </strong>Records were included where at least one confirmed COVID-19 case was linked to a GP setting. Analysis of outbreaks/clusters (at least two cases, with/without an epidemiological link respectively) and single case exposures was undertaken. Cases, contacts and potential transmission routes were evaluated in outbreaks; impacts to health/service provision were analysed for all incidents.</p><p><strong>Results: </strong>42 outbreaks, 10 clusters and 10 single case exposures were included for analysis. Staff comprised 95% of 210 outbreak cases, with six family member cases and one patient case. At least one IPC breach was identified in over 70% of outbreaks, commonly involving inadequate social distancing/personal protective equipment use, or multi-site/symptomatic working. Some breaches indicated guidance impracticability. No deaths, but two hospitalisations, occurred and a single case could necessitate site closure.</p><p><strong>Conclusions: </strong>COVID-19 cases in GP-linked outbreaks in South West England were predominantly identified in staff, impacting service delivery. Some IPC breaches involved implementation challenges. Mitigations span premises/IT adaptations, contingency planning and tailored guidance. This emphasizes the need for specific primary care representation in pandemic planning.</p>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"256 ","pages":"106293"},"PeriodicalIF":3.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700294","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":"Global policy review to identify links between climate change and antimicrobial resistance","authors":"Alexander J. Thornton ,&nbsp;Kerry Badger ,&nbsp;Rufus F.S. Robinson ,&nbsp;Kelly Moon ,&nbsp;Bianca Van Bavel ,&nbsp;Jennifer Israelsson ,&nbsp;Aideen Carroll ,&nbsp;Rhiannon Cordiner ,&nbsp;Colin Brown ,&nbsp;Prof Lea Berrang-Ford ,&nbsp;Prof Rebecca King","doi":"10.1016/j.puhe.2026.106159","DOIUrl":"10.1016/j.puhe.2026.106159","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify explicit reference to the interdependence between antimicrobial resistance (AMR) and climate change (CC) within global policy for AMR and CC.</div></div><div><h3>Study design</h3><div>This review uses the principles of systematic searching, qualitative evidence synthesis and framework analysis.</div></div><div><h3>Methods</h3><div>Two searches were conducted: (1) explicit AMR policy searching was conducted via searching country AMR National Action Plans (NAPs) on the World Health Organisation Website; and (2) CC policy searching was conducted by reviewing United Nations Framework Convention on Climate Change (UNFCCC) National Communication (NC) documents. Search and coding processes were conducted independently by two sets of researchers and discussions were held to resolve any discrepancies between findings.</div></div><div><h3>Results</h3><div>155 NCs and 81 NAPs were included in the review. 10 (12 %) NAPs and 19 (12 %) NCs demonstrated reference to a relationship between CC and AMR. In most cases, these were limited to a single mention. The most common connection made was to “shared solutions” to the issues and to “CC driving AMR”. The depth of the interconnection described is largely commentarial, lacking sufficient detail of modalities of interaction.</div></div><div><h3>Conclusions</h3><div>Most CC and AMR global policy documents do not reference interdependence between CC and AMR. Where references occur, these are simplistic and do not detail pathways of interactions. Most references are within descriptive text and lack targeted action. This review highlights inadequate focus within policy on this important intersection. This review should inform future global policy development that focuses on integrated approaches to CC and AMR across the One Health system.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106159"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175285","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 associations of maternal exposure to PM1 during pregnancy with emotional and behavioral problems in offspring: The interaction effect of maternal diet","authors":"Mengfan Li ,&nbsp;Guoyu Zhang ,&nbsp;Xuanqing He ,&nbsp;Xiaonan Gu ,&nbsp;Weiyin Zhuang ,&nbsp;Chang Wang ,&nbsp;Yu Liu ,&nbsp;Shun Liu ,&nbsp;Xin Wang ,&nbsp;Zhen Wang ,&nbsp;Li Cai","doi":"10.1016/j.puhe.2026.106195","DOIUrl":"10.1016/j.puhe.2026.106195","url":null,"abstract":"<div><h3>Objectives</h3><div>We aimed to examine the association between PM₁ exposure during different stages of pregnancy and emotional and behavioral problems in offspring, and to evaluate whether maternal diet quality interacts with these relationships.</div></div><div><h3>Study design</h3><div>Birth cohort study.</div></div><div><h3>Methods</h3><div>This cohort study included 391 mother-child pairs from Guangzhou, China. Prenatal PM₁ exposure was estimated using a spatiotemporal model. Maternal diet was assessed via a validated food frequency questionnaire and scored using the Chinese Healthy Eating Index (CHEI). At age 5, offspring's emotional and behavioral problems were evaluated with the Strengths and Difficulties Questionnaire, including emotional, conduct, hyperactivity, peer relationship problems, prosocial behavior, and total difficulties. Generalized linear models were used to examine the association.</div></div><div><h3>Results</h3><div>Overall, 15.9% of children exhibited at least one type of emotional and behavioral problem. The mean maternal PM₁ was 17.51 ± 2.38 μg/m³. Each interquartile range (IQR) increase in PM₁ concentration during the first trimester was associated with elevated risk of offspring behavioral problems (<em>OR</em> = 2.25; 95% <em>CI</em>: 1.06∼4.89). Increased PM₁ exposure during both the first (<em>OR</em> = 2.90; 1.07∼8.21) and second trimesters (<em>OR</em> = 4.50; 1.23∼16.76) was linked to higher odds of total difficulties. Higher maternal CHEI scores, particularly the total score and dark vegetable intake component, were associated with weaker PM₁-related associations.</div></div><div><h3>Conclusion</h3><div>Maternal exposure to PM₁ during pregnancy, especially during the first and second trimesters, was associated with an increased risk of emotional and behavioral problems in offspring. A high-quality maternal diet, particularly one rich in vegetables, may mitigate these adverse effects.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106195"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175279","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":"Household economic security and medical debt onset: Lessons from the COVID-19 pandemic","authors":"Irina B. Grafova,&nbsp;Sharifa Z. Williams","doi":"10.1016/j.puhe.2026.106173","DOIUrl":"10.1016/j.puhe.2026.106173","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine how household medical debt responds to changes in income and new health events.</div></div><div><h3>Study design</h3><div>Secondary analysis of a panel survey.</div></div><div><h3>Methods</h3><div>We analyzed data from 6,599 households in the 2019–2021 waves of the nationally representative US Panel Study of Income Dynamics (PSID) with no medical debt in 2019. We focus on the onset of unpaid medical bills, classifying debt ≥20 % of annual income as high burden and &lt;20 % as low or medium. Using logistic regression, we estimate the impact of changes in household income and onset of chronic conditions on acquiring medical debt.</div></div><div><h3>Results</h3><div>In our analytic sample, 4.4 % of households experienced the onset of low or medium medical debt, and 1.2 % experienced the onset of high medical debt between the 2019 and 2020 waves of the PSID. Pandemic-related earnings loss increased high medical debt onset by 1.1 percentage points (95 % confidence intervals [95 % CI: 0.2 to 1.9]). The onset of low or medium medical debt rose by 3.4 percentage points (95 % CI: 0.4 to 6.4) among households in which the head or spouse received a new diabetes diagnosis, and by 3.5 percentage points (95 % CI: 1.4 to 5.6) among households with a new arthritis diagnosis. High medical debt onset increased by 1.8 percentage points (95 % CI: 0.2 to 3.3) in households with a new cancer diagnosis.</div></div><div><h3>Conclusions</h3><div>Unexpected earnings losses and new diagnoses of cancer, diabetes, and arthritis significantly increase the risk of medical debt onset.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106173"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138115","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":"Priority setting for oncology in South Africa using a burden of disease approach","authors":"Ritika Tiwari ,&nbsp;Usuf Chikte ,&nbsp;Vikash Sewram","doi":"10.1016/j.puhe.2026.106184","DOIUrl":"10.1016/j.puhe.2026.106184","url":null,"abstract":"<div><h3>Objectives</h3><div>To forecast the provincial supply of oncologists in South Africa through 2030 using a health need–based approach grounded in disability-adjusted life years (DALYs), and to identify shortfalls under scenarios aimed at reducing human resources for health (HRH) inequities as highlighted in Disease Control Priorities, Volume 3 (DCP-3).</div></div><div><h3>Study design</h3><div>A retrospective forecasting study employing DALY-driven demand projections for oncology services in each of South Africa's nine provinces, with scenario analyses evaluating horizontal equity in HRH distribution.</div></div><div><h3>Methods</h3><div>Age-standardized provincial DALYs for cancer were obtained from the Institute for Health Metrics and Evaluation Global Burden of Disease (IHME GBD) estimates via the Global Health Data Exchange (GHDx). Mid-year population estimates for 2018 were sourced from Statistics South Africa. Using these metrics, we calculated DALY load per oncologist and projected oncologist requirements for 2020, 2025, and 2030.</div></div><div><h3>Results</h3><div>Under the best guess scenario, South Africa faces a shortfall of 47 oncologists in 2020, increasing to 97 by 2025 and 148 by 2030. The optimistic scenario yields national deficits of 77 (2020), 126 (2025), and 175 (2030). In the aspirational scenario, shortfalls climb to 138 (2020), 184 (2025), and 230 (2030).</div></div><div><h3>Conclusions</h3><div>The Workforce Projection Model offers a replicable framework for low- and middle-income countries to assess oncology workforce needs, optimize HRH allocation, and plan capacity development to enhance equitable access to cancer care.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106184"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175280","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 behavioral-environmental risk patterns and multimorbidity of chronic non-communicable diseases among Chinese adolescents at schools","authors":"Zhiyun Hu ,&nbsp;Xiaodong Sun ,&nbsp;Chunyan Luo ,&nbsp;Wei Du ,&nbsp;Dongling Yang ,&nbsp;Hui Xue ,&nbsp;Fengyun Zhang ,&nbsp;Lijun Fan","doi":"10.1016/j.puhe.2026.106193","DOIUrl":"10.1016/j.puhe.2026.106193","url":null,"abstract":"<div><h3>Objectives</h3><div>Multimorbidity, though traditionally discussed in older populations, is increasingly prevalent among adolescents. However, evidence on how co-occurring behavioral and environmental risks contribute to adolescent multimorbidity remains limited. This study aimed to identify distinct patterns of behavioral-environmental risks among Chinese adolescents and to examine how these patterns are associated with multimorbidity of chronic non-communicable diseases.</div></div><div><h3>Study design</h3><div>This was a cross-sectional study, utilizing data from 15,082 participants enrolled in the 2022 Shanghai “Surveillance for Common Diseases and Health Risk Factors among Students” project.</div></div><div><h3>Methods</h3><div>Participants were selected using a cluster random sampling method. Adolescent multimorbidity was defined as the coexistence of six chronic non-communicable diseases (high blood pressure, high myopia, dental caries, abnormal spinal curvature, obesity, and depressive symptoms). Behavioral-environmental risk dimensions covered individual lifestyle behaviors (i.e., imbalanced diet, unhealthy food, smoking or drinking, excessive screen time, insufficient sleep, and physical inactivity), school-related environmental risks (untimely seat or desk adjustment, low frequency of eye exercises or physical education classes), and family environmental factors (non-nuclear family, low parental education, disadvantaged family economy, and household secondhand smoke exposure). Latent class analysis identified distinct risk patterns, and logistic regression models explored their associations with multimorbidity.</div></div><div><h3>Results</h3><div>The mean age of participants was 14.94 (SD = 1.75), and 47.6% were girls. Three behavioral-environmental patterns emerged: “high behavioral and family-environmental risks (Class 1, 40.9%)”, “high behavioral and school-environmental risks (Class 2, 22.3%)”, and “relatively low behavioral-environmental risks (Class 3, 36.8%)”. Compared with Class 3, adolescents in Class 1 (OR = 1.21–1.27, all <em>p</em> &lt; 0.001) or Class 2 (OR = 1.20–1.28, all <em>p</em> &lt; 0.001) had significantly higher odds of multimorbidity across all adjusted models.</div></div><div><h3>Conclusions</h3><div>School-aged adolescents exhibit distinct behavioral-environmental risk patterns, with differing associations with multimorbidity. Findings underscore the need for integrated health promotion strategies addressing individual behaviors and broader environmental influences to reduce multimorbidity among the youth.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106193"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146174775","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 effectiveness of financial incentives on clinical outcomes of cardiovascular disease risk factors: A systematic review and meta-analysis","authors":"Ayelet Prigozin ,&nbsp;Matan J. Cohen ,&nbsp;Adi Isaacson ,&nbsp;Michal Ronen ,&nbsp;Daniel Sheinin ,&nbsp;Amnon Lahad","doi":"10.1016/j.puhe.2026.106179","DOIUrl":"10.1016/j.puhe.2026.106179","url":null,"abstract":"<div><h3>Objectives</h3><div>We sought to examine studies that assessed the effects of financial incentives contingent on clinical improvement on factors associated with cardiovascular disease (CVD) risk.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Databases were searched for randomized controlled trials (RCTs). We included only RCTs with incentives contingent on clinical improvement using consistent parameters. Meta-analyses and subgroup analyses were conducted for outcomes: smoking cessation, glycemic control, blood pressure, and serum cholesterol. Analyses were conducted using Cochrane Review Manager software. Study quality was assessed with RoB 2.0.</div></div><div><h3>Results</h3><div>Data from 43 trials were analyzed: 18 smoking cessation (n = 15,772), 19 wt loss (n = 4416), three glycemic control (n = 418), two hypercholesterolemia trials (n = 543), and one hypertension trial (n = 207). Studies’ duration varied from three months to two years. Meta-analyses showed reductions in smoking [risk ratio (RR) 1.56, 95% CI 1.42 to 1.72], change in body weight (kg) [mean difference (MD) −1.2, 95% CI -1.57 to −0.84], and glycated haemoglobin (HbA1c) (%) (MD of −0.43, 95% CI -0.69 to −0.18) by the end of the study period. The analysis of the two studies on low-density lipoprotein cholesterol (LDL-C) (mg/dL) (MD-0.3, 95% CI -4.34 to 3.73) did not reveal a significant effect.</div></div><div><h3>Conclusions</h3><div>Financial incentives can effectively promote smoking cessation and modest weight loss. Evidence for their effect on glycemic control was promising but limited, while no significant effects were found for LDL-C or blood pressure. Incentives based on clinical outcomes should be assessed for their long-term applicability in managing chronic diseases.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106179"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175286","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":"Differences in the effects of HIIT versus aerobic training on intervening in dyslipidemia in children and adolescents: A systematic review and meta-analysis","authors":"Shun Wang ,&nbsp;Jingting Ni ,&nbsp;Meichao Cheng ,&nbsp;Ziyang Li ,&nbsp;Ya Wang ,&nbsp;Xunling Wang","doi":"10.1016/j.puhe.2026.106183","DOIUrl":"10.1016/j.puhe.2026.106183","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compares the effects of high-intensity interval training (HIIT) and aerobic training (AT) on dyslipidemia in children and adolescents, aiming to clarify their relative advantages in lipid metabolism and provide evidence for exercise-based management strategies.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis of randomized controlled trials (RCTs).</div></div><div><h3>Methods</h3><div>Following PRISMA 2020, randomized controlled trials comparing HIIT and AT for dyslipidemia in children and adolescents were systematically searched in Chinese and English databases. Two reviewers independently conducted screening, data extraction, and quality assessment. Meta-analyses were performed using RevMan 5.4 and Stata 18.0, calculating standardized mean differences (SMD) with 95% confidence intervals (CI). Heterogeneity, sensitivity, and publication bias were also assessed.</div></div><div><h3>Results</h3><div>Meta-analysis revealed that: (1) Total Cholesterol (TC): HIIT significantly reduced TC levels (SMD = −0.36, 95% CI: −0.57 to −0.14, P &lt; 0.05), The effect size of HIIT (SMD = −0.62, 95% CI: −1.19 to −0.04, P &lt; 0.05), was greater than that of AT; (2) Low-Density Lipoprotein Cholesterol (LDL-C): Both HIIT (SMD = −0.31, 95% CI: −0.51 to −0.11, P &lt; 0.05), significantly reduced LDL-C levels, with both demonstrating moderate negative effects; the effect size of HIIT (SMD = −0.52, 95% CI: −0.92 to −0.12, P &lt; 0.05), was greater than that of AT; (3) High-Density Lipoprotein Cholesterol (HDL-C): Neither HIIT (SMD = 0.10, 95% CI: −0.09 to 0.3, P = 0.31) nor AT (SMD = 0.12, 95% CI: −0.58 to 0.82, P = 0.73), significantly improved HDL-C levels; and (4) Triglycerides (TG): Both HIIT (SMD = −0.38, 95% CI: −0.70 to −0.06, P &lt; 0.05), and AT (SMD = −0.82, 95% CI: −1.53 to −0.11, P &lt; 0.05), significantly reduced TG levels, with both showing moderate negative intervention effects; the improvement associated with AT (SMD = 0.28, 95% CI: 0.03 to 0.53, P &lt; 0.05), was greater than that with HIIT.</div></div><div><h3>Conclusions</h3><div>Both HIIT and AT demonstrate distinct advantages in improving dyslipidemia among children and adolescents. As effective alternative interventions, their application should be tailored to individual circumstances and specific clinical needs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106183"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175284","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":"Coping and psychological outcomes of male victims of intimate partner violence: A systematic review","authors":"Stanley Oloji Isangha ,&nbsp;Tosin Yinka Akintunde ,&nbsp;Cherry Tam Hau-Lin ,&nbsp;Wai Man Anna Choi ,&nbsp;Temitayo Kofoworola Olurin","doi":"10.1016/j.puhe.2026.106187","DOIUrl":"10.1016/j.puhe.2026.106187","url":null,"abstract":"<div><h3>Objectives</h3><div>Although intimate partner violence (IPV) research has historically focused on female victimisation, emerging studies now examine heterosexual male victims. This qualitative systematic review synthesises evidence from five continents, including the underrepresented African context, to explore men's IPV experiences, coping strategies, psychological effects, and public health implications.</div></div><div><h3>Study design</h3><div>Systematic review of qualitative studies on male IPV victimisation, coping, and psychological well-being.</div></div><div><h3>Methods</h3><div>A systematic review of 36 qualitative studies was conducted, focusing on male IPV victimisation, coping strategies, and psychological outcomes. Inductive codes developed directly from participants’ responses were used to identify experiences, coping strategies, and psychological outcomes. Related codes were then grouped into higher order concepts and mapped onto a problem focused versus emotion focused coping spectrum.</div></div><div><h3>Results</h3><div>Findings reveal that male victims experience physical, psychological and sexual abuse, including broken bones, humiliation, and forced sexual intimacy. Coping strategies were both adaptive (e.g., exercise, spiritual coping) and maladaptive (e.g., alcohol use, avoidance, minimization or exiting the relationship). Emotion-focused strategies were more frequently associated with negative mental health outcomes. Problem-focused coping like help seeking had mixed psychological outcomes. Moreover, help-seeking was often hindered by stigma, fear of emasculation, and lack of awareness of available resources. Religious coping and informal support were mentioned but underexplored. The review also highlights the absence of theoretical framing and cultural sensitivity in many studies.</div></div><div><h3>Conclusions</h3><div>Public health systems should adopt gender-sensitive IPV responses, recognising male victimisation and reducing barriers to support. Further research should explore culturally relevant coping strategies and inform practitioner-led interventions.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"253 ","pages":"Article 106187"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146175283","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}