Public Health最新文献

{"title":"A multi-model approach to estimate excess mortality in the Nordics, 2020–2023","authors":"Sasikiran Kandula ,&nbsp;Anja Bråthen Kristoffersen ,&nbsp;Gunnar Rø ,&nbsp;Marissa LeBlanc ,&nbsp;Birgitte Freiesleben de Blasio","doi":"10.1016/j.puhe.2025.02.032","DOIUrl":"10.1016/j.puhe.2025.02.032","url":null,"abstract":"<div><h3>Objectives</h3><div>Excess mortality has been one of the commonly used measures of the population health effects of the COVID-19 pandemic. Denmark, Finland, Norway and Sweden share several health and socioeconomic characteristics but adopted different control measures and experienced varying degrees of case and hospitalization burden during the pandemic. Using mortality trends between 2001 and 2019 and a combination of models, we estimated and compared annual and monthly excess mortality in these countries nationally as well as stratified by age, sex and subnational regions between 2020 and 2023.</div></div><div><h3>Study design</h3><div>Multi-model study.</div></div><div><h3>Methods</h3><div>Three methods were used to estimate mortality: i) a Bayesian spatial model with a random effect component for spatial dependence among subregions and trend and seasonality terms; ii) a Bayesian GAMM model with terms for annual trend (a thin-plate spline) and within-year seasonality (a cyclic cubic spline); and, iii) a combination of autoregressive and exponential trend smoothing methods. Estimates from these approaches were combined using model averaging.</div></div><div><h3>Results</h3><div>Based on age-standardized mortality rates (per 100,000 population) of the averaged estimates: Finland had the highest cumulative excess mortality of the four countries; older age groups (70+ year) accounted for nearly all excess mortality; men had higher excess rates than women; and capital regions had some of the lowest rates relative to other regions in each country. With a few exceptions, mortality in 2023 returned to pre-pandemic levels. Model verification indicated good calibration and superior skill of the combination model relative to its component models.</div></div><div><h3>Conclusions</h3><div>We believe our approach better quantifies uncertainty than individual models, and our estimates are comprehensive, spatially, temporally and demographically well-resolved, and can support further association studies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 131-138"},"PeriodicalIF":3.9,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of free subway passes on the social relationships and mental health of urban older people: A segmented regression analysis","authors":"Yu Shin Park ,&nbsp;Hyunkyu Kim ,&nbsp;Eun-Cheol Park ,&nbsp;Suk-Yong Jang","doi":"10.1016/j.puhe.2024.12.043","DOIUrl":"10.1016/j.puhe.2024.12.043","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the impact of free subway passes (FSP) on the social relationships and mental health of urban older people.</div></div><div><h3>Study design</h3><div>Segmented regression analysis</div></div><div><h3>Methods</h3><div>We studied data from the 2019 Korea Community Health Surveys, looking at 38,205 participants aged over 45 in metropolitan areas without activity limitations. The intervention group comprised residents of Ulsan, a city without a subway system and thus not eligible for the FSP policy. The control group included residents of five metropolitans and capital city with subway systems where FSP are available. We used controlled segmented regression analysis to explore how FSP influenced satisfaction with public transportation, social connections, social participation, and mental health (measured by Patient Health Questionnaire-9, PHQ-9 as a proxy variable).</div></div><div><h3>Results</h3><div>Satisfaction of transportation and social participation of people who reside in metropolitan without FSP was likely to decrease more than people in metropolitan with FSP and capital city (model 1: satisfaction of transportation estimate 0.941; 95 % CI 0.909–0.974, social participation estimate 0.983; 95 % CI 0.969-0.998, model 2: satisfaction of transportation estimate 0.935; 95 % CI 0.899–0.973, social participation estimate 0.979; 95 % CI 0.964–0.994). And people who reside in metropolitan without FSP had marginally increasing PHQ-9 score compared to metropolitan with FSP and capital city (model 1: PHQ-9 score estimate 1.009; 95 % CI 0.999–1.018, model 2: PHQ-9 score estimate 1.007; 95 % CI 0.997–1.018).</div></div><div><h3>Conclusion</h3><div>FSP use might promote social participation and be marginally associated with reduced depressive symptoms among older adults. Further research is needed to explore the effects of FPS and other public transportation subsidies. The findings of this study might serve as important evidence for developing public transportation policies in other communities.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 139-145"},"PeriodicalIF":3.9,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578836","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 family physician contract service on patients’ perceived quality of primary child healthcare in urban China: Analysis using propensity score matching","authors":"Huimin Yang ,&nbsp;Yueying Cui ,&nbsp;Xi Wang ,&nbsp;Tao Yin ,&nbsp;Xiaoguo Zheng ,&nbsp;Ruili Li ,&nbsp;Lihong Wang ,&nbsp;Haoxiang Wang ,&nbsp;Delu Yin","doi":"10.1016/j.puhe.2025.02.015","DOIUrl":"10.1016/j.puhe.2025.02.015","url":null,"abstract":"<div><h3>Objectives</h3><div>The family physician contract service (FPCS) policy has been implemented for several years within primary healthcare (PHC) institutions in China. However, the specific impact of the FPCS on patients’ perceived quality of primary child healthcare remains unclear. Therefore, this study investigates the effect of the FPCS on the perceived quality of primary child healthcare in urban China.</div></div><div><h3>Study design</h3><div>A cross-sectional survey was conducted across twelve community health centers (CHCs) in four provinces of urban China in April 2022.</div></div><div><h3>Methods</h3><div>A multistage stratified convenience sampling method was employed to recruit parents of children under the age of 16 who had visited CHCs at least once to participate in the study. A validated Mandarin Chinese version of the Primary Care Assessment Tool (PCAT) was utilized to gather information from parents regarding their experiences with primary child healthcare services. To address selection and confounding bias, propensity score matching (PSM) was applied to estimate the average treatment effect on the treated (ATT), followed by a weighted one-way analysis of variance to compare each primary care attribute score reported by the two groups.</div></div><div><h3>Results</h3><div>A total of 7429 respondents were surveyed, with 1976 (26.6 %) in the contracted group and 5453 (73.4 %) in the control group. Following PSM, 3942 participants (1971 in each group) were analyzed, revealing significant pre-matching disparities in demographic and health characteristics, which were balanced post-matching. The analysis indicated that the average total PCAT score notably increased by 6.44 points for those with a contract with a family physician team, with a reduction of 6.25 points would occur if contracted participants discontinued their contract. Each domain score of primary care attributes was significantly higher in the contracted group compared to the control group, both before and after PSM, with notable differences in first-contact utilization, accessibility, continuity of care, coordination of services, and community orientation.</div></div><div><h3>Conclusions</h3><div>This study underscores the importance of family physician contract services in enhancing the quality of primary child healthcare and emphasizes the need for policy interventions to broaden access and equity in health service provision.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 124-130"},"PeriodicalIF":3.9,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence and characterisation of energy drink consumption in North America: A systematic review","authors":"Guadalupe García ,&nbsp;Jasjit Ahluwalia ,&nbsp;Cristina Candal-Pedreira ,&nbsp;Ana Teijeiro ,&nbsp;Julia Rey-Brandariz ,&nbsp;Carla Guerra-Tort ,&nbsp;Nerea Mourino ,&nbsp;Beatriz Casal-Acción ,&nbsp;Leonor Varela-Lema ,&nbsp;Mónica Pérez-Ríos","doi":"10.1016/j.puhe.2025.02.035","DOIUrl":"10.1016/j.puhe.2025.02.035","url":null,"abstract":"<div><h3>Objectives</h3><div>Energy drinks (ED), which contain high levels of caffeine, are widely popular and their consumption is increasing, especially among young people who may have limited understanding of the associated risks. The aim of this study was to identify the prevalence of ED consumption in North America (Canada, Mexico and the US) and to characterise ED consumers.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>A systematic review of studies estimating the prevalence of ED consumption was conducted. The characteristics of the studies, populations included, consumption assessment and prevalence of consumption were recorded. Study quality was evaluated using an adaptation of the Newcastle-Ottawa scale. A descriptive analysis of the results was performed.</div></div><div><h3>Results</h3><div>In total, 91 studies conducted in North America were included. All studies were of low to moderate quality. The prevalence of ED consumption was assessed using different temporalities in different studies, which made it impossible to reach a conclusion about the prevalence in North America. Across all populations and temporalities, a considerable range of ED prevalence was observed. It is noteworthy that in studies of university students, weekly ED consumptions &gt;60 % were reported. ED consumption was associated with being male and the co-consumption of alcohol, tobacco and marijuana or cannabis.</div></div><div><h3>Conclusions</h3><div>Results show that ED consumption was highly heterogeneous and widely prevalent, especially among younger populations. This review provides information to help guide and design appropriate public health measures and strategies.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 117-123"},"PeriodicalIF":3.9,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578837","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":"Austerity and waiting times: Evidence on reproductive health care delays among young millennials in deprived areas","authors":"Mario Martínez-Jiménez ,&nbsp;Bruce Hollingsworth ,&nbsp;Eugenio Zucchelli","doi":"10.1016/j.puhe.2025.02.027","DOIUrl":"10.1016/j.puhe.2025.02.027","url":null,"abstract":"<div><h3>Objectives</h3><div>Waiting times in the English National Health System (NHS) have steadily increased since 2010 and reducing them has become a priority for the government and public. This study examines changes in hospital waiting times for millennials throughout adolescence and young adulthood, exploring their association with the 2010 austerity measures.</div></div><div><h3>Study design</h3><div>We use administrative data from Hospital Episode Statistics for participants in the Next Steps survey, a longitudinal study following individuals born between 1989 and 1990. We focus on trends in outpatient and emergency hospital services used for ages 14–17 to 27 between 2003 and 7 and 2017.</div></div><div><h3>Methods</h3><div>We employ an event-study interrupted time series with panel data, controlling for changes in trend due to the 2008 macroeconomic shock and allowing for autocorrelation and seasonality.</div></div><div><h3>Results</h3><div>Our results show that trends in waiting times remained unchanged during the 2008 Great Recession. Following the 2010 austerity cuts, while overall waiting times for emergency and outpatient hospital care only increased by a small amount, waiting times for reproductive health care substantially increased among young people living in the most deprived areas.</div></div><div><h3>Conclusions</h3><div>Findings suggest the presence of inequities in timely access to essential healthcare services, particularly in reproductive health care services (including obstetric and sexual health), which could potentially have substantial health consequences in the short and long run for young people living in more deprived areas. Policymakers implementing budget cuts in healthcare systems may need to consider allocating resources to mitigate and compensate for any detrimental health consequences.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 111-116"},"PeriodicalIF":3.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The end of US foreign aid and implications for global health?","authors":"Andrew CK. Lee ,&nbsp;Simon Rushton","doi":"10.1016/j.puhe.2025.02.018","DOIUrl":"10.1016/j.puhe.2025.02.018","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 101-102"},"PeriodicalIF":3.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548114","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":"Using theory-informed, arts-based research translation to change community attitudes towards people who inject drugs newly released from prison: A randomised controlled trial","authors":"Timothy R. Broady ,&nbsp;Kerryn Drysdale ,&nbsp;Loren Brener ,&nbsp;Sophia Schroeder ,&nbsp;Alison D. Marshall ,&nbsp;Lise Lafferty ,&nbsp;Peter Higgs ,&nbsp;Eileen Baldry ,&nbsp;Paul Dietze ,&nbsp;Mark Stoove ,&nbsp;Carla Treloar","doi":"10.1016/j.puhe.2025.02.025","DOIUrl":"10.1016/j.puhe.2025.02.025","url":null,"abstract":"<div><h3>Objectives</h3><div>Community attitudes contribute to social exclusion of people with incarceration and injecting drug use histories. Interventions that positively impact community attitudes can strengthen efforts to reduce recidivism and support positive outcomes. This study aimed to investigate the impact of such interventions on public perceptions towards people who inject drugs newly released from prison.</div></div><div><h3>Study design</h3><div>Randomised controlled trial.</div></div><div><h3>Method</h3><div>A narrative script on the theme of \"exhaustion” was produced from an interview study of post-release experiences. Members of the public participated in a three-armed randomised controlled trial: (1) control; (2) neutral intervention (plain English description); (3) narrative intervention (scripted performance). Surveys administered at baseline, post-intervention, and three-month follow-up measured perceptions of the target group through four key dimensions of stigma. Qualitative interviews were conducted with 24 participants to further investigate responses to the narrative intervention.</div></div><div><h3>Results</h3><div>1071 participants completed all phases of the trial. Post-intervention scores indicated more positive perceptions among participants in the neutral and narrative intervention arms than the control arm. Effects were mostly more positive for the narrative intervention arm. At follow-up, scores for the neutral intervention arm indicated more positive perceptions than the control arm on the Opinions scale, while the narrative intervention arm recorded more positive perceptions than the control arm on both Opinions and Attitudes scales. Interviews indicated that participants who were not influenced by the narrative intervention believed that people who inject drugs should be held accountable for not controlling their drug use.</div></div><div><h3>Conclusion</h3><div>Research-informed, co-designed, arts-based interventions can positively impact public perceptions of a highly stigmatised group. Effects of the interventions attenuated over time, suggesting a need for further interventions focusing on perceptions of controllability of drug use.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 103-110"},"PeriodicalIF":3.9,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the association between information sources and young adults' attitudes and concerns during COVID-19: Results from the iCARE study","authors":"Noémie Tremblay ,&nbsp;Kim L. Lavoie ,&nbsp;Simon L. Bacon ,&nbsp;Ariane Bélanger-Gravel ,&nbsp;for the iCARE Study Team","doi":"10.1016/j.puhe.2025.02.001","DOIUrl":"10.1016/j.puhe.2025.02.001","url":null,"abstract":"<div><h3>Objectives</h3><div>Throughout COVID-19, uncertain information on the virus and preventive measures circulated. Young adults, often relying on social rather than traditional media, showed lower adherence to recommendations. This study examines associations between information sources, attitudes toward public health measures and concerns among young adults.</div></div><div><h3>Study design</h3><div>A repeated cross-sectional design was employed.</div></div><div><h3>Methods</h3><div>We analyzed a sample of 2121 Canadians aged 18–29 from the iCARE study. Participants were recruited via a polling firm's web panel between October 2020 and June 2021.</div></div><div><h3>Results</h3><div>Regression analyses showed that those extensively consulting traditional media (OR = 1.9, 95 % CI:1.4–2.4) and internet news (OR = 2.1, 95 % CI:1.6–2.7) were more likely to report that implementing preventive measures was important. Those consulting traditional media were less likely to report their strictness (OR = 0.6, 95 % CI:0.4–0.8). Extensive social media use was unrelated to these variables (<em>p</em>s &gt; 0.60). Consulting extensively traditional media was associated with higher health (β = 0.18, p &lt; 0.001) and social (β = 0.10, p = 0.02) concerns; internet news with greater health (β = 0.25, p &lt; 0.001) and social (β = 0.04, p &lt; 0.001) concerns; social media only with social concerns (β = 0.13, p = 0.008). Financial concerns were not associated with any information source (<em>p</em>s &gt; 0.11).</div></div><div><h3>Conclusion</h3><div>Heavy reliance on traditional media and internet news was associated with greater concerns and positive attitudes toward preventive measures. Heavy reliance on social media was not associated with positive attitudes but with social concerns. Findings underscore the complex link between media behaviour and individual perceptions, stressing the need for governments to acknowledge this issue to promote positive attitudes and reduce concerns in future public health crises.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 87-93"},"PeriodicalIF":3.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differential impacts of cigarette tax increases on health equity in the United States","authors":"Sunday Azagba,&nbsp;Todd Ebling,&nbsp;Alperen Korkmaz","doi":"10.1016/j.puhe.2025.02.011","DOIUrl":"10.1016/j.puhe.2025.02.011","url":null,"abstract":"<div><h3>Objectives</h3><div>Our study investigates the health equity implications of higher cigarette taxes by examining the differential responses among various sociodemographic groups in the United States.</div></div><div><h3>Study design</h3><div>Repeated observational study.</div></div><div><h3>Methods</h3><div>This study utilizes a nationally representative, cross-sectional dataset (n = 1,236,126) from the Tobacco Use Supplement to the Current Population Study (1992–2019). We employ a logistic regression model with two-way fixed effects analysis to examine the response of smoking participation to combined federal and state cigarette taxes, stratified by sociodemographic characteristics.</div></div><div><h3>Results</h3><div>Our findings revealed variability in cigarette tax sensitivity across sociodemographic groups. Males, younger adults, metropolitan residents, Hispanics, individuals with higher education, higher-income individuals, and part-time employees were more responsive to tax changes than their counterparts. Those with less than a high school degree were the least responsive among education groups, and individuals with household incomes below $49,999 were the least responsive among income groups. A 10 % increase in cigarette tax reduces smoking by 2.94 % in individuals aged 18–24, 1.91 % in those aged 25–44, and 1.77 % in those aged 45–64. With year- and state-fixed effects, the responsiveness for the youngest group decreases to −0.135, with similar patterns observed in other age groups.</div></div><div><h3>Conclusions</h3><div>These differential responses highlight the potential of tax policy as a tool for promoting health equity. However, tax policy alone may not be sufficient to reduce smoking rates and improve health outcomes in the least responsive groups.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 94-100"},"PeriodicalIF":3.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143534225","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 burden of rheumatoid arthritis in China from 1990 to 2019 and projections to 2030","authors":"Yue Zhou ,&nbsp;Xiaomei Luo ,&nbsp;Peng Li ,&nbsp;Xiaohui Liu ,&nbsp;Jie Li ,&nbsp;Li Su ,&nbsp;Xueyan Gu ,&nbsp;Jianhua Ma","doi":"10.1016/j.puhe.2025.02.033","DOIUrl":"10.1016/j.puhe.2025.02.033","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates the independent effects of age, period, and cohort on RA in China from 1990 to 2019, with a comparative analysis by gender, and projects the future burden of RA over the next decade.</div></div><div><h3>Study design</h3><div>A comprehensive analysis was performed using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019.</div></div><div><h3>Methods</h3><div>Data were obtained from the Global Burden of Disease (GBD) study in 2019. The Joinpoint regression model was employed to calculate the annual percentage change in RA, while the Age-Period-Cohort analysis was utilized to estimate the effects of age, period, and cohort. The Bayesian APC model was used to predict the trend of RA incidence in China from 2020 to 2030.</div></div><div><h3>Results</h3><div>From 1990 to 2019, the incidence, prevalence and DALY associated with RA in China exhibited an upward trend, with varying rates of increase across different periods. The peak incidence occurred between the ages of 60–65 years for men and 55–60 years for women, with DALYs increasing with age in both genders. Incidence was negatively associated with vegetable consumption, while the consumption of other food items and alcohol showed positive associations. The Bayesian APC model predicts a decrease in RA incidence among both genders over the next decade, with women consistently exhibiting higher incidence rates than men.</div></div><div><h3>Conclusions</h3><div>The burden of RA remains substantial in China. Therefore, it is crucial to implement targeted health education and screening programs to prevent RA, especially among menopausal women.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 71-78"},"PeriodicalIF":3.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529823","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}