Public Health最新文献

{"title":"Comparative analysis of real and virtual greenspaces: Perceived restorativeness and psychological health effects","authors":"Hsiao-Yun Lee ,&nbsp;Su-Wei Wong","doi":"10.1016/j.puhe.2025.105942","DOIUrl":"10.1016/j.puhe.2025.105942","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to compare the psychological effects of real and virtual greenspaces and identify key environmental features that contribute to perceived restorativeness and mood changes in university students.</div></div><div><h3>Study design</h3><div>A mixed-methods crossover experimental design was used to evaluate psychological responses to three types of greenspaces: real campus greenspaces, virtual campus greenspaces, and virtual forest greenspaces.</div></div><div><h3>Methods</h3><div>Thirty-five college students participated in three 20-min greenspace exposures, spaced one week apart in randomized order. Psychological responses were assessed using the Perceived Restorativeness Scale (PRS) and Profile of Mood States (POMS) before and after each session. Semi-structured interviews were conducted post-exposure, and a word frequency analysis was performed to identify environmental features associated with relaxation or tension.</div></div><div><h3>Results</h3><div>Both real campus and virtual forest greenspaces scored higher across all four PRS dimensions compared to virtual campus greenspaces. Real campus greenspaces also resulted in reductions in negative mood states and an increase in positive mood (vigor), outperforming both virtual conditions. Word frequency analysis revealed plants and water features as the most cited restorative elements, while vehicles and noise were frequently mentioned as non-restorative. Feelings of discomfort were linked to both the presence of others and being alone in virtual environments, highlighting the role of perceived safety.</div></div><div><h3>Conclusions</h3><div>Real greenspaces offer the most comprehensive psychological benefits, while immersive virtual forests may serve as partial alternatives by alleviating negative mood states. These findings inform the design of restorative environments and highlight key features that support mental well-being in both real and virtual contexts.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105942"},"PeriodicalIF":3.2,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004560","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":"Intimate partner violence during the perinatal period and women's risk of anxiety, depression, and suicidal ideation","authors":"María Antonia Díaz-Ogallar ,&nbsp;Sergio Martínez-Vázquez ,&nbsp;Rocío Adriana Peinado-Molina ,&nbsp;Antonio Hernández-Martínez ,&nbsp;Juan Miguel Martínez-Galiano","doi":"10.1016/j.puhe.2025.105930","DOIUrl":"10.1016/j.puhe.2025.105930","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the influence of Intimate Partner Violence (IPV) risk and the risk of developing mental health disorders such as depression, anxiety, and suicidal ideation during the perinatal period.</div></div><div><h3>Study design</h3><div>Descriptive observational study.</div></div><div><h3>Methods</h3><div>A questionnaire containing socio-demographic, psychosocial, and maternal health variables was administered, as well as the Woman Abuse Screening Tool (WAST), Generalized Anxiety Disorder (GAD-7), and Edinburgh Postpartum Depression Scale (EPDS) questionnaires to women who have given birth in the last 18 months. Descriptive statistical analysis was performed, as well as binary logistic regression for multivariate analysis.</div></div><div><h3>Results</h3><div>820 women participated. The risk of IPV was 65.9 % (540), where 59.2 % (485) had a score of 1–2 points and 6.7 % (55) had a score of 3–4 points on the WAST questionnaire. Multivariate analysis found that this risk was associated with anxiety risk, with a score of 1–2 (aOR:2.39; 95 % CI: 1.72, 3.32) and 3–4 points (aOR:4.74; 95 % CI: 2.24, 10.04) on the WAST. Moderate anxiety risk was associated with a WAST score of 1–2 (aOR:1.88; 95 % CI: 1.03, 3.43) and 3–4 (aOR:2.92; 95 % CI: 1.18, 7.23). The risk of postpartum depression with a WAST score of 1–2 (aOR:1.99; 95 % CI: 1.30, 3.04) and 3–4 (aOR:2.80; 95 % CI: 1.36, 5.76), and for the risk of perinatal suicidal ideation with a WAST score of 1–2 (aOR:2.56; 95 % CI: 1.12, 5.81) and 3–4 (aOR:6.40; 95 % CI: 2.18, 18.76).</div></div><div><h3>Conclusion</h3><div>Exposure to Intimate Partner Violence in the perinatal period (pregnancy, delivery, and postpartum) is associated with an increased likelihood of risk for anxiety, postpartum depression, and perinatal suicidal ideation.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105930"},"PeriodicalIF":3.2,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004563","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":"Adolescent pregnancy in French Guiana: double trouble for young mothers and small vulnerable newborns","authors":"Lindsay Osei ,&nbsp;Françoise Vendittelli ,&nbsp;Mathilde Georgeault ,&nbsp;Leslie Alcouffe ,&nbsp;Mathieu Nacher ,&nbsp;Gabriel Carles ,&nbsp;Najeh Hcini ,&nbsp;Malika Leneuve-Dorilas ,&nbsp;Joy Lawn ,&nbsp;Akoï Koivogui ,&nbsp;Soraya Nicolaus ,&nbsp;Annick Epailly ,&nbsp;Sabrina Covis ,&nbsp;Célia Basurko ,&nbsp;Louise Vuylsteker ,&nbsp;Alain Prual ,&nbsp;Thierry Cardoso ,&nbsp;Stéphanie Bernard ,&nbsp;Nicolas Vignier ,&nbsp;Narcisse Elenga","doi":"10.1016/j.puhe.2025.105926","DOIUrl":"10.1016/j.puhe.2025.105926","url":null,"abstract":"<div><h3>Objectives</h3><div>Adolescent pregnancies (AP), defined as pregnancies in girls aged 10–19 years, are associated with adverse maternal and neonatal outcomes. They are frequently reported among those with low economic status. French Guiana (FG) is a French overseas territory with important social inequalities in South America, marked by inequalities. Our study aimed to describe the sociodemographic characteristics and use of the healthcare system for AP in FG.</div></div><div><h3>Study design</h3><div>Population based historical cohort.</div></div><div><h3>Methods</h3><div>This study included all births in FG between 2013 and 2021. Data from each mother-newborn pair ≥22 weeks of gestation and/or weighing ≥500 g were analysed. AP were compared to non-AP.</div></div><div><h3>Results</h3><div>67,962 newborns were included. AP accounted for 8810 pregnancies (13.0 %), which was 10 times more than in France. Newborns from AP were more frequently transferred to neonatal care units when compared to those from non-AP (10.6 % vs 9.5 %, p &lt; 10⁻³). St-Laurent-du-Maroni hospital (western part of FG) was the main place of delivery for AP with 50.7 % of all AP delivering there. Two countries of origin <strong>of the mothers</strong> accounted for the majority of AP: FG (65.9 %) and Suriname (17.3 %) (p&lt;10^-3). AP were more frequently associated with preterm birth (aOR = 1.09 [1.01–1.18]), small for gestational age newborns (aOR = 1.66 [1.55–1.78]) and lack of health insurance coverage at delivery (aOR = 1.34[1.19–1.49]).</div></div><div><h3>Conclusions</h3><div>AP in FG is a public health concern. Comprehensive prevention and care approaches are needed given the double burden faced by young mothers and their children.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105926"},"PeriodicalIF":3.2,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996129","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":"Prevalence of depressive symptoms and serious suicidal thoughts among adolescents aged 12–17 by rurality in the United States","authors":"Cassie Lewis Odahowski ,&nbsp;Jeanette Garcia ,&nbsp;Emma Boswell ,&nbsp;Joy Taazieh ,&nbsp;Peiyin Hung ,&nbsp;Christina Andrews ,&nbsp;Elizabeth Crouch","doi":"10.1016/j.puhe.2025.105925","DOIUrl":"10.1016/j.puhe.2025.105925","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines rural vs. urban prevalence rates of depressive symptoms and serious suicidal thoughts and in a nationally representative sample of adolescents.</div></div><div><h3>Study design</h3><div>This nationally representative cross-sectional study examined data for 22,712 adolescents aged 12–17 years from the 2021 and 2022 National Survey on Drug Use and Health (NSDUH).</div></div><div><h3>Methods</h3><div>Prevalence estimates of adolescent depressive symptoms and serious suicidal thoughts were produced overall and across three levels of rurality: large metro, small metro, and nonmetro. Rates were compared by Rao-Scott chi-square tests, and weighted multivariable logistic regressions compared associations between rurality and sociodemographic characteristics with each outcome.</div></div><div><h3>Results</h3><div>Over half (54.45%) of adolescents reported ever experiencing a period of depressive symptoms, while 19.35% reported these feelings in the past year, and 13.18% reported serious thoughts of suicide in the past year. Rates of ever experiencing depressive symptoms (p = 0.31) or in the past year (p = 0.74) were not significantly different by rurality. Similarly, prevalence rates of serious suicidal thoughts did not differ significantly among adolescents in nonmetro (12.95%), small metro areas (13.71%), large metro (12.95%; p = 0.21). Ever experiencing depressive symptoms (aOR 7.18, 95%CI: 5.26–9.80) and past year depressive symptoms (aOR 5.98, 95%CI: 4.88–7.32) were related to increased odds of serious suicidal thoughts.</div></div><div><h3>Conclusions</h3><div>Findings show that over 50% of adolescents reported depressive symptoms and the strong link to serious suicidal thoughts indicates the need for improved early mental health interventions for adolescents across all levels of rurality.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105925"},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988928","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":"Prevalence of self-reported severe vision impairment and its association with sociodemographic characteristics and chronic diseases in Mexico: A nationwide cross-sectional study","authors":"Jibran Mohamed-Noriega ,&nbsp;Yenisei Ramírez-Toscano ,&nbsp;Tonatiuh Barrientos-Gutiérrez ,&nbsp;Paola De La Parra-Colin ,&nbsp;Van Charles Lansingh ,&nbsp;Manuel Garza-Leon ,&nbsp;Luis E. Segura","doi":"10.1016/j.puhe.2025.105933","DOIUrl":"10.1016/j.puhe.2025.105933","url":null,"abstract":"<div><h3>Objectives</h3><div>Severe vision impairment is a major public health concern, diminishing quality of life and driving significant costs. Understanding its prevalence and associated factors is essential for effective prevention and care strategies. This study investigates the prevalence of severe vision impairment in Mexican adults and its association with sociodemographic factors and common chronic diseases.</div></div><div><h3>Study design</h3><div>Nationwide cross-sectional study.</div></div><div><h3>Methods</h3><div>We used data from 43,070 adults aged 20 years and older who participated in the 2018 National Health and Nutrition Survey, a nationally representative survey of the Mexican population. Severe vision impairment was assessed through the self-reported Washington Group Short Set on Functioning. We calculated prevalence and confidence intervals considering sampling weights and the complex design of the survey. We used weighted Poisson regression models adjusted by age to estimate the association between sociodemographic characteristics and chronic diseases with severe vision impairment.</div></div><div><h3>Results</h3><div>The age-adjusted prevalence of severe vision impairment was 2.8 %. The prevalence was higher in low socioeconomic status, low educational attainment, rural regions and among those who spoke an indigenous language or were unemployed. Participants living with diabetes or hypertension also had a higher prevalence of severe vision impairment.</div></div><div><h3>Conclusions</h3><div>These results highlight subgroups with a higher prevalence of severe vision impairment. Policymakers in Mexico and countries with Mexican populations should prioritize effective eye health for marginalized and disadvantaged groups. Implementing the United Nations General Assembly resolution to include eye care in universal health coverage can reach those most affected.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105933"},"PeriodicalIF":3.2,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988927","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":"Seroprevalence of tick-borne diseases in Europe in occupational settings: A systematic review and metanalysis","authors":"Anna Morea ,&nbsp;Valentina Schino ,&nbsp;Nicola Bartolomeo ,&nbsp;Riccardo Ravallese ,&nbsp;Gabriele Sacino ,&nbsp;Roberto Ravallese ,&nbsp;Roberta Iatta ,&nbsp;Domenico Otranto ,&nbsp;Piero Lovreglio ,&nbsp;Angela Stufano","doi":"10.1016/j.puhe.2025.105923","DOIUrl":"10.1016/j.puhe.2025.105923","url":null,"abstract":"<div><h3>Objectives</h3><div>Tick-borne diseases (TBDs) pose a growing occupational risk due to the expanding geographical range of tick species and their associated pathogens. This study aims to assess TBD seroprevalence among different occupational groups in Europe, identifying high-risk professions and guiding targeted prevention efforts.</div></div><div><h3>Study design</h3><div>A systematic review and meta-analysis were conducted following PRISMA guidelines to evaluate TBD seroprevalence in occupational settings across Europe from January 2013 to June 2024.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Web of Science, and Scopus identified 36 relevant studies. Heterogeneity among studies was assessed using Cochran's Q test and the inconsistency index (I²), with sensitivity and outlier analyses applied to evaluate their impact. Publication bias was examined through funnel plot analysis, Egger's test, and Duval &amp; Tweedie's trim-and-fill method.</div></div><div><h3>Results</h3><div>Seroprevalence varied significantly across occupations. The highest rates were found for <em>Coxiella burnetii</em> among livestock and dairy producers (up to 73.7 % in Italy) and <em>Borrelia burgdorferi</em> among forestry workers, particularly in Poland. A meta-analysis of 33 studies revealed seroprevalence rates of 8.2 % in military workers (no publication bias), 26.0 % in forestry workers, 8.0 % in veterinarians, and 18.0 % in farmers, with high overall heterogeneity.</div></div><div><h3>Conclusions</h3><div>TBD risk is influenced by occupational exposure, environmental factors, and regional differences. Given the substantial variation across worker categories, targeted preventive measures, increased awareness, and enhanced surveillance efforts are necessary to mitigate risks in high-exposure professions.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105923"},"PeriodicalIF":3.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932763","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":"Changes in HIV knowledge and its determinants in low- and middle-income countries: A longitudinal study","authors":"Akane Takamatsu ,&nbsp;Yohei Ono","doi":"10.1016/j.puhe.2025.105940","DOIUrl":"10.1016/j.puhe.2025.105940","url":null,"abstract":"<div><h3>Objectives</h3><div>HIV remains a significant public health threat in low- and middle-income countries (LMICs). This study assessed changes in HIV knowledge and attitudes over time in LMICs.</div></div><div><h3>Study design</h3><div>Longitudinal study.</div></div><div><h3>Methods</h3><div>The study was conducted using the Demographic and Health Survey data from 2000 to 2022, including 42 countries with multiple surveys. The correctness of six HIV knowledge items and discriminatory attitudes was assessed. Mixed-effects linear regression assessed factors associated with HIV knowledge.</div></div><div><h3>Results</h3><div>The study included 4,798,458 participants (median age: 29 years, 23.5 % male). Discriminatory attitudes were reported by 44.4 %. Mixed-effects linear regression showed that higher education, literacy, and wealth index were associated with better knowledge in HIV (p &lt; 0.05). While survey year showed a positive association with HIV knowledge (condom use: β 0.50, 95 % confidence interval [CI] 0.15 to 0.85; mosquito bites: β 1.22, 95 % CI 0.85 to 1.58; sharing food: β 2.02, 95 % CI 1.71 to 2.32; healthy-looking people: β 2.19, 95 % CI 1.80 to 2.58; witchcraft: β 0.66, 95 % CI 0.21 to 1.11), the squared term of survey year had a negative association (condom use: β −0.02, 95 % CI -0.03 to −0.007; mosquito bites: β −0.02, 95 % CI -0.03 to −0.01; sharing food: β −0.07, 95 % CI -0.08 to −0.06; healthy-looking people: β −0.08, 95 % CI -0.09 to −0.08).</div></div><div><h3>Conclusions</h3><div>HIV knowledge has increased over time but may plateau. Education, literacy, and wealth strongly shape knowledge, underscoring the need for improved awareness and multifaceted, long-term strategies that address systemic inequities and discriminatory attitudes.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105940"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926024","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":"Can digital technologies and artificial intelligence enhance co-creation in public health? A Health CASCADE needs assessment study and critical recommendations","authors":"Q.E.A. Loisel ,&nbsp;G. Balaskas ,&nbsp;H. Papadopoulos ,&nbsp;D. Pappa ,&nbsp;S.F.M. Chastin","doi":"10.1016/j.puhe.2025.105921","DOIUrl":"10.1016/j.puhe.2025.105921","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess digital technology usage in co-creation for public health, identify practitioners’ technology needs and preferences, and determine key factors guiding technology choices.</div></div><div><h3>Study design</h3><div>A structured consensus protocol was employed to engage experts with wide-ranging expertise who have applied co-creation in different areas.</div></div><div><h3>Methods</h3><div>First, a virtual workshop with 12 experts generated statements on the current use of digital tools and the desired features for co-creation. Next, an online survey gathered additional insights from 14 practitioners. Qualitative content analysis was then conducted to categorise 123 usage statements, 91 wish statements, and 25 choice-factor statements. Finally, a consensus event validated and refined the categorisations.</div></div><div><h3>Results</h3><div>Communication and data handling emerged as central technologies, reflecting the need to overcome language barriers, facilitate engagement, and analyse feedback. Practitioners consistently wished for improved affordability, intuitive interfaces, and inclusive functionalities to support diverse co-creator groups. Ethical and security considerations, including GDPR compliance, were also highlighted, emphasising the importance of trust and data protection. Factors influencing technology choices ranged from cost and ease of implementation to interoperability and overall process support, underscoring the demand for user-friendly, secure, and feature-rich tools.</div></div><div><h3>Conclusions</h3><div>Digital technologies, including artificial intelligence, can significantly enhance co-creation in public health by promoting inclusivity, streamlining collaboration, and supporting evidence-based decision-making. Ensuring affordability, ethical integrity, and practical usability is essential for maximising impact and fostering equitable outcomes in public health co-creation efforts.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105921"},"PeriodicalIF":3.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922984","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":"Preventable deaths related to thromboembolism in England and Wales, 2013-2022: A systematic case series of coroners’ reports","authors":"M. Hey ,&nbsp;H.S. France ,&nbsp;C. Portwood ,&nbsp;K. Song ,&nbsp;J. Jindal ,&nbsp;D. Launer ,&nbsp;G.C. Richards ,&nbsp;F. Dernie","doi":"10.1016/j.puhe.2025.105928","DOIUrl":"10.1016/j.puhe.2025.105928","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify preventable thromboembolism-related deaths, classify coroner concerns, and explore organisational responses.</div></div><div><h3>Study design</h3><div>Retrospective systematic case series of coroners’ Prevention of Future Deaths reports (PFDs) from 1 July 2013 to 16 November 2022, in England and Wales.</div></div><div><h3>Methods</h3><div>Reports were acquired from the Courts and Tribunals Judiciary website and screened for thromboembolism-related deaths using a reproducible automated computer code. Demographic information, coroners’ concerns, and organisational responses to PFDs were extracted and analysed, including risk factors predisposing to thromboembolism.</div></div><div><h3>Results</h3><div>112 PFDs (2.7 % of all PFDs) involved a thromboembolism event contributing to death. The average age of death was 59 years, corresponding to an estimated median of 25 years of life lost per death. Just over half of deaths occurred in women (52 %). The most common cause of death was pulmonary embolism (85.7 %). Issues with thromboprophylaxis were common, including incorrect risk assessments (27.7 %). Coroners’ concerns most often related to failures in providing adequate care, including communication failures (15.7 %), issues with following protocols and guidelines (11.8 %), and risk assessments (10.8 %). Only 56 % of organisations who were sent a PFD had a published response. When they did respond, the majority of responses reported initiating changes related to improvements to guidelines and protocols, or education and training.</div></div><div><h3>Conclusions</h3><div>PFDs offer unique insights into the systems and processes leading to preventable thromboembolism-related deaths. Improved awareness and dissemination of PFDs among clinicians and policy-makers, alongside routine monitoring of PFDs, has the potential to improve patient safety and reduce preventable harms from thromboembolic events.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105928"},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911724","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 birth weight and mortality in adulthood in a cohort from North-West Italy","authors":"Lorenzo Milani ,&nbsp;Elena Farina ,&nbsp;Paola Armaroli ,&nbsp;Teresa Spadea ,&nbsp;Elisa Ferracin ,&nbsp;Roberta Onorati ,&nbsp;Federica Buscema ,&nbsp;Elisabetta Versino ,&nbsp;Chiara Di Girolamo ,&nbsp;Lucia Dansero ,&nbsp;Fulvio Ricceri ,&nbsp;Alberto Catalano","doi":"10.1016/j.puhe.2025.105932","DOIUrl":"10.1016/j.puhe.2025.105932","url":null,"abstract":"<div><h3>Objective</h3><div>Yearly, around 15 % of newborns worldwide are underweight. Studies found associations between low birth weight and various health conditions or mortality for all and specific causes, such as cardiovascular. Moreover, high birth weight was a risk factor for developing or dying from certain conditions, such as cancer.</div><div>This study aims to investigate the association between birth weight and adult mortality from different causes through the Turin Longitudinal Study (TLS), containing information on a cohort of subjects born in the 1920s and followed from 1971 to 2013.</div></div><div><h3>Study design</h3><div>Data were obtained from the TLS, a health-administrative cohort.</div></div><div><h3>Methods</h3><div>Around 3500 subjects born at the Sant’Anna hospital (Turin, Italy) were enrolled. Different outcomes were investigated: all-cause mortality, and death from traumatisms, cancer, cardiovascular, respiratory, nervous system, and digestive apparatus diseases. Regarding exposures, birth weights &lt;2500g, &lt;2800g, and ≥4000g were assessed. Survival and Competing Risk analyses were performed, fitting Cox, Cause-Specific, and Subdistribution Proportional Hazards models.</div></div><div><h3>Results</h3><div>After exclusions, 2992 individuals were considered. Low birth weight was a risk factor for death from all causes and cardiovascular diseases. Stratifying by sex, it was associated with mortality from cardiovascular conditions among females and from nervous system diseases in males.</div></div><div><h3>Conclusions</h3><div>In this research, it emerged that low birth weight is a risk factor for death from all-cause mortality and some specific causes, such as cardiovascular and nervous system diseases. These findings support the need to implement policies to reduce the number of subjects born with non-normal weight.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"248 ","pages":"Article 105932"},"PeriodicalIF":3.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911725","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}