Public Health最新文献

{"title":"Associations between main ambient air pollutants and ischaemic heart disease risk in the UK biobank: A prospective cohort study","authors":"Mingxing Ni ,&nbsp;Ziying Chen ,&nbsp;Junyu Zhang ,&nbsp;Yilin Niu ,&nbsp;Huixian Li ,&nbsp;Yu Ning ,&nbsp;Miao Lin ,&nbsp;Huiying Liang","doi":"10.1016/j.puhe.2024.12.039","DOIUrl":"10.1016/j.puhe.2024.12.039","url":null,"abstract":"<div><h3>Objectives</h3><div>Air pollutants have been associated with multiple cardiovascular diseases, but evidence on the long-term and combined effects of air pollutants on the incidence of ischaemic heart disease (IHD) remains limited.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>A total of 398,547 participants from the UK Biobank were included in this prospective cohort study. Concentrations of air pollutants were calculated using the Land Use Regression (LUR) model, including particulate matter (PM) [PM_2.5, PM_10-2.5, PM₁₀] and nitrogen oxides (NO_x and NO₂). Cox proportional hazards models and restricted cubic spline models were utilised to detect associations between air pollutants and IHD incidence. A novel air pollution score was proposed to indicate the synergistic effect of five air pollutants by combining variance contribution and eigenvalue of each pollutant in principal components analysis (PCA).</div></div><div><h3>Results</h3><div>In a median follow-up of 12.5 years, 23,721 of 398,547 participants were diagnosed with IHD. For every 1-μg/m³ increase, the risk of IHD was 1.026 (95 % confidence interval [CI]: 1.012–1.040) and 1.002 (95 % CI: 1.001–1.003) for PM_2.5 and NO_x, respectively. This study found that for every increase in quartile of PM_2.5 level, the hazard ratios (HRs) for IHD were 1.035 (95 % CI: 0.998–1.073), 1.043 (95 % CI: 1.005–1.082) and 1. 063 (95 % CI: 1.022–1.106) compared with the lowest quartile. Long-term estimated exposure to multiple air pollutants showed a significant association with elevated risk of IHD (HRs = 1.029, 95 % CI: 1.007–1.051) and the exposure-response curve was linear.</div></div><div><h3>Conclusions</h3><div>Among UK adults, long-term and synchronous exposure to multiple air contaminants was associated with an increased risk of IHD.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 14-20"},"PeriodicalIF":3.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510472","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":"Bridging the gap between research and decision making: A European survey to enhance cooperation in wastewater-based epidemiology (WBE) for illicit drugs","authors":"Jose Antonio Baz-Lomba ,&nbsp;AlexanderL.N. van Nuijs ,&nbsp;Anna Lenart-Boroń ,&nbsp;Anna Péterfi ,&nbsp;Anne de l’Eprevier ,&nbsp;Arndís Sue Ching Löve ,&nbsp;Barbara Kasprzyk-Hordern ,&nbsp;Christoph Ort ,&nbsp;Elisabetta Simeoni ,&nbsp;Ester Heath ,&nbsp;Evelina Pridotkiene ,&nbsp;Foon Yin Lai ,&nbsp;Frederic Béen ,&nbsp;Herbert Oberacher ,&nbsp;Igor Bodík ,&nbsp;Iva Valenčić ,&nbsp;Jaroslav Slobodnik ,&nbsp;Joakim Strandberg ,&nbsp;Kevin Sheeran ,&nbsp;Laura Alexandra Smit-Rigter ,&nbsp;João Pedro Matias","doi":"10.1016/j.puhe.2025.02.009","DOIUrl":"10.1016/j.puhe.2025.02.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Illicit drug use presents a significant challenge to global health and public safety, requiring innovative and effective monitoring strategies. This study aimed to evaluate the current landscape of wastewater-based epidemiology (WBE) for monitoring illicit drugs in Europe, focusing on collaboration, current practices, and barriers, while identifying opportunities for improvement.</div></div><div><h3>Study design</h3><div>Cross-sectional survey-based study.</div></div><div><h3>Methods</h3><div>Coordinated by the Sewage Analysis CORe Group Europe (SCORE) and the European Union Drugs Agency (EUDA), two surveys were conducted in 2023 targeting researchers and stakeholders using WBE for illicit drugs. Data were analysed to identify trends, gaps, and opportunities for improving WBE implementation.</div></div><div><h3>Results</h3><div>The findings indicate a robust research infrastructure and diverse analytical methods among European institutions. Two-thirds of the participating countries reported using WBE data to inform policy. However, challenges persist, particularly in securing funding and coordination, as well as generating national estimates from multiple locations and addressing specific local policy needs.</div></div><div><h3>Conclusions</h3><div>WBE has proven to be a valuable tool for monitoring illicit drug trends and informing drug policies. To unlock its full potential, sustained funding, methodological standardization, and enhanced cooperation are essential. This study provides critical insights into the European WBE landscape, offering a roadmap for strengthening the integration of actionable WBE data into public health and policy frameworks.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 158-163"},"PeriodicalIF":3.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510599","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":"Prevalence of atherosclerotic cardiovascular disease in people with type 2 diabetes in the Gulf Region: Results from the PACT-MEA study","authors":"Hessa Alkandari ,&nbsp;Amin Jayyousi ,&nbsp;Ahmed Shalaby ,&nbsp;Dalal Alromaihi ,&nbsp;Guruprasad Subbarao ,&nbsp;Hisham ElMohamedy ,&nbsp;Husam Noor ,&nbsp;Rayaz Ahmed Malik ,&nbsp;Sara Alwazaq ,&nbsp;Shashikanth Chetty ,&nbsp;Tarik Elhadd ,&nbsp;Waleed AlDahi ,&nbsp;Naji Alamuddin","doi":"10.1016/j.puhe.2025.02.026","DOIUrl":"10.1016/j.puhe.2025.02.026","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to determine the prevalence and risk for atherosclerotic cardiovascular disease (ASCVD) in patients with type 2 diabetes (T2D) in Bahrain, Kuwait, and Qatar. The study will help to inform the country's health systems in identifying opportunities and challenges for optimal management of T2D and ASCVD.</div></div><div><h3>Study design</h3><div>The study was a sub-analysis within the PACT-MEA study, a noninterventional, cross-sectional, observational study, which included 1062 adults from Bahrain, Kuwait, and Qatar diagnosed with T2D.</div></div><div><h3>Methods</h3><div>The presence and the risk of ASCVD were determined from patient medical records. Statistical analyses included prevalence estimates stratified by sex, age and ASCVD type.</div></div><div><h3>Results</h3><div>Among the three countries included in this study, Bahrain had the highest prevalence at 36.6 %, followed by Qatar and Kuwait at 23.4 % and 19.4 %, respectively. The unweighted prevalence was significantly higher in men and increased with age. Coronary artery disease was the most common type of ASCVD, followed by cerebrovascular and peripheral artery disease. Furthermore, participants in all three countries were classified as having a high or very high ASCVD risk based on the European Society of Cardiology 2021 guidelines.</div></div><div><h3>Conclusion</h3><div>Based on the prevalence in this study, one in five participants had established ASCVD across Bahrain, Kuwait, and Qatar, and all the participants investigated were at high or very high risk. Study results indicate an immediate need to implement policy measures that include preventative strategies on the common risk factors to reduce the high CVD mortality and morbidity in the Gulf Region.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 21-27"},"PeriodicalIF":3.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510473","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":"PrEP-eligible behaviours and condom use among sexually active older adults in China: Findings from the sexual well-being (SWELL) study","authors":"Xin Peng ,&nbsp;Bingyi Wang ,&nbsp;Yong Lu ,&nbsp;Xinyi Li ,&nbsp;Yuwei Li ,&nbsp;Lin Ouyang ,&nbsp;Guohui Wu ,&nbsp;Yong Cai ,&nbsp;Maohe Yu ,&nbsp;Jiewei Liu ,&nbsp;Yoshiko Sakuma ,&nbsp;Hayley Conyers ,&nbsp;Xiaojun Meng ,&nbsp;Weiming Tang ,&nbsp;Joseph D. Tucker ,&nbsp;Dan Wu ,&nbsp;Huachun Zou","doi":"10.1016/j.puhe.2025.02.014","DOIUrl":"10.1016/j.puhe.2025.02.014","url":null,"abstract":"<div><h3>Objectives</h3><div>Older adults remain sexually active and at risk of sexually transmitted infections (STIs). This study aimed to explore consistent condom use and pre-exposure prophylaxis (PrEP)-eligible behaviours and their correlates among sexually active older adults in China.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data were collected from a multicentre cross-sectional survey in China between June 2020 and December 2022. Eligibility criteria were community-dwelling older adults aged ≥50 years who were sexually active (i.e. had oral, vaginal or anal sex in the past year). In-person questionnaire interviews included demographic characteristics, general health and sexual health information.</div></div><div><h3>Results</h3><div>In total, 1332 sexually active older adults were recruited in the study. Overall, 33.7 % (449/1332) of participants consistently used a condom in the past year and 7.9 % (105/1332) reported PrEP-eligible behaviours. Consistent condom use was significantly associated with the following characteristics: age (only for women aged 50–59 years [adjusted odds ratio (aOR) 0.60, 95 % confidence interval (CI): 0.36–0.98]; women aged 60–69 years [aOR 0.27, 95 % CI: 0.10–0.71]), living alone (men [aOR 0.40, 95 % CI: 0.20–0.79]; women [aOR 0.27, 95 % CI: 0.10–0.72]), body mass index (men [aOR 1.59, 95 % CI: 1.18–2.14]; women [aOR 1.76, 95 % CI: 1.13–2.73]), general health status (men reporting ‘fair’ health [aOR 0.62, 95 % CI: 0.39–0.97]; women reporting ‘very good’ health [aOR 0.39, 95 % CI: 0.16–0.96]), talking about sex (men [aOR 1.67, 95 % CI: 1.23–2.26]) and knowledge of condom use to prevent sexually transmitted infections (men [aOR 1.52, 95 % CI: 1.06–2.18]). PrEP-eligible behaviours were more likely in men (aOR 1.76, 95 % CI: 1.08–2.90) and in individuals who were not in a stable relationship (aOR 4.80, 95 % CI: 2.41–9.54) and who lived alone (aOR 2.02, 95 % CI: 1.07–3.82).</div></div><div><h3>Conclusion</h3><div>Consistent condom use was moderate among sexually active older adults in China. More than one-quarter of older adults who lived alone reported PrEP-eligible behaviours. Comprehensive intervention measures should consider the characteristics and health needs of community-dwelling older adults.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 164-170"},"PeriodicalIF":3.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510536","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":"Re: Association between low fluoride exposure and children's intelligence: A meta-analysis relevant to community water fluoridation","authors":"Kyla W. Taylor ,&nbsp;John R. Bucher ,&nbsp;Sorina E. Eftim ,&nbsp;Robyn B. Blain ,&nbsp;Andrew A. Rooney","doi":"10.1016/j.puhe.2025.01.013","DOIUrl":"10.1016/j.puhe.2025.01.013","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 179-180"},"PeriodicalIF":3.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524954","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":"Needs and challenges of the payor and regulatory community towards integrating obesity into a chronic care framework","authors":"Lucas Schreurs ,&nbsp;Jacqueline Bowman-Busato ,&nbsp;Inge Gies ,&nbsp;Michele Calabrò ,&nbsp;Maja Lang Morovic ,&nbsp;Jose Silva-Nunes ,&nbsp;Euan Woodward ,&nbsp;Diederik De Cock","doi":"10.1016/j.puhe.2025.01.021","DOIUrl":"10.1016/j.puhe.2025.01.021","url":null,"abstract":"<div><h3>Objectives</h3><div>Obesity acts as the gateway disease to all Non-Communicable Diseases (NCDs). As the impact of NCDs continues to increase, projected to exceed 70 % of global mortality, there is an urgent need to improve the management of people living with obesity. People involved with health care policy must address the social and economic challenges that will likely develop as a result of the rise and severity in obesity. Therefore, we aimed to explore in the payors and regulatory community across Europe their needs and challenges to implement obesity in a chronic care framework.</div></div><div><h3>Study design</h3><div>Cross-sectional qualitative study.</div></div><div><h3>Methods</h3><div>In this cross-sectional qualitative study, payors and regulators from various European countries were invited by purposive sampling between 14th of October 2023, and 15th of March 2024, to participate. Payors and regulators were interviewed, and data were transcribed and analysed using thematic analysis according to Qualitative Analysis Guide of Leuven (QUAGOL).</div></div><div><h3>Results</h3><div>A total of 9 payors and 6 regulators were interviewed coming from 11 different European countries. Four themes (Structure of the healthcare system, political challenges, obesity perceptions, obesity treatment and management) were identified wherein challenges were mentioned for obesity. Payors and regulators emphasized the need for a proactive healthcare model, recognition of obesity as a policy-prioritised NCD, the integration of obesity care pathways and health promotion centres, and the registration of obesity in all care settings.</div></div><div><h3>Conclusions</h3><div>The payor and regulatory community advocated for a proactive approach to obesity, focusing on preventive interventions to mitigate the costs and health complications associated with NCDs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 151-157"},"PeriodicalIF":3.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143488379","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":"Bystander interventions and clinical outcomes among adult out-of-hospital cardiac arrest victims in South Korea over a decade: Sex-based disparities","authors":"Kyung Hun Yoo ,&nbsp;Jaehoon Oh ,&nbsp;Tae Ho Lim ,&nbsp;Hyunggoo Kang ,&nbsp;Byuk Sung Ko ,&nbsp;Yongil Cho ,&nbsp;Juncheol Lee","doi":"10.1016/j.puhe.2025.02.017","DOIUrl":"10.1016/j.puhe.2025.02.017","url":null,"abstract":"<div><h3>Objective</h3><div>Delivering bystander interventions is key to improving out-of-hospital cardiac arrest (OHCA) outcomes. Despite reports on sex disparities in bystander interventions and clinical outcomes, comprehensive national-scale assessments in South Korea remain insufficient. Therefore, this study aimed to evaluate nationwide trends over a decade and examine sex disparities in bystander interventions among adult victims of OHCA in South Korea.</div></div><div><h3>Study design</h3><div>Population-based cohort study.</div></div><div><h3>Methods</h3><div>We analysed bystander interventions and clinical outcomes among adult OHCA using data from the government's Out-of-Hospital Cardiac Arrest Surveillance between January 2009 and December 2019. We further assessed sex-based differences according to the arrest location, bystander type, and age group.</div></div><div><h3>Results</h3><div>This study included a total of 209,901 victims of OHCA. The rate of bystander cardiopulmonary resuscitation (BCPR) improved from 3 % in 2009 to 25 % in 2019. Over the past decade, the usage rate of automated external defibrillators (AEDs) has consistently remained below 1 %. Compared to males, females received BCPR at an odds ratio (OR) of 1·05. However, in public locations, when the bystander was a non-family member, and for those over the age of 65 years, the ORs were 0·80, 0·88, and 0·96, respectively. A gap in sex disparity was observed annually when cardiac arrests occurred in public locations and the bystander was not a family member.</div></div><div><h3>Conclusions</h3><div>Sex disparities in BCPR are pronounced based on arrest location and bystander type. BCPR education programmes should be designed to address OHCA cases across sexes, and improvements in AED usage should be made.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 7-13"},"PeriodicalIF":3.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474285","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 cardiovascular health, cancer and its prognosis: A prospective cohort study","authors":"Yabing Hou ,&nbsp;Weihao Shao ,&nbsp;Yueqing Wang ,&nbsp;Hongxi Yang ,&nbsp;Ruitai Shao ,&nbsp;Zuolin Lu","doi":"10.1016/j.puhe.2025.02.020","DOIUrl":"10.1016/j.puhe.2025.02.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Whether cardiovascular health (CVH) contributes to a reduced risk of cancer incidence and improves cancer prognosis remains unclear. This study aimed to evaluate the associations between CVH and risks of incident cancer and its subsequent CVD development and mortality.</div></div><div><h3>Study design</h3><div>Prospective cohort study.</div></div><div><h3>Methods</h3><div>This study obtained data from the UK Biobank study. CVH was assessed based on Life's Essential 8 (LE8) metrics. The primary outcome was incident cancer, which was defined using ICD-10 code C00-C97, excluding nonmelanoma skin cancer. The hazard ratio and 95 % confidence intervals between CVH and risk of incident cancer and risk of CVD and death after diagnosis of cancer were assessed using multistate Markov and Cox proportional hazards regression models. CVD includes coronary heart disease, atrial fibrillation, heart failure and stroke. The median follow-up period was 12.7 years, and follow-up ended on December 1, 2022.</div></div><div><h3>Results</h3><div>In total, 218,587 participants were eligible for analysis. During the follow-up, 27,603 (12.6 %) participants experienced incident cancer, 26,630 (12.2 %) experienced incident CVD and 12,399 (5.7 %) died. In fully-adjusted multi-state models, increased CVH scores were significantly associated with a reduced risk of incident cancer (HR per 10-point increment of CVH scores: 0.98, 95 % CI: 0.96–0.99), incident CVD (0.90, 0.89–0.91), and death (0.84, 0.81–0.87). Higher CVH scores were also associated with lower risks of incident CVD (0.90, 0.86–0.94) and death (0.89, 0.87–0.92) among cancer survivors. Notably, participants with a high Townsend deprivation index demonstrated the strongest associations of CVH with cancer and its prognosis, compared to those with low or intermediate levels of the index (<em>P-</em>for-interaction &lt;0.05).</div></div><div><h3>Conclusions</h3><div>CVH is notably associated with the reduced risk of cancer and its subsequent development of CVD and death, which is more evident among participants with lower socioeconomic status. Our results highlight the potential of promoting LE8 adherence for primary and secondary prevention of cancer.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 1-6"},"PeriodicalIF":3.9,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474284","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":"Healthcare access among people with and without disabilities: a cross-sectional analysis of the National Socioeconomic Survey of Chile","authors":"Danae Rodríguez Gatta ,&nbsp;Elena S. Rotarou ,&nbsp;Lena Morgon Banks ,&nbsp;Hannah Kuper","doi":"10.1016/j.puhe.2025.02.010","DOIUrl":"10.1016/j.puhe.2025.02.010","url":null,"abstract":"<div><h3>Objectives</h3><div>There is a lack of data on health inequities experienced by people with disabilities in Chile. Hence, this study aimed to compare healthcare utilization, coverage, and barriers to accessing health services among people with and without disabilities in Chile.</div></div><div><h3>Study design</h3><div>Secondary cross-sectional study.</div></div><div><h3>Methods</h3><div>We analysed data of the 2022 National Socioeconomic Survey of Chile. People with disabilities were identified based on the Washington Group Questions. Multivariable logistic regressions were performed to compare the indicators of utilization, coverage, and barriers to accessing healthcare between people with versus without disabilities. Adjusted odds ratios (aOR) were reported with 95 % confidence intervals (95 % CI).</div></div><div><h3>Results</h3><div>A total of 192,666 participants were included in the study; persons with disabilities represented 10 % of the sample (n = 21,769). People with disabilities were more likely to have had a health problem (aOR, 2·22; 95 % CI, 2·12-2·32) and more frequently used any type of health consultation, than those without disabilities. The coverage of adult health check-ups (aOR, 0·88; 95 % CI, 0·81-0·96) and Pap tests among women (aOR, 0·76; 95 % CI, 0·70-0·82), were lower among those with disabilities. Reports of experiencing any barrier to accessing healthcare were more common among people with disabilities.</div></div><div><h3>Conclusions</h3><div>People with disabilities in Chile continue to experience health inequities, both in terms of higher healthcare needs and lower coverage, and various barriers to accessing healthcare. Thus, a disability lens needs to be mainstreamed in the health system to leave no one behind.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 144-150"},"PeriodicalIF":3.9,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143471710","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":"Prevalence and predisposing factors of digital game addiction and cyberbullying in adolescents: A cross-sectional study","authors":"Sultan Ayaz-Alkaya ,&nbsp;Neslihan Köse-Kabakcıoğlu","doi":"10.1016/j.puhe.2025.02.012","DOIUrl":"10.1016/j.puhe.2025.02.012","url":null,"abstract":"<div><h3>Objectives</h3><div>This research was conducted to measure the prevalence of digital game addiction and cyberbullying and their predisposing factors among adolescents.</div></div><div><h3>Study design</h3><div>A cross-sectional design.</div></div><div><h3>Methods</h3><div>The sample consisted of 1002 adolescents (the mean age was 15.77 (SD = 1.08), and 95.1 % boys) from a vocational high school. Data were collected through a questionnaire, the Digital Game Addiction Scale, and the Revised Cyberbullying Inventory-II. Associations were analyzed with multiple logistic regression analyses.</div></div><div><h3>Results</h3><div>The prevalence of digital game addiction was 41.5 %. The risk of digital game addiction was higher among adolescents who were cyberbullies (2.3 times), those who played games for 4 h or more (5.1 times), and those who played action/adventure (1.4 Times) and sci-fi games (1.5 times). The risk of cyberbullying was higher in adolescents who were addicted to digital games (2.3 times) or used the Internet for 5 h or more (2.2 times). Meeting on the Internet (2 times) and being a 9th-grader (2 times) compared to 10th and 11th-graders increased the risk of being a cyberbully.</div></div><div><h3>Conclusions</h3><div>The study concluded that about half of the adolescents were addicted to digital games, and the majority of them were cyberbullies. Common predisposing factor for digital game addiction and cyberbullying was found to be time spent on the Internet.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 137-143"},"PeriodicalIF":3.9,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453216","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}