Public Health最新文献

{"title":"Secondhand exposure to cigarettes smoke and e-cigarettes aerosols on sidewalks: pattern, public attitudes, and support for tobacco bans","authors":"Bingliang Lin ,&nbsp;Tianqi Chen ,&nbsp;Xiaoyun Xie ,&nbsp;Wenlong Lu ,&nbsp;Huiyu Xie ,&nbsp;Mengyao Li ,&nbsp;Yi Nan ,&nbsp;Jingfan Xiong","doi":"10.1016/j.puhe.2025.105756","DOIUrl":"10.1016/j.puhe.2025.105756","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigates exposure patterns, public attitudes towards sidewalk exposure to secondhand cigarettes smoke (SHS) and secondhand e-cigarette aerosols (SHA), and support for a sidewalk cigarette and e-cigarette smoking ban in Shenzhen, China.</div></div><div><h3>Study design</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>A total of 5003 Shenzhen pedestrians participated in the survey in 2023 using convenience sampling. Participants reported their exposure to SHS and SHA on sidewalks over the past week. Descriptive analyses examined exposure patterns, public attitudes, and support for public bans. Logistic regression was used to identify correlates of SHS/SHA exposure and public attitudes toward sidewalk tobacco regulations.</div></div><div><h3>Results</h3><div>Overall, 68.5 % of participants were exposed to SHS, 38.6 % to SHA, 36.6 % to both, and 70.5 % to SHS or SHA on sidewalks. Men, elders, those with higher education, households with children under 14, and current cigarette and e-cigarette dual users were more exposed to SHS and SHA, and young adults to SHA. A substantial 91.2 % disapproved of cigarette and e-cigarette use on sidewalks, with negative attitudes more common among females, those discomforted by SHS or SHA, and those knowledgeable about tobacco control regulations and tobacco harm, while tobacco users showed less disapproval. There was robust support (81.2 %) for banning cigarette and e-cigarette on sidewalks, especially among those generally opposed to cigarette and e-cigarette use on sidewalks.</div></div><div><h3>Conclusions</h3><div>The results suggest that urgent regulatory and legislative action is required to protect individuals from SHS and SHA exposure on sidewalks.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"244 ","pages":"Article 105756"},"PeriodicalIF":3.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144130870","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 issues that our clients deal with aren't just specific to prenatal\": Prenatal care coordination as an integrated care model","authors":"Kate H. Gillespie ,&nbsp;Yamikani B. Nkhoma ,&nbsp;Felice Resnik ,&nbsp;Natalie Halderson ,&nbsp;Carson Borbely ,&nbsp;Jasmine Zapata ,&nbsp;Madelyne Z. Greene","doi":"10.1016/j.puhe.2025.105743","DOIUrl":"10.1016/j.puhe.2025.105743","url":null,"abstract":"<div><h3>Objectives</h3><div>Integrated care models show promise in addressing the factors that lead to inequities in perinatal health outcomes. This report describes how Prenatal Care Coordination (PNCC) functions as an Equity Promoting Integrated Care (EPIC) model.</div></div><div><h3>Study design</h3><div>A multi-method study aimed to evaluate the implementation and impact of PNCC, a Medicaid-funded perinatal program in Wisconsin.</div></div><div><h3>Methods</h3><div>In 2023, we conducted individual semi-structured interviews (N = 15) and focus groups (N = 4) with coordinators at five sites. Sites varied by geographic region, populations served, team size, and organizational differences. The parent study assessed PNCC implementation overall using the Consolidated Framework for Implementation Research (CFIR). The updated CFIR was used for initial deductive coding. We then applied concepts from the Equity-Promoting Integrated Care (EPIC) framework to develop themes and subthemes.</div></div><div><h3>Results</h3><div>A meta-theme was \"integrated model of care,\" reflecting how participants discussed the complexity of the care they provide and the intersecting systems they navigate to meet clients' needs. Four themes illustrate how PNCC coordinators are leveraging components of EPIC models: \"Enhancing clients' skills,\" \"Bridging gaps in care,\" \"Providing person-centered care to build trust,\" and \"Having a broader community presence.\"</div></div><div><h3>Conclusions</h3><div>Given persistent inequities in perinatal outcomes in the US, our findings represent critical insight into the potential impact of integrated care models. Clinicians should consider strengthening relationships to support patient participation in integrated care community services. Future research is needed to optimize the implementation and reach of integrated care models such as PNCC and leverage their potential to improve perinatal outcomes.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105743"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116152","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":"Factors associated with acceptance of preventive treatment among college students with latent tuberculosis infection in Shandong, China","authors":"Jin Jin ,&nbsp;Cuixiao Liu ,&nbsp;Hong Geng ,&nbsp;Yan Ding ,&nbsp;Baotao Cheng ,&nbsp;Wei Zhou ,&nbsp;Zhonghui Zhao ,&nbsp;Bin Luo ,&nbsp;Rui Jing","doi":"10.1016/j.puhe.2025.105774","DOIUrl":"10.1016/j.puhe.2025.105774","url":null,"abstract":"<div><h3>Objectives</h3><div>In China, little is known about factors associated with acceptance of tuberculosis (TB) preventive treatment (TPT) among college students. This study investigates the factors associated with the acceptance of TPT for latent tuberculosis infection (LTBI) among college students.</div></div><div><h3>Study design</h3><div>This was a cross-sectional study.</div></div><div><h3>Methods</h3><div>The study included 874 college students with LTBI. Multivariable logistic regression was used to explore the factors associated with the acceptance of TPT among college students with LTBI.</div></div><div><h3>Results</h3><div>LTBI college students who were aware of TB core knowledge [odds ratio (OR) = 2.10, 95 % confidence interval (CI): 1.37–3.20)], had not been screened with a PPD test before enrollment in the college (OR = 1.76, 95 % CI: 1.21–2.57), did not think that TPT frequency was excessive (OR = 1.96, 95 % CI: 1.30–2.96), and those who believed that TPT would not impact their study or life (OR = 1.54, 95 % CI: 1.01–2.35) were more likely to accept TPT. However, LTBI college students who had no family members or classmates with a history of TB (OR = 0.29, 95 % CI: 0.17–0.50), who were not informed by medical staff that they belonged to a high-risk group for TB (OR = 0.48, 95 % CI: 0.30–0.75), and whose family members did not support their participation in TPT (OR = 0.10, 95 % CI: 0.06–0.17) were more likely to refuse TPT.</div></div><div><h3>Conclusions</h3><div>Acceptance of TPT among college students with LTBI has been associated with factors such as awareness of core TB knowledge, perceptions of the TPT process, family support, and risk communication by medical staff prior to treatment. Colleges can pay attention to these factors in their practice of LTBI management.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105774"},"PeriodicalIF":3.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107740","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":"Physical activity is associated with renal function in middle-aged and elderly populations in China: first cross-sectional and longitudinal evidence from CHARLS","authors":"Xinyu Wang ,&nbsp;Yaxi Zhao ,&nbsp;Guoxian Luo ,&nbsp;Jian Xu ,&nbsp;Yi Zhang ,&nbsp;Jianchen Cui ,&nbsp;Lijuan Chen ,&nbsp;Wangyao Na ,&nbsp;Hanhao Li ,&nbsp;Linmei Ao ,&nbsp;Qinyuan Deng ,&nbsp;Fei Chen","doi":"10.1016/j.puhe.2025.105776","DOIUrl":"10.1016/j.puhe.2025.105776","url":null,"abstract":"<div><h3>Objective</h3><div>Chronic kidney disease (CKD) has become a common health problem among middle-aged and elderly people in China. The aim of this study was to investigate the effects of physical activity on renal function in Chinese middle-aged and elderly people.</div></div><div><h3>Study design</h3><div>Nationwide cohort study.</div></div><div><h3>Methods</h3><div>3599 participants in the 2011 China Health and Aging Longitudinal Study (CHARLS) were used in the cross-sectional study, with estimated glomerular filtration rate (eGFR) &lt; 60 ml/min/1.73 m² as the endpoint event. 2309 participants in the 2015 CHARLS were used in the longitudinal study, with eGFR &lt;60 ml/min/1.73 m² or ≥25 % decrease in eGFR as the endpoint events. 2190 participants from the longitudinal study, after excluding those with baseline eGFR &lt; 60 ml/min/1.73m2, were included in a sensitivity analysis to reassess the associations. Physical activity intensity was assessed by self-report. Associations between physical activity levels and renal function were analyzed using logistic regression.</div></div><div><h3>Results</h3><div>In cross-sectional analyses, engaging in moderate (MPA) or vigorousphysical activity (VPA) for more than 300 min/week was associated with a significantly lower likelihood of renal endpoint events compared to physically inactive participants (OR = 0.39, 95 % CI: 0.30–0.51). After correction for clinical characteristics and blood test results, VPA and MPA &gt;300 min/week remained independent protective factors for renal function. In the longitudinal cohort, VPA and MPA &gt;300 min/w reduced the risk of renal endpoint events by 45 % (OR = 0.55, 95 % CI = 0.38–0.80). After correcting for clinical characteristics and blood test results, VPA and MPA &gt;300min/w still reduced the risk of renal endpoint events by 37 % (OR = 0.63, 95 % CI = 0.43–0.92) and 39 % (OR = 0.61, 95 % CI: 0.42–0.89), respectively. Sensitivity analysis further confirmed the robustness of these findings, with VPA and MPA &gt; 300 min/week consistently identified as independent protective factors.</div></div><div><h3>Conclusions</h3><div>Physical activity is associated with a reduced risk and delayed onset of renal insufficiency. The results of this study provide additional evidence for the renoprotective effects of exercise in non-CKD populations.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105776"},"PeriodicalIF":3.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116151","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":"Health literacy and mental well-being of school staff in times of crisis: A path analysis of sense of coherence, work-related stress, and health-protective behaviours","authors":"Padmore Adusei Amoah ,&nbsp;Angela Y.M. Leung ,&nbsp;Joshua Okyere ,&nbsp;Sam S.S. Lau ,&nbsp;Kevin Dadaczynski ,&nbsp;Orkan Okan","doi":"10.1016/j.puhe.2025.105749","DOIUrl":"10.1016/j.puhe.2025.105749","url":null,"abstract":"<div><h3>Objectives</h3><div>This paper examines the relationship between health literacy and mental well-being of school staff during distressful times. It examines the mediating roles of work-related stress, health-protective behaviours (i.e., attitudes about vaccination), and sense of coherence in the relationship between health literacy and mental well-being.</div></div><div><h3>Study design</h3><div>A cross-sectional survey.</div></div><div><h3>Methods</h3><div>Data were derived from 440 school staff who participated in a study on Health Literacy and Well-being of School Staff across all schools in Hong Kong. Structural Equation Modelling was used for path analysis.</div></div><div><h3>Results</h3><div>Most (64.9 %) of the school staff had limited health literacy (i.e. problematic or inadequate). The mean score of their mental well-being was 51.4 out of 100 (±20.8), with around 18 % of them at risk of depression. Health literacy was not directly associated with mental well-being. Instead, it predicted mental well-being through work-related stress (B = 0.130, p = 0.036) and adoption of health-protective behaviours (B = 0.376, p = 0.021).</div></div><div><h3>Conclusion</h3><div>While health literacy may not directly influence the mental well-being of school staff, it has a critical role in safeguarding mental well-being in times of distress by shaping positive attitudes towards protective health measures and managing sources of work stress.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105749"},"PeriodicalIF":3.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116150","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":"Neighbourhood socioeconomic inequality in risk of new-onset asthma associated with an interaction of seven behavioural and psychological factors","authors":"Bowen Xiang ,&nbsp;Mengwei Song ,&nbsp;Yuxin Zhang ,&nbsp;Quanjun Liu ,&nbsp;Qiulin Huang ,&nbsp;Qing Wang","doi":"10.1016/j.puhe.2025.105752","DOIUrl":"10.1016/j.puhe.2025.105752","url":null,"abstract":"<div><h3>Objectives</h3><div>Asthma pertains to both public health and social equality concerns. Yet, the extent to which social inequality is involved in the association of behavioural and psychological factors with new-onset asthma is not clear.</div></div><div><h3>Study design</h3><div>Cohort study.</div></div><div><h3>Methods</h3><div>Using the UK Biobank cohort, an interactive measurement for asthma-related behavioural and psychological factors was constructed via Bayesian network-based TOPSIS. The Index of Multiple Deprivation (IMD) measured neighbourhood socioeconomic status. Cox regression assessed the association of behavioural and psychological engagement and IMD with the risk of new-onset asthma, with additive interaction analysis.</div></div><div><h3>Results</h3><div>During follow-up, 7002 participants were diagnosed with asthma. Obesity contributed most to the network of seven interacted behavioural and psychological factors. Unhealthy behavioural and psychological engagement was associated with a 106 % (HR = 2.06, 95 % CI: 1.91–2.22) increase in the risk of new-onset asthma. The association was most pronounced in the high IMD group, in which the HR of unhealthy behavioural and psychological engagement reached 2.28 (95 % CI: 2.00–2.59). Significant additive interaction (RERI = 0.532, 95 % CI: 0.253–0.812) revealed potential socioeconomic inequality.</div></div><div><h3>Conclusions</h3><div>Deprived people suffer an additional risk of new-onset asthma associated with the engagement. Coordinating community-level action for socioeconomic improvements and promoting healthy behaviours should be proportionate to the needs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105752"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098334","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":"Six years of alcohol consumption in Hanoi, Vietnam, by wastewater analysis: Assessing changes impacted by socio-economical factors","authors":"Pham Nguyet Anh ,&nbsp;Hieu K.T. Ngo ,&nbsp;Zhe Wang ,&nbsp;Dat M. Nguyen ,&nbsp;Vu Ngan Binh ,&nbsp;Nguyen Thi Kieu Anh ,&nbsp;Cong Yang ,&nbsp;Ngo Quang Trung ,&nbsp;Phong K. Thai","doi":"10.1016/j.puhe.2025.105771","DOIUrl":"10.1016/j.puhe.2025.105771","url":null,"abstract":"<div><h3>Objectives</h3><div>Alcohol consumption in Vietnam increased significantly over past decade alongside its economic development. However, in recent years, several alcohol control measures including a new drink-driving law and taxes as well as the COVID-19 pandemic have affected the consumption levels. This study aimed to monitor alcohol use trends in Hanoi over six consecutive years.</div></div><div><h3>Study design</h3><div>We conducted a time series analysis of wastewater-based epidemiology (WBE) for alcohol consumption from 2018 to 2023.</div></div><div><h3>Methods</h3><div>Ethyl sulfate, a biomarker for alcohol consumption, was measured in wastewater samples collected consecutively for at least 30 days each year from a catchment of approximately 400,000 people.</div></div><div><h3>Results</h3><div>The findings revealed a clear downward trend in alcohol consumption, with an average annual decline of 7.51 %. Consumption remained stable across all days of the week, including during the COVID-19 pandemic. The most pronounced reduction occurred during 2020–2021, coinciding with COVID-19 restrictions. From 2022 onwards, signs of a rebound in alcohol consumption were observed, consistent with the national sales trends. Additionally, a marked shift was noted from on-trade (e.g., bars/restaurants) to off-trade (home-based), likely reflecting both pandemic-related restrictions and the enforcement of the strict drink-driving law.</div></div><div><h3>Conclusion</h3><div>Alcohol consumption trends and shifts in drinking settings in Hanoi during the study period were likely influenced by a combination of public health measures and policy interventions, including the COVID-19 pandemic and the strict drink-driving law. This study successfully used WBE for relatively low-cost longitudinal monitoring of alcohol use in resource-limited settings, providing necessary evidence for public health policy formulation.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105771"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098335","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":"Emerging from the pandemic and reflecting on change: public health doctors in Ireland","authors":"Niamh Humphries ,&nbsp;Mehmet Ali Icbay ,&nbsp;Marie Casey","doi":"10.1016/j.puhe.2025.105770","DOIUrl":"10.1016/j.puhe.2025.105770","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to generate insights into the working lives of Public Health doctors as they worked through a period of immense change relating to their roles within the COVID-19 pandemic and the (long-anticipated) public health reforms that followed.</div></div><div><h3>Study design</h3><div>This study used a qualitative study design.</div></div><div><h3>Methods</h3><div>Using an innovative method of remote ethnography (Mobile Instant Messaging Ethnography), this paper presents the work related reflections of 13 Public Health doctors in Ireland. Participant doctors were recruited to the study via advertising on social media, on the project website and via professional networks. The method involved an online in-depth qualitative interview; a six week conversation with the researcher via WhatsApp and a final online qualitative interview with participants. Data collection was conducted June to August 2023 and the data was analysed using MaxQDA.</div></div><div><h3>Results</h3><div>The data presented illustrates the significant work-related changes experienced by Public Health doctors (N = 13) in Ireland. These changes related to the introduction of consultant status for Public Health doctors and public health reforms. They also related to the COVID-19 pandemic and the associated increase in workloads and work intensity experienced by public health doctors in the Irish health system.</div></div><div><h3>Conclusion</h3><div>While most of the changes were positive, for instance the pandemic-related recognition of the role of Public Health doctors and the subsequent introduction of consultant status, the level of change in a relatively short space of time, was nevertheless significant. As our paper illustrates, the onus is on the employing organizations to recognize the impact of these changes on Public Health doctors and to ensure that their employees feel valued and heard at all times, particularly during times of significant change. To achieve this, employers should invest in research-informed interventions to improve psychological safety and team culture for public health doctors within the new organisational structures.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105770"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and psychometric evaluation of the smoking attitude scale in adolescents","authors":"Cahide Çevik ,&nbsp;Yasemen Yalçınkaya ,&nbsp;Safiye Karavar","doi":"10.1016/j.puhe.2025.105757","DOIUrl":"10.1016/j.puhe.2025.105757","url":null,"abstract":"<div><h3>Objectives</h3><div>Smoking addiction poses a major public health risk, with its onset frequently occurring during adolescence. Attitudes toward smoking significantly influence the development of smoking addiction, making the assessment of these attitudes essential for effective prevention and intervention strategies. This study aimed to develop a scale for assessing adolescents' attitudes toward smoking and to evaluate its psychometric properties.</div></div><div><h3>Study design</h3><div>This study employs a methodological framework for developing and validating a measurement scale.</div></div><div><h3>Methods</h3><div>The study was conducted among 10th and 11th-grade students at high schools. Data were collected from 602 high school students between February 19 and February 29, 2024. The students' mean age was 15.83 ± 0.74 years, with 58.8 % (n = 354) being female and 41.2 % (n = 248) male. The proportion of students who smoked was 11 % (n = 66). Among non-smokers, 36.4 % (n = 195) had attempted smoking. The mean age at which smokers began smoking was 14 ± 1.50 years. The selection of candidate items was based on a comprehensive literature review and focus group discussions with adolescents. The factor structure of the scale was analyzed using exploratory and confirmatory factor analyses across different sample groups. Convergent and discriminant validity were examined, and reliability was assessed through Cronbach's α coefficients, corrected item-total correlations, and test-retest analysis.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed that the Smoking Attitude Scale consists of three factors comprising 15 items, which focus on health risks, social influences, and peer pressure, accounting for 62.50 % of the total variance. Confirmatory factor analysis supported this structure. Both convergent and discriminant validity were established. The scale demonstrated high reliability, with an overall Cronbach's α value of 0.90, and factor values of 0.88, 0.78, and 0.84. Composite reliability scores for the factors were 0.88, 0.81, and 0.83, respectively.</div></div><div><h3>Conclusions</h3><div>The Smoking Attitude Scale is a valid and reliable instrument for evaluating adolescents' attitudes toward smoking.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"244 ","pages":"Article 105757"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105441","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":"Health professionals' perceptions of climate change: A systematic review of qualitative studies","authors":"Antonio Miguel Caraballo-Betancort ,&nbsp;Irene Marcilla-Toribio ,&nbsp;Blanca Notario-Pacheco ,&nbsp;Shkelzen Cekrezi ,&nbsp;Ana Perez-Moreno ,&nbsp;Maria Martinez-Andres","doi":"10.1016/j.puhe.2025.105773","DOIUrl":"10.1016/j.puhe.2025.105773","url":null,"abstract":"<div><h3>Objective</h3><div>To understand health professionals' perceptions of climate change and its impact on health and their perceived role.</div></div><div><h3>Study design</h3><div>This was a systematic review of qualitative studies.</div></div><div><h3>Methods</h3><div>A systematic review of qualitative evidence from three databases (MEDLINE, CINHAL and PsycInfo) was conducted according to the Cochrane method in June 2024. The PRISMA 2020 guidelines were followed for the synthesis report.</div></div><div><h3>Results</h3><div>A total of 215 results were obtained, of which 10 studies were included on the basis of the inclusion criteria. The selected studies included predominantly nurses, physicians and public health professionals, with a smaller representation of other allied health professionals from Europe, North America and Africa. These studies were published between 2015 and 2024. Three themes were identified: \"general knowledge of climate change\", \"role of health professionals in addressing climate change\" and \"barriers to action on climate change\". Health professionals are aware of the health risks posed by climate change, but some barriers prevent or hinder their action. The main barriers are poor, overly generalised information and training, and a demotivating environment.</div></div><div><h3>Conclusion</h3><div>Health professionals are aware of the existence and dangers of climate change but are less aware of their role in the face of climate change. Contextualised training and an enabling environment are needed. It is essential to study the perceptions of each group of health professionals at the national or subnational level.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"245 ","pages":"Article 105773"},"PeriodicalIF":3.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098336","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}