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Loneliness among older adults with multiple chronic conditions: Exploring disparities for Hispanic adults in the 2023 Behavioral Risk Factor Surveillance System 患有多种慢性疾病的老年人的孤独感:探索2023年行为风险因素监测系统中西班牙裔成年人的差异
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1016/j.puhe.2025.106100
Derek S. Falk , Alfonso J. Rojas-Álvarez , Deborah M. Parra-Medina , Christian E. Vazquez
{"title":"Loneliness among older adults with multiple chronic conditions: Exploring disparities for Hispanic adults in the 2023 Behavioral Risk Factor Surveillance System","authors":"Derek S. Falk ,&nbsp;Alfonso J. Rojas-Álvarez ,&nbsp;Deborah M. Parra-Medina ,&nbsp;Christian E. Vazquez","doi":"10.1016/j.puhe.2025.106100","DOIUrl":"10.1016/j.puhe.2025.106100","url":null,"abstract":"<div><h3>Objectives</h3><div>Loneliness among older adults is a public health concern negatively impacting those with multimorbidity. As the population continues to age in the United States and the proportion of Hispanics grows, understanding the relationship between loneliness and multimorbidity for Hispanic older adults warrants further examination. Previous studies have explored loneliness and multimorbidity, but examine the impact on Hispanic older adults. To achieve this aim, we assessed loneliness and disparities in the dose-response relationship of multimorbidity in adults aged 65+.</div></div><div><h3>Study design</h3><div>Cross-sectional observational study using data from the 2023 Behavioral Risk Factor Surveillance System (BRFSS).</div></div><div><h3>Methods</h3><div>Weighted analyses represented U.S. adults aged 65+. Descriptive statistics and chi-square tests compared prevalence by ethnicity. Multivariable logistic regression models identified factors associated with loneliness in the overall sample and Hispanic subgroup. Predicted probabilities were plotted to highlight differences by race, ethnicity, and sex.</div></div><div><h3>Results</h3><div>Among U.S. adults aged 65+, 35.0 % reported feeling lonely. Hispanic older adults reported a higher prevalence of loneliness than non-Hispanic older adults (40.2 % vs 34.5 %) and were more likely to receive inadequate social support (10.7 % vs 6.3 %). Hispanic females showed the strongest dose-response effect, with loneliness increasing from 41 % (no conditions) to 57 % (3+ conditions).</div></div><div><h3>Conclusions</h3><div>Being Hispanic, regardless of sex, increased likelihood of loneliness and inadequate social support; however, Hispanic older females face the highest levels of loneliness when managing multimorbidity with inadequate social support compared to Hispanic males and individuals of other races/ethnicities. Further research is needed to address these disparities for Hispanics and women in particular.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106100"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791393","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}
引用次数: 0
Respiratory syncytial virus (RSV) vaccine choices during pregnancy 妊娠期呼吸道合胞病毒(RSV)疫苗选择
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2026-01-07 DOI: 10.1016/j.puhe.2025.106114
Bing Wang , Prabha Andraweera , Gang Chen , Jason J. Ong , Zohra Lassi , Helen Marshall
{"title":"Respiratory syncytial virus (RSV) vaccine choices during pregnancy","authors":"Bing Wang ,&nbsp;Prabha Andraweera ,&nbsp;Gang Chen ,&nbsp;Jason J. Ong ,&nbsp;Zohra Lassi ,&nbsp;Helen Marshall","doi":"10.1016/j.puhe.2025.106114","DOIUrl":"10.1016/j.puhe.2025.106114","url":null,"abstract":"<div><h3>Objectives</h3><div>Respiratory Syncytial Virus (RSV) is the leading cause of bronchiolitis and pneumonia in infants and can lead to fatal respiratory distress, especially in very young infants. New maternal RSV vaccines and infant monoclonal antibodies are now available. This study aims to understand RSV vaccine attitudes in Australian pregnant women.</div></div><div><h3>Study design</h3><div>The cross-sectional online survey employed a discrete choice experiment (DCE) design to quantify trade-offs and investigate decision-making patterns among pregnant women regarding the maternal RSV vaccine. A mixed-methods approach was used, with results from focus group discussions informing the development of the DCE survey.</div></div><div><h3>Methods</h3><div>Any pregnant women aged ≥18 years in Australia were eligible to participate in the survey. During the survey, respondents were asked to choose between hypothetical scenarios, or optout option. Survey data were analysed using mixed logit and latent class models.</div></div><div><h3>Results</h3><div>In total, 440 pregnant women participated and demonstrated a strong preference for a free RSV maternal vaccine with a lower risk of serious side effects and higher vaccine effectiveness. Latent class analysis revealed two distinct preference groups: “accepters/deliberators” and “rejecters”. Compared to rejecters (31.7 %), accepters/deliberators (68.3 %) were more likely to be older, haver high household income and had received a pertussis vaccine, and were less likely to receive an influenza vaccine. Incentives to encourage vaccination were not supported by either group. Among rejecters, cost did not influence their vaccine preference, but text message reminders were more preferred. In contrast to accepters/deliberators, rejecters expressed a strong dislike for video advertisements. Participants showed a significantly higher preference for RSV maternal vaccination (54.8 %) versus infant monoclonal antibody injection (16.8 %) in a general preference question (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Maternal RSV vaccination at no cost was generally well received and preferred by pregnant women in this study, though preferences for promotion strategies varied.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106114"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926420","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}
引用次数: 0
Adaptation, acceptability and preliminary impacts of a sexual health and financial literacy intervention for indigenous adolescents in Ecuador: A mixed-methods pilot study 厄瓜多尔土著青少年性健康和金融知识干预措施的适应、可接受性和初步影响:一项混合方法试点研究
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1016/j.puhe.2025.106088
Allpa Tituaña , Marta Wilson-Barthes , Alethea Desrosiers , Shari J. Jardine , Megna Srinivasan , Iván Palacios , Omar Galárraga
{"title":"Adaptation, acceptability and preliminary impacts of a sexual health and financial literacy intervention for indigenous adolescents in Ecuador: A mixed-methods pilot study","authors":"Allpa Tituaña ,&nbsp;Marta Wilson-Barthes ,&nbsp;Alethea Desrosiers ,&nbsp;Shari J. Jardine ,&nbsp;Megna Srinivasan ,&nbsp;Iván Palacios ,&nbsp;Omar Galárraga","doi":"10.1016/j.puhe.2025.106088","DOIUrl":"10.1016/j.puhe.2025.106088","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the acceptability, feasibility and preliminary impacts of a group-based financial literacy and reproductive health intervention adapted for indigenous youth in Ecuador.</div></div><div><h3>Study design</h3><div>Mixed-methods quasi-experimental pilot study.</div></div><div><h3>Methods</h3><div>This study (November 2023–June 2024) enrolled 47 adolescents, ages 15–19, from Cotacachi, Ecuador. Using the ADAPT-ITT framework, we adapted an existing entrepreneurship curriculum to the local context, and integrated curriculum with an existing reproductive health education platform. Twenty-nine adolescents received the school-based group intervention over 4 months, with 18 control participants. Qualitatively, focus groups elicited intervention acceptability from 11 youth. Quantitatively, Wilcoxon rank-sum tests and MANOVA compared empowerment and health outcomes between intervention participants and controls. Adjusted linear and logistic regression estimated intention-to-treat effects of the intervention on outcomes.</div></div><div><h3>Results</h3><div>The study recruited 96.7 % and 60.0 % of the target sample for the intervention (29/30) and control (18/30) conditions, respectively. Regression results showed positive associations between the intervention and financial literacy (<em>β</em> = 1.33, p &lt; 0.01) and sexual health knowledge (<em>β</em> = 1.52, p &lt; 0.01), and modest positive associations (p &gt; 0.10) with entrepreneurial self-efficacy, engagement in income-generating activities, gender empowerment, and less-frequent penetrative sex. All focus group participants valued the financial management and entrepreneurship components of the intervention; most stated that the curriculum improved their decision-making around sex and relationships.</div></div><div><h3>Conclusions</h3><div>This pilot evidence supports acceptability and potential benefits of an economic empowerment and reproductive health intervention for indigenous youth at high risk of pregnancy in Ecuador. A randomized trial is needed to test the effectiveness of the intervention on longer-term income generation and pregnancy reduction.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106088"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145697778","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}
引用次数: 0
Maternal intimate partner violence and under five mortality in India: The effect modifying role of caste 印度母亲亲密伴侣暴力和五岁以下儿童死亡率:种姓的影响和调节作用。
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-17 DOI: 10.1016/j.puhe.2025.106099
Aditi Roy , Gavin Pereira , Jennifer Dunne , Sylvester Dodzi Nyadanu , Gizachew A. Tessema
{"title":"Maternal intimate partner violence and under five mortality in India: The effect modifying role of caste","authors":"Aditi Roy ,&nbsp;Gavin Pereira ,&nbsp;Jennifer Dunne ,&nbsp;Sylvester Dodzi Nyadanu ,&nbsp;Gizachew A. Tessema","doi":"10.1016/j.puhe.2025.106099","DOIUrl":"10.1016/j.puhe.2025.106099","url":null,"abstract":"<div><h3>Objectives</h3><div>In a country such as India where caste systems deeply influence social dynamics, caste systems could modify the association between experiencing intimate partner violence (IPV) and maternal and child health and wellbeing. This study aimed to investigate the association between IPV and child mortality across various caste groups.</div></div><div><h3>Study design</h3><div>The study has a cross-sectional design drawn from the two latest available nationally representative National Family Health Surveys data (2015–2021) in India.</div></div><div><h3>Methods</h3><div>This study included 58,685 mother-child pairs. In the study, the main exposure variable was IPV, measured by women's experiences of emotional, physical, and sexual violence perpetrated by a partner, with caste considered as an effect modifier in the analysis. The outcomes of the study included under five mortality. By accounting for women's and child demographics, logistic regression analysis was used to estimate adjusted odds ratios (aOR) for the association between IPV and infant, neonatal, and under-five mortality stratified by caste.</div></div><div><h3>Results</h3><div>Women who had experienced IPV had 16 % greater odds of neonatal mortality (1.16, 95 % CI: 1.10–1.23), 17 % greater odds of infant mortality (1.17, 95 % CI: 1.03, 1.33), and 12 % greater odds of under-five mortality (1.12; 95 % CI: 0.98, 1.18). When stratified by caste, IPV exposure among women from upper castes had a 68 % greater in the odds of neonatal mortality (aOR: 1.68, 95 % CI: 1.22, 2.29), 24 % greater odds of infant mortality (1.24, 95 % CI: 1.02, 1.80), and 40 % greater odds of under-five mortality (aOR: 1.40, 95 % CI: 1.09, 1.81). Notably, among lower-caste groups, we observed greater odds of under-five mortality among women who experienced IPV in STs group compared to SCs and OBCs.</div></div><div><h3>Conclusion</h3><div>IPV is associated positively with neonatal, infant, and under-five mortalities with greater effect in upper than lower caste women. Our findings suggest that addressing IPV in caste-specific situations may be crucial for reducing under-five mortality in India.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106099"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783529","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}
引用次数: 0
Corrigendum to “Inequalities in epilepsy mortality: A decade-long analysis of insured versus uninsured adults in Mexico” [Publ Health 242 (2025) 192–198] “癫痫死亡率的不平等:墨西哥有保险与无保险成年人的十年分析”[公共卫生242(2025)192-198]的勘误表。
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.puhe.2025.106119
Bayron Alexander Sandoval-Bonilla , Alvaro García-Pérez , Maria De la Cerda Vargas , Daniel San Juan , Alejandra Calderon Vallejo , Nelly Cisneros González , José Carrillo Ruiz , Maximo Leon Vazquez , Enrique De Font-Reaulx , David King Stephens
{"title":"Corrigendum to “Inequalities in epilepsy mortality: A decade-long analysis of insured versus uninsured adults in Mexico” [Publ Health 242 (2025) 192–198]","authors":"Bayron Alexander Sandoval-Bonilla ,&nbsp;Alvaro García-Pérez ,&nbsp;Maria De la Cerda Vargas ,&nbsp;Daniel San Juan ,&nbsp;Alejandra Calderon Vallejo ,&nbsp;Nelly Cisneros González ,&nbsp;José Carrillo Ruiz ,&nbsp;Maximo Leon Vazquez ,&nbsp;Enrique De Font-Reaulx ,&nbsp;David King Stephens","doi":"10.1016/j.puhe.2025.106119","DOIUrl":"10.1016/j.puhe.2025.106119","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106119"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835150","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}
引用次数: 0
Mental health profiles and correlates among Chinese adolescents: A latent profile analysis 中国青少年心理健康状况及其相关因素:一项潜在特征分析。
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1016/j.puhe.2025.106121
Xiang Li , Juntong Li , Sheng Ye , Hui Liu , Yue Yang , Xuelei Lu , Heyue Jin , Li Liu
{"title":"Mental health profiles and correlates among Chinese adolescents: A latent profile analysis","authors":"Xiang Li ,&nbsp;Juntong Li ,&nbsp;Sheng Ye ,&nbsp;Hui Liu ,&nbsp;Yue Yang ,&nbsp;Xuelei Lu ,&nbsp;Heyue Jin ,&nbsp;Li Liu","doi":"10.1016/j.puhe.2025.106121","DOIUrl":"10.1016/j.puhe.2025.106121","url":null,"abstract":"<div><h3>Objectives</h3><div>Adolescent mental health issues have become a growing public health concern. This study seeks to identify potential profiles of mental health among Chinese adolescents and to detect high-risk groups for the formulation of targeted intervention strategies based on associated health risk behaviors (HRBs).</div></div><div><h3>Study design</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>This study was based on the Monitoring and Intervention Project for Common Diseases and Health Influencing Factors among Secondary School Students in Nanjing, involving 9,865 secondary school students as participants. Latent profile analysis (LPA) was employed to identify mental health (symptoms of depression, anxiety, and stress, as well as sleep quality); categorical variables were analyzed by the chi-square test or Fisher's exact test, whereas multinomial logistic regression was used to examine associations between HRBs and distinct mental health profiles.</div></div><div><h3>Results</h3><div>Three profiles of mental health were identified among the adolescents, including “Low-risk Mental Health” (68.03 %), “Moderate-risk Mental Health” (26.19 %), and “High-risk Mental Health” (5.78 %). Compared with the “Low-risk Mental Health” profile, the “Moderate-risk Mental Health” profile was associated with behaviors such as drinking, injury, school bullying, unhealthy diet, internet addiction, physical activity, and outdoor activity time; and the “High-risk Mental Health” profile was associated with smoking, drinking, injury, school bullying, unhealthy diet, internet addiction, and outdoor activity time.</div></div><div><h3>Conclusions</h3><div>Several HRBs are associated with mental health among Chinese adolescents. Healthcare professionals should target these HRBs and implement comprehensive measures to protect adolescent mental health.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106121"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866186","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}
引用次数: 0
Epidemiology of child disadvantage and developmental vulnerability in Australia: Insights from linked administrative data 澳大利亚儿童劣势和发育脆弱性的流行病学:来自相关行政数据的见解
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1016/j.puhe.2025.106111
Sarah Gray , Shuaijun Guo , Cindy Pham , Marnie Downes , Katherine Lange , Sue Woolfenden , Gerry Redmond , Naomi Priest , Meredith O'Connor , Hannah Badland , Francisco Azpitarte , Sharon Goldfeld
{"title":"Epidemiology of child disadvantage and developmental vulnerability in Australia: Insights from linked administrative data","authors":"Sarah Gray ,&nbsp;Shuaijun Guo ,&nbsp;Cindy Pham ,&nbsp;Marnie Downes ,&nbsp;Katherine Lange ,&nbsp;Sue Woolfenden ,&nbsp;Gerry Redmond ,&nbsp;Naomi Priest ,&nbsp;Meredith O'Connor ,&nbsp;Hannah Badland ,&nbsp;Francisco Azpitarte ,&nbsp;Sharon Goldfeld","doi":"10.1016/j.puhe.2025.106111","DOIUrl":"10.1016/j.puhe.2025.106111","url":null,"abstract":"<div><h3>Objectives</h3><div>Cross-sectoral linked administrative data provides a powerful tool for population-level evaluations of child disadvantage. We examined individual-and area-level indicators of disadvantage in early childhood in Australia and estimated their associations with children's developmental outcomes at school entry.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We drew on data from the Person Level Integrated Data Asset (PLIDA) involving children born in Australia from 01/01/2012 to 31/07/2013, who commenced full-time schooling in 2018 and participated in the Australian Early Development Census (AEDC) (N = 274,123). Individual-level disadvantage was measured using 22 early childhood indicators across four pre-determined social determinant lenses (sociodemographic, geographic, health conditions, and risk factors). Area-level disadvantage was assessed using the Socio-Economic Indexes for Areas (SEIFA), based on each child's residential address. Teacher-reported poor developmental outcomes were assessed at school entry (4–6 years) in the AEDC.</div></div><div><h3>Results</h3><div>The percentage of children exposed to different aspects of individual-level disadvantage ranged from 0.2 % (parental death) to 58.8 % (parental mental health issues). There was substantial variation in children's experiences of individual-level disadvantage by geography. The associations between individual-and area-level disadvantage and poor developmental outcomes varied, with the individual-level indicator ‘child not regularly read to at home’ having the strongest association (risk ratio = 4.06, 95 % CI: 4.00 to 4.11). A dose-response relationship was observed, with exposure to an increasing number of child disadvantage indicators associated with poorer developmental outcomes.</div></div><div><h3>Conclusion</h3><div>Addressing children's experiences of multidimensional disadvantage requires cross-sectoral strategies that combine universal and proportionately targeted supports responsive to both individual-and area-level needs.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106111"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145841366","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}
引用次数: 0
Prevalence of infertility among nationally representative women in Japan: A cross-sectional survey using a two-stage stratified systematic sampling design 日本全国代表性女性不孕症患病率:采用两阶段分层系统抽样设计的横断面调查
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI: 10.1016/j.puhe.2025.106092
Eri Maeda , Shoko Konishi , Satoshi Sunohara , Seung Chik Jwa , Isao Yokota , Jacky Boivin , Kyoko Nomura , Akiko Tamakoshi
{"title":"Prevalence of infertility among nationally representative women in Japan: A cross-sectional survey using a two-stage stratified systematic sampling design","authors":"Eri Maeda ,&nbsp;Shoko Konishi ,&nbsp;Satoshi Sunohara ,&nbsp;Seung Chik Jwa ,&nbsp;Isao Yokota ,&nbsp;Jacky Boivin ,&nbsp;Kyoko Nomura ,&nbsp;Akiko Tamakoshi","doi":"10.1016/j.puhe.2025.106092","DOIUrl":"10.1016/j.puhe.2025.106092","url":null,"abstract":"<div><h3>Objectives</h3><div>According to the 2021 Japanese National Fertility Survey, more than one-third of couples expressed concerns about infertility. However, no study in Japan has estimated the prevalence of infertility according to the World Health Organization definition (12 months of infertility). This study aimed to estimate the prevalence of infertility based on this definition.</div></div><div><h3>Study design</h3><div>A cross-sectional study design.</div></div><div><h3>Methods</h3><div>The survey was conducted in 2024 using a two-stage stratified systematic sampling design (response rate: 40.0 %). Among 1200 women aged 25–49 years (total participants), 853 were married or cohabiting with a male partner (cohabiting participants). There were 35 women aged 25–44 years, at risk of pregnancy, and actively trying to conceive (current duration participants). Lifetime and period prevalence were estimated using direct (self-reported) and current duration methods.</div></div><div><h3>Results</h3><div>Among cohabiting participants, the lifetime and period prevalence of infertility were 37.8 % (95 % confidence interval [CI]: 35.4 %–40.4 %) and 6.5 % (95 % CI: 5.1 %–8.4 %), respectively. Period prevalence among current duration participants was 23.1 % (95 % CI: 12.1 %–43.9 %). Help-seeking behaviour was reported by 51.1 % of those with lifetime infertility. Older age groups exhibited higher lifetime prevalence and lower period prevalence of infertility. Higher educational attainment was associated with lower lifetime and period prevalence of infertility and a higher help-seeking rate.</div></div><div><h3>Conclusion</h3><div>While period prevalence estimated using direct and current duration methods was consistent with international findings, lifetime prevalence estimated using direct method was higher, possibly due to older age distribution, delayed parenthood, shorter or ambiguous reproductive intention, and infrequent sexual activity.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106092"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791394","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}
引用次数: 0
Do the associations of sedentary time with colorectal cancer risk differ by physical activity level and vice versa? A cross-sectional study of two large population-based surveys 久坐时间与结直肠癌风险的关联是否因体力活动水平而异,反之亦然?两项大型人口调查的横断面研究
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-31 DOI: 10.1016/j.puhe.2025.106115
Yuansen Ma , Xiaomei Wu , Yu Sun , Mouqian Wu , Qihui Tian , Jiahui Tian , Duo Xu , Meixi Gong , Xuanbing Li , Yefu Liu , Bo Zhu
{"title":"Do the associations of sedentary time with colorectal cancer risk differ by physical activity level and vice versa? A cross-sectional study of two large population-based surveys","authors":"Yuansen Ma ,&nbsp;Xiaomei Wu ,&nbsp;Yu Sun ,&nbsp;Mouqian Wu ,&nbsp;Qihui Tian ,&nbsp;Jiahui Tian ,&nbsp;Duo Xu ,&nbsp;Meixi Gong ,&nbsp;Xuanbing Li ,&nbsp;Yefu Liu ,&nbsp;Bo Zhu","doi":"10.1016/j.puhe.2025.106115","DOIUrl":"10.1016/j.puhe.2025.106115","url":null,"abstract":"<div><h3>Objectives</h3><div>Prolonged sedentary behavior increases colorectal cancer (CRC) risk, while physical activity (PA) may reduce it. However, whether PA can mitigate the adverse effects of sedentary time remains unclear. This study examines whether PA modifies the association between sedentary time and CRC risk, and vice versa, and estimates the joint associations of PA and sedentary time with CRC risk using two surveys.</div></div><div><h3>Study design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>Data were drawn from NHANES and KNHANES. PA and sedentary time were assessed using the Global Physical Activity Questionnaire. Logistic regression with stratified analyses and restricted cubic splines was used to assess associations. Racial subgroup analyses were also performed.</div></div><div><h3>Results</h3><div>Among 338 CRC cases (NHANES: n = 103, weighted population: 1,282,253; KNHANES: n = 235, weighted population: 190,811), sedentary time greater than 8 h/day (reference 0-&lt;4 h/day) was associated with CRC risk only among those with inactive PA (&lt;600 MET-min/week) (NHANES: OR = 3.37, 95 % CI: 1.03–11.05; KNHANES: OR = 1.47, 95 % CI: 0.82–3.46). Black and Asian individuals with inactive PA showed a higher CRC risk associated with higher sedentary time. Among participants with &gt;8 h sedentary time, higher PA levels (≥2000 MET-min/week) were associated with significantly reduced CRC risk in both datasets (NHANES: 2000–3999 MET-min/week, OR = 0.13, 95 % CI: 0.02–0.77; ≥4000 MET-min/week, OR = 0.08, 95 % CI: 0.01–0.75; KNHANES: 2000–3999 MET-min/week, OR = 0.36, 95 % CI: 0.11–0.98; ≥4000 MET-min/week, OR = 0.33, 95 % CI: 0.04–2.39). Joint analyses showed that individuals with active PA and low sedentary time were associated with reduced CRC risk.</div></div><div><h3>Conclusions</h3><div>Sedentary time was associated with higher CRC risk but only in individuals with inactive PA (&lt;600 MET-min/week). Higher levels of PA showed greater benefit for CRC risk in those with sedentary time &gt;8 h/day. The combination of active PA and low sedentary time was strongly associated with reduced CRC risk.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106115"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145885054","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}
引用次数: 0
Corrigendum to “The effect of Tai Chi exercise on physical and psychological health of college students with persistent fatigue after COVID-19 infection: A randomized controlled trial” [Public Health 251(2026) /106105] “太极拳运动对COVID-19感染后持续性疲劳大学生身心健康的影响:一项随机对照试验”[公共卫生251(2026)/106105]的更正。
IF 3.2 3区 医学
Public Health Pub Date : 2026-02-01 Epub Date: 2025-12-25 DOI: 10.1016/j.puhe.2025.106120
Jingyu Sun, Ke Yao, Hang Chu, Jiajia Chen, Changhong Du, Bin Li, Zhijie Yu, Ziqi Zhang, Tao Chen
{"title":"Corrigendum to “The effect of Tai Chi exercise on physical and psychological health of college students with persistent fatigue after COVID-19 infection: A randomized controlled trial” [Public Health 251(2026) /106105]","authors":"Jingyu Sun,&nbsp;Ke Yao,&nbsp;Hang Chu,&nbsp;Jiajia Chen,&nbsp;Changhong Du,&nbsp;Bin Li,&nbsp;Zhijie Yu,&nbsp;Ziqi Zhang,&nbsp;Tao Chen","doi":"10.1016/j.puhe.2025.106120","DOIUrl":"10.1016/j.puhe.2025.106120","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106120"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145835201","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}
引用次数: 0
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