Public Health最新文献

{"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}

{"title":"Armed conflict and treatment interruptions: A systematic review and meta-analysis in Amhara, Ethiopia","authors":"Mihretie Gedfew,&nbsp;Addisu Getie,&nbsp;Temesgen Ayenew,&nbsp;Baye Tsegaye Amlak,&nbsp;Mengistu Abebe Meselu,&nbsp;Abebe Dilie Afenigus,&nbsp;Haile Amha","doi":"10.1016/j.puhe.2025.01.039","DOIUrl":"10.1016/j.puhe.2025.01.039","url":null,"abstract":"<div><h3>Background</h3><div>Armed conflicts significantly disrupt healthcare systems, leading to infrastructure destruction, shortages of medical supplies, and reduced access to essential health services. The Amhara region has experienced prolonged conflict, raising concerns about its impact on healthcare delivery. Understanding the extent of these disruptions is crucial for informing policy responses and humanitarian interventions.</div></div><div><h3>Objectives</h3><div>This systematic review and meta-analysis aimed to assess the impact of armed conflict on healthcare delivery in the Amhara region.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Conducted between June 1 and July 10, 2024, this meta-analysis followed PRISMA guidelines. A comprehensive search was performed across PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, ScienceDirect, and the Cochrane Library. Eligible studies included English-language observational studies and grey literature addressing healthcare disruptions, infrastructure damage, and health crises. Data were analyzed using STATA Version 14, and study quality was assessed using a modified Newcastle-Ottawa Scale.</div></div><div><h3>Results</h3><div>Twelve studies, encompassing 12,037,279 participants, were included. The pooled prevalence of health impacts was 76.71 % (95 % CI: 76.63–76.78). The conflict rendered 60 % of healthcare facilities nonfunctional, disrupted medical supplies for 70 % of the population, and reduced service availability by 80 %. Chronic disease management, mental health services, maternal care, and immunization programs experienced significant declines. Subgroup analyses indicated a higher prevalence of health impacts in studies published after 2022 (70.72 %) compared to those published before 2022 (28.35 %).</div></div><div><h3>Conclusion</h3><div>Armed conflict in the Amhara region has severely disrupted healthcare services, leading to facility closures, medical supply shortages, and significant declines in essential health services. Urgent interventions are required to restore healthcare infrastructure and services.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 122-128"},"PeriodicalIF":3.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436769","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":"Protective effect of optimal vegetable intake on blood pressure levels in children","authors":"Fenglin Xu ,&nbsp;Sipei Xu ,&nbsp;Ping Qu ,&nbsp;Haiying Zhong ,&nbsp;Lanlin Chen ,&nbsp;Xizhou An ,&nbsp;Jingyu Chen ,&nbsp;Xiaohua Liang","doi":"10.1016/j.puhe.2025.01.035","DOIUrl":"10.1016/j.puhe.2025.01.035","url":null,"abstract":"<div><h3>Objectives</h3><div>Studies about the relationship between vegetable intake and blood pressure (BP) in children were relatively scarce. The aim of this study was to explore the impact of vegetable consumption on children's BP and to find an appropriate vegetable consumption amount.</div></div><div><h3>Study design</h3><div>Cross-sectional and Longitudinal Study.</div></div><div><h3>Methods</h3><div>The study included 10,391 children aged 6–12 years from a cohort established in 2014, with a mean age of 9.24(7.76,10.83) years, of which 1863 children (in grades 1 to 2 at baseline) followed up in 2019. A multiple linear and logistic regression model was used to analyze the relationship between vegetable intake and BP levels or elevated BP in children, as well as performed in subgroups.</div></div><div><h3>Results</h3><div>The samples was categorized into three groups(Q₁-Q₃) according to the amount of vegetable intake per unit body weight (Kg), with vegetable intake of &lt;3.85, 3.85–7.80, ≥7.80 g/d × kg respectively. Vegetable intake in Q₃ group showed a relatively lower systolic BP(SBP), diastolic BP(DBP), mean arterial pressure (MAP). By linear regression analysis, vegetable intake was negatively associated with SBP in children. And it is more obvious among males, children aged &gt;9 years and those living in countryside. The logistic regression showed that the intake of vegetables may reduce a risk of elevated BP in children. Furthermore, a consumption of vegetable ≥7.80 g/d × kg had a significant protective effect on children's BP. The follow-up study results also showed that children with a consumption of vegetable ≥7.80 g/d × kg had the lowest SBP, compared to the highest blood pressure group (&lt;3.85 g/d × kg) in 2019. Moreover, the recommended vegetable intake for children with normal weight is 100–250 g/d, while those who are overweight and obese are recommended to consume &gt;250 g/d of vegetables.</div></div><div><h3>Conclusion</h3><div>Vegetable intake may protect BP levels in children, and vegetable intake in the range of ≥7.80 g/d × kg was a recommended dosage for children's BP protection.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 129-136"},"PeriodicalIF":3.9,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444274","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":"Global, regional, and national burden of diabetes and its risk factors in women of child-bearing age, from 1990 to 2021","authors":"Yubo Liu ,&nbsp;Chenxi Liu ,&nbsp;Jie Liu ,&nbsp;Lei Lei ,&nbsp;Liao Tan","doi":"10.1016/j.puhe.2025.02.004","DOIUrl":"10.1016/j.puhe.2025.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>To present a detailed analysis of temporal trends in the burden of diabetes mellitus (DM) among women of childbearing age (WCBA) across global and regional levels from 1990 to 2021.</div></div><div><h3>Study design</h3><div>Population-based Study.</div></div><div><h3>Methods</h3><div>This study extracted prevalence, disability-adjusted life years (DALYs), and risk factors in WCBA from the Global Burden of Disease (GBD) database. The average annual percent change (AAPC) was utilized to evaluate the evolving trends in the burden of DM.</div></div><div><h3>Results</h3><div>From 1990 to 2021, the global age-standardized prevalence of diabetes in WCBA rose from 1.80 % to 4.06 %, with an AAPC of 2.68 %. While the age-standardized prevalence of type 1 DM (T1DM) has grown and the age-standardized DALYs associated with T1DM declined from 51.8 to 47.4 per 100,000 population. Conversely, the age-standardized DALYs rate for type 2 DM (T2DM) nearly doubled from 183.8 to 353.8 per 100,000 population. The DALYs rate for total DM rose almost three times faster in countries with high-middle Sociodemographic Index (SDI) compared to those with low SDI (AAPC: 2.10 % versus 0.71 %). High fasting plasma glucose (HFPG) levels remained the most significant risk factor for DALYs, while high body-mass index (BMI) and low physical activity for T2DM exhibited the largest increases in this period.</div></div><div><h3>Conclusions</h3><div>From 1990 to 2021, a global upward trend in the prevalence of DM among WCBA has been observed. HFPG remains a major risk factor for both T1DM and T2DM, while high BMI and low physical activity have emerged as significant challenges in managing T2DM.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 99-106"},"PeriodicalIF":3.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427943","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 road traffic noise exposure and heart failure: A systematic review and meta-analysis of prospective cohort studies","authors":"Mingliang Liu ,&nbsp;Xia Chen ,&nbsp;Guangjun Zheng ,&nbsp;Biying Zhou ,&nbsp;Zhenger Fang ,&nbsp;Haiyan Chen ,&nbsp;Xiaohua Liang ,&nbsp;Guang Hao","doi":"10.1016/j.puhe.2025.01.029","DOIUrl":"10.1016/j.puhe.2025.01.029","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the relationship between road traffic noise exposure and heart failure.</div></div><div><h3>Study design</h3><div>A systematic review and meta-analysis was conducted.</div></div><div><h3>Methods</h3><div>We systematically searched eight databases (PubMed, Embase, Scopus, Cochrane, Web of Science, CNKI, Wanfang Data, and Chinese Biomedical Literature Database) through July 2024 to identify cohort studies on road traffic noise exposure and heart failure according to a priori inclusion criteria. The random effect model was adopted to summarize the effect estimates. Using the piecewise linear model, the dose-response relationship between road traffic noise exposure and heart failure was also estimated.</div></div><div><h3>Results</h3><div>This meta-analysis included eight cohort studies including 8,601,385 participants and 221,842 patients with heart failure. Overall, higher road traffic noise exposure was associated with an increased risk of heart failure (pooled HR = 1.12, 95 % CI: 1.06–1.18) with high heterogeneity (<em>I</em>^<em>2</em> = 87.8 %, p &lt; 0.001, τ² = 0.004, Q-statistic = 57.31). Piecewise linear model showed an obvious linear relationship between exposure to road traffic noise above 50 dB and heart failure (p &lt; 0.001), and the risk of heart failure increased by 7 % per 10 dB increase in road traffic noise exposure.</div></div><div><h3>Conclusions</h3><div>The existing evidence showed a significant correlation between road traffic noise exposure and the incidence of heart failure. Further studies are required to explain the potential biological mechanisms.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 107-114"},"PeriodicalIF":3.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427942","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":"Interaction between polygenic risk score and reproductive factors in relation to lung cancer risk among Singaporean Chinese women","authors":"Xin Yin ,&nbsp;Jin Fang Chai ,&nbsp;Gillianne Geet Yi Lai ,&nbsp;Daniel Shao Weng Tan ,&nbsp;Darren Wan-Teck Lim ,&nbsp;Adeline Seow ,&nbsp;Xueling Sim ,&nbsp;Wei Jie Seow","doi":"10.1016/j.puhe.2024.12.050","DOIUrl":"10.1016/j.puhe.2024.12.050","url":null,"abstract":"<div><h3>Objectives</h3><div>Studies have shown that reproductive factors can influence hormone levels in females, potentially affecting the risk of developing lung cancer. However, it remains unclear whether this association is modified by genetic variants.</div></div><div><h3>Study design</h3><div>Age-matched case-control study.</div></div><div><h3>Methods</h3><div>Reproductive factors included menopausal status, age at menopause, hormone use, hysterectomy and oophorectomy. Odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between reproductive factors and lung cancer risk were estimated using a multivariable conditional logistic regression model. A polygenic risk score (PRS) was calculated using a clumping plus thresholding approach. Gene-environment interactions between reproductive factors and PRS on lung cancer risk were evaluated.</div></div><div><h3>Results</h3><div>Our analysis included a total of 2910 female participants (1455 cases and 1455 controls). Compared to women with no surgical history, those who had undergone hysterectomy (OR = 1.41, 95 % CI = 1.10–1.82) or oophorectomy (OR = 1.52, 95% CI = 1.15–2.02) were associated with an increased risk of lung cancer. A PRS for lung cancer derived from 7 genetic variants showed a linear association with lung cancer risk (<em>P</em>_trend &lt; 0.001). After adjusting for false discovery rate (FDR), we found a borderline non-significant interaction between hormone use and PRS on lung cancer risk (<em>P</em>_{interaction-FDR} = 0.05).</div></div><div><h3>Conclusions</h3><div>Women with a history of hysterectomy or oophorectomy had a higher risk of lung cancer compared to those without such surgical history, highlighting the need for targeted prevention strategies in this high-risk population. No significant effect modification by the lung cancer PRS was observed in the associations between reproductive factors and lung cancer risk. Larger prospective studies are warranted to validate these findings.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 115-121"},"PeriodicalIF":3.9,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143427944","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: Letter to the Editor of Public Health in response to 'Association……'? between low fluoride exposure and children's intelligence: A meta-analysis relevant to community water fluoridation'","authors":"Jayanth V. Kumar,&nbsp;Mark E. Moss,&nbsp;Honghu Liu,&nbsp;Susan Fisher-Owens","doi":"10.1016/j.puhe.2025.01.014","DOIUrl":"10.1016/j.puhe.2025.01.014","url":null,"abstract":"","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 181-185"},"PeriodicalIF":3.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450728","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":"Risk factors for child abuse and neglect: Systematic review and meta-analysis","authors":"Zhidi Luo,&nbsp;Yeyige Chen,&nbsp;Richard A. Epstein","doi":"10.1016/j.puhe.2025.01.028","DOIUrl":"10.1016/j.puhe.2025.01.028","url":null,"abstract":"<div><h3>Objectives</h3><div>Child maltreatment is a major public health issue associated with adverse outcomes and societal costs, yet its risk factors lack contemporary quantitative synthesis. This review aims to identify and quantify individual, familial, community, and societal risk factors associated with different types of child maltreatment and explore patterns across maltreatment types.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This study followed PRISMA guidelines and reviewed literature on child maltreatment from 2013 to 2023. Eligible studies focused on physical, sexual, emotional abuse, neglect, and multi-type maltreatment in children under 18. Databases used included PubMed, PsycINFO, and Web of Science. Data was extracted and analyzed using meta-analysis with fixed and random effects models. Risk of bias was assessed using the ROBINS-I tool, and sensitivity and subgroup analyses were performed. Certainty of evidence was evaluated using the GRADE approach.</div></div><div><h3>Results</h3><div>Of 5554 identified studies, 42 met inclusion criteria. Significant results include: male children showed higher odds of physical abuse (OR:1.49). Employed families, higher family education, older parental age, and higher family income had lower odds of maltreatment (OR from 0.51 for income to 0.99 for parental age). Larger family size, parental mental health, maltreatment history, and substance use had higher odds of maltreatment (OR from 1.07 for family size to 5.21 for mental health). Urban areas had lower odds of physical abuse (OR: 0.88).</div></div><div><h3>Conclusions</h3><div>Findings underscore the importance of addressing identified risk factors at multiple levels, with implications for practice, policy, and future research to refine prevention strategies and promote child well-being.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 89-98"},"PeriodicalIF":3.9,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422445","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":"A comparison of office workers’ co-creation experiences: A Health CASCADE multiple case study","authors":"Lauren McCaffrey ,&nbsp;Janneke deBoer ,&nbsp;Mira Vogelsang ,&nbsp;Maria Giné-Garriga ,&nbsp;Bryan McCann ,&nbsp;Philippa Dall","doi":"10.1016/j.puhe.2025.01.034","DOIUrl":"10.1016/j.puhe.2025.01.034","url":null,"abstract":"<div><h3>Objectives</h3><div>Co-creation can used to develop public health interventions, improve their effectiveness, and increase intervention uptake through engaging stakeholders, but there is little in-depth exploration of the co-creators’ experience of taking part. Understanding the experience of taking part in a co-creation process can enhance future participation experiences, promote engagement and help design better co-creation processes in the future. The objective of this study was to explore the experiences of co-creators (i.e., office workers) involved in the co-creation process to address workplace sedentary behaviour.</div></div><div><h3>Study design</h3><div>Multiple case study.</div></div><div><h3>Methods</h3><div>Three small-to-medium sized enterprises participated in separate co-creation processes. Data were generated from observations during the workshops and semi-structured interviews (n = 31) employing elicitation techniques conducted after the co-creation process was completed. Each of the three cases were analysed separately (using thematic analysis), which then informed the cross-case comparison, the focus of this study.</div></div><div><h3>Results</h3><div>Comparison of co-creators' experiences across the three cases identified psychological, emotional, social and cognitive experiences which occurred before, during and after the co-creation process. The analysis identified both intended (e.g., sedentary behaviour awareness) and unintended (e.g., forming relationships) outcomes from these experiences. These experiences and outcomes were influenced by factors such as workplace environment and structure, design of the co-creation process and how it was facilitated, highlighting the interplay between the co-creation context and the broader work context.</div></div><div><h3>Conclusion</h3><div>This study contributes to the understanding of co-creation experience in the workplace setting. Recommendations were derived from using an iterative reflection process of the three cases.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"241 ","pages":"Pages 75-82"},"PeriodicalIF":3.9,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422443","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}