Public Health最新文献

{"title":"Public reporting guidelines for outbreak data: Enabling accountability for effective outbreak response by developing standards for transparency and uniformity","authors":"V. Grégoire ,&nbsp;A.W. Zhu ,&nbsp;C.M. Brown ,&nbsp;J.S. Brownstein ,&nbsp;D. Cardo ,&nbsp;F. Cumming ,&nbsp;R. Danila ,&nbsp;C.A. Donnelly ,&nbsp;J.S. Duchin ,&nbsp;M.A. Fill ,&nbsp;K. Fullerton ,&nbsp;S. Funk ,&nbsp;D. George ,&nbsp;S. Hopkins ,&nbsp;M.U.G. Kraemer ,&nbsp;M. Layton ,&nbsp;J. Lessler ,&nbsp;R. Lynfield ,&nbsp;J.M. McCaw ,&nbsp;T.D. McPherson ,&nbsp;C.M. Rivers","doi":"10.1016/j.puhe.2025.106102","DOIUrl":"10.1016/j.puhe.2025.106102","url":null,"abstract":"<div><h3>Objectives</h3><div>There are few standards for what information about an infectious disease outbreak should be reported to the public and when. To address this problem, we undertook a consensus process to develop recommendations for what epidemiological information public health authorities should report to the public during an outbreak.</div></div><div><h3>Study design</h3><div>We conducted a Delphi study following the steps outlined in the ACcurate COnsensus Reporting Document (ACCORD) for health-related activities or research.</div></div><div><h3>Methods</h3><div>We assembled a steering committee of nine experts representing federal and state public health, academia, and international partners to develop a candidate list of reporting items. We then invited 45 experts, 35 of whom agreed to participate in a Delphi panel. Of those, 25 participated in voting in the first round, 25 in the second round, and 25 in the third round, demonstrating consistent engagement in the consensus-building process. The final stage of the Delphi process consisted of a hybrid consensus meeting to finalize the voting items.</div></div><div><h3>Results</h3><div>The Delphi process yielded nine core reporting items representing a minimum standard for public outbreak reporting: numbers of new confirmed cases, new hospital admissions, new deaths, cumulative confirmed cases, cumulative hospital admissions, and cumulative deaths, each reported weekly and at Administrative Level 1 (typically state or province), and stratified by sex, age group, and race/ethnicity.</div></div><div><h3>Conclusions</h3><div>This minimum reporting standard creates a strong framework for uniform sharing of outbreak information and promotes consistency of data between jurisdictions, enabling effective response by promoting access to information about an unfolding epidemic.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106102"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792030","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":"Healthy lifestyle mitigates the impact of low-level air pollution on adverse pregnancy outcomes: Evidence from a population-based study","authors":"Chuan Li ,&nbsp;Rong Song ,&nbsp;Xin Yu ,&nbsp;Yanhong Fang ,&nbsp;Jiayuan Yang ,&nbsp;Zhiyuan Tang ,&nbsp;Shaoqi Wang ,&nbsp;Xunrong Cheng ,&nbsp;Jian Song ,&nbsp;Weizhuo Yi ,&nbsp;Rubing Pan ,&nbsp;Hong Su","doi":"10.1016/j.puhe.2025.106101","DOIUrl":"10.1016/j.puhe.2025.106101","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the association between low-level air pollution and adverse pregnancy outcomes, assess the potential mediating role of healthy lifestyle, and identify key modifiable behaviors.</div></div><div><h3>Study design</h3><div>Case-control study.</div></div><div><h3>Methods</h3><div>This study included a total of 231,331 female participants from the UK Biobank. A healthy lifestyle score was established based on non-smoking, moderate drinking, healthy diet, regular physical activity, and ideal BMI. Multivariable logistic regression model was used to explore the associations between low-level air pollution, healthy lifestyle and adverse pregnancy outcomes. The eXtreme Gradient Boosting (XGBoost) and SHapley Additive exPlanations (SHAP) were employed to elucidate the relative importance of these modifiable behaviors.</div></div><div><h3>Results</h3><div>Each 1 μg/m³ increase in PM_2.5, PM₁₀, NO₂, and NO_x was associated with an increased risk of low offspring birthweight. The odds ratios (95 % <em>CI</em>) were 1.046 (1.025–1.068) for PM_2.5, 1.015 (1.004–1.027) for PM₁₀, 1.007 (1.004–1.009) for NO₂, 1.003 (1.002–1.005) for NO_x. No significant associations were found between low-level air pollution and other adverse pregnancy outcomes. Participants with unfavorable lifestyle and higher low-level air pollution had the highest risk of low offspring birthweight. In the modeling study, a healthy diet, and ideal BMI were identified as main modifiable behaviors.</div></div><div><h3>Conclusions</h3><div>Low-level air pollution was still associated with reduced offspring birth weight. Adopting a healthy lifestyle, especially healthy diet, and ideal BMI, could help mitigate the risks of air pollution. These findings provide evidence to support integrated interventions that combine environmental regulation with lifestyle modification programs to reduce adverse pregnancy outcomes effectively.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106101"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783459","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 effect of Tai Chi exercise on physical and psychological health of college students with persistent fatigue after COVID-19 infection: A randomized controlled trial","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.2025.106105","DOIUrl":"10.1016/j.puhe.2025.106105","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to examine the impact of a 16-week Tai Chi program on the physical and mental health of college students (ages 18–20 years) with post-COVID-19 fatigue symptoms.</div></div><div><h3>Study design</h3><div>A randomized controlled trial.</div></div><div><h3>Methods</h3><div>Seventy students were randomly assigned to either a Tai Chi group (<em>n</em> = 35), participating in a 16-week Tai Chi exercise program (3 × 90 min/week), or a control group (<em>n</em> = 35), maintaining their usual routines. Physical and mental health were assessed before and after using various scales, including the Fatigue Scale 14, Pittsburgh Sleep Quality Index, Hamilton Anxiety Scale, the 10-item Kessler Psychological Distress Scale, Perceived Stress Scale, Self-Rating Depression Scale, the 36-Item Short Form Health Survey questionnaire (SF-36), International Physical Activity Questionnaire, and physical fitness data.</div></div><div><h3>Results</h3><div>The Tai Chi group showed significant improvements in fatigue, physical functioning (SF-36), balance (one foot with eyes closed), and squat performance compared to the control group (<em>p</em> &lt; 0.05). Sleep quality, habitual sleep efficiency, physical and social functioning, total physical activity, high-intensity activity, flexibility, and core strength (e.g., sit-ups) also improved significantly (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Tai Chi effectively reduces fatigue and enhances physical fitness, balance, and sleep in college students with post-COVID-19 fatigue symptoms.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106105"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758203","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":"Spatial zero-inflated poisson analysis of homicide mortality in Mexican municipalities, 2020","authors":"Emerson Augusto Baptista ,&nbsp;Claudio Alberto Dávila Cervantes","doi":"10.1016/j.puhe.2025.106107","DOIUrl":"10.1016/j.puhe.2025.106107","url":null,"abstract":"<div><h3>Objectives</h3><div>Homicide remains one of the most pressing public health challenges in Mexico, with mortality rates rising dramatically since 2006 in the context of escalating organized crime and militarized security strategies. Understanding its spatial distribution and structural determinants is essential for designing prevention strategies that address inequality, urbanization, and marginalization.</div></div><div><h3>Study design</h3><div>We employed a Spatial Zero-Inflated Poisson (S-ZIP) model to analyze homicide mortality across Mexico's municipalities.</div></div><div><h3>Methods</h3><div>We analyzed homicide mortality across 2469 Mexican municipalities in 2020 using data from the National Institute of Statistics and Geography (ICD-10 codes X85-Y09, Y87.1) and census-derived socioeconomic indicators. To account for excess zeros, overdispersion, and spatial dependence, we applied a Spatial Zero-Inflated Poisson (S-ZIP) model. The explanatory variables included the municipal marginalization index, the proportion of the urban population, and the Gini coefficient of income inequality. Spatial dependence was modeled through Besag-York-Mollié random effects.</div></div><div><h3>Results</h3><div>Results from the Spatial Zero-Inflated Poisson model showed significant associations between the explanatory variables and homicide mortality, with urbanization and income inequality increasing the risk and reducing the probability of zero homicides. While all covariates were statistically significant, the effect of marginalization partly reflected unmodeled spatial patterns. The model further estimated that nearly one-quarter of Mexican municipalities had a structural zero probability of homicides. Overall, the findings highlight substantial territorial heterogeneity in homicide mortality across the country.</div></div><div><h3>Conclusions</h3><div>Homicide mortality in Mexico is shaped by structural inequalities and spatial clustering. By framing lethal violence as a public health issue, our findings support geographically targeted policies that reduce inequality, address risks linked to urbanization and strengthen institutional and community resilience.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106107"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926421","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":"Women's initial preferences for self-sampling tests at home for cervical cancer screening in the UK: A mixed-methods analysis of demographic and behavioural factors","authors":"Y. Eraso ,&nbsp;D. Stefler ,&nbsp;V. Whitelock ,&nbsp;E. Clarke ,&nbsp;D. Williams","doi":"10.1016/j.puhe.2025.106109","DOIUrl":"10.1016/j.puhe.2025.106109","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify the demographic and behavioural factors associated with cervical screening preferences if a choice of test, health professional-collected samples or self-sampling at home, is implemented in the UK; and the behavioural barriers to self-sampling at home.</div></div><div><h3>Study design</h3><div>A mixed-methods study of secondary data.</div></div><div><h3>Methods</h3><div>We used data from the Cancer Research UK CAM + survey (February 2023) and performed a quantitative regression analysis to examine the associations between demographics, behavioural factors, screening behaviours, and screening preferences of the UK population aged 25–64. Unadjusted and multivariable adjusted logistic regression models were used. Qualitative content analysis was used for free text comments on behavioural barriers to self-sampling and mapped onto the Theoretical Domains Framework.</div></div><div><h3>Results</h3><div>Analytical sample (n = 906). Test preference: Self-sampling (45.4 %); health professional-collected samples (41.1 %); and no test preference (13.6 %). Preference for self-sampling was significantly associated with older groups and psychosocial barriers (motivation and physical opportunity) regarding health professional-collected samples. Individuals with no test preference were the youngest and older groups, from low social grade and living with a partner. Behavioural barriers included test reliability and ability to do the test (motivation) and information needs (capability).</div></div><div><h3>Conclusions</h3><div>Home seems a suitable setting for self-sampling, and it could alleviate many barriers faced to health professional-collected samples. Yet introducing test options did not allow all individuals a compelling basis for preference. Specific behaviour change techniques for identified barriers are proposed for this group. Ultimately, if choice is offered, future screening guidelines should consider how to address individuals with no test preference.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"251 ","pages":"Article 106109"},"PeriodicalIF":3.2,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783505","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":"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}

{"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}

{"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}

{"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}

{"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}