Critical Public Health最新文献

Exploring healthcare personnel's knowledge, barriers, and innovative approaches in personalised oncology medicine: a scoping review. 探索医疗保健人员的知识、障碍和个性化肿瘤医学的创新方法：范围审查。

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-06-28 eCollection Date: 2025-01-01 DOI: 10.1080/09581596.2025.2520410

Shibu Shrestha, Gemma Watts, Susi Geiger

{"title":"Exploring healthcare personnel's knowledge, barriers, and innovative approaches in personalised oncology medicine: a scoping review.","authors":"Shibu Shrestha, Gemma Watts, Susi Geiger","doi":"10.1080/09581596.2025.2520410","DOIUrl":"10.1080/09581596.2025.2520410","url":null,"abstract":"Personalised medicine is widely utilised in oncology, and healthcare personnel are its main gatekeepers and implementers. This scoping review provides insights into the knowledge and attitudes of healthcare personnel toward personalised medicine for cancer, barriers and challenges faced, and innovative practices employed for the provision of personalised medicine. Extensive database searches identified 19,972 studies, of which 50 studies were included in the final review. The data was charted by two reviewers and analysed thematically. The knowledge of healthcare personnel of personalised medicine was mixed, with some studies reporting overall good knowledge (n = 2) while some reported poor knowledge among healthcare personnel (n = 4). There was high interest (63-95%) in furthering education and training in personalised medicine (n = 6). The commonly reported barriers and challenges were: limited reimbursement and insurance coverage mechanism (n = 11); insufficient education and training (n = 10); and lack of trained personnel to provide the service (n = 7). The innovations identified emphasised enhancing the skills and capacity of the existing workforce as well as using technologies to assist in timely decision-making. Overall, gaps were identified at the human resource, institutional, and systemic levels, which will need to be addressed to improve the provision of personalised medicine and healthcare personnel's confidence levels.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2520410"},"PeriodicalIF":2.3,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776789","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}

引用次数: 0

Who should mark the homework? Concussion, conflicts of interest, and the constitution of expertise. 谁来批改作业？脑震荡，利益冲突，以及专业知识的构成。

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-06-03 eCollection Date: 2025-01-01 DOI: 10.1080/09581596.2025.2507854

Gregory Hollin

{"title":"Who should mark the homework? Concussion, conflicts of interest, and the constitution of expertise.","authors":"Gregory Hollin","doi":"10.1080/09581596.2025.2507854","DOIUrl":"10.1080/09581596.2025.2507854","url":null,"abstract":"Concussion in sport is increasingly understood as a public health crisis. A key facet of this crisis concerns the claim that industry-funded research results in conflicts of interest that fundamentally compromise scholarship. This poses a particular problem for policymakers when adjudicating upon who counts as an expert and what to do with the evidence that they provide. In this paper, I explore these matters in relation to the 'Concussion in Sport' report produced by the UK's House of Commons's Digital, Culture, Media and Sport Committee. I ask, first, which stakeholders submit evidence to the Committee and, second, how evidence provided by those stakeholders is marshalled within the report itself. I show that, despite concerns about conflicts of interest, a significant body of interdisciplinary scholarship is submitted to the Committee. The report itself, however, understands academic scholarship as being both deficient and compromised, drawing exclusively upon epidemiological and neuroscientific work. I conclude by suggesting such an approach compromises the committee's own hope for an increasingly expansive notion of expertise.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2507854"},"PeriodicalIF":2.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762267","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}

引用次数: 0

Does One Health need an ontological turn? 一体健康需要本体论转向吗？

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-05-07 eCollection Date: 2025-01-01 DOI: 10.1080/09581596.2025.2497358

Andrea Kaiser-Grolimund, Salome A Bukachi, Julia Karuga, Laura Kämpfen, Frédéric Keck, Jakob Zinsstag, Hannah Brown

{"title":"Does One Health need an ontological turn?","authors":"Andrea Kaiser-Grolimund, Salome A Bukachi, Julia Karuga, Laura Kämpfen, Frédéric Keck, Jakob Zinsstag, Hannah Brown","doi":"10.1080/09581596.2025.2497358","DOIUrl":"10.1080/09581596.2025.2497358","url":null,"abstract":"One Health has gained global prominence in recent years. Alongside its emergence, there have been extensive social science critiques. In this contribution, we make the case for the value of recent theoretical discussions in the field of anthropology - sometimes referred to as an 'ontological turn'. We argue that taking theory seriously benefits One Health as an integrated approach that has interdisciplinary collaborations at its heart, but which encounters challenges when conversations based on different epistemological and ontological positions result in voices talking past each other. In this contribution, we offer two examples of what One Health specialists can gain from anthropologically-informed ontological thinking. Both require questioning ontological premises. Firstly, questioning assumptions about distinctions between animals and humans. Secondly, questioning the universality of biomedical knowledge. In the conclusion, we underline the importance of an ontological openness when it comes to the constitution and position of the actors as well as different bodies of knowledge that are involved in One Health and we show that talking to each other with awareness of different ontological positions is not impossible.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":"2497358"},"PeriodicalIF":2.3,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755088","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}

引用次数: 0

Then And Now: Umbrella Variables Mask Temporal Mechanisms Of Structural Racism In US Urban Environments. 过去和现在：伞式变量掩盖了美国城市环境中结构性种族主义的时间机制。

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-01-01 Epub Date: 2025-04-21 DOI: 10.1080/09581596.2025.2492798

Victoria Fisher, Allison Boretsky, Nicole Alkhouri, Nadia N Abuelezam

{"title":"Then And Now: Umbrella Variables Mask Temporal Mechanisms Of Structural Racism In US Urban Environments.","authors":"Victoria Fisher, Allison Boretsky, Nicole Alkhouri, Nadia N Abuelezam","doi":"10.1080/09581596.2025.2492798","DOIUrl":"10.1080/09581596.2025.2492798","url":null,"abstract":"Introduction: Racist urban development policies and capitalist municipal management have continued the cycle of poverty experienced by many in the US. Modeling this disadvantage often relies on composite, or \"umbrella\", socioeconomic variables. We argue that this approach obfuscates the temporal nature of social determinants. We propose organizing downstream consequences of structural racism by exposure duration-historical disenfranchisement and contemporary disadvantage-to assess their differential effect on excess all-cause mortality in an U.S. urban environment during the COVID-19 pandemic.Methods: ZIP-code tabulation area (ZCTA) 2020 and 2021 demographics were used to create an historical disenfranchisement index, a contemporary disadvantage index, and combined index (our proxy for a \"umbrella\" variable) for 210 ZCTAs in the Kansas City Metropolitan Area. Indices were dichotomized into \"above\" and \"below\" average, as well as a quadrant matrix index categorizing ZCTAs by \"above average\" in both, one index only, or neither. General linear models assessed the relationship between the indices and excess all-cause mortality. Model fit was compared by AIC.Results: Across all models, ZCTAs that experienced above average structural racism had significantly greater excess all-cause mortality than those with below average structural racism markers. The quadrant model (AIC = 3441) performed significantly better than the combined index (AIC = 3468.3) with a reduction in AIC of 27.2.Conclusion: Composite metrics of disadvantage may mask important distinctions in how mechanisms of structural racism are associated with health outcomes. This analysis provides support for place-based, historically sensitive health research.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12382364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977490","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}

引用次数: 0

The complexities of 'trust' in the context of COVID-19 vaccination choices among Black women in Alameda County, CA. 加利福尼亚州阿拉米达县黑人妇女COVID-19疫苗接种选择背景下的“信任”复杂性

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-01-01 Epub Date: 2025-04-12 DOI: 10.1080/09581596.2025.2486498

Megan Comfort, Rania Ali, Jennifer Lorvick, Jordana Hemberg, La Sonya A Goode, Megha Ramaswamy

{"title":"The complexities of 'trust' in the context of COVID-19 vaccination choices among Black women in Alameda County, CA.","authors":"Megan Comfort, Rania Ali, Jennifer Lorvick, Jordana Hemberg, La Sonya A Goode, Megha Ramaswamy","doi":"10.1080/09581596.2025.2486498","DOIUrl":"10.1080/09581596.2025.2486498","url":null,"abstract":"Many academic and media conversations about COVID-19 vaccination center on lower uptake among racially minoritized individuals due to what is characterized as 'mistrust.' In 'Is trust enough? Anti-Black racism and the perception of Black vaccine hesitancy,' Wilson argues that questioning Black people's trust in the COVID-19 vaccine fails to 'understand Black people as rational, complex beings who are fit to make reasonable decisions guided by complex factors.' In this study, we explore what shapes Black women's COVID-19 vaccination choices using data from 20 qualitative interviews conducted March-April 2022 with a sample of predominantly Black women in Alameda County, CA. Findings provide empirical evidence to support Wilson's argument that a narrow view of 'trust' over-simplifies Black women's comprehensive thinking about health decisions. Participants triangulated COVID-19 information sources and vetted this material with specific consideration of factors highly relevant to Black women's day-to-day lives: evidence of systemic or interpersonal racism in healthcare settings, management of chronic health conditions, and the importance of family. Many participants indicated that it was common for people in their networks to hold different perspectives on vaccination and they normalized these differences of opinions, expressing understanding of the socio-structural factors affecting the impact of the COVID-19 pandemic and vaccination choices.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12383278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977473","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}

引用次数: 0

Re-evaluating National Suicide Prevention Month: Strategic Timing and Enhanced Impact. 重新评估全国预防自杀月：战略时机和增强的影响。

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-01-01 Epub Date: 2025-06-24 DOI: 10.1080/09581596.2025.2522328

Jeanne M Ward, Alina Yang, Yaya Shi, Alexandra Haydinger, John R Blosnich

{"title":"Re-evaluating National Suicide Prevention Month: Strategic Timing and Enhanced Impact.","authors":"Jeanne M Ward, Alina Yang, Yaya Shi, Alexandra Haydinger, John R Blosnich","doi":"10.1080/09581596.2025.2522328","DOIUrl":"10.1080/09581596.2025.2522328","url":null,"abstract":"Awareness months are used as promotion strategies to enhance public health through increasing knowledge and behavioral change, including suicide prevention. However, given epidemiologic evidence and the historical impact of awareness months on health behaviors, the purpose of this paper is to encourage reconsideration of the current timing of suicide prevention month. In the U.S., most suicide deaths occur in May. The original National Suicide Prevention Week was established in May 1974 by the American Association of Suicidology. In the early 2000s, this week was moved to September to align with a global effort by the International Association for Suicide Prevention and the World Health Organization, establishing September 10th as World Suicide Prevention Day and September as National Suicide Prevention Month. This commentary reviews evidence around awareness months/weeks/days and provides a brief history of suicide prevention awareness wee development, inviting a deeper consideration of the timing of National Suicide Prevention Week with epidemiologic trends in suicide attempts and deaths. Specifically, if calendar-anchored campaigns successfully increase awareness and behavior change, then perhaps the placement of National Suicide Prevention Month in September is not maximizing benefit in the U.S. because epidemiologic evidence suggests suicides peak in late spring/early summer, making this a potentially better time to increase awareness campaigns. By aligning the awareness month with the peak of the phenomenon, enhanced suicide prevention awareness could reduce suicide attempts and deaths. Re-scheduling this effort would require nationwide coordinated conversations with stakeholder groups, including non-profit advocacy organizations, loss survivors, researchers, prevention programs, and care agencies.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755089","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}

引用次数: 0

Blending De-implementation and Implementation to Promote Adoption of Universal PrEP Guidelines: Determinants, Strategies, and Outcomes. 将非实施和实施相结合，促进采用普遍的预防工作指南：决定因素、战略和结果。

IF 3.1 3区医学

Critical Public Health Pub Date : 2025-01-01 Epub Date: 2025-04-30 DOI: 10.1080/09581596.2025.2498714

Jahn Jaramillo, Tyler S Bartholomew, Audrey Harkness

{"title":"Blending De-implementation and Implementation to Promote Adoption of Universal PrEP Guidelines: Determinants, Strategies, and Outcomes.","authors":"Jahn Jaramillo, Tyler S Bartholomew, Audrey Harkness","doi":"10.1080/09581596.2025.2498714","DOIUrl":"10.1080/09581596.2025.2498714","url":null,"abstract":"In 2021, the Centers for Disease Control and Prevention (CDC) proposed updated clinical practice guidelines for Pre-Exposure Prophylaxis (PrEP), marking a significant shift from risk-based screening to discussing PrEP with all sexually active adults. To ensure widespread adoption of new guidelines, this commentary posits that intentional de-implementation of the previous CDC guidelines is necessary to facilitate the adoption, implementation, and sustainment of new guidelines. Based on a review of the literature, the authors leveraged implementation science frameworks (i.e., CFIR, ERIC taxonomy, and RE-AIM) to map theoretical determinants, corresponding strategies, and outcomes in the context of de-implementing previous CDC guidelines for PrEP and simultaneously implementing the new guidelines. Potential barriers identified included resource constraints, staff capability, and structural characteristics of organizations that may impede de-implementation efforts. Potential facilitators included provider motivation and incentive systems that encourage providers to discuss PrEP with sexually active clients. Strategies like normalizing PrEP education and services, workflow redesign, and task-shifting could tackle workforce challenges. These strategies could aid in phasing out old guidelines, implementing new guidelines, increasing PrEP referrals, and reducing HIV incidence. Phasing out previous PrEP guidelines demands intentional (de-)implementation to enhance universal HIV prevention efforts and advance national plans for Ending the HIV Epidemic.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12199270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530963","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}

引用次数: 0

Modifiable Risk Factors for Hypertensive Disorders in Pregnancy. 妊娠期高血压疾病可改变的危险因素。

IF 2.3 3区医学

Critical Public Health Pub Date : 2025-01-01 Epub Date: 2025-03-20 DOI: 10.1080/09581596.2025.2480277

Mei-Wei Chang, Alai Tan, Joshua M Smyth, Duane T Wegener

{"title":"Modifiable Risk Factors for Hypertensive Disorders in Pregnancy.","authors":"Mei-Wei Chang, Alai Tan, Joshua M Smyth, Duane T Wegener","doi":"10.1080/09581596.2025.2480277","DOIUrl":"10.1080/09581596.2025.2480277","url":null,"abstract":"Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stress, prenatal distress, and prenatal depression. HDPs were defined as systolic blood pressure (BP) ≥ 130 mmHg or diastolic BP ≥ 80 mmHg. Data were collected at ≤ 17 weeks gestation (T1), 25-27 weeks gestation (T2), and 35-37 weeks gestation (T3). T-tests comparing those with and without HDP were performed to explore the associations. Results showed that folate and vitamin B12 were associated with HDPs at T1 and T2 (T1: d = -0.41, d = -0.52; T2: d = -0.43, d = -0.24). Psychological distress was positively associated with HDPs, but associations varied between timepoints and by measure - prenatal distress at all times (T1: d = 0.26; T2: d = 0.54, T3: d = 0.40), perceived stress at T3 (d = 0.34), and prenatal depression at T2 and T3 (T2, d = 0.47; T3: d = 0.68). In summary, micronutrient intake and psychological distress are associated with HDPs but varied by construct and across gestational age.","PeriodicalId":51469,"journal":{"name":"Critical Public Health","volume":"35 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12456229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139405","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}

引用次数: 0

Factors influencing patients’ engagement with ChatGPT for accessing health-related information 影响患者使用 ChatGPT 获取健康相关信息的因素

IF 2.8 3区医学

Critical Public Health Pub Date : 2024-09-02 DOI: 10.1080/09581596.2024.2348164

Fahad Alanezi

引用次数: 0

Indian dance (Bharatanatyam) to ease social loneliness and isolation in older adults 印度舞蹈（Bharatanatyam）缓解老年人的社会孤独感和隔离感

IF 2.8 3区医学

Critical Public Health Pub Date : 2024-08-05 DOI: 10.1080/09581596.2024.2384938

Sloka Iyengar

引用次数: 0