Public Health Nursing最新文献

{"title":"Women's Experience of Human Papillomavirus Self-Sampling in Cervical Cancer Screening Programs: A Scoping Review.","authors":"Cecilia Gabriel Holst, Birgitte Nørgaard, Michael Marcussen","doi":"10.1111/phn.70203","DOIUrl":"https://doi.org/10.1111/phn.70203","url":null,"abstract":"<p><p>This study aimed to map, identify, and synthesize women's experiences with human papillomavirus (HPV) self-sampling in cervical cancer screening programs. The study was conducted as a scoping review, reported in accordance with PRISMA-ScR. Studies involving women of all nationalities who had been offered HPV self-sampling were included, of any qualitative study design, and published at any date in either English or a Scandinavian language. Systematic searches were conducted in the PubMed, CINAHL, PsycInfo, and EMBASE databases in May 2023, in September 2024, and in August 2025. Data were systematically charted by study characteristics, and the main findings were reported narratively. A total of 25 studies reporting qualitative or mixed methods were included. The synthesis resulted in three themes generated from the women's perspective: Women's perceptions of HPV self-sampling, Women's experiences of health professionals' HPV sampling, and Women's perceptions of community HPV sampling. Women experienced self-sampling to be highly acceptable with feelings of control over their own bodies, comfort in the procedure, and time-saving benefits. Some women experienced a lack of confidence in taking the sample themselves. The experience was influenced by the relationship with health professionals, for example, due to previous traumatic experiences, and by the women's immediate community, for example, relationships with other women or partners.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149327532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multilevel Strategies to Reduce Prostate Cancer Disparities among Black Men in Underserved Communities in Memphis, TN: A Scoping Review.","authors":"Fred Reed, Tracie Augusta, Annapoorna Mary","doi":"10.1111/phn.70206","DOIUrl":"https://doi.org/10.1111/phn.70206","url":null,"abstract":"<p><p>This scoping review mapped and synthesized multilevel interventions that may mitigate disparities in prostate cancer early detection, guideline-concordant treatment, and survival among Black men aged 40-75 in underserved Memphis communities. PubMed/MEDLINE, CINAHL, Embase, and Web of Science were searched for English-language evidence published from January 1990 through September 2025. Two reviewers independently screened citations and extracted data, and findings were synthesized narratively following PRISMA-ScR. Eight sources were included. Socioeconomic instability, insurance gaps, transportation constraints, limited health literacy and numeracy, medical mistrust, and clinician underrepresentation were associated with delayed or inequitable care. The evidence supported five connected themes: population and context, equity-focused multilevel strategies, beliefs and psychosocial mechanisms, care processes and behaviors, and clinical and equity outcomes. Community-embedded, equity-focused strategies led by nurses and community health workers may help reduce prostate cancer disparities among Black men in Memphis. Direct evidence for Memphis-specific interventions and Black male nurse representation remains limited.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149327531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation to Chronic Disease as a Mediator Between Health Literacy and Frailty in Older Adults: Implications for Public Health Nursing Practice.","authors":"Gizem YağızÇelebioğlu, Melike Yalçın Gürsoy","doi":"10.1111/phn.70170","DOIUrl":"10.1111/phn.70170","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether adaptation to chronic disease mediates the relationship between health literacy and frailty among older adults with chronic illnesses.</p><p><strong>Design: </strong>A cross-sectional design.</p><p><strong>Sample: </strong>The study included 398 older adults aged 65 years and over attending routine outpatient visits at a public hospital in western Türkiye.</p><p><strong>Measurements: </strong>Data were collected through face-to-face interviews using the Turkish Health Literacy Scale-32 (THLS-32), Adaptation to Chronic Disease Scale (ACDS), and FRAIL Scale. Correlation and mediation analyses were conducted performed with bootstrapping (5000 resamples).</p><p><strong>Results: </strong>Nearly half of the participants (46.0%) had inadequate health literacy, and 53.8% were classified as frail. Health literacy was positively correlated with adaptation to chronic disease (r = 0.425, p < 0.001) and negatively correlated with frailty (r = -0.356, p < 0.001). Adaptation to chronic disease was negatively associated with frailty (r = -0.385, p < 0.001). Mediation analysis showed that adaptation to chronic disease partially mediated the relationship between health literacy and frailty (β = -0.030, 95% CI [-0.038, -0.023]).</p><p><strong>Conclusions: </strong>Adaptation to chronic disease was found to partially mediate the association between health literacy and frailty in older adults. Enhancing health literacy through nurse-led education and counseling may support adaptation and may contribute to frailty prevention among older adults.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1534-1539"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Scope of Public Health Nursing: Past, Present, and Future.","authors":"Kim Curry","doi":"10.1111/phn.70176","DOIUrl":"10.1111/phn.70176","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1441-1442"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Nursing and Medical Students' Attitudes Towards Sustainable Environmental Education Across Eight MENA Countries: A Multinational Cross-Sectional Study.","authors":"Hussein Kadhim Hussein, Alaa Hamza Hermis, Ammar Abdulhamza Abdulhassan, Kahtan Hadi Hussein, Wissam Mohammed Kareem, Taliaa Mohsen Al-Yafeai, Nasiru Mohammed Abdullahi, Nadia Mohamed Ibrahim Wahba, Nada Ab Hweissa, Saleh Zaghir Mohammed Alhetar, Fatima Adnan Hallaj, Ahmed Dahshan, Ahmed Khalaf Mekdad, Marwa Ibrahim Mahfouz Khalil, Zainalabideen Yasser Jumaa, Basma Salameh, Adam Mahmoud Salameh Khraisat, Nawara Khirallah Abd El Fatah, Zeyad Yassin, Ghada Ahmed Hassan, Hosny Maher Sultan Sultan, Ayman Mohamed El-Ashry, Khulud Ahmad Rezq, Tarek M Selim","doi":"10.1111/phn.70185","DOIUrl":"10.1111/phn.70185","url":null,"abstract":"<p><strong>Objective: </strong>To assess sustainability awareness, behaviors, attitudes, and commitment among nursing and medical students in eight MENA countries, and to identify predictors of commitment to sustainability in future practice.</p><p><strong>Design and sample: </strong>A multinational cross-sectional survey (n = 2,284) of eligible students (≥ 18 years) from Iraq, Egypt, Yemen, Libya, Saudi Arabia, Palestine, Syria, and Oman.</p><p><strong>Measurements: </strong>Data were collected using a demographics/awareness tool; the 29-item Behavior Scale Towards Sustainable Environmental Education; the 5-item Sustainability Attitudes in Nursing Survey-2; and a 5-item commitment scale. All instruments underwent forward-backward Arabic translation and pilot testing.</p><p><strong>Results: </strong>Awareness and sustainability behaviors were moderate. Energy-saving practices were the most common behavior. Although attitudes toward sustainability in healthcare education were generally positive, only 11.8% of students described themselves as \"very committed.\" Country, income, and academic level were significantly associated with awareness and behavior. In regression analysis, self-reported behavior (β = 0.464), awareness (β = 0.166), and attitude (β = 0.134) significantly predicted commitment (R² = 0.385).</p><p><strong>Conclusion: </strong>Commitment to sustainability was most strongly associated with self-reported sustainability behavior, followed by awareness and attitudes; however, the cross-sectional self-report design prevents causal or enacted-behavior interpretations. Curricula should emphasize applied, practice-based sustainability training, and future longitudinal or intervention studies should test whether such training improves sustainable practice over time. Limitations include self-report, non-probability sampling, and cross-sectional design.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1606-1615"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Green Intentions and Advocacy in Health Care Settings: Boosting Nurses' Sustainability Consciousness.","authors":"Ahmed Abdellah Othman, Faisal Khalaf Alanazi, Hanan Abdelrazik Abdelall, Hind Ismail Ali","doi":"10.1111/phn.70158","DOIUrl":"10.1111/phn.70158","url":null,"abstract":"<p><strong>Aim: </strong>To boost nurses' sustainability consciousness and assess how that shapes their green Behavioral intentions and advocacy behaviors in their healthcare settings.</p><p><strong>Design: </strong>A quasi-experimental research design METHODS: This study was conducted at Sohag University Hospitals, Sohag, Egypt. A total of 123 nurses were voluntarily recruited to participate. Data were collected using three instruments: the Sustainability Consciousness Scale, the Green Behavioral Intention Scale, and the Green Advocacy Scale. The study was conducted over a four-month period from April to July 2024 and a sustainability consciousness education program provide for the participants.The data were analyzed using SPSS version 26.0, employing descriptive statistics, independent and paired t-tests, as well as the PROCESS macro technique.</p><p><strong>Results: </strong>A statistically significant difference was found between the intervention and control groups in the mean scores of sustainability consciousness (103.76 ± 21.81 vs. 71.63 ± 22.31), green advocacy (11.50 ± 2.06 vs. 8.16 ± 2.37), and green behavioral intention (12.32 ± 2.37 vs. 7.08 ± 2.67), with all differences being highly significant (p < 0.001).</p><p><strong>Conclusion: </strong>The educational program for nurses was effective in increasing participants' knowledge, attitudes, and behaviors related to sustainability consciousness. The program also positively influenced key outcomes, including green behavioral intention and green advocacy. Green behavioral intention among nurses was found to play a strong mediating role in the relationship between sustainability consciousness and green advocacy. Accordingly, it is recommended that continuous staff development programs focusing on climate change and sustainability be implemented for all nurses to empower them to act as green advocates for patients and the wider community.</p><p><strong>Implications: </strong>The future of the nursing profession depends on building well-educated and environmentally responsible nurses who are capable of addressing the risks associated with climate change. This can be achieved through continuous education for both experienced and newly graduated nurses to ensure they possess adequate knowledge, skills, and behaviors that support healthcare organizations in promoting and sustaining a green environment.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1577-1585"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Education and a Short Animated Film to Promote Climate Change Prevention: A Randomized Controlled Trial of Pregnant Women's Awareness and Hope.","authors":"Süreyya Kılıç, Yasemin Erkal Aksoy, Sema Dereli Yılmaz","doi":"10.1111/phn.70167","DOIUrl":"10.1111/phn.70167","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to evaluate the effects of climate change prevention education and a short animated film on pregnant women's levels of awareness and hope.</p><p><strong>Background: </strong>Climate change poses significant risks to maternal and fetal health, and pregnancy provides a unique opportunity to raise awareness and promote preventive behaviors.</p><p><strong>Design: </strong>A single-blind randomized controlled trial METHODS: This study was conducted between November 1, 2024, and July 17, 2025, at the antenatal outpatient clinics of the Obstetrics Department of Konya City Hospital in Konya/Türkiye. The intervention group received a 30-min face-to-face training session based on WHO guidelines. Two weeks later, they were shown a short animated film online. The control group received routine antenatal care only. Data collection tools included the Climate Change Awareness Scale for Pregnant Women (CCASPW), the Climate Change Hope Scale (CCHS), and Climate Change-Related Questions. Descriptive statistics, the independent samples t-test, the chi-square test, the McNemar-Bowker test, and multivariate analysis of covariance (MANCOVA) were used to analyze the data.</p><p><strong>Results: </strong>In the intervention group, significant increases were observed in the total and all subscale scores of the CCASPW, as well as in the total, personal-sphere willpower and waypower, and collective-sphere willpower and waypower subscale scores of the CCHS. No significant changes were observed in the control group.</p><p><strong>Conclusions: </strong>This study showed that climate change prevention education combined with a short animated film significantly increased awareness and hope among pregnant women. The improvements in knowledge, attitudes, and behaviors indicate that this intervention positively influenced cognitive awareness.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1449-1463"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Divergent Trends in Hospitalizations and Mortality From Diabetes and Hypertension: A Population-Based Time-Series Study With Implications for Public Health Nursing in Southern Brazil.","authors":"Gabriel Pavinati, Marcos Vinícius Lopes, Aliny de Lima Santos, Mariana Aleixo Terci, Pedro Augusto Bossonario, Edileuza de Fátima Rosina Nardi, Lucas Vinícius de Lima","doi":"10.1111/phn.70168","DOIUrl":"10.1111/phn.70168","url":null,"abstract":"<p><strong>Objective: </strong>To analyze temporal trends in hospitalization and mortality rates due to diabetes mellitus and hypertension in the state of Paraná, Brazil.</p><p><strong>Design: </strong>Population-based ecological time-series study.</p><p><strong>Sample: </strong>Residents of the state of Paraná, Southern Brazil, from 2014 to 2024.</p><p><strong>Measurements: </strong>Annual hospitalization and mortality rates per 100,000 inhabitants due to diabetes mellitus and hypertension were calculated using national health information systems and stratified by sex and age group.</p><p><strong>Analytic strategy: </strong>Joinpoint regression models were applied to estimate annual and average annual percent changes and identify temporal inflection points.</p><p><strong>Results: </strong>Hospitalization rates declined for both conditions across most population groups, particularly among older adults. In contrast, mortality rates increased over much of the study period, especially among younger and middle-aged adults, with stabilization only in recent years. Divergent trends between hospitalizations and mortality were consistent across sex and age strata.</p><p><strong>Conclusions: </strong>Declining hospitalization rates do not necessarily indicate improved population health outcomes. The coexistence of reduced hospitalizations and increased mortality highlights gaps in early diagnosis, continuity of care, and longitudinal management of chronic conditions. These findings underscore the need for public health nursing strategies that integrate surveillance data, strengthen primary care follow-up, and address upstream determinants of chronic disease outcomes.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1464-1471"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between the Dietary Inflammatory Index and Cognitive Frailty in Older Adults: A Cross Sectional Analysis of NHANES Data.","authors":"Zihan Yi, Na Zhou, Zikejimu Sun, Xiaochu Liu, Chengchuan Chen","doi":"10.1111/phn.70154","DOIUrl":"10.1111/phn.70154","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cognitive frailty (CF) is a prevalent geriatric syndrome associated with increased risks of falls, hospitalization, disability, and all-cause mortality among older adults. Emerging evidence suggests that chronic inflammation may contribute to the pathophysiology of CF, while dietary patterns can modulate inflammatory responses. The Dietary Inflammatory Index (DII) is a validated tool for quantifying the inflammatory potential of diet. Although higher DII scores have been associated with physical frailty and cognitive impairment, the association between DII and CF remains unclear.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To investigate the association between DII and CF in older adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a secondary analysis of cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) 2011-2014 cycles, comprising 2386 eligible participants. Participants were categorized into tertiles according to their DII scores: T1 (n = 709), T2 (n = 763), and T3 (n = 914). Survey-weighted logistic regression analyses were performed to examine the association between DII and CF. To examine potential nonlinear relationships, restricted cubic spline (RCS) regression was performed with three knots positioned at the 10th, 50th, and 90th percentiles of the DII distribution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The prevalence of CF in the study sample was 14.9%, and the survey-weighted prevalence increased across DII tertiles, from 4.9% in the lowest tertile to 8.1% in the middle tertile and 16.6% in the highest tertile. Participants with CF had higher DII scores than those without CF (4.3 [IQR, 1.2 to 7.1] vs 1.5 [IQR, -2.3 to 4.7]). Participants with CF were also older and had higher white blood cell (WBC) counts and neutrophil-to-lymphocyte ratio (NLR) values than those without CF (all p &lt; 0.05). In logistic regression analyses, each 1-unit increase in DII was associated with higher odds of CF in the the unadjusted model (OR 1.096, 95% CI 1.064-1.128), after sociodemographic adjustment (OR 1.056, 95% CI 1.026-1.088), and in the fully adjusted model (OR 1.039, 95% CI 1.001-1.080). Compared with participants in the lowest tertile, those in the highest tertile had higher odds of CF in both the unadjusted (OR 3.887, 95% CI 2.820-5.358) and fully adjusted (OR 2.254, 95% CI 1.522-3.337) analyses, whereas the association for the middle tertile was not statistically significant after full adjustment. RCS models indicated a nonlinear association (p for nonlinearity = 0.020), with the odds of CF increasing more steeply at DII values above approximately 2.4.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Higher DII scores were associated with higher odds of CF among older adults in the United States, with a steeper increase in the odds of CF at DII values above approximately 2.4. Prospective cohort studies and dietary trials are needed to establish temporality and determine whether reducing the inflammatory potential ","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1481-1493"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spatial Heterogeneity, Temporal Evolution, and Matching Levels of Population Aging, Nurses, and Elderly Care Facilities in China.","authors":"Wei Li, XiaoXia Yu, YouChao Xu, Attiq-Ur Rehman, Xi-Yuan Peng, Wei Du, Juan Miao, Li Shi, XinRui Lu, SiQi Gao, Kang Zhong, Rui Feng, Yan Qian, Hong-Lin Chen","doi":"10.1111/phn.70153","DOIUrl":"10.1111/phn.70153","url":null,"abstract":"<p><strong>Aim: </strong>The increasingly severe aging situation has imposed a burden on the healthcare system, and society needs to allocate more elderly care resources to meet the demand for elderly care services. This study aims to examine the spatiotemporal matching levels between the number of registered nurses, the number of beds in elderly care institutions, and the number of elderly care institutions at the provincial level in China from 2002 to 2023 and the degree of population aging.</p><p><strong>Design: </strong>This is an ecological longitudinal study.</p><p><strong>Methods: </strong>Spatial autocorrelation analysis was performed in ArcGIS version 10.8. Bayesian spatiotemporal modeling was conducted in R version 4.5.1 using the CARBayesST package, with four independent Markov chains constructed to examine spatiotemporal interactions. Additionally, an index was developed to evaluate the matching level between the degree of population aging and aging-related care resources.</p><p><strong>Results: </strong>The analysis of the matching level between population aging and elderly care resources revealed that approximately one-third of the provinces in mainland China exhibited relatively high matching degrees. Beijing, Shanghai, Jiangxi, Jilin, Zhejiang, and Hubei demonstrated consistently favorable matching levels across all years.</p><p><strong>Conclusions: </strong>Although spatiotemporal inequalities in the alignment between population aging and elderly care resource availability persist across mainland China, such disparities are gradually narrowing. The spatial distribution of nursing homes and care workers within provincial-level administrative regions should be optimized to progressively reduce the inequality between aging and elderly care resource allocation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1622-1633"},"PeriodicalIF":1.8,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}