Lancet Public Health最新文献

{"title":"Housing at the intersection of health and climate change","authors":"Ang Li, Mathew Toll, Ralph Chapman, Philippa Howden-Chapman, Diana Hernández, Holly Samuelson, Alistair Woodward, Rebecca Bentley","doi":"10.1016/s2468-2667(25)00141-0","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00141-0","url":null,"abstract":"Anthropogenic climate change is causing rapid shifts in temperature and weather patterns, both in location and intensity, making living conditions increasingly hazardous. This complicates housing's frontline role in protecting human health. When housing systems fail to provide universal access to secure, affordable, and suitable housing, social and health inequalities related to climate change are amplified. The location, construction, and operation of homes influence greenhouse gas emissions and must be improved to reduce their environmental impacts. This paper, the second in a Series on housing as a social determinant of health, builds a framework for conceptualising the interactions between housing, climate, and health. It identifies the pathways through which climate change affects housing and exacerbates health risks, and reflects on policy responses for climate resilience in housing and health.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"26 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing men's health policy: the 5R Framework","authors":"Paul M Galdas, Zac E Seidler, John L Oliffe","doi":"10.1016/s2468-2667(25)00202-6","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00202-6","url":null,"abstract":"Despite growing awareness of gendered health inequalities, men remain under-represented in public health policy and practice. They have shorter life expectancy, higher preventable mortality, and lower engagement with health services compared with women, especially among groups living in marginalising conditions. To support system-level responses, we propose the 5R Framework (Research, Reach, Respond, Retain, and Relational) to guide the development of gender-responsive health systems. Each component offers direction for addressing men's needs through inclusive data, targeted engagement, tailored care, sustained participation, and equity-driven policy. The 5R Framework builds on earlier work for programme design by applying gender-transformative principles at a system level. The 5R Framework offers a strategic model for translating evidence into scalable, equitable policy and service reform.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"26 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Men's mental health: we need systems, not symbols","authors":"David Francis Hunt, Hazel Banks, Daniel K Y Kan, Phil Ruthen, Felicity Thomas, Geoff Wong","doi":"10.1016/s2468-2667(25)00196-3","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00196-3","url":null,"abstract":"The UK Government is currently developing the country's first national strategy on men's mental health.<span><span>¹</span></span> Male suicide is a priority—rightly so, given men account for approximately 75% of suicide deaths globally.<span><span>²</span></span> WHO has identified male suicide as a crucial but under-addressed public health issue.<span><span>²</span></span>","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"33 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145043128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to Lancet Public Health 2025; 10: e774–83","authors":"","doi":"10.1016/s2468-2667(25)00223-3","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00223-3","url":null,"abstract":"<em>Ward IL, Barrett SL, Razieh C, et al. Maternal ethnic group, socioeconomic status, and neonatal and child mortality: a nationwide cohort study in England and Wales.</em> Lancet Public Health <em>2025;</em> 10: <em>774–83</em>—In this Article, the y-axis values in figure 1 have been corrected. These corrections have been made as of Sept 4, 2025.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"104 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144987549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting alcohol use in high-risk population groups: a US microsimulation study of beverage-specific pricing policies","authors":"Carolin Kilian, Charlotte Buckley, Julia M Lemp, Xinyi Kou, William C Kerr, Nina Mulia, Robin C Purshouse, Jürgen Rehm, Charlotte Probst","doi":"10.1016/s2468-2667(25)00165-3","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00165-3","url":null,"abstract":"&lt;h3&gt;Background&lt;/h3&gt;Raising retail prices on alcoholic beverages preferred by high-risk groups (males, those of low socioeconomic status, and those with heavy alcohol use) might selectively reduce their alcohol consumption. However, the differential impact of beverage-specific price increases on US population groups has yet to be studied. This study aimed to simulate the effect of beverage-specific price increases on alcohol use within subgroups of the adult US population defined by sex, educational attainment, and alcohol use category.&lt;h3&gt;Methods&lt;/h3&gt;An individual-level microsimulation of the US population (aged 18–79 years) was used to simulate alcohol consumption from 2000 to 2019 based on individual characteristics (ie, sex, age, race, ethnicity, and educational attainment as a proxy for socioeconomic status categorised as high school degree or less, some college, and college degree or more) and previous alcohol use. The microsimulation model was generated via integration of diverse data sources including decennial US Census data, annual data from the American Community Survey, annual data from the National Vital Statistics System, annual data from the Behavioral Risk Factor Surveillance System, and biennial, longitudinal data from the Panel Study of Income Dynamics. Policy parameters were informed by the existing literature. Four national policy scenarios were compared with a reference scenario without price change in 2019: a uniform price increase of 10% (scenario 1), a uniform price increase of 30% (scenario 2), a beverage-specific price increase of 30% for beer and spirits and 10% for wine (scenario 3), and a beverage-specific price increase of 50% for beer and spirits and 10% for wine (scenario 4). Individual-level effects on alcohol consumption were simulated using beverage-specific own-price elasticities. Sensitivity analysis assessed assumption-based correlation coefficient between alcohol consumption and the individual-level percent reduction in alcohol consumed; and the application of the beverage-non-specific own-price participation elasticity.&lt;h3&gt;Findings&lt;/h3&gt;Scenario 4 had the strongest effect on alcohol use overall and most effectively reduced consumption in high-risk groups: males and females with high alcohol use (more than 60 g of pure alcohol per day for males and 40 g of pure alcohol per day for females) and low educational attainment (high school degree or less) reduced their alcohol use by –17·30% (–17·62 g per day, credible interval [CI] –21·77 to –13·20) and –17·49% (–12·25 g per day, CI –14·72 to –9·58), respectively. In comparison, smaller relative changes were observed among groups at less risk of harm.&lt;h3&gt;Interpretation&lt;/h3&gt;Disproportionate increases in retail prices for the cheapest beverages, beer and spirits, might lead to a greater decline in consumption among high-risk groups. Pricing policies could thus be used as a powerful public health tool to mitigate the unequal alcohol-attributable burden of disease.&lt;h3&gt;F","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"36 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salt substitutes and misrepresentation of WHO recommendations","authors":"Francesco P Cappuccio","doi":"10.1016/s2468-2667(25)00169-0","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00169-0","url":null,"abstract":"No Abstract","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"70 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alcohol's health burden: secondhand harms matter","authors":"Max G Griswold, Katherine J Karriker-Jaffe","doi":"10.1016/s2468-2667(25)00198-7","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00198-7","url":null,"abstract":"Estimating the global health burden of alcohol remains a priority for researchers and policymakers, providing necessary context for tracking policy progress and framing public discussion on the harmful effects of alcohol. In <em>The Lancet Public Health</em>, Kevin Shield and colleagues<span><span>¹</span></span> provide an updated assessment measuring the global health burden of alcohol. The evidence from their study suggests that global consumption rose 17·4% between 2000 and 2019, accounting for 2·6 million deaths and 4·6% of total disability-adjusted life years—a grim reminder of alcohol's societal toll and the slow progress towards the UN Sustainable Development Goals and WHO Noncommunicable Disease Global Monitoring Framework targets.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"5 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating US county health-care system performance and key associated factors (2014–19): a Triple Aim framework analysis","authors":"Haley Lescinsky, Meera Beauchamp, Catherine Bisignano, Sawyer W Crosby, Drew DeJarnatt, Maitreyi Sahu, Kayla V Taylor, Azalea Thomson, Maxwell Weil, Ali H Mokdad, John W Scott, Christopher J L Murray, Joseph L Dieleman","doi":"10.1016/s2468-2667(25)00173-2","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00173-2","url":null,"abstract":"<h3>Background</h3>The Triple Aim of health care—defined as the simultaneous pursuit of positive patient experience, positive health outcomes, and low spending—has been established as a goal for health-care systems. The US health-care system has high rates of health spending and poor health outcomes relative to other countries, although there is substantial variation within the country at both state and county level. Assessing which US counties have been most successful in achieving the Triple Aim, and which implemented policies are associated with high performance, could be valuable for developing policies that improve health care nationwide. In this study, we aimed to quantify progress towards the Triple Aim at the US county level.<h3>Methods</h3>In this ecological analysis, county-level data on each component of the Triple Aim were combined to assess health-care system performance from 2014 to 2019. Patient experience was assessed via a composite indicator, health outcomes via life expectancy, and low spending via purchasing power-adjusted health-care expenditure per capita. For each county, overall unadjusted performance scores were generated from data on each of the three aims. Adjusted performance scores were then calculated that controlled for key county characteristics outside of the control of the health system. Linear regression was used to assess which policy-relevant factors were associated with the best-performing counties.<h3>Findings</h3>Counties with higher unadjusted performance scores tended to have populations that were more educated, wealthier, had a higher proportion of residents in urban households, lower rates of obesity, and lower rates of smoking than counties with lower scores. After adjusting county scores for these underlying characteristics, counties in Rhode Island, Iowa, Idaho, Virginia, and Hawaii led in progress towards the Triple Aim, whereas the District of Columbia, Alaska, Delaware, Mississippi, and Oklahoma had the lowest scores. Regarding policy-relevant factors, progress towards the Triple Aim was associated with a prioritisation of managed care, expanded Medicaid coverage, and competitive hospital and insurance markets.<h3>Interpretation</h3>These findings highlight health system disparities and policies that were associated with health-care system performance. These results can help policy makers to develop strategies that reduce health-care spending, increase access to and quality of care, and ultimately improve health outcomes.<h3>Funding</h3>Peterson Center on Healthcare and Gates Ventures.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"70 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing public health and health system challenges in Greece: reform priorities in a changing landscape","authors":"Ilias Kyriopoulos, Kostas Athanasakis, Stergiani Tsoli, Elias Mossialos, Irene Papanicolas","doi":"10.1016/s2468-2667(25)00188-4","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00188-4","url":null,"abstract":"Health systems are under growing pressure from ageing populations, chronic diseases, and financial constraints, compounded by challenges, such as COVID-19 and climate change. In Greece, these pressures have converged in the past 15 years, exposing structural weaknesses and testing the health system's resilience. Despite successive reforms targeting funding, care delivery, and public health, persistent structural weaknesses, poor planning, and limited monitoring have undermined progress. Most policy responses have remained fragmented and are unable to fulfil their potential to address current public health challenges or prepare for future crises. Building health system sustainability and resilience requires more than enacting reforms. The reform process demands evidence-informed policy making, sustained political commitment, strong institutional capacity, and effective multisectoral coordination. Greece offers valuable lessons for countries facing similar pressures: resilience depends not only on policy adoption, but also on the institutions, resources, and accountability mechanisms that support implementation and translate policies into sustained action.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"34 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modelling the case for alcohol pricing policy in the USA","authors":"Mark Robinson, Lennert Veerman","doi":"10.1016/s2468-2667(25)00189-6","DOIUrl":"https://doi.org/10.1016/s2468-2667(25)00189-6","url":null,"abstract":"Alcohol has become increasingly affordable in the USA in recent decades, coinciding with rising alcohol related harms.<span><span>1</span></span>, <span><span>2</span></span> Yet, in contrast to many other high-income countries, and despite increased alcohol pricing being identified as a WHO best buy policy, there has been scarce research on the potential effects of price changes on alcohol-related outcomes in the USA. In this context, the study by Carolin Kilian and colleagues provides timely and policy-relevant evidence.<span><span>³</span></span>","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"27 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}