Lancet Public Health最新文献

{"title":"Improving implementation of needle and syringe programmes to expand, scale up, and sustain evidence-based prevention interventions for HIV and hepatitis C in prisons","authors":"Nadine Kronfli, Daniel J Bromberg, Hans Wolff, Linda Montanari, Serheii Vasyliev, Frederick L Altice","doi":"10.1016/s2468-2667(24)00275-5","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00275-5","url":null,"abstract":"The 1990 resolution by the UN General Assembly committed member states to provide health-care equity for people in prison, who are included in the global goals to control HIV and eliminate hepatitis C virus (HCV) by 2030. WHO has set ambitious HCV elimination targets by including people who inject drugs (PWID), yet has not prioritised PWID who are incarcerated, a substantial population who have or are at risk for HCV infection. Human rights principles of health-care equity stipulate that “prisoners should enjoy the same standards of health care that are available in the community, without discrimination on the grounds of their legal status”. Globally, only nine countries provide prison-based needle and syringe programmes (PNSPs), essential evidence-based interventions to holistically reduce the harms from drug use, of which only three countries extend reach to all prisons. Even where available, these services are accessed by few participants. PNSPs are recommended as an essential element of an effective HIV and HCV prevention strategy in prisons, and studies have shown that they are key to achieving HCV elimination in carceral settings. This Viewpoint, based primarily on unpublished data from key country-level stakeholders and expert opinion, highlights our perspective that implementation factors related to PNSP delivery in diverse settings likely contribute to low adoption and use of these services by PWID in prisons compared with in the community. However, successful expansion of these evidence-based interventions will depend on political commitment, national surveillance and monitoring programmes, and state-of-the-art implementation science methods, where inputs from multilevel stakeholders should guide improved implementation. Policy makers are urged to create and support opportunities to scale up PNSPs within countries where they exist and expand them to other countries where they are needed to solidify years of commitment towards the 2030 HCV elimination goals.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"17 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831977","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":"Early childhood adversity associated with high-intensity public service use","authors":"Nicole Racine, Andrea Evans","doi":"10.1016/s2468-2667(24)00269-x","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00269-x","url":null,"abstract":"Experiences of early childhood adversity are common, with 1 in 6 children having high levels of adversity in their childhood.<span><span>¹</span></span> These exposures have detrimental effects on children's health and developmental trajectories and are associated with poor physical and mental health outcomes across the life course.<span><span>²</span></span> Individuals exposed to high levels of childhood adversity might require increased support and services. Research exploring health service use among individuals exposed to childhood adversity has been fragmented. Understanding how exposure to childhood adversity can affect future service use across different domains and sectors is crucial.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"248 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820619","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":"Association between childhood adversity and use of the health, social, and justice systems in Denmark (DANLIFE): a nationwide cohort study","authors":"Bertina Kreshpaj, Leonie K Elsenburg, Signe Hald Andersen, Tjeerd Rudmer De Vries, Karsten Thielen, Naja Hulvej Rod","doi":"10.1016/s2468-2667(24)00242-1","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00242-1","url":null,"abstract":"<h3>Background</h3>Childhood adversities can negatively affect health and social outcomes. We aimed to assess the association between adversity in childhood and use of public services in early adulthood across three systems: health, social welfare, and justice.<h3>Methods</h3>We used Danish nationwide registry data on individuals born between 1980 and 1991 and followed up between 1998 and 2021. We evaluated annual exposure to adversity during childhood (age 0–16 years) across three dimensions—material deprivation, loss or threat of loss within the family, and family dynamics—and used this to divide individuals into five trajectory groups: low adversity, early-life material deprivation, persistent material deprivation, loss or threat of loss, and high adversity. We defined high-intensity users of each public service system as those above the 90th percentile in terms of hospital visits (health system) and weeks of social welfare use (social welfare system), and whether or not they were convicted for a crime (justice system) during early adulthood (age 18–40 years). We analysed the proportion of high-intensity users of each public service system across the childhood adversity trajectory groups. Logistic regression was used to assess whether the risk of becoming a high-intensity user differed by trajectory group relative to the low-adversity group, with adjustment for sex, parental education, parental origin, and maternal age at time of birth.<h3>Findings</h3>Of the 567 035 individuals in the cohort, 273 616 (48·3%) were in the low-adversity group, 128 238 (22·6%) were in the early-life material deprivation group, 100 959 (17·8%) were in the persistent material deprivation group, 43 826 (7·7%) were in the loss or threat of loss group, and 20 396 (3·6%) were in the high-adversity group. Childhood adversity was associated with a markedly higher risk of belonging to the high-intensity user group across all three public service systems. Specifically, low proportions of the low-adversity group became high-intensity users of the health system (19 675 [7·2%]), social welfare system (13 681 [5·0%]), and justice system (38 198 [14·0%]). By comparison, those in the high-adversity group were significantly more likely to become high-intensity users of the health system (4685 [23·0%]; adjusted odds ratio 2·81 [95% CI 2·71–2·93]), social welfare system (8158 [40·0%]; 8·88 [8·50–9·27]), and justice system (8681 [42·6%]; 3·62 [3·50–3·75]).<h3>Interpretation</h3>There were long-term effects of childhood adversities across three public service systems, with an association of high-intensity users among individuals who experienced childhood adversity. Systemic inequalities already present in childhood need to be addressed, with prioritisation of equitable resource allocation for those most in need of assistance.<h3>Funding</h3>Rockwool Foundation.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"21 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820781","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":"Inequities in access to assistive technology: a call for action","authors":"Luc de Witte, Rosalie van der Vaart","doi":"10.1016/s2468-2667(24)00270-6","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00270-6","url":null,"abstract":"Based on existing cross-sectional studies, case studies, and policy-related reports, experts in the field of assistive technology have long suspected that even in high-income countries such as England not everyone who could benefit from assistive technology has access to it, and that there are inequities in access. However, there was little concrete data on the extent of these gaps. Those data have been provided in the study by Danemayer and colleagues.<span><span>¹</span></span> Elegantly using longitudinal data from the English Longitudinal Study of Ageing, the authors show that in a population of 12 080 participants, 2480 (20·5%) had an unmet need for mobility assistive products at baseline and 5102 (42·2%) had an unmet need at least once during the follow-up period, which had a median duration of 4 years. The data further revealed that there are important inequities in access: women, older adults, and people with low education levels, less wealth, or disabilities have higher chances of transitioning from no need to unmet need, with women additionally being less likely than men to transition from unmet need to use. This study is important because it not only provides directions for further research, but it also particularly underscores the need for improving policy and practice. These findings align closely with those from the large, global cross-sectional study into assistive technology needs and access, published by WHO and UNICEF in their Global Report on Assistive Technology.<span><span>²</span></span> In that study, it was estimated that in countries with a very high human development index a median of 20·7% (range 16·5–59·8) of people with a need for assistive technology do not have access to it.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"22 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816145","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":"Demographic, socioeconomic, and social barriers to use of mobility assistive products: a multistate analysis of the English Longitudinal Study of Ageing","authors":"Jamie Danemayer, Mikaela Bloomberg, Adam Mills, Cathy Holloway, Shereen Hussein","doi":"10.1016/s2468-2667(24)00243-3","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00243-3","url":null,"abstract":"<h3>Background</h3>Cross-sectional evidence suggests that access to essential mobility assistive products (MAPs) might be dependent on non-clinical factors. However, MAP use is better understood as a dynamic process wherein individuals pass through different states of MAP need and use. We aimed to test associations of demographic, socioeconomic, and social factors with transitions between MAP need and use states.<h3>Methods</h3>For this multistate modelling study, data were drawn from 13 years (May, 2006, to July, 2019) of the English Longitudinal Study of Ageing, a prospective cohort study. We included respondents aged 50–89 years who participated in at least two waves of data collection. We used multistate models to examine associations of demographic, socioeconomic, and social factors, including age, sex, education, employment, wealth, marital status, and help with activities of daily living (ADL), with transitions between three main states: no need for MAPs, unmet need for MAPs, and use of MAPs.<h3>Findings</h3>We used data collected from 12 080 respondents (6586 women and 5494 men). During follow-up, 5102 (42·2%) of participants had unmet MAP need and 3330 (27·6%) used MAPs. Women were more likely than men to transition from no need to unmet need (hazard ratio [HR] 1·49, 95% CI 1·38–1·60) and less likely to transition from unmet need to use (0·79, 0·72–0·86). We found an increase in risk of transitioning from no need to unmet need for each 1-year increase in age (1·06, 1·06–1·07), for those with low education level (1·34, 1·23–1·45), those with help with ADL (1·32, 1·16–1·49), and who were not employed (1·22, 1·07–1·40) or disabled (3·83, 2·98–4·93). Similarly, we found an increase in risk of transitioning unmet need to use for each 1-year increase in age (1·06, 1·05–1·06), for those with low education level (1·20, 1·10–1·31), and those with help with ADL (1·25, 1·13–1·38). Increasing wealth was associated with a reduced risk of transitioning from no need to unmet need (0·78, 0·74–0·81) and from unmet need to use (0·94, 0·89–0·99). Single people were more likely to transition from unmet need to use than partnered people (HR 1·21, 95% CI 1·10–1·33).<h3>Interpretation</h3>Women might be disproportionately likely to have unmet MAP needs, whereas other demographic, socioeconomic, and social factors are associated with high MAP need overall. Our findings directly support efforts towards expanding access to assistive products and identifying groups that could particularly benefit. As the first study of its kind to our knowledge, replication with other longitudinal datasets is needed.<h3>Funding</h3>UK Aid.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"233 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142816146","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":"Public health in China: challenges and prospects","authors":"","doi":"10.1016/s2468-2667(24)00276-7","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00276-7","url":null,"abstract":"This December issue of <em>The Lancet Public Health</em> is our annual themed issue on public health in China. It is dedicated to the 1·4 billion people living in China and to the health-care workers, practitioners, and researchers whose work is featured in this issue and presented at <em>The Lancet</em>-Chinese Academy of Medical Sciences Conference held in Beijing on Nov 21–22. Nowadays, China faces four important challenges: the rise in non-communicable diseases (NCDs), an ageing population, escalating costs, and climate change. A collection of research Articles, Comments, Series, and Reviews presents these challenges, but also discusses opportunities and strategies to tackle these public health issues and narrow inequalities.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"262 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776435","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":"Changes in the epidemiology of under-5 mortality in China from 2016 to 2022: an observational analysis of population-based surveillance data","authors":"Chunhua He, Leni Kang, Yuxi Liu, Xue Yu, Qi Li, Juan Liang, Li Dai, Xiaohong Li, Yanping Wang, Jun Zhu, Hanmin Liu","doi":"10.1016/s2468-2667(24)00267-6","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00267-6","url":null,"abstract":"&lt;h3&gt;Background&lt;/h3&gt;Sustainable Development Goal (SDG) 3.2 aims to end preventable deaths of newborns and children younger than 5 years. China's progress towards SDG 3.2 has not been evaluated on multiple dimensions. We aimed to assess mortality rates in children younger than 5 years (hereafter referred to as under-5 mortality) and to quantify preventable child mortality and geospatial and temporal trends in child mortality in China from 2016 to 2022.&lt;h3&gt;Methods&lt;/h3&gt;In this observational analysis, we used data from the Chinese National Maternal and Child Health Surveillance System (MCHSS) for the period Jan 1, 2016, to Dec 31, 2022 and conducted all-cause mortality and cause-specific mortality analyses for different age groups (age 0–6 days, 7–27 days, 0–27 days, 1–5 months, 6–11 months, 12–23 months, 24–59 months, and birth to 59 months) separately at the national, residential (rural &lt;em&gt;vs&lt;/em&gt; urban), and regional (eastern &lt;em&gt;vs&lt;/em&gt; central &lt;em&gt;vs&lt;/em&gt; western China) levels. All mortality rates were adjusted by age group, type of residency, region, and region-residency strata using a 3-year moving average of the under-reporting rates. National deaths were estimated using the number of livebirths from 2016 to 2022 from the Health Statistics Yearbook of China. Estimated national-level and regional-level mortality rates were weighted by the proportion of the population living in urban and rural areas from the 2010 national census. Optimal survival metrics for neonates and children younger than 5 years were calculated by cause of death in 2020–22 (termed the national optimum), on the basis of the lowest mortality observed among the six region-residency strata.&lt;h3&gt;Findings&lt;/h3&gt;In 2022, approximately 65 700 (95% CI 62 700–68 800) children younger than 5 years died in China, with 45·1% (42·7–47·4) of these deaths occurring in the neonatal period (age &lt;28 days). China's under-5 mortality rate decreased from 10·2 deaths (9·9–10·5) per 1000 livebirths in 2016 to 6·8 deaths (6·5–7·2) per 1000 livebirths in 2022; the neonatal mortality rate decreased from 4·9 deaths (4·7–5·1) per 1000 livebirths in 2016 to 3·1 deaths (2·9–3·3) per 1000 livebirths in 2022. The relative risk of death in children younger than 5 years in rural areas compared with urban areas decreased from 2·4 (2·2–2·6) in 2016 to 1·9 (1·7–2·1) in 2022, and in the western region compared with the eastern region decreased from 3·4 (3·0–3·9) in 2016 to 2·3 (1·9–2·8) in 2022. The leading causes of under-5 mortality in 2022 were injuries (23·1% [21·1–25·1] of all-cause deaths), congenital malformations (14·8% [13·1–16·4]), preterm birth complications (14·1% [12·5–15·7]), intrapartum-related events (10·1% [8·7–11·5]), and acute respiratory infections (9·5% [8·2–10·9]). The leading cause of death in the neonatal period was preterm birth complications (12·8% [11·4–14·2] of deaths in children younger than 5 years).&lt;h3&gt;Interpretation&lt;/h3&gt;Under-5 mortality in China declined between 2016 and 2022. D","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"19 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776442","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":"Integrating prevention and treatment: rethinking China's health financing","authors":"Zhicheng Wang, Kit Yee Chan, Qianyi Xia, Jiantuo Yu, Minghui Ren","doi":"10.1016/s2468-2667(24)00247-0","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00247-0","url":null,"abstract":"Preventive health measures offer superior economic returns compared with the ever-increasing costs of treating established diseases, which place unsustainable pressure on health systems. By reducing the incidence and severity of illness, prevention minimises health-care expenditure and maximises societal welfare by lowering the burden of disease. In China, the principle of making prevention a priority is recognised in the Healthy China 2030 Initiative, which aims to shift the health system's focus towards prevention. However, this goal faces substantial challenges due to structural, legislative, and financial barriers.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"77 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776436","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":"Associations of long-term nitrogen dioxide exposure with a wide spectrum of diseases: a prospective cohort study of 0·5 million Chinese adults","authors":"Xi Xia, Xia Meng, Cong Liu, Yi Guo, Xinyue Li, Yue Niu, Kin Bong Hubert Lam, Neil Wright, Christiana Kartsonaki, Yiping Chen, Ling Yang, Huaidong Du, Canqing Yu, Dianjianyi Sun, Jun Lv, Junshi Chen, Xiaoming Yang, Ruqin Gao, Shaowei Wu, Haidong Kan, Chan Qu","doi":"10.1016/s2468-2667(24)00264-0","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00264-0","url":null,"abstract":"&lt;h3&gt;Background&lt;/h3&gt;Little evidence is available on the long-term health effects of nitrogen dioxide (NO&lt;sub&gt;2&lt;/sub&gt;) in low-income and middle-income populations. We investigated the associations of long-term NO&lt;sub&gt;2&lt;/sub&gt; exposure with the incidence of a wide spectrum of disease outcomes, based on data from the China Kadoorie Biobank.&lt;h3&gt;Methods&lt;/h3&gt;This prospective cohort study involved 512 724 Chinese adults aged 30–79 years recruited from ten areas of China during 2004–08. Time-varying Cox regression models yielded adjusted hazard ratios (HRs) for the associations of long-term NO&lt;sub&gt;2&lt;/sub&gt; exposure with aggregated disease incidence endpoints classified by 14 ICD-10 chapters, and incidences of 12 specific diseases selected from three key ICD-10 chapters (cardiovascular, respiratory, and musculoskeletal diseases) found to be robustly associated with NO&lt;sub&gt;2&lt;/sub&gt; in the analyses of aggregated endpoints. All models were stratified by age-at-risk (in 1-year scale), study area, and sex, and were adjusted for education, household income, smoking status, alcohol intake, cooking fuel type, heating fuel type, self-reported health status, BMI, physical activity level, temperature, and relative humidity.&lt;h3&gt;Findings&lt;/h3&gt;The analysis of 512 709 participants (mean baseline age 52·0 years [SD 10·7]; 59·0% female and 41·0% male) included approximately 6·5 million person-years of follow-up. Between 5285 and 144 852 incident events were recorded for each of the 14 aggregated endpoints. Each 10 μg/m&lt;sup&gt;3&lt;/sup&gt; higher annual average NO&lt;sub&gt;2&lt;/sub&gt; exposure was associated with higher risks of chapter-specific endpoints, especially cardiovascular (n=144 852; HR 1·04 [95% CI 1·02–1·05]), respiratory (n=73 232; 1·03 [1·01–1·05]), musculoskeletal (n=54 409; 1·11 [1·09–1·14]), and mental and behavioural (n=5361; 1·12 [1·05–1·21]) disorders. Further in-depth analyses on specific diseases found significant positive supra-linear associations with hypertensive disease (1·08 [1·05–1·11]), lower respiratory tract infection (1·03 [1·01–1·06]), arthrosis (1·15 [1·09–1·21]), intervertebral disc disorders (1·13 [1·09–1·17]), and spondylopathies (1·05 [1·01–1·10]), and linear associations with ischaemic heart disease (1·03 [1·00–1·05]), ischaemic stroke (1·08 [1·06–1·11]), and asthma (1·15 [1·04–1·27]), whereas intracerebral haemorrhage (1·00 [0·95–1·06]), other cerebrovascular disease (0·98 [0·96–1·01]), acute upper respiratory infection (1·03 [0·96–1·09]), and chronic lower respiratory disease (0·98 [0·95–1·02]) showed no significant association. NO&lt;sub&gt;2&lt;/sub&gt; exposure showed robust null association with external causes (n=32 907; 0·98 [0·95–1·02]) as a negative control.&lt;h3&gt;Interpretation&lt;/h3&gt;In China, long-term NO&lt;sub&gt;2&lt;/sub&gt; exposure was associated with a range of diseases, particularly cardiovascular, respiratory, and musculoskeletal diseases. These associations underscore the pressing need to implement the recently tightened WHO air quality guidelines.&lt;h3&gt;Funding&lt;/h3","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"155 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776452","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":"Digital mental health: a potential opportunity to improve health equity in China","authors":"Hao Fong Sit, Wen Chen, Dan Wu, Yangmu Huang, Dong (Roman) Xu, Brian J Hall","doi":"10.1016/s2468-2667(24)00249-4","DOIUrl":"https://doi.org/10.1016/s2468-2667(24)00249-4","url":null,"abstract":"Mental health is an important public health issue in China, compounded by a shortage in psychiatric services. Against this backdrop, digital technologies could offer solutions. Digital mental health interventions use technologies, such as smartphone applications, to improve mental health outcomes. Although there has been a drastic increase in mental health mobile apps available in recent years, current evidence-based digital interventions for mental health are scarce and seldom evaluated for effectiveness and implementation in China. In this Viewpoint, we review digital mental health interventions in China and propose a framework that could guide the development of culturally sensitive digital mental health innovations, with the adoption of co-creation and community engagement strategies. We also provide recommendations to address issues related to usage, interventions, and implementation to improve health equity and implementation of digital mental health interventions in the Chinese context.","PeriodicalId":56027,"journal":{"name":"Lancet Public Health","volume":"2 1","pages":""},"PeriodicalIF":50.0,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776443","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}