Public health challenges最新文献

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Rethinking Work in Industry 5.0: Leveraging Technology for an Ageing Workforce. 重新思考工业5.0中的工作:利用技术应对老龄化劳动力。
Public health challenges Pub Date : 2025-09-23 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70130
Gaia Vitrano, Guido J L Micheli
{"title":"Rethinking Work in Industry 5.0: Leveraging Technology for an Ageing Workforce.","authors":"Gaia Vitrano, Guido J L Micheli","doi":"10.1002/puh2.70130","DOIUrl":"10.1002/puh2.70130","url":null,"abstract":"<p><p>The workforce in many industries is ageing. With longer life expectancy and extended retirement ages, the proportion of older workers is growing, leading to challenges such as reduced physical and cognitive abilities. However, older workers bring valuable experience, knowledge, and skills that can benefit organizations. Technologies have a crucial role in this challenge, that is, in reducing physical and cognitive loads and improving workplace safety. Within the Industry 5.0 paradigm, the focus is moving away from solely automation and productivity toward improving human abilities and promoting worker well-being. Industry 5.0 aims to create more personalized, efficient, and flexible work environments that can adapt to diverse worker needs, including those of older workers. This study aims to investigate the challenges and opportunities associated with an ageing workforce and how a human-machine collaboration can enhance their productivity and well-being, promoting a human-centric approach that leverages their strengths while addressing their evolving needs.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70130"},"PeriodicalIF":0.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Psychometric Properties of the Arabic Dissociative Symptoms Scale-Brief Across Five Arab Countries. 阿拉伯解离症状量表的心理测量特征-跨越五个阿拉伯国家。
Public health challenges Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70115
Anthony Rizk, Adella Ibrahim, Diana Malaeb, Amira M Ali, Mirna Fawaz, Nouran Omar El Said, Nisma Merdad, Rizwana Amin, Wizra Saeed, Muna Barakat, Rami Mosleh, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid
{"title":"Psychometric Properties of the Arabic Dissociative Symptoms Scale-Brief Across Five Arab Countries.","authors":"Anthony Rizk, Adella Ibrahim, Diana Malaeb, Amira M Ali, Mirna Fawaz, Nouran Omar El Said, Nisma Merdad, Rizwana Amin, Wizra Saeed, Muna Barakat, Rami Mosleh, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid","doi":"10.1002/puh2.70115","DOIUrl":"10.1002/puh2.70115","url":null,"abstract":"<p><strong>Background: </strong>Dissociation, involving disruptions in cognition, perception, and identity, is closely linked to trauma and various psychiatric disorders but remains underrecognized, especially in non-Western contexts. Although tools like the Dissociative Symptoms Scale-Brief (DSS-B) have improved assessment, validated Arabic-language versions are lacking. Given rising mental health concerns and limited resources in the Arab world, this study aims to evaluate the psychometric properties of the Arabic-translated DSS-B to support culturally appropriate diagnosis and research on dissociation.</p><p><strong>Methods: </strong>In this cross-sectional study, participants from KSA, Egypt, Lebanon, Palestine, and Jordan were recruited via snowball sampling and completed an online survey. The DSS-B was translated into Arabic using a forward-backward method and reviewed by experts for cultural and semantic accuracy. Participants also completed validated Arabic versions of the Jong-Gierveld Loneliness Scale, Patient Health Questionnaire-4, and the Brief Irritability Test.</p><p><strong>Results: </strong>Among 1494 participants (mean age = 24.97; 74.5% female), Palestinians showed the highest dissociative symptoms. Confirmatory factor analysis confirmed good model fit, excellent reliability (<i>ω</i> = 0.93; <i>α</i> = 0.92), and strong convergent validity average variance extracted (AVE = 0.70). Measurement invariance across genders and countries was supported, with no significant gender differences in scores. Dissociation was positively correlated with depression-anxiety (<i>r</i> = 0.57), irritability (<i>r</i> = 0.51), and loneliness (<i>r</i> = 0.45), confirming concurrent validity, while discriminant validity was also established.</p><p><strong>Conclusion: </strong>This study validates the Arabic DSS-B as a reliable, valid, and culturally adaptable tool for assessing dissociation in Arab populations, reinforcing its clinical and research utility. Future research should explore its generalizability in underrepresented groups, use longitudinal and clinician-based assessments, and investigate neurobiological underpinnings to deepen understanding and application of dissociation measurement globally.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70115"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can AI Bridge or Widen Maternal Health Inequities? 人工智能能否弥合或扩大孕产妇保健不平等?
Public health challenges Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70119
Reuben Victor M Laguitan, Gilbert D Bernardino
{"title":"Can AI Bridge or Widen Maternal Health Inequities?","authors":"Reuben Victor M Laguitan, Gilbert D Bernardino","doi":"10.1002/puh2.70119","DOIUrl":"10.1002/puh2.70119","url":null,"abstract":"<p><p>Artificial intelligence (AI) is rapidly transforming maternal healthcare through tools like risk prediction algorithms, telemedicine platforms, and postpartum support chatbots. Although these innovations offer promise, particularly in low- and middle-income countries (LMICs), their impact on health equity remains contested. This commentary explores how AI can either bridge or widen maternal health inequities, depending on how it is designed, governed, and implemented. We introduce a conceptual framework comprising four interdependent domains that shape equity outcomes in maternal health: inclusive data practices, equitable governance, participatory design, and local capacity-building. Drawing from interdisciplinary literature, we situate AI within broader health and social systems and argue for equity-oriented approaches that foreground representation, accountability, and community engagement. By examining both opportunities and risks, this commentary offers practical, context-sensitive recommendations for LMICs to ensure AI serves as a tool for justice in maternal healthcare.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70119"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survival Status and Predictors of Mortality Among Preterm Neonates Admitted to the Neonatal Intensive Care Units in Central Ethiopia: A Prospective Follow-Up Study. 埃塞俄比亚中部新生儿重症监护病房早产儿的生存状况和死亡率预测因素:一项前瞻性随访研究。
Public health challenges Pub Date : 2025-09-18 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70123
Daniel Tsega, Shegaw Geze Tenaw, Bogale Chekole, Abdulaziz Assefa, Mulugeta Animaw, Aberash Beyene Derribow, Mangistu Abera, Aynalem Belay
{"title":"Survival Status and Predictors of Mortality Among Preterm Neonates Admitted to the Neonatal Intensive Care Units in Central Ethiopia: A Prospective Follow-Up Study.","authors":"Daniel Tsega, Shegaw Geze Tenaw, Bogale Chekole, Abdulaziz Assefa, Mulugeta Animaw, Aberash Beyene Derribow, Mangistu Abera, Aynalem Belay","doi":"10.1002/puh2.70123","DOIUrl":"10.1002/puh2.70123","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, 17.7% of under-5 mortality and 36.1% of neonatal mortality occur due to preterm birth complications. Ethiopia is one of the top 10 countries with the highest neonatal mortality. Data on survival status and predictors of mortality among preterm neonates in Ethiopia remain limited. This study aimed to assess the survival status and predictors of mortality among preterm neonates admitted to the neonatal intensive care units of public hospitals in Central Ethiopia.</p><p><strong>Methods: </strong>A facility-based prospective cohort study was conducted among 347 preterm neonates admitted to the neonatal intensive care units in selected public hospitals from October 1, 2022, to June 28, 2023. All admitted preterm neonates were enrolled. Data were collected using a structured questionnaire. The Kaplan-Meier curve was used to estimate the mean survival time and cumulative survival probability. To declare the associations, the Cox proportional hazards model was used to identify mortality predictors with adjusted hazard ratios with 95% confidence interval (CI) and <i>p</i> value.</p><p><strong>Results: </strong>Of 347 preterm newborns, 104 (29.97%) died, resulting in an incidence rate of 39.88 (95% CI: 32.90-48.33) fatalities per 1000 person-day observations. Born from mothers with chorioamnionitis (AHR 3.89; 95% CI: 2.44, 6.18), born from mothers with gestational diabetes mellitus (GDM) (AHR 2.01; 95% CI: 1.27, 3.17), Apgar score at fifth minute less than 7 (AHR 1.87; 95% CI: 1.04, 3.36), having respiratory distress syndrome (RDS) (AHR 2.03; 95% CI: 1.14, 3.61), receiving kangaroo mother care (KMC) (AHR 1.86; 95% CI: 1.18, 2.94), and born less than 32 weeks of gestation (AHR 2.52; 95% CI: 1.27, 3.17) were significant predictors of mortality.</p><p><strong>Conclusions: </strong>Around one-third of preterm neonates died. Improving the survival status should emphasize high-risk neonates, with low fifth-minute Apgar scores, having RDS, not receiving KMC, and neonates born to mothers with chorioamnionitis or GDM.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70123"},"PeriodicalIF":0.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Tricuspid Regurgitation on the Clinical Outcomes of Patients with Heart Failure. 三尖瓣反流对心力衰竭患者临床预后的影响。
Public health challenges Pub Date : 2025-09-17 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70092
Muhammad Usman Almani, Rasha Khan, Noor Fatima, Muhammad Yousuf, Aman Amanullah
{"title":"Impact of Tricuspid Regurgitation on the Clinical Outcomes of Patients with Heart Failure.","authors":"Muhammad Usman Almani, Rasha Khan, Noor Fatima, Muhammad Yousuf, Aman Amanullah","doi":"10.1002/puh2.70092","DOIUrl":"10.1002/puh2.70092","url":null,"abstract":"<p><strong>Background: </strong>Tricuspid regurgitation (TR) is a common occurrence in patients with heart failure (HF), and its role in disease progression has gained attention in recent years. Although TR can worsen clinical outcomes in HF patients, the impact of gender, racial, and socioeconomic factors remains largely unexplored. With growing evidence supporting the role of percutaneous interventions for the treatment of significant TR, understanding these disparities is more crucial than ever.</p><p><strong>Methods: </strong>Data were extracted from the National Inpatient and National Readmission 2016-2020 Databases. We used ICD-10 code I50 to identify the patients primarily admitted for HF and subdivided the cohort into two groups based on the presence or absence of TR. We performed multivariable logistic regression analysis to determine odds of the in-hospital mortality and multivariable Cox regression analysis to assess the 30- and 90-day hospital readmission in HF patients with and without TR. All the analyses were adjusted for age, gender, insurance status, Charlson comorbidity index, and hospital characteristics. STATA 16 software was used for analysis.</p><p><strong>Results: </strong>There was no difference in the in-hospital mortality among HF patients with and without TR (OR: 1.04, 95% CI 0.94-1.16, <i>p</i> = 0.442) except in certain subgroups of HF patients. HF patients with TR were 6% more likely to have HF-specific readmission in 30 days (HR: 1.06, 95% CI 1.00-1.13, <i>p</i> = 0.044) and 9% more likely to have HF-specific readmission in 90 days (HR: 1.09, 95% CI 1.03-1.15, <i>p</i> = 0.002). Subgroup analysis revealed significant gender, racial, and socioeconomic disparities in the in-hospital mortality and the readmission outcomes of HF patients with TR compared to those without TR.</p><p><strong>Conclusion: </strong>In our population-based survey analysis, we observed significant gender, racial, and socioeconomic disparities in the clinical outcomes of HF patients with TR compared to those without TR.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70092"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aging, Poverty, and Healthcare Access and Affordability in Nigeria: Implications for Policy. 尼日利亚的老龄化、贫困、医疗保健获取和负担能力:对政策的影响。
Public health challenges Pub Date : 2025-09-15 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70125
Sunkanmi Folorunsho
{"title":"Aging, Poverty, and Healthcare Access and Affordability in Nigeria: Implications for Policy.","authors":"Sunkanmi Folorunsho","doi":"10.1002/puh2.70125","DOIUrl":"10.1002/puh2.70125","url":null,"abstract":"<p><strong>Background: </strong>Nigeria's aging population is expanding rapidly. Older adults face intersecting challenges of poverty, chronic disease burden, and inadequate access to healthcare. With limited formal income support and minimal health insurance coverage, most elderly Nigerians rely on family or continue informal labor to survive. This compounds their vulnerability in later life.</p><p><strong>Objectives: </strong>This article examines the economic and health-related barriers to healthcare utilization among older Nigerians. It incorporates recent demographic and epidemiological trends, wealth-based inequalities, rural-urban disparities, and evolving policy responses. The analysis integrates insights from the Nigeria Demographic and Health Survey (NDHS) 2018 and applies Andersen's healthcare access model.</p><p><strong>Methods: </strong>A perspective approach was adopted to synthesize empirical literature, national data (including NDHS), and recent policy developments such as the National Health Insurance Authority Act and the National Senior Citizens Centre (NSCC) Act. Comparisons are drawn with other lower-middle-income countries, notably India, to highlight global relevance.</p><p><strong>Findings: </strong>Older Nigerians, particularly women and rural dwellers, experience high poverty rates, with up to 85% of women aged 70 and above living in poverty. They face chronic multimorbidity and have some of the lowest health service utilization rates due to cost, distance, and systemic neglect. Although policy frameworks, such as the NSCC and Basic Health Care Provision Fund (BHCPF), exist, implementation remains weak.</p><p><strong>Conclusions: </strong>Comprehensive reforms are essential to improve elderly health outcomes in Nigeria. Priorities include expanding subsidized health insurance, implementing universal social pensions, strengthening rural health services, and combating ageism. A coordinated and inclusive policy strategy can transform aging from a crisis into an opportunity for national development.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70125"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 Role of Mathematical Modelling in Predicting and Controlling Infectious Disease Outbreaks in Underserved Settings: A Systematic Review and Meta-Analysis. 数学模型在预测和控制服务不足地区传染病爆发中的作用:系统回顾和荟萃分析。
Public health challenges Pub Date : 2025-09-13 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70116
Mavhunga Khumbudzo, Evans Duah, Estelle Grobler, Kuhlula Maluleke
{"title":"The Role of Mathematical Modelling in Predicting and Controlling Infectious Disease Outbreaks in Underserved Settings: A Systematic Review and Meta-Analysis.","authors":"Mavhunga Khumbudzo, Evans Duah, Estelle Grobler, Kuhlula Maluleke","doi":"10.1002/puh2.70116","DOIUrl":"10.1002/puh2.70116","url":null,"abstract":"<p><strong>Background and aim: </strong>Mathematical modelling plays an important role in public health by enabling the prediction of disease outbreaks, assessment of transmission dynamics and evaluation of intervention strategies. Although widely applied in high-resource settings, its use in underserved contexts remains underexplored. This review aimed to examine and synthesize current evidence on the application of mathematical modelling for predicting and controlling infectious diseases in underserved settings.</p><p><strong>Methods: </strong>A comprehensive and reproducible search was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and population, intervention, comparison and outcome (PICO) frameworks across databases, including PubMed, Scopus, Medline, ScienceDirect and EBSCOhost. Keywords and Medical Subject Headings (MeSH) terms related to mathematical modelling and infectious disease control were applied. Two reviewers independently screened titles, abstracts and full texts, with a third resolving discrepancies. Thematic analysis and meta-analysis were used for synthesis.</p><p><strong>Results: </strong>Out of 838 studies screened, 27 (3.2%) met inclusion criteria. Deterministic models were most used, followed by stochastic and agent-based models. Diseases modelled included COVID-19, malaria, tuberculosis (TB), Ebola, Zika, chikungunya, dengue, diphtheria, respiratory infections, visceral leishmaniasis (VL) and Mpox. Modelling predicted the impact of interventions on transmission, with pooled effect size (Ro) of 1.32 (<i>θ</i> = 1.3, <i>p</i> < 0.0001). However, challenges, such as data underreporting, gaps and inconsistencies, were common, potentially affecting model accuracy and real-world applicability.</p><p><strong>Conclusion: </strong>Mathematical modelling has demonstrated value in supporting infectious disease control in underserved settings. However, the predominance of deterministic models limits adaptability across diverse contexts. Poor data quality further constrains reliability. Future work should focus on expanding modelling approaches, strengthening data infrastructure and addressing a broader range of diseases. These findings can guide public health policy by supporting data-driven decision-making, improving resource allocation and integrating modelling into outbreak preparedness and response strategies in underserved settings.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70116"},"PeriodicalIF":0.0,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attractive but Harmful Commodities: Looking Across Unhealthy Commodities to Improve Public Health Responses. 有吸引力但有害的商品:审视不健康商品以改善公共卫生对策。
Public health challenges Pub Date : 2025-09-12 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70117
Robin Room
{"title":"Attractive but Harmful Commodities: Looking Across Unhealthy Commodities to Improve Public Health Responses.","authors":"Robin Room","doi":"10.1002/puh2.70117","DOIUrl":"10.1002/puh2.70117","url":null,"abstract":"<p><p>Public health discussions now apply the label of 'unhealthy commodities' to items attractive to consumers but which bring harm to health and welfare. The list includes tobacco, alcohol, cannabis and other drugs, sugar-sweetened beverages, overprocessed foods and commercial gambling. The histories of markets and controls in such commodities vary, with commerce in alcohol, drugs and gambling prohibited in many places at times during the last two centuries, but few limits on sugar, or on tobacco until recent years. In the current world, regimes vary for retail sale between commodities and in different jurisdictions. Some examples are given of successful control measures which might be more widely applied: measures such as licensing of retail sales; closing off web-based sales; and imposing minimum unit pricing. The new thinking in public health offers the opportunity to look across what have been separate fields of action and experience and to learn from case study examples of effective mechanisms to reduce rates of harmful consequences from unhealthy commodities.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70117"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12431569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Midwives' Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM-B Framework. 助产士对威尔士推广妊娠疫苗的看法:使用COM-B框架确定影响疫苗摄取的因素。
Public health challenges Pub Date : 2025-09-07 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70114
Kate Lloyd, Sara Jones
{"title":"Midwives' Perceptions of Promoting Pregnancy Vaccines in Wales: Identifying Factors Influencing Vaccine Uptake Using the COM-B Framework.","authors":"Kate Lloyd, Sara Jones","doi":"10.1002/puh2.70114","DOIUrl":"10.1002/puh2.70114","url":null,"abstract":"<p><strong>Introduction: </strong>Vaccinations are vital for global health; however, since the onset of the COVID-19 pandemic in 2020, there has been a notable decline in maternal vaccine acceptance in Wales, UK. It is a key part of a midwife's role to promote vaccine uptake in pregnancy. Therefore, gaining an understanding of midwives' perceptions of the issue is crucial for identifying factors influencing vaccine uptake in Wales.</p><p><strong>Methods: </strong>A quantitative, cross-sectional descriptive survey was conducted amongst 143 registered midwives working in Wales using the Capability, Opportunity, Motivation-Behaviour (COM-B) approach to identify factors affecting vaccine uptake.</p><p><strong>Results: </strong>Midwives lacked training and confidence to promote vaccines, and some noted language barriers as a problem to providing equitable care. Other problems included lack of access to vaccination appointments and inconsistencies in vaccine promotion depending on care provider. Midwives perceived vaccine hesitancy to be high, with 71% saying they thought vaccine hesitancy was common amongst pregnant women and 40% saying they thought it was common amongst their colleagues.</p><p><strong>Conclusion: </strong>A national approach is required to ensure effective vaccination training amongst midwives in Wales, as well as improved availability of language diverse resources. Additional qualitative research is needed in Wales and the United Kingdom to further understand vaccine hesitancy and barriers to promoting vaccine uptake in pregnancy.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70114"},"PeriodicalIF":0.0,"publicationDate":"2025-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Area-Level Study on Paediatric Burn Injuries and Their Association With Parental Education. 儿童烧伤及其与父母教育关系的地区研究。
Public health challenges Pub Date : 2025-09-02 eCollection Date: 2025-09-01 DOI: 10.1002/puh2.70113
Gabriela Valladares Solano, Emma Kos, Mattias Wennergren, Ann-Sofie Frisk Cavefors, Johanna Räntfors, Stefan Nilsson
{"title":"An Area-Level Study on Paediatric Burn Injuries and Their Association With Parental Education.","authors":"Gabriela Valladares Solano, Emma Kos, Mattias Wennergren, Ann-Sofie Frisk Cavefors, Johanna Räntfors, Stefan Nilsson","doi":"10.1002/puh2.70113","DOIUrl":"10.1002/puh2.70113","url":null,"abstract":"<p><strong>Introduction: </strong>This study aims to investigate the association between young children receiving hospital treatment for burn injuries and their parents' education levels.</p><p><strong>Method: </strong>A retrospective register study collected data using diagnostic codes (T20-T25 and T29) for children seeking emergency medical care for burn injuries between 2018 and 2022. T20-T25 and T29 refer to burn injuries, where each number specifies the affected body region. An additional selection was made using ICD code chapters S and T for overall injury-related hospital care. The inclusion criteria for this study were children aged 0-6 years who had received emergency or specialised care at Queen Silvia Children's Hospital. The education levels of parents, as well as those of children who received care at the hospital, were grouped and aggregated at the area level. Parental education level data were obtained from Gothenburg's public statistical database to determine education levels in the city's areas. The mean of these two variables was calculated, and a simple linear regression was conducted. Data were aggregated and analysed at the intermediate area level rather than the individual level.</p><p><strong>Results: </strong>The results showed an association between children's burn injuries and parents' education levels; however, parental education level and overall injury-related hospital care were not associated with eachother.</p><p><strong>Conclusions: </strong>This study demonstrated an association between burn injuries and parental education levels, which needs consideration in clinical practice and future research. Future efforts should explore targeted health literacy and parental support interventions in low-education areas.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"4 3","pages":"e70113"},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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