BMC Public Health最新文献

{"title":"Maternal health disparities linked to stressful life events: a cross-sectional study of industrialized Italian cities.","authors":"Esha Bansal, Alessandra Patrono, Stefano Renzetti, Roberto G Lucchini, Yueh-Hsiu Mathilda Chiu, Michele Conversano, Miriana Montemurro, Deborah Bruno, Carmen Franco, Augusto Giorgino, Giuseppa Cagna, Chiara Fedrighi, Maurizio Memo, Donatella Placidi","doi":"10.1186/s12889-024-21092-6","DOIUrl":"10.1186/s12889-024-21092-6","url":null,"abstract":"<p><strong>Background: </strong>Understanding the impact of family life stressors on maternal health is crucial, particularly in highly industrialized areas. This study assessed the validity of an Italian-language version of the Crisis in Family Systems-Revised (CRISYS-R) survey in Northern and Southern Italian cohorts.</p><p><strong>Methods: </strong>Mothers (n = 252) completed an Italian version of CRISYS-R, translated from English using the forward-backward method. At least 14 days after initial survey completion, a random subset of mothers (n = 44) retook CRISYS-R. Information about family demographics, socioeconomic status, and maternal health were collected by self-report on structured surveys. Statistical analyses were performed in R.</p><p><strong>Results: </strong>Test-retest analysis yielded a Pearson coefficient of 0.714 (Brescia: 0.845, Taranto: 0.726). Cronbach's alpha coefficient for internal consistency was 0.765 (Brescia: 0.718, Taranto: 0.784). In multivariable regression, the total number of stressors reported on the initial CRISYS-R test was positively associated with: poor maternal mental health (p < 0.001), poor maternal physical health (p < 0.01), and residence in Southern rather than Northern Italy (p = 0.02). Univariate correlations yielded similar results, plus a negative correlation between annual family income and total life stressors (p < 0.05).</p><p><strong>Conclusions: </strong>Statistical analyses support the validity and reliability of an Italian-language CRISYS-R in industrialized areas, while highlighting relationships between family stress and maternal mental and physical health. This survey instrument has the potential to inform public health policies and interventions serving families in Italian-speaking areas with high burdens of industrial pollution.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1255"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unraveling the link between physical activity and cognitive function: the mediating impact of depressive symptoms.","authors":"Luhan Zhang, Jiacheng Zhang, Qi Chen, Xian Cai, Liping Zu, Lingyan Liu, Xiaomin Wu, Chenyu Li, Fei Ma","doi":"10.1186/s12889-025-22410-2","DOIUrl":"10.1186/s12889-025-22410-2","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the association between physical activity and cognitive function in adults aged 50 and older, with a focus on the mediating role of depressive symptoms.</p><p><strong>Methods: </strong>Data were drawn from Waves 7 to 9 of the English Longitudinal Study of Ageing (ELSA), including 5,499 participants aged 50 years and older. Cognitive function was assessed through measures of episodic memory, numeracy, and orientation. Physical activity was quantified using a composite measure combining the frequency of vigorous, moderate, and light exercise with their respective average metabolic equivalents. Depressive symptoms were evaluated using the CES-D-8 scale. Generalized estimating equations (GEE) were employed to examine the association between physical activity and cognitive function, while the Bootstrap method was utilized to evaluate the mediating role of depressive symptoms.</p><p><strong>Results: </strong>GEE analyses revealed that higher levels of physical activity were significantly associated with improved global cognitive function(β = 0.151, 95%CI: 0.118-0.183), episodic memory(β = 0.074, 95%CI: 0.058-0.090), numeracy(β = 0.033, 95%CI: 0.015-0.051), and orientation(β = 0.039, 95%CI: 0.022-0.057) (all P < 0.001). Physical activity also demonstrated a significant negative association with depressive symptoms(β=-0.402, 95%CI: -0.452 to -0.352) (P < 0.001), which, in turn, were linked to lower cognitive function. Notably, depressive symptoms mediated 8.46% of the association between physical activity and global cognitive function.</p><p><strong>Conclusions: </strong>Greater engagement in physical activity is associated with better cognitive function, and this association is partially mediated by depressive symptoms. These findings underscore the importance of promoting physical activity to support cognitive health in older adults, with particular attention to its potential role in mitigating depressive symptoms.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1265"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global and national burden of tracheal, bronchus, and lung cancer attributabled to household air pollution from solid fuels in populations aged 55 and above: an integrated study of frontier and joinpoint regression analysis.","authors":"Ke-Jie He, Zhilong Xu, Jianguang Xu, Guoyu Gong","doi":"10.1186/s12889-025-22466-0","DOIUrl":"https://doi.org/10.1186/s12889-025-22466-0","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the global, regional, and country-specific burden of tracheal, bronchus, and lung cancer (TBL) in individuals aged 55 and above due to household air pollution from solid fuels (HAPSF) between 1990 and 2021, and to project its incidence and mortality rates for 2044.</p><p><strong>Methods: </strong>This study utilized data from the Global Burden of Disease Study 2021 (GBD 2021) to assess the burden of TBL in individuals aged 55 and above due to HAPSF between 1990 and 2021. The Age-Period-Cohort (APC) model, based on Poisson distribution, was used to analyze the impact of age, period, and cohort on TBL mortality trends. Joinpoint regression and decomposition analysis were applied to identify significant changes in trends and assess the contributions of population growth, aging, and epidemiological transitions. Based on the identified trends, projections of TBL incidence and mortality rates for 2044 were made using the Bayesian Age-Period-Cohort (BAPC) model. The analysis was conducted across 204 countries and regions, considering different socio-demographic index (SDI) levels.</p><p><strong>Results: </strong>In 2021, significant disparities in TBL burden attributable to HAPSF were observed across 204 countries. High-SDI countries like the United Arab Emirates had the lowest TBL-related death and DALY rates, while low-SDI countries, such as North Korea, reported the highest. From 1990 to 2021, global TBL-related DALYs declined by 4.17% annually, with more substantial reductions in high-SDI regions. However, a slight resurgence in DALYs was observed between 2019 and 2021. DALY trends showed variations by age and sex, with more pronounced declines in higher-SDI regions, particularly for older age groups. Projections for 2041 indicate continued substantial decreases in TBL burden across all age groups, with the most significant reductions expected among males. Decomposition analysis revealed that population growth primarily contributed to the increase in TBL burden, while epidemiological transitions led to reductions, especially in middle and high-SDI regions. Frontier analysis identified countries with the greatest potential for improvement in TBL burden, including both low-SDI countries and certain high-SDI regions. Projections using the Bayesian Age-Period-Cohort (BAPC) model suggest that DALYs will decrease substantially by 2044, with the most significant reductions in the 70-74 and 65-69 age groups.</p><p><strong>Conclusions: </strong>Socioeconomic development is negatively correlated with the TBL burden from HAPSF. Lower SDI countries face a heavier burden, while high SDI countries see increased TBL in aging populations. Tailored policies are needed for different SDI regions.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1249"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes and prediabetes among women universally screened for gestational diabetes: a multi-ethnic, population-based, prospective study with eleven years follow-up.","authors":"Christin W Waage, Anne Karen Jenum, Ibrahimu Mdala, Sindre Lee-Ødegård, Anja Maria Braend, Line Sletner, Jens Petter Berg, Kåre I Birkeland","doi":"10.1186/s12889-025-22493-x","DOIUrl":"10.1186/s12889-025-22493-x","url":null,"abstract":"<p><strong>Background: </strong>Gestational diabetes (GDM) is a strong risk factor for later development of diabetes. However, data are scarce on the long-term risk for diabetes or prediabetes diagnosed by HbA1c, in non-selected, multi-ethnic populations universally screened for GDM using the WHO₂₀₁₃ criteria. We aimed to investigate the development of diabetes or prediabetes eleven years after the index pregnancy and identify risk factors in pregnancy or shortly after.</p><p><strong>Methods: </strong>A population-based cohort study of 360 women with complete eleven years follow-up data for diabetes (HbA1c ≥ 48 mmol/mol) or prediabetes_ADA (HbA1c 39-47 mmol/mol). Women were enrolled in gestational week 15 and universally screened with an oral glucose tolerance test in week 28. We performed least absolute shrinkage and selection operator (LASSO) regression to identify predictors of future diabetes or prediabetes_ADA and constructed a nomogram to predict individual risks.</p><p><strong>Results: </strong>Diabetes or prediabetes_ADA combined, was found in 26.9%, and the prevalence was slightly higher in previous GDM compared with non-GDM women (35.6% versus 23.5%; p = 0.019). The relative risk (RR) for developing diabetes or prediabetes_ADA was moderately elevated in GDM compared with non-GDM women (1.4 [1.0, 1.9], p = 0.035). Seven women (1.9%) had diabetes and all of these except for one, had previous GDM. Hence, the crude prevalence was 5.8% among GDM women vs. 0.4% among non-GDM women. The RR for developing diabetes was substantially higher in GDM vs. non-GDM women (14.8 [2.6, 277.1], p = 0.012). Prediabetes_ADA was found in 25% and the RR for prediabetes_ADA was not significantly increased for GDM compared to non-GDM women (1.3 [0.9, 1.8], p = 0.143). Among Europeans, 17.0% had diabetes or prediabetes_ADA, compared to 43.0% among South Asians (p < 0.001) and 34.4% among other ethnicities (p = 0.002). The most significant predictors identified from the LASSO were HbA1c measured in early pregnancy, ethnicity, and a family history of diabetes.</p><p><strong>Conclusions: </strong>The risk for developing diabetes was low, overall and among GDM women. Still GDM represented a strong risk for diabetes, but not for prediabetes_ADA. HbA1c early in pregnancy, non-European ethnicity, and a family history of diabetes were the strongest risk factors for developing diabetes or prediabetes_ADA.</p><p><strong>Trial registration: </strong>STORK G2 Women and Risk of Diabetes. NCT03870724 (ClinicalTrials.gov). February 27th, 2019.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1264"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between visceral adiposity index and long-term all-cause mortality shows age-related disparities: a nationwide cohort study.","authors":"Qiushi Sun, Sibo Wang, Xudong Han, Lingfeng Gu, Hao Wang, Qin Yang, Liansheng Wang","doi":"10.1186/s12889-025-22428-6","DOIUrl":"10.1186/s12889-025-22428-6","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of obesity has increased rapidly worldwide over the past few decades and remains a recognized public health concern. However, studies exploring visceral adiposity index (VAI), a sex-specific indicator reflecting visceral fat distribution and function, and long-term mortality are limited. This study aimed to investigate the association of VAI with long-term all-cause mortality among general adults in the United States.</p><p><strong>Methods: </strong>This cohort study used data from the National Health and Nutrition Examination Survey (NHANES) 1999-2018. Participants were linked to National Death Index mortality data through December 31, 2019. Weighted Cox proportional hazards regression model was used to calculate hazard ratios (HRs) and 95% CIs, and restricted cubic spline (RCS) was also conducted.</p><p><strong>Results: </strong>A total of 21,943 US adults (weighted mean age, 46.9 years; 10,921 males [weighted, 49.1%]) were included. During 211,473 person-years of follow-up (median follow‑up: 9.3 years), 3326 total deaths occurred. After multivariable adjustments, compared with the 3rd quintile (Q3) of VAI, participants in the 2nd (Q2) and 5th (Q5) quintiles were at a significantly higher risk of all-cause mortality (HR 1.16 [95% CI, 1.00-1.34] and HR 1.15 [95% CI, 1.01-1.31], respectively). RCS revealed a U-shaped relationship of log₂-transformed VAI to all-cause mortality (P for nonlinearity < 0.001), with an inflection point of 0.824. Subgroup analysis indicated that there was a significant interaction of VAI with age on all-cause mortality (P for interaction = 0.005). Higher VAI levels were associated with higher all-cause mortality in younger adults (Q5 vs. Q3, HR 1.56 [95% CI, 1.12-2.18], P = 0.009) rather than older adults (Q5 vs. Q3, HR 1.05 [95% CI, 0.91-1.22], P = 0.497).</p><p><strong>Conclusions: </strong>In the nationally representative cohort of US adults, VAI was nonlinearly associated with long-term all-cause mortality and the association showed age-related disparities. A higher VAI was related to a higher mortality risk in younger adults. These findings underscore the importance of appropriate VAI for long-term health outcomes, especially for young adults.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1266"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the multilayer perceptron approach to explore the relationship between PUBG gaming, sleep disorder, quality of life, and migraine.","authors":"Ali Hassan, Muhammad Daniyal, Roy Rillera Marzo, Mohammed Aljuaid, Duaa Shahid","doi":"10.1186/s12889-025-21880-8","DOIUrl":"10.1186/s12889-025-21880-8","url":null,"abstract":"<p><strong>Background of the study: </strong>Player Unknown's Battlegrounds (PUBG), a popular and widely played multiplayer online game, has generated interest and concern about its effects on the physical health of its players. This study explores the relationship between factors like cultivation level, gaming disorder, migraine and associated symptoms, sleep quality, and life quality of PUBG players.</p><p><strong>Methods: </strong>This cross-sectional study included 500 PUBG players, categorized into Lower, Medium, and High PUBG Users. Data were collected using a self-administered questionnaire, including the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and a gaming disorder screening tool. The Multilayer Perceptron (MLP) methodology was applied to analyze the factors influencing migraine symptoms, sleep quality, and quality of life.</p><p><strong>Results: </strong>Participants of the study were categorized into lower PUBG users (LPU), medium PUBG users (MPU), and high PUBG users (HPU). Among study participants reporting migraine pain, 259 (51.8%) reported that they were HPU. By examining daytime sleepiness using the ESS, Higher normal Day sleep (DS) was observed in 78 (15.9%) HPU. The cultivation level of PUBG showed a very weak positive correlation with experiencing migraine pain or associated headache symptoms (r = 0.034, p = 0.454). In contrast, the gaming disorder of PUBG showed a weak negative correlation with PSQI (r = -0.092, p = 0.041). The higher levels of gaming disorder are slightly associated with poorer sleep quality. The results of the MLP model suggested that daily PUBG use was the most contributing factor to migraine and related symptoms followed by gaming disorder, gaming addiction, PSQI, and ESS.</p><p><strong>Conclusion: </strong>The study concluded that PUBG playing contributes to migraine and its associated symptoms although is not significant it contributes to less sleep quality and lower quality of life.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1268"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143779014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between family function and depression among caregivers of patients with acute pesticide poisoning: a cross-sectional study.","authors":"Zixin Wen, Yanxia Zhang, Jie Shi, Yingying Zheng, Tianzi Jian, Xiangdong Jian, Baotian Kan","doi":"10.1186/s12889-025-22531-8","DOIUrl":"https://doi.org/10.1186/s12889-025-22531-8","url":null,"abstract":"<p><strong>Background: </strong>Acute pesticide poisoning is a major public health concern. The relationship between family function and depression in caregivers of patients with acute pesticide poisoning is unclear. Therefore, this study aimed to explore the relationship between family function, coping style, and depression among caregivers of patients with acute pesticide poisoning and to provide a theoretical basis and intervention targets for future research.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among caregivers of patients with acute pesticide poisoning in the Department of Toxicology and Occupational Disease of a Grade A hospital in Jinan, Shandong Province, from November 2022 to June 2023. A general data questionnaire, family caring index scale, simple coping style questionnaire, and health questionnaire depression symptom group scale were used to collect the data. Pearson correlation and a structural equation model were used for data analysis.</p><p><strong>Results: </strong>The average depression score of the caregivers was 5.66 ± 4.291, and the incidence of depression was 54.7%. The family function may directly or indirectly affect depression in caregivers through coping styles.</p><p><strong>Conclusion: </strong>Future health education and interventions should focus on improving the family functioning of caregivers and encouraging positive coping mechanisms.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1252"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global burden of Alzheimer's disease and other dementias in adults aged 65 years and over, and health inequality related to SDI, 1990-2021: analysis of data from GBD 2021.","authors":"Wen Liu, Wei Deng, Xinhao Gong, Jinping Ou, Shuchun Yu, Shoulin Chen","doi":"10.1186/s12889-025-22378-z","DOIUrl":"10.1186/s12889-025-22378-z","url":null,"abstract":"<p><strong>Introduction: </strong>The disease burden of dementia in the elderly is predicted to rise, and dementia among older adults has become a crucial issue for public health. Quantifying the disease burden of dementia in the elderly can provide relevant areas and countries with scientific data to help them adjust their healthcare strategies.</p><p><strong>Methods: </strong>We analyzed the disease burden of Alzheimer's disease and other dementias among individuals aged 65 and older from 1990 to 2021; the relationship between mortality rates and disability-adjusted life years (DALYs) with socio-demographic index (SDI); conducted a frontier analysis of the disease burden across 204 countries; and quantified inequalities in age-standardized DALYs for Alzheimer's disease and other dementias using the slope inequality index and concentration index.</p><p><strong>Results: </strong>Globally, age-standardized DALYs and mortality rates for individuals aged 65 and older have declined over time. We find that the disease burden of dementia is significantly associated with SDI. High SDI countries have 169% higher baseline levels of dementia burden compared to low SDI countries, as estimated based on their current level of social development. Finally, our health inequality analyses reveal that while the overall trend of DALYs for dementia increases with SDI, the burden is primarily concentrated in populations with lower SDI, as non-developed countries account for the majority of the population.</p><p><strong>Conclusion: </strong>The global population aged 65 and older experiences a significant reduction in healthy life expectancy due to dementia. The burden of disease in most countries is higher than the minimum disease burden associated with SDI in those countries. The burden of disease in low and middle SDI countries has been showing an increasing trend. The gap in disease burden among regions with different SDI levels is also continuously narrowing.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1256"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The structural and organizational aspects of human papillomavirus vaccine affecting immunization coverage in Europe: a systematic review.","authors":"Ronan Lemwel Valdecantos, Michele Sorrentino, Michelangelo Mercogliano, Vincenzo Giordano, Ugo Trama, Maria Triassi, Raffaele Palladino","doi":"10.1186/s12889-025-22343-w","DOIUrl":"https://doi.org/10.1186/s12889-025-22343-w","url":null,"abstract":"<p><p>The introduction of HPV vaccinations, that can prevent most prevalent HPV-related cancers of various body districts, is a public health milestone. Despite broad immunization programs, European Health Systems face structural and organizational difficulties that hinder care. This study examined structural and organizational elements that may affect HPV vaccine coverage. We searched numerous databases from January 1, 1995 to May 15, 2023, for literature on HPV immunization research methodologies. Structural and Organizational aspects that cause HPV vaccine concerns in women and men were examined in the outcome evaluations and the research examined vaccination willingness factors. Ottawa, JBI's critical appraisal tool, and Amstar quality assessment assessed bias. A total of 10 articles from 312 studies met the inclusion criteria. Studies were undertaken in Italy, Belgium, England, Switzerland, France, the UK, and Spain. There were also combined-diverse studies in 15 and 27 European countries. Several primary healthcare strategies have increased HPV vaccination rates. These include vaccine procurement and cost-effectiveness, school-based immunization programs, electronic health databases, health professional training, health education and communication, and monitoring and surveillance.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1254"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and reliability and validity test of the sleep health literacy scale for college students.","authors":"ZhengDa Long, LiPing Huang","doi":"10.1186/s12889-025-22455-3","DOIUrl":"10.1186/s12889-025-22455-3","url":null,"abstract":"<p><strong>Purpose: </strong>It is evident that there are some discrepancies in the connotations and substance of sleep health literacy and health literacy. The latter encompasses a broader construct, including health-related knowledge and the capacity for decision-making in domains such as diet, exercise, mental well-being and disease prevention. In contrast, sleep health literacy is a more specialised domain that aims to assist individuals in optimising their sleep quality and modifying their sleep behaviour.Sleep health literacy is defined as a specialized extension of general health literacy, with a specific focus on sleep-related knowledge and behaviors. Sleep health literacy is defined as the ability of an individual to obtain, understand, analyse and apply basic sleep health information or services and to make correct sleep health decisions.However, no formal assessment tool for sleep health literacy has been developed to date. Therefore, the Sleep Health Literacy Scale for College Students (SHLS-ST) was developed and its reliability was tested.</p><p><strong>Methods: </strong>The present study is founded upon extant theoretical frameworks and scales, in addition to comprehensive literary research, group interviews, and the Delphi expert consultation method. We administered questionnaires to on 300 college students, and the survey data were used for item analysis, exploratory factor analysis, confirmatory factor analysis, convergent validity, discriminant validity, and correlation analysis. These analyses were used to test the structural validity and reliability of the SHLS-ST.</p><p><strong>Results: </strong>The Sleep Health Literacy Scale for College Students was developed with 26 items. Exploratory factor analysis yielded five common factors, with a cumulative variance contribution of 72.05%, and Pearson's correlation coefficients between the five factor scores and the total scale score ranging from 0.568 to 0.947. The overall Cronbach's α coefficient of the scale was 0.960, the overall split-half reliability of the scale was 0.922, and the reliability coefficient of the test-retest reliability of 77 college students after an interval of half a month was 0.974.</p><p><strong>Conclusion: </strong>The Sleep Health Literacy Scale for College Students has a good reliability and validity, and is suitable for the assessment of college students' sleep health literacy. However, the length of the scale may affect its usability and participants' engagement in the assessment process.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1257"},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}