BMC Public Health最新文献

{"title":"Prevalence and predictors of intimate partner violence against men in Kisumu slums, Kenya.","authors":"Elizabeth Akello Odemba, Edward A Frongillo, Sheri D Weiser","doi":"10.1186/s12889-025-22468-y","DOIUrl":"https://doi.org/10.1186/s12889-025-22468-y","url":null,"abstract":"<p><strong>Background: </strong>Men in sub-Saharan Africa experience intimate partner violence, with few reporting their cases to the legal authorities or coming out for assistance. Consequently, data on the prevalence and drivers of intimate partner violence in different parts of sub-Saharan Africa are inadequate. Therefore, this study was designed to investigate the prevalence and predictors of intimate partner violence against men in Kisumu slums, Kenya.</p><p><strong>Methods: </strong>This retrospective cross-sectional study included 398 randomly selected men in intimate relationships aged 18-54 years and residing in Kisumu slums. The sampling frame used was from Community Health Volunteers covering the area of study. Data collection using a structured questionnaire was conducted from July 2019 to September 2019 using simple random sampling. We used a multinomial regression analysis to assess relationships between predictors and forms of violence.</p><p><strong>Results: </strong>A total of 398 male respondents participated in the survey. The prevalence of intimate partner violence against men was 76.1% with physical violence at 12.2%, sexual violence at 16.5%, emotional violence at 47.5%, and economic violence at 23.8%. From the multinomial regression, men who were married or living together, compared with never married, were 2.13 times more likely to have experienced physical violence (95% CI = 0.91-4.97, p = 0.080) and 2.41 times more likely to have experienced economic violence (95% CI = 1.20-4.84, p = 0.013). Compared to never married, men who divorced or separated were 5.42 times more likely to have experienced sexual violence (95% CI = 0.97-30.37, p = 0.055). Men who had primary education or less were 2.39 times more likely to have experienced sexual violence (95% CI = 1.02-5.61, p = 0.045). Men who were Muslim, compared with Protestants, were 2.37 times more likely to have experienced psychological or emotional violence (95% CI = 0.87-6.37, p = 0.086).</p><p><strong>Conclusions: </strong>Sexual, physical, and emotional violence is common among men in Kisumu slums, and the prevalence differs by age, marital status, education, and religion. Safe spaces should be created that will enable men of diverse socio-demographic characteristics to share their experiences of violence by intimate partners. Policies, including education to increase awareness of this issue, should be enacted to protect men from intimate partner violence.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2092"},"PeriodicalIF":3.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224266","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":"Exploring the influencing factors affecting the operational effectiveness of public health emergency response mechanism: a DEMATEL-ISM-MICMAC mixed methods study.","authors":"Qunkai Wang, Nan Meng, Yunxia Ma, Yanping Wang, Kexin Wang, Ruiqian Zhuge, Yuxuan Wang, Peng Wang, Huan Liu, Qunhong Wu","doi":"10.1186/s12889-025-23268-0","DOIUrl":"https://doi.org/10.1186/s12889-025-23268-0","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore key factors and identify root factors influencing the Public Health Emergency Response Mechanism (PHERM) to ensure timely and effective responses to emerging infectious disease crises and enhance the efficiency of emergency operations.</p><p><strong>Methods: </strong>We employed a mixed-method approach using DEMATEL-ISM-MICMAC to analyse the interrelationships among factors affecting PHERM. The DEMATEL method established the hierarchical structure of the factors, ISM determined the relational paths, and MICMAC further characterized the attributes of the factors.</p><p><strong>Results: </strong>The analysis revealed that PHERM's influencing factors are organized into four levels, with the conscientiousness of emergency leadership action (X15) identified as the most profound and influential factor, exhibiting a strong causality with a high driving force. The decision-making and command feedback capability (X8) emerged as a significant outcome factor in the transition layer, highly influenced by other factors and with the highest node degree.</p><p><strong>Conclusions: </strong>The proactive emergency response awareness and actions of leaders is crucial for the mechanism's smooth and efficient operation. It is essential to prioritise ideological education and simulation training to instill such awareness. Moreover, proactive preparation for factors associated with decision-making and command capabilities is necessary to mitigate potential hesitation and panic during actual epidemic prevention, thereby enhancing the operational effectiveness of PHERM.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2078"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224258","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":"Weight underestimation and high cardiovascular disease risk among South African adults with obesity: implications for integrated obesity prevention.","authors":"Kufre Joseph Okop, Yusuf Amuda Agabi, Victoria Joseph","doi":"10.1186/s12889-025-23378-9","DOIUrl":"https://doi.org/10.1186/s12889-025-23378-9","url":null,"abstract":"<p><strong>Background: </strong>The contribution of body size perception to cardiovascular disease risk among persons with inherent negative body image perceptions in African settings has not been established. This study describes body image, weight discordance and absolute 10-year CVD risk score among predominantly obese black South African adults.</p><p><strong>Methods: </strong>A cohort study involving 920 adults aged 35-78 years in an urban township, a rural community, and South Africa. Medical history, anthropometrics and blood pressure were taken at baseline and follow-up. Body image perceptions were obtained using a validated body shape questionnaire at follow-up, and each participant's absolute 10-year CVD risk scores were also determined. Descriptive and mean comparison analyses were undertaken using SPSS version 26.</p><p><strong>Results: </strong>A higher proportion of women (84.1%) compared to men (32.2%) were overweight (BMI > 25 kg/m²). Increasing weight underestimation was associated with relative weight gain in both genders. Body weight underestimation had a weak, significant association with 10-year absolute CVD risk scores. About a quarter of men, compared to 58.3% of women, 42% of those with normal weight, and 30% with obesity, had a 'high' 10-year CVD risk score (i.e. score ≥ 20%). In both the urban (62% vs. 30%) and the rural (53% vs. 20%) communities, men had higher CVD risk scores than women, and these comparisons were statistically significant (p < 0.05).</p><p><strong>Conclusion: </strong>Obesity and CVD risk prevention programmes targeting black South Africans should consider a sustained healthy weight maintenance intervention focusing on personalised self-assessments of weight gain intentions and body size preferences.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2087"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224197","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":"Animal-derived foods, physical activities, and mild cognitive impairment among Chinese older adults: findings from CLHLS (2008-2018).","authors":"Boyu Si, Keqing Zhang","doi":"10.1186/s12889-025-23382-z","DOIUrl":"https://doi.org/10.1186/s12889-025-23382-z","url":null,"abstract":"<p><strong>Background/objectives: </strong>This study investigates the relationship between dairy-egg-meat (DEM) consumption, physical exercise, and mild cognitive impairment (MCI) among Chinese older adults, focusing on gender-specific patterns and potential moderating effects.</p><p><strong>Methods: </strong>Using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we conducted a longitudinal analysis of 14,640 participants aged 55 and above, followed from 2008 to 2018. The study utilized Cox Proportional Hazard Models to examine the associations between baseline DEM consumption and MCI incidence. A composite DEM consumption measure, ranging from 0 to 3, with exercise assessed as a binary interaction variable. Cognitive function was evaluated using the Chinese version of the Mini-Mental State Exam, with MCI diagnosed using aging-associated cognitive decline (AACD) criteria.</p><p><strong>Results: </strong>The overall MCI prevalence was 11.54%, with significant gender differences. The proportion of MCI among females (13.68%) was higher compared to males (8.85%). Moderate to high DEM consumption demonstrated protective effects against MCI with gender-specific patterns, showing a significant protective effect of exercise for high DEM consumption (HR = 0.780).</p><p><strong>Conclusions: </strong>The study reveals a complex, gender-specific relationship between DEM consumption and MCI risk. Exercise emerges as a significant moderator, particularly for males, highlighting the importance of integrated dietary and physical activity approaches to cognitive health. The findings underscore the need for gender-sensitive interventions targeting nutrition and physical activity among older adults.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2088"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224245","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":"Correction: Bullying in adolescents across three years in the context of the COVID-19 pandemic: a repeated cross-sectional and prospective analysis.","authors":"Bruno Nunes de Oliveira, Marcus Vinicius Veber Lopes, Bruno Gonçalves Galdino da Costa, Gabrielli Thais de Mello, Gabriel Pereira Maciel, Kelly Samara Silva","doi":"10.1186/s12889-025-23289-9","DOIUrl":"https://doi.org/10.1186/s12889-025-23289-9","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2083"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224248","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":"Synergistic effects of chronic pain and diabetes on cardiovascular disease risk: findings from a nationwide cohort study.","authors":"Tian-Qi Teng, Jing Liu, Meng-Meng Wang, Hai-Chu Yu","doi":"10.1186/s12889-025-23376-x","DOIUrl":"https://doi.org/10.1186/s12889-025-23376-x","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain is a significant risk factor for cardiovascular diseases (CVD). However, the impact of dynamic changes in pain site count and the interaction between pain and diabetes on CVD risk remain unclear.</p><p><strong>Methods: </strong>The study was a prospective cohort analysis based on data from the China Health and Retirement Longitudinal Study (CHARLS, 2011-2020). Participants aged ≥ 45 years with follow-up data on pain, diabetes, and cardiovascular disease (CVD) were included, excluding those with CVD at baseline. Pain sites and counts were categorized, and changes in pain site count across waves 1 to 3 were assessed, dividing participants into four groups: Cluster 1 (n = 6477) with persistently low counts; Cluster 2 (n = 964) with a significant increase; Cluster 3 (n = 272) with consistently high counts; and Cluster 4 (n = 680) with a significant decrease. CVD was defined as self-reported physician-diagnosed heart disease (including myocardial infarction, angina, coronary heart disease, heart failure, or other heart problems) and stroke. Cox regression was used to assess the relationship between pain and CVD, and an additive interaction analysis evaluated the interaction between pain and diabetes.</p><p><strong>Results: </strong>13,492 participants were enrolled. With a median follow-up of 9 years, 3,146 participants (23.32%) developed incident CVD. Cox regression showed that pain was associated with a 28% higher risk of CVD (HR 1.28, 95% CI 1.18-1.41). When pain affected more than six sites, CVD risk increased by 64% (HR 1.64, 95% CI 1.44-1.87). Participants with consistently high pain site count had the highest CVD risk compared to those with consistently low count (HR 1.94, 95% CI 1.53-2.46), while those with a decreasing trend in pain site count had a lower risk (HR 1.49, 95% CI 1.26-1.78). Interaction analysis revealed a significant interaction between pain and diabetes in predicting CVD, contributing an additional 35% risk (RERI 0.35, AP 0.2, S 1.9).</p><p><strong>Conclusions: </strong>The number of pain sites and its dynamic changes are closely associated with CVD risk, and the synergistic effect of pain and diabetes requires more attention.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2085"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224192","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 impact of individual and social environmental factors on the health of elderly migrants in China: an analysis based on social-ecological systems theory.","authors":"Aidi Liao, Jingjin He, Xiafei Tao","doi":"10.1186/s12889-025-23371-2","DOIUrl":"https://doi.org/10.1186/s12889-025-23371-2","url":null,"abstract":"<p><strong>Background: </strong>With the increasing number of elderly migrants in China, ensuring their health and access to healthcare services have become a significant public health challenge. The social environment of elderly migrants is composed of multiple interconnected systems, each of which exerts a complex and multidimensional influence on their health. This study investigates how individual and social environmental factors affect the health of elderly migrants in China.</p><p><strong>Methods: </strong>Data from 4,744 respondents were obtained from the 2017 China Migrants Dynamic Survey. Guided by social-ecological systems theory, we explored the relationship between individual and social environmental factors and the health outcomes of elderly migrants using binary logistic regression models.</p><p><strong>Results: </strong>Individual factors, such as gender, age, education level, and average monthly household income, were found to significantly affect the self-rated health of the respondents. Furthermore, social environmental factors, including types of social interactions, the establishment of health records, the amount of health knowledge acquired, and travel time to medical institutions, also had a notable influence on the health of elderly migrants.</p><p><strong>Conclusions: </strong>This study suggests that individual and social environmental factors significantly influence the health of elderly migrants. To improve their health, targeted strategies should focus on fostering diverse social networks, enhancing comprehensive health education, optimizing public health services, and creating an equitable institutional framework.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2091"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224194","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":"Further validating of the Depression Anxiety Stress Scales-21 (Dass-21) in Chinese adolescents: factor structure and measurement invariance.","authors":"Jie Luo, Guohui Xian, Chengkui Yao, Jie Jin, Jianhua Zhao, Xi Song, Jie Gong","doi":"10.1186/s12889-025-23287-x","DOIUrl":"https://doi.org/10.1186/s12889-025-23287-x","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2073"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224261","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 influence of common exercise on the prevalence of hypertension.","authors":"Ting Liu, Junmin Zhou, Yuezhu Chen, Jie Xu, Shaoxiong Yang, Kangzhuo Baima, Tingting Yang, Jing Zhou","doi":"10.1186/s12889-025-23250-w","DOIUrl":"https://doi.org/10.1186/s12889-025-23250-w","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have shown that physical activity can effectively reduce blood pressure. And exercise is a physical activity that we can control, so which kind of exercise modalities is more closely related to the prevalence of hypertension needs further research.</p><p><strong>Methods: </strong>This study's data came from the baseline survey of the China Multi-Ethnic Cohort. Sociodemographic information, physical activity, and hypertension prevalence were extracted to analyze the relationship between different common exercise modalities and the prevalence of hypertension.</p><p><strong>Results: </strong>A total of 40,308 participants were included, and the prevalence of hypertension was 34.0%.The main exercise modalities of 24,260 (60.2%) respondents were Taichi /Qigong /leisure walking, 9046 (22.4%) brisk walking /gymnastics /folk dancing, 3194 (7.9%) jogging /aerobic exercise, 312 (0.8%) swimming, 1509 (3.7%) ball game, 657 (1.6%) equipment exercise, and 1330 (3.3%) others (e.g. mountain climbing). Compared with walking, jogging /aerobic exercise (OR: 0.781; 95%CI: 0.648-0.942), ball game (OR: 0.685; 95%CI: 0.539-0.871), and others (e.g. mountain climbing) (OR: 0.713; 95%CI: 0.528-0.964) they had a lower prevalence of hypertension. Among males, playing ball games (OR: 0.628; 95%CI: 0.476-0.827) had a lower prevalence of hypertension, while among females it was jogging /aerobic exercise(OR: 0.531; 95%CI: 0.371-0.762). Youth group who took jogging /aerobic exercise (OR: 0.642; 95%CI: 0.436-0.945) and ball game (OR: 0.416; 95%CI: 0.26-0.665) had a lower prevalence of hypertension.</p><p><strong>Conclusion: </strong>People who do ball games, jogging /aerobic exercise, and others (e.g. mountain climbing) exercises had a lower prevalence of hypertension than walking, and there were differences between age and sex.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2081"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224195","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":"Disordered eating in young Chinese adults: role of parenting styles, attachment anxiety, and negative coping styles.","authors":"Chenfan Yang, Feifei Li, Nurul Fazzuan Khalid","doi":"10.1186/s12889-025-23071-x","DOIUrl":"https://doi.org/10.1186/s12889-025-23071-x","url":null,"abstract":"<p><strong>Background: </strong>Disordered eating (DE) is prevalent among young adults and poses significant risks to their physical and mental health. Parenting styles have been shown to strongly influence DE. This study investigates the roles of attachment anxiety and negative coping styles as psychological mediators in the relationship between parenting styles and DE among young Chinese adults.</p><p><strong>Method: </strong>A total of 814 university students aged 17-23 (49.0% female, M = 20.05 years, SD = 1.24) from southeastern coastal universities in China participated in this study. Participants completed the short-form Egna Minnen Beträffande Uppfostran for Chinese (EMBU-C, assessing parenting styles), the Experiences in Close Relationships Scale-Short (ECR-12, measuring attachment anxiety), the Short Form Coping Style Questionnaire (SFCSQ, evaluating negative coping styles), and the Eating Attitude Test (EAT-26, assessing DE).</p><p><strong>Result: </strong>Attachment anxiety significantly mediated the relationships between parental rejection and DE, with indirect effects of 0.20 (95% CI [0.10, 0.31]) for both paternal and maternal rejection. Similarly, attachment anxiety mediated the relationships between parental overprotection and DE, with indirect effects of 0.13 (95% CI [0.06, 0.21]) for paternal overprotection and 0.12 (95% CI [0.06, 0.20]) for maternal overprotection. Furthermore, attachment anxiety and negative coping styles formed a serial mediation pathway in these relationships, with indirect effects of 0.07 (95% CI [0.03, 0.12]) for both paternal and maternal rejection, 0.05 (95% CI [0.02, 0.08]) for paternal overprotection, and 0.04 (95% CI [0.02, 0.08]) for maternal overprotection.</p><p><strong>Conclusion: </strong>This study demonstrates the complex interplay between parenting styles and DE in young adults, emphasizing the significant roles of attachment anxiety and negative coping styles as mediators. These findings provide valuable insights for developing interventions targeting psychological factors and coping strategies to effectively prevent and address DE in young Chinese adults.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2077"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224249","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}