BMC Public Health最新文献

{"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139264/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135228/pdf/","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":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135306/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of stroke and health-seeking behaviours among caregivers of patients: a cross-sectional study at Ibrahim Malik and Soba Teaching Hospitals, Khartoum, Sudan (2022).","authors":"Alaa Galal Mohammed, Ahmed Rabie Dahab, Lina Ahmed, Duaa Galal Mohammed, Marwa Abdelkarim Hassan Khairi, Dania A Elsiddig, Amna A Eltayeb, Eltayeb Abdalla","doi":"10.1186/s12889-025-23262-6","DOIUrl":"10.1186/s12889-025-23262-6","url":null,"abstract":"<p><strong>Background: </strong>Caregivers are pivotal in managing stroke patients, particularly in recognizing warning signs and facilitating timely medical intervention. However, caregiver awareness of stroke and related health-seeking behaviours remains understudied in Sudan. This study assessed the levels of stroke awareness among caregivers and explored the sociodemographic and systemic factors influencing their knowledge and behaviours.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among caregivers of stroke patients at Ibrahim Malik and Soba Teaching Hospitals in Khartoum, Sudan. Data were collected using structured questionnaires and analyzed to identify associations between sociodemographic characteristics and stroke awareness.</p><p><strong>Results: </strong>Among the 200 caregivers surveyed, 57.5% demonstrated low awareness, 42.0% had moderate awareness, and only 0.5% exhibited high awareness. Chi-square test revealed that Education, employment, and urban residence were significantly associated with higher awareness levels (p-value < 0.001). Hypertension was the most recognized risk factor (55.5%), while headache was the most commonly identified warning sign (41.5%). Barriers to timely health-seeking behaviours included financial constraints (67.5%) and transportation difficulties (53.0%).</p><p><strong>Conclusion: </strong>Stroke awareness among caregivers in Khartoum is inadequate, with significant sociodemographic disparities and systemic barriers contributing to low knowledge levels and delayed care. Targeted educational programs and healthcare access improvements are urgently needed to reduce the stroke burden in Sudan.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2069"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135478/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrocardiogram abnormalities and CVD mortality: prospective cohort study of Tehran lipid and glucose study.","authors":"Soma Mahmoodian, Davood Khalili, Fereidoun Azizi, Noushin Haddizadeh, Bijan Nouri, Abbas Aghaei","doi":"10.1186/s12889-025-23254-6","DOIUrl":"10.1186/s12889-025-23254-6","url":null,"abstract":"<p><strong>Background: </strong>The incorporation of electrocardiogram (ECG) abnormalities with other clinical indicators can strengthen the hypothesis regarding the improvement of diagnosis and the enhancement of screening accuracy for cardiovascular diseases. This study aimed to determine the risk of mortality from cardiovascular diseases (CVD) based on ECG abnormalities, in addition to other known risk factors, within the Tehran Lipid and Glucose Study (TLGS).</p><p><strong>Methods: </strong>In this prospective cohort study conducted within the framework of the TLGS, 6,422 individuals aged 30 and older, who had ECG data and no history of cardiovascular disease, were examined over a follow-up period with a median of 18.1 years (IQR: 1.05). Logistic regression models, adjusted for age, gender, abdominal obesity, BMI, high blood pressure, LDL cholesterol levels, fasting blood glucose, smoking status, and education level, were used to estimate the odds ratios (OR) for ECG abnormalities regarding CVD mortality.</p><p><strong>Results: </strong>Overall, during the 19-year follow-up period, 233 CVD-related deaths occurred, resulting in a cumulative incidence of mortality of 3.63% in the study population. Individuals with Q-wave abnormalities (OR = 2.060, 95% CI: 1.327-3.198, P = 0.001) and T-wave abnormalities (OR = 1.990, 95% CI: 1.327-3.986, P = 0.001) had approximately twice the risk of CVD mortality compared to those without these abnormalities. However, ECG abnormalities such as ST-segment (OR = 1.169, 95% CI: 0.728-1.879, P = 0.518), QRS duration (OR = 0.780, 95% CI: 0.385-1.582, P = 0.492), and PR interval (OR = 1.406, 95% CI: 0.297-6.662, P = 0.668) did not show a significant association with CVD mortality.</p><p><strong>Conclusion: </strong>Among the ECG abnormalities (ST, T, Q, PR, QRS), Q and T abnormalities are associated with CVD mortality. It can be concluded that ECG abnormalities in asymptomatic adults are related to the risk of CVD mortality and can serve as warning factors for the development of mortality from CVD.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2080"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How populist-aligned views affect receipt of non-COVID-19-related public health interventions: a systematic review of quantitative studies.","authors":"Kaitlin Conway-Moore, Jack M Birch, Alison R McKinlay, Fiona Graham, Emily Oliver, Clare Bambra, Michael P Kelly, Chris Bonell","doi":"10.1186/s12889-025-23265-3","DOIUrl":"10.1186/s12889-025-23265-3","url":null,"abstract":"<p><strong>Background: </strong>Globally, there is increasing evidence of resistance to government-led public health interventions in areas such as vaccination, climate change mitigation, sexual and reproductive healthcare, and the implementation of non-pharmaceutical infection control measures. One potential explanation for this could be the documented global rise in populist attitudes, characterised by distrust of scientific, government and other perceived 'elites.' While the effect of such attitudes on engagement with COVID-19-related interventions has been extensively considered and researched, their association with the receipt of other public health interventions is currently underexplored.</p><p><strong>Methods: </strong>To understand how populist-aligned views might influence the receipt of public health interventions addressing areas other than COVID-19, we systematically reviewed quantitative research published across thirteen bibliographic databases and relevant websites between 2008 and 2024. All studies were set in member countries of the Organisation for Economic Co-operation and Development (OECD).</p><p><strong>Results: </strong>Across 30 included studies, the vast majority of which were cross-sectional, we found evidence that populist-aligned attitudes have a negative impact on the receipt of public health interventions including vaccinations, sexual and reproductive health care and preventive health care. We also found preliminary evidence of the negative role of populist-aligned attitudes on the receipt of disease screening related to HIV/AIDS and adherence to non-pharmaceutical interventions during times of public health emergency, such as the 2009 H1N1 pandemic.</p><p><strong>Conclusions: </strong>Although providing limited evidence of causality, the findings from this review suggest the need for future policy in many OECD countries to focus on trust-building between the public and political, scientific, and medical establishments. They also indicate the need for mitigation strategies to overcome the potentially negative impact of populist-style hostility towards out-groups on attitudes related to pressing public health issues such as abortion and family planning, for example by drawing on empathy-centred approaches.</p><p><strong>Systematic review registration: </strong>PROSPERO registration number CRD42024513124.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2075"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic and health consequence frames affect COVID-19 vaccine incentive attitudes in Germany- a survey based framing experiment.","authors":"Sebastian Jäckle, James K Timmis","doi":"10.1186/s12889-025-23279-x","DOIUrl":"10.1186/s12889-025-23279-x","url":null,"abstract":"<p><strong>Background: </strong>SARS-CoV-2 vaccines have significantly reduced human and economic losses. Nevertheless, vaccine hesitancy remains a major issue in many countries, including Germany. Recent studies have shown that public health framing and incentives can boost immunization rates. However, available evidence is fragmented and inconclusive regarding the effectiveness of different framing messages, types of incentives, and the size of financial incentives across different populations.</p><p><strong>Methods: </strong>This randomized, controlled survey experiment elicited the attitudes of 6,685 Germans towards 4 financial/non-financial SARS-CoV-2 immunization incentives (food voucher, football tickets, participation in lottery, immediate monetary compensation), and tested whether framing (individual/collective, health/economic consequences) affected said attitudes. We assigned participants to five study arms (control: no frame; experiment: 1 of 4 frames) and measured attitudes towards immunization incentives, and the amount of monetary compensation deemed appropriate, should such an incentive be considered.</p><p><strong>Results: </strong>While > 75% of our sample considered all 4 incentives to be not meaningful, all frames increased favorable views towards the financial incentives lottery/money and the average amount deemed acceptable for immediate monetary compensation. Interaction models showed that all frames have similar effects across core subgroups, e.g. age-cohorts, gender, vaccine doses.</p><p><strong>Conclusions: </strong>Across a sample of 6,685 Germans, we show that 4 different frames detailing the potential individual/collective consequences of COVID-19 have very similar effects on attitudes towards monetary incentives for SARS-CoV-2 immunization. Our results suggest that the existence of frames rather than specific narratives is key to increasing favorable views towards immunization incentives.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2071"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family weight management in rural U.S. communities: a mixed methods study of parent and child perspectives.","authors":"Alyssa Button, Denise Holston, Jamila Freightman, Katherine Seals, Matthew Helie, Elizabeth Bankhead, Deirdre Harrington, Peyton Murray, Amanda Staiano","doi":"10.1186/s12889-025-23381-0","DOIUrl":"10.1186/s12889-025-23381-0","url":null,"abstract":"<p><strong>Background: </strong>Effective treatments are available to address the rising prevalence of childhood obesity in the U.S. Families in rural communities face unique barriers to accessing and engaging in these programs. This study evaluated interests and considerations for behavioral health programming to treat child obesity in rural southern U.S.</p><p><strong>Methods: </strong>Rural counties with high prevalence of adult obesity (> 40%) were selected for recruitment following interviews with community partners and agents, in accordance with the Hexagon Tool framework. Researchers collaborated with extension agents and communities to recruit parents (n = 33) and children (n = 15) for cross-sectional focus groups and parent surveys (n = 295). The survey was adapted from questions on The Knowledge, Attitudes and Practices Scale, The Behavioral Information Preference Scale, and The Health Information National Trends Survey. Parent focus group data was analyzed using inductive reasoning, and content analysis was used for child focus group data. Descriptive statistics were used to interpret survey results.</p><p><strong>Results: </strong>Parent surveys (18-54 years, 50% male) indicated concern for childhood overweight and obesity (129/295 responses), as well as great interest in health education (153/295). Responses indicated high acceptability of digital (184-193/295) and group-class (192/295) formats for programming and accessing information. During focus groups, parents (≥ 18 years, 94% female) identified structural barriers including lack of resources as limitations for participation. Children (M = 10.5 ± 1.3 years, 60% boys) identified improving overall health and athleticism as desired outcomes.</p><p><strong>Conclusions: </strong>Families living in rural settings desire programming for childhood obesity treatment. Researchers and community leaders can build capacity and utilize existing resources to implement programs.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2089"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food uniting neighbours (f.u.n.): a pilot study exploring the feasibility, acceptability, and preliminary impact of co-designed interventions to improve food access.","authors":"Tamara Petresin, Marciane Any, Nayssam Shujauddin, Angela Annis, Jess Haines","doi":"10.1186/s12889-025-23356-1","DOIUrl":"10.1186/s12889-025-23356-1","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity remains a critical issue in Canada, with 15.6% of households affected. Food access, an important component of food security, reflects the ability of individuals to secure food. This pilot study aimed to assess the feasibility, acceptability, and preliminary impact of five co-designed interventions designed to improve nutritious food access in the Onward Willow neighbourhood of Guelph, ON.</p><p><strong>Methods: </strong>Thirteen Community Advisors worked with University of Guelph researchers and used co-design to develop, implement, and pilot test five interventions to improve food access: community cafés, food skills workshops, grocery gift cards, gardening materials and workshops, and transportation support. The interventions were pilot tested with 159 community members, and feasibility and acceptability were assessed through surveys and interviews. Preliminary impact was assessed through quantitative pre-post or post-only Likert-scale survey measures.</p><p><strong>Results: </strong>Findings show that the interventions were feasible and acceptable as all interventions were implemented per protocol and participant satisfaction was high across all interventions. Post-only evaluations identified that participants perceived that the community cafés helped to increase community connection and that the transportation support made it easier to have healthy foods available in their home. Pre-post evaluations revealed that the food skills workshops improved participants' sense of community with a medium effect size (median = 4.12 [IQR 3.87-4.47] to 4.12 [IQR 3.91-4.87], p = .04, r = .33) and that the gardening materials and workshops resulted in increased fruit and vegetable availability with a large effect size (median = 3.00 [IQR 2.00-3.00] to 4.00 [IQR 3.00 to 4.00], p = .04, r = .78). Grocery gift cards did not result in any significant changes in food access outcomes.</p><p><strong>Conclusions: </strong>Interventions that directly engage communities in creating solutions can be feasible, acceptable, and potentially effective. Future research is needed to explore long-term impacts of these interventions on diet quality and broader health outcomes.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2086"},"PeriodicalIF":3.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}