BMC Public Health最新文献

{"title":"Mediating role of exercise in the relationship between body dissatisfaction and overeating using structural equation modeling.","authors":"Zhimin Yi, Wenjing Yan, Guohuan Hua, Ying Wang, Chunmei Wu, Guoqiu Liu, Ming Hao","doi":"10.1186/s12889-025-21282-w","DOIUrl":"https://doi.org/10.1186/s12889-025-21282-w","url":null,"abstract":"<p><strong>Background: </strong>With the rapid development of society, teenagers have more access to individuals with perfect bodies and are becoming more concerned about their body image. Currently, few studies assess body image and eating disorders comprehensively in China. Given the seriousness of these issues, there is an urgent need to understand the current state of body image and eating behaviors among Chinese people and formulate preventive strategies.</p><p><strong>Methods: </strong>In this study, 1711 college students between 17 and 23 years old in southern China completed relevant anthropometric measurements, essential information and three questionnaires. Multiple linear regression was used to screen the variables, and sex invariant analysis was used to determine whether to separate men and women to fit the structural equation model. Finally, the path diagram of the structural equation model was used to explore the complex relationship between body dissatisfaction and overeating.</p><p><strong>Results: </strong>Our results found that 69.4% of participants with a body mass index (BMI) within the normal range were dissatisfied with their weight. Further, body dissatisfaction directly or indirectly leads to overeating. Additionally, exercise played a mediating role in the body dissatisfaction and overeating of college students.</p><p><strong>Conclusions: </strong>If BMI directs body dissatisfaction, it may lead to overeating. As a mediating factor in structural equation modelling, exercise may provide strategies to reduce body dissatisfaction and prevent overeating.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"76"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943848","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":"A new health literacy scale for staff in preschool childcare institution: development and preliminary validation.","authors":"Xinqi Zhuang, Yitong Jia, Tianxin Cui, Ge Meng, Jianzhong Zhang, Linxia He, Yin-Ping Zhang","doi":"10.1186/s12889-024-21233-x","DOIUrl":"https://doi.org/10.1186/s12889-024-21233-x","url":null,"abstract":"<p><strong>Background: </strong>The health literacy of staff in preschool childcare institution is an important issue to consider in providing healthcare for children aged 3-6 years, which could contribute to reducing incidence of diseases and accidental injuries as well as maintaining children's good health. Seldom instruments have been designed to measure health literacy across this group. This research aims to develop a health literacy scale for staff in preschool childcare institutions and validate its psychometric properties.</p><p><strong>Methods: </strong>The scale was developed through four phases. In Phase 1, an item pool was developed mainly based on literature review and kindergarten work; In Phase 2, the initial items were reviewed by fifteen experts and content validity analysis was conducted; In Phase 3, a pilot study was conducted involving 30 kindergarten staff, which aimed to further modify the scale; In Phase 4, a psychometric validation study involving 466 kindergarten staff was conducted through a cross-sectional survey in May 2023. Item analysis was performed through critical ration, correlation analysis, and Cronbach's alpha if item deleted. Construct validity was performed through exploratory (n = 190) and confirmatory factor analyses (n = 276). Convergent and discriminant validity were evaluated. Reliability was evaluated through internal consistency, split-half reliability, and test-retest reliability.</p><p><strong>Results: </strong>The final Health Literacy Scale consisted of 28 items, including dimensions of Basic Health Knowledge (11 items), Functional Health Literacy Skills (3 items), Communicative Health Literacy (5 items), and Critical Health Literacy (9 items). Principal component analysis revealed a four-factor structure that explained 80.092% of the total variance. The goodness-of-fit indices signified an adequate model fit (χ²/df = 2.093, RMSEA = 0.063, RMR = 0.031, GFI = 0.852, CFI = 0.958, NFI = 0.923, IFI = 0.958, TLI = 0.953, PCFI = 0.844). Cronbach's alpha showed a good internal consistency reaching a value of 0.921. The split-half reliability was 0.805, and the test-retest reliability was good with an intraclass correlation coefficient of 0.885 (P < 0.001).</p><p><strong>Conclusions: </strong>The Health Literacy Scale developed in this research focuses on health literacy issues related to children aged 3-6 years. The scale is demonstrated to be valid and reliable for assessing the health literacy of staff in preschool childcare institutions. It could potentially be used as an effective instrument for targeted development of health literacy intervention.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"64"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944202","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":"Impacts of a puberty and period education intervention among 9- to 12-year-old girls in the New York metropolitan area: a randomized trial.","authors":"Angela-Maithy N Nguyen, Micaela Camozzi, Marni Sommer","doi":"10.1186/s12889-024-21167-4","DOIUrl":"https://doi.org/10.1186/s12889-024-21167-4","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the immediate impacts of an illustrated book on puberty and periods for girls in the United States (US).</p><p><strong>Methods: </strong>We conducted a randomized educational intervention between February-May 2023 among girls ages 9-12 years in after-school programs in the New York metropolitan area (n = 123). Girls were assigned to read a book on puberty and periods or an alternative book on healthy eating. We conducted multivariate linear and logistic models to examine changes in knowledge, beliefs/attitudes, and comfort in communicating about puberty and periods between treatment groups using pre- and post-test surveys. We also examined for effect measure modification to assess if changes in knowledge about puberty and periods significantly differed by menarchal status.</p><p><strong>Results: </strong>The intervention produced an increase in knowledge score (p < 0.05). Girls in the treatment group compared to the control group were more likely to report positive shifts in beliefs/attitudes towards physical activity during their period and asking questions about periods. Knowledge scores were significantly higher among girls of pre-menarche status compared to girls who had already experienced their first period (p = 0.05).</p><p><strong>Conclusion: </strong>Findings from our educational intervention demonstrated that a simple distribution of an illustrated puberty and period book, without the support of formal instruction, had positive attitude shifts and educational impacts among girls ages 9-12 years. The intervention was efficacious in improving knowledge, particularly among girls who had not yet experienced their first period. Follow-up is needed to assess long-term health and social impacts of simple delivery of pubertal content to adolescents. Our study contributes to filling the gap in understanding the utility of puberty education in the US and our findings underscore the importance of appropriately timed puberty education.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"55"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944234","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 impact of parental migration on left-behind children's tooth health in China.","authors":"Yunyun Zhang, Kang Du","doi":"10.1186/s12889-024-21193-2","DOIUrl":"https://doi.org/10.1186/s12889-024-21193-2","url":null,"abstract":"<p><strong>Background: </strong>Parental migration plays a significant role in shaping the health outcomes of left-behind children. However, limited research has been conducted on how parental migration impacts the dental health of these children in China. To address this gap, this study aims to investigate the effects of parental migration on the dental health of left-behind children and explore the underlying mechanisms that contribute to these outcomes.</p><p><strong>Methods: </strong>This study utilized data from the first wave of the China Education Panel Survey (CEPS), which included a representative sample of 9,175 junior high school students. Dental caries, the most common dental issue among school-aged children, were employed as the primary indicator of oral health, focusing on both the presence of caries and their treatment. The analysis incorporated multiple methodologies, including the Ordinary Least Squares (OLS) model, instrumental variables approach, and the Propensity Score Matching (PSM) method, to assess the impact of parental migration on the dental health of left-behind children.</p><p><strong>Results: </strong>The findings indicated that parental migration did not increase the likelihood of left-behind children developing dental caries. However, it significantly reduced the probability of these children receiving treatment for dental caries. These results were consistent across various robustness tests. Mechanism analysis revealed no significant differences in the consumption of carbonated or sugary drinks between left-behind and non-left-behind children. However, left-behind children were less likely to identify their parents as their primary source of support and experienced lower levels of proactive communication from parents about their challenges compared to their peers.</p><p><strong>Conclusions: </strong>The study highlights that although parental migration does not increase the prevalence of dental caries among left-behind children, it contributes to inequities in their access to treatment. Given the serious implications of untreated dental caries, targeted efforts are needed to improve treatment rates among left-behind children.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"72"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944350","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":"Undetectable = Untransmittable (U = U): insights from people living with HIV attending health facilities in Rwanda.","authors":"Pierre Gashema, Felix Ndahimana, Eric Saramba, Tumisime Musafiri, Etienne Ishimwe, Patrick Gad Iradukunda, Angelique Ingabire, Vedaste Masengesho, Sam Kanyesigye, Nadine Rujeni, Muhayimpundu Ribakare, Claude Mambo Muvunyi, Tafadzwa Dzinamarira","doi":"10.1186/s12889-024-21174-5","DOIUrl":"https://doi.org/10.1186/s12889-024-21174-5","url":null,"abstract":"<p><strong>Background: </strong>Rwanda has made remarkable progress in scaling up HIV testing, treatment, and healthcare services. Recent data show that 95% of people living with HIV (PLWH) were aware of their status, 97.5% of them are on antiretroviral therapy (ART), and 98% of those who are on treatment have achieved viral suppression. Importantly, growing body of evidence supports the Undetectable = Untransmittable (U = U) concept, affirming that PLWH who maintain an undetectable viral load do not transmit HIV to their sexual partners. This pivotal breakthrough in HIV care has transformed public health strategies and stigma reduction efforts. This study aimed to explore the perspectives of PLWH on the U = U concept in health facilities in Rwanda.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted at three purposively selected health facilities in Rwanda from December 1 to 30, 2023. An interview guide was used to collect data, and data saturation was reached after enrolling 43 PLWH. The data was analyzed using conventional thematic analysis.</p><p><strong>Results: </strong>The majority of participants demonstrated good knowledge of HIV transmission, with the U = U concept being particularly well-understood among discordant couples and individuals who have been on treatment for over 10 years. Three themes emerged from the analysis: [1] comprehensive knowledge of HIV transmission among PLWH; [2] reasons for disclosing HIV status and linking to care; and [3] acceptability of the U = U concept.</p><p><strong>Conclusion: </strong>Our findings highlight the necessity for broader dissemination of the U = U concept across all PLWH subpopulations. Further research is essential to better understand the challenges faced by PLWH, which is critical for achieving the UNAIDS goal of ending the HIV/AIDS epidemic by 2030.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"68"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705714/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943849","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 effectiveness of a 10-week family-focused e-Health healthy lifestyle program for school-aged children with overweight or obesity: a randomised control trial.","authors":"Diana Zhu, Aimee L Dordevic, Simone Gibson, Zoe E Davidson","doi":"10.1186/s12889-024-21120-5","DOIUrl":"10.1186/s12889-024-21120-5","url":null,"abstract":"<p><strong>Background: </strong>Electronic health (e-Health) interventions may increase effectiveness and address limitations of conventional in-person childhood obesity treatment programs. This study evaluates the effectiveness of a 10-week e-Health (web-based) healthy lifestyle program for school-aged children with overweight/obesity.</p><p><strong>Methods: </strong>In this randomised control trial (RCT), families with children aged 7-13 years with overweight/obesity (body mass index, BMI ≥ 85th percentile), living in Victoria, Australia, were recruited. Families were randomised to intervention or waitlist control and received the 10-week web-based program. The primary outcome was the change in children's BMI z-score over 10 weeks. Other outcomes included change in children's waist circumference, dietary intake, physical activity, and quality of life over 10 weeks.</p><p><strong>Results: </strong>Of 148 children (125 families) recruited, 102 children (85 families) completed the RCT. A significant decrease in children's BMI z-scores was observed in the intervention compared to the control group over 10 weeks (mean difference 0.11; 95% CI, 0.02-0.20). The web-based program was also effective in improving children's quality of life and lifestyle behaviour changes over 10 weeks. In the intervention group, there was a significant increase in children's quality of life scores (intervention versus control: median change (IQR) = 11 (3, 17) versus 1 (-3, 7); p = 0.034), overall diet quality scores (6 (2, 10) versus 2 (-3, 5); p < 0.001), and daily physical activity levels (5.2 (-2.6, 12.8) versus - 0.2 (-8.2, 4.5); p = 0.022) compared to the control group.</p><p><strong>Conclusions: </strong>A web-based healthy lifestyle program effectively improved short-term health-related outcomes in children with overweight/obesity. Further research is needed to identify determinants of program effectiveness, evaluate sustained effects, and equitably tailor childhood obesity e-Health interventions to diverse populations.</p><p><strong>Trial registration: </strong>This study was registered with the Australian New Zealand Clinical Trial Registry (ACTRN12621001762842) on November 11, 2021, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383053 .</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"59"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944337","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":"Factors influencing parents' educational anxiety of primary and secondary school students: evidence from parents in China.","authors":"Liping Zhang, Yuqing Zhang, Yao Chen, Jiangjie Sun","doi":"10.1186/s12889-024-21197-y","DOIUrl":"https://doi.org/10.1186/s12889-024-21197-y","url":null,"abstract":"<p><strong>Background: </strong>Current research has focused on exploring the sources of parents' anxiety about children's education (PAE), and we continue in this direction by exploring the factors influencing parental educational anxiety in primary and secondary school students and the interactions among them.</p><p><strong>Methods: </strong>Parental Educational Anxiety Measurement Questionnaire was used to measure the level of PEA. Pearson correlation coefficient analysis was used to examine the correlation between the level of PAE and the demographic variables. The method of multiple stepwise regression analysis was used to explore the demographic factors correlated with PAE. Two-way interactions in moderated multiple regression to examine the moderating effects of educational attainment on monthly household mortgage payments and PAE.</p><p><strong>Results: </strong>Our results indicate that there were statistical differences among education level, average monthly household income, child's stage of learning and monthly household mortgage payments; PEA were negatively correlated with education level and average monthly household income, and positively correlated with monthly cost of educational inputs. The results of multiple regression analysis showed that education level, average monthly household income, monthly household mortgage payment, and monthly cost of educational inputs were direct influences on PEA. Education level has a significant moderating effect on the monthly mortgage payment and PEA.</p><p><strong>Conclusion: </strong>Education level, average monthly household income, monthly household mortgage payment, and monthly cost of educational inputs were direct influencing factor of PEA.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"65"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944201","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":"Knowledge, attitude, and practice toward vocal fatigue among occupational voice users: a cross-sectional study.","authors":"Zhou Zhou, Yanlu Lyu, Ming Yang, Min Yan, Zhaoyang Ke","doi":"10.1186/s12889-024-21218-w","DOIUrl":"https://doi.org/10.1186/s12889-024-21218-w","url":null,"abstract":"<p><strong>Background: </strong>Occupational voice users frequently face the challenge of vocal fatigue, impacting their overall well-being and job performance. This study aimed to investigate the knowledge, attitude, and practice (KAP) toward vocal fatigue among occupational voice users.</p><p><strong>Methods: </strong>This web-based cross-sectional study was conducted among occupational voice users between July and October 2023 in Shenzhen People's Hospital, utilizing a self-administered questionnaire to examine the KAP of vocal fatigue. A total of 920 valid questionnaires were collected with 248 males and 672 females, with 34.35% aged between 21 and 30 years.</p><p><strong>Results: </strong>The mean (standard deviation) scores were 15.1 (5.3) for knowledge (range: 0-24), 31.6 (3.6) for attitude (range: 8-40), and 45.0 (7.5) for practice (range: 13-65). A graduate degree or higher was positively associated with knowledge (odds ratio [OR] = 1.596, P = 0.007). Negative associations with knowledge included being a salesperson (OR = 0.342, P < 0.001) or a lawyer (OR = 0.150, P = 0.001). Knowledge was positively linked to attitude (OR = 1.211, P < 0.001), while being a medical professional was negatively linked (OR = 0.390, P = 0.018). Positive associations with practice included knowledge (OR = 1.076, P < 0.001), attitude (OR = 1.106, P < 0.001), age 21-30 years (OR = 1.955, P = 0.011), age 31-40 years (OR = 2.123, P = 0.034), having one child (OR = 2.501, P = 0.016), and having two or more children (OR = 2.324, P = 0.030). Negative associations included being a medical professional (OR = 0.458, P = 0.046), being married (OR = 0.465, P = 0.031), former smoking (OR = 0.317, P < 0.001), and speaking 6-10 h daily (OR = 0.736, P = 0.048).</p><p><strong>Conclusion: </strong>Occupational voice users had moderate knowledge, neutral attitude and moderate practice towards vocal fatigue. To alleviate fatigue and prevent the aggravation of vocal problems, recommendations include implementing tailored educational programs, conducting awareness campaigns, and fostering collaboration with medical professionals.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"73"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11708095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944290","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":"Environmental burden of disease resulting from long-term nitrogen dioxide exposure in Germany.","authors":"Paulina Sell, Dietrich Plass, Sarah Kienzler, Hajo Zeeb","doi":"10.1186/s12889-024-21200-6","DOIUrl":"10.1186/s12889-024-21200-6","url":null,"abstract":"<p><strong>Background: </strong>Exposure to nitrogen dioxide (NO₂) is associated with an increased risk of cardiovascular, respiratory, and other diseases and health outcomes. Although NO₂ emissions have decreased in Germany, concentrations currently observed still pose a threat to population health. The aim of this study is to estimate the environmental burden of disease (EBD) resulting from long-term NO₂ exposure in Germany from 2010 to 2021.</p><p><strong>Methods: </strong>To estimate the attributable disease burden, World Health Organization's EBD approach was used. We first conducted a systematic literature review to identify exposure-response functions (ERFs) which mathematically represent the association between NO₂ exposure and the health outcomes: asthma, chronic obstructive pulmonary disease (COPD), type 2 diabetes mellitus (T2DM), ischemic heart disease, lung cancer, stroke, and cardiovascular and respiratory mortality. Then, we estimated the years of life lost (YLL), years lived with disability (YLD) and, where possible, disability-adjusted life years (DALYs) due to these health outcomes in Germany, using mostly publicly available data. In a third step, using the ERFs and modelled ambient NO₂ exposure data, the fraction of the disease burden attributable to NO₂ exposure was estimated for each health outcome and year, stratified by sex.</p><p><strong>Results: </strong>The systematic review yielded recent ERFs for some exposure-outcome pairs, but not always for both mortality and morbidity outcomes. A full DALY calculation was possible for COPD and T2DM. For the other outcomes, either only YLL or YLD were calculated. Summing up the estimated YLD and YLL of all outcomes, the burden of disease due to NO₂ exposure in Germany decreased from 261,503 (95% UI 69,290-489,273) lost healthy years in 2010 to 100,032 (95% UI 24,558-191,715) in 2021.</p><p><strong>Conclusions: </strong>Although the burden of disease attributable to NO₂ exposure decreased from 2010 to 2021, NO₂ still poses a threat to population health in Germany. While the current legal concentration limit was generally not exceeded in Germany in 2021, stricter new values proposed by WHO were frequently surpassed. When comparing the results to a previous assessment, it was obvious how strongly different input data impact the results. Transparent reporting of input data and discussing potential challenges when interpreting EBD results are critical.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"79"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944224","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":"Prevalence and determinants of pregnancy termination for childbearing women using the modified Poisson regression model: a cross-sectional study of the Tanzania Demographic and Health Survey (TDHS) 2022.","authors":"Sizwe Vincent Mbona, Retius Chifurira, Bonginkosi Duncan Ndlovu, Anisha Ananth","doi":"10.1186/s12889-024-21203-3","DOIUrl":"https://doi.org/10.1186/s12889-024-21203-3","url":null,"abstract":"<p><strong>Background: </strong>Termination of pregnancy continues to be one of the major public health problems. The prevalence and determinants associated with pregnancy termination among women from low-middle income countries such as Tanzania have previously not been thoroughly investigated. Therefore, this study aims to explore the prevalence and determinants associated with pregnancy termination among Tanzanian women.</p><p><strong>Methods: </strong>Data for this study was extracted from the 2022 Tanzania Demographic and Health Survey (TDHS). A total of 15,254 women aged 15-49 years, clustered in selected enumerated areas, participated in the survey. A modified Poisson regression model with sampling weights was used to find the factors that are associated with pregnancy termination.</p><p><strong>Results: </strong>The prevalence of pregnancy termination was 14.3% (95% CI: 13.81-14.75%). Our findings reveal that several factors are significantly associated with pregnancy termination. In particular, women's age, level of education, marital status, history of pregnancy losses, wealth status, attempt to delay or avoid getting pregnant outside the ideal birth spacing, and recent internet use, total children ever born, desire for more children, were significantly associated with pregnancy termination. Women who reside in rural areas, those covered by health insurance and those using contraceptives had a significantly lower likelihood of terminating pregnancy compared to their counterparts.</p><p><strong>Conclusions: </strong>The findings highlighted that the prevalence of terminating pregnancy is alarming in Tanzania, signaling a significant public health challenge. To address the concerning rates of pregnancy termination, the government of Tanzania and other institutions are advised to enhance the accessibility and quality of healthcare services for women, particularly in rural and underserved areas. Bridging socio-economic inequalities and removing geographic barriers to healthcare access will ensure women receive timely and adequate support.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"56"},"PeriodicalIF":3.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142944172","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}