BMC Public Health最新文献

{"title":"Prevalence and factors associated with physical activity in adolescents from five secondary schools in northern Peru.","authors":"Mario J Valladares-Garrido, Palmer J Hernández-Yépez, Sebastián Arámbulo-Castillo, Luz A Aguilar-Manay, Jassmin Santin Vásquez, Darwin A León-Figueroa, Víctor J Vera-Ponce, Danai Valladares-Garrido, Edwin Aguirre-Milachay, Virgilio E Failoc-Rojas, César J Pereira-Victorio","doi":"10.1186/s12889-025-23596-1","DOIUrl":"https://doi.org/10.1186/s12889-025-23596-1","url":null,"abstract":"<p><strong>Introduction: </strong>With the persistence of global challenges related to the COVID-19 pandemic, it has become essential to explore the dynamics of physical activity in adolescents. Although knowledge exists on the importance of physical activity for overall health, understanding the factors influencing adolescent physical activity patterns remains a less explored terrain. This study aims to determine the prevalence and factors associated with physical activity in adolescents in Lambayeque, Peru.</p><p><strong>Methods: </strong>An analytical cross-sectional study with secondary data analysis was conducted in adolescents from five secondary schools. Physical activity was assessed using the PAQ-A questionnaire. Its association with various factors was investigated, such as bullying (EBIPQ questionnaire), self-esteem (Rosenberg questionnaire), family dysfunctionality (APGAR Family questionnaire), resilience (abbreviated CD-RISC questionnaire), insomnia (ISI questionnaire), depressive-anxious symptoms and stress (DASS21 questionnaire), suicidal risk (Plutchik Suicide Risk Scale), eating disorder (SCOFF questionnaire), acne (Spanish Acne Severity Scale-EGAE), and quality of life (DLQI questionnaire).</p><p><strong>Results: </strong>Of 1266 adolescents, the mean age was 14.6 years, and 54.6% were male. The prevalence of active physical activity was 33.8% (95% CI: 31.20-36.49). In multiple regression analysis, factors associated with physical activity included male sex (PR: 1.51), having a very frequent family approach (PR: 1.26), a high level of resilience (PR: 1.15), having a crush (PR: 1.19), and mild anxious symptoms (PR: 1.30). In contrast, frequent use of social networks (PR: 0.72), moderate (PR: 0.64) or severe (PR: 0.66) family dysfunctionality, medium (PR: 0.85) and low (PR: 0.80) levels of self-esteem, and an extreme effect on quality of life due to acne (PR: 0.66) were negatively associated with physical activity.</p><p><strong>Conclusions: </strong>The findings reveal a relatively low prevalence of active physical activity among adolescents. The positive association with resilience, family closeness, and mild anxious symptoms highlights the importance of strengthening protective factors to encourage physical activity in this vulnerable group. Conversely, the negative influence of family dysfunctionality, low self-esteem, and the impact of acne on quality of life underscores the need to address these psychosocial aspects to promote a healthy lifestyle in adolescents in the post-COVID era. These findings inform more effective intervention strategies, thus contributing to the holistic well-being of youth in the current global health landscape.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2528"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697600","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 silent epidemic: unravelling NCD risk clusters and socioeconomic determinants in Zambia.","authors":"Aaron Kobina Christian, Egerson Daniel, Olutobi Adekunle Sanuade","doi":"10.1186/s12889-025-23769-y","DOIUrl":"https://doi.org/10.1186/s12889-025-23769-y","url":null,"abstract":"<p><strong>Introduction: </strong>Non-communicable diseases (NCDs) are a public health challenge in Zambia. This is driven by economic transitions, urbanization, and lifestyle changes. This study examines how NCDs cluster and relate to socioeconomic factors such as education, income, and employment.</p><p><strong>Methodology: </strong>Using data from the 2017 Zambia WHO STEPS survey (N = 4,302 adults, mean age: 36.57 years), Latent Class Analysis identified NCD risk profiles, and multinomial logistic regression assessed their associations with socioeconomic determinants.</p><p><strong>Results: </strong>Three NCD risk groups emerged: Low-Risk (12.0%), Intermediate-Risk (64.3%), and High-Risk (23.7%). The Low-Risk group maintained healthy lifestyles. The Intermediate-Risk group, the most prevalent, showed borderline metabolic indicators and occasional unhealthy behaviours. The High-Risk group exhibited multiple risk factors, including obesity, hypertension, diabetes, and substance use. Males had 22.8 times higher odds of being in the High-Risk group than females. Surprisingly, higher education increased the odds of being in the Moderate- and High-Risk groups.</p><p><strong>Conclusion: </strong>NCD prevention in Zambia requires risk-stratified strategies: primary prevention for Intermediate-Risk groups and intensive intervention for High-Risk populations. Critical policy actions include taxing tobacco, alcohol, and unhealthy foods; expanding universal screening; integrating NCD care into primary health systems; and addressing urbanization, cultural practices, and healthcare disparities.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2535"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697604","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":"Moderating effect of health literacy on the relationship between diabetes self-management education and self-care monitoring activities among individuals with type 2 diabetes mellitus.","authors":"Hanyi Lee, Hyeon Sik Chu","doi":"10.1186/s12889-025-23765-2","DOIUrl":"https://doi.org/10.1186/s12889-025-23765-2","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2530"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697599","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":"Effects of air pollution and noise exposure on occupational hearing loss in oil workers: a prospective cohort study.","authors":"Zheng Li, Haoruo Zhang, Nan Wang, Shangmingzhu Zhang, Zhenghao Luo, Xiaoqing Xuan, Mingyue Liu, Xinyang Chen, Xiaoming Li, Ling Xue, Jianhui Wu","doi":"10.1186/s12889-025-23677-1","DOIUrl":"https://doi.org/10.1186/s12889-025-23677-1","url":null,"abstract":"<p><strong>Background: </strong>Occupational Hearing Loss (OHL) is a significant health concern among oil workers, influenced by environmental and occupational factors. This study investigates the independent and synergistic effects of air pollution and noise exposure on OHL risk in this high-risk population.</p><p><strong>Methods: </strong>A prospective cohort study included 1,179 oil workers from Hebei Province, China, with baseline data (2017-2019) and follow-up until 2023. Air pollution exposure (PM_2.5, PM₁₀, SO₂, NO₂, CO, and the Air Quality Comprehensive Index, AQCI) was assessed using monitoring station data, while cumulative noise exposure (dB(A)-year) was calculated from workplace measurements. Multivariable-adjusted Modified Poisson regression and Restricted Cubic Splines (RCS) analyzed associations and dose-response relationships.</p><p><strong>Results: </strong>The OHL incidence was 34.5% (n = 407). Air pollutants exhibited significant nonlinear associations with OHL: PM_2.5 showed a U-shaped curve, SO₂ an inverted U-shape, and NO₂ an S-shaped curve. Noise exposure ≥ 85 dB(A)-year tripled OHL risk (Relative Risk, RR = 2.361, Confidence Interval, 95%CI: 1.861-2.994). Synergistic effects were robust for AQCI (RR = 5.776, 95%CI:3.225-10.345) and NO₂ (RR = 4.297, 95%CI:1.879-9.825) with high noise exposure, while PM₁₀ demonstrated antagonistic effects.</p><p><strong>Conclusions: </strong>Air pollution and noise exposure independently and synergistically increase OHL risk in oil workers. AQCI and NO₂, combined with noise, are critical risk factors. These findings underscore the need for integrated exposure monitoring, optimized ventilation, and enhanced personal protective measures in high-risk occupational settings.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2527"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697595","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":"Do psychosocial factors affect the (occupational) well-being of German police officers? A cross-sectional study.","authors":"Yunes Nazzal, Faiz Dogru, Janna Schlenke, Fabian Holzgreve, Ioannis Karassavidis, Verena Komanek-Prinz, Rejane Golbach, Eileen M Wanke, Gerhard Oremek, David A Groneberg, Daniela Ohlendorf","doi":"10.1186/s12889-025-23772-3","DOIUrl":"https://doi.org/10.1186/s12889-025-23772-3","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2531"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697594","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":"Sickness absence > 14 days following sport-related traumatic brain injuries: a nationwide register-based study in Sweden.","authors":"Christian Oldenburg, Linnea Kjeldgård, Helena Stigson, Emilie Friberg","doi":"10.1186/s12889-025-23711-2","DOIUrl":"https://doi.org/10.1186/s12889-025-23711-2","url":null,"abstract":"<p><strong>Background: </strong>Sport-related traumatic brain injuries (SR-TBI) have received increasing concerns regarding potential long-term consequences. For adults in the general population, one of these consequences is inability to resume daily activities, most notably sickness absence (SA) from work. The aim of this study was to investigate how often SR-TBI is followed by a registered period of SA.</p><p><strong>Methods: </strong>A nationwide register-based study was conducted. Source population: working aged individuals (18-63 years), living in Sweden during 2014-2016. Using the national patient register we included patients with a TBI diagnosis with the ICD-10 activity code 'while engaged in a sporting activity', excluding those with a TBI diagnosis in the preceding 365 days. Information on type of injury (e.g., concussion), cause of injury (e.g., falls, strikes by objects) and received healthcare (outpatient and/or inpatient) was collected. Basic sociodemographic variables were fetched from Statistics Sweden (age, sex, education level, marital status, type of living area, country of origin, receiving income from work). The Swedish Social Insurance Agency provided data on SA episodes lasting longer than 14 days. We calculated the incidence of new SA and estimated risk ratios (RRs) with 95% confidence intervals using modified Poisson regression (log link, robust variance) for both crude and multivariable models. Multinomial logistic regression assessed factors associated with SA duration (< 30 days, 30-90 days, > 90 days).</p><p><strong>Results: </strong>2826 individuals were identified. The majority (91%) had suffered a concussion. A new SA was found for 7% of the individuals with concussion and 32% for those with other intracranial injuries. Higher risk of a new SA was observed for other intracranial injuries compared to concussion (RR 2.76, 95% CI 2.15-3.53), inpatient care versus outpatient only (RR 1.92, 95% CI 1.50-2.46), and transport accidents versus strikes by living forces (RR 2.14, 95% CI 1.43-3.19). Higher odds for longer spells (> 90 days) were found for those with other forms of intracranial injuries than concussion, OR 10.20 (5.80-17.95) and those who had received inpatient healthcare, OR 3.68 (2.10-6.46).</p><p><strong>Conclusion: </strong>The vast majority of all SR-TBIs are concussions and seldom followed by a new SA. For patients with other types of SR-TBI and for those who required inpatient healthcare a new, and often longer SA were more frequent. Additionally, injuries from transport-accidents (e.g., horseback riding, bicycling) elevated the risk of a new SA, potentially indicating the presence of other physical injuries.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2532"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697601","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":"Labeling in a California Latinx community: public health implications for youth and role in community narratives.","authors":"Elodia Caballero, Alexandra Minnis, Deepika D Parmar, Melissa Zerofsky, Megan Comfort, Marissa Raymond-Flesch","doi":"10.1186/s12889-025-23598-z","DOIUrl":"https://doi.org/10.1186/s12889-025-23598-z","url":null,"abstract":"<p><strong>Background: </strong>Prior research demonstrates that Latinx youth disproportionately receive negative labels from parents, peers, and teachers. Negative labels are stigmatizing and often result in rejection or devaluation of the labeled person which can be pivotal within the developmental window of adolescence. Prior research has already shown that experiences of exclusion and social rejection can have detrimental impacts on mental and physical health. To this end, it is paramount to understand how labeling is wielded, especially among those most vulnerable, to devise thoughtful solutions. This study examines how labeling is operationalized within a Latinx community and consequences of such labels on health-protective behaviors, wellbeing, peer networks and school engagement.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 39 adolescents and 20 mothers from a predominantly Latinx and immigrant agricultural community in California. Teams of coders completed iterative rounds of memoing and team meetings to identify themes and develop a code book of inductive and deductive codes. The team completed iterative rounds of coding to refine the codebook and review code discrepancies to ensure fidelity of coding. After coding of mother and adolescent transcripts an additional round of memos and team meetings focused on similarities and differences in youth and mothers' perspectives about labeling.</p><p><strong>Results: </strong>Dichotomous labeling of \"good\" and \"bad\" arose spontaneously in all mothers and most youth interviews and were pervasive within schools and the broader community. Youth labeled as \"bad\" experienced limited educational opportunities, exclusion from peers, and community disengagement. While \"good kid\" labels resulted in educational opportunity and community acceptance these labels also limited health protective-behaviors in some youth, including foregoing contraception. Participants pushed back on negative labeling when it was applied to close family or community acquaintances.</p><p><strong>Conclusions: </strong>Targeted interventions that foster social belonging and connection rather than exclusion may facilitate health protective behaviors and have positive implications for future trajectories among youth.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2536"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697598","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":"Embodying disadvantage: a theoretically-informed analysis of pathways linking socioeconomic position with all-cause and cancer mortality in a nationally representative cohort of adults in Canada.","authors":"Dana Lee Olstad, Sara Nejatinamini, Seyed Hosseini Pozveh, Jenny Godley, Gavin R McCormack, Lin Yang, Tolulope T Sajobi","doi":"10.1186/s12889-025-23728-7","DOIUrl":"https://doi.org/10.1186/s12889-025-23728-7","url":null,"abstract":"<p><strong>Background: </strong>Individuals adopt particular health-related practices according to what is structurally possible for them. Given that many health-related practices and obesity are patterned by socioeconomic position (SEP) and strongly linked with mortality, they may represent mechanisms through which SEP becomes biologically embedded and influences mortality risk. This study quantified whether and to what extent health-related practices (current/former smoking, physical inactivity, low fruit and vegetable intake, excess alcohol intake) and obesity mediate associations between SEP and all-cause and cancer mortality in a nationally representative cohort of adults in Canada.</p><p><strong>Methods: </strong>This was a prospective, population-based cohort study of adults (≥ 35 years; n = 308,635) who participated in the cross-sectional Canadian Community Health Survey. Data from eight survey cycles (2000/2001-2011) were linked to mortality records in the Canadian Mortality Database (2000-2013). Household income adequacy and educational attainment were used to generate a latent variable representing SEP at baseline. Participants also self-reported smoking, physical activity, fruit and vegetable intake, alcohol intake and BMI at baseline. Generalized Structural Equation Modeling was performed to evaluate pathways linking SEP with all-cause and cancer mortality mediated by health-related practices (current/former smoking, physical inactivity, low fruit and vegetable intake, excess alcohol intake) and obesity in males and females.</p><p><strong>Results: </strong>Health-related practices and obesity did not collectively mediate associations between lower SEP and all-cause or cancer mortality in males or females. However, current/former smoking mediated associations between lower SEP and all-cause (males: HR 1.06, 95% CI 1.01, 1.12; females: HR 0.97, 95% CI 0.95, 0.99) and cancer mortality (males: HR 1.06, 95% CI 1.01, 1.12; females: HR 0.97, 95% CI 0.95, 0.99) in males and females, and physical inactivity mediated associations between lower SEP and all-cause mortality in females (HR 1.12, 95% CI: 1.03, 1.21). Low fruit and vegetable intake, excess alcohol intake and obesity did not mediate associations between lower SEP and mortality.</p><p><strong>Conclusions: </strong>Smoking and physical activity may represent mechanisms through which SEP becomes biologically embedded and shapes the risk of mortality among adults in Canada. However, most of the associations between SEP and mortality remained unexplained; thus, additional studies are needed to understand other pathways of biological embedding.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2533"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697596","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":"Suboptimal distribution and utilization of antenatal care given bed Nets undermine pregnant women's protection in Benin: a prospective field study.","authors":"Gilles Cottrell, Armel Djènontin, Christophe Soares, Aziz Bouraima, Marc Fiogbé, Seun Egbinola, Cyriaque Affoukou, Aurore Hounto Ogouyèmi","doi":"10.1186/s12889-025-22212-6","DOIUrl":"https://doi.org/10.1186/s12889-025-22212-6","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) recommends that pregnant women in sub-Saharan Africa (SSA) receive a free long-lasting insecticidal net (LLIN) during their first antenatal care (ANC) visit to prevent malaria. This study, conducted in Benin, evaluates the distribution and utilization rates of LLINs provided at the first ANC visit among pregnant women.</p><p><strong>Methods: </strong>Data were collected from 14 public and private health centers located in urban and rural areas across Southern, Central, and Northern Benin. Pregnant women were enrolled in the study during their initial ANC visit and were subsequently visited at home twice, where a questionnaire was administered. The study assessed the distribution and use of LLINs during the first ANC visit. After the second home visit, the LLIN found on the pregnant women's sleeping unit was collected to evaluate its physical integrity and bio-efficacy. Chi-square tests were used to compare each indicator across three variables: region, urban/rural setting, and public/private status of health centers.</p><p><strong>Results: </strong>A total of 718 pregnant women were included in the study. LLIN ownership and usage before the first ANC visit were 94% [89-97%] and 93% [85-97%], respectively. During the first ANC visit, 63% [40-80%] of the pregnant women received an LLIN, but only 11% [7-22%] installed it on their sleeping area. During the pregnancy period, 72% [64-78%] of the LLINs in use were found to be either physically damaged or not bio-effective.</p><p><strong>Conclusion: </strong>The distribution of LLINs to pregnant women during their first ANC visit was inadequate, with only a small fraction of recipients actively using the net. This shortfall leads to suboptimal protection for this vulnerable population during pregnancy.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2529"},"PeriodicalIF":3.5,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144697602","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":"Stakeholder perspectives on scaling up potassium-enriched salt to reduce cardiovascular disease in Australia: a qualitative study.","authors":"Juliette Crowther, Annet C Hoek, Kathy Trieu, Inez Denham, Irene Deltetto, Alain Balaguer-Mercado, James D Bullen, Katrina Kissock, Dori Patay, Emalie Rosewarne, Simone Pettigrew, Bruce Neal, Jacqui Webster","doi":"10.1186/s12889-025-23717-w","DOIUrl":"https://doi.org/10.1186/s12889-025-23717-w","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease, the world's leading cause of death, could be significantly reduced through sodium reduction strategies; however, the implementation of such strategies has had limited impact in Australia and globally. Switching to potassium-enriched salt is a highly promising intervention, but uptake by the food industry and consumers remains limited. This study investigated the barriers and enablers for scaling up potassium-enriched salt use in Australia.</p><p><strong>Methods: </strong>A qualitative, theory-informed study design was used to conduct 24 semi-structured interviews with representatives from civil society, government, and industry. Interviewees discussed scaling up potassium-enriched salt in relation to their interests, ideas, existing policies and guidelines, and perceived challenges and opportunities within the Australian context. Data were analysed using thematic analysis.</p><p><strong>Results: </strong>Minimal knowledge and awareness of potassium-enriched salt among all stakeholder groups was the most prominent finding. The key perceived barriers were low consumer demand for potassium-enriched salt products and little incentive for industry to invest in supply. Further, government stakeholders expressed hesitancy to implement policies due to perceived health risks such as hyperkalaemia. Interviewees identified increased awareness, support for industry research and development, and leveraging current policies and initiatives (such as the Australian Health Star Rating system) as potential enablers.</p><p><strong>Conclusion: </strong>Improving stakeholder understanding of the benefit of switching to potassium-enriched salt in Australia may require a coordinated advocacy strategy that disseminates the evidence and addresses misconceptions. Efforts to drive increased supply and demand could be advanced using a multi-sectoral approach that focuses on supporting industry uptake, encouraging consumer demand, and informing policy implementation.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2525"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688873","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}