BMC Public Health最新文献

{"title":"Associations between life's essential 8 and arthritis among adults in United States: a national-wide longitudinal study.","authors":"Feiying He, Xiangchun Xu, Hongwen Yu, Ziyang Miao, Zhaolin Fu, Lei Shi","doi":"10.1186/s12889-025-22330-1","DOIUrl":"10.1186/s12889-025-22330-1","url":null,"abstract":"<p><strong>Background: </strong>Arthritis, a common condition in the U.S., is caused by autoimmune reactions, osteoarticular injuries, and uric acid deposition. It affects around 25% of adults and is strongly linked to cardiovascular disease. The American Heart Association's Life's Essential 8 (LE8) composite, which considers cardiovascular health factors, has been studied for its predictive capacity in assessing arthritis risk. The study aims to provide tailored prevention recommendations and monitor factors associated with arthritis within the LE8 framework specifically for arthritic individuals.</p><p><strong>Methods: </strong>This population-based study used data from the U.S. NHANES (2017-2020) for adults aged 20 + . Multivariate logistic and restricted cubic spline modeling explored the relationship between LE8 and arthritis, revealing significant nonlinearity (P < 0.001). Gradient Boosting Decision Trees were employed to conduct a predictive model of Arthritis risk.</p><p><strong>Results: </strong>Through study, we found that idealer LE8 scores correlated with poorer arthritis risk. Subgroup analyses ideallighted poorer scores for smoking (P < 0.002, poor_socre and intermediate_score) and physical activity(P = 0.001, poor_score) as significant risk factors. Gradient Boosting Decision Trees predicted disease risk, with age, HDL cholesterol, and blood pressure identified as the three most significant predictive factors.</p><p><strong>Conclusion: </strong>The LE8 score in U.S. adults shows a negative association with arthritis outcomes, with arthritis prevalence decreasing as the score increases. poorer Smoke and Physical Exercise Time components and intermediate Blood Glucose scores may be arthritis risk factors. The LE8 may help identify arthritis risk early and reduce its burden.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1147"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717828","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":"Does digital economy development enhance Chinese residents' health? Impact and mechanism.","authors":"Yang Gao, Yang Yang, Jiao Lu, Chen Chen, Xian Liang","doi":"10.1186/s12889-025-22325-y","DOIUrl":"10.1186/s12889-025-22325-y","url":null,"abstract":"<p><strong>Background: </strong>Recognizing the effect of the digital economy on residents' health can transform technological dividends into health and well-being and provide the basis for the construction of a \"health-oriented\" digital society development path.</p><p><strong>Methods: </strong>This paper explores the direct impact of the digital economy on residents' health and its mechanism by constructing a digital economic development index and combining data from the China Family Panel Studies (CFPS).</p><p><strong>Results: </strong>The digital economy has a health-improving effect. At the individual level, the mechanism is to accumulate social capital and improve the quality of employment, whereas at the regional level, the mechanism is to promote the equalization of basic public services and improve the quality of the environment. The effectiveness of government governance plays a beneficial moderating role in this mechanism. The heterogeneity analysis shows that the digital economy had a more significant effect on the central, western, rural, and economically underdeveloped cities, as well as on males and the low-health group. Further analysis reveals that the digital economy increases intergenerational health mobility and helps alleviate health inequalities.</p><p><strong>Conclusions: </strong>This paper not only enriches the study of health determinants but also provides a reference for collaboration between global digitalization and health governance.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1154"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717836","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 association of coffee consumption with prediabetes, diabetes, and markers of glucose metabolism in rural Vietnam: a cross-sectional study.","authors":"Ami Fukunaga, Masamine Jimba, Thuy Thi Phuong Pham, Chau Que Nguyen, Dong Van Hoang, Tien Vu Phan, Aki Yazawa, Danh Cong Phan, Masahiko Hachiya, Huy Xuan Le, Hung Thai Do, Tetsuya Mizoue, Yosuke Inoue","doi":"10.1186/s12889-025-22346-7","DOIUrl":"10.1186/s12889-025-22346-7","url":null,"abstract":"<p><strong>Background: </strong>Coffee consumption has been shown to be protective against diabetes, but the effects of coffee with additives, such as condensed milk in Vietnam, remain underexplored. This cross-sectional study aimed to examine the associations of coffee consumption with prediabetes, diabetes, and markers of glucose metabolism among 3,000 middle-aged rural residents in Vietnam.</p><p><strong>Methods: </strong>Multinomial logistic regression was used to examine the associations of coffee consumption (0, 0.1-0.9, 1-1.9, or ≥ 2 cups/day) with prediabetes and diabetes, adjusting for demographics, lifestyle factors, dietary intake, comorbidities, and use of additives. Associations with insulin resistance and insulin secretion (as assessed by homeostatic model assessment of insulin resistance (HOMA-IR) and homeostatic model assessment of β-cell function (HOMA-β)) were examined using linear regression.</p><p><strong>Results: </strong>Adjusted odds ratios (95% confidence interval) for prediabetes were 1.02 (0.78-1.32), 1.18 (0.91-1.52), 0.60 (0.35-1.03) for 0.1-0.9, 1-1.9, or ≥ 2 cups/day, respectively, compared to non-coffee drinkers (p for trend = 0.84). For diabetes, the corresponding figures were 1.74 (1.14-2.67), 1.43 (0.92-2.20), 0.59 (0.22-1.59) (p for trend = 0.50). No significant associations were observed for HOMA-IR (p for trend = 0.41) or HOMA-β (p for trend = 0.44).</p><p><strong>Conclusion: </strong>The present study among rural residents in Vietnam did not find clear associations of coffee consumption with prediabetes, diabetes, or markers of glucose metabolism, including the effects of coffee with additives, underscoring the complexity of these associations and the need for further research to confirm the findings in rural Vietnam.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1149"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717762","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 cross-sectional survey of COVID-19 testing status among vaccine recipients in Gombe State, North-Eastern Nigeria.","authors":"Nafisah Ayinde Sikiru, Ahmad Ibrahim Al-Mustapha, Muftau Oyewo, Bello Shittu Sani, Adeyi Habibah, Muftiat Mopelola Alikinla, Nusirat Elelu","doi":"10.1186/s12889-025-22311-4","DOIUrl":"10.1186/s12889-025-22311-4","url":null,"abstract":"<p><p>The COVID-19 testing status and vaccine acceptance are two key components of any COVID-19 control program as they are important in evaluating the prevalence of the disease as well as curbing the spread of the SARS-CoV-2, the causative agent of COVID-19. Hence, the aim of this study was to conduct a non-probability cross-sectional survey of COVID-19 vaccine recipients in Gombe State to determine their testing status and socio-demographic profiles. A total of 872 vaccine recipients were included in this study. The descriptive analysis revealed that the median age group was 30-39 years. More than half (57.7%, n = 503) of the study participants earned 50,000 Naira or less and approximately 51% of the vaccine recipients (n = 444) had tertiary education. Approximately one-third (35.1%, n = 306/872) of the study participants have been previously screened for SARS-CoV-2 and the COVID-19 positivity rate among them was 6.9% (n = 21/306). Some 108 (18.2%) persons reported Adverse Event Following Immunization (AEFI). The multivariable logistic regression analysis revealed that the age [30-39 years, (OR: 1.76; 95% CI: 1.13, 2.74; p = 0.041)], monthly income [150,000 naira and above (OR: 10.43; 95% CI: 2.22, 21.88; p < 0.001)], and background [health-related, (OR: 6.30; 95% CI: 4.35, 9.13; p = 0.01)] of the vaccine recipients was significantly associated with the COVID-19 testing status. The COVID-19 testing status of vaccine recipients is low. Hence, mass COVID-19 screening strategies should be implemented together with improved vaccine advocacy to focus on vaccine safety and efficacy.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1153"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717609","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":"Quality of life whilst ageing in opioid agonist treatment: a narrative analysis.","authors":"John Todd-Kvam, Gustavo Sugahara, Ashley Elizabeth Muller, Thomas Clausen","doi":"10.1186/s12889-025-22438-4","DOIUrl":"10.1186/s12889-025-22438-4","url":null,"abstract":"<p><strong>Background: </strong>Norway has an increasing number of ageing opioid agonist treatment (OAT) patients, with 44% of the 8200 Norwegian OAT patients over 50 in 2023.</p><p><strong>Methods: </strong>This study examines the narratives of ageing OAT patients through semi-structured interviews with twelve patients who had been in OAT for 10-20+ years. We used narrative analysis to understand what they experience as important in enhancing or diminishing their quality of life as they age.</p><p><strong>Results: </strong>Positive relationships, treatment, and stable housing were narrated as enhancing quality of life, while loneliness and isolation, memory problems, comorbidities, and victimization were narrated as diminishing it.</p><p><strong>Conclusion: </strong>Patients experience OAT as both lifesaving as well as potentially limiting their life-quality, illustrating the inbuilt dilemmas of OAT. The study suggests an age-informed treatment model and identifies three thematic implications for practice and further research (on memory issues, victimisation and network-building).</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1151"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717793","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 correlates of anxiety and depression among ever-married reproductive-aged women in Bangladesh: national-level insights from the 2022 Bangladesh Demographic and Health Survey.","authors":"Md Tazvir Amin, Tasnim Ara, Bikash Pal, Zannatul Ferdous, Sumaiya Nusrat Esha, Hridoy Patwary, Md Mahabubur Rahman","doi":"10.1186/s12889-025-22228-y","DOIUrl":"10.1186/s12889-025-22228-y","url":null,"abstract":"<p><strong>Background: </strong>The sound mental health of reproductive-aged women is crucial for overall maternal and child well-being. However, mental health aspects are historically overlooked in low- and lower-middle-income countries, including Bangladesh. National-level evidence on common mental disorders like anxiety and depression among reproductive-aged women is limited in Bangladesh. Therefore, this study aims to estimate the prevalence of anxiety and depression among ever-married reproductive-aged women in Bangladesh and examine their individual, marital, household, and contextual correlates.</p><p><strong>Methods: </strong>We used data from the Bangladesh Demographic and Health Survey 2022 that collected anxiety and depression data using GAD-7 and PHQ-9 modules, respectively. This study included a total of 19,987 ever-married women aged 15 to 49 years. We used a cluster-adjusted multivariable logistic regression model to examine the factors associated with anxiety and depression.</p><p><strong>Results: </strong>The national level prevalence of anxiety and depression among ever-married reproductive-aged women was 19.5% and 4.9%, respectively. The odds of having anxiety monotonically increased from the age of 25. Menopause, educational attainment, autonomy, household wealth, and type of residence were not associated with anxiety or depression. Non-Muslim women were respectively 34% (AOR: 0.66, 95% CI: 0.55, 0.80) and 33% (AOR: 0.67, 95% CI: 0.97, 2.77) less likely to confront anxiety and depression than Muslims. Having a husband who completed secondary level education, having weekly marital coitus, and residing under the headship of a father or mother-in-law was associated with lower odds of anxiety and depression. Women from the Rangpur and Khulna divisions had higher odds of anxiety and depression than those from Dhaka.</p><p><strong>Conclusions: </strong>This study reveals a high prevalence of anxiety among ever-married reproductive-aged women and highlights that anxiety and depression are not clustered among disadvantageous groups like less educated, less autonomous, rural, and poor women. Anxiety and depression are rather associated with late reproductive age, religious affiliation, marital factors, and region.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1143"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708377","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":"COVID-19 and anxiety in pregnancy and postpartum: a longitudinal survey.","authors":"Susan Ayers, Rose Meades, Andrea Sinesi, Helen Cheyne, Margaret Maxwell, Catherine Best, Stacey McNicol, Fiona Alderdice, Julie Jomeen, Judy Shakespeare","doi":"10.1186/s12889-025-22257-7","DOIUrl":"10.1186/s12889-025-22257-7","url":null,"abstract":"<p><strong>Background: </strong>Anxiety is estimated to affect between 15 and 20 per cent of women during pregnancy and postpartum. The COVID-19 pandemic resulted in wide-ranging changes to how people lived, worked and socialised around the world. COVID and pandemic-related restrictions to maternity services may have exacerbated anxiety during pregnancy and the postnatal period. This study aimed to determine: (1) levels of COVID exposure and perceived risk; (2) adherence to Government guidelines and restrictions; and (3) the impact of COVID and COVID-related restrictions on perinatal anxiety and mental health in the UK.</p><p><strong>Methods: </strong>A longitudinal survey (n = 2122) of COVID and anxiety in women during early pregnancy, mid-pregnancy, late pregnancy and postpartum.</p><p><strong>Results: </strong>38.41% of participants had COVID before or during the study. Perinatal anxiety was predicted by participants having poor general health, being of Asian or mixed ethnicity, having previous mental health problems, believing that COVID would make them severely ill, and reporting that COVID had impacted on their mental health. Over time, more women were infected with COVID, and the perceived severity of COVID decreased. Experiencing mild COVID was associated with decreased anxiety at the subsequent time point (mean difference -0.72, 95% CI -1.38 to -0.07, p = 0.030). Very few participants in this sample had severe COVID (2.9%) or reported it having a severe impact on their mental health (5.66%). Most participants (75.3%) said the pandemic had 'no' or a 'slight' impact on their mental health. Pandemic-related restrictions to maternity care affected more women, with around 40% reporting anxiety about being separated from baby, their partner not being with them in labor, or having to leave shortly after the birth. Level of adherence to guidelines was variable, depending on the restriction.</p><p><strong>Conclusions: </strong>Findings suggest pandemic-related restrictions caused anxiety for more women than COVID per se. Adherence to guidelines was variable yet the prevalence of COVID infections was low compared to the general population. Findings can be used to inform policy and practice for future pandemics and health-related crises.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1146"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717831","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":"Feasibility of a prison-based test-and-treat model for enhancing hepatitis C care in Kedah, Malaysia.","authors":"Mohd Azri Mohd Suan, Ahmad Muaz Zulkifli, Noor Hidayati Ani, Azlina Azlan, Mohamad Faiz Mustafa, Siti Maisarah Md Ali, Siti Aishah Aris, Nur Aisyah Sakinah Muhamad Nizar, Fatihah Fahami Mohd Najib Fahami, Amizah Othman, Huan-Keat Chan, Muhammad Radzi Abu Hassan","doi":"10.1186/s12889-025-22296-0","DOIUrl":"10.1186/s12889-025-22296-0","url":null,"abstract":"<p><strong>Background: </strong>Hepatitis C virus (HCV) infection remains a public health concern, significantly affecting vulnerable populations including people who use drugs and in prisons. This study assessed the feasibility of a new prison-based test-and-treat model for HCV in two prisons in Kedah, Malaysia.</p><p><strong>Methods: </strong>The model was tested on participants newly admitted between June 2022 and December 2023 to one of the two selected prisons, one for pretrial detention and the other for serving sentences. It features a streamlined test-and-treat procedure within prisons, encompassing anti-HCV (exposure) testing, HCV ribonucleic acid (RNA) (current infection) testing, pretreatment assessments, and treatment initiation. The outcome assessment focused on (I) screening coverage, (II) implementation success across the HCV care cascade, ranging from anti-HCV detection, HCV RNA confirmation, treatment initiation, and completion to a sustained virological response rate and (III) practicality within resource-limited prison environments.</p><p><strong>Results: </strong>All 18,811 (100%) newly admitted participants were screened for HCV during the study period, with 4,054 (21.6%) of them testing positive for anti-HCV (HCV exposure). A total of 793 (19.6%) participants underwent HCV RNA testing, with 655 (82.6%) confirmed to have HCV infection. Those with HCV RNA test results were mainly male (98.1%), with nearly half (48.2%) aged 40-49 years. A vast majority (95.7%) reported at least one HCV risk factor, primarily injection drug use (95.2%). Of the 655 participants with a positive HCV RNA test, 648 (98.9%) completed pretreatment assessments. Antiviral treatment was initiated in 319 (49.2%) of them, with 165 (51.7%) completing the full course. Among those who completed treatment, 80 (48.5%) underwent HCV RNA testing 12 weeks after treatment, with 77 (96.3%) achieving a sustained virologic response.</p><p><strong>Conclusion: </strong>This new prison-based test-and-treat model for HCV infection demonstrates promising feasibility, as indicated by high screening coverage and successful implementation across the HCV care cascade using existing resources. These findings suggest the potential for broader adoption of this model in correctional facilities. Further research is needed to improve treatment completion and address factors contributing to dropout.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1152"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717843","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 of anxiety disorder and its association with BMI: an analysis of women's experiences in Bangladesh using BDHS-2022 data.","authors":"Farhana Afrin Duty, Md Habibur Rahman, Nahid Salma","doi":"10.1186/s12889-025-22427-7","DOIUrl":"10.1186/s12889-025-22427-7","url":null,"abstract":"<p><strong>Background: </strong>Anxiety disorders are a significant and growing public health concern, impacting individuals' daily lives and professional development. Women exhibit higher rates compared to men. Changes in body mass index (BMI) can affect the mental health of an individual. However, the relationship between BMI and anxiety is unclear. The purpose of this study was to investigate the association between BMI and anxiety disorder.</p><p><strong>Methods: </strong>BDHS 2022 data were used. Binary logistic regression, restricted cubic spline analysis (RCS), and subgroup analyzes were performed to explore the relationship between BMI and anxiety disorder.</p><p><strong>Results: </strong>The prevalence of anxiety disorders among ever-married women was approximately twenty one percent. A non-linear, U-shaped relationship between BMI and anxiety disorder was observed, with the lowest risk at a BMI of 22.78 kilograms per square meter. Obesity, as well as underweight, increased the risk of anxiety among the participants, especially in subgroups of participants who were older adults, less educated, lower wealth status, greater age at marriage, and longer cohabitation. For older women, with the lowest risk at a BMI of 25.6 kilograms per square meter, being slightly overweight might serve as a psychological buffer against anxiety. The highest prevalence rate was in formerly married women as well as in the women in the Rangpur division.</p><p><strong>Conclusion: </strong>This study identified a significant association between BMI and anxiety disorder, revealing a U-shaped relationship where both underweight and obesity were correlated with higher odds of anxiety disorder. Although the results indicate that maintaining a healthy BMI could be associated with a decrease in anxiety levels, the cross-sectional nature of the study prevents establishing a causal relationship. This implies that BMI and anxiety may be correlated, but one does not necessarily cause the other. Future longitudinal studies are needed to explore potential causal mechanisms. The observed association highlights the importance of considering body weight extremes in mental health interventions. These findings underscore the need for integrated public health strategies that address both mental health and nutritional well-being among ever-married women in Bangladesh.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1144"},"PeriodicalIF":3.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708379","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":"Determinants, behaviour change techniques and pedagogical approaches used in secondary school-based food and nutrition programmes: a qualitative study of the SWITCH project.","authors":"Anouk Mesch, Madelief Engels, Sanne Raghoebar, Laura H H Winkens, Judith Gulikers, Renate Wesselink, Annemien Haveman-Nies","doi":"10.1186/s12889-025-22155-y","DOIUrl":"10.1186/s12889-025-22155-y","url":null,"abstract":"<p><strong>Background: </strong>Food and nutrition programmes at secondary schools have the potential to improve public and planetary health, as they target a wide range of adolescents. Nevertheless, it is currently unclear what mechanisms are underlying such educational interventions in order to aim for behaviour change. This qualitative study therefore aims to identify determinants and behaviour change techniques (BCTs) incorporated in secondary school-based food and nutrition programmes. Better understanding of determinants and BCTs can identify points of improvements to facilitate long-term dietary behaviour change.</p><p><strong>Methods: </strong>Fifteen online semi-structured interviews were conducted between November 2021 and January 2022 with representatives of 14 Dutch programmes, supplemented by a document analysis of scientific and grey literature related to the included programmes (e.g., evaluation reports, teacher manuals). Transcripts and literature were analysed deductively, using the terminology of Mechanisms of Action (MOAs) and the BCT Taxonomy v1, followed by an inductive coding phase.</p><p><strong>Results: </strong>Determinants knowledge (n = 13), skills (n = 12), awareness (n = 9), and beliefs about consequences (n = 7) were identified most, as well as BCTs Knowledge transfer (n = 13), Natural consequences (n = 7) and Goals and planning (n = 5). Inductive coding led to the identification of pedagogical approaches that were considered important for successful delivery of programmes, such as the use of activating learning methods.</p><p><strong>Conclusions: </strong>It seems promising for food and nutrition programmes at secondary schools to expand their current focus beyond knowledge and skills, to also target environmental, social and other essential individual determinants during adolescence which are now under-reported, such as identity. Moreover, our study revealed the importance for programmes to be tailored to adolescents' worldviews and to stimulate adolescents to be actively involved.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1131"},"PeriodicalIF":3.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707960","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}