BMC Public Health最新文献

{"title":"Association between life's crucial 9 and major eye diseases among US adults aged 40 years or older.","authors":"Yang Meng, Zongbiao Tan, Yuan Liu, Yuan Ma, Ziye Chen, Lan Jiang, Tao Li","doi":"10.1186/s12889-025-23704-1","DOIUrl":"10.1186/s12889-025-23704-1","url":null,"abstract":"<p><strong>Background: </strong>Vision impairment due to eye diseases represents a significant global public health concern. There is an increasing acknowledgment of the relationship between cardiovascular health (CVH) and eye diseases. However, Life's Crucial 9 (LC9), the latest scoring framework for CVH, has yet to be investigated in relation to major eye diseases.</p><p><strong>Methods: </strong>This cross-sectional study included 3830 adults aged 40 years or older from the US National Health and Nutrition Examination Survey 2005-2008. We analyzed the relationship between LC9 scores and major eye diseases, including retinopathy, age-related macular degeneration, cataract, and glaucoma using weighted multivariable logistic regression, restricted cubic spline analysis, and subgroup analyses.</p><p><strong>Results: </strong>After adjusting for covariates, the poor CVH group (LC9 < 50) exhibited significant higher risks of glaucoma (odds ratio [OR] = 2.37, 95% confidence interval [CI]: 1.11-5.08), retinopathy (OR = 2.92, 95% CI: 1.84-4.63), and any objectively confirmed ocular disease (OR = 2.25, 95% CI: 1.45-3.49) compared to the ideal CVH group (LC9 ≥ 80). Restricted cubic spline analysis demonstrated a significant inverse linear association between LC9 scores and the risk of these diseases. Subgroup analyses indicated significant interactions between LC9 score and sex concerning retinopathy and any objectively confirmed ocular disease.</p><p><strong>Conclusions: </strong>Suboptimal CVH correlated with increased odds of several major eye diseases in adults aged 40 years or older, highlighting the potential value of CVH optimization for reducing visual impairment burden in this population. Further investigation on the potential causality is warranted.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2504"},"PeriodicalIF":3.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666926","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 effects of immigrant women's anxiety levels on their sexual distress: A cross-sectional study.","authors":"Zibulnesa Makhdom, Zehra Demet Ust Tasgin","doi":"10.1186/s12889-025-23647-7","DOIUrl":"10.1186/s12889-025-23647-7","url":null,"abstract":"<p><strong>Background: </strong>During the migration process, people do not merely change their geographical location, but also enter a phase of interaction and adaptation between different cultures. Migration often leads to a radical break from cultural values and brings about profound changes in individuals' lives. The literature suggests that individuals who become separated from their culture may experience psychosomatic symptoms such as anxiety and depression, and that there is a relationship between cultural adaptation and sexual life. The present research was conducted to determine the effects of immigrant women's anxiety levels on their sexual distress.</p><p><strong>Methods: </strong>This descriptive and cross-sectional study was conducted with 300 immigrant women living in Istanbul between March 15, 2024, and August 31, 2024. The research data were collected using the Information Form, Beck Anxiety Inventory, and Female Sexual Distress Scale. Number, percentage, mean, standard deviation, minimum and maximum scores, ANOVA, independent samples t-test, Cronbach's α, Pearson's correlation tests, and linear regression analysis were used to analyze the data.</p><p><strong>Results: </strong>Women's mean age is 32.56 ± 8.98, 22.7% are high school graduates, 63% have social security, and 28.3% live in traditional families. The highest number of immigrants are from Syria, and the most obvious reason for migration is war. Of immigrants, 37.3% preferred Türkiye since it is safe, and 54% experience communication barriers and social problems the most since they are immigrants. Women scored an average of 32.68 ± 17.32 points on the Beck Anxiety Inventory, and 59% had severe anxiety. Furthermore, they scored an average of 25.66 ± 15.03 points on the Female Sexual Distress Scale, and 74% had sexual distress.</p><p><strong>Conclusion: </strong>There is a statistically significant, positive, and high-level correlation between women's anxiety levels and sexual distress levels. The level of anxiety explains 88% of the change in sexual distress.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2501"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667055","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":"Sex-specific associations of social isolation and loneliness with residual life expectancy at age 45 years among middle-aged and older adults in China.","authors":"Meng Zhao, Xiaoyang Huo, Haihong Zhang, Chen Wu, Sijing Peng, Zuyun Liu, Sha Sha, Ming Li, Kefang Wang","doi":"10.1186/s12889-025-23708-x","DOIUrl":"10.1186/s12889-025-23708-x","url":null,"abstract":"<p><strong>Background: </strong>Globally, one-third of older adults experience social isolation or loneliness, making them critical public health priorities. However, the impact of social isolation and loneliness on life expectancy remains underexplored. This study investigated the separate and joint associations of social isolation and loneliness with residual life expectancy at age 45 years, alongside the sex-specific variations in these associations with the aim of informing targeted strategies for mitigating social health disparities in rapidly ageing populations.</p><p><strong>Methods: </strong>This prospective cohort study was conducted using data from the China Health and Retirement Longitudinal Study. A total of 11,315 community dwellers (5,274 men; 6,041 women) aged 45 years and above included. After the baseline 2011 assessment year, participants from the 2013, 2015, 2018, and 2020 waves were followed up. The measurements included the following: social isolation, assessed on the basis of social network usage, activities, and engagements; loneliness, evaluated on the basis of the subjective feeling of loneliness; and a flexible parametric Royston-Parmar model to estimate hazard ratios (HR) for all-cause mortality and to predict residual life expectancy differences.</p><p><strong>Results: </strong>In men, socially isolated and lonely individuals had the greatest reduction in residual life expectancy at age 45 years, losing 4.61 years (95% CI: 1.49-7.74) compared to those with neither experience. Social isolation alone (3.82 years lost) and loneliness alone (2.83 years lost) resulted in significant reductions. In women, social isolation alone was significantly associated with reduced residual life expectancy (3.11 years lost, 95% CI: 0.68-5.55), whereas loneliness alone and combined exposure did not show statistically significant effects.</p><p><strong>Conclusions: </strong>Significant sex-specific differences were identified in the impact of social isolation and loneliness on residual life expectancy. Thus, implementing sex-specific public health strategies that focus on dual psychosocial intervention for men and social integration for women is crucial to mitigate premature deaths in ageing populations.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2499"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667052","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":"Designing context-specific physical activity interventions for English primary schools: key learning from a four-month rapid ethnography.","authors":"Robert Walker, Danielle House, Simona Kent-Saisch, Alice Porter, Ruth Salway, Lydia Emm-Collison, Michael Beets, David Revalds Lubans, Frank de Vocht, Russell Jago","doi":"10.1186/s12889-025-23682-4","DOIUrl":"10.1186/s12889-025-23682-4","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is essential for children's health. Primary schools offer an opportunity to equitably promote physical activity. However, school-based interventions have been shown to have little to no effect, potentially due to a lack of consideration of school heterogeneity. This study reports on a rapid ethnography study that was used to capture insights into English primary schools physical activity. The data are intended to inform the design of a context-specific intervention to improve pupil physical activity.</p><p><strong>Methods: </strong>Three researchers conducted a four-month rapid ethnography study within three primary schools in Bristol, UK, between March and July 2024. Several methods were used: observations (n = 80), interviews (n = 26), photo elicitation with pupils (n = 4 activities, total 22 pupils), collection of documentary data (i.e. pupil demographics, school policies, etc.), informal conversations, and field notes. Reflexive thematic analysis was used to analyse the data.</p><p><strong>Results: </strong>Each school measured success in physical activity differently, such as increased opportunities, personal development, or broader curriculum attainment. Across all schools levels of pupil physical activity varied across physical activity opportunities in the school day, with breaktimes most active, PE lessons focused on fundamental skills, and active clubs providing quality but not fully inclusive opportunities. Furthermore, across all schools different school communities consistently had different goals and needs for physical activity: senior leaders were focused on how physical activity can support broader school-level strategies (e.g. academic achievement and student wellbeing); teachers were concerned with how physical activity can fit in and around curriculum pressures; and pupils wanted fun and engaging activities. Not all physical activities were feasible across settings, emphasising the need for tailored strategies. And differences in Parent Teacher Association (PTA) funding impacted resources and opportunities for pupil physical activity. These various areas of convergence and difference across the schools suggest strategies for intervention development.</p><p><strong>Conclusion: </strong>This study underscores the importance of context-specific approaches to promoting physical activity in primary schools. Context-specific intervention design should closely consider school context to ensure strategies are appropriate. Intervention designs should also include steps to understand different stakeholder goals, PTA funding disparities, and the appropriate areas of physical activity to target.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2497"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666929","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":"Digital public health interventions for the promotion of mental well-being and health behaviors among university students: a rapid review.","authors":"Paula M Matos Fialho, Vanessa Wenig, Eileen Heumann, Maria Müller, Christiane Stock, Claudia R Pischke","doi":"10.1186/s12889-025-23669-1","DOIUrl":"10.1186/s12889-025-23669-1","url":null,"abstract":"<p><strong>Background: </strong>Student life offers many opportunities for personal development; however, this transitional phase often also poses challenges to mental health. Various factors associated with university life, such as academic stress and financial burdens, have been found to exacerbate psychological distress and contribute to increased alcohol and substance use among students. Our aim is to closely examine (i) components of available digital public health interventions (DPHIs), (ii) to evaluate their effectiveness for promoting well-being, health behaviors, and reducing symptoms of mental disorders among university students and (iii) to rate the quality of the evidence identified in this rapid review.</p><p><strong>Methods: </strong>We conducted a rapid review to capture the evidence on DPHIs for university students. We adhered to the methodological criteria recommended by the Cochrane Rapid Reviews Methods Group and PRISMA. The literature search was performed in Ovid MEDLINE to look for articles related to university students, mental well-being, mental health, and DPHIs published between June 2018 - June 2023. The selection was carried out in two steps: Screening of titles and abstracts and screening of full texts.</p><p><strong>Results: </strong>One thousand one hundred thirty-two articles were screened, of which 24 met the inclusion criteria for data extraction. (i) Of the intervention components in the included studies, 18 used web-based platforms, while six used smartphone applications. The interventions were aimed at improving mental health (68%), reducing substance use (28%), promoting physical activity (PA) (36%) and changing eating habits (16%). (ii) 42% of the included studies were able to demonstrate significant effects in the intended direction for mental health, 4% for substance use, 25% for PA and 8% for eating behavior. (iii) The quality assessment revealed that 58% of the studies were classified with 'some concerns', indicating moderate bias, while 29% were classified as 'high risk', suggesting considerable bias affecting the validity of the results.</p><p><strong>Conclusion: </strong>This rapid review comprehensively summarized intervention components of DPHIs. Further, the findings of this review provide significant insights into the effectiveness of DPHIs targeting mental well-being and health behaviors among university students. The studies included in the analysis demonstrate varying degrees of success across different domains, highlighting both the potential and limitations of DPHIs.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2500"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666932","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":"Prospective associations between occupational physical activity level and sleep disturbances: a five-year follow-up study.","authors":"Yun-Han Wang, Chien-Fong Huang, Li-Jung Chen, Po-Wen Ku, Emmanuel Stamatakis","doi":"10.1186/s12889-025-23684-2","DOIUrl":"10.1186/s12889-025-23684-2","url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbances are commonly reported in working populations. While research has identified various work-related risk factors for poor sleep, the relationship between prior occupational physical activity (OPA) and future sleep disturbances remains unclear. The study aimed to examine the prospective associations between OPA levels and sleep disturbances in adults.</p><p><strong>Methods: </strong>We utilized longitudinal data from the MJ cohort study (1998 to 2022). The sample (N = 62528) consisted of adults aged 18 years or above. The mean age (in years) was 35.9 (SD = 9.5), and they were working full-time and reported no sleep disturbances at baseline. We examined the prospective associations between self-reported OPA levels (light, moderate, moderately heavy, and heavy) at baseline, and the presence of sleep disturbances at a mean follow-up time of 5.6 years (SD = 4.5). Cox proportional hazard models were conducted, adjusting for potential confounding variables.</p><p><strong>Results: </strong>Using light OPA level as the reference group, individuals with moderately heavy OPA (HR: 1.13, 95% CI: 1.07, 1.19, p < 0.001) and heavy OPA (HR: 1.22, 95% CI: 1.11, 1.34, p < 0.001) at baseline had a higher risk of sleep disturbances at follow-up. Stratified analyses showed that the association between higher levels of OPA and sleep disturbances remained across different subgroups. Notably, these associations were more pronounced among females (p_interaction = 0.008), for moderately heavy OPA (HR: 1.23, 95% CI: 1.12, 1.35, p < 0.001) and heavy OPA (HR: 1.45, 95% CI: 1.10, 1.91, p = 0.009). These associations were also more pronounced in certain occupational groups (p_interaction = 0.003), where only heavy OPA was significantly associated with an elevated risk of sleep disturbances among civil servants (HR: 1.66, 95% CI: 1.08, 2.55, p = 0.020) and office workers, professionals and technicians (HR: 1.49, 95% CI: 1.09, 2.05, p = 0.010).</p><p><strong>Conclusions: </strong>Higher OPA levels were associated with an increased risk of sleep disturbances. Workplace support or interventions are in need to improve sleep patterns.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2496"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667023","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":"Decomposing socioeconomic inequalities in contraceptive use among Kurdish women: a cross-sectional analysis of the ravansar cohort study.","authors":"Ali Kazemi-Karyani, Sina Ahmadi, Jafar Yahyavi Dizaj, Farid Najafi, Moslem Soofi","doi":"10.1186/s12889-025-23732-x","DOIUrl":"10.1186/s12889-025-23732-x","url":null,"abstract":"<p><strong>Background: </strong>Access to contraception methods is essential for reproductive health and family planning; however, socioeconomic disparities influence their utilization. This study aimed to examine socioeconomic inequalities in contraceptive use (CU) among Kurdish women in western Iran, using data from the Ravansar Non-Communicable Disease (RaNCD) cohort study.</p><p><strong>Methods: </strong>Data from 4,823 married women aged 35 years and older were analyzed, categoriezed by their history of CU. The Wagstaff normalized concentration index was employed to assess income-related inequalities. Two separate models were developed to analyze the contributing factors for the use of temporary contraceptive methods and tubectomy. Decomposition analysis was conducted to identify the contributions of various factors, including age, marital status, age at first pregnancy, number of live births, place of residence, and socioeconomic status (SES).</p><p><strong>Results: </strong>The findings revealed that 83.79% of participants had a history of CU. Decomposition analysis indicated that marital status and age were the primary contributors to inequality in the use of temporary contraceptive methods, accounting for 38.93% and 18.55% of the inequality, respectively. In contrast, for tubectomy, marital status and age contributed -81.37% and -38.76% to the reduction in inequality, while the number of live births had a positive contribution of 10.79%. Moreover, women in higher socioeconomic quintiles reported greater use of temporary methods, whereas tubectomy was more prevalent among those in lower socioeconomic groups.</p><p><strong>Conclusions: </strong>This study highlights significant socioeconomic inequalities in CU among Kurdish women in western Iran. Higher-income women tend to use temporary methods, while lower-income women more often undergo tubectomy. These disparities underscore the need for targeted interventions. Policymakers should focus on improving access to a variety of contraceptive options and enhancing educational initiatives to promote equity in reproductive health.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2492"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666928","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":"Implementation and maintenance of breast cancer screening among Chinese rural women: a mixed-methods evaluation based on RE-AIM framework.","authors":"Huijiao Yan, Qiankun Wang, Le Dang, Xianzhi Duan, Zhirong Bai, Yinhui Feng, Linlin Zhang, Suyala Qimuge, Haiying Gao, Xinchun Wang, Min Sun, Shuxia Ma, Cailing Yan, Fanghui Zhao, Youlin Qiao","doi":"10.1186/s12889-025-23679-z","DOIUrl":"10.1186/s12889-025-23679-z","url":null,"abstract":"<p><strong>Background: </strong>Significant disparities in breast cancer screening coverage existed between high-income and low-income regions. This study aims to assess the implementation, effectiveness, and sustainability of a breast cancer screening program in China to provide insights into developing an effective implementation strategy suitable for rural areas with limited health resources.</p><p><strong>Methods: </strong>This study employed the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess the implementation, effectiveness, and sustainability of a breast cancer screening program in Ordos, Inner Mongolia, China. An explanatory mixed methods design was applied, in which qualitative data were used to explain unexpected quantitative findings. The quantitative study, conducted from 2016 to 2020, analyzed screening records and survey data from 177,107 women aged 35-64. The qualitative study, conducted in 2024, collected data through semi-structured interviews with nine health workers and analyzed the transcripts using thematic analysis. The qualitative themes and quantitative findings were matched within the RE-AIM framework.</p><p><strong>Results: </strong>The screening program covered 52.24% of the women by the end of 2020, with a total of 177,107 women receiving screening. The cancer detection rate was 0.56/1000, ranging from 0.09/1000 in women aged 35-39 to 1.58/1000 in those aged 60-64. The Positive Prediction Value (PPV) for biopsy was over 64.9%, but few patients who were referred for further examinations (mammography and biopsy) completed the procedure. Key facilitators included strong patient-provider communication, staff involvement, adequate funding and training, and strict supervision, while barriers involved geographical distance, lack of multi-sector support, limited service capacity, and low health awareness. The \"rural outreach\" model (where MCHHs conduct screenings by visiting rural villages and setting up temporary clinics at local village health centers), along with routine hospital screening, was seen as the most effective solution for reaching dispersed populations with low health awareness and literacy. Increased awareness from prior screenings improved participation and compliance in subsequent programs. A key challenge in program maintenance was the reduction in quality control, supervision, and training efforts.</p><p><strong>Conclusion: </strong>To improve cancer detection in rural areas, it is essential to strengthen both the screening capacity of primary healthcare facilities and the patient referral system for timely diagnosis. \"Rural outreach\" is an effective way to reduce health inequity in marginalized women and increase their awareness at the same time. Further research is needed to assess long-term outcomes and develop customized implementation strategies for overcoming the identified barriers.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2502"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667019","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":"Organisational and social work environment factors and occupational balance as predictors of work and life satisfaction among Swedish principals who are also parents to small children.","authors":"Madeleine Borgh, Roger Persson, Ulf Leo, Carita Håkansson","doi":"10.1186/s12889-025-23690-4","DOIUrl":"10.1186/s12889-025-23690-4","url":null,"abstract":"<p><strong>Background: </strong>In Sweden, managers, individuals working within education, and parents with small children are three groups at high risk for sick leave due to stress-related mental health problems. However, the combined risk of being a parent and manager working within education, i.e., as a principal, on individual work and life satisfaction is not well understood or well-described in the scientific literature. Accordingly, the present study aimed to examine to what extent indicators for occupational balance and organisational and social work environment factors are predictors of work and life satisfaction among Swedish school principals who are also parents to small children.</p><p><strong>Methods: </strong>A prospective longitudinal study design was used, and data were collected with a one-year interval (T1 and T2) using a web survey. The participants (n = 149) had at least one child under 8 years old and answered the survey at T1 and T2. Logistic regression analyses were used to estimate how predictors at T1 determined the reporting of work and life satisfaction at T2.</p><p><strong>Results: </strong>Supportive organisational structures and few role conflicts at T1 predicted work satisfaction at T2, and supportive organisational structures and a perception of occupational balance at T1 predicted life satisfaction at T2. Adjusted for outcomes at T1, supportive organisational structures and occupational balance still remained predictors.</p><p><strong>Conclusions: </strong>Supportive organisational structures that clearly define authority and areas of responsibility, and few role conflicts appear to be important for reporting higher work satisfaction among Swedish principals with small children. In addition, high occupational balance and supportive organisational structures that clearly define authority and areas of responsibility also appear to be important for reporting higher life satisfaction. These results suggest that employers of principals with small children may help them by taking action in the above-mentioned areas. The principals themselves could also benefit from being attentive to these issues. Both are important for strengthening public health and preventing sick leave.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2493"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12273240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667022","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":"Epidemiology of age-related macular degeneration among elderly in geriatric homes, East Cairo, Egypt.","authors":"Dina Hussien Edarous, Hoda I Fahim, Mohamed Momen, Ashraf Abd El-Salam Shaat, Ayat F Manzour","doi":"10.1186/s12889-025-23680-6","DOIUrl":"10.1186/s12889-025-23680-6","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2495"},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666933","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}