BMC Public Health最新文献

{"title":"Community's perceptions on health and ecological impacts of climate change and adaptation strategies in rural areas of the central Ethiopian region.","authors":"Isayas Hafebo Lambebo, Kasahun Eba, Gudina Terefe Tucho","doi":"10.1186/s12889-025-24719-4","DOIUrl":"https://doi.org/10.1186/s12889-025-24719-4","url":null,"abstract":"<p><strong>Background: </strong>Ethiopia struggles with floods, droughts, climate-related health issues, lacking sufficient research on community vulnerability, risk perceptions, and adaptation strategies.</p><p><strong>Methods: </strong>Employing a mixed-methods approach including household surveys (N = 845), focus group discussions, and key informant interviews the research captures the socio-economic, ecological, and health dimensions of climate vulnerability in Highland, Midland, and Lowland climatic zones.</p><p><strong>Results: </strong>Findings reveal stark regional disparities: Highland communities face heightened exposure to cold waves and water scarcity exacerbated by aging populations and poor housing; Lowland zones are afflicted by heat-related stressors, institutional collapse, and youth-dominated demographics; while Midland areas suffer from hydrological instability fostering disease transmission. Across all regions, systemic health issues such as food- and water-borne diseases (83%) and malnutrition (80%) emerge as pervasive threats. Statistical analysis via logistic regression identifies educational, income, health insurance access, credit availability, and climate information as significant predictors of adaptation. Notably, higher education boosts adaptive capacity by over 13-fold, while females and larger families show reduced engagement in adaptation practices. Local innovations, including Enset and mixed farming, offer culturally rooted strategies for resilience, though feasibility varies regionally.</p><p><strong>Conclusion: </strong>The study underscores the need for geographically tailored, integrated climate-health interventions supported by inclusive service delivery, climate-aware education, and gender-responsive programming. It also highlights a critical gap between perceived climate risks and scientifically grounded understanding of causes only 14% attribute climate change to human activities pointing to the importance of culturally attuned climate communication.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3310"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211525","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":"Impact of cut-point methods on classification of physical activity and sedentary behaviour of toddlers.","authors":"Jill Marie Ferry, Joaquin Escribano, Mariona Gispert-LLauradó, Berthold Koletzko, Veit Grote","doi":"10.1186/s12889-025-24636-6","DOIUrl":"https://doi.org/10.1186/s12889-025-24636-6","url":null,"abstract":"<p><strong>Background: </strong>Classification of physical activity (PA) depends on the cut-point method used to allocate PA counts from accelerometer measurements. This study investigates how three validated cut-point methods affect the time spent in various levels of PA and sedentary behaviour (SB), and how they impact toddlers estimated adherence to PA guidelines.</p><p><strong>Methods: </strong>PA was assessed using an ActiGraph wGT3X-BT accelerometer in a cohort of 653 two-year-old children participating in the Toddler Milk Intervention study. Children wearing the ActiGraph for at least four days, with a minimum of six hours wear-time per day, were included. Time spent in SB and different activity levels were estimated according to three cut-point methods and were standardized to individual mean wear-time. We used one cut-point method based on the vertical axis (VA) (Trost VA), with an epoch length of 15 s and two cut-point methods based on either the VA (Costa VA) or on the vector magnitude (VM) (Costa VM) with an epoch length of five seconds. Estimates of SB and PA for each method were compared with repeated measures ANOVA.</p><p><strong>Results: </strong>The time toddlers spent in PA was significantly different depending on the cut-point methods. Costa VM classified on average 62 min (95% CI 61, 64] more per day as SB and 57 min (95% CI -58, -56] less per day as LPA compared to Trost VA (both p < 0.0001). For MVPA, the mean difference between Costa VA and Trost VA was 6.8 min (95% CI -7, -6; p < 0.0001). Concurrently, the proportion of children meeting the WHO recommendation of 180 min of total PA differed between cut-point methods, with 86% according to Costa VM and 97% according to Trost VA.</p><p><strong>Conclusions: </strong>The time toddlers engage in different intensities of PA is significantly determined by the selection of cut-point method. Notably, the use of a different cut-point method leads up to a 10% difference in the estimated time spent in LPA and SB, but only a 1% difference of moderate-vigorous PA. These differences change the estimated adherence to recommendations. Future research is needed to standardize the data processing methods for better comparability between studies analysing toddlers' PA.</p><p><strong>Registry: </strong>ClinicalTrials.gov, TRN: NCT02907502, Registration Date: 31 August 2016.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3290"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211487","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":"Impact of long-term exposure to PM_2.5 and its components on the risk of chronic lung disease in middle-aged and elderly chinese: evidence from a large Chinese population-based cohort.","authors":"Yu Shi, Di Wu, Yilipa Yilihamu, Yanling Zheng, Liping Zhang","doi":"10.1186/s12889-025-24704-x","DOIUrl":"https://doi.org/10.1186/s12889-025-24704-x","url":null,"abstract":"<p><strong>Background: </strong>Epidemiological evidence indicates a close association between particulate matter with an aerodynamic diameter of fewer than 2.5 μm (PM_2.5) and the occurrence and worsening of chronic lung diseases (CLD), particularly in middle-aged and older adults. Previous studies have explored the effects of PM_2.5 and its components on CLD to a limited extent, and the dynamic trajectories of PM_2.5 and its components over time have not been considered in relation to CLD.</p><p><strong>Methods: </strong>This study used data from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2018 to explore the relationship between long-term exposure to PM_2.5 and its components (sulfate, nitrate, ammonium, organic matter, and black carbon) and CLD based on generalized linear mixed models (GLMM) and group-based trajectory model (GBTM).</p><p><strong>Results: </strong>Results reveal a significant positive correlation between long-term exposure to PM_2.5 and its component concentrations, as well as the rate of decline in these concentrations, with the incidence of CLD. For each 1 µg/m³ increase in PM_2.5, black carbon, organic matter, sulfate, nitrate, and ammonium, there was an increase in the risk of chronic lung disease of 1.005 (95% CI: 1.002, 1.009), 1.177 (95% CI: 1.100, 1.259), 1.027 (95% CI: 1.012, 1.042), 1.037 (95% CI: 1.018, 1.056), 1.021 (95% CI: 1.006, 1.037), and 1.028 (95% CI: 1.005, 1.052). Multivariate pollutant mixture analyses using Weighted Quantile Sum Regression and Quantile g-computation regression analysis found that among PM_2.5 components, black carbon, sulfate, and organic matter are more related to the risk of CLD.</p><p><strong>Conclusion: </strong>This prospective cohort study of middle-aged and older adults in China observed that long-term exposure to various PM_2.5 components increases the risk of CLD. Given the significant role of black carbon, organic matter, and sulfate in their combined harmful effects, stringent controls on the emissions of these components could help mitigate the rising prevalence of CLD among China's rapidly aging population.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3301"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211515","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":"Adopting the lens of the COM-B behaviour change model to qualitatively explore and understand public health implications of young adults' attitudes towards death-talk.","authors":"Catrin Morgan-Duggan, Joanna Brooks, Lisa Graham-Wisener, Christine Rowland","doi":"10.1186/s12889-025-24519-w","DOIUrl":"https://doi.org/10.1186/s12889-025-24519-w","url":null,"abstract":"<p><strong>Background: </strong>The topic of death and dying holds universal significance, yet societal norms often discourage open discussions, leading to a culture of death-denial. This reluctance can hinder informed decision-making, end-of-life planning, and access to adequate care and grief support. While research has examined death-talk among older adults, clinical populations and healthcare professionals, young adults' perspectives remain underexplored. Understanding their attitudes is crucial, as early engagement with death-talk - framed within a life-course approach - can foster emotional resilience and contribute to developing compassionate communities. This study aims to explore the perceptions and attitudes of a non-clinical sample of young adults (aged 18-34) towards discussing death and dying.</p><p><strong>Methods: </strong>A qualitative approach was employed, involving four focus groups with 33 young adults. Participants were selected using maximum variation sampling to ensure diversity in education, ethnicity, gender, and religious beliefs. Reflexive thematic analysis was performed to identify themes related to attitudes toward death-talk, utilising a critical realist stance. Findings were mapped using the Capabilities, Opportunities, Motivations, and Behaviour (COM-B) model of behaviour change, to identify potentially modifiable barriers and facilitators to engaging in death-talk.</p><p><strong>Results: </strong>The analysis revealed four key themes which collectively illustrate the complex interplay between individual attitudes and broader cultural influences in shaping how young adults perceive and discuss death and dying. The themes highlighted how internal and external factors affect the ability and willingness of young adults to engage in meaningful discussions about death. Factors such as social stigma, fear of causing distress, and a lack of communication skills were identified as significant barriers. Conversely, the recognition of the importance of death-talk, personal experiences with bereavement, and a supportive social environment were found to facilitate these discussions.</p><p><strong>Conclusions: </strong>This study provides valuable insights into the perceptions and experiences of death-talk amongst young adults, including barriers and facilitators. The findings suggest the need for targeted interventions to enhance death literacy among young people, emphasising the importance of normalising these conversations in everyday life. Recommendations are proposed for utilising these insights to inform public health strategies, education, and policy development aimed at fostering a more open dialogue about death and dying within the broader community.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3307"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211862","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":"Assessing the impact of a social cognitive theory-based educational intervention on ergonomic behaviors: a randomized controlled trial utilizing a learning-by-doing approach.","authors":"Zakieh Sadat Hosseini, Sedigheh Sadat Tavafian, Omran Ahmadi, Reza Maghbouli","doi":"10.1186/s12889-025-24533-y","DOIUrl":"https://doi.org/10.1186/s12889-025-24533-y","url":null,"abstract":"<p><strong>Background: </strong>Work-related musculoskeletal disorders (WMSDs) significantly challenge female assembly line workers due to repetitive tasks, manual force, poor posture, and static muscle contractions. Increased ergonomic preventive behaviors through learning-by-doing (LBD) approach could probably be essential to mitigate these issues. This study investigates the impact of a structured, theory-based educational intervention using the learning-by-doing approach to promote ergonomic behaviors and decease MSDs subsequently.</p><p><strong>Methods: </strong>This randomized controlled trial (RCT) conducted in 2023 investigated the effectiveness of a theory-based ergonomic training program among Iranian women working on electronics assembly lines. Participants were randomly assigned to an intervention group, which received a structured training program based on Social Cognitive Theory (SCT), or to a control group with no intervention. Outcomes were assessed using the Ergonomic Behavior Evaluation Tool (EBET) and the Nordic Musculoskeletal Questionnaire (NMQ) at baseline and at 3, 12, and 24 weeks post-intervention.</p><p><strong>Results: </strong>A total of 80 women participated in the trial, with an average age of 37.87 ± 5.15 years in the experimental group and 37.10 ± 6.81 years in the control group. Although both groups were the same at initial time of the study, there was a significant difference between the two groups in the average scores of all theoretical constructs at 3, 12, and 24 weeks after the intervention, except for the outcome expectancy construct, which was not significant at 24 weeks post-intervention. The experimental group demonstrated a significant improvement in performing ergonomic behaviors compared to the control group. Additionally, women in the experimental group reported a significant reduction in pain in some areas of their bodies.</p><p><strong>Conclusions: </strong>Based on the effect of the educational intervention through LBD approach on and the ergonomic behaviors, it emphasized to apply this training among assembly line workers. however, to further reduce musculoskeletal pain, it is recommended to incorporate other dimensions of ergonomic interventions, supported by macro management levels at the industry level.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov IRCT20220825055792N1. Registered on 23 September 2022 with the IRCTID.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3304"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211472","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":"Return to work for people with chronic health conditions after medical or vocational rehabilitation during the COVID-19 pandemic: a scoping review.","authors":"Nadine Sänger, Jan Mathis Elling, Christian Hetzel, Betje Schwarz","doi":"10.1186/s12889-025-24769-8","DOIUrl":"https://doi.org/10.1186/s12889-025-24769-8","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3292"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211584","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":"Socioeconomic development index (SDI) gradients and high BMI-Driven pan-cancer burden: a global burden of disease study on mortality, disability, and health inequities (2015-2021).","authors":"Zhuang Ma, Sixuan Zou, Ruoxuan Liu, Song Li, Zhenjiang Li","doi":"10.1186/s12889-025-24531-0","DOIUrl":"https://doi.org/10.1186/s12889-025-24531-0","url":null,"abstract":"<p><strong>Background: </strong>The rising prevalence of high body mass index (BMI) has become a critical driver of global oncologic morbidity and mortality, yet its pan-cancer burden remains poorly characterized across socioeconomic development strata. This study investigates the geographic, temporal, and sex-specific disparities in high BMI-attributable cancer burden, stratified by the Socioeconomic Development Index (SDI), to inform precision public health strategies.</p><p><strong>Methods: </strong>Leveraging the 2021 Global Burden of Disease (GBD) dataset, we analyzed age-standardized mortality, disability-adjusted life years (DALYs), and years of life lost (YLLs) for 17-23 countries across Asia and globally. SDI-stratified analyses evaluated temporal trends (2015-2021) and cancer-type contributions, while multivariable models assessed associations between income inequality (Gini coefficient), healthcare capacity, and metabolic risk exposure.</p><p><strong>Results: </strong>Marked disparities emerged across SDI gradients: high-SDI nations exhibited 6.7-fold higher mortality rates (e.g., Malaysia: 4.40 vs. Bangladesh: 0.65/100,000) and concentrated burdens in colorectal (40.5% DALYs) and breast cancers (27.0% DALYs), contrasting with distributed burdens in low-SDI regions (no cancer > 15.6% DALYs). Gender disparities highlighted male predominance in liver (+ 8.4 DALY difference) and colorectal cancers (+ 5.1), while female-specific malignancies (e.g., uterine cancer) retained consistent burdens across SDI levels. Temporal analyses revealed accelerated DALY reductions in middle-SDI regions (-4.5% annual percent change [APC]) but rising breast cancer burdens in low-SDI settings (+ 1.2% APC). Economic inequality (Gini > 0.40) correlated with elevated mortality (Turkey: 123.1/100,000), independent of GDP, underscoring synergistic impacts of BMI and sociodemographic inequities.</p><p><strong>Conclusion: </strong>High BMI-driven pan-cancer burden is profoundly shaped by SDI gradients, reflecting interactions between metabolic risk, healthcare access, and socioeconomic determinants. Tailored interventions-prioritizing colorectal and breast cancers in high-SDI regions and addressing systemic inequities in low-SDI settings-are critical to mitigating the dual burden of obesity and cancer in transitioning populations.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3295"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211605","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":"Threat of coronavirus and depressive symptoms in adolescents: do 24-hour movement behaviors mediate this relationship?","authors":"Gabriel Pereira Maciel, Bruno Gonçalves Galdino da Costa, Ilana Nogueira Bezerra, Kelly Samara Silva, Alexsandra da Silva Bandeira, Iraneide Etelvina Lopes, Victor Hugo Santos de Castro, Valter Cordeiro Barbosa Filho","doi":"10.1186/s12889-025-24591-2","DOIUrl":"https://doi.org/10.1186/s12889-025-24591-2","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3309"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211587","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":"Predictors of e-cigarette usage among individuals with asthma and COPD.","authors":"Tucker Rathe, Mario F Perez, Felicia Tanu, Nkiruka C Atuegwu, Eric M Mortensen","doi":"10.1186/s12889-025-24084-2","DOIUrl":"https://doi.org/10.1186/s12889-025-24084-2","url":null,"abstract":"<p><strong>Background: </strong>Our study examined what demographic and health factors were associated with motivations for e-cigarette use in those with asthma and COPD.</p><p><strong>Methods: </strong>The analysis included participants ≥ 18 years old in Wave 5 of the Population Assessment of Tobacco and Health who reported e-cigarette use and had asthma or COPD. We used multivariable logistic regression models, adjusted for survey weights, to examine the associations of potential reasons for e-cigarette use, including affordability and attempts to minimize or quit cigarette smoking.</p><p><strong>Results: </strong>Seven hundred twenty-five participants (weighted n = 2,588,403) met the inclusion criteria. Factors associated with using e-cigarettes to help reduce cigarette use included being > 45 years old (odds ratio 1.9, 95% confidence interval 1.1-3.2) and having experienced wheezing in the past year (2.1, 1.3-3.4). Experiencing wheezing was also the only factor associated with using e-cigarettes to help quit smoking (2.6, 1.5-4.5). Being Hispanic and being moderately to very worried about the health impacts of any tobacco product usage, which includes electronic products, conferred a lower likelihood of using e-cigarettes to cut down on cigarettes (0.5, 0.3-0.98; 0.4, 0.3-0.8). Those who identified as male or being moderately to very worried about the health impacts of their tobacco product usage were significantly less likely to have initiated e-cigarettes for smoking cessation (0.6, 0.4-0.9; 0.3, 0.2-0.5).</p><p><strong>Conclusions: </strong>Factors associated with the uptake of e-cigarettes as a smoking cessation tool include age, gender, and ethnicity. Wheezing, as a symptom of respiratory illness, appears to have the strongest association with e-cigarette usage as a form of smoking cessation. At the same time, concern about the health impacts of tobacco products is the strongest negative predictor.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3294"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211589","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 Swedish model of health dialogues, a combined individual- and community-based primary preventive program for cardiovascular disease, is associated with reduced mortality: a systematic review.","authors":"Borjesson Mats, Kristenson Margareta, Jerdén Lars, Forsell Yvonne","doi":"10.1186/s12889-025-24353-0","DOIUrl":"https://doi.org/10.1186/s12889-025-24353-0","url":null,"abstract":"<p><strong>Background: </strong>Behavioural risk factors are key determinants of premature death. The Swedish model of health dialogues, which has been developed since 1985, aims to promote healthy behaviours, for prevention of cardiovascular disease, by inviting everyone in specific age groups to primary care for health dialogues combined with community-oriented activities. The health dialogue was performed by trained nurses, based on individual results from questionnaires on health behaviors and results of physiological measures, using visual pedagogic tools and motivational interviewing techniques. The community intervention part of the program aimed to encourage and enhance healthy behaviors, e.g. by collaboration with civil society, e.g. local sports organizations and/or grocery stores.</p><p><strong>Methods: </strong>In this first systematic review of the model, seven studies were identified fulfilling the inclusion criteria, having control/reference groups, defined outcome health measures (mortality, risk factors, lifestyle behaviours) and follow-ups of at least one year. GRADE (Grading of Recommendations, Assessment, Development and Evaluation) was used to assess the quality of evidence. The effect on mortality, on risk factors and lifestyle behaviours was evaluated.</p><p><strong>Results: </strong>The model showed effects with reduced premature all-cause mortality and cardiovascular mortality with a moderate level of evidence. Specifically, intention to treat analyses showed a 9.4% and 29% reduction in all-cause mortality in two studies, and 5% reduction of cardiovascular mortality in one large study. Furthermore, levels of blood pressure, cholesterol, fasting blood glucose, waist and BMI were reduced (moderate/low level of evidence) and dietary habits were improved (moderate level of evidence). Health benefits of the model were greater when health dialogues were combined with community-oriented activities.</p><p><strong>Conclusions: </strong>The results of this first systematic review of the Swedish model of health dialogues showed significant effects of the Swedish model of health dialogue, on cardiovascular and all-cause mortality. The method is a multifactorial intervention that includes both individual and community/societal intervention, where the respective contributions of both parts of the intervention cannot be delineated.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3288"},"PeriodicalIF":3.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145211622","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}