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The effect of indoor air pollution on under-five child health in South Sudan. 室内空气污染对南苏丹五岁以下儿童健康的影响。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23215-z
Emmanuel Pitia Zacharia Lado, Japheth Osotsi Awiti, Daniel Mwai
{"title":"The effect of indoor air pollution on under-five child health in South Sudan.","authors":"Emmanuel Pitia Zacharia Lado, Japheth Osotsi Awiti, Daniel Mwai","doi":"10.1186/s12889-025-23215-z","DOIUrl":"10.1186/s12889-025-23215-z","url":null,"abstract":"<p><strong>Background: </strong>Respiratory infections claim lives, especially the lives of children under the age of five, around the world. In South Sudan, respiratory infection has been identified as one of the three leading causes of death among children. In addition to other sources of indoor air pollution, cooking elsewhere inside the house but not in the kitchen is a major contributor to indoor air pollution. South Sudan has no access to clean energy for cooking and relies entirely on biomass. Therefore, this study aims to examine the effect of indoor air pollution, proxied by cooking location, on the occurrence of respiratory infection among children under five in South Sudan.</p><p><strong>Method: </strong>The study used the 2010 South Sudan Household Health Survey 2 data, with 6,307 observations of under-five children. To address potential endogeneity, a Two-Stage Residual Inclusion was employed within the logistic regression framework. Additionally, a control function approach was adopted to account for unobserved heterogeneity, if any, in the model.</p><p><strong>Results: </strong>Cooking elsewhere inside houses but not in the kitchens increases the probability of respiratory infection among children under the age of five in South Sudan. Control variables such as the roofing of the house, the gender of the under-five child, and the gender of the head of the household also influence the probability of respiratory infection among this age group.</p><p><strong>Conclusion: </strong>Cooking elsewhere inside houses but not in the kitchens while using biomass for cooking has been dangerous for the health of children under the age of five. To save lives, especially those of children, cooking should be done either in a kitchen or outside of houses in the interim while moving towards clean energy for cooking.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2124"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246345","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}
引用次数: 0
Early retirement intentions of Korean wage earners: the influence of job demand-control-support latent profiles. 韩国工薪阶层的提前退休意愿:工作需求-控制-支持潜在特征的影响。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23158-5
Ara Jo, Hye-Sun Jung
{"title":"Early retirement intentions of Korean wage earners: the influence of job demand-control-support latent profiles.","authors":"Ara Jo, Hye-Sun Jung","doi":"10.1186/s12889-025-23158-5","DOIUrl":"10.1186/s12889-025-23158-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The global aging of the population is a serious issue, and with working life expectancy increasing, it is crucial to consider measures to delay retirement. Since retirement intention is a key factor in determining the timing of retirement, understanding the psychological state of workers as a determinant of retirement intention is necessary. The purpose of this study is twofold: (1) to identify latent profile types based on job demands, control, and support among Korean wage earners using a person-centered approach; and (2) to examine the association between these latent profiles and early retirement intentions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We analyzed data from 31,587 wage-earning participants aged 19 to 59 using the sixth Korean Working Conditions Survey (KWCS), conducted between 2020 and 2021. The sample included 57.06% men and 42.94% women. Latent Profile Analysis (LPA), a person-centered statistical method used to identify unobserved subgroups within a population, was employed to classify participants into five job characteristic profiles based on the job demand-control-support (JDCS) model. Job demands were measured across physical, quantitative, emotional, and social aspects; job control was assessed by items related to autonomy in task execution; and job support included perceived support from supervisors and coworkers. Early retirement intention, the outcome variable, was measured by asking participants the age until which they intended to work. Multivariate logistic regression analysis was conducted to examine the association between the identified job profiles and early retirement intentions, adjusting for relevant sociodemographic and occupational covariates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Five latent profile types were identified based on levels of job demands, control, and support using LPA. These profiles were labeled according to the Job Demand-Control-Support (JDCS) model and named as follows: Low Strain Collective (5.52%), Active Collective (27.99%), Passive Collective (28.92%), High Strain Collective (32.56%), and Low Strain Isolated (5.01%). The names reflect the distinct combinations of job demand, control, and support characteristics within each group. Multivariate logistic regression analysis showed that, compared to the Low Strain Collective, the Active Collective (OR = 1.65, 95% CI = 1.10-2.48), Passive Collective (OR = 1.72, 95% CI = 1.15-2.60), and High Strain Collective (OR = 1.66, 95% CI = 1.10-2.49) groups had significantly higher early retirement intentions. Additionally, gender, age group, education level, household income contribution, occupation type, employment type, and presenteeism were significantly associated with early retirement intentions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our findings suggest that to reduce early retirement intentions, employees should be given jobs that consider their personal and work characteristics, and they should have an appropriate level of job","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2123"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246327","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}
引用次数: 0
High indoor temperatures increase reporting of acute symptoms: finding mitigating solutions for the climate-vulnerable of Bangladesh. 室内高温增加急性症状的报告:为孟加拉国易受气候影响的地区寻找缓解办法。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-21597-8
Alba McGirr, Srizan Chowdhury, Md Fozla Rabbi, Md Mehedi Hasan, Md Sharoardy Sagar, Nabilah Ibnat, Syed Manzoor Ahmed Hanifi
{"title":"High indoor temperatures increase reporting of acute symptoms: finding mitigating solutions for the climate-vulnerable of Bangladesh.","authors":"Alba McGirr, Srizan Chowdhury, Md Fozla Rabbi, Md Mehedi Hasan, Md Sharoardy Sagar, Nabilah Ibnat, Syed Manzoor Ahmed Hanifi","doi":"10.1186/s12889-025-21597-8","DOIUrl":"10.1186/s12889-025-21597-8","url":null,"abstract":"<p><strong>Background: </strong>Bangladesh is already prone to extreme weather events like heatwaves, leaving millions vulnerable. High ambient temperatures are associated with increased morbidity and mortality by infectious diseases, but the effect of these high temperatures indoors remains to be studied.</p><p><strong>Objective: </strong>This study investigated the effect of high indoor temperatures on the feelings of illness and heat coping mechanisms in vulnerable populations without heat mitigation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in 490 houses in rural villages in the coastal area of Chakaria, Bangladesh chosen through stratified cluster sampling. It assessed the feelings of illness and their adaptative behaviour to high temperatures. There were 49 temperature and humidity monitors placed indoors to obtain accurate measurements of these parameters in different areas and with different house materials. This information was used to determine the effect of high indoor temperatures on the symptoms that vulnerable populations reported.</p><p><strong>Results: </strong>People living in hotter houses reported overall more symptoms, notably, diarrhoea, local site infections and sore throat. Temperatures were higher in houses made of bamboo compared to cement and having shade significantly decreased indoor temperature. Most women in the study reported performing adequate heat coping mechanisms. However, these did not show a protective effect against illness.</p><p><strong>Conclusion: </strong>This paper showed that high indoor temperatures could be associated with an increase in symptoms. Housing characteristics (material and environment) decreased indoor temperature. Having shading and a house made from cement was protective to reporting symptoms. Further studies into the compliance of coping behaviours are needed to assess their potential protective effect.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2121"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246332","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}
引用次数: 0
Trends and future burden of other musculoskeletal diseases in China (1990-2041): a comparative analysis with G20 countries using GBD data. 中国其他肌肉骨骼疾病的趋势和未来负担(1990-2041):使用GBD数据与G20国家的比较分析
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23285-z
Meifeng Lu, GuiHao Zheng, Xin Shen, Yulong Ouyang, Bei Hu, Shuilin Chen, Guicai Sun
{"title":"Trends and future burden of other musculoskeletal diseases in China (1990-2041): a comparative analysis with G20 countries using GBD data.","authors":"Meifeng Lu, GuiHao Zheng, Xin Shen, Yulong Ouyang, Bei Hu, Shuilin Chen, Guicai Sun","doi":"10.1186/s12889-025-23285-z","DOIUrl":"10.1186/s12889-025-23285-z","url":null,"abstract":"<p><strong>Background: </strong>Other musculoskeletal diseases (OMSDs), as a critical component of the global public health challenge, remain understudied in China. This study aims to systematically analyze the epidemiological characteristics and future trends of OMSDs in China from 1990 to 2021.</p><p><strong>Methods: </strong>Based on data from the Global Burden of Disease Study(GBD) 2021, this research focused on prevalence and years lived with disability (YLDs), which were compared with G20 countries. Joinpoint regression was used to identify trend breakpoints, age-period-cohort analysis evaluated the independent effects of age, period, and cohort, and the Autoregressive Integrated Moving Average (ARIMA) model predicted the disease burden through 2041.</p><p><strong>Results: </strong>Between 1990 and 2021, both age-standardized prevalence rates (ASPR) and YLDs rates(ASYR) of OMSDs in China showed upward trends. Two critical turning points in ASPR occurred during 2000-2005 (APC = 1.5%, 95% CI: 1.4-1.6) and 2005-2009 (APC = 0.9%, 95% CI: 0.7-1.0). Age effects indicated that relative risk (RR) first increased and then decreased with age, peaking at 60-64 years (RR = 3.62, 95% CI: 3.62-3.63). Period effects showed a rising trend, while cohort effects revealed declining prevalence and YLDs rates. Projections suggest a gradual increase in burden indicators through 2041. Compared to other G20 countries, China ranked eighth from the bottom in disease burden, approaching the level of Germany.</p><p><strong>Conclusion: </strong>The burden of OMSDs in China continues to rise, particularly among women and the elderly. Although the current burden is at a mid-range level among G20 nations, population aging will exacerbate future challenges. To address this, advocating for healthy lifestyles, strengthening health education, and optimizing healthcare strategies are essential.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2120"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246347","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}
引用次数: 0
Challenges and successes in promoting gender equality through physical education and sports: a systematic review. 通过体育运动促进性别平等的挑战与成功:系统回顾。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23373-0
Mustafa Enes Işıkgöz, Murat Şahbudak, Melike Esentaş Deveci, Mustafa Öztunç
{"title":"Challenges and successes in promoting gender equality through physical education and sports: a systematic review.","authors":"Mustafa Enes Işıkgöz, Murat Şahbudak, Melike Esentaş Deveci, Mustafa Öztunç","doi":"10.1186/s12889-025-23373-0","DOIUrl":"10.1186/s12889-025-23373-0","url":null,"abstract":"<p><strong>Background: </strong>Physical education and sport can contribute to gender equality by supporting physical, mental, and social well-being. However, persistent challenges, including social norms, gender discrimination, and structural barriers, continue to limit progress in these areas.</p><p><strong>Methods: </strong>This study used a systematic review methodology following the PRISMA protocol. A thematic analysis of 65 relevant studies was carried out to examine the progress and ongoing challenges in advancing gender equality through physical education and sports.</p><p><strong>Results: </strong>The analysis indicates that educational programmes, progressive policies, and innovative teaching methods have contributed to advancing gender equality, particularly through increased representation of female athletes and leaders, who serve as influential role models. However, these positive developments face challenges, including limited resources, educators' insufficient awareness of gender issues, and the short-term nature of many interventions.</p><p><strong>Conclusion: </strong>The findings highlight the essential need for long-term systemic strategies aimed at amplifying educator awareness, fortifying women's leadership opportunities, and dismantling structural inequities. Future research must prioritize the development of culturally responsive interventions and an in-depth examination of varied socioeconomic contexts to forge more inclusive and sustainable pathways to achieving gender equality in physical education and sports.</p><p><strong>Trial registration: </strong>The completed PRISMA checklist is provided as a supplementary file and is also available via the Figshare repository: https://figshare.com/s/a088d4ef6e3b26cfd987.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2117"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246311","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}
引用次数: 0
Sleep apnea and daytime sleepiness in police officers from Kerala, India. 印度喀拉拉邦警察的睡眠呼吸暂停和白天嗜睡。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23292-0
G K Mini, Krishna S Sangeeth, Gopinathan Bhaskaran Gopika, V M Anjana, Pillai Anand Marthanda, Aswathy Sreedevi, Pillai A Marthanda, Vilma Irazola
{"title":"Sleep apnea and daytime sleepiness in police officers from Kerala, India.","authors":"G K Mini, Krishna S Sangeeth, Gopinathan Bhaskaran Gopika, V M Anjana, Pillai Anand Marthanda, Aswathy Sreedevi, Pillai A Marthanda, Vilma Irazola","doi":"10.1186/s12889-025-23292-0","DOIUrl":"10.1186/s12889-025-23292-0","url":null,"abstract":"<p><strong>Background: </strong>Globally, poor sleep is a significant public health problem. Healthy sleep is important for physical and mental well-being, particularly for individuals who work in environments with shift schedules. However, this issue has not been adequately addressed, especially in low-and-middle-income settings. This study examined sleep apnea and excessive daytime sleepiness among police officers in Kerala, India, and explored the factors associated with these conditions.</p><p><strong>Methods: </strong>Using a cross-sectional study design, we collected data from 253 police officers selected from 14 police stations in Thiruvananthapuram district. Data on socio-demographic and occupational characteristics were collected using structured questionnaire and stress using the Police Stress Questionnaire. Sleep apnea and excessive daytime sleepiness (EDS) were assessed using the Berlin Scale and Epworth Sleepiness Scale, respectively. Both bivariate and multivariate analyses were used to identify associated factors with sleep apnea and EDS.</p><p><strong>Results: </strong>Participants were predominantly male (89%), aged 30-55 years (mean: 42 years, SD:±6). The prevalence of operational stress was 75.5% [95% Confidence Interval (CI): 69.7-80.6], organizational stress 65.6% (CI:59.4-71.4), sleep apnea 15.0% (CI:10.8-20.0), and EDS 56.5% (CI:50.1-62.7). Sleep apnea was significantly higher among alcohol or tobacco users [unadjusted odds ratio (UAOR):2.16, CI:1.07-4.34]. Both operational stress (UAOR:4.41, CI:1.30-14.89) and organizational stress (UAOR:4.06, CI:1.52-10.84) were significantly associated with sleep apnea. EDS was more likely to be reported by officers from rural police stations (UAOR:3.09, CI:1.82-5.24), those with fewer years of experience (UAOR:1.65, CI:1.00-2.73), and among civil police officers (UAOR:2.15, CI:1.23-3.76) compared to their counterparts. The regression results indicated that those with diabetes or hypertension were significantly more likely to have sleep apnea (Odds Ratio (OR):8.41 95% CI: 3.20-22.10) compared to those without these conditions. Police officers from rural stations were more likely to experience excessive daytime sleepiness compared to their counterparts from urban areas (OR: 3.14, 95% CI: 1.80-5.47).</p><p><strong>Conclusions: </strong>A high prevalence of sleep disorders was observed among police officers, with strong associations to occupational stress and lifestyle factors. Based on the findings, we initiated behavioral interventions to improve sleep quality in this population.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2119"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246344","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}
引用次数: 0
Unraveling the nexus between fiscal policy uncertainty, environmental taxation, and life expectancy. 揭示财政政策的不确定性、环境税收和预期寿命之间的联系。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23391-y
Yongxian Fan, Muhammad Usman, Petra Poulova, Yong Wen
{"title":"Unraveling the nexus between fiscal policy uncertainty, environmental taxation, and life expectancy.","authors":"Yongxian Fan, Muhammad Usman, Petra Poulova, Yong Wen","doi":"10.1186/s12889-025-23391-y","DOIUrl":"10.1186/s12889-025-23391-y","url":null,"abstract":"<p><strong>Background: </strong>The nexus between fiscal unpredictability and environmental responsibility is a narrative of paramount significance. Therefore, this study aims to explore the impact of fiscal policy uncertainty on life expectancy and the mediating role of environmental taxation on this relationship, particularly from the perspective of China.</p><p><strong>Empirical methodology: </strong>To confirm such notions, statistical data is collected using the National Bureau of Statistics of China. The final dataset has yearly data from thirty Chinese provinces. The ordinary least squares technique to measure direct impact and the MED-SEM approach for mediating impact are used.</p><p><strong>Findings: </strong>The regression estimates show a negative and statistically significant impact of fiscal policy uncertainty on life expectancy. Moreover, environmental taxation has a positive and statistically significant partial mediating effect on the direct relationship.</p><p><strong>Policy implications: </strong>These results indicate that fiscal policy uncertainty can destabilize social security programs, housing support, and budgets, which consequently elevate poverty rates, adversely impact health, and possibly decline life expectancy. Moreover, when there is uncertainty in fiscal policy, governments can take advantage of this situation and introduce environmental taxes that provide the necessary funds to invest in the healthcare sector, encourage sustainable practices, and mitigate negative externalities. These results can significantly contribute to the public sector, environmental, and health economics fields and provide new research dimensions for academicians and policymakers.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2112"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246350","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}
引用次数: 0
Predicting depression risk in COPD patients: a model based on NHANES 2007-2012 data. 预测COPD患者抑郁风险:基于NHANES 2007-2012数据的模型
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23342-7
Jinyan Zhang, Shenghong Zhou
{"title":"Predicting depression risk in COPD patients: a model based on NHANES 2007-2012 data.","authors":"Jinyan Zhang, Shenghong Zhou","doi":"10.1186/s12889-025-23342-7","DOIUrl":"10.1186/s12889-025-23342-7","url":null,"abstract":"<p><strong>Objective: </strong>Patients with chronic obstructive pulmonary disease (COPD) are at an elevated risk for depression. However, effective predictive tools for identifying high-risk individuals are currently lacking. This study aims to develop a nomogram for predicting depression risk in COPD patients.</p><p><strong>Methods: </strong>A total of 1,671 participants from NHANES 2007-2012 were included in the study. The data were divided into training and testing sets in a 7:3 ratio. LASSO regression was employed to identify the optimal predictors in the training set. Subsequently, univariate and multivariate logistic regression analyses were conducted to determine independent predictors for constructing the nomogram. The model was then evaluated using the C-index, calibration curve, Hosmer-Lemeshow test, and decision curve analysis (DCA). And conducted a sensitivity analysis to assess the robustness of the model's predictive performance. Finally, the Youden index was used to determine the optimal prediction threshold.</p><p><strong>Results: </strong>Eight predictors were selected for the model, including age, gender, marital status, poverty income ratio (PIR), body mass index(BMI), sleep disorder, work limitation, and social barriers. The C-index for the training and test sets were 0.71 and 0.72, respectively, indicating significant classification performance. All four evaluation methods demonstrated that the model has strong discriminatory ability, calibration, and clinical utility. Additionally, the threshold for predicting risk and the corresponding score from the nomogram were 0.57 and 93, respectively. The sensitivity analysis demonstrated the robustness of the results, with the model exhibiting good discrimination and calibration across different gender and age groups.</p><p><strong>Conclusion: </strong>The nomogram has potential value in the preliminary prediction of depression risk in COPD patients, facilitating the early initiation of preventive interventions for depression. Future studies should focus on optimizing the model and validating its performance in larger, more diverse populations.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2110"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233049","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}
引用次数: 0
Community partnership lessons learned from the You & Me: Test and Treat study. 从“你和我:测试和治疗”研究中学到的社区合作经验。
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23216-y
Emily M D'Agostino, Isa Granados, Princess Abbott-Grimes, Camille Brown-Lowery, Allyn Damman, Tigidankay Fadika, Mark Ward, Mia Cooper, Jeannine Sato, Janet Kasper, Tatiana Vizcaino, Wes Gray, Allison Swart, Amanda Sparling, Claudia G Corchado, Christoph P Hornik
{"title":"Community partnership lessons learned from the You & Me: Test and Treat study.","authors":"Emily M D'Agostino, Isa Granados, Princess Abbott-Grimes, Camille Brown-Lowery, Allyn Damman, Tigidankay Fadika, Mark Ward, Mia Cooper, Jeannine Sato, Janet Kasper, Tatiana Vizcaino, Wes Gray, Allison Swart, Amanda Sparling, Claudia G Corchado, Christoph P Hornik","doi":"10.1186/s12889-025-23216-y","DOIUrl":"10.1186/s12889-025-23216-y","url":null,"abstract":"<p><strong>Background: </strong>Community-engaged research relies on the strength of partnerships to achieve and sustain shared goals. The You & Me: Test and Treat (YMTT) project aimed to promote COVID-19 test and treatment access using a tiered model of community engagement and a codeveloped toolkit to foster robust community-academic partnerships. This study assesses the YMTT project's strengths, identifies partnership lessons learned, and evaluates the toolkit's utility.</p><p><strong>Methods: </strong>This analysis of the YMTT project was conducted from May 2024 to October 2024. A mixed-methods approach was used. Participants represented anchor, local community, and academic partners from YMTT. A validated survey assessed partnership dynamics, including communication, collaboration, and dissemination. The Community Engagement Toolkit Survey and focus groups explored the YMTT partnership strengths and toolkit's utility, while a collaborative exercise documented reflections on partnership processes. Data were analyzed using descriptive statistics and thematic analysis.</p><p><strong>Results: </strong>Twenty-two participants (4 anchor partners, 10 community partners, and 8 academic partners) completed surveys, focus groups, and collaborative exercises. Survey results highlighted strong communication practices (88% agreement on effective, ongoing communication) and mutual respect (88% agreement on valued contributions). Key challenges and themes from the collaborative exercise included trust building, sustainability planning, equitable resource sharing, and accessibility of tools for diverse community partners.</p><p><strong>Conclusions: </strong>This study demonstrated that strong communication and mutual respect underpin effective partnerships but highlighted the need for improved sustainability planning and accessible tools. These findings provide a roadmap for enhancing community-academic partnerships and addressing health disparities through equitable, sustainable collaboration.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT05589376. Registered 21 October 2022.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2115"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246313","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}
引用次数: 0
Dietary Practices Among Young Children in Nepal's Karnali Mountains: A Community-Based Study on Meal Frequency, Diversity, and Fruit or Vegetable Intake. 尼泊尔卡纳利山区幼儿的饮食习惯:一项关于膳食频率、多样性和水果或蔬菜摄入量的社区研究
IF 3.5 2区 医学
BMC Public Health Pub Date : 2025-06-06 DOI: 10.1186/s12889-025-23312-z
Sona Shrestha, Vishnu Khanal
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引用次数: 0
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