BMC Public Health最新文献

{"title":"Coverage and predictors of enrollment in the state-supported health insurance schemes in Nigeria: a quantitative multi-site study.","authors":"Fortune Benjamin Effiong, Roseline Dzekem Dine, Ibrahim Adebayo Hassan, Dimeji Abdulsobur Olawuyi, Idongesit Kokoabasi Isong, David Ayobami Adewole","doi":"10.1186/s12889-025-23329-4","DOIUrl":"10.1186/s12889-025-23329-4","url":null,"abstract":"<p><strong>Background: </strong>In efforts to advance universal healthcare coverage (UHC) in Nigeria, the federal government empowered sub-national entities such as states to develop and implement their respective state-supported health insurance schemes (SSHIS). This study assessed the coverage and predictors of enrollment in the SSHIS in six Nigerian states.</p><p><strong>Methods: </strong>This study used a quantitative cross-sectional design. Respondents were recruited across six Nigerian states with operational SSHIS, corresponding to the country's six geopolitical zones. These include the Cross River, Enugu, Oyo, Kwara, Sokoto, and Taraba states, representing the South-South, South-East, South-West, North-Central, North-West, and North-East zones respectively. Data were collected from community members in congregate settings such as markets, churches/mosques, schools, bus stations/parks, and healthcare facilities. Descriptive, bivariate, and multivariate analyses were conducted using SPSS version 25.</p><p><strong>Results: </strong>The number of study respondents was 3732. The greater majority of the respondents were self-employed 1855 (49.7%) and were living with an average monthly income of < 10,000 naira 1175 (31.5%). Coverage of the state health insurance was highest in the North-Central Kwara State 326 (37.3%), but lowest in the South-Eastern Enugu State 6 (1%). Among beneficiaries, overall satisfaction with the scheme was highest in Oyo State 73 (77.7%), but lowest in Cross River State 16 (32.7%). After adjusting for confounders, several covariates were identified as decreasing the odds of enrolling into the schemes; however, lack of awareness about the scheme was most significant across all the six states.</p><p><strong>Conclusion: </strong>Low coverage due to poor awareness, financial barriers, and enrollee dissatisfaction currently affect the SSHIS in Nigeria. To improve enrollment and sustainability, nationwide educational campaigns and consolidation of health insurance schemes are recommended.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2125"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246324","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 study on household disaster preparedness in China and analysis of its influencing factors.","authors":"Xiangju Yin, Yongli Yu, Yifan Kang, Dengyun Hu, Yibo Wu","doi":"10.1186/s12889-025-23281-3","DOIUrl":"10.1186/s12889-025-23281-3","url":null,"abstract":"<p><strong>Background: </strong>In disaster response, household disaster preparedness is pivotal to risk avoidance, self-rescue, and mutual aid capabilities. This study aims to comprehensively analyze the status and determinants of household disaster preparedness among Chinese residents.</p><p><strong>Methods: </strong>The study was conducted through cluster sampling of residents across 22 provinces, 4 municipalities, and 5 autonomous regions in China. Statistical analysis and model construction were conducted on data collected from 9,966 respondents.</p><p><strong>Results: </strong>The findings revealed widespread inadequacies in the preparation of multiple types of household emergency supplies. Significant disparities in emergency supplies stockpiling were observed across groups stratified by gender, residence type, monthly household income per capita, educational attainment and employment status. Additionally, there were also certain differences between different regions. Further analysis through a sequential mediation model revealed that household disaster preparedness was closely associated with family members' personality traits, self-efficacy and perceived social support. Within the Big Five personality framework, extraversion, conscientiousness and openness significantly promoted household preparedness behaviors, whereas neuroticism negative correlation with preparedness levels. Self-efficacy and perceived social support were significant mediating factors in household disaster preparedness among residents with distinct personality traits, exhibiting varied mechanisms of influence.</p><p><strong>Conclusions: </strong>This study provides scientific evidence and directional guidance for formulating comprehensive strategies to enhance household disaster preparedness levels among Chinese residents.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2118"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246306","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":"Health problems and challenges due to aging among people living with HIV aged 50 and older: a qualitative study.","authors":"Mi-So Shim, Inah Kim, Goun Kim","doi":"10.1186/s12889-025-23252-8","DOIUrl":"10.1186/s12889-025-23252-8","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2122"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246331","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":"Yellow fever in plain sight: assessing disease surveillance officers' knowledge and self-efficacy in identification and reporting in Kwara State, Nigeria.","authors":"Oladayo D Awoyale, Magbagbeola D Dairo, Adeniyi F Fagbamigbe, Simiat Adeogun, Oluwatosin E Fakayode, Olufunmilayo Fawole","doi":"10.1186/s12889-025-23344-5","DOIUrl":"10.1186/s12889-025-23344-5","url":null,"abstract":"<p><strong>Introduction: </strong>Yellow fever (YF) poses a significant threat to public health in Nigeria, which bears the highest burden of the disease. Timely identification and reporting by disease surveillance officers are critical in preventing and controlling outbreaks. This study aimed to investigate the knowledge and self-efficacy of disease surveillance officers in identifying and reporting yellow fever cases in Kwara State, Nigeria.</p><p><strong>Methods: </strong>A cross-sectional survey of 177 disease surveillance officers, was conducted in Kwara State, Nigeria, between June 2023 and December 2023. A pre-tested structured questionnaire was used for data collection. Data analysis was performed using Microsoft Excel 365 and SPSS 20.</p><p><strong>Results: </strong>The study revealed that 82.5% of respondents demonstrated good knowledge of yellow fever, while 99.4% showed good self-efficacy in detecting and reporting cases. However, gaps in knowledge and practice were identified, particularly regarding the mode of transmission and epidemic threshold. Continuous training, retraining and regular updates on yellow fever epidemiology, transmission dynamics, and control measures should be provided to disease surveillance officers.</p><p><strong>Conclusion: </strong>This study highlights the need for targeted interventions to enhance healthcare workers' knowledge and practice gaps in yellow fever identification and reporting in Kwara State, Nigeria. Continuous training and updates are crucial to ensure timely and effective response to yellow fever outbreaks, ultimately reducing the disease burden in Nigeria.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2127"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246351","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":"Economic and healthcare determinants of under-five mortality in low-income countries.","authors":"Vageesha Rajapakse, Adeesha Fernando, Nikini Sudangama, Damindu Adikari, Ashwathy Sundaram, Ruwan Jayathilaka","doi":"10.1186/s12889-025-23370-3","DOIUrl":"10.1186/s12889-025-23370-3","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2126"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246328","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":"Impact of digital literacy on aging attitudes of the elderly from the perspective of social cognitive theory.","authors":"Xiaodong Di, Lijian Wang","doi":"10.1186/s12889-025-23377-w","DOIUrl":"10.1186/s12889-025-23377-w","url":null,"abstract":"<p><strong>Background: </strong>Under the background of digital economy, increasing awareness of active ageing through digital literacy is a realistic requirement to deal with deep aging. However, the lack of digital literacy and skills of the elderly seriously affects the ways and means of their participation in the digital society, and then produces negative aging attitudes such as loneliness, isolation and uselessness.</p><p><strong>Methods: </strong>We adopt stratified sampling to conduct a comprehensive social survey on the elderly care status of the elderly in six provinces including Henan, Hubei, Shaanxi, Gansu, Jiangsu and Shandong in July 2023, and use Ordinal Logistic Regression method to analysis the impact of digital literacy on aging attitudes.</p><p><strong>Results: </strong>The study finds that the improvement of digital literacy can significantly inhibit the aging attitude of the elderly. Further, mechanism analysis finds that the improvement of digital literacy has empowerment effect and energizing effect. In addition, compared with the urban, high-income and low-age elderly groups, the aging attitudes of rural, low-income and high-age elderly groups are relatively less dependent on digital literacy.</p><p><strong>Conclusions: </strong>The improvement of digital literacy can significantly inhibit the aging attitude of the elderly, so the government should optimize the balance and accessibility of digital resources and eliminate digital inequality among the elderly.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2113"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246333","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":"Intimate partner violence against women living with HIV in Lesotho: evidence from the 2023/24 DHS data set.","authors":"Gebresilassie Tadesse, Girum Nakie, Gidey Rtbey, Techilo Tinsae, Setegn Fentahun, Mulualem Kelebie, Tigist Kifle Tsegaw, Getachew Muluye Gedef, Getasew Kibralew, Fantahun Andualem","doi":"10.1186/s12889-025-23335-6","DOIUrl":"10.1186/s12889-025-23335-6","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is a widespread violation of women's rights and a critical public health issue, especially in sub-Saharan Africa. Women living with HIV (WLHIV) are particularly vulnerable due to gender power imbalances, HIV-related stigma, and the bidirectional relationship between violence and HIV acquisition. In Lesotho, where HIV prevalence is among the highest globally, limited evidence exists on IPV against WLHIV. This study aims to estimate the prevalence and factors associated with IPV against women living with HIV in Lesotho.</p><p><strong>Methods: </strong>Data were drawn from the 2023/24 Lesotho DHS. A weighted sample of 467 women aged 15-49 years who were living with HIV was included. IPV was defined as having experienced at least one form of emotional, physical, or sexual violence by a partner/husband. Multivariable logistic regression was conducted to identify factors associated with IPV. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported.</p><p><strong>Results: </strong>Based on the findings of the study, 34.19% (95% CI: 30.01-38.63) of WLHIV experienced at least one form of IPV in the last 12-month preceding the survey. Moreover, the 12-month prevalence for physical, emotional, and sexual violence respectively was 25.48%, 19.61%, and 10.07%. In the final model analysis, having multiple sexual partners and sexually transmitted infections (STIs) other than HIV in the past 12-month, not having own asset, disclosing HIV status, living with a jealous partner/husband and a male-headed household, and region of residence were significantly associated with experiencing IPV.</p><p><strong>Conclusion: </strong>More than one-third of reproductive-age WLHIV in Lesotho experience IPV in the last 12-month preceding the survey, with key associated factors. Integrated interventions that combine HIV care with IPV screening, education, economic empowerment, and behavioral change communication are essential to mitigate IPV among WLHIV in Lesotho by considering these factors.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2111"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246342","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":"Active Scandinavia: examining physical activity levels across Norway, Sweden, and Denmark: a systematic review.","authors":"Maria Matuszewska, Julia Surdacka, Agnieszka Lipiak, Ewelina Chawłowska","doi":"10.1186/s12889-025-23341-8","DOIUrl":"10.1186/s12889-025-23341-8","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) plays a vital role in maintaining health, reducing the risk of chronic diseases, and improving mental well-being. However, levels of PA vary across populations due to cultural, social, and environmental factors. Scandinavian countries, including Norway, Sweden, and Denmark, are often recognised for their emphasis on healthy lifestyles and public health initiatives. This study aims to provide an overview of PA levels in these countries, highlighting trends and variations across the region.</p><p><strong>Methods: </strong>A systematic literature search was conducted in PubMed and CINAHL to identify studies on PA levels in the three countries. The search adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) critical appraisal checklists were used to assess the internal validity and statistical robustness of the studies included in this systematic review, as well as to evaluate their overall quality.</p><p><strong>Results: </strong>Of the 1,235 studies identified, 20 were thoroughly analysed, comprising 6 focused on the Norwegian population, 9 on the Swedish population, and 5 on the Danish population. PA levels were highest in young children and declined with age across all countries. Norwegian first graders reached 1,101.4 cpm and 9.0 min/hour in moderate-to-vigorous PA (MVPA), while older adults showed the lowest levels. In Sweden, children aged 4 averaged 1,485.5 cpm and 50.4 min/day of MVPA, whereas adults showed significantly lower activity. In Denmark, children averaged 56.8 min/day of MVPA, while adult activity ranged from 3.5 to 4.0 h/week. Adherence to WHO guidelines varied by age, gender, and occupation.</p><p><strong>Conclusions: </strong>This systematic literature review supplements current knowledge on PA in Scandinavian countries and provides substantial evidence that PA levels vary significantly across age groups. While young children demonstrate high activity levels, PA declines in adolescents and older adults. The findings highlight the need for targeted public health initiatives to promote PA, particularly among at-risk populations. Additionally, seasonal and occupational factors influence PA patterns, underscoring the importance of structured interventions. Despite relatively high PA levels compared to other European regions, targeted interventions are needed to sustain lifelong activity.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2128"},"PeriodicalIF":3.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246308","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 determinants of abortion among married women of reproductive age in rural and urban areas of the Southeastern Zone of Tigray, Ethiopia, 2024 a postwar study.","authors":"Abrehaley Teklemariam Gebremariam, Girmatsion Fisseha Abreha, Kinfe Abraha Gebre-Egziabher, Awtachew Berhe Weldu","doi":"10.1186/s12889-025-23334-7","DOIUrl":"10.1186/s12889-025-23334-7","url":null,"abstract":"<p><p>Abortion is the termination of a pregnancy, with safe abortions adhering to World Health Organization standards. Comprehensive abortion care (CAC) includes safe services and post-abortion care, including modern techniques, medications, contraceptive counseling, emotional support, and community connections. Globally, 257 million women lack access to safe contraception, and nearly a quarter face barriers to refusing sex. Systemic pressures on women and girls to become mothers highlight their autonomy and undervaluation. This study aims to evaluate abortion prevalence and factors among married women in rural and urban Tigray, Ethiopia, in 2024. It aims to fill existing gaps and inform policy decisions, particularly in the war-affected region.</p><p><strong>Methods: </strong>A community based cross-sectional study was conducted in the South Eastern Zone of Tigray, Northern Ethiopia, targeting married reproductive-age women (15-49 years). A multistage sampling technique was used to select 910 participants from 80 tabiyas across the zone. Data were collected through structured questionnaires. Quantitative data were analyzed using STATA version 17, employing descriptive statistics and logistic regression to identify factors associated with abortion. Ethical approval was obtained from Mekelle University IRB, and verbal informed consent was secured from all participants.</p><p><strong>Result: </strong>The overall prevalence of abortion among the study participants was 7.2%. The majority of participants were aged 30-39 years (41.2%), and over half resided in rural areas (57.5%). Most respondents identified as Orthodox Christians (98.8%). Joint decision-making is predominant in family planning, child number, techniques, service accessibility, birth timing, and location, with only 1.8% to 2% of decisions made by the husband. Women aged 20-29 are 4.8 times more likely to have an abortion compared to those aged 15-19, 5.2 times more likely to have an abortion if they experienced an unwanted pregnancy, and 60% less likely to have an abortion using modern family planning methods.</p><p><strong>Conclusion: </strong>The study found a high prevalence of abortion among married women of reproductive age in postwar South Eastern Tigray. Abortion was more likely among women aged 20-29 and those with unwanted pregnancies, while modern contraceptive use was linked to a lower risk of abortion.</p><p><strong>Recommendation: </strong>Improving access to modern contraception, family planning education, and reproductive health services is vital, requiring coordinated efforts from government, NGOs, and healthcare providers to ensure sustainable and equitable care.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2108"},"PeriodicalIF":3.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233059","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":"Proposing conceptual frameworks for prevention and management of workplace violence against healthcare workers in a Nigerian State.","authors":"Oluwaseyi Isaiah Olabisi, Adriel Monkam Tchokossa, Adesola A Ogunfowokan","doi":"10.1186/s12889-025-23300-3","DOIUrl":"10.1186/s12889-025-23300-3","url":null,"abstract":"<p><strong>Introduction: </strong>Workplace violence (WPV) is one of the major challenges confronting healthcare workers in the developed and developing nations. Standard protocols for its prevention and management are essential for workplace safety in healthcare institutions.</p><p><strong>Methods: </strong>The conceptual framework was developed using concurrent mixed methods design. Data were obtained from nurses, doctors and health administrators recruited from three levels of healthcare institutions (primary, secondary and tertiary) in Lagos State, Nigeria. For quantitative data collection, 266 nurses and 135 doctors were recruited, while six nurses and six doctors who were union leaders, and six hospital administrators were recruited for qualitative data collection.</p><p><strong>Results: </strong>This study revealed that objectivity by the health care administrators, treatment policy, anonymous reporting system, training and retraining of health workers, public awareness, increasing the staff strength and providing adequate security measures are essential for reducing and managing the occurrence of workplace violence against health care workers.</p><p><strong>Conclusion: </strong>In conclusion, to address workplace violence against healthcare professionals, the framework for managing and preventing workplace violence was described and is suggested to be used in the healthcare industry.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2093"},"PeriodicalIF":3.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233060","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}