BMC Public Health最新文献

{"title":"Patterns of type 2 diabetes risk factors using latent class analysis (LCA) model: a population-based study in the South of Iran, Kharameh cohort population.","authors":"Yasaman Ariamanesh, Mohebat Vali, Abbas Rezaianzadeh, Haleh Ghaem","doi":"10.1186/s12889-025-23576-5","DOIUrl":"10.1186/s12889-025-23576-5","url":null,"abstract":"<p><strong>Background: </strong>Type 2 Diabetes (T2D) is a prevalent chronic disorder that decreases life expectancy and increases mortality. This study sought to identify the latent class (LC) patterns of risk factors for T2D in the Kharameh cohort population.</p><p><strong>Methods: </strong>This population-based study used baseline data from the Kharamah cohort, which included 9,022 participants after excluding those with pre-existing or baseline-diagnosed T2D. Latent Class Analysis (LCA) was applied to categorize subgroups of T2D risk factors within the population.</p><p><strong>Results: </strong>This study analyzed 9,022 participants (47.0% male, 53.0% female) after excluding pre-existing diabetes and those with Fasting Blood Sugar (FBS) ≥ 125 mg/dL at baseline (diagnosed as diabetic at study entry). The largest age group was 40-49 years (47.0%). Among all participants, 23.0% had hypertension, 6.8% exhibited high total cholesterol, 19.5% had high FBS, and 69.6% had abdominal obesity. Additionally, 25.4% were smoking status, 4.0% reported alcohol consumption, and 52.0% engaged in high or severe levels of physical activity. LCA identified three distinct classes: 1. Low-Risk (about 33.0%): Individuals engaging in high/severe physical activity, 2. Clinical-Risk (about 6.0%): Those with abnormal lipid profiles and elevated FBS, 3. Lifestyle-Risk (about 61.0%): Individuals exhibiting an unhealthy lifestyle.</p><p><strong>Conclusions: </strong>This study's central finding highlights the pivotal role of physical activity in preventing or delaying the onset of T2D. Therefore, promoting physical activity, in collaboration with managing clinical and lifestyle risk factors, is essential for preventing and effectively managing T2D.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2473"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265232/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648413","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":"Do green spaces protect night sleep duration and sleep quality in children and adolescents? Evidence from 10 observational studies.","authors":"Huilei Wu, Xiaolong Su, Qingqing Yu, Ruowen Wang, Yating Li, Han Hu, Qian Zhang, Zhenhui Yang, Yuhan Li, Weidong Wu, Guofu Zhang, Hui Wu","doi":"10.1186/s12889-025-23685-1","DOIUrl":"10.1186/s12889-025-23685-1","url":null,"abstract":"<p><strong>Background: </strong>More than half of children and adolescents do not get the recommended eight hours of sleep necessary for optimal growth and development. Since sleep was very important for the growth and development of children and adolescents, it is necessary to improve the environment for children and adolescents to sleep. Green space have been found to improve sleep in general, and the aim of this systematic review is to assess the association of green space on sleep among children and adolescents.</p><p><strong>Methods: </strong>The PubMed, Web of Science, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database and Wan Fang database were searched from the establishment of these databases to July 31, 2024. Newcastle - Ottawa Scale (NOS) and Joanna Briggs Institute (JBI) scale were applied to evaluate the quality of the included studies. Stata17.0 was used to draw forest maps and sensitivity analysis was performed on the results of meta-analysis to evaluate the stability of the results. Publication bias was assessed using funnel plots and Egger test method.</p><p><strong>Results: </strong>A total of 10 articles with 102,873 participants meeting the criteria were included in this study, including 6 articles were cohort studies and 4 articles were cross-sectional studies. The sample sizes ranged from 328 to 63,352 participants per study. The results show that green space have a positive association on night sleep duration in children and adolescents (OR: 0.969, 95%CI [0.869, 1.079] and OR: 0.949, 95%CI [0.854, 1.055]).</p><p><strong>Conclusions: </strong>The results show that green space have a positive association on night sleep duration in children and adolescents. The association of green space on sleep quality and napping could be further studied in the future.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2474"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265307/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648461","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":"Social media use, risk behavior engagement, and mental health among middle adolescents in the Caribbean.","authors":"Deogwoon Kim, Riley Magane, Maxwell Poitier, Julia Kuang, Ava Wang, Richard Adderley, Lynette Deveaux","doi":"10.1186/s12889-025-23646-8","DOIUrl":"10.1186/s12889-025-23646-8","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2468"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648414","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":"Dynapenic abdominal obesity and the risks of heart disease and all-cause mortality: a 7-year longitudinal study among middle-aged and older Chinese adults.","authors":"Lichao Lin, Yan Xue, Daoxin Huang, Yixiao Su, Huizhen Yu, Pengli Zhu","doi":"10.1186/s12889-025-23664-6","DOIUrl":"10.1186/s12889-025-23664-6","url":null,"abstract":"<p><strong>Background: </strong>Research on the impact of dynapenic abdominal obesity (DAO) on heart disease and mortality in Asian populations is limited. Given the distinct muscle strength and visceral adiposity profiles in Asians compared to other populations, it is important to investigate these associations in this context. This study aimed to assess the impact of DAO on heart disease and all-cause mortality in middle-aged and older Chinese adults.</p><p><strong>Methods: </strong>Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS), which recruited 17,708 participants at baseline and followed them for 7 years. DAO was defined as the coexistence of dynapenia (handgrip strength < 28 kg for men and < 18 kg for women) and abdominal obesity (waist circumference ≥ 90 cm for men and ≥ 80 cm for women). Participants were categorized into four groups: DAO, non-dynapenic/abdominal obesity (ND/AO), dynapenic/non-abdominal obesity (D/NAO), and neither condition (ND/NAO). Logistic regression assessed the association between DAO and heart disease, while Cox regression evaluated its relationship with all-cause mortality. Additionally, subgroup analyses explored potential variations by age and sex. For sensitivity analyses, multiple imputation was performed to address missing covariates and assess the robustness of the findings.</p><p><strong>Results: </strong>A total of 8,526 participants were included in the heart disease analysis, with 1,136 incident cases recorded. Compared to the ND/NAO group, the DAO group did not exhibit a significantly increased risk of heart disease (OR = 0.96, 95% CI: 0.68-1.33). For all-cause mortality analysis, 11,980 individuals were included, with 1,162 deaths occurred during follow-up. The DAO group (HR = 1.84, 95% CI: 1.45-2.33) and D/NAO group (HR = 1.58, 95% CI: 1.35-1.86) had significantly higher all-cause mortality risk compared to the reference group. Subgroup analyses found no significant interactions by age or sex. Sensitivity analyses produced consistent results for both incident heart disease and all-cause mortality.</p><p><strong>Conclusions: </strong>DAO was associated with increased all-cause mortality in middle-aged and older Chinese adults, highlighting the need for targeted interventions to address both abdominal obesity and dynapenia. However, the lack of association with heart disease, likely due to confounding factors, warrants further investigation to clarify this relationship.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2470"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648462","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":"Socioeconomic and sex disparities in hypertension and diabetes mellitus care cascade among tribal populations in Odisha, India: findings from the Odisha Tribal Family Health Survey (OTFHS), 2022-23.","authors":"Tanveer Rehman, Chinmayee Sethy, Afeeq K, Jaya Singh Kshatri, Manikandanesan Sakthivel, Kavitha A K, Ansuman Panigrahi, Mohan Kumar Raju, Archana Ramalingam, Sanghamitra Pati","doi":"10.1186/s12889-025-23587-2","DOIUrl":"10.1186/s12889-025-23587-2","url":null,"abstract":"<p><strong>Background: </strong>We assessed sex and socioeconomic disparities in the care cascade, i.e., awareness, treatment, and control (ATC), for hypertension and diabetes among Odisha's tribal communities.</p><p><strong>Methods: </strong>We surveyed 14 tribal districts via multistage cluster sampling covering 10,090 households from 2022 to 23. Data from individuals aged > 18 years were analyzed for hypertension (BP > 140/90 mmHg) and diabetes (RBS > 200 mg/dL). The outcomes included (i) awareness (prior diagnosis or medication use), (ii) treatment (self-reported medication use), and (iii) control (BP < 140/90 mmHg for hypertension, RBS < 180 mg/dL for diabetes). Multivariable log-binomial regression was used to estimate adjusted prevalence ratios (aPRs with 95% CIs) for gender and wealth quintile associations with ATC stages.</p><p><strong>Results: </strong>Of the 21,100 participants, 33.7% had hypertension and 9.7% had diabetes. Among the 6,620 hypertensive individuals, 19% were aware, 13·8% were on treatment, and 6·8% had controlled BP. Women with hypertension (N = 3,609) had significantly better outcomes than men did: awareness (aPR: 1·4;1·2-1·6), treatment (aPR: 1·5; 1·2-1·7), and control (aPR: 1·7; 1·4-2·2). Compared with those in the poorest quintile, hypertensive individuals from the richest quintile (N = 1,804) were more likely to be aware (aPR: 1·5; 1·2-1·9) and on treatment (aPR: 1·5; 1·2-2·7); however, BP control was not significantly different (aPR: 1·6; 0·9-2·8). Among the 1,883 individuals with diabetes, 49% were aware, 44·4% were on treatment, and 40·7% achieved control.</p><p><strong>Conclusion: </strong>Significant socioeconomic and sex inequities persist in hypertension care among Odisha's tribal populations, with better ATC outcomes for women and wealthier individuals. Targeted screening and gender-sensitive approaches are essential for equitable healthcare access.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2477"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648415","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":"Enhancing cancer prevention behaviors through social media: the role of source credibility and message characteristics in Ghana.","authors":"Barikisu Issaka, Precious Allor, Ebenezer Ato Kwamena Aidoo, Sandra Freda Wood, Anne Amegbeha Amissah, Nancy Muturi","doi":"10.1186/s12889-025-23693-1","DOIUrl":"10.1186/s12889-025-23693-1","url":null,"abstract":"<p><strong>Background: </strong>This study examines the influence of source and message characteristics on cancer prevention behavior in Ghana within the context of a social media platform. Drawing from the Information Processing Theory (IPT) and Health Belief Model (HBM), the research investigates the relationships between source credibility, message characteristics, social media usage, and key indices related to cancer prevention behavior.</p><p><strong>Methods: </strong>In this cross-sectional study, we surveyed 401 respondents across two social media platforms, namely Facebook and WhatsApp, which are the primary platforms utilized by the Zurak Cancer Foundation. We also chose to focus on these platforms because they reflect the dominant patterns of social media use in Ghana. Utilizing variables from the HBM and IPT, we conducted correlation and multiple regression analyses to examine how message, source, and channel characteristics influence cancer prevention behaviors. Additionally, we determined how IPT constructs, including perceived susceptibility, perceived severity, and self-efficacy, shape individual perceptions. Furthermore, we investigated the impact of both theories on cancer prevention behavior.</p><p><strong>Results: </strong>The results demonstrate associations between constructs from the Health Belief Model and Information Processing Theory and outcomes related to cancer prevention behavior. Notable associations were observed between social media usage and perceptions of source credibility, highlighting the role of digital engagement in shaping source evaluations. Additionally, message characteristics were linked to perceived message influence and behavioral outcomes, underscoring the importance of how health messages are framed and presented. The study also identified associations between the perceived usefulness of social media as a health information source and indicators of message influence and behavioral change.</p><p><strong>Conclusions: </strong>This research offers valuable insights for both scholars and practitioners involved in health communication and intervention strategies. It underscores the significance of selecting credible, attractive, and knowledgeable sources in the domain of cancer prevention for effective health campaigns. By tailoring messages to align with these source characteristics, practitioners can enhance the reach and effectiveness of their health communication efforts. Additionally, media organizations and content creators can leverage source credibility to amplify their social media presence, thereby attracting a broader audience and maximizing the impact of health-related content dissemination in an era dominated by social media.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2471"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648410","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":"Facilitators and barriers of reducing sedentary behavior in sedentary and non-sedentary older adults: a descriptive qualitative study based on the COM-B model and TDF.","authors":"Siqing Chen, Kaijie Yang, Albert Ko, Edward Giovannucci, Matthew Stults-Kolehmainen, Lili Yang","doi":"10.1186/s12889-025-23613-3","DOIUrl":"10.1186/s12889-025-23613-3","url":null,"abstract":"<p><strong>Background: </strong>Prolonged sedentary behavior is a critical health risk for older adults. However, little is known about the distinct barriers and facilitators experienced by sedentary and non-sedentary older adults. Understanding these factors is essential for designing effective behavior change interventions.</p><p><strong>Purpose: </strong>The study aims to identify and categorize the barriers and facilitators to reducing sedentary behavior among sedentary and non-sedentary older adults using the Capability, Opportunity, Motivation-Behavior (COM-B) model and Theoretical Domains Framework (TDF), thereby informing future mobile health (mHealth) interventions designed to reduce sedentary time in this population.</p><p><strong>Methods: </strong>Data were collected through semi-structured interviews with older adults, conducted at two community hospitals in China between July 2024 and September 2024. The interviews focused on older adults' psychological and physical capabilities, social and physical opportunities, and reflective and autonomous motivations related to sedentary behavior. According to the Canadian 24-Hour Movement Guidelines, participants were classified as sedentary (> 8 h/day sitting time) or non-sedentary (≤ 8 h/day) based on a participant characteristics questionnaire with verbal confirmation during the interview. The data were analyzed thematically, and the identified themes were mapped onto the COM-B model and TDF. Study procedures followed the COREQ checklist for qualitative research reporting.</p><p><strong>Results: </strong>The study included 29 older adults, comprising 19 sedentary (65.5%) and 10 non-sedentary (34.5%). The following ten higher-order themes were identified: Lack of Knowledge (and Limited Knowledge); Lack of Methods (and Available Methods); Sedentary Triggers (and Interruptions); Lack of Management (and Self-management); Lack of Social Support (and Available Social Support); Lack of Environmental Support (and Available Environment Support); Perceptions and Conflicts (and Importance and Effort); Lack of Confidence (and Confidence); Limited Belief (and Understanding Health Benefits); and Limited Motivation (and Sufficient Motivation).</p><p><strong>Conclusion: </strong>Sedentary older adults face barriers such as low awareness of health risks, lack of regulation strategies, and insufficient social support, while non-sedentary older adults demonstrate higher confidence, better self-regulation, and engage in structured activities supported by cues such as mobile health reminders.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2472"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648412","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":"Healthy lifestyles and the incidence risk and time of carotid plaque: a nationwide cohort study.","authors":"Chunying Lin, Xingyi Zhang, Xin Fang, Wenyan He, Xiaoyan Zhang, Chaoqun Wu, Xueke Bai, Yang Yang, Jianlan Cui, Wei Xu, Lijuan Song, Hao Yang, Yan Zhang, Yan Gao, Haibo Zhang, Xi Li","doi":"10.1186/s12889-025-23694-0","DOIUrl":"10.1186/s12889-025-23694-0","url":null,"abstract":"<p><strong>Background: </strong>The association between lifestyles and carotid plaque showed heterogeneity in results across studies, which may be limited by sample size or population characteristics. In addition, there is a lack of evidence on how long healthy lifestyles delay plaque development and on the metabolic factors which are likely to mediate these associations. This study aims to investigate the impact of multiple healthy lifestyles on the risk and time of carotid plaque incidence in the early stages of atherosclerotic cardiovascular disease (CVD), and to identify the metabolic factors mediating this association.</p><p><strong>Methods: </strong>We analyzed data from 43,651 participants with moderate or high risk for CVD from the ChinaHEART cohort (2014-2021), excluding those with prior carotid plaque or CVD, or incomplete data. We examined the association between non-smoking, moderate alcohol intake, sufficient leisure time physical activity (LTPA), and a healthy diet and incident carotid plaque using odds ratios (ORs) and time ratios (TRs) from repeated carotid ultrasounds, and calculated the mediation effects of metabolic factors.</p><p><strong>Results: </strong>During a mean follow-up period of 1.74 ± 0.43 years, the study included 43,651 participants with a mean age of 57.76 years; 62.5% were female. Incident carotid plaque was documented in 14,698 participants (33.7%). Non-smoking (OR: 0.86 [0.80, 0.91]), moderate alcohol use (0.90 [0.84, 0.97]), sufficient LTPA (0.94 [0.90, 0.99]), and a healthy diet (0.90 [0.84, 0.97]) each independently lowered the risk of carotid plaque, with TRs indicating delays in plaque onset (1.01 to 1.06). Compliance with all four healthy lifestyles significantly reduced plaque risk (OR: 0.64) and delayed onset (TR: 1.16), with stronger effects in the high-risk group (P < 0.05). Metabolic factors varied in their mediation of lifestyle effects on plaque incidence.</p><p><strong>Conclusions: </strong>Healthy lifestyles are associated with a lower risk and later onset of carotid plaque, suggesting that a primary prevention strategy focusing on multiple healthy behaviors, especially in high-risk individuals, may provide significant benefits.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2462"},"PeriodicalIF":3.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641720","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":"Resilience and traumatic stress among Latinx english language learners: a cross-sectional study of students from an urban school district.","authors":"Roya Ijadi-Maghsoodi, Sara Rahmanian Koushkaki, Alexandra Klomhaus, Hilary Aralis, Angela Venegas-Murillo, Lauren Marlotte, Sameera Siddiqi, Kungeun Lee, Shirley A De La Cruz, Sheryl Kataoka","doi":"10.1186/s12889-025-23105-4","DOIUrl":"10.1186/s12889-025-23105-4","url":null,"abstract":"<p><strong>Background: </strong>Latinx students in the United States can face stressors and structural inequities that can lead to poor academic and mental health outcomes. They comprise 76% of the English Language Learner (ELL) population, yet little is known about the relationship between ELL status and traumatic stress and resilience outcomes among these Latinx students. We sought to see if resilience differs between ELL vs. non-ELL Latinx students, and if traumatic stress risk modifies the association between ELL designation and resilience among Latinx students to inform culturally relevant school resilience interventions and school-wide approaches for this population.</p><p><strong>Methods: </strong>We analyzed deidentified school district administrative and survey data from a convenience sample of mostly Latinx 6-12th graders from one large, urban U.S. school district. We restricted our sample to Latinx students, resulting in a sample of 4,950 students attending 91 middle and high schools. We constructed linear regression models to understand differences in internal and external resilience based on ELL status, traumatic stress risk, and their interaction.</p><p><strong>Results: </strong>Among students with low traumatic stress risk, ELL students had worse self-efficacy but better problem solving than their non-ELL peers. When considering students with high traumatic stress risk, ELL students had better problem solving, self-awareness, perceived school support, and total internal assets, relative to non-ELL students.</p><p><strong>Conclusions: </strong>Latinx students designated as ELL may demonstrate resilience despite adversity; these resilience assets may be further amplified among the subset of students at high risk for traumatic stress. Our findings may inform school resilience interventions and school supports for ELL Latinx students.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2458"},"PeriodicalIF":3.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641721","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 burden of intracerebral hemorrhage attributable to ambient particulate matter pollution in five Asian countries: a 32-year comparative analysis.","authors":"Rui Yang, Xingke Wang, Panpan Hao","doi":"10.1186/s12889-025-23531-4","DOIUrl":"10.1186/s12889-025-23531-4","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of ambient particulate matter exposure on the burden of intracerebral hemorrhage (ICH) in the world, China, Indonesia, North Korea, Myanmar and Vietnam from 1990 to 2021 in different population, and to reveal regional heterogeneity and policy effects.</p><p><strong>Methods: </strong>Based on the GBD 2021 data, we integrated the Joinpoint, Age-period-cohort model, Decomposition Analysis, Health Inequality Analysis and BAPC model chain achieved a complete cycle analysis including trend mutation detection, analysis of driving factors and long-term prediction.</p><p><strong>Results: </strong>The global age-standardized mortality rate decreased by 3.22% annually after 2015. In China, the mortality rate decreased by 6.41% annually (95% CI:-8.08 to-4.71) due to policy measures. In Vietnam, the DALY rate increased by 170.53% (RR = 2.33), with 53.10% attributable to epidemiological changes. There were significant gender differences, with the DALYs rate for men being 2.9 times higher than for women. The age-period-cohort model showed that the mortality risk of the 85-year-old population (RR = 7.40) was 67.7 times higher than that of the 25-year-old group (RR = 0.04), and that the pre-1947 birth cohort was at high risk. The decomposition analysis revealed that aging contributed 53.80% to the increase in disease burden in China, while Vietnam was mainly driven by epidemiologicalchanges.</p><p><strong>Conclusion: </strong>This study confirmed that pollution control can rapidly reduce mortality, but it is necessary to specifically address emerging pollution sources in Southeast Asia and the synergistic risks of aging to establish an interdisciplinary evidence chain for accurate prevention and control.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2467"},"PeriodicalIF":3.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144641723","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}