BMC Public Health最新文献

{"title":"Systematic review on serotypes distribution of pneumococcal pneumonia in adults and the elderly.","authors":"Fatiha Mrabt, Sandra Guedes","doi":"10.1186/s12889-025-22164-x","DOIUrl":"10.1186/s12889-025-22164-x","url":null,"abstract":"<p><strong>Background: </strong>Pneumococcal pneumonia is a major cause of morbidity and mortality among adults, especially those over 65 years of age. Understanding pneumococcal serotype-specific epidemiology in adults and elderly is necessary to inform vaccination policies and to guide the inclusion of serotypes in pneumococcal vaccines. This study aimed to identify the serotypes causing pneumonia in the elderly.</p><p><strong>Methods: </strong>A systematic review search was performed using the PubMed database from 1984 to 2020. The search was limited to articles written in English. Studies assessing pneumococcal pneumonia in adults were included. Meta-analysis, other systematic literature reviews and case-reports were excluded. Studies published after the introduction of vaccines (PPSV23 and PCVs) were included.</p><p><strong>Results: </strong>Forty studies were included. The most common serotype identified in the majority of the articles in adults was the serotype 3 followed by serotypes 19A and 11A. Those serotypes are included in current vaccines. Emergence of non-vaccine serotypes was also observed.</p><p><strong>Conclusion: </strong>Pneumococcal pneumonia remains a high burden in the elderly despite the existence of vaccines for many years. In 2019, nearly 1.4 million deaths were attributable to pneumococcal pneumonia (50% of whom were over 70 years old) and was the leading cause of deaths from infectious disease worldwide. The study highlights the importance of constant monitoring serotypes emerging in this population to better target vaccination strategies.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1194"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742204","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":"Gender disparities in delayed angina diagnosis: insights from 2001-2020 NHANES data.","authors":"Naydeen Mostafa, Ahmed Sayed, Marwan Hamed, Muhiddin Dervis, Omar Almaadawy, Omar Baqal","doi":"10.1186/s12889-025-22214-4","DOIUrl":"10.1186/s12889-025-22214-4","url":null,"abstract":"<p><strong>Background: </strong>Women with coronary artery disease (CAD) are more likely than men to experience a delay in diagnosis, which is attributed to differences in clinical presentation. The objective of this study is to examine any persistent disparities in timely CAD diagnosis in the United States (U.S.) among women who present with clinically similar symptoms and demographic characteristics to their male counterparts.</p><p><strong>Methods: </strong>From the 2001 - 2020 National Health and Nutrition Examination Survey (NHANES) data, participants were categorized as having missed angina if they experienced angina and did not self-report a prior diagnosis of angina pectoris or CAD. We assessed the association between gender and missed angina using weighted multivariate logistic regression models representative of the U.S.</p><p><strong>Population: </strong>Mortality follow-up data were available for participants up to December 31, 2018.</p><p><strong>Results: </strong>Of 874 participants with missed angina, 551 (63%) were women and 323 (37.0%) were men. Baseline characteristics showed that women and men with missed angina were more likely than their diagnosed counterparts to be younger, of ethnic minorities, uninsured, and smokers. Women with missed angina were more likely to be in a relationship than diagnosed women, while the opposite pattern was observed in men. The odds ratio of missed angina in women compared to men was 2.61 (95% CI: 1.73, 3.94) after adjusting for age, race, education, body mass index, smoking, alcohol use, income, insurance, and comorbidities. Among participants who had a cardiac cause of death, the odds of missed angina in women compared to men was 3.02 (95% CI: 1.18, 7.75) in the adjusted model.</p><p><strong>Conclusion: </strong>Women with similar CAD symptoms to their male counterparts still have higher odds of going undiagnosed. This relationship extends to individuals who ultimately die of cardiac causes. Potential solutions to this disparity include addressing overgeneralized perceptions of differences in the prevalence and presentation of CAD between genders and exploring targeted screening programs for women with risk factors. Further research accounting for healthcare access and proximity to care is needed to support our findings. Timely recognition of CAD in women is essential to decreasing preventable mortality.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1197"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742119","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":"Validity and reliability of Household Disinfectants-Cleaners Questionnaire (HDCQ) to investigate public awareness and performance in the Emirate of Abu Dhabi.","authors":"Mona Aridi, Elgenaid Hamadain, Wissam Ghach, Nisreen Alwan","doi":"10.1186/s12889-025-22317-y","DOIUrl":"10.1186/s12889-025-22317-y","url":null,"abstract":"<p><strong>Background: </strong>Although household disinfectant cleaners are used at home frequently, less research has focused on standardized assessment tools to measure public awareness and precautions in practice, especially during health crises. The COVID-19 pandemic highlighted the important role of household disinfectants-cleaners in preventing infections. However, poor public awareness and unsafe practices can undermine their effectiveness. This study indirectly addresses this lack by developing and validating the Household Disinfectants-Cleaners Questionnaire (HDCQ), to make available an evidence-based comprehensive tool to support future assessments, public health research, and policy development.</p><p><strong>Objective: </strong>To assess the validity and reliability of a questionnaire designed to measure public awareness and performance regarding the safe use of household disinfectants-cleaners in Abu Dhabi.</p><p><strong>Methods: </strong>A cross-sectional Google survey, involving a sample of 750 Abu Dhabi residents, was analyzed using IBM-SPSS (Version 27.0) and RStudio (Version 1.1.456, Inc., 2009-2018). Validity tests included face, content, and construct evaluations by nine academic experts based on seven parameters. Reliability was assessed through Cronbach's alpha and inter-item correlation. Principal Factor Analysis (PFA), including the Kaiser-Meyer-Olkin (KMO) measure and Bartlett's test, was conducted for each section in SPSS. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) in RStudio identified the underlying factors explaining item covariation.</p><p><strong>Results: </strong>Cronbach's alpha values for the awareness and performance domains were 0.854 and 0.883, indicating high internal consistency. Expert ratings indicated high face validity, with importance levels ranging from 0.89 to 1.00. The average Content Validity Ratio (CVR) for the questionnaire was 0.95, indicating strong content relevance. The PFA results demonstrated adequate sampling adequacy, with a KMO measure values of 0.879 and 0.891 and Bartlett's test was statistically significant (χ2 = 2,368, P < 0.001) and (χ2 = 3,274, P < 0.001) for each section respectively, confirming factorability and suitability for factor analysis. Both EFA and CFA indicated a good model fit with RMSEA of 0.077 for Sect. 1 and 0.090 for Sect. 2, CFI of 0.990 for Sect. 1 and 0.975 for Sect. 2, and TLI of 0.986 for Sect. 1 and 0.967 for Sect. 2, confirming the robustness of the factor structure and the questionnaire's validity.</p><p><strong>Conclusions: </strong>The findings demonstrate that this questionnaire is a valid and reliable tool for assessing public awareness and performance regarding the safe use of household disinfectants-cleaners for future pandemics. Recognizing inherent limitations, detailed in the conclusion section, is essential for effective application in public health contexts.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1201"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742229","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":"Preferences of patients with depression for exercises: a discrete choice experiment.","authors":"Hui-Qin Li, Peng Xie, Yu Hou, Weixin Jiang, Shiwei Gong, Si Jin","doi":"10.1186/s12889-025-22404-0","DOIUrl":"10.1186/s12889-025-22404-0","url":null,"abstract":"<p><strong>Background: </strong>Exercise brings great benefits to patients with depression and is recommended as adjunct treatment for depressive disorder. The low compliance to exercise makes the effective management of depression a serious challenge. Preferences for exercise are important for promoting intrinsic motivation, enjoyment, and behavior maintenance. This study quantified the exercise preferences of patients with depression by a discrete choice experiment (DCE), which provided references for the development of intervention programs, so as to improve the physical activity level of patients with depression and promote the effective management of depressive symptoms.</p><p><strong>Methods: </strong>The six attributes (Professional guidance, Interestingness, Type, Special venue, Frequency, and Safety) and their levels were developed through a literature review, in-depth interviews, and focus group discussions. The software Ngene 1.2 was used to generate 36 choice sets, which were divided into 4 blocks. A survey instrument was developed adhering to the design-principles of DCE. A mixed logit model was used to estimate the preferences of patients with depression. The choice probability of exercise scenarios were predicted.</p><p><strong>Results: </strong>The preferences of 323 depressed patients were analyzed. High level of interestingness was the most important attribute level (coefficient = 0.84, P < 0.01), followed by high safety (coefficient = 0.79, P < 0.01). There is a gender-based and daily steps-based difference in preference. The optimal exercise strategy should be fun and safe, exercise 3-4 times a week, venue without restrictions, professional guidance, and a combination of teams and individuals.</p><p><strong>Conclusion: </strong>Based on the findings, patients with depression in this target population prefer exercises with attributes such as intrerestingness, safety, while considering gender-based and daily steps-based deference in preferences.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1192"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742159","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":"Association of ambient temperature and influenza-like illness with acute appendicitis: an ecological study using 22-year data.","authors":"On Tai Ken Yu, Xiaoting Jiang, Conglu Li, Yawen Wang, Yuchen Wei, Ka Chun Chong","doi":"10.1186/s12889-025-22318-x","DOIUrl":"https://doi.org/10.1186/s12889-025-22318-x","url":null,"abstract":"<p><strong>Background: </strong>While acute appendicitis poses a significant disease burden worldwide, its etiology is not completely known. Previous studies have separately demonstrated its associations with ambient temperature and seasonal influenza, but there was no study that examined two exposures concurrently, leaving room for confounding and failing to isolate the effects of these two factors. This study aims to quantify such associations under a unified model, using population-level data in Hong Kong from 1998 to 2019.</p><p><strong>Methods: </strong>The study outcome of weekly acute appendicitis admissions was analyzed with a number of covariates. The major covariates of interest included weekly mean temperature and three strain-specific influenza-like illness-positive (ILI+) rates, which were proxies for the activities of the respective influenza strains. Other covariates including weekly mean relative humidity, total rainfall and a composite index for air pollution were used for confounder control. A generalized additive model under the framework of distributed-lag non-linear model and quasi-Poisson distribution was used for multivariate analysis.</p><p><strong>Results: </strong>A significant positive association between ambient temperature and acute appendicitis admission was found, with a cumulative adjusted relative risk (ARR) of 1.082 (95% CI: 1.065-1.099) comparing the 95th percentile to the median temperature. ILI + rates for influenza A/H1N1 and A/H3N2 were found to significantly and negatively associate with acute appendicitis admission, with cumulative ARRs of 0.961 (95% CI: 0.934-0.989) and 0.961 (95% CI: 0.929-0.993) respectively, comparing the 95th percentiles to zero. No significant association was found between ILI + rate for influenza B and acute appendicitis admission.</p><p><strong>Conclusions: </strong>While high temperature was associated with acute appendicitis admission, a negative association of influenza infection was showed. The mechanisms underlying the above associations should be investigated in future studies, with the aim of formulating preventive strategies against acute appendicitis that take environmental exposures into consideration.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1191"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742273","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":"Chronic loneliness and longitudinal changes in cognitive functioning.","authors":"Jee Eun Kang, Lynn M Martire, Jennifer E Graham-Engeland, David E Almeida, Martin J Sliwinski","doi":"10.1186/s12889-025-22313-2","DOIUrl":"https://doi.org/10.1186/s12889-025-22313-2","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is a worldwide concern with significant health implications that may be a significant risk factor for Alzheimer's disease and related dementias. In light of the importance of detecting early cognitive changes and risk factors influencing cognitive health, this study examined whether chronic loneliness predicted cognitive changes among young and middle-aged adults.</p><p><strong>Methods: </strong>This study utilizes data from a longitudinal measurement burst study spanning over two years, comprising three waves of data collection. A systematically recruited young to mid-life adult sample (25- 65 years) included 172 racially and economically diverse participants who provided information about loneliness for at least two consecutive waves. Chronic loneliness was defined based on the validated multi-item PROMIS Social Isolation scale. We assessed working memory, processing speed, and spatial memory in a measurement burst design using mobile cognitive assessments. Multilevel growth models were conducted to examine whether chronic loneliness was associated with changes in cognitive performance during the study period of up to two years.</p><p><strong>Results: </strong>Results revealed that chronic loneliness was not associated with baseline performance of working memory, processing speed, spatial memory or global cognitive performance, but chronic loneliness was associated with differential cognitive trajectories, specifically a lack of retest related improvement. There were no significant changes in cognitive performance for the chronic loneliness group across waves, whereas significant improvements were observed in those who were not chronically lonely.</p><p><strong>Conclusions: </strong>This study offers insights into the impact of chronic loneliness on cognitive changes in young and middle-aged adults, revealing that chronically lonely individuals did not exhibit the practice-related improvements that are commonly observed in longitudinal studies. Findings suggest the potential significance of identifying and addressing chronic loneliness promptly to prevent potential cognitive consequences of chronic loneliness.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1190"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742277","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 and quality of life of young women in urban slum and non-slum communities, Ibadan, Nigeria.","authors":"Omowumi O Okedare, Mobolaji M Salawu, Olufunmilayo I Fawole","doi":"10.1186/s12889-025-22385-0","DOIUrl":"10.1186/s12889-025-22385-0","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) is a prevalent public health problem and a significant contributor to morbidity and mortality among women and girls. IPV significantly interferes with individual's quality of life (QoL). This study examined and compared the relationship between experience of IPV and QoL of young women in urban slums and non-slums communities of Ibadan, Nigeria.</p><p><strong>Methods: </strong>The study was conducted in the five Local Government Areas (LGAs) of Ibadan municipal, Oyo State, and employed a cross-sectional design. The study population were 1,050 young women aged between 18 and 24 years, who had ever been or currently was in a relationship. Data were collected using semi-structured and close-ended 97-items questionnaire, adapted from standardized instruments of the WHO VAW study (WHO, 2013) and WHOQOL BREF. Data were analysed using STATA 16. hierarchical multiple regression model was used to describe relationship between the outcome and independent variables.</p><p><strong>Results: </strong>The age (21.0 ± 2.1 years) of respondents was the same in both communities. Prevalence of physical (31.4%, 13.4%), psychological (58.6%, 31.5%) and sexual IPV (37.1%, 18.3%) were (p < 0.05) higher in the slums than non-slums, respectively. Overall QoL score was lower among IPV victims than non-victims in both non-slum (67.3 ± 23.4; 72.2 ± 19.8) and slum communities (67.3 ± 23.1 versus 72.4 ± 21.1). Physical and psychological QoL scores were lower (p < 0.05) among IPV victims in both settings. The predictors of overall QoL were experience of any IPV, perceived social support, partner's age, while experience of sexual IPV and partner's age were predictors of psychological QoL. Lastly, the predictors of physical QoL were experience at sexual debut and perceived social support.</p><p><strong>Conclusion: </strong>Experience of IPV was common in both communities, with a consequential reduction in the QoL of young women. Measures to improve the QoL of young women need to target reduction of IPV and available social support in both settings.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1199"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742128","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":"Children's physical fitness and cognitive control in China: the moderating role of family support for physical activity.","authors":"Fengling Zhang, Xiaoqi Wang, Kefu Peng, Lei Xu","doi":"10.1186/s12889-025-22397-w","DOIUrl":"10.1186/s12889-025-22397-w","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the relationship between physical fitness and cognitive control in Chinese children, with a focus on gender differences and the moderating role of family support for physical activity (FSFPA).</p><p><strong>Method: </strong>This study employed a cross-sectional design to assess 148 children aged 12-14 years from Guangzhou. Physical fitness was evaluated using the National Student Physical Fitness Standard, family support for physical activity (FSFPA) was measured with the validated Family Support for Physical Activity Scale, and cognitive control was assessed using the Stroop color-word task, Go/No-Go task, and task-cue paradigm. The statistical analyses included descriptive statistics, correlation analysis, and hierarchical regression analysis to examine the relationships between variables.</p><p><strong>Results: </strong>Gender differences were observed in physical fitness and cognitive control. Girls scored higher in physical fitness and showed better accuracy in interference suppression, with faster reaction times in impulse control. BMI and speed were positively correlated with cognitive flexibility in both genders. For boys, cardiopulmonary endurance positively affected interference suppression, and muscle strength influenced impulse control. BMI and speed were linked to cognitive flexibility. For girls, speed, cardiopulmonary endurance, and muscle strength improved interference suppression, while BMI influenced cognitive flexibility. FSFPA moderated the relationship between physical fitness and cognitive control for both genders. It positively impacted interference suppression and cognitive flexibility for both boys and girls.</p><p><strong>Conclusion: </strong>Physical fitness in Chinese children is positively associated with cognitive control, with gender-specific differences in the fitness components influencing cognitive outcomes. FSFPA significantly moderates this relationship, enhancing the positive effects of physical fitness on cognitive control. These findings suggest that promoting physical fitness, particularly through family-based physical activity support, may improve children's cognitive control abilities.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1198"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742276","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":"Associations between low food security and subjective memory complaints among Latino adults.","authors":"Joseph Saenz, Laura Tanner","doi":"10.1186/s12889-025-22320-3","DOIUrl":"10.1186/s12889-025-22320-3","url":null,"abstract":"<p><strong>Background: </strong>Low food security is related with worse cognitive outcomes and poor mental health (e.g., higher anxiety and depression) may explain these associations. Subjective memory complaints may be important indicators of everyday memory problems. Despite a higher prevalence of food insecurity among Latinos, few have explored the links between low food security and subjective memory complaints in Latinos, or potential mechanisms underlying the associations.</p><p><strong>Methods: </strong>We used the Sangre Por Salud Biobank sample of 2,481 self-reported Latino patients aged 18-85 from a federally qualified community health center in Phoenix, AZ. Food security was assessed using the 6-item Household Food Security Survey Module and subjective memory complaints were measured using the Frequency of Forgetting Scale. We used linear regressions to test associations between low food security and subjective memory complaints, whether associations were explained by anxiety and depression, and whether associations differed by age or biological sex.</p><p><strong>Results: </strong>Around 76% of the sample were food secure, with 18% and 6% experiencing low and very low food security, respectively. In multivariate analyses, compared to the food secure, both low and very low food security related with higher subjective memory complaints and these associations were not modified by age or biological sex. Associations between low food security and subjective memory complaints were no longer significant after adjusting for anxiety and depression, suggesting that poor mental health may mediate associations between low food security and subjective memory complaints.</p><p><strong>Conclusions: </strong>Experiences of low food security were related with more frequent memory complaints. Subjective memory complaints are related with future cognitive impairment and dementia, making them important early markers of cognitive problems. Future studies should evaluate potential cognitive benefits of addressing food insecurity and its downstream effects on mental health.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1200"},"PeriodicalIF":3.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742274","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 disparities between native and foreign-born older population in India: Does migration status matter in later life?","authors":"Vasim Ahamad, Ram B Bhagat","doi":"10.1186/s12889-025-22297-z","DOIUrl":"https://doi.org/10.1186/s12889-025-22297-z","url":null,"abstract":"<p><strong>Background: </strong>Ageing and migration are both contemporary phenomena and challenging for modern society in the 21st century. Persons ageing with migration status might have a double risk of vulnerability to poor health outcomes. This study examines the health disparities between foreign-born and native populations in India.</p><p><strong>Methods: </strong>The data drawn for the study from the Longitudinal Ageing Study in India (LASI) Wave-I (2017-18). The study used univariate and bivariate analysis to examine health disparities between native and foreign-born groups, and logistic regression analysis was used to examine the association between migration status and health outcomes of older persons.</p><p><strong>Results: </strong>Over fifty percent (56.5%) of the older persons (age 60+ years) were migrants; of these migrants of older persons, 55% were internally migrated, and 1.5% were foreign-born migrants in India. The foreign-born migrants persons showed a higher prevalence of poor SRH, chronic conditions, depression symptoms, and physical limitations than internal migrants and non-migrant groups. Further, the logistic regression result shows that foreign-born migrants were more likely to have poor SRH [AOR:1.72; CI: 1.45-2.04], chronic conditions [AOR=1.56; CI: 1.26-1.81], depression symptoms [AOR 1.14; CI: 1.07-1.21], and physical limitations [AOR 1.29; CI: 1.21-1.38], than non-migrants. Moreover, the study shows that the migrants' health disparities also vary with their length of stay and country of origin.</p><p><strong>Conclusions: </strong>This cross-sectional study suggests that persons with internal and foreign-born migrant status were more vulnerable to poor health outcomes than non-migrants in their later life. This study predicts that migrants need separate health policies as they are in poorer health conditions than non-migrants. Policymakers should initiate equal access to healthcare services for older internal and foreign-born migrants in India.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1182"},"PeriodicalIF":3.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742121","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}