BMC Public Health最新文献

{"title":"Boys Do Cry: what do Australian men think of a music video encouraging them to talk about their mental health struggles?","authors":"Angela Nicholas, Simone Scotti Requena, Simon Rice, Zac Seidler, Maria Ftanou, Justine Fletcher, Jane Pirkis","doi":"10.1186/s12889-025-24214-w","DOIUrl":"10.1186/s12889-025-24214-w","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3246"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205050","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":"Awareness, facilitators, barriers, and behaviours surrounding brain health: a large-scale cross-sectional survey of adults across UK and Ireland.","authors":"R F Townsend, O M Shannon, E Stevenson, C Ritchie, A M Minihane, P Devine, S Casey, N Fullerton, I Leroi, B Lawlor, R O'Sullivan, B McGuinness, J V Woodside, C T McEvoy","doi":"10.1186/s12889-025-24175-0","DOIUrl":"10.1186/s12889-025-24175-0","url":null,"abstract":"<p><strong>Background: </strong>Almost half of all dementia cases could theoretically be delayed or prevented by addressing risk factors at the population level. However, dementia risk reduction requires awareness of, and action on, modifiable risk factors. This study aimed to explore public awareness of brain health, and the facilitators for, and barriers to, engaging in preventative action to reduce dementia risk, across the UK and Ireland.</p><p><strong>Methods: </strong>The Brain Health and Lifestyle Survey (BHLS) was a co-developed and evidence-informed online survey, underpinned by behaviour change frameworks. The BHLS was distributed via convenience sampling to individuals aged ≥ 40 years living in the UK and Ireland. It comprised 31 main questions on awareness, beliefs and behaviour change surrounding brain health and took approximately 20-25 min to complete. Ethical approval was obtained from Queen's University Belfast [Ref: MHLS20_162].</p><p><strong>Results: </strong>A total of 6816 respondents (75% UK; 25% Ireland) completed the BHLS between February and June 2021. Most respondents were aged 50-74 years (78%), female (79%), white (99%), overweight (59%) and highly educated (64%). The majority of respondents rated their brain health as good (79%) and there was high awareness of protective factors, including cognitively stimulating activities (91%) and physical exercise (88%). However, awareness of risk factors such as hypertension (62%), midlife obesity (61%), air pollution (50%) and hearing loss (35%) was lower. Awareness differed according to demographic factors, with lower awareness among respondents aged 40-49 years, and those with lower educational attainment. The identified barriers to adopting a brain-healthy lifestyle were implementing changes which were not enjoyable (44%), lack of self-motivation (33%), and a lack of trusted information (27%). Facilitators for adopting a brain-healthy lifestyle included: noticing problems with brain health (70%) and receiving personalised advice (51%).</p><p><strong>Conclusion: </strong>Understanding of brain health and dementia risk reduction was variable in this large sample of UK and Irish citizens. There were identified gaps in awareness of risk factors relating to cardiometabolic health, hearing loss, and air pollution. These findings highlight the need for credible sources of accessible and relevant information to improve awareness and behaviours surrounding brain health.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3279"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205079","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 cluster of severe fever with thrombocytopenia syndrome with household and nosocomial transmission in Zhejiang Province, China, 2023.","authors":"Ying Liu, Yan Ma, Liangyue Chen, Xuguang Shi, Yirong Fang, Tianqi Li, Jinna Wang, Hao Yan, Xiaowei Song, Guoqin Jiang, Gaofeng Cai, Jianmin Jiang, Jimin Sun","doi":"10.1186/s12889-025-24608-w","DOIUrl":"10.1186/s12889-025-24608-w","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3286"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205462","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":"Mothers' safety attitudes towards home accidents and their self-efficacy on first aid in 0-6 years old children.","authors":"Mehmet Ali Şen, Eda Yakıt Ak, Ümmügülsüm Arslan","doi":"10.1186/s12889-025-24298-4","DOIUrl":"10.1186/s12889-025-24298-4","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3243"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205467","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 social isolation and loneliness with incident cancer in A Population-based cohort study.","authors":"Xiaojuan Liu, Ping Chen, Junru Wang, Zhuoyuan Li, Yongbin Zhu, Jiafei Yang, Liqun Wang, Shulan He, Xian Sun, Jiangping Li, Huifang Yang","doi":"10.1186/s12889-025-24558-3","DOIUrl":"10.1186/s12889-025-24558-3","url":null,"abstract":"<p><strong>Background: </strong>Social isolation and loneliness pose significant public health challenges globally. This study aims to examine the association of social isolation, loneliness and their combined effects with incident cancer.</p><p><strong>Methods: </strong>This study utilized data from the UK Biobank (UKB), which is a population-based prospective cohort. Social isolation and loneliness were assessed through self-reported questionnaires. Cancer cases were identified by linking to cancer registries.</p><p><strong>Results: </strong>A total of 430,376 participants were included, during a mean follow-up of 14.32 years, 45,131 participants were diagnosed with cancer. Compared to participants in least isolated group, those in most isolated group had significantly higher risks of cancer of lip, oral cavity and pharynx (HR 1.32, 95% CI 1.11-1.58), cancer of digestive organs (HR 1.10, 95% CI 1.03-1.16), cancer of respiratory and intrathoracic organs (HR 1.17, 95% CI 1.07-1.28), breast cancer (HR 1.11, 95% CI 1.04-1.18), cancer of female genital organs (HR 1.23, 95% CI 1.09-1.38), and cancer of urinary tract (HR 1.31, 95% CI 1.17-1.46). However, the most isolated group had lower risks of cancer of mesothelial and soft tissue (HR 0.80, 95% CI 0.64-0.99), prostate cancer (HR 0.88, 95% CI 0.83-0.94). Individuals with loneliness had a significantly increased risk of cancer of urinary tract (HR 1.19, 95% CI 1.01-1.40), but a reduced risk of cancer of skin (HR 0.76, 95% CI 0.61-0.93).</p><p><strong>Conclusions: </strong>Social isolation and loneliness were independently associated with incident cancer, with implications for early effective cancer prevention.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3274"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205474","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":"Gut microbiota bridging spicy food intake and obesity: evidence from the China Multi-Ethnic Cohort (CMEC) study.","authors":"Ying Qian, Yongli Zeng, Fei Mi, Xuehui Zhang, Qiao Zhang, Fang Xu, Juan Huang, Rudan Hong, Teng Zhang, Zhimin Zhao, Nichang Zhang, Yahui Xu, Zhuohang Che, Jizhuo Yang, Qiong Meng, Yanjiao Wang, Yuemei Feng, Jianzhong Yin","doi":"10.1186/s12889-025-23936-1","DOIUrl":"10.1186/s12889-025-23936-1","url":null,"abstract":"<p><strong>Background: </strong>Obesity has emerged as a major global public health issue, associated with increased rates of chronic disease and death. Previous studies have reported an association between spicy food intake and obesity. However, existing studies still have several limitations, including a shortage of detailed dietary surveys, insufficient accounts for the effects of different types of chili peppers and fatty acids on obesity, and the mechanisms through which spicy food consumption influences the gut microbiota and adipokines have not been sufficiently investigated.</p><p><strong>Methods: </strong>A total of 950 adults, aged 30-79 years, were included from the China Multi-Ethnic Cohort (CMEC) study. Dietary intake data from the Food Frequency Questionnaire (FFQ) and 24-h recall were collected. A multivariable logistic regression model was used to estimate the association between spicy food intake and obesity. Evaluate the impact of spicy foods on gut microbiota through 16S rRNA gene sequencing analysis.</p><p><strong>Results: </strong>At the population level, we demonstrated that the intake of spicy food is a risk factor for obesity in Chinese Han population in cold regions of Yunnan Province (OR = 1.82, 95%CI: 1.11-2.99). At the animal level, we found that Capsaicin (CAP), a key active component of spicy foods, may not exert weight-loss effects when exposed to cold environments; instead, it appears to lipid accumulation and exacerbated disorders in gut microbiota dysbiosis and was modulated by leptin levels, both of which play critical roles in the development of obesity.</p><p><strong>Conclusions: </strong>Spicy food intake is a risk factor for obesity in Chinese Han population in cold regions of Yunnan Province. This may lead to increased lipid accumulation and exacerbate disorders associated with gut microbiota dysbiosis, which are modulated by leptin levels. Both factors influence the development of obesity.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3267"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205478","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":"Longitudinal association between social economic status and new-onset arthritis among middle-aged and elderly adults: evidence from the CHARLS cohort.","authors":"Le Chang, Haifeng Tang, Zhenyu Cai","doi":"10.1186/s12889-025-24569-0","DOIUrl":"10.1186/s12889-025-24569-0","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3259"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205502","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 integrated family planning, maternal and newborn health, and immunization services and adoption of postpartum family planning and immunization services in Ethiopia.","authors":"Gizachew Tadele Tiruneh, Bezawit Mesfin Hunegnaw, Siyoum Enkubahiri, Biruk Bogale, Tsegaye Shewangzaw, Nebreed Fesseha, Alemayehu Hunduma, Yohannes Adinew, Jemal Kassaw, Dessalew Emaway","doi":"10.1186/s12889-025-24576-1","DOIUrl":"10.1186/s12889-025-24576-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Over the past 30 years, Ethiopia has significantly invested in its primary health care (PHC) system, improving access to health services and overall health outcomes. However, gaps persist in delivering comprehensive reproductive, maternal, newborn, and child health (RMNCH) services. Although Ethiopia's policy framework supports integrated PHC services, RMNCH programs often operate independently, resulting in fragmented care and missed opportunities, especially in rural and pastoral regions with limited access. This study examined current practices in integrated service delivery and the association between integrated service delivery and the adoption of postpartum family planning (PPFP) and immunization services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;From July to August 2024, we conducted formative implementation science research utilizing household surveys and facility assessments. A stratified multistage sampling technique recruited 1,922 women with infants ages 0-11 months across agrarian and pastoral regions, along with data from 67 facilities. The study assessed the association between integrated family planning, maternal and newborn health, and immunization service delivery with postpartum family planning and immunization practices in Ethiopia. Data were analyzed using Stata 15.1, employing Pearson's chi-square test, post-stratification sampling weights, and random-intercept logistic regression models to estimate associations between individual- and community-level variables and the likelihood of adopting PPFP and child vaccination.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, the availability and integration of essential job aids and services varied considerably by setting, with pastoral areas consistently showing lower coverage across RMNCH touchpoints. Approximately 45% of mothers adopted PPFP, with significant regional variations, particularly lower rates in pastoral areas. About one-third received PPFP counseling during antenatal care contacts, and over three-fourths received immunization counseling during childbirth. Women who received counseling about PPFP during childbirth had 2.6 times higher odds of adoption (AOR: 2.60; 95% CI: 1.61-4.20), while those counseled during both antenatal care (ANC) and childbirth had four times higher odds (AOR: 4.06; 95% CI: 2.49-6.63). Counseling on immunization during or after childbirth increased child vaccination odds threefold (AOR: 3.39; 95% CI: 1.80-6.41), while women who did not receive integrated services during childbirth had 78% lower odds of vaccination (AOR: 0.22; 95% CI: 0.14-0.34). Women in agrarian communities and those receiving postpartum care within six weeks also had higher odds of adopting PPFP and vaccination services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The study highlights observed associations between service integration and uptake of maternal and child health services, indicating variation across contexts and the importance of considering these patterns i","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3258"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205509","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":"Cost-effectiveness of eHealth-based HIV pre-exposure intervention for recreational drugs using among men who have sex with men in China: a modelling study.","authors":"Run Jiang, Yuyu Zhang, Xinyu Lu, Gang Qin, Qiwei Ge, Xiaoyi Zhou, Zijun Ni, Zhongying Xu, Meiyin Zou, Xun Zhuang","doi":"10.1186/s12889-025-23463-z","DOIUrl":"10.1186/s12889-025-23463-z","url":null,"abstract":"<p><strong>Background: </strong>Recreational drug (RD) is widespread among men who have sex with men (MSM), inspiring \"Chemsex\" which then exacerbates the spread of HIV. Electronic health (eHealth) can effectively intervene in RD use, while the efficacy of oral pre-exposure prophylaxis (PrEP) in HIV prevention has been well-documented. However, eHealth and PrEP have not been implemented on a large-scale in China, and the cost-effectiveness of intervention remains uncertain. This study conducted a dynamic modelling to predict HIV prevalence trends among MSM and the cost-effectiveness of various interventions.</p><p><strong>Methods: </strong>Through constructing the HIV-RD model, HIV trends among MSM for the next 30 years are projected. Social network intervention and customized short message service (SMS) in eHealth were combined with PrEP to form 9 intervention scenarios: status quo; social network intervention; SMS; 30%PrEP; 70%PrEP; social network intervention with 30%PrEP; social network intervention with 70%PrEP; SMS with 30%PrEP; SMS with 70%PrEP. The cost-effectiveness of each scenario was evaluated economically, and the results were presented as incremental cost-effectiveness ratio (ICER).</p><p><strong>Findings: </strong>Implementing interventions would prevent 57,937-142,892 HIV infections and 24,091-61,680 deaths. From societal perspective, all interventions' ICERs were from $11,669 to $29,806. Social network intervention was advantageous, saving about $1.97 billion while gaining 169,354 quality-adjusted life years (QALYs). SMS, social network intervention with 30% PrEP were highly cost-effective, with ICERs of $5,869 and $20,325. Sensitivity analysis found that PrEP's costs had the most significant impact.</p><p><strong>Conclusions: </strong>In China, implementing eHealth, expanding PrEP, and joint interventions for MSM are cost-effective. Considering funding, social network intervention could be prioritized.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3245"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205270","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":"Hypertension in West Africa: a systematic review and meta-analysis of prevalence and associated risk factors.","authors":"Monday Nwankwo, Wusa Makena, Aisha Idris, Chikezie Jude Okamkpa, Anyanwu G Emeka, Elna Owembabazi, Elizabeth Bessy Umoren","doi":"10.1186/s12889-025-24647-3","DOIUrl":"10.1186/s12889-025-24647-3","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"3269"},"PeriodicalIF":3.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205443","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}