BMC Public Health最新文献

{"title":"Parent and caregiver preferences for eHealth programs.","authors":"Nicole A C Tongol, Robert J W McHardy, Kaeley M Simpson, Kailey E Penner, Charlie Rioux, Emily E Cameron, Ryan Giuliano, Lianne M Tomfohr-Madsen, Ashley Stewart-Tufescu, Tracie O Afifi, Tasmia Hai, Leslie E Roos","doi":"10.1186/s12889-025-22612-8","DOIUrl":"https://doi.org/10.1186/s12889-025-22612-8","url":null,"abstract":"<p><strong>Background: </strong>Online programs serve as an important avenue for delivering mental health and parenting services worldwide. The quantity of online programs proliferated during the COVID-19 pandemic with developers emphasizing the potential to improve accessibility and reduce barriers of in-person programming (e.g., arranging transportation, childcare, and scheduling). However, Canadian parents' and caregivers' preferences for features they desire in online family mental health supports are unknown. Understanding these preferences would better allow for the creation of programs that are best suited to meet parents' needs. Thus, the present study examined parent mental health program preferences, barriers to access, and how different sociodemographic factors predicted preferences for aspects such as program features (e.g., duration delivery format).</p><p><strong>Methods: </strong>Self-report surveys were administered in 2023 via the online crowdsourcing platform AskingCanadians to parents and primary caregivers of children ages 0 to 5 years. Descriptive statistics examined parent mental health program preferences and barriers. Regression models examined sociodemographic predictors of these preferences and barriers.</p><p><strong>Results: </strong>Participants identified a range of preferences across program structure and coaching, as well as challenges associated with program access. Parents most preferred programs with a web-based delivery format (72%), a duration of 2-4 weeks (27%), and psychologists as program coaches (51.4%). The most highly endorsed barriers were lack of time (42.2%) and limited internet access (25.1%). Sociodemographic factors including parent gender, household income, education, and ethnicity also consistently predicted preference for various program characteristics.</p><p><strong>Conclusions: </strong>This research provides an important first step toward creating more accessible online mental health and parent mental health programs by ensuring the voices of the parents who will use these services are heard in program development and adaptation. Future research should investigate how to address accessibility and inclusivity barriers to participating in parent mental health programs for diverse families based on their differential preferences.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2307"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between rural-to-urban migration and the onset of hypertension among middle-aged and older population: evidence from India.","authors":"Bittu Mandal, Kalandi Charan Pradhan","doi":"10.1186/s12889-025-22267-5","DOIUrl":"https://doi.org/10.1186/s12889-025-22267-5","url":null,"abstract":"<p><strong>Background: </strong>Rural-to-urban migration is a key contributor to urbanization in India and has potential implications for hypertension risk. Amidst the rising elderly population, the inequal burden of hypertension between migrants and non-migrants remains largely underexplored. This study examines the association between rural-to-urban migration and hypertension onset, focusing on rural-born individuals who have migrated to urban areas compared to those who have remained lifelong residents of rural areas.</p><p><strong>Methods: </strong>Data from 27,270 participants aged 45 and above from the Longitudinal Ageing Study in India were analysed, including 18,855 non-migrant rural residents and 8,415 rural-to-urban migrants. The onset of hypertension was evaluated using bivariate statistics and the Cox proportional hazards model.</p><p><strong>Results: </strong>Approximately 20% of rural non-migrants and 38% of rural-to-urban migrants were hypertensive. The median age of hypertension onset was 57 years for non-migrants and 54 years for migrants. Overall, migrants had a 1.22-fold (95% CI: 1.11-1.34) higher risk of hypertension onset. Regionally, migrants in the Northern (HR: 1.30, 95% CI: 1.10-1.53), Eastern (HR: 1.19, 95% CI: 0.99-1.44), and Southern regions (HR: 1.23, 95% CI: 1.07-1.43) were at a significantly higher risk of hypertension onset than their non-migrant peers.</p><p><strong>Conclusion: </strong>These findings suggest that rural-to-urban migration may contribute to the early onset of hypertension in India, with notable variations across regions.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2355"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between social risk profile, cardiovascular risk factors control, and future cardiovascular risk.","authors":"Yijing Xin, Siqi Lyu, Jingyang Wang, Yimeng Wang, Yuyuan Shu, Hanyang Liang, Yanmin Yang","doi":"10.1186/s12889-025-23580-9","DOIUrl":"https://doi.org/10.1186/s12889-025-23580-9","url":null,"abstract":"<p><strong>Backgrounds: </strong>This study aimed to investigate the cross-sectional association between social risk profile (SRP) and the strict control of cardiovascular risk factors, and the prospective association between cardiovascular risk factors controlled and cardiovascular mortality in different SRP grades.</p><p><strong>Methods: </strong>Data from 12,695 participants of the National Health and Nutrition Examination Surveys (NHANES) (2005-2018) were included in the analysis. Logistic analysis was performed to assess the relationships between SRP and the strict control of cardiovascular risk factors. Kaplan-Meier curves and Cox regression models were used to analyze the associations between the number of cardiovascular risk factors controlled and outcomes incidence in different SRP grades.</p><p><strong>Results: </strong>Compared to individuals with low SRP, those with high SRP had greater odds of strict control of blood pressure (OR = 1.996, 95% CI: 1.733-2.299) and glucose (OR = 1.797, 95% CI: 1.556-2.074), but lower odds of lipid control (OR = 0.810, 95% CI: 0.717-0.915,). Controlling two or three risk factors significantly reduced all-cause and cardiovascular mortality risk compared to no controlled risk factors (P < 0.05).</p><p><strong>Conclusions: </strong>SRP grades were positively related to the strict control of blood pressure and glucose; and negatively related to the strict control of lipids. Controlling more risk factors is associated with a lower mortality risk. The lower the SRP grades, the greater the reduction in all-cause and cardiovascular mortality risk due to cardiovascular risk factor control.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2340"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of parental caregiving and child labour with developmental problems and mental health in children in low-to-middle-income countries using the socioecological resilience model.","authors":"Kelly Lin, Kasuni Akalanka H M, Subash Thapa, Julaine Allan, Nicholas Buys, Jing Sun","doi":"10.1186/s12889-025-23527-0","DOIUrl":"https://doi.org/10.1186/s12889-025-23527-0","url":null,"abstract":"<p><strong>Background: </strong>The socioecological resilience (SER) model explains that individual, relational, and structural factors influence child development and mental health. Children in low-to middle-income countries (LMICs) are affected by multiple risk factors on different SER levels. This cross-sectional study aimed assess the influence of experience of child labour and poor caregiving practices on child development in LMICs using the SER model.</p><p><strong>Method: </strong>Data regarding child development, caregiving practices, and child labour collected through Multiple Indicator Cluster Surveys (MICS) by UNICEF were analysed. Differences in prevalence of developmental delays, mental illness, child labour, and poor caregiving practices were compared across countries and across different sociodemographic index (SDI) levels. Multi-level modelling was used to determine factors associated with developmental difficulties, and anxiety, and depression symptoms in children.</p><p><strong>Results: </strong>251,681 children were included in the analysis. Significant variations in child labour engagement existed across low to upper-middle SDI countries. Prevalence of anxiety (30.8%), depression (40.8%) and socio-emotional difficulties (mean score = 0.115) were highest in low SDI countries. Poor physical caregiving, engagement in child labour, and low maternal education was significantly associated with higher socio-emotional difficulties, anxiety, and depression.</p><p><strong>Conclusion: </strong>To address the complex interplay between extreme poverty and adverse child health outcomes across low SDI countries, a multifaceted approach aimed at alleviating poverty, improving access to education, strengthening social protection systems, and promoting effective caregiving practices are required.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2323"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of educational intervention on enhancing the health literacy among middle-aged individuals at risk for cardiovascular diseases: a randomized cotrolled trial.","authors":"Seyedeh Fatemeh Azizi Sani Dopolani, Hassan Shahbazi, Masoud Lotfizadeh, Shohreh Naderimagham","doi":"10.1186/s12889-025-23516-3","DOIUrl":"https://doi.org/10.1186/s12889-025-23516-3","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2291"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the public knowledge and awareness of parkinson's disease in Ireland: a cross-sectional survey.","authors":"Sophie Crooks, Gary Mitchell, Lisa Wynne, Gillian Carter","doi":"10.1186/s12889-025-23573-8","DOIUrl":"https://doi.org/10.1186/s12889-025-23573-8","url":null,"abstract":"<p><strong>Background: </strong>Parkinson's disease (PD) is a progressive neurological disorder characterised by motor and non-motor symptoms that significantly impact quality of life (QoL). Despite its growing prevalence, public awareness and understanding of PD remain limited, contributing to stigma and social isolation. This study evaluates public knowledge and perceptions of PD across Ireland to identify educational gaps and inform public health initiatives.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from January to April 2024, using a modified version of existing questionnaires on PD knowledge. The survey was distributed online via social media platforms and charity networks, targeting adults residing in Ireland. Descriptive statistics and chi-square tests were employed to analyse the data. Ethical approval for this study was obtained from the Faculty of Medicine and Health Sciences, Queen's University Belfast (MHLS23_132).</p><p><strong>Results: </strong>A total of 796 respondents completed the survey, predominantly female (83.4%) and aged 18-24 (31.7%). While 92.9% recognised PD as a neurological disorder, misconceptions about its classification persisted. Awareness of motor symptoms like tremor and bradykinesia was high, but non-motor symptoms such as chronic fatigue were less recognised. Only 42% were aware of available treatments, and 33.7% had encountered PD-related stigma. Social media emerged as the preferred platform for raising awareness, cited by 46.2% of participants.</p><p><strong>Conclusion: </strong>The findings reveal critical knowledge gaps and stigma regarding PD, emphasising the need for targeted educational initiatives. Public health campaigns, particularly leveraging social media, are essential to enhance understanding, reduce misconceptions, and improve QoL for individuals with PD. By addressing awareness and encouraging a supportive environment, these initiatives can contribute to better public perception and management of PD.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2339"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A participatory framework for identifying and ranking multidimensional solutions to nutritional behavior issues in female school students: a stakeholder-based mixed-methods study.","authors":"Nasrin Mehrjoyan, Fatemeh Zarei, Fazlollah Ghofranipour, Fazlollah Ahmadi","doi":"10.1186/s12889-025-23575-6","DOIUrl":"https://doi.org/10.1186/s12889-025-23575-6","url":null,"abstract":"<p><strong>Background: </strong>Broad multisectoral collaboration among families, communities, schools, health services, and policymakers is essential for improving nutritional behaviors. Despite the increasing prevalence of poor dietary habits among adolescent girls, existing interventions often fail to address the complex social, cultural, and environmental determinants of nutritional behavior. This study aimed to develop a proposed solution to improve the nutritional behaviors of female school students aged 13-17 years in Khuzestan, Iran.</p><p><strong>Methods: </strong>This study employed a mixed-methodology approach, integrating qualitative exploration and stakeholder-driven prioritization. Phase 1 utilized directed qualitative inquiry with 17 school students to identify adolescent dietary challenges, while Phase 2 applied the Nominal Group Technique (NGT) and Analytic Hierarchy Process (AHP) to prioritize solutions through expert consensus and multicriteria evaluation. The AHP framework, which is supported by Expert Choice software, ensures rigorous weight assignment (CR < 0.1) as validated by independent expert review.</p><p><strong>Results: </strong>In Phase 1, directed content analysis of 17 student interviews yielded six overarching themes (e.g., \"Self-Monitoring and Goal Setting,\" \"Social Environmental Influences\") and 15 subthemes, from which 121 candidate solutions were generated. During Phase 2, nine panelists (five nutrition experts and four stakeholders) applied the NGT: 74.4% (90/121) of the solutions met the ≥ 4.0 mean ranking threshold (on a 5-point scale), while 25.6% (31/121) were eliminated. The 90 retained solutions were then scored via the AHP across five criteria-effectiveness, feasibility, cost efficiency, sustainability, and cultural acceptability. Cultural acceptability received the highest weight (35.7%), followed by sustainability (18.1%), cost efficiency (20.2%), effectiveness (16.8%), and feasibility (12.1%). The consistency was excellent (CR = 0.003), and sensitivity analyses confirmed the stability of the rank order under ± 15% weight variation.</p><p><strong>Conclusion: </strong>This stakeholder-driven framework highlighted balanced diet education during puberty, parental education sessions, and school nutrition campaigns as top-priority interventions, demonstrating excellent consistency (CR = 0.003). Future studies should pilot and rigorously evaluate these interventions in real-world school settings, assess their long-term impacts on dietary behaviors and health outcomes, analyze cost-effectiveness, and explore digital delivery platforms to increase adolescent engagement.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2344"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A survey of availability, price, and affordability of innovative negotiated anticancer medicines: a retrospective study in Jiangsu Province, eastern China.","authors":"Rui Ma, Yanyan Liu, Baolong Ding, Yuyang Sun, Hongting Yao, Man Yu, Xiaoye Wang, Lingli Zhang, Xin Li","doi":"10.1186/s12889-025-23570-x","DOIUrl":"https://doi.org/10.1186/s12889-025-23570-x","url":null,"abstract":"<p><strong>Background: </strong>The emergence of innovative anticancer medicines has revitalized cancer treatment prospects, and improving the accessibility of innovative anticancer medicines is a key goal of national pharmaceutical policies. Despite significant efforts by the National Medical Security Administration to reform the National Reimbursement Drug List (NRDL), concerns regarding the utilization of these newly included anticancer drugs persist. This study aims to assess the accessibility of 23 Innovative Negotiated Anticancer Medicines (INAMs) in Jiangsu Province, a developed region in eastern China.</p><p><strong>Methods: </strong>A retrospective survey was conducted across 319 healthcare institutions in Jiangsu Province, with 285 included for analysis. Data were obtained from procurement records of 23 INAMs. We evaluated the use of these medicines based on three aspects: availability, price measured by the defined daily dose cost (DDDc), and affordability.</p><p><strong>Results: </strong>43.5% of the 23 INAMs encountered difficulties in obtaining them, and 30.4% of 23 INAMs were very difficult to obtain. There was a notable disparity in the availability of 23 INAMs between secondary and tertiary healthcare institutions. The median DDDc for Group A and Group C showed a progressive annual reduction. The DDDc of 19 INAMs decreased during the study period, while three drugs remained unchanged, and one drug's DDDc actually increased. Family poverty caused by medicines was more pronounced among rural residents. The affordability of rural patients was significantly lower than that of urban patients (p < 0.05) in 2021 and 2022.</p><p><strong>Conclusion: </strong>The accessibility of INAMs improved from 2020 to 2022. However, the accessibility of INAMs is influenced by various factors, and disparities still exist in access across different healthcare institutions and between urban and rural areas. Effective and sustainable policies need to be developed to ensure equitable access to medicines for all patients.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2313"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Early Years South Australia mobile application.","authors":"Ben Singh, Kate Walker, Joann Fildes, Jessica Morley, Kylie Dankiw, Ty Ferguson, Rachel Curtis, Jacinta Brinsley, Carol Maher","doi":"10.1186/s12889-025-23302-1","DOIUrl":"https://doi.org/10.1186/s12889-025-23302-1","url":null,"abstract":"<p><strong>Background: </strong>Released in July 2023 by the Office for Early Child Development in South Australia (SA), the Early Years SA mobile app supports parents of children aged 0-5 years with features including health check reminders, developmental milestone information, and a broad range of parenting resources. This study evaluated user awareness, engagement, and overall experience to identify areas for improvement and enhance the app's impact on child health outcomes in SA.</p><p><strong>Methods: </strong>The app was promoted through state-wide campaigns, including social media, parenting expos, and healthcare professional referrals, with an estimated eligible population of ~ 52,000 families with children aged 0-5 years in SA. Participants were app users and parents/caregivers of children aged 0-5 years in SA. A mixed-methods approach included four sub-studies: (1) Analysis of app usage statistics; (2) Usability evaluation via the System Usability Scale survey; (3) Assessment of app awareness and behaviour change through a population-level survey; and (4) Qualitative feedback from semi-structured interviews and an in-person focus group.</p><p><strong>Results: </strong>In its first year, the app attracted 16,411 downloads and 12,289 users, with 4,272 active users in July 2024. The most accessed pages related to newborn sleep, immunisations, and early feeding. The System Usability Scale (n = 415) scored 82.5/100, indicating \"excellent\" usability. Population survey data (n = 324) showed 17% of South Australian parents of 0-5-year-olds were aware of the app, and among users, 17% reported it influenced their decision to access child health checks and immunisations. Qualitative feedback (n = 17) highlighted appreciation for the app's user-friendly layout, credible Australian-focused information, and convenient, age-based resources as a digital companion to the My Health and Development Record (Blue Book). Suggested improvements included clarifying age-specific content organisation, adding comprehensive feeding and sleep tracking, and incorporating content for diverse family structures, cultural backgrounds, and neurodivergence.</p><p><strong>Conclusion: </strong>The Early Years SA app shows strong usability and early evidence of positively influencing health service use. Future improvements should aim to expand reach and enrich content while preserving its user-friendly design. This evaluation offers baseline data for continued monitoring of awareness, usage, and impact on child health outcomes.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2299"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of water handling practices in households and related health impacts: a case study in Deyniile District, Mogadishu, Somalia.","authors":"Mohamed Hassan Mohamed, Hardeep Rai Sharma, Predrag Ilić, Yahye Elmi, Abdikarim Abdi Adam","doi":"10.1186/s12889-025-23595-2","DOIUrl":"https://doi.org/10.1186/s12889-025-23595-2","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"2368"},"PeriodicalIF":3.5,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144559031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}