BMC Public Health最新文献

{"title":"Urinary total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanonol is positively associated with tooth loss.","authors":"Lin Niu, Yuwei Zhang, Hu Zhu, Yue Jia, Changjie Sun, Yifei Zhang, Xuefei Sun, Zhaojing Ding, Jingning Gou, Luming Wang, Rui Zou, Shaojie Dong","doi":"10.1186/s12889-025-22173-w","DOIUrl":"10.1186/s12889-025-22173-w","url":null,"abstract":"<p><strong>Background/aim: </strong>Epidemiological studies had confirmed a fundamental association between smoking and tooth loss, but it remains unclear whether metabolites of tobacco products such as total 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanonol (TNNAL) play a role in the incidence and progress of tooth loss. This study aims to investigate the relationship between TNNAL and tooth loss as well as how systemic inflammatory indexes mediate this process.</p><p><strong>Methods: </strong>The cross-sectional study data were collected from the National Health and Nutrition Examination Survey conducted in the United States. After screening and comparing the baseline data, zero-inflated negative binomial regression models were utilized to evaluate the relationship between urinary TNNAL level and missing teeth among whole population and participants with different smoking status. Furthermore, bootstrapping was applied to test the mediation effect of systemic inflammatory indexes between TNNAL level and missing teeth.</p><p><strong>Results: </strong>7726 participants were included, having 2958 individuals belonging to the TNNAL = 0 group and 4768 in the TNNAL > 0 group. In the model with covariates fully adjusted (model 3) among whole population, TNNAL level was found to be positively correlated with tooth loss [Incidence Rate Ratio (IRR) = 1.107, 95% confidence interval (95% CI) = 1.074-1.140], especially in the fourth quartile (Q4) of TNNAL level (IRR = 1.715; 95%CI = 1.535-1.916) compared to the Q1. Red blood cell distribution width (RDW) and monocyte/highdensity lipoprotein cholesterol ratio (MHR) played partial mediating role in the association between TNNAL and tooth loss, and the indirect effect of each was 0.0242 (RDW, 95%CI = 0.0076-0.0612) and 0.0151 (MHR, 95%CI = 0.0034-0.0426), respectively. The mediating effect was 0.393 (95%CI = 0.0179-0.958). In the regression model 3 among group of TNNAL > 0, higher concentration of urinary TNNAL was associated with increasing tooth loss (IRR = 1.079, 95%CI = 1.047-1.112). When group of TNNAL > 0 was further divided into subgroups according to the smoking status, a positive correlation was found between TNNAL and missing teeth among current active-smokers (Model 3: IRR = 1.508, 95%CI = 1.341-1.696), as well as passive former-smokers (Model 3: IRR = 1.127, 95%CI = 1.021-1.243).</p><p><strong>Conclusions: </strong>Our study revealed a positive relationship between urinary TNNAL and tooth loss, and further demonstrated the mediating role of RDW and MHR between the TNNAL and the number of missing teeth in the whole popualtion. These findings will provide new theoretical insights for policy formulation and clinical therapeutic for the target prevention and intervention of related diseases.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1165"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728317","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":"Fertility knowledge, desire, and associated factors among Iranian couples: a cross-sectional study in Northwest Iran.","authors":"Sepideh Mashayekh-Amiri, Behnam Molaie, Fatemeh Aliasghari, Fatemeh Rashidi, Elnaz Hemati, Mojgan Mirghafourvand","doi":"10.1186/s12889-025-22347-6","DOIUrl":"10.1186/s12889-025-22347-6","url":null,"abstract":"<p><strong>Background: </strong>Childbearing is a cornerstone of sustainable development in both developed and developing countries, including Iran. The present study was conducted to determine the fertility Knowledge, desire and associated factors among Iranian couples in the northwest of Iran.</p><p><strong>Methods: </strong>This cross-sectional study is the first phase (quantitative phase) of a sequential explanatory mixed-methods research, which was conducted on 1,834 Iranian couples. The socio-demographic checklist, the Male and Female Fertility Knowledge Inventories (MFKI and FFKI), and the Fertility Desire Scale (FDS) were utilized for data collection. To examine the factors associated with the level of fertility knowledge and desire, an independent t-test or one-way ANOVA was used in bivariate analyses and the general linear model (GLM) was employed in multivariate analyses.</p><p><strong>Results: </strong>According to the GLM, women under 30 years of age, with less than five years of marriage, holding a high school diploma or below, and those who were homemakers had significantly lower fertility knowledge scores compared to women aged 30 or above, with five or more years of marriage, higher education, and employee. Among men, those with a high school diploma or below and those dissatisfied with their marital life also showed significantly lower fertility knowledge scores compared to men with higher education and those satisfied with their marriages. Furthermore, both women and men who married before the age of 30 and those dissatisfied with their marital life had significantly lower fertility desire scores compared to their counterparts who married at or after 30 and reported marital satisfaction. Women and men with less than five years of marriage, women with a high school diploma, men with less than a high school diploma, and those with inadequate or relatively inadequate income showed significantly higher fertility desire scores compared to those with five or more years of marriage, university education, and completely adequate income.</p><p><strong>Conclusions: </strong>The findings of this study showed that the fertility knowledge and desire among Iranian couples were linked to their demographic and social characteristics.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1160"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728289","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":"Correction: Determinants of parental vaccine hesitancy in Canada: results from the 2017 Childhood National Immunization Coverage Survey.","authors":"Ruoke Chen, Mireille Guay, Nicolas L Gilbert, Eve Dubé, Holly O Witteman, Hina Hakim","doi":"10.1186/s12889-024-20862-6","DOIUrl":"10.1186/s12889-024-20862-6","url":null,"abstract":"","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1162"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728360","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":"Trend analyses and comparison of characteristics of current-, former- and never-drinkers among young adults in France from 2000 to 2021.","authors":"Julia de Ternay, Raphaël Andler, Arnaud Gautier, Sébastien de Dinechin, Ricardo Davalos, Benjamin Rolland, Marie Jauffret-Roustide","doi":"10.1186/s12889-025-22405-z","DOIUrl":"10.1186/s12889-025-22405-z","url":null,"abstract":"<p><strong>Background: </strong>An overall decrease in alcohol consumption has recently been observed among a growing segment of the youth population in Western countries. Our study aimed to assess evolving trends in the rates of current-, former- and never- alcohol drinkers among 18-30-year-old French individuals between 2000 and 2021, and to compare their socio-economic characteristics, psychoactive substance use, and health-related parameters.</p><p><strong>Methods: </strong>We used cross-sectional survey data from the 2000, 2005, 2010, 2014, 2017 and 2021 editions of the French Health Barometer, and tested the existence of a linear trend in current-, former- and never-drinking among young adults aged 18 to 30 over time. We compared the characteristics of the three groups by conducting a multivariable logistic regression.</p><p><strong>Results: </strong>In total, 26,622 participants were included in our analyses. We found no significant changes in the trends of current-, former- and never-drinkers from 2000 to 2021. Post-hoc analyses found no significant changes in the trend of at-risk drinkers during the same period. Compared to current-drinkers, former- and never- drinkers were less likely to be male (OR: 0.75 [0.66; 0.85]); OR: 0.48 [0.43; 0.54]), and were more likely to have incomplete high school education (OR: 1.70 [1.47; 1.97]; OR: 1.72 [1.51; 1.96]), to be unemployed (OR: 1.58 [1.33; 1.89]; OR: 1.34 [1.15; 1.56]), to have a low income (OR: 1.88 [1.62; 2.19]; OR: 1.28 [1.13; 1.45]), to have a higher level of physical activity (OR: 2.57 [2.25; 2.95]; OR: 1.38 [1.24; 1.55]), and to practice a religion (OR: 17.16, 95CI [15.08; 19.53]; OR: 5.43 [4.88; 6.05]). Never-drinkers were less likely to have experimented with tobacco and cannabis, as well as other illicit drugs, while former-drinkers were less likely to report current tobacco use or past-year cannabis use.</p><p><strong>Conclusions: </strong>In contrast to other countries, we found no clear trend indicating a shift in the patterns of alcohol use among young adults aged 18-30 in France from 2000 to 2021. Groups of current-, former- and never-drinkers differed in socio-economic, socio-demographic, health-related parameters and substance use characteristics.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1157"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728314","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":"Anemia and its determinants among non-pregnant women of childbearing age at Tsirae Wonberta district, Tigray, Ethiopia, 2020: a community based cross sectional study.","authors":"Zuriyash Tadesse Melkamu, Tedros Bereket, Gebretsadkan Gebremedhin Gebretsadik, Gebretsadik Kiros Lema, Abreham Habtemariam Weldu, Makele Hailu Beyene, Solange Cullen","doi":"10.1186/s12889-025-22413-z","DOIUrl":"10.1186/s12889-025-22413-z","url":null,"abstract":"<p><strong>Background: </strong>Anemia affects nearly one-third of women of reproductive age worldwide, with non-pregnant women being the third most impacted demographic. Despite the increased vulnerability of non-pregnant women of childbearing age, much of the research conducted in Ethiopia has primarily focused on anemia in pregnant women. Therefore, this study aimed to assess the prevalence and contributing factors of anemia among non-pregnant women of childbearing age in the Tsirae Wonbereta District of Tigray, Ethiopia, in 2020.</p><p><strong>Method: </strong>A community-based, cross-sectional study was conducted from September 24, 2020, to October 29, 2020, on a total of 251 non-pregnant women of childbearing age. Data were collected using a semi-structured, pretested questionnaire, and blood samples were collected to measure hemoglobin levels. The collected data was entered into the SPSS version 25 for analysis. Finally, an adjusted odds ratio, with a 95% confidence interval and a p-value of ≤ 0.05, was used to declare statistical significance for the factors associated with anemia.</p><p><strong>Results: </strong>The overall prevalence of anemia among non-pregnant women of childbearing age was 24.3% (95% CI: 19.1-30.1). In terms of severity, 68.9% of anemic cases are classified as mild, while 31.1% are categorized as moderate. Gender of household head (AOR: 2.307; 95% CI: 1.030-5.168), educational status of the women (AOR: 2.318; 95% CI: 1.027-5.229), ownership of poultry (AOR: 0.515; 95% CI: 0.272-0.977), the effect of the COVID-19 pandemic (AOR: 2.397; 95% CI: 1.108-5.184) and weekly consumption of pulse (AOR: 2.040; 95% CI: 1.024-4.065) were significantly associated with anemia in non-pregnant women.</p><p><strong>Conclusion: </strong>The overall prevalence of anemia among non-pregnant women of childbearing age in Tsirae Wonbereta District, Tigray, Ethiopia was 24.3%, indicating anemia as a moderate public health concern. The majority of the anemia cases were of the mild type. Making policies and programs gender-responsive to empower women in agriculture, education, income, and decision-making to improve nutrition is recommended.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1169"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728351","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":"What can be learned from the impact of the COVID-19 crisis on work participation among people with work disabilities? A qualitative practice & policy perspective approach.","authors":"Mara de Visser, Trees Juurlink, Astrid Bosma, Marloes Zijl, Johannes R Anema, Maaike A Huysmans","doi":"10.1186/s12889-025-22300-7","DOIUrl":"10.1186/s12889-025-22300-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies among people with work disabilities (WD) showed that during the COVID-19 pandemic they were at risk for negative outcomes on work participation and health. These studies focused on people's own accounts of their difficulties to work and did not include the policy and practice perspective. The aim of the present study was to explore the policy and practice perspective on what can be learned from the impact of the COVID-19 crisis, and what is needed to enhance work participation among people with WD, in times of crisis and beyond.</p><p><strong>Methods: </strong>We used a multi-stakeholder perspective qualitative approach. Between March 2021 and September 2022, twenty-five semi-structured in-depth online interviews were conducted with occupational health professionals (13), employers (7) and policymakers (5). Participants were asked to share their experiences about employees or job seekers with work disabilities on (re)gaining and maintaining paid employment, barriers and facilitators for work participation during the Covid-19 crisis and what is needed to enhance work participation among people with WD in times of crisis and beyond. Data were analysed using thematic content analysis.</p><p><strong>Results: </strong>The results indicated that, although employers rapidly implemented new working arrangements, people with WD had a vulnerable labour market position during the COVID-19 crisis, especially those with temporary contracts. Job loss and detrimental effects on mental health were identified. Other barriers to work participation included hampered collaboration between stakeholders during lockdowns and fewer job opportunities due to workplace shutdowns. Nevertheless, employers and occupational health professionals noticed that some employees were surprisingly flexible and capable with regard to performing alternative work tasks. We also identified ways to improve work participation for people with WD, including simplifying legislation and establishing sustainable policies on employment, investing in career development, creating an inclusive organizational culture and increasing accessibility to information and support assistance.</p><p><strong>Conclusions: </strong>People with WD had a vulnerable labour market position during the COVID-19 crisis. The introduction of new working arrangements became widespread during the COVID-19 crisis, which had both positive and negative consequences for people with WD. Our results showed that improving work participation for people with WD requires a multifaceted approach, which can be achieved by the practical and policy recommendations offered by this study.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1164"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728363","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":"Stressors during the COVID-19 pandemic in international students: a qualitative study.","authors":"Jingru Ma, Kazuya Saita, Fumiko Kaneko, Hitoshi Okamura","doi":"10.1186/s12889-025-22380-5","DOIUrl":"10.1186/s12889-025-22380-5","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has exacerbated mental health problems worldwide; however, research on the stressors experienced by international students during the COVID-19 pandemic remains limited.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 20 international students (male, 8; female, 12; average age, 31.5 years) at Hiroshima University, Japan. Inductive thematic analysis was performed using NVivo software to identify how international students (1) perceived and experienced stress and (2) describe the specific stressors they faced during the COVID-19 pandemic.</p><p><strong>Results: </strong>The findings revealed that international students experienced multiple stressors during the COVID-19 pandemic, including extrapersonal (e.g., financial pressure), interpersonal (e.g., social commentary and perceived xenophobia against foreigners), and intrapersonal (e.g., fear of infection) stressors.</p><p><strong>Conclusions: </strong>Results revealed that during the COVID-19 pandemic, foreign students experienced stress from various sources. Although this global pandemic has ended, similar public health crises may occur in the future. Examination of the sources of stress faced by international students during the pandemic can help us obtain valuable lessons for responding to future global crises. These findings can provide better policy support, resource allocation, and mental health assistance for the international student community during future crises.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1166"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728312","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 mixed methods study exploring food insecurity and diet quality in households accessing food clubs in England.","authors":"Nida Ziauddeen, Elizabeth Taylor, Nisreen A Alwan, Fran Richards, Barrie Margetts, Tim Lloyd, Marta Disegna, Naomi Mason, Ravita Taheem, Dianna Smith","doi":"10.1186/s12889-025-22353-8","DOIUrl":"10.1186/s12889-025-22353-8","url":null,"abstract":"<p><strong>Background: </strong>Food clubs are a higher-agency food aid intervention that charge a small fee for a set number of items. Some incorporate longer-term solutions such as budgeting support and cooking skills. These are in place in England to help address inadequate reliable access to affordable, nutritious food. We used a convergent parallel mixed methods design to describe the food insecurity households accessing food clubs experience and to assess diet quality and wellbeing at the start and after at least three months of using food clubs in the South of England.</p><p><strong>Methods: </strong>Participants accessing food clubs in Wessex from March 31 to November 3, 2022 were recruited after providing informed consent. They completed a survey at recruitment that collected data on diet and health. Food security was assessed using the modified six-item US Department of Agriculture (USDA) food security survey module, and wellbeing using the short form Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS). Follow-up surveys were conducted after participants used the clubs for at least three months. Participants were invited to take part in a semi-structured interview.</p><p><strong>Results: </strong>Of the 90 participants recruited at baseline, 52% were aged 35-54 years, 74% were female, 81% were of White ethnicity, and 71% reported having at least one dependent child. Food security status was calculated in 69 participants who answered all six questions of the USDA module, with 42% reporting low and 43% very low food security. Among participants with follow-up (n = 52), low food security was 41% and very low food security was 18% at follow-up. Eleven participants were interviewed. Two themes explored impact and experiences of food club. Impact illustrated how participants consumed a more varied diet, experienced less financial pressure, and improved health, wellbeing and social interaction. Experiences of food clubs explored limitations of time and food range at clubs, developing a sense of community and overcoming stigma.</p><p><strong>Conclusion: </strong>This study is the first in the UK to explore potential diet, food security and wellbeing impacts of food clubs. Ongoing impact evaluation will enable optimisation of interventions for the populations they serve, such as inviting other organisations/groups to attend/be available for members.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1156"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728348","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":"How do electronic personal health information technologies enhance obesity prevention behaviors? Examining the roles of obesity risk perception and body weight.","authors":"Jizhou Francis Ye, Yuxiang Sam Song, Yuyuan Lai, Song Harris Ao, Xinshu Zhao","doi":"10.1186/s12889-025-22225-1","DOIUrl":"10.1186/s12889-025-22225-1","url":null,"abstract":"<p><strong>Background: </strong>The global epidemic of overweight and obesity appears alongside numerous diseases. As electronic personal health information (ePHI) technology becomes more prevalent, understanding its relationship with health behaviors and how this relationship may differ across physical groups becomes increasingly relevant.</p><p><strong>Methods: </strong>Using secondary data from the National Cancer Institute's Health Information National Trends Survey (HINTS) 2020, this study examined the relationships between ePHI technology use, obesity preventive behaviors (e.g., physical activity, alcohol consumption, and diet control), and risk perception of obesity, considering body weight as a potential moderator.</p><p><strong>Results: </strong>The patterns between ePHI technology use and obesity preventive behaviors differed across behavior types and body weight groups. Higher ePHI technology use was associated with increased physical activity (b = 5.98, b_p = 0.44, p < .01) and diet control (b = 0.03, b_p = 0.28, OR = 1.11, p < .001), while no significant relationship was observed with alcohol consumption. The relationship between ePHI technology use and risk perception of obesity was weaker among the obese group (b = -0.03, b_p = -0.11, p < .05). The indirect relationship between ePHI technology use and physical activity varied by body weight, showing stronger associations in the underweight group (95% CI [0.03, 2.77]) and weaker associations in the obese group (95% CI [-1.14, -0.04]).</p><p><strong>Conclusion: </strong>The findings suggest more limited relationships between ePHI technology and health behaviors than previously anticipated. Physical activity and dietary regulation showed modest associations with ePHI technology use, while alcohol consumption showed no significant relationship. Overweight and obese individuals did not show a higher risk perception of obesity or greater engagement in preventive behaviors compared to those of healthy weight. These findings highlight the importance of developing a more nuanced understanding of ePHI technology's role in health-related contexts.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1155"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717846","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":"Factors that influence anemia prevalence: a comparative study of datasets from Russia and South Africa.","authors":"Maria A Burilina, Natisha Dukhi, Aleksandra L Mashkova, Ivan V Nevolin, Ronel Sewpaul","doi":"10.1186/s12889-025-22363-6","DOIUrl":"10.1186/s12889-025-22363-6","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of anemia is heterogeneous: different countries and population groups face varying risks of the disease. By identifying social, demographic, and economic factors, policymakers can define risk groups based on lifestyle and tailor measures to address the disease. This study examines and compares socioeconomic factors associated with anemia using data from two national surveys. The Russian survey relied solely on questionnaires, while the South African survey included medical examinations to confirm anemia cases.</p><p><strong>Methods: </strong>Multinomial regression was employed to estimate the risks of anemia using a combination of socioeconomic factors.</p><p><strong>Results: </strong>An inverse relationship was observed between bad habits and the risk of anemia in both samples. Education, income, and regular food consumption were found to be insignificant variables in both samples. However, household property ownership emerged as a significant factor. In South Africa, an inverse relationship with anemia risk was identified for households owning electric/gas ovens (OR = 0.769, 95% CI: 0.613-0.967, p ≤ 0.05) and washing machine (OR = 0.699, 95% CI: 0.564-0.866, p ≤ 0.01. Increased efforts for housekeeping also manifest themselves as increased risk to be anemic if an individual grows vegetables and fruits (OR = 1.333, 95% CI: 1.063-1.671, p ≤ 0.05). In Russia, factors associated with a higher socioeconomic status-such as owning a computer (OR = 0.754, 95% CI: 0.629-0.905, p ≤ 0.01), car (OR = 0.757, 95% CI: 0.610-0.938, p ≤ 0.05), or DVD player (OR = 0.819, 95% CI: 0.684-0.981, p ≤ 0.05) - were linked to a lower risk of anemia. Additionally, the habit of seeking medical help rather than self-medicating was negatively associated with anemia in the Russian sample (OR = 0.774, 95% CI: 0.704-0.850, p ≤ 0.01).</p><p><strong>Conclusions: </strong>The comparison of socio-economic factors influencing the prevalence of anemia between Russian and South African samples has validated self-assessments as a reliable proxy for health status in the context of Russia. This methodological advancement underpins current and future research based on the extensive database of the Russia Longitudinal Monitoring Survey, encompassing approximately 2,500 indicators, to investigate disease prevalence.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":"25 1","pages":"1170"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728287","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}