Journal of preventive medicine and hygiene最新文献

{"title":"Atti del Convegno: La Sanità ai Giochi Olimpici e Paralimpici Milano-Cortina 2026: Cortina d’Ampezzo (BL), 23 aprile 2026 Azienda ULSS 1 Dolomiti.","authors":"","doi":"10.82082/2421-4248/jpmh2026.67.1s2","DOIUrl":"https://doi.org/10.82082/2421-4248/jpmh2026.67.1s2","url":null,"abstract":"","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1 Suppl 2","pages":"E1-E30"},"PeriodicalIF":0.0,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategic health policy priorities for health technology assessment development in Iran.","authors":"Masoud Behzadifar, Samad Azari, Ahad Bakhtiari, Saeed Shahabi, Mariano Martini, Meysam Behzadifar","doi":"10.82082/2421-4248/jpmh2026.67.1.3882","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3882","url":null,"abstract":"<p><strong>Background: </strong>Health Technology Assessment (HTA) is a key policy instrument for improving the efficiency, equity, and transparency of healthcare resource allocation, particularly in low- and middle-income countries such as Iran. Despite its recognized importance, HTA development in Iran has been hindered by institutional fragmentation, limited capacity, and insufficient financial and data infrastructure. This study aimed to identify and prioritize strategic policy actions for HTA development in Iran using a Multi-Criteria Decision Analysis (MCDA) approach.</p><p><strong>Methods: </strong>A multi-stage, mixed-methods design was employed, including a systematic literature review, 25 semi-structured expert interviews, and pilot testing. Findings from the systematic review and interviews informed the development of a comprehensive checklist of potential HTA development strategies. The checklist was validated through expert panel review and pilot-tested for reliability and usability. Eight evaluation criteria, such as feasibility, alignment with national priorities, equity, cost-effectiveness, and stakeholder acceptance, were applied within an MCDA framework to prioritize the identified strategies. Weighted scores were calculated and normalized to generate a ranked list of priorities. In addition, a structured expert consensus process was used to ensure that no essential criterion was excluded and that all selected criteria reflected both global evidence and local contextual needs.</p><p><strong>Results: </strong>Fifteen strategies were identified and evaluated. Establishing a centralized national HTA body ranked as the top priority (weighted score: 82.25), followed by strengthening HTA workforce capacity (79.75) and securing sustainable funding (78.25). Additional high-priority strategies included promoting public awareness of HTA, integrating HTA into national policy processes, and developing robust data infrastructure. Moderate-priority strategies involved enhancing stakeholder collaboration, strengthening research and innovation, and expanding international partnerships.Lower-priority but still important strategies included enhancing transparency, creating context-specific evaluation metrics, involving NGOs, and promoting equitable access to health technologies. Sensitivity analyses with different weighting scenarios showed consistent top-ranked strategies. This confirmed the robustness and reliability of the MCDA model.</p><p><strong>Conclusion: </strong>The study proposes an evidence-informed roadmap for HTA development in Iran. It highlights key priorities, including a centralized authority, capacity building, and dedicated funding. These steps can support the institutionalization of HTA and its use in policy decisions. Although focused on Iran, the findings are applicable to other resource-limited settings. The MCDA approach offers a transparent method for priority-setting in HTA systems.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E96-E110"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Benefit Analysis of Increasing the Exclusive Breastfeeding Rate in Italy.","authors":"Enrico Urpis, Carmen Tereanu","doi":"10.82082/2421-4248/jpmh2026.67.1.3466","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3466","url":null,"abstract":"<p><strong>Introduction: </strong>Exclusive breastfeeding (EBF) is widely regarded as the optimal method for feeding newborns. While existing literature primarily emphasizes the medical benefits, such as enhanced disease resistance and improved health indicators, this paper proposes a conservative cost-saving exercise of exclusive breastfeeding during the first five months of an infant's life.</p><p><strong>Methods: </strong>Based on the EBF rates in Italy for 2019, the last year with data unaffected by the COVID-19 pandemic, we carried-out a conservative cost-saving exercise considering otitis media, gastroenteritis, and respiratory diseases, applying the methodology proposed by Weimer et al. (2001) and Coco (2007). Cost of hospitalization in case of complications or infant death were not included in the analysis.</p><p><strong>Results: </strong>The total savings considering all three simulations combined under different EBF rate scenarios range from a minimum of € 10,5 million (EBF rate of 40%) to a maximum of € 33.7 million (EBF rate of 71%). Moreover, these estimated savings increase when the cost of formula milk is included.</p><p><strong>Conclusion: </strong>Estimates provided in this work are very conservative. Nonetheless, they pointed out important savings due to increasing EBF rates. Policies such as the Baby-Friendly Hospital and the Baby-Friendly Community Initiatives promoted by United Nations International Children's' Emergency Fund and the World Health Organization are valuable tools to improve EBF and we highly recommend their adoption more widely in Italy.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E58-E64"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Knowledge, Attitudes, and Practices of Adults Aged 21-62 Regarding Antibiotic Use for Treatment of Upper Respiratory Tract Infections in Children: A multi-country Cross-Sectional Study.","authors":"Mohamed K Al-Haggagi, Elaf M Mohamed, Amany R Katamesh, Arwa Nasr, Marina Sartini, Rana M Gharib, Menna A Alhindawy, Amira A Fayed, Eman M El Nehrawy, Noha B Mostafa, Sara R Elsonbaty, Sameh Sarsik","doi":"10.82082/2421-4248/jpmh2026.67.1.3813","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3813","url":null,"abstract":"<p><strong>Objectives: </strong>Antibiotic resistance is a growing global concern, often driven by inappropriate antibiotic use for viral upper respiratory tract infections (URTIs) in children. This study assessed parental knowledge, attitudes, and practices (KAP) toward antibiotic use and identified influencing factors.</p><p><strong>Study design: </strong>Multi-country, cross-sectional, web-based study.</p><p><strong>Methods: </strong>From July 2023 to June 2024, adults aged 21-62 years from 9 Arab countries completed a validated online questionnaire. Data were analyzed using descriptive statistics and logistic regression.</p><p><strong>Results: </strong>Of 2,172 participants from 9 Arab-speaking countries, most were highly educated with healthcare backgrounds. While physicians were the main information source, misconceptions persisted-especially regarding antibiotic use for fever and earaches. Higher income and medical training were protective factors. Self-medication was common despite good knowledge.</p><p><strong>Conclusion: </strong>Parental misconceptions regarding antibiotics in pediatric URTIs remain prevalent. Educational interventions and regulatory strategies are essential to improve antibiotic stewardship in Arab countries..</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E65-E78"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fulminant Pertussis in infancy: The Critical Role of Clinical Acumen and Therapeutic Strategies - A case report.","authors":"Ofure Ogbidi, Chikodi Felicitas Anarado, Adaeze Chikaodinaka Ayuk","doi":"10.82082/2421-4248/jpmh2026.67.1.3612","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3612","url":null,"abstract":"<p><strong>Background: </strong>Pertussis, also known as whooping cough, remains a significant cause of morbidity and mortality in early childhood, particularly in low- and middle-income countries (LMICs) with delayed vaccination schedules. Despite global immunization efforts, pertussis has re-emerged, presenting diagnostic and management challenges. Early recognition requires clinical acumen, as atypical presentations-especially fulminant cases-can mimic other respiratory conditions.</p><p><strong>Case report: </strong>This case report highlights a 9-week-old female infant with severe paroxysmal coughing and progressive respiratory distress, initially mismanaged due to delayed clinical suspicion and missed vaccination. Following appropriate antibiotic therapy and supportive measures, dramatic symptom resolution was observed. This case underscores the critical need for heightened awareness, rapid intervention, and strategic therapeutic approaches, particularly in vulnerable infant populations at risk for severe pertussis complications.</p><p><strong>Conclusion: </strong>Persistent coughing, although a frequent clinical presentation in paediatric patients, requires an intuitive history and thorough evaluation to determine underlying etiologies. Accurate diagnosis of pertussis is essential for timely intervention, and prompt vaccination remains the most effective preventive measure.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E9-E11"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Compliance with Hand Hygiene Practices in Healthcare Settings in Benin: a Cross-Sectional Study.","authors":"Arielle Kounou, Boris Lègba, Kafayath Fabiyi, Kevin Sintondji, Hornel Koudokpon, Anges Yadouléton, Lamine Baba-Moussa, Victorien Dougnon","doi":"10.82082/2421-4248/jpmh2026.67.1.3875","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3875","url":null,"abstract":"<p><strong>Introduction: </strong>Hand hygiene is a cornerstone of preventing healthcare-associated infections, particularly in maternity and neonatology. This study evaluated the knowledge, attitudes, and practices of Benin healthcare professionals regarding hygiene deficiencies that contribute to maternal and neonatal infections via a data collection survey.</p><p><strong>Methods: </strong>Hand hygiene knowledge was evaluated among healthcare professionals from six healthcare centers between August and September, 2023, using the WHO Hand Hygiene Self-Assessment Framework (HHSAF). Hand hygiene compliance was assessed by observing 30 trained IPC professionals across the hospitals during the five WHO moments.</p><p><strong>Results: </strong>A total of 159 health care professionals were included in the study. Most healthcare workers demonstrated good awareness of the appropriate moments for hand hygiene, with a minimum knowledge rate of 65%. Hand hygiene compliance rates exceeded 50% across the surveyed facilities. Compliance rates varied notably by profession, with doctors showing the highest adherence, particularly in hand hygiene before patient contact (100%), followed by nurses (92.30%). Male professionals generally adhered to hand hygiene practices more than their female counterparts, with the highest male compliance at CHUD B/A (100%) and the lowest at HZ-Tanguieta (35%). However, no statistically significant differences in hand hygiene or glove-wearing compliance were observed across gender, department, or professional qualification (p > 0.05).</p><p><strong>Conclusions: </strong>These findings provide valuable insights into current hygiene practices among healthcare professionals, highlighting areas requiring improvement to effectively reduce maternal and neonatal infections. The results will inform targeted training programs to enhance compliance and ultimately improve health outcomes for mothers and newborns.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E23-E36"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Preventive Healthcare Among College Students: A Mini-Review of the Literature.","authors":"Courtney Hemphill","doi":"10.82082/2421-4248/jpmh2026.67.1.3824","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3824","url":null,"abstract":"<p><p>Preventive healthcare is vital for promoting the long-term health of individuals. College students often underutilize such services associated with preventive healthcare in spite of increased autonomy and health risks that can emerge during early adulthood. This demographic of students represents a transitional population with increasing independence and unique health needs. Despite this, they exhibit persistently low engagement in preventive health services. This literature review synthesizes evidence on barriers to preventive care access and utilization among college students in the United States and similar high-income settings. Common barriers include lack of knowledge, perceived invulnerability, healthcare avoidance behaviors, cost and insurance gaps, confidentiality concerns, and systemic access issues. Understanding these multi-faceted barriers is essential to designing targeted interventions at individual, institutional, and policy levels that improve preventive care engagement and long-term health outcomes among these emerging adults.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E54-E57"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equity in the allocation of hospital beds in Iran: a systematic review and meta-analysis.","authors":"Mohammad Keshvari, Mehdi Jafari, Hamid Ravaghi","doi":"10.82082/2421-4248/jpmh2026.67.1.3785","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3785","url":null,"abstract":"<p><strong>Background: </strong>Equitable access to healthcare is a fundamental human right. As capital intensive infrastructures, hospitals consume 40-50% of health expenditure in low and middle-income countries. However, inequities in the allocation of hospital beds compromise efficiency, accessibility and outcomes. This study aimed to systematically review and meta-analyze the available evidence on the allocation of hospital beds in Iran and to quantify the inequality with established indices.</p><p><strong>Methods: </strong>A systematic review has been done in accordance with the principles of PRISMA, and the search process was conducted in international (PubMed, Scopus, Web of Science, EMBASE, CINAHL, DOAJ, MEDLine) and Iranian (SID, BKNS, Magiran) databases, and studies published from 2000 to 2025 in English and Persian language. Eligible studies reported quantitative measures of the allocation of hospital beds using inequality indices. Study quality was evaluated by using the Joanna Briggs Institute checklist. Meta-analysis was conducted using random effects and quality effects models, with heterogeneity being tested by Cochran's Q, I2, and H2.</p><p><strong>Results: </strong>Thirty studies were eligible for inclusion (16 English, 14 Persian). Eight studies contributed 18 effect sizes for meta-analysis. The pooled Gini coefficient was 0.24 (95% CI: 0.20-0.28), and this indicates relative equity across the country, though heterogeneity was very high (I2 = 96.3%). Quality-effects modelling produced a very similar, higher estimate 0.26 (95% CI: 0.21-0.30). At the provincial level, Gini values were found to be between 0.229 (South Khorasan) and > 0.50 (Sistan and Baluchestan, Bushehr), showing the existence of important regional differences. City level inequalities were greater where values of 0.46 and 0.68-0.70 were found in Tehran and Shiraz, respectively, compared to those in Shanghai and Shenyang.</p><p><strong>Conclusion: </strong>While there is national equity in the allocation of hospital beds in Iran there are significant sub-national (provincial and urban) inequities. Addressing these requires equity-focused planning, monitoring and prioritization of disadvantaged regions.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E111-E120"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between the condition of living alone and the presence of depressive symptoms in adults in Peru: an analysis of nationally representative survey data.","authors":"Paola Maria Cordero-Neyra, Andrea Maria Casanave-Zevallos, Akram Hernández-Vásquez, Diego Azañedo","doi":"10.82082/2421-4248/jpmh2026.67.1.3722","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3722","url":null,"abstract":"<p><strong>Introduction: </strong>Depression is a major public health problem that affects quality of life, social functioning, and overall well-being. Among the social factors potentially related to depressive symptoms, living alone has gained increasing attention, although findings have been inconsistent across settings. In Peru, where household composition and social support dynamics may differ from those reported in other contexts, evidence on this association remains limited. Therefore, this study aimed to determine the association between living alone and depressive symptoms in Peruvian adults.</p><p><strong>Methods: </strong>This observational, cross-sectional, and analytical study used secondary data from the 2022 Demographic and Family Health Survey (ENDES), conducted in 30,087 Peruvian adults aged 18 years old and older. The dependent variable was the presence of moderate to severe depressive symptoms (yes/no), measured by the Patient Health Questionnaire-9 (PHQ-9), while the independent variable was living alone (yes/no). Generalized linear models of the Poisson family and log link function, were used to estimate crude and adjusted prevalence ratios (PRs). The analyses were performed in Stata v18.0 with a significant level of 5%.</p><p><strong>Results: </strong>Moderate to severe depressive symptoms was identified in 7.9% of participants, while 7.5% lived in single-person households. In the crude analysis, living alone were associated with a higher probability of presenting depressive symptoms (PR: 1.60; 95% CI: 1.33-1.92; p < 0.001). However, after adjusting for confounding variables, the association ceased to be significant (aPR: 1.01; 95% CI: 0.82-1.24; p = 0.928).</p><p><strong>Conclusion: </strong>Unlike studies where living alone is associated with a higher prevalence of depressive symptoms, in the Peruvian context, no statistically significant association was observed in the adjusted analysis. This finding suggests that other social and cultural determinants may be associated with depressive symptoms among adults living alone in Peru. Understanding these differences is key to the design of mental health prevention and intervention strategies adapted to the specific characteristics of the population.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E79-E86"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge Level, Attitudes and Practice Towards Mpox, and Willingness to Receive the Mpox Vaccine Among Family Physicians Working in Family Health Centers in Ankara Province.","authors":"Arzu Mirza, Ekrem Başara, Hasan Gül","doi":"10.82082/2421-4248/jpmh2026.67.1.3857","DOIUrl":"10.82082/2421-4248/jpmh2026.67.1.3857","url":null,"abstract":"<p><strong>Introduction: </strong>The increase in cases following the global mpox outbreak that began in May 2022 has highlighted the importance of early diagnosis, rapid response, and preventive measures in controlling the spread of the disease. The aim of our study was to determine the knowledge level, attitudes, and behaviors regarding mpox and the mpox vaccine among family physicians working at Family Health Centers in Ankara province.</p><p><strong>Materials and methods: </strong>This study is cross-sectional. The research was conducted between April 15, 2025, and July 15, 2025, using an online survey distributed via social media groups among primary care family physicians of the Ankara Provincial Health Directorate Public Health Services Department. The survey form consisted of a total of 49 questions: sociodemographic characteristics (14 questions), knowledge level regarding mpox (18 questions), attitude towards mpox (5 questions), willingness to use the mpox vaccine (5 questions), and Generalized Anxiety Disorder Scale (7 questions).</p><p><strong>Results: </strong>A total 313 out of 1,741 family physicians participated in our study survey. The median age of family physicians was 36 (IQR: 30-47), 53.7% were female. Only 21.1% of family physicians had a good knowledge score about mpox. A statistically significant assocciation was found between a good knowledge score about mpox and having previously heard of mpox and using research articles as a source of information about mpox (p = 0.004, p = 0.036).</p><p><strong>Conlusion: </strong>Family physicians working at Family Health Centers in Ankara province had a low level of knowledge and low positive attitude towards mpox, and their rate of considering the smallpox vaccination for protection against mpox was a low. Therefore, it is recommended that awareness-raising and training programs be implemented for family physicians working in primary care regarding mpox.</p>","PeriodicalId":94106,"journal":{"name":"Journal of preventive medicine and hygiene","volume":"67 1","pages":"E12-E22"},"PeriodicalIF":0.0,"publicationDate":"2026-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13361141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}