{"title":"Quantifying the case for prevention: disease burden and cost-effective interventions in UK.","authors":"Lesley Owen, Matthew Taylor","doi":"10.1093/pubmed/fdag028","DOIUrl":"https://doi.org/10.1093/pubmed/fdag028","url":null,"abstract":"<p><strong>Background: </strong>Modifiable risks-tobacco use, poor diet, alcohol consumption, physical inactivity and mental ill-health-drive substantial disease in UK. NICE evidence on preventive interventions targeting these risks and estimates of eligible populations and disease burden demonstrate the potential for prevention and reducing health inequalities.</p><p><strong>Methods: </strong>Deaths and DALYs from behavioural risks and mental health conditions were estimated using GBOD 2021 data. Prevalence by deprivation quintile came from national surveys. NICE guidelines were reviewed to identify cost effective preventive interventions.</p><p><strong>Results: </strong>In 2021, tobacco and dietary risks caused the highest mortality and disease burden: tobacco nearly 58 000 deaths and 1·4 million DALYs; diet 48 000 deaths and 1.05 million DALYs. Mental health had low mortality (5·7 deaths) but high DALYs (1·45 million), especially in younger people. Alcohol and inactivity had lower death counts and moderate DALY impacts. Most risks were more prevalent in deprived areas. NICE-recommended interventions such as smoking cessation, alcohol brief advice, obesity treatments, and psychological therapies, are relevant to millions, especially high-need groups.</p><p><strong>Conclusion: </strong>(Re-)investing in prevention and equitable strategies could substantially reduce disease burden and address inequalities, with the greatest gains likely to arise from sustained and targeted investment in populations and areas that have been left behind.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Persistent maternal mental health and child's behavioural, academic, and educational outcomes: evidence from national longitudinal study.","authors":"Minnat Seema, Clifford Afoakwah, Joshua Byrnes","doi":"10.1093/pubmed/fdag032","DOIUrl":"https://doi.org/10.1093/pubmed/fdag032","url":null,"abstract":"<p><strong>Background: </strong>Maternal mental health is an important determinant of child development, yet most evidence relies on short exposure windows or single-wave measures. Less is known about how long-run maternal mental health relates to child outcomes when child development data are observed intermittently.</p><p><strong>Methods: </strong>Using nationally representative longitudinal household panel data, we examined associations between maternal mental health and child behavioural outcomes, academic performance, and expectations of future university participation. Child outcomes were observed in three survey waves, while maternal mental health was measured repeatedly over a longer period. Maternal mental health was operationalized as long-run averages of general mental health and psychological distress. Ordinary least squares models were estimated with adjustment for child, maternal, and household characteristics, and standard errors were clustered at the mother level.</p><p><strong>Results: </strong>Higher maternal psychological distress was associated with poorer academic performance and less favourable behavioural and educational outcomes. Associations involving general maternal mental health were attenuated after full adjustment.</p><p><strong>Conclusions: </strong>Persistent maternal psychological distress is associated with poorer child academic outcomes. Although causal inference is not possible, the findings highlight maternal mental wellbeing as an important correlate of child development.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily H Emmott, Grace Bronstone, Viktoria Möslinger-Gehmayr, Leah de Souza-Thomas, Jackie Chin
{"title":"Parental beliefs and practices around child weight in London, England: insights from qualitative photo-elicitation interviews.","authors":"Emily H Emmott, Grace Bronstone, Viktoria Möslinger-Gehmayr, Leah de Souza-Thomas, Jackie Chin","doi":"10.1093/pubmed/fdag031","DOIUrl":"https://doi.org/10.1093/pubmed/fdag031","url":null,"abstract":"<p><strong>Background: </strong>Childhood overweight and obesity remain global public health concerns, yet caregiver engagement with prevention and support services is often limited. Understanding caregiver beliefs and everyday practices may help improve communication and service uptake.</p><p><strong>Methods: </strong>Seventeen parents from diverse backgrounds across London, England, participated in autophotographic photo-elicitation interviews exploring daily routines. Interview data were analysed using interpretive critical discourse analysis to identify norms and beliefs surrounding children's weight and weight-related behaviours.</p><p><strong>Results: </strong>Five discourses were identified: (i) 'Food at the Centre of Weight'; (ii) 'Body Mass Index (BMI) as an Indicator, not a Diagnosis'; (iii) 'Homecooked Food as Nourishment'; (iv) 'Negotiating Challenges for a 'Balanced Diet'; and (v) 'Activity for Enjoyment and Development-not Health'. Parents viewed children's weight as primarily shaped by food and diet, and rejected BMI as a standalone measure of healthy weight. Dietary practices centred on balancing nourishing home cooking with less nourishing foods, while physical activity was valued for its developmental benefits.</p><p><strong>Conclusions: </strong>Caregiver discourse revealed tensions between everyday norms and dominant public health messaging around children's weight. In England, communications may be strengthened by acknowledging the limitations of BMI categories, resisting diet-centric framings, and aligning more closely with caregiver perspectives on food and activity.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seigo Mitsutake, Ai Shibata, Kaori Ishii, Neville Owen, Koichiro Oka
{"title":"The economic costs of excessive sedentary behaviour in Japan.","authors":"Seigo Mitsutake, Ai Shibata, Kaori Ishii, Neville Owen, Koichiro Oka","doi":"10.1093/pubmed/fdag029","DOIUrl":"https://doi.org/10.1093/pubmed/fdag029","url":null,"abstract":"<p><strong>Background: </strong>Estimating the economic costs of excessive sedentary behaviour is essential for bridging the gap between policy development and implementation. We estimated economic costs of chronic diseases associated with excessive sedentary behaviour among Japanese adults.</p><p><strong>Methods: </strong>The prevalence-based and population-attributable fraction approaches were used to estimate the economic costs of excessive sedentary behaviour (≥8 hours of daily sitting) with Japanese national datasets in 2021. Direct healthcare and indirect costs and total costs for seven chronic diseases, such as cardiovascular diseases, associated with excessive sedentary behaviour were estimated.</p><p><strong>Results: </strong>The total costs of chronic diseases due to excessive sedentary behaviour were ~¥282.5 billion (95% CI: ¥258.9-¥306.0 billion). The total direct healthcare costs of chronic diseases due to excessive sedentary behaviour were ~¥238.4 billion (95% CI: ¥215.3 billion-¥261.5 billion) and the indirect costs were ¥44.1 billion (95% CI: ¥24.3 billion-¥61.0 billion). Outpatient direct healthcare costs were highest for diabetes, whereas inpatient direct healthcare costs were highest for dementia.</p><p><strong>Conclusions: </strong>This study highlights the importance of addressing excessive sedentary behaviour, which could contribute to reducing the healthcare costs for highly prevalent chronic diseases and ultimately to a more sustainable healthcare system in Japan.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Covid-19 testing, sick-pay and public health outbreak management of respiratory infections in care homes: three rapid reviews of the literature.","authors":"William Byrd, Nazak Salehi, Catherine Henderson","doi":"10.1093/pubmed/fdag025","DOIUrl":"https://doi.org/10.1093/pubmed/fdag025","url":null,"abstract":"<p><strong>Background: </strong>Credible and costed plans for managing future outbreaks of Covid-19 and other respiratory infections depend on the availability of good quality evidence. Methods: Three rapid reviews (RRs) examined evidence on: Bibliographic database searches for each RR and supplementary grey literature searches of Google for RR1 and RR3.</p><p><strong>Results: </strong>RR1 included 1 study, RR2 none, and RR3, 1 report. RR1: a study of testing undertaken during an outbreak of Covid-19 in one care home. RR3: a report briefly described recommended inputs of one local authority's public health service into managing outbreaks of respiratory infections in settings including care homes.</p><p><strong>Conclusion: </strong>The reviews found little-to-no recent evidence on care home providers' policy and practice on asymptomatic Covid-19 testing, care home sick pay and/or shift backfill, and the incidence of Covid-19 and other respiratory infections, nor on costs of public health teams' outbreak management.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Retraction of: Association between Vitamin D and mortality risk in gout patients.","authors":"","doi":"10.1093/pubmed/fdag027","DOIUrl":"https://doi.org/10.1093/pubmed/fdag027","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Participation in diverse activities at community gathering places and higher-level functional capacity among older adults: JAGES longitudinal study.","authors":"Kaori Yamaguchi, Kazushige Ide, Meiko Yokoyama, Taishi Tsuji, Yuta Mori, Takuto Miyazawa, Katsunori Kondo","doi":"10.1093/pubmed/fdag024","DOIUrl":"https://doi.org/10.1093/pubmed/fdag024","url":null,"abstract":"<p><strong>Background: </strong>Effective strategies must address functional decline among older adults resulting from aging and disease. We investigate the association between the number of different types of activities that older adults engaged in at community gathering places (CGPs) and their subsequent higher-level functional capacity in Japan.</p><p><strong>Methods: </strong>We analyzed longitudinal data from the Japan Gerontological Evaluation Study, collected in 2016 and 2019 (n = 6064). The dependent variable was higher-level functional capacity in 2019. The primary exposures included participation in CGPs and the number of activity types in which participants engaged at those places in 2016. Adjusted linear regression models were performed.</p><p><strong>Results: </strong>Engaging in multiple types of activities at CGPs showed a positive association with higher-level functional capacity at follow-up. Stratified analyses indicated that, among participants without baseline limitations, engaging in three or more types of activities correlated with significantly better functional outcomes. Among those with baseline limitations, participating in two types of activities was significantly linked to better higher-level functional capacity.</p><p><strong>Conclusions: </strong>Engaging in a greater variety of activities at CGPs was associated with improved subsequent higher-level functional capacity. These findings highlight the potential for municipal governments to enhance healthy aging by supporting diverse activity offerings at CGPs.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karl Charlton, Jon Rees, Matthew Limmer, Michelle Jackson, Emma Burrow, Sarah Hepburn, Gary Shaw
{"title":"An evaluation of National Health Service health checks delivered by paramedics in the community.","authors":"Karl Charlton, Jon Rees, Matthew Limmer, Michelle Jackson, Emma Burrow, Sarah Hepburn, Gary Shaw","doi":"10.1093/pubmed/fdag026","DOIUrl":"https://doi.org/10.1093/pubmed/fdag026","url":null,"abstract":"<p><strong>Background: </strong>As community-based healthcare providers, NHS ambulance services may be able to offer easily accessible National Health Service Health Checks (NHSHCs). There is no previous evidence to indicate if this is feasible or if this approach can identify cases of cardiovascular disease (CVD) risk factors. We report a service evaluation of an ambulance service delivered NHSHC in North East England.</p><p><strong>Methods: </strong>Mixed methods including data from an NHSHC delivered by paramedics and short telephone interviews with participants failing to follow referral advice.</p><p><strong>Results: </strong>There were 462 NHSHCs delivered. Most participants were female, 42.2% were in the top two deciles regarding absolute deprivation and 388 had at least one CVD risk factor. There were 29 new prescriptions issued for cardiovascular medications and 13 patients required medicines optimization. Of the 62 tobacco smokers, 21 accepted a smoking cessation referral and 4 achieved a 28-day quit. Reasons preventing participants seeking further support were poor health literacy, the complexities of life and difficulties obtaining a GP appointment.</p><p><strong>Conclusion: </strong>A place-based NHSHC delivered by the ambulance service is feasible, appears acceptable to patients, and can identify new cases of CVD risk, but some individuals require additional help to engage in effective CVD risk management.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Schoolboys' experiences of information and communication regarding the human papillomavirus vaccination.","authors":"Eva Runngren, Mats Eriksson, Karin Blomberg","doi":"10.1093/pubmed/fdag023","DOIUrl":"https://doi.org/10.1093/pubmed/fdag023","url":null,"abstract":"<p><strong>Background: </strong>To maintain sufficient vaccination rates for human papillomavirus (HPV), it is important to understand the experiences of the target group. Boys were included in the Swedish National Immunization program for HPV more recently, in 2020, than girls, so boys' experiences of the program are relatively underexplored. This study therefore aimed to explore schoolboys' experiences of information and communication regarding HPV vaccination.</p><p><strong>Methods: </strong>The study had a qualitative explorative design. Individual semi-structured interviews were conducted with 11-year-old schoolboys (n = 13) and analysed using interpretive description.</p><p><strong>Results: </strong>Three themes were identified: information and communication about HPV vaccination in school, schoolboys' knowledge about HPV and the vaccination, and lack of family involvement in the HPV vaccination.</p><p><strong>Conclusion: </strong>Boys lacked knowledge about HPV vaccination, and parents only partly involved the boys in the vaccination process. There is a need for school nurses to be given clear guidelines for informing boys and parents about HPV, and for the teachers to be provided with health education regarding HPV vaccination.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pablo Fernández-León, Marta Lima-Serrano, José Manuel Martínez-Montilla
{"title":"Usability evaluation of Alerta Alcohol 2.0: an eHealth game to prevent adolescent alcohol consumption.","authors":"Pablo Fernández-León, Marta Lima-Serrano, José Manuel Martínez-Montilla","doi":"10.1093/pubmed/fdag022","DOIUrl":"https://doi.org/10.1093/pubmed/fdag022","url":null,"abstract":"<p><strong>Background: </strong>Perceived usability is a key determinant of eHealth intervention uptake. This study evaluated the usability of Alerta Alcohol 2.0, an animation-based, computer-tailored game designed to prevent alcohol use and binge drinking among adolescents.</p><p><strong>Methods: </strong>A cross-sectional mixed-methods approach was employed, combining a self-report questionnaire and cognitive debriefing using the think-aloud protocol.</p><p><strong>Results: </strong>Thirty-five participants (mean age = 16.57 years; 71.4% female) completed the five-session program. Results showed that older adolescents were more likely to recommend the intervention and perceived its length as more appropriate. Adolescents engaging in binge drinking responded more positively to the design and videos, found the difficulty level more suitable, and required less assistance. Participants with a positive general evaluation of the program scored higher on most of the 21 usability items than those with a negative evaluation. Key areas for improvement, such as repetitive questions, technical glitches, and text readability, were identified and addressed.</p><p><strong>Conclusions: </strong>This study highlights the value of a systematic feasibility process, rooted in evidence and informed by adolescents' perspectives, to enhance program usability. Findings provide initial support for the usability of Alerta Alcohol 2.0 and inform future development of computer-tailored interventions targeting adolescent health behaviors.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}