Journal of public health (Oxford, England)最新文献

Comparative analysis of suicide trends and patterns in northern and southern Tunisia: a five-year autopsy-based study. 突尼斯北部和南部自杀趋势和模式的比较分析：一项基于尸体解剖的五年研究。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-15 DOI: 10.1093/pubmed/fdag075

Youssef Nouma, Hana Harzallah, Moez Hamdani, Imen Mlouki, Mehdi Ben Khelil

{"title":"Comparative analysis of suicide trends and patterns in northern and southern Tunisia: a five-year autopsy-based study.","authors":"Youssef Nouma, Hana Harzallah, Moez Hamdani, Imen Mlouki, Mehdi Ben Khelil","doi":"10.1093/pubmed/fdag075","DOIUrl":"https://doi.org/10.1093/pubmed/fdag075","url":null,"abstract":"Background: While Tunisian suicide rate have risen since the 2011 revolution, data remains sporadic and regionally limited. To date, no comparative studies have examined cross-regional mortality trends. This study aimed to compare patterns and temporal trends between northern and southern regions, and to identify factors associated with the most prevalent method of suicide.Methods: Cross-sectional study conducted over a five-year period (2020-2024). Data were retrospectively collected from the autopsy reports. Variables included demographic characteristics, medical history, as well as circumstances and potential triggers.Results: In total, 258 cases were analysed, with an almost equal distribution between the two regions. Suicide mortality exhibited a significant upward trend, reaching 4.51 per 100,000 in the north and 3.45 in the south. A notable upward pattern was observed in the north (R2 = 97%), whereas the southern region exhibited only a sporadic increase in 2021 (R2 = 2.7%). Mental disorders were the leading reported trigger in the north. Hanging was the predominant method in both regions. Suicides occurring at home were significantly associated with hanging. Substance abuse or mental disorders documented cases were less likely to involve hanging.Conclusion: Reducing suicide mortality requires targeted prevention and improved mental health services tailored to regional and clinical drivers.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198686","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}

引用次数: 0

Finasteride and depression: the high cost of failed regulation. 非那雄胺与抑郁症：监管失败的高成本。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-15 DOI: 10.1093/pubmed/fdag077

Mayer Brezis

引用次数: 0

Enablers, barriers, and paradoxes of successful systems leadership in public health: a qualitative interview study. 公共卫生成功系统领导的促成因素、障碍和悖论：一项定性访谈研究。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-15 DOI: 10.1093/pubmed/fdag072

Adam D M Briggs

{"title":"Enablers, barriers, and paradoxes of successful systems leadership in public health: a qualitative interview study.","authors":"Adam D M Briggs","doi":"10.1093/pubmed/fdag072","DOIUrl":"https://doi.org/10.1093/pubmed/fdag072","url":null,"abstract":"Background: Many challenges facing the public health system have causes and solutions that are complex and contradictory. Overcoming these requires leadership across systems, yet little is known about what factors influence successful public health systems leadership. This study aims to identify key enablers and barriers to public health systems leadership in England.Methods: Semi-structured interviews were conducted with leaders working in the English public health system to identify enablers and barriers to success. Interview data were analysed using an inductive approach based in grounded theory to identify key themes and dimensions.Results: Enablers and barriers to successful systems leadership were constructed under four dimensions: the importance of the individual, the importance of the systems leadership team, overcoming organizational obstructions, and managing system tension and enabling success. Three paradoxes were identified where leaders need to adapt their approach based on the specific context and where success will require the use of enablers from each of the four dimensions. Findings are brought together into a novel conceptual framework to support public health systems leadership.Conclusions: The framework provides a tool to support public health professionals and leadership teams identify their systems leadership strengths and weaknesses, and balance areas of paradox and uncertainty.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198676","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}

引用次数: 0

Secondhand smoke exposure and fetal loss in nonsmoking pregnant women: a meta-analysis. 非吸烟孕妇的二手烟暴露与胎儿损失：一项荟萃分析。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-11 DOI: 10.1093/pubmed/fdag071

Mengqi Chen, Jinghan Wang, Xin Xu, Hong Lv, Yangqian Jiang, Yuan Lin

{"title":"Secondhand smoke exposure and fetal loss in nonsmoking pregnant women: a meta-analysis.","authors":"Mengqi Chen, Jinghan Wang, Xin Xu, Hong Lv, Yangqian Jiang, Yuan Lin","doi":"10.1093/pubmed/fdag071","DOIUrl":"https://doi.org/10.1093/pubmed/fdag071","url":null,"abstract":"Background: Recent meta-analyses have reported inconsistent pooled relative risks of miscarriage associated with secondhand smoke exposure.Methods: We conducted a meta-analysis to examine the relationship between fetal loss and maternal secondhand smoke exposure during pregnancy in nonsmoking women. The outcome measures included spontaneous abortion and stillbirth. We searched PubMed, Web of science, Ovid and Cochrane databases up to May 1, 2026. Statistical analysis was performed using R version 4.3.1. Pooled odds ratios (ORs) with 95% confidence intervals were estimated using random-effect models.Results: Our analysis included 21 studies that assessed the effects of secondhand smoke exposure in nonsmoking pregnant women. Secondhand smoke exposure significantly increased the risk of fetal loss (OR: 1.21 [95% CI: 1.11-1.31]; I2 = 55%; τ2 = 0.007; P_het < 0.01). When stratifying fetal loss into spontaneous abortion and stillbirth, secondhand smoke exposure was associated with increased risks of spontaneous abortion (OR: 1.18 [95% CI: 1.02-1.37]; I2 = 66%; τ2 = 0.010; P_het < 0.01; 10 studies) and stillbirth (OR: 1.27 [95% CI: 1.10-1.46]; I2 = 18%; τ2 = 0.006; P_het = 0.28; 10 studies).Conclusion: This study provided compelling evidence that secondhand smoke exposure during pregnancy increased the risk of fetal loss, emphasizing the need for avoidance.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172302","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}

引用次数: 0

Chekhov's Corner: An Inspector Calls (again), reflections on the public health themes of JB Priestley's play from a 21st century perspective. 契诃夫的角落：检查员的呼唤（再次），从21世纪的角度反思JB普里斯特利戏剧的公共卫生主题。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-09 DOI: 10.1093/pubmed/fdag068

Gethin P Hopkin, Kate Appleton

引用次数: 0

Reducing socio-economic inequalities in bowel cancer screening: a systematic review of intervention strategies amongst deprived communities. 减少大肠癌筛查中的社会经济不平等：贫困社区干预策略的系统回顾。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-10-07 DOI: 10.1093/pubmed/fdag069

Rhian Meaden, Emily Phillpotts, Kevin Turner

{"title":"Reducing socio-economic inequalities in bowel cancer screening: a systematic review of intervention strategies amongst deprived communities.","authors":"Rhian Meaden, Emily Phillpotts, Kevin Turner","doi":"10.1093/pubmed/fdag069","DOIUrl":"https://doi.org/10.1093/pubmed/fdag069","url":null,"abstract":"Background: Uptake of bowel cancer screening in the United Kingdom is sub-optimal and a socio-economic gradient evident. This review aimed to identify and assess the effectiveness of interventions designed to increase screening participation in deprived communities.Methods: A narrative systematic review of UK literature (2000-2025) was conducted using CINAHL Plus, Embase, Medline, PsycINFO, and Scopus. Studies were included if they evaluated interventions specifically targeting bowel cancer screening uptake and explicitly reported on effectiveness amongst populations living in deprived communities/areas.Results: From 5534 articles, nine met the inclusion criteria. Evidence directly focused on deprived communities was limited, and inconsistent quality of evidence precluded strong recommendations for practice. Nonetheless, the available findings suggest that targeted telephone calls, face-to-face consultations, enhanced written communications, and multi-component approaches increase screening uptake in underserved populations.Conclusions: Further research is needed to clarify decision-making processes, identify optimal intervention timing, and understand mechanisms that drive effectiveness in deprived groups. Future interventions should be co-designed with individuals from deprived communities to ensure relevance, acceptability, and potential to reduce socio-economic inequalities in bowel cancer screening participation.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129703","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}

引用次数: 0

Correction to: Ethics of advancing racial health equity in public health. 更正：在公共卫生中促进种族健康平等的伦理。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-09-26 DOI: 10.1093/pubmed/fdag070

引用次数: 0

Navigating dark kitchens in England: environmental health, planning, and public health perspectives. 在英国的黑暗厨房导航：环境健康、规划和公共健康观点。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-09-25 DOI: 10.1093/pubmed/fdag067

Helen J Moore, Callum Bradford, Amelia Lake, Joanna Bielby, Emma Boyland, Heather Brown, Michael Chang, Daniel Clarkson, Jordan Duffy, Scott Lloyd, Laura More, Nick Shaw, Emma Tindall, Tim Townshend, Claire L O'Malley

{"title":"Navigating dark kitchens in England: environmental health, planning, and public health perspectives.","authors":"Helen J Moore, Callum Bradford, Amelia Lake, Joanna Bielby, Emma Boyland, Heather Brown, Michael Chang, Daniel Clarkson, Jordan Duffy, Scott Lloyd, Laura More, Nick Shaw, Emma Tindall, Tim Townshend, Claire L O'Malley","doi":"10.1093/pubmed/fdag067","DOIUrl":"https://doi.org/10.1093/pubmed/fdag067","url":null,"abstract":"Background: Dark kitchens, 'tech-enabled commercial kitchen(s) operating mostly for delivery, to fulfil remote on-demand consumer online orders of food for immediate consumption', are a global phenomenon. As part of a wider project exploring dark kitchens and the fast-moving online food environment, we aimed to identify how professionals working in England as Environmental Health Officers (EHOs) perceive, monitor, and inspect these businesses. We investigated public health concerns and impacts regarding dark kitchens and explored role(s) that Local Authority (LA) teams, local planning regulations, and national policy can play in regulating these businesses across England.Methods: Six semi-structured one-to-one interviews with EHOs and an interactive workshop with five key stakeholders from Local Government roles were held. An inductive, descriptive analysis approach was used within a critical realist framework.Results: Two over-arching themes were generated: 'Informal Awareness of dark kitchens', describing a limited recognition and lack of formal monitoring of dark kitchens; and 'Perceived Concerns and Solutions', highlighting potential hygiene issues, planning ambiguities, and calls for better communication within LAs.Conclusions: This study highlights the need for rapid policy adaptation, improved data sharing, and cross-sector collaboration to address highlighted challenges in this sector.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043038","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}

引用次数: 0

Individualized breast cancer survival prediction in clinical practice: a SEER-derived interactive web tool integrating molecular and anatomical factors. 个体化乳腺癌生存预测在临床实践：seer衍生的交互式网络工具整合分子和解剖因素。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-09-20 DOI: 10.1093/pubmed/fdag066

Mukesh Kumar, Atiqur Sm-Rahman, Atanu Bhattacharjee

{"title":"Individualized breast cancer survival prediction in clinical practice: a SEER-derived interactive web tool integrating molecular and anatomical factors.","authors":"Mukesh Kumar, Atiqur Sm-Rahman, Atanu Bhattacharjee","doi":"10.1093/pubmed/fdag066","DOIUrl":"https://doi.org/10.1093/pubmed/fdag066","url":null,"abstract":"Background: Accurate patient-level risk prediction supports treatment decisions in breast cancer. Using the U.S. Surveillance, Epidemiology, and End Results (SEER) registry, we developed and internally validated an interactive web-based survival calculator integrating molecular and anatomical predictors.Methods: We analysed 1 742 998 women diagnosed with breast cancer in SEER between 2010 and 2020, when human epidermal growth factor receptor 2 (HER2) ascertainment was reliable. Predictors included age at diagnosis, HER2, oestrogen/progesterone receptor (ER/PR) status, and American Joint Committee on Cancer (AJCC) 6th-edition tumour, node, metastasis (TNM) staging. HER2 was recoded to separate equivocal from unknown/untested cases. A multivariable Cox model was fitted and assessed on a held-out 30% sample using discrimination and calibration. Robustness was evaluated using stratified Cox, Royston-Parmar flexible parametric, and restricted mean survival time (RMST) analyses.Results: Discrimination was good (Harrell C-index 0.72; time-dependent area under the time-dependent receiver operating characteristic (ROC) curve 0.76-0.78 at 12-120 months) with close calibration. Older age, distant metastasis, advanced T stage, nodal involvement, and ER/PR-negative status independently increased mortality. HER2-positive disease showed lower risk, whereas equivocal and unknown HER2 had higher risk. Findings remained stable across sensitivity analyses; RMST showed ~ 61 fewer restricted-mean survival months for M1 disease.Conclusion: The tool provides individualized survival probabilities from routine clinical and molecular inputs. It is prognostic, not predictive, and should complement rather than replace clinical judgement alone.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009080","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}

引用次数: 0

Enduring inequalities in cancer care experience across England: a longitudinal analysis of NHS trusts, 2015-23. 在整个英格兰癌症护理经验的持久不平等：NHS信托的纵向分析，2015-23。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2026-09-16 DOI: 10.1093/pubmed/fdag065

Cheuk Him Michael Lam, Thomas Mason, Bruce Hollingsworth

{"title":"Enduring inequalities in cancer care experience across England: a longitudinal analysis of NHS trusts, 2015-23.","authors":"Cheuk Him Michael Lam, Thomas Mason, Bruce Hollingsworth","doi":"10.1093/pubmed/fdag065","DOIUrl":"https://doi.org/10.1093/pubmed/fdag065","url":null,"abstract":"Background: Patient experience is a core indicator of cancer care quality in England, yet substantial variation persists across National Health Service (NHS) trusts. While waiting times and patient demographics are known to influence experience, it remains unclear whether these reflect changes within trusts over time or enduring inequalities betweenthem.Methods: A nine-year panel dataset (2015-23) was constructed by linking Cancer Patient Experience Survey (CPES) scores with Cancer Waiting Times (CWT) metrics and patient demographics for over 140 NHS trusts. Associations were estimated using a hybrid within-between model, decomposing time-varying factors into within-trust and between-trust components. Sensitivity analyses tested alternative specifications.Results: Differences in patient experience were predominantly associated with between-trust variation, which could reflect underlying structural disparities. Within-trust changes over time, including system shocks during COVID-19, had limited influence. Waiting time performance showed modest and inconsistent associations, whereas demographic composition exhibited stronger and more systematic relationships. Trusts serving more disadvantaged populations, particularly with higher proportions of ethnic minorities, reported poorer experience across multiple domains.Conclusions: Variation in cancer patient experience across NHS England largely reflects persistent disparities between trusts rather than short-term operational changes. Efforts to improve patient experience should prioritize addressing underlying population and system-level inequalities.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979091","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}

引用次数: 0