Jinrong Wu, Wenbo Jiang, Ce Ji, Conghui Qiao, Wei Wei, Yupeng Wang
{"title":"The association between healthy lifestyle and multimorbidity of non-communicable chronic diseases trajectory: evidence from a perspective study in UK biobank.","authors":"Jinrong Wu, Wenbo Jiang, Ce Ji, Conghui Qiao, Wei Wei, Yupeng Wang","doi":"10.1093/pubmed/fdaf007","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf007","url":null,"abstract":"<p><strong>Background: </strong>Although a few studies have found that healthy lifestyle is linked to a range of non-communicable chronic diseases (NCDs), its association with the onset, progression, and prognosis of multimorbidity of NCDs (MNCDs) has never been studied.</p><p><strong>Method: </strong>A total of 332 444 adults aged 39-73 years who were free of heart disease, stroke, diabetes, and cancer at baseline were selected. Then we used multi-state model to analyze the associations between healthy lifestyle and transition trajectory were analyzed with results expressed as hazard ratio (HR) and 95% confidence interval.</p><p><strong>Results: </strong>A total of 62 994 participants developed first NCDs (FNCDs). After adjustment for potential confounders, healthy lifestyle was negatively associated with the transition trajectory from baseline to FNCD (HR = 0.38), from FNCDs to MNCDs (HR = 0.30), etc. Further, the transition trajectory from FNCDs to MNCDs became more pronounced among the offspring who aged ˂60 (HRFNCDs → MNCDs = 0.29), who never took medicine(HRFNCDs → MNCDs = 0.25). Besides, possessing all five healthy lifestyle factors could extend the life expectancy of MNCD participants.</p><p><strong>Conclusion: </strong>This study suggests that healthy lifestyle is associated with almost all transition phases of MNCDs development and decreases the mortality risk of MNCDs.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412122","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}
Izza Zaidi, Leonardo Dominguez Gomez, Ashly E Jordan, Lauren Jessell, Alex Harocopos
{"title":"Centering equity through in-person data collection: short report.","authors":"Izza Zaidi, Leonardo Dominguez Gomez, Ashly E Jordan, Lauren Jessell, Alex Harocopos","doi":"10.1093/pubmed/fdaf016","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf016","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, data collection activities largely became tele-remote, excluding those who did not have the required technology or digital literacy.</p><p><strong>Methods: </strong>Between June and September 2020, we collected data in-person from people who use opioids in New York City. Participants were recruited via street intercept and outside four syringe service programs in the city. Surveys were conducted outdoors, with researchers and participants wearing masks and maintaining physical distance.</p><p><strong>Results: </strong>A total of 329 people participated in the survey. Participants reported an average age of 45.8 years, 69.6% identified as male, 32.6% identified as Hispanic/Latino/a and 22.3% identified as Black. Many experienced unstable housing/street homelessness (65.9%) and half did not have regular smartphone access (51.1%).</p><p><strong>Conclusion: </strong>Many participants were struggling to meet their basic needs and did not have the resources to participate in tele-remote research or surveillance. In-person engagement may help researchers build trust, explain data security measures, and decrease technology and comprehension barriers. As data inform policies and programs, researchers must center equity by including under-engaged groups in data collection activities.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384537","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":"Understanding the social burden of multiple sclerosis patients in Georgia: a comprehensive analysis of quality of life and sociodemographic factors.","authors":"Natalia Khutsishvili, Nino Ganugrava, Marina Janelidze, Tamar Vashadze, Marina Kiziria, Marika Megrelishvili, Alexander Tsiskaridze","doi":"10.1093/pubmed/fdaf018","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf018","url":null,"abstract":"<p><strong>Background and objectives: </strong>Multiple sclerosis (MS) is a chronic autoimmune disorder that significantly impacts individuals' quality of life and imposes a substantial social burden on patients and society. Despite its global socioeconomic implications, limited research has focused on the social burden of MS. This study aimed to assess the social burden of MS in Georgia by evaluating the health-related quality of life of MS patients and exploring the correlation between disease burden and quality of life.</p><p><strong>Methodology: </strong>This cross-sectional study was performed to assess the social burden of the disease by evaluating the impact of the disease on the quality of life of 384 patients with MS. The Multiple Sclerosis Quality of Life-54 questionnaire was administered to assess quality of life.</p><p><strong>Results: </strong>The Expanded Disability Status Scale score was significantly negatively correlated with the physical health composite score (r = -0.249, P < .001) and the general quality of life score (r = -0.220, P < .001). The quality of life was highly associated with gender, employment status, living/residence place, and moderately with age.</p><p><strong>Conclusions and implications: </strong>This study revealed the intricate interplay between disability, quality of life, and sociodemographic factors among Georgian MS patients. The results of the study highlight the need for specialized therapies, networks of support, and public health initiatives to lessen the societal cost of MS.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384544","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":"The pre-exposure prophylaxis personal obstacle scale: measurement properties in English, German, and French.","authors":"Alexander Ort, Tess L C Bardy","doi":"10.1093/pubmed/fdaf013","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf013","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to validate the Pre-Exposure Prophylaxis Personal Obstacle Scale (PPOS) across English, German, and French (PPOS-EN/DE/FR) for men who have sex with men (MSM). The PPOS measures perceived barriers related to knowledge and uncertainty surrounding PrEP use, which are particularly important factors in the early stages of the PrEP Care Continuum (PCC).</p><p><strong>Methods: </strong>The original PPOS was adapted and translated into German and French. Data were collected through an online survey in four European countries (N = 1124). Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) assessed the factor structure, while multigroup CFA (MGCFA) tested measurement invariance across language groups and adoption statuses.</p><p><strong>Results: </strong>EFA revealed a two-factor structure: (i) \"Impact of PrEP on personal health\" and (ii) \"Knowledge about PrEP.\" CFA confirmed this structure, and measurement invariance was established across languages and adoption statuses with high reliability (α = 0·82, ω = 0·82).</p><p><strong>Conclusions: </strong>The PPOS-EN/DE/FR is a valid and reliable tool for assessing personal obstacles to PrEP uptake among MSM across different languages. It supports public health efforts by identifying specific challenges to PrEP adoption, facilitating culturally sensitive interventions to improve uptake and reduce HIV transmission.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384540","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}
Shu Kay Ng, Peter Baade, Gary Wittert, Alfred K Lam, Ping Zhang, Saras Henderson, Belinda Goodwin, Joanne F Aitken
{"title":"Sex differences in the impact of multimorbidity on long-term mortality for patients with colorectal cancer: a population registry-based cohort study.","authors":"Shu Kay Ng, Peter Baade, Gary Wittert, Alfred K Lam, Ping Zhang, Saras Henderson, Belinda Goodwin, Joanne F Aitken","doi":"10.1093/pubmed/fdaf012","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf012","url":null,"abstract":"<p><strong>Background: </strong>Women have better survival than men patients with colorectal cancer (CRC), but the extent to which this is due to multimorbidity is unclear.</p><p><strong>Methods: </strong>A population-based study of 1843 patients diagnosed with CRC in Australia. Data included patient's demographics, multimorbidity, tumour histology, cancer stage, and treatment. We estimated the risks of all-cause mortality and cause-specific mortality due to cancer or non-cancer causes.</p><p><strong>Results: </strong>Men had lower survival than women (P ≤ 0.010) amongst those diagnosed at Stages I-III (15-year survival: 56.0% vs 68.0%, 48.5% vs 60.7%, 34.8% vs 47.5%, respectively), excepting Stage IV (14.4% vs 12.6%; P = 0.18). Married men exhibit better survival than those who were never married (P = 0.006). Heart attacks (9.9% vs 4.3%, P < 0.001) and emphysema (4.8% vs 2.1%, P = 0.004) were more prevalent in men than women. Comorbid stroke and high cholesterol (adjusted hazard ratio, AHR = 2.22, 95% confidence interval, CI = 1.17-4.21, P = 0.014) and leukaemia (AHR = 6.36, 95% CI = 3.08-13.1, P < 0.001) increased the risk of cancer death for men only. For women, diabetes increased the risk of all-cause death (AHR = 1.38, 95% CI = 1.02-1.86, P = 0.039) and high blood pressure increased the risk of death due to non-cancer causes (AHR = 2.00, 95% CI = 1.36-2.94, P < 0.001).</p><p><strong>Conclusion: </strong>Separate models of CRC care are needed for men and women with consideration of multimorbidity and social factors.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191648","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}
Joshua Lewis, Lornee Pride, Melanie Hollis, Patrick Griffith
{"title":"Building healthier communities: the role of health educational programs in enhancing health literacy in Prairie View, Texas.","authors":"Joshua Lewis, Lornee Pride, Melanie Hollis, Patrick Griffith","doi":"10.1093/pubmed/fdae317","DOIUrl":"https://doi.org/10.1093/pubmed/fdae317","url":null,"abstract":"<p><strong>Introduction: </strong>Increasing health literacy, the ability to understand and process health information, within underserved communities can improve health outcomes. We hypothesized that educational programs tailored by age group would effectively improve an individual's health literacy in underserved communities. Our study examined the implication of a health-related education program among different age groups in Prairie View, Texas.</p><p><strong>Objectives: </strong>The study aimed to (i) improve health literacy within the Prairie View, Texas community; (ii) encourage healthy lifestyles in study participants; and (iii) provide an educational experience for medical and pre-medical students.</p><p><strong>Methods: </strong>Monthly educational modules were presented for 5 months to three groups (high school students, college students, and older adults). The improvement in health literacy after the study was evaluated based on the average of correct responses on the pre- and post-monthly assessments. We also assessed the change in pre-med and medical students' willingness to work within underserved communities.</p><p><strong>Results: </strong>The average percentage of correct answers increased. By the end of the study, high school students answered 96% of the questions correctly, college students answered 95% correctly, and older adult participants answered 90% correctly. Medical student and pre-med student willingness to practice medicine in underserved communities increased.</p><p><strong>Conclusion: </strong>Programs to increase health literacy within underserved communities can lead to improved medical knowledge competency, positive health outcomes, and informed decision making. Students exposed to the research were more willing to practice medicine in underserved communities.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191590","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}
Claire Nickerson, Suzanne Wright, Lucy Pickering, Lee Adams, Nagamani Mandli, Nick Hex, Cameron Collins, Anne Webb, Jeffery Rayment, Karen Emery-Downing, Rebecca Maclean
{"title":"Quantitative analysis of 'virtual' SSP assessment clinics in the NHS bowel cancer screening programme in England.","authors":"Claire Nickerson, Suzanne Wright, Lucy Pickering, Lee Adams, Nagamani Mandli, Nick Hex, Cameron Collins, Anne Webb, Jeffery Rayment, Karen Emery-Downing, Rebecca Maclean","doi":"10.1093/pubmed/fdaf011","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf011","url":null,"abstract":"<p><strong>Background: </strong>Bowel cancer screening in England is initially carried out using a home testing kit, with those who require further testing first being referred to an assessment clinic. During COVID-19, these assessment clinics became 'virtual' (telephone or video-call) where previously they had only been held face-to-face.</p><p><strong>Methodology: </strong>A before and after study design was constructed to examine the impact of this change in clinic type on key programme metrics.</p><p><strong>Results and conclusions: </strong>The data showed fewer people changed their specialist screening practitioner appointments when the modality was virtual, with the virtual group also having higher clinic uptake and shorter times to first offered and first attended clinics.Despite clinical opinion that not being able to physically see a patient would negatively impact diagnostic test quality, suggesting that incomplete tests would rise, referrals to colonoscopy would fall, and bowel preparation quality would suffer, the data did not support any of these suppositions.Whilst the data indicated that diagnostic test uptake was lower in the virtual group, the presence of COVID-19 is likely to have skewed findings.The IT system is being developed to support virtual clinics, which will aid future data analysis/monitoring and assist staff with clinic management.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070559","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":"Implementing targeted vaccination activities to address inequalities in vaccination: a qualitative study.","authors":"Fay Bradley, Pauline A Nelson, Jo Dumville","doi":"10.1093/pubmed/fdaf006","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf006","url":null,"abstract":"<p><strong>Background: </strong>As the UK COVID-19 vaccination programme progressed, greater emphasis was placed on the implementation of localized targeted vaccination activities to address inequalities in vaccination coverage. This study examines one UK region's approach to the delivery of targeted vaccination activities and identifies key factors influencing implementation.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with a purposive sample of key individuals involved in vaccination delivery across Greater Manchester (GM). A rapid analysis approach was adopted. A template based on the Consolidated Framework for Implementation Research helped to guide analysis.</p><p><strong>Results: </strong>Twenty-seven participants were interviewed, from nine of the 10 GM localities. All areas planned to implement targeted vaccination activity, but size and scope varied. Five factors influencing the implementation of targeted vaccination approaches were identified: (i) integrated working; (ii) data availability and monitoring, (iii) engagement with populations and communities, (iv) resources and infrastructure, and (v) external policies and procedures.</p><p><strong>Conclusion: </strong>The study provides wider lessons for future public health interventions around the need for collaborative working, adequately resourced community engagement, appropriate data, long-term workforce/system planning and coherence in policy and messaging. These findings have led to the generation of six key insights for the implementation of future targeted vaccination programmes.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054513","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":"The politicization of influenza: partisan changes in flu vaccination before and after COVID-19.","authors":"Evan W Sandlin","doi":"10.1093/pubmed/fdaf004","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf004","url":null,"abstract":"<p><strong>Background: </strong>Democrats are more likely to be vaccinated for COVID-19 than Republicans. It is unknown if political polarization surrounding the COVID-19 vaccine has affected flu vaccine uptake. The purpose of this study is to examine the partisan differences in annual flu vaccine uptake before and after the COVID-19 pandemic.</p><p><strong>Methods: </strong>This study uses longitudinal panel survey data from the Understanding America Study (UAS), spanning from 2015 to 2024. Using self-reported flu vaccination and partisanship over time, I estimate the odds ratios of flu vaccination for partisan groups before the COVID-19 pandemic, during the pre-vaccination phase of the COVID-19 pandemic, and after the rollout of the COVID-19 vaccine.</p><p><strong>Results: </strong>In pre-COVID years, the predicted probability of flu vaccination was 0.54 ([0.52,0.56], P < .000) among Republicans and 0.63 ([0.61,0.64], P < .00) among Democrats. After the roll-out of the COVID-19 vaccine, the average flu vaccination probability was 0.44 ([0.43,0.46], P < .00) among Republicans and 0.61 ([0.59,0.62], P < .00) among Democrats.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic increased the partisan gap in annual flu vaccination. Researchers should continue to investigate if the partisan gap in other types of vaccinations has grown post-COVID. Practitioners may need to tailor their flu vaccine messaging to vaccine-hesitant political demographics.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054654","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}
Uyen Thanh Nu Le, Thuan Thien Tran, Giang Truong Le, Ha Khanh Mai Huynh, Han Hy Thi Bui, Phuong Thu Thi Pham, Mai Ngoc Thi Nguyen, Truc Thanh Thai
{"title":"Effectiveness of text message reminder and motivational interview on adherence to methadone treatment in Vietnam: a randomized controlled trial.","authors":"Uyen Thanh Nu Le, Thuan Thien Tran, Giang Truong Le, Ha Khanh Mai Huynh, Han Hy Thi Bui, Phuong Thu Thi Pham, Mai Ngoc Thi Nguyen, Truc Thanh Thai","doi":"10.1093/pubmed/fdaf009","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf009","url":null,"abstract":"<p><strong>Background: </strong>Methadone maintenance treatment (MMT) is effective for treating opioid dependence. However, nonadherence can increase the risk of withdrawal syndrome, relapse, and overdose.</p><p><strong>Methods: </strong>A community-based randomized controlled trial was conducted on 450 opioid-dependent patients undergoing MMT at three clinics in Ho Chi Minh City, Vietnam. Patients were randomly allocated into three groups including control, text message reminder (TMR), and motivational interview (MI). Treatment adherence was assessed every 3 months, including complete adherence, consecutive adherence, and weekend adherence.</p><p><strong>Results: </strong>After 6 months, the MI group had significantly higher complete adherence than the control group (RR = 1.36, 95% CI: 1.09-1.69). The TMR group showed higher complete adherence at 3 months (RR = 1.27, 95% CI: 1.02-1.58) and 6 months (RR = 1.28, 95% CI: 1.06-1.56) compared to the control group. Weekend adherence in the TMR group was higher than the control group after 6 months (RR = 1.19, 95% CI: 1.07-1.31).</p><p><strong>Conclusion: </strong>MI and TMR effectively improved treatment adherence, particularly complete adherence. Therefore, this study suggests the potential of these two methods in enhancing adherence among MMT patients in Vietnam.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054512","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}