{"title":"Recurring red flags: a retrospective study of MBRRACE-UK Perinatal Mortality Surveillance (2015-21) to identify maternity services most consistently reporting higher-than-average deaths.","authors":"P McDonagh Hull, T Boulton, B Lashewicz","doi":"10.1093/pubmed/fdaf019","DOIUrl":"10.1093/pubmed/fdaf019","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to identify hospital trusts in England most consistently reporting higher-than-average rates of extended perinatal mortality (EPM), including stillbirths and neonatal deaths.</p><p><strong>Methods: </strong>We conducted a retrospective study of MBRRACE-UK Perinatal Mortality Surveillance Reports (2015-21) comparing EPM rates for births occurring in 124 hospital trusts in England between 2013 and 2019. Utilizing MBRRACE-UK definitions and designations, including coloured bands (red and amber indicate higher death rates), we devised a scoring method to determine which trusts most consistently reported higher-than-average rates of EPM throughout seven years.</p><p><strong>Results: </strong>We identified 23 (18.5% of 124) 'red flag' trusts most consistently falling into MBRRACE-UK red and amber bands. They included Shrewsbury and Telford Hospitals NHS Trust (SaTH) and East Kent Hospitals University Trust, both under investigation during the parliamentary Health and Social Care Committee's inquiry into the safety of maternity services in England. Seven trusts, including SaTH, reported higher-than-average deaths in all seven years. Indications of regional patterns were evident.</p><p><strong>Conclusions: </strong>By examining maternity services mortality data over an extended period, patterns of clinical significance may emerge. We found evidence of a minority of trusts in England consistently reporting higher-than-average rates of EPM. These red flags may warrant further attention.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"511-520"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395957/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461223","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":"Can AI revolutionize workplace safety without compromising ethical standards and regulatory oversight?","authors":"Jose Eric M Lacsa","doi":"10.1093/pubmed/fdae195","DOIUrl":"10.1093/pubmed/fdae195","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e436"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914955","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":"Strengths and weaknesses in Scottish policies for childhood physical activity and nutrition: insights from the 2021 active healthy kids report card.","authors":"Jose Eric M Lacsa","doi":"10.1093/pubmed/fdae232","DOIUrl":"10.1093/pubmed/fdae232","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e451-e452"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116607","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}
Anna Ayu Herawati, Syamsu Yusuf Ln, Ilfiandra, Ahmad Syaf Ya Habibi, Rizky Andana Pohan
{"title":"Narrative counseling as an approach to addressing mental health impacts of intimate partner violence in marriage.","authors":"Anna Ayu Herawati, Syamsu Yusuf Ln, Ilfiandra, Ahmad Syaf Ya Habibi, Rizky Andana Pohan","doi":"10.1093/pubmed/fdae272","DOIUrl":"10.1093/pubmed/fdae272","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e494-e495"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376427","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":"Framing effective vaccination slogans to overcome hesitancy.","authors":"John Patrick C Toledo","doi":"10.1093/pubmed/fdae268","DOIUrl":"10.1093/pubmed/fdae268","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e489"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368066","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}
Woorim Kim, Jina Han, Soon Young Lee, Yeong Jun Ju
{"title":"The association between residing in regions with population decline and receiving management education or treatment in patients with hypertension.","authors":"Woorim Kim, Jina Han, Soon Young Lee, Yeong Jun Ju","doi":"10.1093/pubmed/fdae316","DOIUrl":"10.1093/pubmed/fdae316","url":null,"abstract":"<p><strong>Background: </strong>Many districts in rural areas of Korea are facing population decline due to the aging population phenomenon. This study examined the associations of rural residency with the likelihood of receiving hypertension management education and nonpharmacological and pharmacological treatment.</p><p><strong>Methods: </strong>Data from the 2022 Korea Community Health Survey were used to identify individuals aged 19 years or above diagnosed with hypertension. Rural residency was defined based on the population decline index, which categorizes districts into those with, at risk of, or without population decline. The association between rurality and the likelihood of receiving hypertension management education, with nonpharmacological treatment, and with pharmacological treatment were analyzed using multilevel logistic regression.</p><p><strong>Results: </strong>Of the 68 183 individuals diagnosed with hypertension, 13 246 (19.4%) received hypertension management education, 17 488 (25.6%) received nonpharmacological treatment, and 65 418 (95.9%) received pharmacological treatment. Individuals residing in areas with population decline were less likely to receive hypertension management education [odds ratio (OR), 0.74; 95% confidence interval (CI), 0.59-0.94] and nonpharmacological treatment (OR, 0.54; 95% CI, 0.42-0.69), but more likely to receive pharmacological treatment (OR, 1.39; 95% CI, 1.17-1.64).</p><p><strong>Conclusions: </strong>The findings highlight the importance of providing adequate hypertension management education and nonpharmacological treatment to patients residing in rural areas.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":"47 3","pages":"e329-e343"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144918952","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 toll of exclusion from work or preschool due to toxin-producing Escherichia coli positivity in Dublin and South East Ireland, 2022/2023.","authors":"Lili Peterson, Colette O'Hare, Bernadette O'Connor, Niall Conroy","doi":"10.1093/pubmed/fdaf068","DOIUrl":"10.1093/pubmed/fdaf068","url":null,"abstract":"<p><strong>Background: </strong>Ireland has one of the highest rates of Shiga toxin-producing Escherichia coli (STEC) infections in Europe. As part of the public health response, those from high-risk groups must be excluded from work or pre-school until microbiological clearance is achieved.</p><p><strong>Methods: </strong>This study analysed STEC cases from Dublin and the South-East public health region in Ireland in 2022 and 2023, focusing on the duration of exclusion of patients in high-risk groups.</p><p><strong>Results: </strong>There were 383 STEC cases notified during the study period. Ninety-seven (25.3%) were excluded from work or pre-school, 76 had a definitive, quantifiable duration of exclusion. Overall, the patients in this study were collectively excluded for 2532 days (6.9 person-years) over a 2-year period.</p><p><strong>Conclusions: </strong>Exclusions cause significant stress to individuals and families. This demonstrates the potential need to risk-stratify STEC notifications for clearance, as in other European countries. Another approach might involve administering antibiotics, believed to shorten the duration of shedding. Despite concerns around an association with an increased risk of Haemolytic Uraemic Syndrome with antibiotic use, recent data in asymptomatic shedders have been reassuring in this regard. This study illustrates the magnitude of lost time while awaiting clearance. The public health management of STEC infection needs to evolve, to take account of an evolving evidence base.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"423-427"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532078","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}
Naomi Schwartz, Stephen Hunter, Samantha M Forbes, Dionne Gesink, Erin Hobin, Laura N Anderson, Steven Rebellato, Roman Pabayo, Brendan T Smith
{"title":"The COVID-19 pandemic's impact on sexually transmitted infections and the modifying role of public health funding: an interrupted time series study.","authors":"Naomi Schwartz, Stephen Hunter, Samantha M Forbes, Dionne Gesink, Erin Hobin, Laura N Anderson, Steven Rebellato, Roman Pabayo, Brendan T Smith","doi":"10.1093/pubmed/fdaf053","DOIUrl":"10.1093/pubmed/fdaf053","url":null,"abstract":"<p><strong>Background: </strong>This study investigated whether the COVID-19 pandemic was associated with changes in sexually transmitted infection (STI) incidence and trajectories in Ontario, Canada and the modifying role of public health funding for infectious and communicable diseases (ICD).</p><p><strong>Methods: </strong>A repeated cross-sectional study was conducted using population-level age and sex standardized incidence of chlamydia, gonorrhea, and infectious syphilis by public health unit (PHU) in Ontario from January 2015-October 2022. A negative binomial regression interrupted time series analysis estimated trends in STI incidence rates pre- and post-pandemic-onset and whether associations differed by public health ICD funding per capita.</p><p><strong>Results: </strong>There was an immediate reduction post- compared to pre-pandemic onset in chlamydia (Rate Ratio (RR) = 0.27, 95% confidence interval (CI): 0.21-0.35), gonorrhea (RR = 0.15, 95% CI: 0.02-0.94), and syphilis (RR = 0.16, 95% CI: 0.02-1.18). Post-pandemic onset, a dollar increase in PHU's ICD funding per capita was associated with greater incidence of chlamydia (RR = 1.10, 95% CI: 1.08-1.12), gonorrhea (RR = 1.14, 95% CI: 0.99-1.32) and syphilis (RR = 1.11, 95% CI: 0.97-1.28). Following this initial drop, trends in STI incidence did not differ importantly by ICD funding.</p><p><strong>Conclusions: </strong>Findings are consistent with a role of public health funding in mitigating observed decreases in STIs. Results suggest that public health funding plays a role in maintaining STI detection services during a public health emergency.</p>","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"395-403"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055803","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":"Free school lunches: solution or catalyst for childhood obesity?","authors":"Yogi Yunefri, Ledya Oktavia Liza, Rizki Novendra, Ramanda Rizky","doi":"10.1093/pubmed/fdae296","DOIUrl":"10.1093/pubmed/fdae296","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e514-e515"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142678111","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":"Subsidiarity: outlining the advantages of AI to public health and healthcare system through public policy.","authors":"Mylene Icamina Maravilla","doi":"10.1093/pubmed/fdae228","DOIUrl":"10.1093/pubmed/fdae228","url":null,"abstract":"","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":"e445"},"PeriodicalIF":3.1,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094348","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}