Journal of public health (Oxford, England)最新文献_第8页

Factors influencing post-COVID-19 protective behaviors: a retrospective study in Indonesia. 影响covid -19后保护行为的因素：印度尼西亚的一项回顾性研究

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2025-08-10 DOI: 10.1093/pubmed/fdaf096

Irma Hidayana, Sulfikar Amir

{"title":"Factors influencing post-COVID-19 protective behaviors: a retrospective study in Indonesia.","authors":"Irma Hidayana, Sulfikar Amir","doi":"10.1093/pubmed/fdaf096","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf096","url":null,"abstract":"Background: The study examined the factors influencing post-COVID-19 health-related protective behaviors and their association with risk perception, government trust, and protective behaviors during the COVID-19 pandemic in Indonesia.Method: A retrospective, cross-sectional, proportional telephone survey was conducted for data collection between 2 November and 10 November 2024, involving 1200 participants (N = 1200). Logistic regression analysis was performed to examine the influence and association between post-COVID-19 protective behaviors and risk perception, government trust, and protective behaviors during the COVID-19 pandemic.Results: The Spearman correlation revealed a statistically significant positive relationship between each construct (P < .05). Risk perception showed a statistically significant correlation with all other constructs, including government trust, COVID-19 protective behaviors, and post-COVID-19 protective behaviors. Among these constructs, the correlation between during and post-COVID-19 protective behaviors was the strongest (r = 0.47, P < .05), and the odds ratio for increasing post-COVID-19 behaviors was 74% (95% confidence interval 1.96-2.9), P < .05. Furthermore, risk perception, government trust, and COVID-19 protective actions were significant predictors of post-COVID-19 protective behaviors (P < .05).Conclusion: This study showed that all the factors examined-risk perception, trust in government, and protective behaviors during the COVID-19 pandemic-were significant predictors of protective behaviors in the post-COVID-19 era.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839527","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

Nudging towards COVID-19 and influenza vaccination in children with medically at-risk conditions. 推动COVID-19和有医疗风险的儿童接种流感疫苗。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2025-08-06 DOI: 10.1093/pubmed/fdaf097

Bing Wang, Prabha Andraweera, Margie Danchin, Christopher C Blyth, Ivo Vlaev, Jason J Ong, Jodie Dodd, Jennifer Couper, Thomas R Sullivan, Alana R Cuthbert, Ashleigh Rak, Kirsty Herewane, Louisa Paparo, Jonathan Karnon, Nicola Spurrier, Michael Cusack, Dylan Mordaunt, Dimi Simatos, Gus Dekker, Samantha Carlson, Jane Tuckerman, Nicholas Wood, Lisa Whop, Helen S Marshall

{"title":"Nudging towards COVID-19 and influenza vaccination in children with medically at-risk conditions.","authors":"Bing Wang, Prabha Andraweera, Margie Danchin, Christopher C Blyth, Ivo Vlaev, Jason J Ong, Jodie Dodd, Jennifer Couper, Thomas R Sullivan, Alana R Cuthbert, Ashleigh Rak, Kirsty Herewane, Louisa Paparo, Jonathan Karnon, Nicola Spurrier, Michael Cusack, Dylan Mordaunt, Dimi Simatos, Gus Dekker, Samantha Carlson, Jane Tuckerman, Nicholas Wood, Lisa Whop, Helen S Marshall","doi":"10.1093/pubmed/fdaf097","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf097","url":null,"abstract":"Background: Non-coercive 'nudge' interventions have shown the potential to promote health behaviours. This study aimed to evaluate the impact of nudge interventions on COVID-19/influenza vaccine uptake among children with medically at-risk conditions.Methods: Randomized controlled trials (RCTs) were conducted, and participants were randomized (1:1) to standard care or intervention. The multicomponent nudge interventions included three text messages with video links, developed using the MINDSPACE framework.Results: In the COVID-19 RCT, 554 were randomized to intervention and 552 to standard care, with 15.3% opting out of text messages. Over 3 months, eight children in the intervention group (1.4%) and nine in the standard care group (1.6%) received at least one dose of COVID-19 vaccine (odds ratio (OR): 0.89; 95% confidence interval (CI): 0.34-2.35). In the influenza RCT, 564 were randomized to intervention and 567 to standard care. There was no difference in the percentage vaccinated against influenza between the intervention (25.7%) and standard care (23.8%) groups (OR: 1.11; 95% CI: 0.85-1.45).Conclusions: The nudge interventions were ineffective at increasing COVID-19/influenza vaccine uptake. The study included mostly unvaccinated children, and low vaccination rates during the study likely impacted the evaluation results. Nudges may need to evolve with changes to public trust in technology and communications.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144839528","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

Global trends in early-onset and late-onset cancer incidence. 早发性和晚发性癌症发病率的全球趋势。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2025-08-04 DOI: 10.1093/pubmed/fdaf088

Sohyun Kim, NaNa Keum

{"title":"Global trends in early-onset and late-onset cancer incidence.","authors":"Sohyun Kim, NaNa Keum","doi":"10.1093/pubmed/fdaf088","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf088","url":null,"abstract":"Introduction: Accumulating evidence suggests that early-onset and late-onset cancers may be etiologically heterogeneous. Thus, we examined the global distribution of incidence rates of early-onset and late-onset cancers by sex.Methods: The GLOBOCAN database provides age-standardized incidence rates (ASIRs) of cancers by age and sex across countries worldwide. By defining early-onset and late-onset cancers using the age cut-off of 50 years, we examined global trends in ASIRs of early-onset and late-onset cancers by visualizing data with various graphs.Results: The top five countries with the highest ASIRs of early-onset and late-onset cancers were concentrated in Europe in men, whereas the rates were scattered across the continents in women. While ASIRs of early-onset cancers had increased steadily over time, the rates were considerably lower than ASIRs of late-onset cancers in both men and women. By cancer type, thyroid cancer and lung cancer ranked first in ASIRs of early-onset and late-onset cancers, respectively, in men. In women, breast cancer ranked first for both early-onset and late-onset cancers. Colorectal cancer appeared among the top five for both early-onset and late-onset cancers across all sexes.Conclusions: Global ASIRs trends of early-onset and late-onset cancers were heterogeneous with respect to sex, geographic distribution, time-trend, and cancer types.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777463","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

The active cohort: a population-based smartphone intervention for health outcomes. 活跃队列：基于人群的智能手机健康结果干预。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2025-07-29 DOI: 10.1093/pubmed/fdaf090

Adi Berliner Senderey, Tom Mushkat, Ofer Hadass, Daphna Carmeli, Eyal Jacobson, Aiden Doherty, Derrick A Bennett, Ran D Balicer, Samah Hayek

{"title":"The active cohort: a population-based smartphone intervention for health outcomes.","authors":"Adi Berliner Senderey, Tom Mushkat, Ofer Hadass, Daphna Carmeli, Eyal Jacobson, Aiden Doherty, Derrick A Bennett, Ran D Balicer, Samah Hayek","doi":"10.1093/pubmed/fdaf090","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf090","url":null,"abstract":"Background: The Clalit Active Cohort Study (CACS) assess the impact of lifestyle factors, particularly physical activity, on short- and long-term health outcomes using real-world data. Launched in January 2021, CACS focuses on Clalit Health Services members with supplemental health insurance who use the Clalit Active smartphone app.Methods: The study integrates data from the Clalit Active app with electronic health records from CHS, covering primary and secondary care, hospitalizations, medications, laboratory results, and imaging. The cohort currently includes 622 584 participants and continues to grow.Results: The app monitors various health-related behaviors, including physical activity and sleep. Preliminary findings show significant variations in daily step counts based on sociodemographic and clinical factors. Substantial differences were found between app users and non-users app users and non-users. On average, males recorded higher daily step counts compared to females, and individuals under the age of 40 demonstrated greater activity levels than older participants. Participants with pre-existing comorbidities demonstrated lower activity levels.Conclusions: CACS is a powerful resource for researchers and policymakers, providing insights into the relationship between lifestyle factors and health outcomes within a diverse population. Findings can inform public health policies and guide the lifestyle interventions, highlighting the potential of integrating smartphone data with electronic health records to improve health outcomes.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736432","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

Impact of eating window and diet composition on obesity: a comparative study of adults in the USA and South Korea. 饮食窗口和饮食构成对肥胖的影响：美国和韩国成年人的比较研究。

IF 3.1

Journal of public health (Oxford, England) Pub Date : 2025-07-28 DOI: 10.1093/pubmed/fdaf089

Li-Juan Tan, Jialei Fu, Sangah Shin

{"title":"Impact of eating window and diet composition on obesity: a comparative study of adults in the USA and South Korea.","authors":"Li-Juan Tan, Jialei Fu, Sangah Shin","doi":"10.1093/pubmed/fdaf089","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf089","url":null,"abstract":"Background: Dietary habits influence weight management and metabolic health. This study examined trends in eating window and diet composition, and their correlation with obesity among adults.Methods: Data from the U.S. National Health and Nutrition Examination Surveys (NHANES) and South Korea's Korean National Health and Nutrition Examination Survey (KNHANES) (2007-2020) were analyzed. The study assessed eating window, diet composition, and obesity. The eating window was defined from the first energy intake after waking up to the last before bed. Diet composition was linked to respective national food databases.Results: Both countries saw increased snack consumption and body mass index (BMI) over 14 years. Korean adults showed the lowest obesity rates with an 8-9 hour eating window, while U.S. adults had the lowest rates with an 8-11 hour window. Macronutrient analysis revealed Korean breakfasts were carbohydrate-rich, while dinners included higher protein and alcohol intake.Conclusions: Koreans have shorter eating windows and lower BMI than U.S. adults. This suggests the potential benefits of time-restricted eating but highlights the need for personalized interventions and further research on individual, cultural, and environmental factors.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736431","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

Feasibility, reach, and acceptability of social prescribing in the emergency department. 急诊科社会处方的可行性、可及性和可接受性。

Journal of public health (Oxford, England) Pub Date : 2025-07-27 DOI: 10.1093/pubmed/fdaf086

Lucy Morris, Frank Coffey, Holly Blake, Sarah Edwards

{"title":"Feasibility, reach, and acceptability of social prescribing in the emergency department.","authors":"Lucy Morris, Frank Coffey, Holly Blake, Sarah Edwards","doi":"10.1093/pubmed/fdaf086","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf086","url":null,"abstract":"Background: Social prescribing (SP) connects individuals with community resources to address practical, social and emotional needs affecting health. While predominantly located in primary care, SP models have been introduced in some Emergency Departments (EDs). This study evaluated the feasibility, reach and acceptability of an ED-based SP pilot in the United Kingdom.Methods: Feasibility and reach were assessed through a retrospective review of anonymised patient trackers and clinical records. Acceptability was evaluated via a staff survey exploring knowledge, attitudes and referral practices.Results: Over 14 months Social Prescribers supported 1,057 ED patients, with mental wellbeing being the most common referral reason. Patients were signposted or referred to over 200 different community organisations. The programme was valued by ED staff, who recognised its potential to improve patient health and wellbeing. Reported barriers included limited awareness of the out-of-hours referral pathway.Discussion: This is the first published evaluation of an ED-based SP programme, building upon existing conceptual models and qualitative studies that have explored its potential. The findings demonstrate that the model is both feasible and acceptable to staff, while effectively reaching patients with a broad range of health and social needs. Further research is needed to explore long-term impacts on patient outcomes and broader system-wide benefits.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719294","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

People with disabilities are at risk of osteoporotic fractures: a population-based study in South Korea. 残疾人有骨质疏松性骨折的风险：韩国一项基于人群的研究

Journal of public health (Oxford, England) Pub Date : 2025-07-21 DOI: 10.1093/pubmed/fdaf087

Ji Hyoun Kim, So Young Kim, Jong Eun Park, Yo Han Im, Hyunjeong Cho, Yeon Yong Kim, Jong-Hyock Park

{"title":"People with disabilities are at risk of osteoporotic fractures: a population-based study in South Korea.","authors":"Ji Hyoun Kim, So Young Kim, Jong Eun Park, Yo Han Im, Hyunjeong Cho, Yeon Yong Kim, Jong-Hyock Park","doi":"10.1093/pubmed/fdaf087","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf087","url":null,"abstract":"Background: Osteoporotic fractures are a major public concern as a serious, fatal condition. We aimed to investigate the differences in the incidence and types of osteoporotic fractures between people with and without disabilities, including both mental and physical disabilities.Methods: This is a serial cross-sectional study using the National Disability Registration and National Health Insurance claims data. After excluding individual with Paget's disease and cancer that damages bone, we analyzed trends and associated factors of osteoporotic fractures between 2008 and 2017.Results: The age-standardized incidence rate (ASIR) of osteoporotic fractures was higher in the disabled than in the non-disabled for 10 years (41.3 and 24.0 per 10 000 persons, respectively, in 2017). Vertebral fractures were the most common. However, the incidence of non-vertebral fractures was about twice as high in the disabled as in the non-disabled. In multivariate analysis, the highest odds ratios were observed for epilepsy (OR = 3.80; 95% confidence intervals = 2.40-5.99), liver disease (OR = 2.38), and intellectual disability (OR = 1.95) in men and for epilepsy (OR = 3.19), liver (OR = 1.64), and respiratory (OR = 1.49) disease in women.Conclusion: Given the preventability and high incidence of fracture in disabled people, health systems should be designed to ensure timely and appropriate prevention and intervention for disabled people.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144677100","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

Can workplace charters reduce health inequalities for employees: a qualitive analysis of employer interviews in West Yorkshire, England. 工作场所特许能减少雇员的健康不平等吗：对英国西约克郡雇主访谈的定性分析。

Journal of public health (Oxford, England) Pub Date : 2025-07-14 DOI: 10.1093/pubmed/fdaf072

Sulia Celebi

{"title":"Can workplace charters reduce health inequalities for employees: a qualitive analysis of employer interviews in West Yorkshire, England.","authors":"Sulia Celebi","doi":"10.1093/pubmed/fdaf072","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf072","url":null,"abstract":"Background: Increasing the number of good quality jobs is a priority to reduce widening health inequalities. In England, workplace charters are becoming increasingly popular; however, there is limited knowledge on how this intervention works. This study explored employers' perspectives of workplace charters to understand the potential for charters to reduce health inequalities for employees.Methods: Semi-structured qualitative interviews were conducted with 12 employers in West Yorkshire, England between August and September 2022. Employers were purposively recruited. Interviews were analysed using reflexive thematic analysis.Results: Employers perceived charters to improve workplace practices by providing a benchmark; facilitating a business community; opening a dialogue with partners; and being a credible badge for fair employers. Using a social determinants of health framework, a novel logic model was developed from these mechanisms, illustrating how charters can reduce health inequalities. Key emergent barriers to charter effectiveness were also identified.Conclusions: This study has identified that employers' perceptions of workplace charters support the view that charters can reduce health inequalities. However, emergent barriers to charter effectiveness highlighted that charters could equally generate inequalities by excluding organisations. If policy makers reconcile this tension, workplace charters could potentially be a timely and meaningful intervention to reduce health inequalities.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628361","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

Effects of the COVID-19 pandemic and 'Find Cancer Early' campaign on cancer symptom knowledge in regional Western Australia. COVID-19大流行和“早期发现癌症”运动对西澳大利亚地区癌症症状知识的影响。

Journal of public health (Oxford, England) Pub Date : 2025-07-13 DOI: 10.1093/pubmed/fdaf083

Ying Ru Feng, Derrick Lopez, Sarah V Ward, Cassandra Clayforth, Clover Maitland, Hussam Al-Hakimi, Melissa Ledger, Elizabeth Sorial, David B Preen

{"title":"Effects of the COVID-19 pandemic and 'Find Cancer Early' campaign on cancer symptom knowledge in regional Western Australia.","authors":"Ying Ru Feng, Derrick Lopez, Sarah V Ward, Cassandra Clayforth, Clover Maitland, Hussam Al-Hakimi, Melissa Ledger, Elizabeth Sorial, David B Preen","doi":"10.1093/pubmed/fdaf083","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf083","url":null,"abstract":"Background: Awareness of cancer and its symptoms may have declined in 2020 following the onset of the COVID-19 pandemic. We examined the effect of the COVID-19 pandemic and awareness of the 'Find Cancer Early' mass media campaign on the knowledge of common cancer symptoms in regional Western Australian (WA) residents aged 40 years and over.Methods: Campaign materials from 'Find Cancer Early' included the 'Rural Doctors' video advertisement and the 'Yellow Checklist'. Multivariable log-binomial regression analyses were undertaken using data from the annual post-campaign evaluations surveys between 2018 and 2020, which included information on campaign awareness, cancer symptom knowledge, and sociodemographic factors.Results: The number of cancer symptoms recalled (mean (M): 1.32 vs 1.72; P < .001) and the proportion of participants with better cancer symptom knowledge (16.9% vs 25.7%; P < .001) were lower in 2020 than the pre-pandemic time-period. Campaign awareness (prevalence ratio (PR) = 1.99; P < .001) and females (PR = 1.28; P = .002) were associated with better cancer symptom knowledge, while the pandemic time-period (PR = 0.59; P < .001), older age (PR = 0.57; P < .001), and a previous cancer diagnosis (PR = 0.76; P = .007) were associated with poorer knowledge.Conclusions: Despite the ongoing pandemic, campaign awareness was associated with better knowledge of common cancer symptoms in regional WA. Regional subpopulations, including males and older adults, should be targeted for future campaigns.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628362","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

Research on income inequalities by municipality and referrals from general practitioners to a cardiology department within a health area. 市政当局对收入不平等的研究以及从全科医生转介到保健区域内的心脏病科的研究。

Journal of public health (Oxford, England) Pub Date : 2025-07-13 DOI: 10.1093/pubmed/fdaf085

Francisco Reyes-Santias, Manuel Portela-Romero, Daniel Rey-Aldana, Sergio Cinza-Sanjurjo, José Ramón González-Juanatey

{"title":"Research on income inequalities by municipality and referrals from general practitioners to a cardiology department within a health area.","authors":"Francisco Reyes-Santias, Manuel Portela-Romero, Daniel Rey-Aldana, Sergio Cinza-Sanjurjo, José Ramón González-Juanatey","doi":"10.1093/pubmed/fdaf085","DOIUrl":"https://doi.org/10.1093/pubmed/fdaf085","url":null,"abstract":"Objective: To evaluate the impact of socioeconomic variables on access to cardiology assistance through referrals from primary care (PC).Methodology: We analysed all referrals from PC to the Cardiology Department between 2010 and 2019 in our healthcare area (n = 41 332). Income levels were categorized into quartiles based on the sample's distribution by municipality of origin. The association between each variable and accessibility was analysed using logistic regression (LR).Results: Accessibility to e-consultation was lower in lower income groups (OR: 0.68, P = 0.0001, for Q1; and OR: 0.72, P = 0.001, for Q2) and higher for the follow-up consultations (OR: 8.66, for Q2 and 4.88, for Q1; P < 0,001 for both quartiles), but related with cardiovascular complexity associated with higher prevalence of cardiovascular risk factors and cardiovascular disease in lower income levels. Emergency department attendance and hospital admissions were independent of any economic parameter (OR: 0.01; P < 0.001).Conclusions: Our public health system attends the patients independently of income level, and the differences observed were associated with complexity of the patients. Income levels did not have a negative influence on referrals to hospital care resources in our healthcare system, whether it is for consultations (initial or follow-up), emergencies, or hospital admissions.","PeriodicalId":94107,"journal":{"name":"Journal of public health (Oxford, England)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628363","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