Central European journal of public health最新文献

{"title":"Active school transport among Czech adolescents declined between 2006 and 2022: HBSC study findings.","authors":"Michal Vorlíček, Dagmar Sigmundová, Petr Baďura, Jan Dygrýn, Dorota Kleszczewska, Erik Sigmund","doi":"10.21101/cejph.a8713","DOIUrl":"10.21101/cejph.a8713","url":null,"abstract":"<p><strong>Objectives: </strong>Active school transport (AST), such as walking or cycling to and from school, represents an important source of daily physical activity for adolescents. In recent decades, however, many high-income countries have reported a steady decline in AST. The main objective of this study was to describe long-term trends in active travel to and from school among Czech adolescents aged 11, 13 and 15 years, using nationally representative data collected in five waves of the Health Behaviour in School-aged Children (HBSC) study between 2006 and 2022.</p><p><strong>Methods: </strong>The analysis is based on a total sample of 50,813 adolescents (25,628 boys, 25,085 girls) aged 10.5-16.5 years, with valid self-reported data on travel modes to and from school. AST was defined as walking or cycling as the primary mode of transport. The prevalence of AST was analysed over time by gender and age category. Binary logistic regression was used to assess the associations between AST and survey year, gender, age group, socioeconomic status (Family Affluence Scale), and commuting time to school.</p><p><strong>Results: </strong>Between 2006 and 2022, the prevalence of AST to school declined from 71.6% to 54.9% among boys and from 71.8% to 54.8% among girls. A similar trend was observed for AST from school, although participation remained consistently higher than in the morning. The strongest negative predictors of AST were longer commuting time and higher socioeconomic status. Girls had slightly lower odds of AST than boys, and older adolescents (only in fully adjusted models) were more likely to engage in AST.</p><p><strong>Conclusions: </strong>The long-term decline in AST among Czech adolescents highlights the need for targeted public health and urban planning strategies. In particular, the lower rates of AST to school suggest potential opportunities for morning-focused interventions.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 4","pages":"267-272"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Planetary-health literacy and mental wellbeing in Czech adolescents: insights from the HBSC survey 2022.","authors":"Eliška Selinger, Michal Kalman, Petr Baďura, Jana Fürstová","doi":"10.21101/cejph.a8798","DOIUrl":"10.21101/cejph.a8798","url":null,"abstract":"<p><strong>Objectives: </strong>Planetary-health literacy (PHL), the knowledge, motivation and social support required to safeguard both human and environmental health, may help adolescents cope with climate-related distress and adopt sustainable behaviours. Evidence on the linkage between PHL and mental health from Central and Eastern Europe is lacking. The aim of the study was to describe PHL in Czech adolescents by sex, grade and family affluence, examine its association with mental-health indicators, and explore links with selected environment-relevant behaviours.</p><p><strong>Methods: </strong>Cross-sectional data were drawn from the nationally representative Health Behaviour in School-aged Children (HBSC) 2022 survey (n = 4,195, 50.8% boys, ages 13 and 15 years). PHL was measured with an 11-item HBSC optional package yielding three sub-scales (knowledge, action, perceived pro-environmental social norms). Outcomes were wellbeing (WHO-5), life satisfaction (Cantril's ladder), and psychological complaints (HBSC symptom checklist). Fruit and vegetable intake plus cigarette and e-cigarette use served as behavioural correlates.</p><p><strong>Results: </strong>Girls scored higher than boys on all PHL domains (Cohen d = 0.10-0.19). Thirteen-year-olds reported more action and stronger social norms than fifteen-year-olds (p < 0.001); socioeconomic gradients were small. In fully adjusted models, social norms were positively associated with wellbeing (β = 1.42, 95% CI: 1.12-1.72) and life satisfaction (β = 0.10, 0.08-0.13), and inversely with psychological complaints (β = -0.27, -0.33 to -0.21). Knowledge showed weak adverse relations with wellbeing and complaints, whereas action was associated with wellbeing only. Higher PHL related to daily fruit and vegetable consumption and inversely to intensive e-cigarette use; effect sizes were modest.</p><p><strong>Conclusions: </strong>Perceived pro-environmental social norms appear most tightly related to adolescent mental health, while overall PHL is slightly associated with sustainable dietary patterns and lower use of e-cigarettes. School curricula that combine climate education with collaborative, action-oriented projects may therefore deliver co-benefits for planetary and psychological health in Central and Eastern Europe.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 4","pages":"298-304"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in social media use patterns among Czech adolescents: HBSC study 2018-2022.","authors":"Meyran Boniel-Nissim, Regina J J M van den Eijnden, Petr Baďura","doi":"10.21101/cejph.a8698","DOIUrl":"10.21101/cejph.a8698","url":null,"abstract":"<p><strong>Objectives: </strong>Previous studies have identified four distinct patterns of adolescent social media use (SMU): non-active users abstain from social media or engage in online interactions only once a week or less; active users connect with others online daily without any functional impairments related to their SMU; intense users frequently engage with others online but do not meet criteria for problematic use; problematic users report six or more addiction-like symptoms. The following study aimed to assess the prevalence of these SMU patterns among Czech adolescent, examine changes between 2018 (pre-COVID-19) and 2022, and explore age and gender differences to identify at-risk subgroups.</p><p><strong>Methods: </strong>Data were drawn from the Health Behaviour in School-aged Children (HBSC) study among 11-, 13- and 15-year-olds. The study analysed Czech data from the 2017/18 and 2021/22 waves (n = 26,450).</p><p><strong>Results: </strong>Findings revealed marked changes in SMU patterns between 2018 and 2022 among Czech adolescents, which varied by gender and age category. Girls and older adolescents reported higher rates of problematic SMU. The share of non-active users declined, most notably among 11-year-olds.</p><p><strong>Conclusions: </strong>The marked increase in both intense and problematic SMU among Czech adolescents highlights a growing public health concern. Given the established associations between problematic SMU and poorer mental health outcomes, these findings call for the integration of digital behaviour monitoring and education into school-based mental health and prevention programmes. Particular attention should be given to early adolescence and to gender-specific vulnerabilities.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 4","pages":"279-284"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overweight, obesity, and body weight perception among Czech adolescents: a two-decade analysis, HBSC study 2002-2022.","authors":"Jaroslava Voráčová, Dagmar Sigmundová, Erik Sigmund, Michal Kalman, Zsofia Pusztai","doi":"10.21101/cejph.a8691","DOIUrl":"10.21101/cejph.a8691","url":null,"abstract":"<p><strong>Objectives: </strong>Excess body weight and weight misperception in adolescents are associated with various physical and mental health risks. This study analysed trends in overweight, obesity, body image, and body weight perception among Czech adolescents between 2002 and 2022, considering gender, age and socioeconomic status (SES).</p><p><strong>Methods: </strong>Data were retrieved from the questionnaire of the Health Behaviour in School-aged Children (HBSC) study conducted in 2002, 2006, 2010, 2014, 2018 and 2022 (N = 52,363; 49.9% girls). The difference test between two proportions was used to assess time trends in weight status (WS), body image and body weight perception across gender and SES groups. Logistic regression analysis was performed to examine the likelihood of being overweight/obese, and underestimating or overestimating WS.</p><p><strong>Results: </strong>Between 2002 and 2022, overweight and obesity increased significantly, while non-overweight rates declined across both genders and SES groups, with a greater rise among boys and adolescents from low SES backgrounds. In 2022, more adolescents, regardless the gender and SES, perceived their body as \"too thin\" compared to 2002. Over the 20-year period, underestimation of WS increased while overestimation decreased among both girls and boys and across all SES groups. Accurate perception of WS rose among girls but worsened among boys. Girls were less likely than boys to be overweight/obese or to underestimate their WS but had higher odds of overestimating it.</p><p><strong>Conclusions: </strong>The significant rise in overweight and obesity, especially in boys and adolescents from low SES backgrounds, during the last 20 years points out to socioeconomic disparities and should be taken into account when creating new policies. An improvement in correct perception of WS among girls and a decline in overestimating WS across genders and SES groups could help reduce risks of developing mental health problems/eating disorders. Conversely, an increase in underestimation of WS may contribute to weight-related health risks.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 4","pages":"260-266"},"PeriodicalIF":0.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faith influence on help-seeking among Nigerian women with lived experience of intimate partner abuse","authors":"O Allen","doi":"10.1093/eurpub/ckaf161.1733","DOIUrl":"https://doi.org/10.1093/eurpub/ckaf161.1733","url":null,"abstract":"Abstract Background Intimate partner abuse (IPA) remains a serious public health concern, particularly within minority migrant communities in the UK. This study explores how faith beliefs affect help-seeking behaviours among Nigerian women survivors of IPA in England. Methods This is a secondary analysis of qualitative interview data originally collected by the author for a doctoral study. Participants included 16 Nigerian women with lived experience of IPA and nine Nigerian community and religious leaders living in England. Following Braun and Clarke's six-phase approach, thematic analysis was applied to explore the influence of faith on help-seeking behaviours. Results Four thematic categories emerged: Religious Endurance Ideology, Spiritual Trust vs. Institutional Mistrust, Faith-Based Coping and Resolution, and Religious Leaders as Mediators and Gatekeepers. Study participants reported internalising faith teachings that promoted endurance, trusting clergy over statutory services due to fear and mistrust, and using prayer and fasting for coping. Additionally, clergy- often untrained in responding to abuse disclosures- prioritised reconciliation, thereby contributing to delays in accessing formal help. Conclusions Religious belief significantly shapes the help-seeking pathways of Nigerian women in England who face IPA. Public health systems must develop frameworks that acknowledge the complex role of faith. Collaborative interventions involving training religious leaders may improve early help-seeking access and service utilisation. Public health initiatives should consider leveraging the social capital of faith-based institutions in developing intersectional approaches that consider religion, immigration status, and race in responding to IPA. Key messages • Faith can support coping but also hinder help-seeking among ethnic minority women facing intimate partner abuse. • Faith-informed interventions are vital for effective public health responses to intimate partner abuse.","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"35 Supplement_4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147886363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in cervical cancer screening use: results of the Serbian National Health Survey.","authors":"Dragana Milijašević, Tatjana Tamaš, Sonja Čanković, Snežana Ukropina, Sonja Šušnjević, Tanja Tomašević, Dušan Čanković, Vesna Mijatović Jovanović","doi":"10.21101/cejph.a8486","DOIUrl":"https://doi.org/10.21101/cejph.a8486","url":null,"abstract":"<p><strong>Objectives: </strong>Cervical cancer represents a significant public health concern worldwide, particularly among women of reproductive age. According to data from the Cancer Registry of the Republic of Serbia for the year 2022, cervical cancer is the fourth most common cancer in women, with an age-standardized incidence rate (ASIR) of 24.8/100,000 and the fourth leading cause of mortality, with an age-standardized mortality rate (ASMR) of 10.2/100,000. This study aimed to analyse the association between socio-demographic factors, unmet healthcare needs, and cervical cancer screening use among women in Serbia.</p><p><strong>Methods: </strong>Research was conducted as a cross-sectional study on a sample of 3,980 women aged 25-64 in Serbia. Three types of questionnaires were used as a research instrument. The association of missed cervical smear tests in the last 3 years with independent variables was examined by univariate and binary logistic regression model.</p><p><strong>Results: </strong>According to socio-demographic characteristics, the likelihood of missing a cervical smear test in the last 3 years increased with age, being highest among older women (OR = 1.91, 95% CI: 1.88-1.94), lower-income categories (OR = 1.76, 95% CI: 1.74-1.78), and women with the lowest levels of education (OR = 1.49, 95% CI: 1.47-1.52). The logistic regression model revealed significant territorial disparities, with the highest predicted probability for women from South and East Serbia (OR = 1.73, 95% CI: 1.70-1.76). Additionally, distance/transportation and financial constraints were significantly associated with missed cervical smear tests in the last 3 years (OR = 2.05, 95% CI: 1.99-2.11; OR = 1.10, 95% CI: 1.08-1.12, respectively).</p><p><strong>Conclusions: </strong>Socioeconomic disparities in cervical cancer screening remain a challenge. This study highlights the need to allocate resources to areas in need of improvement and also to conduct comprehensive evaluations of screening systems, which can lead to significant reductions in cervical cancer incidence and mortality.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"155-162"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased macrolide resistance in Streptococcus pneumoniae in Slovakia may be linked to increased macrolide consumption.","authors":"Peter Kunč, Jaroslav Fábry, Katarina Ištvánková, Martina Neuschlová, Renata Péčová","doi":"10.21101/cejph.a8464","DOIUrl":"https://doi.org/10.21101/cejph.a8464","url":null,"abstract":"<p><strong>Objectives: </strong>Given the widespread use of macrolide antibiotics and growing concerns over antimicrobial resistance, this study aimed to investigate recent trends in macrolide consumption in Slovakia and to determine the corresponding changes in Streptococcus pneumoniae resistance in a paediatric cohort.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 1,083 nasal swab cultures from children with recurrent respiratory infections and atopy, comparing two distinct 5-year periods: 2008-2012 and 2019-2023. Consumption data was based on the European Centre for Disease Prevention and Control reports.</p><p><strong>Results: </strong>National data confirmed that Slovakia has one of the highest consumption rates of macrolides, lincosamides, and streptogramins (ATC group J01F) in Europe. The comparative analysis of patient samples revealed a statistically significant 11% increase in erythromycin-resistant S. pneumoniae (p < 0.001) and a 5% increase in clindamycin-resistant strains (p < 0.001) between the two study periods.</p><p><strong>Conclusions: </strong>The concurrent rise in macrolide consumption and S. pneumoniae resistance in Slovakia highlights a significant public health threat. These findings underscore the urgent need for robust antibiotic stewardship programmes and the promotion of rational prescribing practices to preserve the efficacy of macrolides.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"187-192"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioural risk factors clusters and their associations with self-reported burdens among university students in Finland.","authors":"Walid El Ansari, Kareem El-Ansari, René Šebeňa","doi":"10.21101/cejph.a8620","DOIUrl":"https://doi.org/10.21101/cejph.a8620","url":null,"abstract":"<p><strong>Objectives: </strong>No research among Finnish universities grouped students into clusters, based on their lifestyle behavioural risk factors (BRFs), and appraised relationships of the clusters with self-reported burdens, adjusting for confounders. The aim of the study was to undertake this task.</p><p><strong>Methods: </strong>Students (N = 1,169) at Turku University completed online questionnaire comprising socio-demographic variables (age, sex, income, social support), 18 burdens, and 4 BRFs (smoking, alcohol, drug use, food habits). Factor analysis reduced burdens into factors; cluster analysis of BRFs categorized students into clusters. Regression models appraised associations between socio-demographics and clusters with burdens.</p><p><strong>Results: </strong>Mean age was 23 ± 5 years, with 70.4% females, 23.4% smokers, 28.8% problematic drinkers, 21.1% illicit drug/s users, and mean dietary guideline adherence 4.84 ± 1.57 (maximum score of 8 points). Factor analysis of burdens generated four factors: 'Studies' - 3 items; 'Future' - 3 items; 'Relationships' - 7 items; and 'Needs' - 5 items. Cluster analysis produced four BRFs clusters with significantly different BRFs and socio-demographics. Cluster 1 exhibited less risk-taking behaviours, cluster 4 comprised more risk-taking, and the other two clusters fell in between. Regression showed that females were more likely to report all four burdens; higher social support was associated with less burdens generally; older age was associated with less 'Studies' + 'Future' + 'Relationships' burdens; and sufficient income was associated with less 'Studies' + 'Future' burdens. Compared to cluster 1, cluster 3 and 4 membership was more likely to feel 'Needs' burdens; cluster 2 and 3 was more likely to report 'Relationships' burdens (p-range: < 0.05 to < 0.001 for all).</p><p><strong>Conclusion: </strong>Controlling for socio-demographics, cluster membership was more influenced by students' perceptions of 'Relationships' + 'Needs', rather than academic difficulties of 'Studies' or unsecure 'Future'. Risk taking was more likely with relationship difficulties, isolation, and day-to-day problems (housing, financial situation, health) rather than academic load or concerns for future prospects. Preventive and intervention efforts tackling students' lifestyle behaviours need to consider programmes aimed at better relationship building/maintenance to prevent isolation, while mitigating 'on-the-ground' everyday challenges that students face.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"216-224"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Greek version of the International Physical Activity Questionnaire - Short Form in adults 18-65 years old.","authors":"Nikos Dimitriadis, Maria Partsafa, Nikoleta-Maria Bokou, Alexandros Dimitriadis, Katy Taveira, Demosthenes Panagiotakos","doi":"10.21101/cejph.a8446","DOIUrl":"https://doi.org/10.21101/cejph.a8446","url":null,"abstract":"<p><strong>Objectives: </strong>Various tools and methods have been proposed to measure physical activity, with the International Physical Activity Questionnaire (IPAQ) being one of the most popular self-reported tools. The study's aim was to test the validity of IPAQ-SF among Greek male and female adults, aged 18-65 years.</p><p><strong>Methods: </strong>A total of 134 adults (98 males) were randomly selected and participated in the study. The mean age of participants was 37.9 years (SD = 11.6), with 73.1% being male. Translation and back-translation was performed to ensure cultural adaptation. The validity of IPAQ-SF was ascertained using fitness measures (maximum oxygen uptake, VO2 max, velocity of VO2 max, maximum heart rate, and heartbeat at 1 min).</p><p><strong>Results: </strong>Based on the IPAQ-SF, participants engaged in vigorous physical activity for an average of 3 days per week (mean = 68.8 minutes/day), moderate activity for 2.6 days per week (mean = 56.2 minutes/day), and walking for 3.7 days per week (mean = 24.4 minutes/day). The median total MET-minutes/week was 2,751. IPAQ-SF demonstrated moderate validity as modest positive correlations were observed between MET-minutes/week and VO2 max (rho = 0.3096, p < 0.001), and vVO2 max (rho = 0.2511, p = 0.008). IPAQ-SF demonstrated higher validity among females and individuals with BMI ≥ 25 kg/m², with correlations reaching 0.5201 (p < 0.001) for VO2 max in participants with overweight/obesity.</p><p><strong>Conclusion: </strong>The present validation study suggests IPAQ-SF utility for monitoring physical activity levels in populations with overweight or obesity, while further refinement may be necessary to improve its applicability across all demographic groups.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"225-229"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection and quantification of Sildenafil and Tadalafil in dietary supplements marketed as natural sexual enhancers in Bosnia and Herzegovina.","authors":"Elma Omeragić, Lejla Jesenković-Habul, Belma Imamović, Mirza Dedić, Amila Turalić, Ervina Bečić","doi":"10.21101/cejph.a8397","DOIUrl":"https://doi.org/10.21101/cejph.a8397","url":null,"abstract":"<p><strong>Objectives: </strong>The primary aim of this study is to detect and quantify the presence of Sildenafil (SDF) and Tadalafil (TDF) in dietary supplements marketed as natural sexual enhancers in Bosnia and Herzegovina. Additionally, the study seeks to utilize these findings to inform relevant authorities, enabling further testing in reference laboratories and prompting the necessary actions to remove these adulterated products from the market.</p><p><strong>Methods: </strong>Using high-performance liquid chromatography with diode array detection (HPLC-DAD), 20 samples were analysed for the PDE-5 inhibitors.</p><p><strong>Results: </strong>The analysis revealed that seven of the samples contained either SDF or TDF, with mean concentrations ± standard deviation (SD) ranging from 2,075.57 ± 0.47 µg/g to 33,808.857 ± 99.43 µg/g, and TDF concentrations ranging from 24.16 ± 0.11 µg/g to 3,994.66 ± 6.95 µg/g.</p><p><strong>Conclusion: </strong>These findings indicate a significant health risk posed by the adulteration of these products. The widespread presence of these active pharmaceutical ingredients (APIs) in products falsely labelled as natural underscores the urgent need for stringent regulatory oversight and enhanced quality control measures to protect consumer safety. This study adds to the growing body of evidence concerning the adulteration of dietary supplements and emphasizes the critical importance of regulatory compliance and monitoring in safeguarding public health.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"33 3","pages":"181-186"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145400093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}