Frontiers in Public Health最新文献

[This corrects the article DOI: 10.3389/fpubh.2025.1622237.].

Background: Aboriginal and Torres Strait Islander people experience intergenerational trauma as a legacy of the impacts of colonisation. Replanting the Birthing Trees (RBT) aims to transform compounding cycles of intergenerational trauma and harm to positively reinforcing cycles of intergenerational nurturing and recovery for Aboriginal and Torres Strait Islander parents and babies. This paper describes the protocol for developmental evaluation of the culturally responsive, trauma-aware, healing-informed, continuity of care(r) model to support Aboriginal and Torres Strait Islander parents during the first 2000 days (pregnancy, birth and the first 5 years after birth).

Methods: The RBT project will be conducted in partnership with seven health services across Victoria (Royal Women's Hospital and Mercy Hospital for Women) and Western Australia (WA) [Armadale Hospital, Western Australian Country Health Service (Northam, Narrogin, Moora and Merredin)], Australia. The RBT project consists of five workstreams: a resource repository including support framework; culturally validated sensitive enquiry tools; workforce development and training; continuity of care(r) toolkit; and strategies to support families to stay together from the start. The Consolidated Framework for Implementation Research (CFIR) informs implementation strategies. Acceptability, feasibility, costs and effectiveness will be evaluated using mixed methods analysis of qualitative and quantitative data, collected using key stakeholder interviews; parent and service provider discussion groups and interviews; cost audit; knowledge, attitude and practice surveys; pre- and post-implementation outcome data; interrupted time series analysis of routinely collected administrative linked data for primary and secondary outcomes; and co-design workshops. Competitive funding and human research ethics committee approval were assessed against Indigenous research excellence criteria with protocols to ensure the cultural and emotional safety of participants and communities.

Discussion: Participatory action research approaches are used to foster reflective cycles on data within the research process. Findings will be shared in project newsletters, plain language summaries, presentations and publications.

[This corrects the article DOI: 10.3389/fpubh.2025.1720609.].

Emergency medical services systems are designed to provide medical aid in the event of sudden illness or injury. Each system comprises two parts, namely the out-of-hospital emergency medical services (OHEMS) and the in-hospital emergency medical services (IHEMS). The out-of-hospital component involves receiving emergency calls and providing medical services at the scene of an incident. The Polish OHEMS is mainly based on the Anglo-American model, with noticeable elements of the French-German model. Its fundamental principle is to aid any person who has found themselves in a state of sudden health emergency, which is one of the key responsibilities of the state. The organisational structure of the Polish system is multidimensional and linked to the administrative division of Poland. Its supervision, organisation and operation are the responsibility of the Minister of Health and regional governors. An emergency notification system has been established to handle emergency calls, where emergency medical dispatchers are responsible for responding to medical incidents. At the scene of an incident, medical aid is provided by emergency medical teams, including specialist, basic, motorcycle and airborne teams. Their personnel consist of system doctors, system nurses and paramedics. These teams operate within entities whose main shareholder is the State Treasury or a local government unit. A nationwide uniform ICT system supports the activities of emergency medical dispatchers and teams. The Polish OHEMS has numerous strengths, but is nevertheless subject to constant change due to the need to adapt to current needs and evolving conditions. At the same time, its role and effectiveness are highly valued by Polish society.

Background: Mental illness is a leading cause of disability in South Africa, where stigma, educational disparities, and cultural beliefs are critical barriers to care. Research has largely overlooked the South African Muslim community, particularly regarding how education influences mental illness familiarity and attitudes within a context where spiritual interpretations may uniquely shape stigma. This study investigated the association between level of education and mental illness familiarity and attitudes toward people with mental illness among South African Muslims.

Methods: Using a cross-sectional study design, we recruited 119 South African Muslim adults (81.5% female; mean age = 30.92, SD = 13.01) using purposive snowball sampling, identifying initial participants through Muslim community groups and social media platforms. Eligibility was open to adults (18+) who identified as Muslim, were South African residents, proficient in English, and reported no history of a psychiatric diagnosis. Participants completed an online survey assessing familiarity with mental illness (FMI scale) and attitudes (Beliefs toward Mental Illness scale). We conducted two separate multiple regression analyses to test whether higher education level was associated with greater familiarity and more positive attitudes, controlling for age, gender, employment status, and income.

Results: Participants reported familiarity primarily through indirect exposure (e.g., 85.7% had observed someone in public). Overall attitudes were neutral-to-positive (M = 52.40, SD = 10.06), yet negative stereotypes about incurability and poor social skills persisted. After adjusting for covariates, higher education level remained significantly associated with familiarity (B = 0.83, 95% CI [0.44, 1.22], ^* p ^* < 0.001) but not with attitudes.

Conclusion: We found that higher education is associated with greater mental illness familiarity but not with reduced stigmatizing attitudes in this community. The findings suggest that educational attainment alone is insufficient to counteract stigma potentially rooted in cultural and spiritual belief systems. Public health efforts should complement educational outreach with culturally sensitive interventions, developed in partnership with religious communities, to effectively address deeply held stigmatizing beliefs.

Objective: This study examines the influence of Tai Chi on subjective well-being among middle-aged and older adults (aged 45 to 65 years), and reveals the chain mediating role of mood states and self-esteem between the two, providing effective strategies for improving the physical and mental health level of middle-aged and older adults.

Method: The Physical Activity Rating Scale (PARS-3), Profile of Mood States (POMS), Self-esteem Scale (SES), and Subjective Well-being Scale (SWS) were used to conduct a questionnaire survey among 710 middle-aged and older adults in Chongqing, China, and the relationships among variables were analyzed using SPSS 26.0 and Mplus 8.3 software.

Results: (1) Significant gender differences were observed in mood (t = -3.00, p < 0.05), self-esteem (t = 2.49, p < 0.01), and subjective well-being (t = 3.70, p < 0.001) among middle-aged and older adults. (2) Tai Chi exercise volume showed a significant negative correlation with mood states (r = -0.33, p < 0.001), while demonstrating significant positive correlations with self-esteem (r = 0.35, p < 0.001) and subjective well-being (r = 0.41, p < 0.001), respectively. (3) Tai Chi exercise volume directly and positively predicted subjective well-being in middle-aged and older adults (β = 0.47, p < 0.001). (4) Mood states (standardized effect size is 0.16) and self-esteem (standardized effect size is 0.04) each exerted partial mediating effects between Tai Chi exercise and subjective well-being. (5) The chained mediation pathway "mood states→self-esteem" demonstrated a statistically significant indirect effect (standardized effect size is 0.07) connecting Tai Chi exercise to subjective well-being.

Conclusion: Maintaining sound mental health is imperative for middle-aged and older adults. As a green, safe, and healthy non-pharmaceutical measure, middle-aged and older adults people should actively and regularly participate in Tai Chi exercise, which is positively related to the improvement of mood states, self-esteem, and subjective well-being level.

[This corrects the article DOI: 10.3389/fpubh.2025.1590151.].

Background: The quality of perioperative care is closely linked to postoperative recovery. The level of care in low- and middle-income countries hinders the pace and quality of postoperative recovery. It is essential to understand the perioperative situation and needs of local hospitals to target the development of localized professional training programs, thereby enhancing the professionalism of nursing staff in providing high-quality care to patients.

Objective: To study issues related to the quality of perioperative nursing in hospitals in Lao and improve the threshold of holistic care.

Methods: Qualitative and quantitative studies were used to design the training program. In total, 25 nurses from a hospital were selected between December 2024 and May 2025. A survey was conducted to understand issues with the targeted construction of training programs and their implementation, evaluation, and continuous supervision. A comparative analysis of operation scores and the competence level of each nurse before and after the training was conducted to evaluate the training's effectiveness.

Results: A total of 11 aspects were identified using the Knowledge, Attitude, and Practice model. In total, 30 theoretical and 12 operational training topics were designed, and a training strategy was developed to enhance the quality of perioperative care, based on preoperative, intraoperative, and postoperative data. A STEP-CARE model was designed to ensure overall quality improvement and training effects. Hand hygiene compliance, accuracy, and performance were also improved.

Conclusion: The study recommends using knowledge, attitudes, and actions as starting points for continuous quality improvement. Training qualified professionals, improving institutional processes, strengthening disciplinary collaboration, and improving facilities are imperative to enhance the overall outcome.

Introduction: Rates of fatal overdose due to opioid and substance use in Richmond, Virginia increased from 44.6 in 2018 to 129.5 per 100,000 city residents in 2023. The underlying contexts surrounding the increase in substance use and overdoses in Richmond, Virginia remains poorly understood.

Methods: Using community based participatory research principles (CBPR), a series of "community conversations" with neighborhood residents were conducted between May-December 2023. These events included educational information, resource connection, and facilitated qualitative focus group discussion on factors contributing to substance use and overdose, as well as resource needs of people engaged in substance use. Participants also completed a survey on personal substance use experience.

Results: Approximately 121 adults participated in 11 community conversations. Of 107 participants with survey data, 37.4% and 47.4% reported ever engaging in non-prescription or prescription opioid use, respectively. Factors leading to local overdose reflected three themes: (1) Diversity in Substance Use Narratives, (2) Coping with Impactful Life Events and Mental Health Experiences, and (3) Community- and Institutional-level Access to Substances. Resource needs were categorized as three themes: (1) Knowledge and Information-sharing around Substance Use, (2) Community Cohesion and Social Support, and (3) Consistent Wraparound Resource Support.

Discussion: Richmond-area resident perspectives align with results from prior studies while highlighting locally-nuanced factors regarding prevention, treatment, and community supports. Participants emphasized the need for comprehensive, multi-pronged approaches that expand clinical and corrections-based services, improve resource navigation, and provide personalized, family-engaged support to strengthen neighborhood cohesion. These insights showcase the value of CBPR in elevating lived experience to guide actionable, community-tailored strategies.

Background: Despite strong efforts, HPV vaccine uptake remains low, especially in rural areas. This study examined general and HPV vaccine hesitancy among parents of children aged 9-17 in rural, low-vaccination areas, its link to HPV vaccination rates, and key factors influencing hesitancy.

Methods: We surveyed parents from three counties in Virginia and collected information about their beliefs and opinions regarding adolescent vaccines, particularly the HPV vaccine, and their child's HPV vaccination status. General and HPV vaccine hesitancy were assessed using validated scales. Bayesian index logistic regression models were used to examine the relationship between each index and the child's HPV vaccination status, and also to identify the most important factor within each index.

Results: The final analytical sample included 249 complete responses. The average reported child age was 12.4 years; 62.0% of parents reported that their child had received the HPV vaccine. In the adjusted general vaccine hesitancy model, hesitancy was significantly associated with a lower likelihood of a child's HPV vaccination (OR = 0.43, 95% CI: 0.26, 0.73), with perceived vaccine safety (weight = 0.363) the most influential factor estimated within the index. Similarly, in the adjusted HPV vaccine hesitancy model, hesitancy was significantly associated with a child's HPV vaccination (OR = 0.39, 95% CI: 0.20-0.72), with provider recommendation (weight = 0.198) the dominant estimated factor.

Conclusion: Vaccine hesitancy remains a substantial challenge for HPV vaccination. Engaging providers to give strong vaccine recommendations and sharing information about vaccine safety, among other strategies, could help improve HPV vaccine uptake in rural and low-vaccination areas.