International Journal of Public Health最新文献

Objectives: This study aimed to explore the associations between mental health status and experienced pain among undocumented migrants (UMs) in France.

Methods: We used data from the multicentric cross-sectional "Premier Pas" study conducted in the Parisian and Bordeaux regions from February to April 2019. Participants over 18 years of age were recruited from sixty-three sites. Pain was assessed through two variables: overall pain and musculoskeletal pain. Mental health conditions, including anxiety, sleep disorders, depression, and posttraumatic stress disorder (PTSD) were evaluated. Logistic regression models were used to explore associations, controlling for social determinants of health (SDHs).

Results: Our findings revealed significant associations between mental health status and pain among the 1,188 included participants. Sleep disorder was associated to higher odds of musculoskeletal pain (aOR = 2.53, 95% CI [1.20-5.33], p = 0.014). Stratified results indicated that among women, depression was associated to higher odds of pain (aOR = 4.85, 95% CI [1.53-13.36], p = 0.007).

Conclusion: This large study confirms the connection between mental health status and pain among UMs, providing valuable evidence for clinicians to address mental health issues in this population.

Objectives: The objective is to examine spatial inequalities in COVID-19 mortality rates in Colombia in relation to the spatial distribution of multidimensional poverty.

Methods: A retrospective spatial epidemiological study was conducted in Colombia from 2020 to 2022. Spatial statistics such as Moran's I index, LISA analysis, and simultaneous autoregressive conditional (SAC) regression models were used.

Results: The Moran's I index for different years was as follows: 2020: 0.3 (p = 0.0001), 2021: 0.27 (p = 0.0001), and 2022: 0.26 (p = 0.0001). In 2020, the significant variables were low educational achievement, barriers to early childhood care, child labor, school non-attendance, informal employment, lack of health insurance, inadequate floor material, and critical overcrowding. In 2021, the significant variables were low educational achievement, critical overcrowding, inadequate excreta disposal, and lack of access to water sources. In 2022, the significant variables were school lag and inadequate excreta disposal.

Conclusion: This study revealed that in Colombia, a series of socioeconomic and health factors are interconnected and contribute to COVID-19 mortality. These changes may reflect various socioeconomic, political, and environmental dynamics that shifted during the pandemic years.

Objective: To investigate the prevalence of vitamin D deficiency (VDD) in children/adolescents in extreme southern China.

Methods: This multicenter, cross-sectional study included 21,811 children aged 0-18 years from 18 districts in Hainan Province, using a multistage stratified random sampling method from January 2021 to March 2022.

Results: Serum 25(OH)D levels decreased with age (p trend <0.001). VDD prevalence increased significantly from 3.7% (95% CI: 3.2, 4.3) in children aged 0-3 years to 43.5% (95% CI: 42.1, 45.0) in those aged 13-18 years. Girls and urban residents showed higher deficiency rates. Adolescents (13-18 years) had the highest prevalence of VDD (43.5%), while toddlers (0-3 years) had the lowest (3.7%). Factors influencing vitamin D status included gender, urban residency, and breastfeeding duration. Seasonal variations showed higher deficiency rates in autumn, particularly among preschoolers. Regional differences were noted, with the highest deficiency in semiarid and subhumid zones for various age groups.

Conclusion: A significant increase in VDD with age, particularly among adolescents, urban girls, and during autumn, emphasizing the need for targeted strategies.

Objectives: This study analyzes survey data across 21 countries to explore correlations between delays in blood testing and the prevalence of seven health conditions: thalassaemias, sickle cell disorders, malaria, HIV, high fasting plasma glucose, impaired kidney function, and high LDL cholesterol.

Methods: We analyzed Pandemic Recovery Survey data via multivariable logistic regression to compare blood test delays between individuals with and without medical conditions, while adjusting for sociodemographic factors. We also examined the disease burden using disability-adjusted life years (DALYs) and summary exposure values (SEV) rates.

Results: Our findings indicate profound disparities, with over 60% of respondents in Egypt, Nigeria, and India reporting they have never undergone blood tests. Individuals with existing medical conditions are significantly more likely to experience delays in blood work.

Conclusion: There is a pronounced gap in blood work accessibility, particularly in countries with high disease burdens. Findings suggest an urgent need for interventions to improve routine blood test access for high-risk populations to reduce the underdiagnosis of significant medical conditions. Prioritizing timely and accessible blood testing can serve as a step towards mitigating healthcare disparities.

Objectives: To analyze the spatial accessibility of antivenom immunizing agents equipped hospitals in Hainan Province.

Methods: This paper analyzes the spatial accessibility of medical institutions equipped with different types of snake antivenom using network analysis and two-step mobile search method, and evaluates the service level and spatial accessibility of medical institutions equipped with different types of antivenom immunizing agents in Hainan Province from the perspectives of both supply and demand.

Results: The number of people in Hainan Province who need to spend more than 1 h to reach an Agkistrodon Hyalys antivenom, Naja antivenom, Bungarus Multicnctus antivenom, Agkistrodon Acutus antivenom equipped hospital, and equipped with antivenom for all species of snakes in the country is approximately 856,000, 231,300, 3,071,000, 2,666,000 and 4,721,000 people, respectively. In the results of accessibility of hospital beds/health technicians equipped with antivenom in Hainan Province, Haikou and Sanya cities had the highest accessibility.

Conclusion: The accessibility of hospitals equipped with antivenom in Hainan Province is unevenly distributed, with areas of high accessibility in the southern and northern regions and accessibility in the rest of the country to be improved.

Objectives: Physical activity (PA) is crucial for older adults' wellbeing. Digital health interventions (DHIs) are important, however a synthesis aimed at healthy community-dwelling OA is lacking. This study aims to synthesize DHIs effect on PA levels among community-dwelling 60-year-old adults or older.

Methods: A systematic review was performed. DHIs using eHealth/mHealth tools, apps and text messaging were included. Primary outcomes were daily steps, moderate-to-vigorous PA and sedentary time. Quality was assessed via Cochrane risk-of-bias tools. Study-reported effect, study quality, sample size, study duration and dropout rate were semi-quantitatively synthesized to determine the overall category effect.

Results: 12 studies were included. 75% were low-quality, sample size was 16-18,080, study duration was 3-18 weeks, average dropout rate was 4.2%-46.7%. The synthesis of "motivational reminders" and "dynamic exercise programs" showed an overall positive effect, of "PA self-monitoring" showed mixed results and "exercise digital coaching" showed a non-positive effect.

Discussion: Motivational reminders and dynamic exercise programs proved more effective in increasing PA in older adults than other interventions and should be more embedded in structured public health programs.