International Journal of Public Health最新文献

Objectives: To assess diagnostic mycology capacity and available fungal diagnostic services of microbiology laboratories in eight tertiary hospitals in Nigeria and one in Ghana.

Methods: On-site audits were performed in the microbiology laboratories of nine tertiary hospitals using a structured observation checklist.

Results: A total of nine tertiary hospitals' laboratories in Nigeria and Ghana were assessed between June 2022 and December 2023. The majority of audited laboratories lacked basic infrastructure and materials needed for fungal diagnostic testing, with less than half of the labs having a dedicated mycology bench, space or room, 3/9 (33.3%), appropriate bench workflow 1/9 (11.1%), functional biosafety cabinet type two 2/9 (22.2%), dedicated incubators 3/9 (33.3%), standard operating procedures 1/9 (11.1%), mycology atlases 2/9 (22.2%). Trained laboratory personnel for mycology were also lacking with only one of the laboratories 1/9 (11.1%) observed to have a designated trained personnel for the mycology bench.

Conclusion: The audit revealed deficits in basic infrastructure, material resources, dedicated human resources, and laboratory capacity to detect serious fungal infections.

[This corrects the article DOI: 10.3389/ijph.2024.1606820.].

Objectives: The objective of this study was to explore how Ontario Public Health Units (PHUs) partnered with faith-based organizations (FBOs) and other community-based organizations (CBOs) to promote COVID-19 vaccination among ethnoracial groups made structurally vulnerable during the pandemic, and to understand how PHUs perceive the effectiveness of these partnerships with these organizations.

Methods: Between June to December 2022, we distributed a cross-sectional survey to 34 PHUs in Ontario to explore how PHUs were engaging and partnering with FBOs and CBOs.

Results: Responses were received from 28 of 34 (82.5%) public health units. Across Ontario, 23 (82.1%) respondent PHUs worked with FBOs during the COVID-19 vaccine rollout with activities ranging from informing FBOs of vaccine availability, to using places of worship as sites for vaccine administration and co-creating educational materials on immunization that were faith- and culturally sensitive.

Conclusion: FBOs can be a valuable community partner as PHUs work to increase the reach and uptake of public health interventions. Ongoing monitoring and evaluation of the impact of FBO engagement on vaccine confidence and uptake among ethnoracial communities is needed to inform future community engaged vaccine programming in Ontario.

Objectives: In Pakistan, healthcare utilization is linked to out-of-pocket payments (OOP) which disproportionately affect low-income households. We investigated socioeconomic inequality in OOP and catastrophic health expenditures (CHEs), and the contribution of sociodemographic factors to these inequalities.

Methods: Socioeconomic inequalities were quantified using the concentration index (CI), and the slope (SII) and relative (RII) indices of inequality using data from three rounds of Household Integrated Economic Survey (2007-08, 2011-12, and 2018-19). Decomposition analyses were conducted using the Wagstaff and Erreygers approach.

Results: OOP payments increased from PKR 127 (2007-08) to PKR 250 (2018-19). CHEs in the most deprived quintile (Q1) changed from 8.3% (2007-08) to 13.7% (2018-19), and for the least deprived quintile (Q5) from 5.1% (2007-08) to 8.4% (2018-19). The OOP CI increased from 0.028 to 0.051, while the SII and RII increased from 0.89 to 1.32 and 1.18 to 1.36, respectively. Decomposition analysis showed that household size, composition, employment, and the province of residence explained much of the socioeconomic inequality in CHEs.

Conclusion: Poor households experience high CHE, disproportionately impacting larger families with children and elderly members. Policymakers should implement targeted financial protection strategies to safeguard vulnerable households from the impoverishing effects of healthcare expenses.

[This corrects the article DOI: 10.3389/ijph.2024.1607428.].

Objectives: During the COVID-19 pandemic, online health information search has been shown to influence the public's health beliefs, risk attitudes, and vaccination behavior. This study constructs a conditional process model to explore how online health information search impacts public vaccination behavior, considering critical factors like healthcare system satisfaction, vaccine risk perception, and the perceived usefulness of information.

Methods: Data from the 2021 Chinese General Social Survey (N = 2,547) were analysed. The study utilized logistic regression, path analysis, and the Bootstrap method to test the conditional process model.

Results: Increased online health information search promotes vaccination behavior, while increased vaccine risk perception hinders vaccination behavior. Higher satisfaction with the healthcare system encourages vaccination behavior, but online health information search reduces healthcare system satisfaction. Satisfaction with the healthcare system and vaccine risk perception play a chain mediating role between online health information search and vaccination behavior. Additionally, the perceived usefulness of information has a negative moderating effect on online health information search and healthcare system satisfaction.

Conclusion: The research findings provide new insights for health information dissemination and vaccination interventions.

Objectives: To analyse the consumption of energy drinks (EDs) and the motives for their consumption among physically active adolescents in Poland.

Methods: A nationwide survey study was conducted in 1,530 adolescents (10-14 years old) participating in extracurricular, organised sports activities. A computer-assisted web interview method was applied.

Results: Nearly half (46.4%) of the respondents were ED consumers (significantly more boys than girls: 53.0% vs. 47.0%, p = 0.010). The percentage of ED consumers increased with age, from 27.2% in 10-year-olds to 65.4% in the group of 14-year-olds (p < 0.001). The motives and circumstances of ED consumption varied depending on gender: girls were more likely than boys to drink EDs to improve concentration during studying (17.1% vs. 8.8%, p < 0.001) and to stay awake (22.8% vs. 13.8%, p = 0.002), whereas boys more often than girls reported drinking EDs during physical activity (10.9% vs. 6.0%, p = 0.020).

Conclusion: It is necessary to implement gender-diversified educational campaigns on negative health effects of EDs, targeting children, parents and teachers, as consumption of EDs has been identified as a significant public health problem in Poland.

Objectives: This study investigates how nurse supervisors' Dark Triad personality traits (Machiavellianism, narcissism, psychopathy) influence nurses' task performance, mediated by perceptions of enriched work design (autonomy, task variety, social support, safe work conditions, feedback quality) and psychological safety.

Methods: A multisource approach was used to collect data from 256 manager-nurse dyads across various healthcare settings. Nurses completed surveys assessing their work design and psychological safety. Managers completed a self-assessment of Dark Triad traits and rated their nurse subordinates' task performance. Confirmatory factor analysis and structural equation modeling (SEM) were used for analysis.

Results: Supervisors' Dark Triad traits core component impacted nurses' task performance indirectly, mediated by psychological safety and nurses' perceptions of their enriched work design. Psychopathic traits revealed a significant direct negative effect on nurses' performance, while other Dark Triad traits did not show direct effects.

Conclusion: This study sheds light on key factors influencing nurses' performance, offering insights for healthcare organizations aiming to optimize work environments and improve team effectiveness.