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Exploring human milk donation: A cross-sectional study 探索母乳捐赠:一项横断面研究
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-18 DOI: 10.1016/j.puhip.2025.100716
Evy Present , Els Driessen , Yvonne Kuipers

Objective

To examine and describe the current practices and perspectives regarding human milk donation in Belgium.

Study design

A cross-sectional study was conducted, utilising an online survey distributed to women and their partners or co-parents.

Methods

Demographic and personal details and responses related to awareness, information resources, milk transfer, and donor-recipient and recipient-donor contact were obtained. We measured factors influencing the intention to donate and receive human milk (0–5 scale), attitudes toward human milk donation (1–4 scale) and donation practices (dichotomous responses). Descriptive statistics were used to analyse the data.

Results

The analysis included 873 respondents. A surplus (4.6 ± 1.0) or shortage (3.9 ± 1.7) of milk is the primary factor influencing the intention to donate or receive human milk, reported by 88 % and 78 % of respondents, respectively. Most donations (85.7 %) occur through social media (50 %) and personal networks (47.6 %). Key perspectives of milk donation include healthcare providers’ familiarity (3.7 ± 0.5), public awareness (3.6 ± 0.5), mandatory blood testing (3.5 ± 0.7), and donor screening (3.5 ± 0.6). Human milk banks are perceived as valuable resources (3.5 ± 0.6), while altruism (3.4 ± 0.6) is key to donating. There is broad support for making human milk accessible to all infants, not just those who are premature or ill (3.4 ± 0.6).

Conclusions

Personal attitudes and intentions shape informal, self-regulated milk donation. Healthcare providers should consider these perspectives when advising on milk donation practices.
目的研究和描述比利时人乳捐赠的现状和前景。研究设计进行了一项横断面研究,利用在线调查分发给女性及其伴侣或共同父母。方法获取调查对象的人口学和个人资料,以及相关的认知、信息资源、母乳输送、供体-受体和供体-受体联系情况。我们测量了影响捐赠和接受母乳意愿的因素(0-5分),对母乳捐赠的态度(1-4分)和捐赠行为(二分法回答)。采用描述性统计方法对数据进行分析。结果共纳入调查对象873人。88%和78%的受访者分别表示,母乳过剩(4.6±1.0)或短缺(3.9±1.7)是影响捐赠或接受母乳意愿的主要因素。大部分捐款(85.7%)是通过社交媒体(50%)和个人网络(47.6%)进行的。捐赠母乳的关键因素包括医疗保健提供者的熟悉度(3.7±0.5)、公众意识(3.6±0.5)、强制性血液检测(3.5±0.7)和捐赠者筛查(3.5±0.6)。母乳库被认为是有价值的资源(3.5±0.6),而利他主义(3.4±0.6)是捐赠的关键。广泛支持向所有婴儿提供母乳,而不仅仅是早产儿或患病婴儿(3.4±0.6)。结论个人的态度和意向决定了非正式的、自我调节的母乳捐赠。医疗保健提供者在建议母乳捐赠实践时应考虑这些观点。
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引用次数: 0
Quality of life among tuberculosis patients in Lalitpur, Nepal: A cross-sectional study 尼泊尔拉利特普尔肺结核患者的生活质量:一项横断面研究
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-18 DOI: 10.1016/j.puhip.2025.100712
Rewati Raj Karki , Bhawani Katwal , Nirmal Sapkota , Amanuel Yosef , Nirmal Gautam

Objective

This study aimed to assess the Health-related Quality of Life (HRQoL) among Tuberculosis (TB) patients and investigate the association between HRQoL and its associated factors to inform patient-centred care.

Study design

Cross-Sectional study.

Methods

A structured questionnaire was employed to TB patients attending 23 Direct Observation Treatment System (DOTS) centres in the Lalitpur district. HRQoL was measured using the WHOQOL tool, and multivariate logistic regression was used to identify the factors associated with poor HRQoL.

Results

The findings of this study revealed that chronic disease was significantly associated with poor psychological (adjOR = 0.07, 95 % CI: 0.03–0.14) and physical functioning scores (adjOR = 0.45, 95 % CI: 0.23–0.89). Being married enhanced physical functioning (adjOR = 2.12, 95 % CI: 1.19–3.79), while lower education levels negatively affected physical functioning (adjOR = 0.78, 95 % CI: 0.31–0.82).

Conclusions

Chronic comorbidities, MDR-TB, and socioeconomic disadvantage were key determinants of poor HRQoL among TB patients. Interventions addressing both clinical and sociodemographic factors such as integrated care for chronic disease, psychosocial support, and targeted social assistance may help improve quality of life and reduce disparities among patients with tuberculosis.
目的评价结核(TB)患者健康相关生活质量(HRQoL),探讨HRQoL与相关因素的关系,为以患者为中心的护理提供依据。研究设计横断面研究。方法对拉利特普尔地区23个直接观察治疗系统(DOTS)中心的结核病患者进行结构化问卷调查。采用WHOQOL工具测量HRQoL,并采用多因素logistic回归确定与HRQoL差相关的因素。结果慢性疾病与心理(adjOR = 0.07, 95% CI: 0.03-0.14)和身体功能评分差(adjOR = 0.45, 95% CI: 0.23-0.89)显著相关。结婚增强了身体机能(adjOR = 2.12, 95% CI: 1.19-3.79),而较低的教育水平对身体机能有负面影响(adjOR = 0.78, 95% CI: 0.31-0.82)。结论慢性合并症、耐多药结核病和社会经济劣势是结核病患者HRQoL较差的主要决定因素。针对临床和社会人口因素的干预措施,如慢性病综合护理、社会心理支持和有针对性的社会援助,可能有助于改善结核病患者的生活质量,缩小结核病患者之间的差距。
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引用次数: 0
Prevalence of suicidal ideation, suicide plan, and suicide attempt among firefighters: A systematic review and meta-analysis 消防员自杀意念、自杀计划和自杀企图的患病率:一项系统回顾和荟萃分析
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-13 DOI: 10.1016/j.puhip.2025.100709
Azadeh Tahernejad , Sina Ghaffari , Somayeh Tahernejad , Faezeh Makki , Ulrich Wesemann , Ali Sahebi

Objectives

The profession of firefighting is one of the most dangerous and stressful occupations, and firefighters are at greater risk of suicide due to the experience of unfortunate incidents. This systematic review and meta-analysis study aimed to investigate the overall prevalence of suicide ideation, plan, and attempt among firefighters.

Study design

The present study is a systematic review and Meta-Analysis.

Methods

The study followed PRISMA guidelines. The protocol of this study was registered in PROSPERO with the code CRD42023469261. Data sources including PubMed, Scopus, Web of Science, and Google Scholar were used to identify and extract related studies. Searches were conducted without a time limit until the end of July 2023. The random effects model was used for meta-analysis, and the I2 index was used to check heterogeneity between studies. Data were analyzed using STATA software (version 14).

Results

In this study, 2003 primary articles were identified from the information sources. After the screening, study selection, and quality assessment, 21 articles entered the meta-analysis stage, and 86,989 firefighters were examined. Based on the results of the meta-analysis, the overall prevalence of suicide plan, attempt, and ideation among firefighters was reported as 17.91 % (95 % CI = 7.72.-28.10, I2 = 99.5 %, p < 0.001), 24.01 % (95 % CI = 14.92–33.09, I2 = 99.9 %, p < 0.001), and 28.29 % (95 % CI = 24.35–32.22, I2 = 99.7 %, p < 0.001), respectively. The I2 index obtained in all three cases showed very high heterogeneity between the investigated studies.

Conclusion

The results of this study showed that firefighters are at relatively high risk of suicide plans, attempts, and ideation. Therefore, it is vital to take necessary measures to prevent suicide among them. It is suggested that firefighters be periodically screened for mental disorders and receive essential training in the field of stress management and increasing psychological resilience.
消防员是最危险、压力最大的职业之一,由于经历过不幸事件,消防员自杀的风险更大。本系统回顾与荟萃分析研究旨在调查消防员自杀意念、计划与企图的整体流行程度。研究设计本研究为系统综述和荟萃分析。方法本研究遵循PRISMA指南。本研究方案已在PROSPERO中注册,代码为CRD42023469261。使用PubMed、Scopus、Web of Science和b谷歌Scholar等数据源对相关研究进行识别和提取。搜索没有时间限制,直到2023年7月底。meta分析采用随机效应模型,I2指数检验研究间异质性。数据分析使用STATA软件(版本14)。结果本研究从信息源中筛选出2003篇主要文献。经过筛选、研究选择和质量评估,21篇文章进入meta分析阶段,共检查了86,989名消防员。根据meta分析的结果,消防员自杀计划、企图和意念的总体患病率分别为17.91% (95% CI = 7.72 -28.10, I2 = 99.5%, p < 0.001)、24.01% (95% CI = 14.92-33.09, I2 = 99.9%, p < 0.001)和28.29% (95% CI = 24.35-32.22, I2 = 99.7%, p < 0.001)。在所有三个病例中获得的I2指数在调查研究之间显示出非常高的异质性。结论本研究结果显示消防员有较高的自杀计划、企图及意念。因此,采取必要的措施防止他们自杀是至关重要的。建议消防员定期进行精神障碍筛查,并接受压力管理和增强心理弹性方面的必要培训。
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引用次数: 0
‘Bringing services to communities: Identifying service users at risk of developing cardiovascular disease through mobile opportunistic screening in deprived or underserved communities’ “为社区提供服务:在贫困或服务不足的社区通过流动机会筛查确定有患心血管疾病风险的服务使用者”
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-13 DOI: 10.1016/j.puhip.2025.100690
Jill West , Matthew Humphreys , Marianne Durand , Emma Green , Kevin D. Hochard , Alex Stewart

Objective

Individuals in areas of high deprivation face significant health inequalities with a higher prevalence of risk factors for cardiovascular disease (CVD). Whilst some factors are non-modifiable, early identification of modifiable factors and appropriate intervention can improve health outcomes. We assessed modifiable risk factors, particularly in persons with no medical history.

Study design

A retrospective cross-sectional study using data of persons attending a mobile opportunistic screening clinic.

Method

Data was extracted from the records of 2973 attendees (≥18 years) in Cheshire & Merseyside, January–June 2023 using a standard approach. We classed CVD risk factors as either modifiable or non-modifiable. We grouped the data into those with no risk factors, one or two, and three or more, in relation to their self-reported medical history or clinical findings.

Results

Within the total study population of 2973, 79 % had at least one modifiable risk factor for CVD. Our logistic regression model highlighted that non-modifiable factors age and sex were significant predictors of CVD, while males had higher odds than females to report CVD. Of our modifiable factors, only hypertension and mental health diagnosis were significant predictors. BMI was excluded from the multivariable analysis due to missing data.

Conclusion

Mobile screening provides improved equitable access to services and engages with underserved communities to deliver targeted health care. It identifies CVD risk in an asymptomatic population, and patients with poorly controlled conditions. This model is highly acceptable to service users and is flexible and targeted in its activities and placement.
生活在高度贫困地区的个人面临着严重的健康不平等,心血管疾病(CVD)危险因素的患病率更高。虽然有些因素是不可改变的,但及早发现可改变的因素并进行适当干预可以改善健康结果。我们评估了可改变的危险因素,特别是在没有病史的人群中。研究设计:一项回顾性横断面研究,使用参加流动机会性筛查诊所的人员的数据。方法采用标准方法,从2023年1 - 6月柴郡和默西塞德郡2973名参与者(≥18岁)的记录中提取数据。我们将心血管疾病的危险因素分为可改变的和不可改变的。我们将数据分为无风险因素、一个或两个风险因素、三个或更多风险因素,这些风险因素与他们自我报告的病史或临床表现有关。结果在2973名研究人群中,79%的人至少有一种心血管疾病的可改变危险因素。我们的逻辑回归模型强调,不可改变的因素年龄和性别是CVD的重要预测因素,而男性报告CVD的几率高于女性。在我们的可修改因素中,只有高血压和心理健康诊断是显著的预测因子。由于缺少数据,BMI被排除在多变量分析之外。结论移动筛查改善了服务的公平获取,并与服务不足的社区合作,提供有针对性的卫生保健。它确定无症状人群和病情控制不良的患者的心血管疾病风险。这种模式对服务用户来说是高度可接受的,并且在其活动和位置上是灵活和有针对性的。
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引用次数: 0
Unexpected persuasion: The influence of a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation 意想不到的说服:针对年轻人的禁烟运动对成年人戒烟态度的影响
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-12 DOI: 10.1016/j.puhip.2025.100707
A-Reum Jung , Guiohk Lee

Objective

This study aimed to examine the impact of exposure to a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation, considering their smoking status.

Study design

Exposure to the anti-smoking campaign was treated as the independent variable, while attitude toward smoking cessation served as the dependent variable. Smoking status (non-smokers vs. smokers) and target group (youth vs. adults) were included as binary moderators in the analysis.

Methods

A stratified random sampling approach was employed to select a total of 4758 respondents (2560 adults and 2198 youth) who completed structured questionnaires. These questionnaires assessed respondents’ exposure to the anti-smoking campaign, their attitude toward smoking cessation, smoking status, and demographic information.

Results

The findings indicated that exposure to the campaign was positively associated with more favorable attitude toward smoking cessation. Non-smokers exhibited stronger attitude toward smoking cessation compared to smokers. Additionally, exposure to the campaign led to an increase in smoking cessation attitude across all groups, with adults showing more pronounced changes in attitude relative to youth.

Conclusion

Unintended persuasive effects were observed among non-target groups, highlighting the need for further investigation into the relationship between targeted messages and their impact on non-target audiences. Such research could enhance the development of more effective and efficient public health campaigns.
目的本研究旨在探讨针对青少年的禁烟运动对成年人戒烟态度的影响,考虑他们的吸烟状况。研究设计对禁烟运动的接触作为自变量,对戒烟的态度作为因变量。吸烟状况(非吸烟者vs.吸烟者)和目标群体(青少年vs.成年人)作为二元调节因素纳入分析。方法采用分层随机抽样的方法,抽取4758名调查对象(成人2560人,青年2198人)填写结构化问卷。这些问卷评估了受访者对禁烟运动的了解程度、他们对戒烟的态度、吸烟状况和人口统计信息。结果研究结果表明,接触该运动与更有利的戒烟态度呈正相关。与吸烟者相比,非吸烟者对戒烟的态度更强烈。此外,参与该活动导致所有群体的戒烟态度都有所增加,成年人的态度变化比年轻人更明显。结论在非目标群体中存在非预期的说服效应,需要进一步研究目标信息与其对非目标受众的影响之间的关系。这种研究可以促进更有效和高效率的公共卫生运动的发展。
{"title":"Unexpected persuasion: The influence of a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation","authors":"A-Reum Jung ,&nbsp;Guiohk Lee","doi":"10.1016/j.puhip.2025.100707","DOIUrl":"10.1016/j.puhip.2025.100707","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the impact of exposure to a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation, considering their smoking status.</div></div><div><h3>Study design</h3><div>Exposure to the anti-smoking campaign was treated as the independent variable, while attitude toward smoking cessation served as the dependent variable. Smoking status (non-smokers vs. smokers) and target group (youth vs. adults) were included as binary moderators in the analysis.</div></div><div><h3>Methods</h3><div>A stratified random sampling approach was employed to select a total of 4758 respondents (2560 adults and 2198 youth) who completed structured questionnaires. These questionnaires assessed respondents’ exposure to the anti-smoking campaign, their attitude toward smoking cessation, smoking status, and demographic information.</div></div><div><h3>Results</h3><div>The findings indicated that exposure to the campaign was positively associated with more favorable attitude toward smoking cessation. Non-smokers exhibited stronger attitude toward smoking cessation compared to smokers. Additionally, exposure to the campaign led to an increase in smoking cessation attitude across all groups, with adults showing more pronounced changes in attitude relative to youth.</div></div><div><h3>Conclusion</h3><div>Unintended persuasive effects were observed among non-target groups, highlighting the need for further investigation into the relationship between targeted messages and their impact on non-target audiences. Such research could enhance the development of more effective and efficient public health campaigns.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100707"},"PeriodicalIF":1.9,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798986","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
Universal decolonization for methicillin-resistant Staphylococcus aureus and carbapenem-resistant Acinetobacter in elderly homes: A large cohort of over 16,000 residents in Hong Kong 对甲氧西林耐药金黄色葡萄球菌和碳青霉烯耐药不动杆菌在安老院舍的普遍去菌落:一项超过16,000名香港居民的大型队列研究
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-12 DOI: 10.1016/j.puhip.2025.100706
Edmond Siu-Keung Ma , Shuk-Ching Wong , Vincent Chi-Chung Cheng , David Christopher Lung , Suet-Yi Lee , Kristine Luk , Raymond Wai-Man Lai , Vivien Wai-Man Chuang , Enoch Hsu , Vincent Chow , Andrea Liu , Hong Chen , Edwin Lok-Kin Tsui , Kwok-Yung Yuen

Background

We conducted a decolonization program for methicillin-resistant Staphylococcus aureus (MRSA) and carbapenem-resistant Acinetobacter (CRA) among residential care homes for the elderly (RCHE) residents by providing universal decolonization using nasal povidone-iodine and chlorhexidine baths at the RCHEs and during hospitalization.

Objectives

1. To investigate the effectiveness of decolonization of MRSA and CRA in elderly homes. 2. To assess the incidence of MRSA and CRA infections bacteremia, associated morbidity and mortality in elderly homes. 3. To investigate MRSA infection reduction and risk ratio amongst the elderly residents.

Study design

This quality improvement program adopted a quasi-experimental design.

Methods

A total of 20,741 RCHE residents were instructed to apply 10 % povidone-iodine nasal ointment once daily, Monday to Friday, every alternate week, while 2 % chlorhexidine gluconate solution was used for bathing on alternate days. Group 1 included RCHE residents who underwent decolonization at the RCHEs and during hospitalization, whereas Group 2 received decolonization at the RCHEs only. The residents who stayed in the RCHEs other than the 330 invited residents RCHEs were considered the control group when they admitted to their network hospitals. We compared the incidence of any MRSA and CRA infections, bacteremia, and associated death in 2023 with the rates during the baseline period from 2017 to 2019, using Poisson exact test.

Results

A total of 257/330 (77.9 %) RCHEs continued the program, involving 16,190 residents. The mean utilization of povidone-iodine ranged from 79.4 % to 96.2 %, whereas chlorhexidine utilization ranged from 79.9 % to 97.2 %. MRSA infection was reduced in Group 1 with a risk ratio of 0.878 (95 %CI: 0.776–0.992, p = 0.035) compared with that at baseline. For bacteremia, larger reductions were noted in Group 1 and Group 2, with risk ratios of 0.719 (95 %CI: 0.448–1.115, p = 0.158) and 0.721 (95 %CI: 0.418–1.192, p = 0.207), respectively, compared to the control 0.785 (95 %CI: 0.621–0.984, p = 0.036). Regarding mortality associated with MRSA, a differential reduction of 51.1 %, 18.7 % and 22.2 % were observed for Group 1, Group 2 and the control respectively. For CRA, no statistically significant reduction was detected in the intervention groups for infection, bacteremia or death.

Conclusions

We demonstrated a reduction in hospital admissions due to MRSA infections following the decolonization program for residents in RCHEs and during hospitalization.
研究背景:本研究通过在养老院和住院期间使用聚维酮碘和氯己定鼻洗浴,对耐甲氧西林金黄色葡萄球菌(MRSA)和耐碳青霉烯不动杆菌(CRA)进行去菌落控制。目的探讨MRSA和CRA在养老院去菌落的效果。2. 评估养老院MRSA和CRA感染菌血症的发生率,相关发病率和死亡率。3. 目的了解老年居民MRSA感染的减少情况及风险比。本质量改进方案采用准实验设计。方法对20,741名RCHE居民进行每周一至周五,每隔一周涂抹10%聚维酮碘鼻软膏1次,隔日使用2%葡萄糖酸氯己定溶液沐浴。第1组包括在安老院舍和住院期间接受非殖民化治疗的安老院舍居民,而第2组仅在安老院舍接受非殖民化治疗。除330名获邀入住安老院舍的居民外,其余住在安老院舍的居民入住其网络医院时被视为对照组。我们使用泊松精确检验将2023年MRSA和CRA感染、菌血症和相关死亡的发生率与2017年至2019年基线期的发生率进行了比较。结果共有257/330家安老院(77.9%)继续实施该计划,涉及居民16,190人。聚维酮碘的平均利用率为79.4% ~ 96.2%,氯己定的平均利用率为79.9% ~ 97.2%。与基线相比,第1组MRSA感染减少,风险比为0.878 (95% CI: 0.776-0.992, p = 0.035)。对于菌血症,1组和2组的风险比分别为0.719 (95% CI: 0.448-1.115, p = 0.158)和0.721 (95% CI: 0.418-1.192, p = 0.207),而对照组的风险比分别为0.785 (95% CI: 0.621-0.984, p = 0.036)。关于MRSA相关的死亡率,组1、组2和对照组分别降低了51.1%、18.7%和22.2%。对于CRA,在感染、菌血症或死亡的干预组中没有发现统计学上显著的降低。结论:我们证明了在安老院舍和住院期间实施非殖民化计划后,因MRSA感染而住院的人数有所减少。
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引用次数: 0
The global prevalence of tooth wear in general population: a systematic review and meta-analysis 普通人群中牙齿磨损的全球患病率:一项系统回顾和荟萃分析
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-12 DOI: 10.1016/j.puhip.2025.100708
Nader Salari , Amir Hossein Sadeghi , Amir Abdolmaleki , Hosna Zarei , Amir Hossein Ghaderi , Shamarina Shohaimi , Masoud Mohammadi

Objective

Tooth wear (TW), as a common dental challenge, refers to the loss of dental tissue with four types of Attrition, Erosion, Abrasion, and Abfraction. Since there are no scientific reports regarding the global TW prevalence, this study was designed to investigate the prevalence of TW worldwide.

Study design

Systematic review and meta-analysis.

Methods

Systematic search was conducted (by November 2024) in valid databases of PubMed, WoS, ScienceDirect, Scopus, Embase, and Google Scholar search engine using the main keywords of “Prevalence”, “Tooth wear”, “Erosion”, “Attrition”, “Abfraction”, and “Abrasion”. The I2 index was used to examine heterogeneity, and the Random Effect Model was used for meta-analysis (CMA v.2).

Results

Following the review of 133 eligible studies with the sample size of 92,153 individuals with TW, the global prevalence of TW was found to be 40.8 % (95 %CI: 36.7–45, I2: 99.1).

Conclusion

According to the high global prevalence of TW, the implementation of a comprehensive strategy by the health care system seems necessary to control TW occurrence and prevent the associated complications.
目的牙齿磨损是一种常见的牙齿挑战,是指牙组织的损耗,主要表现为磨损、侵蚀、磨损和抽脱。由于没有关于全球TW患病率的科学报道,本研究旨在调查全球TW患病率。研究设计:系统回顾和荟萃分析。方法系统检索PubMed、WoS、ScienceDirect、Scopus、Embase和谷歌Scholar等有效数据库(截止2024年11月),检索关键词为“患病率”、“牙齿磨损”、“侵蚀”、“磨损”、“abstract”和“磨损”。采用I2指数检验异质性,采用随机效应模型进行meta分析(CMA v.2)。结果在对133项符合条件的研究(92,153例TW患者)进行回顾后,发现全球TW患病率为40.8% (95% CI: 36.7-45, I2: 99.1)。结论鉴于全球范围内腰痛的高患病率,需要卫生保健系统实施综合策略来控制腰痛的发生和预防相关并发症。
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引用次数: 0
A structured framework for the development of knowledge, attitudes, and practices surveys addressing brown dog tick-associated Rocky Mountain spotted fever 一个结构化的框架发展的知识,态度,和做法调查解决棕色狗蜱相关的落基山斑疹热
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-12 DOI: 10.1016/j.puhip.2025.100703
K.P. Romo-Dueñas, D.A. Enríquez-Ávila, G. Álvarez-Hernández, S.A. De la Torre-Othón, G.A. Navarro-Armendariz, M.C. Candia-Plata

Objectives

Rocky Mountain spotted fever (RMSF) is a severe tick-borne disease with high fatality rates in endemic regions, particularly where brown dog ticks proliferate. This study proposes a structured framework for developing surveys addressing knowledge, attitudes, and practices (KAP) related to preventive measures in RMSF.

Study design

Systematic review.

Methods

We searched major scientific databases using MeSH/DeCS terms and keywords related to “health knowledge, attitudes, practice” and “Rocky Mountain spotted fever”, combined with relevant synonyms and Boolean operators, for studies published between 2003 and 2024 in English, Spanish, and Portuguese. Following PRISMA guidelines, eight eligible studies were identified and assessed with the AXIS tool.

Results

While existing studies offered valuable insights, our assessment revealed four significant biases that compromised their methodological quality and the reliability of their findings. To address these limitations, we propose a novel, structured framework for developing future RMSF KAP surveys. This framework integrates: (a) comprehensive risk assessment, (b) a primary prevention stratification pyramid, and (c) a robust logic model.

Conclusions

Applying this proposed framework is anticipated to improve the methodological rigor, validity, and reliability of future KAP studies concerning RMSF preventive measures, ultimately enhancing public health interventions.
目的落基山斑疹热(RMSF)是一种严重的蜱传疾病,在流行地区病死率高,特别是在褐狗蜱孳生的地区。本研究提出了一个结构化的框架,用于开发与RMSF预防措施相关的知识、态度和实践(KAP)调查。研究设计:系统评价。方法采用MeSH/DeCS数据库检索2003 - 2024年间发表的英语、西班牙语和葡萄牙语的“健康知识、态度、实践”和“落基山斑热”相关术语和关键词,并结合相关同义词和布尔运算符进行检索。遵循PRISMA指南,8项符合条件的研究被确定并使用AXIS工具进行评估。虽然现有的研究提供了有价值的见解,但我们的评估显示了四个显著的偏差,这些偏差损害了研究方法的质量和研究结果的可靠性。为了解决这些限制,我们提出了一个新的、结构化的框架来开发未来的RMSF KAP调查。该框架整合了:(a)全面的风险评估,(b)一级预防分层金字塔,以及(c)稳健的逻辑模型。应用这一框架有望提高未来关于RMSF预防措施的KAP研究的方法学严谨性、有效性和可靠性,最终加强公共卫生干预。
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引用次数: 0
Empowering healthcare professionals to help smokers quit: Relevance of a smoking cessation online training program 授权医疗保健专业人员帮助吸烟者戒烟:戒烟在线培训计划的相关性
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-11 DOI: 10.1016/j.puhip.2025.100699
Dalia Alleaume , Yasmine Célia Benrabah , Ingrid Allagbé , Marie Masure , Anneliese Depoux , Marie Malécot , Anne-Laurence Le Faou

Objectives

Healthcare professionals are instrumental in aiding smokers to quit, necessitating evidence-based smoking cessation education. Massive Open Online Courses (MOOCs) provide a flexible platform for such education. This study assessed the satisfaction of health professionals with the content of the MOOC “Smoking: Quit Your Own Way!”, distributed over the period 2020–2023, and their success rates in completing of this course.

Study design

We conducted a descriptive study.

Methods

The study based on quantitative data from 4229 learners on France Université Numérique (FUN) and 1488 on Pédagogie Numérique en Santé (PNS) platforms who completed the satisfaction questionnaire on the content of the MOOC and who answered the quizzes offered during the course.

Results

Most participants were women (FUN: 79.7 %; PNS: 84.0 %), with nurses being the largest group (FUN: 27.7 %; PNS: 28.6 %). Satisfaction was high (97.9 %). Weekly quiz success rates ranged from 15.5 % to 30.0 %. Rehabilitation professionals had the highest success rate at 40.2 %, followed by medical doctors at 35.7 %, and dental surgeons at 34.9 %. Midwives and nurses both had a success rate of 32.2 %. Other notable rates included prevention professionals at 30.9 % and psychologists at 27.6 %. The lowest success rates were seen in social professions (16.0 %) and nurse assistants (9.4 %).

Conclusions

The “Smoking: Quit Your Own Way!” MOOC effectively train healthcare professionals in smoking cessation, enhancing their theoretical and practical skills to support smokers.
目的医疗保健专业人员在帮助吸烟者戒烟方面发挥着重要作用,有必要开展基于证据的戒烟教育。大规模在线开放课程(MOOCs)为这种教育提供了一个灵活的平台。本研究评估了卫生专业人员对MOOC“吸烟:戒烟你自己的方式!”,分布在2020-2023年期间,以及他们完成本课程的成功率。研究设计我们进行了一项描述性研究。方法对4229名学员和1488名学员在法国大学(France universit numsamrique, FUN)和1488名学员在PNS平台上完成了对MOOC内容的满意度问卷调查,并回答了课程中提供的小测试进行了定量研究。结果参与者以女性为主(FUN: 79.7%; PNS: 84.0%),以护士为主(FUN: 27.7%; PNS: 28.6%)。满意度高(97.9%)。每周测验的成功率从15.5%到30.0%不等。康复专业人员的成功率最高,为40.2%,其次是内科医生(35.7%)和牙科外科医生(34.9%)。助产士和护士的成功率均为32.2%。其他值得注意的比例包括预防专业人员30.9%和心理学家27.6%。成功率最低的是社会专业(16.0%)和护理助理(9.4%)。“吸烟:用你自己的方式戒烟!”MOOC有效地培训医疗保健专业人员戒烟,提高他们的理论和实践技能,以支持吸烟者。
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引用次数: 0
Blood donation practice and predictors among university and college students in Ethiopia: A systematic review and meta-analysis 献血实践和预测因素在埃塞俄比亚的大学和大学生:系统回顾和荟萃分析
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-11 DOI: 10.1016/j.puhip.2025.100687
Hailemariam Gezie , Mekuriaw Wuhib , Fekadeselassie Belege Getaneh , Habtam Gelaye

Objectives

This systematic review and meta-analysis aimed to assess the pooled blood donation practice and its predictors among university and college students in Ethiopia.

Study design

Systematic review and meta-analysis.

Methods

Multiple databases and search engines, such as PubMed, African Journals Online, Hinari, Google Scholar, and repositories, were searched using search terms created by combining Medical Subject Heading words and phrases for each database. A total of 1306 articles were found, and after removing duplicates and other irrelevant articles, 22 articles were included. Relevant data were extracted using a standardized Excel template and analyzed using STATA 17 software. The prevalence of blood donation practice and its predictors were pooled using a random effects model. Statistical heterogeneity was identified using the Galbraith plot, I2, and Q statistic and handled by subgroup analysis, meta-regression, and sensitivity analysis. Publication bias was checked by funnel plot and Egger's test.

Results

This systematic review and meta-analysis of 22 studies that included 9048 students revealed that the pooled estimate of blood donation practice was 26 % (CI: 22, 31). Age of students (POR = 3.22; CI: 1.83, 5.68), faculty (POR = 2.44; CI: 1.74, 3.41), knowledge (POR = 2.89; CI: 1.89, 4.41), and attitude (POR = 1.93; CI: 1.43, 2.62) were found to have a significant association with blood donation practice.

Conclusion

The pooled estimate of blood donation practice indicated that only a quarter of university and college students donated blood, which is limited. Therefore, Ethiopian Ministry of Health, regional health bureaus, blood banks, the universities and colleges, the students’ council, and other stakeholders shall pay due attention to blood donation.
本系统综述和荟萃分析旨在评估埃塞俄比亚大学生的集体献血实践及其预测因素。研究设计:系统回顾和荟萃分析。方法对PubMed、African Journals Online、Hinari、谷歌Scholar和知识库等多个数据库和搜索引擎进行检索,并结合每个数据库的医学主题词和短语创建搜索词。共发现1306篇文章,剔除重复和其他不相关的文章后,纳入22篇文章。采用标准化Excel模板提取相关数据,使用STATA 17软件进行分析。使用随机效应模型对献血行为的流行率及其预测因子进行汇总。采用Galbraith图、I2和Q统计来确定统计异质性,并通过亚组分析、meta回归和敏感性分析进行处理。采用漏斗图和Egger检验检验发表偏倚。结果对包括9048名学生在内的22项研究的系统回顾和荟萃分析显示,献血实践的汇总估计为26% (CI: 22,31)。学生年龄(POR = 3.22, CI: 1.83, 5.68)、教师(POR = 2.44, CI: 1.74, 3.41)、知识(POR = 2.89, CI: 1.89, 4.41)、态度(POR = 1.93, CI: 1.43, 2.62)对献血行为有显著影响。结论对献血实践的汇总估计表明,大学生献血的比例仅为四分之一,是有限的。因此,埃塞俄比亚卫生部、地区卫生局、血库、大学和学院、学生会和其他利益攸关方应对献血给予应有的重视。
{"title":"Blood donation practice and predictors among university and college students in Ethiopia: A systematic review and meta-analysis","authors":"Hailemariam Gezie ,&nbsp;Mekuriaw Wuhib ,&nbsp;Fekadeselassie Belege Getaneh ,&nbsp;Habtam Gelaye","doi":"10.1016/j.puhip.2025.100687","DOIUrl":"10.1016/j.puhip.2025.100687","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review and meta-analysis aimed to assess the pooled blood donation practice and its predictors among university and college students in Ethiopia.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Multiple databases and search engines, such as PubMed, African Journals Online, Hinari, Google Scholar, and repositories, were searched using search terms created by combining Medical Subject Heading words and phrases for each database. A total of 1306 articles were found, and after removing duplicates and other irrelevant articles, 22 articles were included. Relevant data were extracted using a standardized Excel template and analyzed using STATA 17 software. The prevalence of blood donation practice and its predictors were pooled using a random effects model. Statistical heterogeneity was identified using the Galbraith plot, I<sup>2</sup>, and Q statistic and handled by subgroup analysis, meta-regression, and sensitivity analysis. Publication bias was checked by funnel plot and Egger's test.</div></div><div><h3>Results</h3><div>This systematic review and meta-analysis of 22 studies that included 9048 students revealed that the pooled estimate of blood donation practice was 26 % (CI: 22, 31). Age of students (POR = 3.22; CI: 1.83, 5.68), faculty (POR = 2.44; CI: 1.74, 3.41), knowledge (POR = 2.89; CI: 1.89, 4.41), and attitude (POR = 1.93; CI: 1.43, 2.62) were found to have a significant association with blood donation practice.</div></div><div><h3>Conclusion</h3><div>The pooled estimate of blood donation practice indicated that only a quarter of university and college students donated blood, which is limited. Therefore, Ethiopian Ministry of Health, regional health bureaus, blood banks, the universities and colleges, the students’ council, and other stakeholders shall pay due attention to blood donation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100687"},"PeriodicalIF":1.9,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798990","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}
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Public Health in Practice
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