Pub Date : 2025-12-18DOI: 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.
{"title":"Exploring human milk donation: A cross-sectional study","authors":"Evy Present , Els Driessen , Yvonne Kuipers","doi":"10.1016/j.puhip.2025.100716","DOIUrl":"10.1016/j.puhip.2025.100716","url":null,"abstract":"<div><h3>Objective</h3><div>To examine and describe the current practices and perspectives regarding human milk donation in Belgium.</div></div><div><h3>Study design</h3><div>A cross-sectional study was conducted, utilising an online survey distributed to women and their partners or co-parents.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>Personal attitudes and intentions shape informal, self-regulated milk donation. Healthcare providers should consider these perspectives when advising on milk donation practices.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100716"},"PeriodicalIF":1.9,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798966","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}
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.
{"title":"Quality of life among tuberculosis patients in Lalitpur, Nepal: A cross-sectional study","authors":"Rewati Raj Karki , Bhawani Katwal , Nirmal Sapkota , Amanuel Yosef , Nirmal Gautam","doi":"10.1016/j.puhip.2025.100712","DOIUrl":"10.1016/j.puhip.2025.100712","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Study design</h3><div>Cross-Sectional study.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100712"},"PeriodicalIF":1.9,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798987","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}
Pub Date : 2025-12-13DOI: 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。
{"title":"Prevalence of suicidal ideation, suicide plan, and suicide attempt among firefighters: A systematic review and meta-analysis","authors":"Azadeh Tahernejad , Sina Ghaffari , Somayeh Tahernejad , Faezeh Makki , Ulrich Wesemann , Ali Sahebi","doi":"10.1016/j.puhip.2025.100709","DOIUrl":"10.1016/j.puhip.2025.100709","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>The present study is a systematic review and Meta-Analysis.</div></div><div><h3>Methods</h3><div>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 I<sup>2</sup> index was used to check heterogeneity between studies. Data were analyzed using STATA software (version 14).</div></div><div><h3>Results</h3><div>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, I<sup>2</sup> = 99.5 %, p < 0.001), 24.01 % (95 % CI = 14.92–33.09, I<sup>2</sup> = 99.9 %, p < 0.001), and 28.29 % (95 % CI = 24.35–32.22, I<sup>2</sup> = 99.7 %, p < 0.001), respectively. The I<sup>2</sup> index obtained in all three cases showed very high heterogeneity between the investigated studies.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100709"},"PeriodicalIF":1.9,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798989","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}
Pub Date : 2025-12-13DOI: 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.
{"title":"‘Bringing services to communities: Identifying service users at risk of developing cardiovascular disease through mobile opportunistic screening in deprived or underserved communities’","authors":"Jill West , Matthew Humphreys , Marianne Durand , Emma Green , Kevin D. Hochard , Alex Stewart","doi":"10.1016/j.puhip.2025.100690","DOIUrl":"10.1016/j.puhip.2025.100690","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Study design</h3><div>A retrospective cross-sectional study using data of persons attending a mobile opportunistic screening clinic.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100690"},"PeriodicalIF":1.9,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798968","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}
Pub Date : 2025-12-12DOI: 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.
{"title":"Unexpected persuasion: The influence of a youth-targeted anti-smoking campaign on adults’ attitude toward smoking cessation","authors":"A-Reum Jung , 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}
Pub Date : 2025-12-12DOI: 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。
{"title":"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","authors":"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","doi":"10.1016/j.puhip.2025.100706","DOIUrl":"10.1016/j.puhip.2025.100706","url":null,"abstract":"<div><h3>Background</h3><div>We conducted a decolonization program for methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) and carbapenem-resistant <em>Acinetobacter</em> (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.</div></div><div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>This quality improvement program adopted a quasi-experimental design.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>We demonstrated a reduction in hospital admissions due to MRSA infections following the decolonization program for residents in RCHEs and during hospitalization.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100706"},"PeriodicalIF":1.9,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798973","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}
Pub Date : 2025-12-12DOI: 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.
{"title":"The global prevalence of tooth wear in general population: a systematic review and meta-analysis","authors":"Nader Salari , Amir Hossein Sadeghi , Amir Abdolmaleki , Hosna Zarei , Amir Hossein Ghaderi , Shamarina Shohaimi , Masoud Mohammadi","doi":"10.1016/j.puhip.2025.100708","DOIUrl":"10.1016/j.puhip.2025.100708","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Study design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>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 I<sup>2</sup> index was used to examine heterogeneity, and the Random Effect Model was used for meta-analysis (CMA v.2).</div></div><div><h3>Results</h3><div>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, I<sup>2</sup>: 99.1).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100708"},"PeriodicalIF":1.9,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798969","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}
Pub Date : 2025-12-12DOI: 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.
{"title":"A structured framework for the development of knowledge, attitudes, and practices surveys addressing brown dog tick-associated Rocky Mountain spotted fever","authors":"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","doi":"10.1016/j.puhip.2025.100703","DOIUrl":"10.1016/j.puhip.2025.100703","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100703"},"PeriodicalIF":1.9,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799013","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}
Pub Date : 2025-12-11DOI: 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.
{"title":"Empowering healthcare professionals to help smokers quit: Relevance of a smoking cessation online training program","authors":"Dalia Alleaume , Yasmine Célia Benrabah , Ingrid Allagbé , Marie Masure , Anneliese Depoux , Marie Malécot , Anne-Laurence Le Faou","doi":"10.1016/j.puhip.2025.100699","DOIUrl":"10.1016/j.puhip.2025.100699","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>We conducted a descriptive study.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 %).</div></div><div><h3>Conclusions</h3><div>The “Smoking: Quit Your Own Way!” MOOC effectively train healthcare professionals in smoking cessation, enhancing their theoretical and practical skills to support smokers.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100699"},"PeriodicalIF":1.9,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798988","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}
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.
{"title":"Blood donation practice and predictors among university and college students in Ethiopia: A systematic review and meta-analysis","authors":"Hailemariam Gezie , Mekuriaw Wuhib , Fekadeselassie Belege Getaneh , 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}