Public Health in Practice最新文献

{"title":"“Condoms don't cross your mind when you're hungry”: Challenges to safe sex in Libyan IDP camps; A qualitative study","authors":"Fauzi Elamouri ,&nbsp;Amera Muftah A Alamori ,&nbsp;Jürgen Kurt Rockstroh","doi":"10.1016/j.puhip.2026.100722","DOIUrl":"10.1016/j.puhip.2026.100722","url":null,"abstract":"<div><h3>Objectives</h3><div>This qualitative study among internally displaced heterosexual men in post-conflict Libya investigates the attitudes, experiences, and barriers related to condom use within this vulnerable population.</div></div><div><h3>Study design</h3><div>Qualitative study using semi-structured, face-to-face in-depth interviews.</div></div><div><h3>Methods</h3><div>Semi-structured, face-to-face in-depth interviews were conducted with 21 internally displaced (IDPs) male participants, aged 18–35. Participants were selected through purposive sampling, focusing on their displacement status and willingness to discuss sexual health practices. The interviews explored knowledge, experiences, and challenges related to condom use using a guided protocol. Braun and Clarke's thematic analysis framework was used to analyse the data.</div></div><div><h3>Results</h3><div>A total of 21 male heterosexual IDPs, aged 18–35, residing in IDP camps in Tripoli were recruited for the study. Only 9.5 % (n = 2) ever used a condom. Key barriers to condom use included financial constraints, geographic inaccessibility, cultural taboos, and stigma. Risk factors for condomless sex included lower knowledge about HIV and STIs, misconceptions about condom efficacy, lack of sexual health education, fear of social judgment, and negative perceptions about reduced pleasure. The theme of basic needs overriding safer sex practices was highlighted.</div></div><div><h3>Conclusions</h3><div>This study reveals significant gaps in sexual health knowledge and condom use among young displaced men in Libya. Targeted, culturally sensitive interventions are urgently needed to improve sexual health education, promote positive attitudes towards condom use, and enhance access to contraceptives, particularly in post-conflict settings.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100722"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977382","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}

{"title":"Risk, precarity, and necropolitics among informal waste workers in peri-urban Islamabad","authors":"Imran Sabir ,&nbsp;Abida Sharif","doi":"10.1016/j.puhip.2026.100725","DOIUrl":"10.1016/j.puhip.2026.100725","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine the occupational risks, health precarity and social marginalisation of informal household waste collectors in Bhara Kahu, a rapidly urbanising peri-urban area of Islamabad, and to interpret these risks through contemporary sociological frameworks.</div></div><div><h3>Study design</h3><div>Qualitative case study.</div></div><div><h3>Methods</h3><div>We conducted in-depth semi-structured interviews with 12 informal household waste workers and paired these narratives with targeted field observations in Bhara Kahu. Interviews were conducted in Urdu or Punjabi, recorded with consent, translated and thematically analysed using a reflexive approach informed by an interpretive phenomenological orientation. Interpretation drew on risk society, environmental precarity, structural violence and necropolitics to situate everyday harms within wider political and institutional arrangements.</div></div><div><h3>Results</h3><div>Five interlocking themes emerged. First, workers reported an absence of enforceable labour rights and social protections, with verbal hiring, arbitrary wage deductions and no insurance, earning about PKR 18,000–25,000 per month (approximately 65–90 USD). Second, safety was systemically neglected: there was virtually no training, minimal provision of personal protective equipment and unsafe transport on open rickshaws. Third, untreated injuries and chronic illnesses were common, including lacerations, musculoskeletal pain, persistent cough and skin conditions, with delayed or foregone care due to cost, time pressure and stigma. Fourth, households faced constant hygiene strain, as crowded housing, poor neighbourhood sanitation and limited vaccination amplified exposures beyond the workday. Fifth, social devaluation enabled economic exploitation and job insecurity, normalising humiliation in public interactions and occasionally extending into clinical encounters. Together, these patterns reveal a sanitation regime that purchases urban cleanliness through sacrificial labour.</div></div><div><h3>Conclusions</h3><div>Improving conditions requires formal recognition of informal collectors as a public health workforce, written contracts and social insurance, reliable PPE backed by practical training, routine vaccination and mobile health services, source segregation to reduce hazardous contact, and anti-stigma measures in communities and clinics. Without such changes, risk will continue to be shifted onto those with the least capacity to refuse it.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100725"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146182789","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}

{"title":"Determinants of neonatal morbidity in Rajshahi Division of Bangladesh","authors":"Md Monimul Huq ,&nbsp;Md Kaderi Kibria","doi":"10.1016/j.puhip.2026.100731","DOIUrl":"10.1016/j.puhip.2026.100731","url":null,"abstract":"<div><h3>Objectives</h3><div>Neonatal morbidity (NM) refers to any clinically identified health complication that occurs within the first 28 days of life after birth. It remains a significant public health challenge in low and middle-income countries such as Bangladesh. This study aimed to investigate the determinants of NM in the Rajshahi Division of Bangladesh, with a particular focus on socio-demographic characteristics, maternal health, delivery practices and breastfeeding behaviors.</div></div><div><h3>Study design</h3><div>A population-based cross-sectional study.</div></div><div><h3>Methods</h3><div>Data were collected from 475 mothers in selected hospitals using a multi-stage sampling technique. Information was collected through structured questionnaires and medical records at two time points: 3 days and 28 days after birth. Descriptive statistics summarized participant characteristics. Chi-square tests and binary logistic regression were used to explore associations between key variables and NM.</div></div><div><h3>Results</h3><div>The overall neonatal morbidity rate was 53.6 %. Maternal age, mode of delivery, delivery attendance and breastfeeding practices were significant determinants of NM. Infants born to mothers aged 25–29 years had significantly lower odds of NM (OR = 0.192, 95 % CI: 0.043–0.855) compared with those born to mothers aged ≥35 years. Vaginal delivery was associated with higher odds of NM than caesarean section (OR = 1.934, 95 % CI: 1.334–2.829) whereas deliveries attended by both a doctor and a nurse were associated with lower odds (OR = 0.366, 95 % CI: 0.204–0.655) of morbidity. Exclusive breastfeeding and early initiation of breastfeeding with the first hour after birth were associated with lower odds of NM compared with non-exclusive breastfeeding and delayed initiation (OR = 0.521, 95 % CI: 0.343–0.794; OR = 0.588, 95 % CI: 0.351–0.985, respectively). Furthermore, infants who were fed on demand had markedly lower odds of neonatal morbidity (OR = 0.145, 95 % CI: 0.031–0.671).</div></div><div><h3>Conclusions</h3><div>NM in the Rajshahi division is influenced by maternal age, delivery method, delivery attendance and breastfeeding practices. Policies and programs promoting skilled delivery attendance and optimal breastfeeding support are essential to reduce NM and improve neonatal health outcomes in this region.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100731"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038142","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}

{"title":"Prescribing of high-cost targeted therapies in England is diverging by region","authors":"Julian Matthewman ,&nbsp;Sinéad Langan ,&nbsp;Reecha Sofat ,&nbsp;James Galloway ,&nbsp;Mark Russell","doi":"10.1016/j.puhip.2025.100717","DOIUrl":"10.1016/j.puhip.2025.100717","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine regional variation in the prescribing of targeted therapies for chronic inflammatory disorders in England between 2019 and 2025.</div></div><div><h3>Study design</h3><div>Retrospective observational study.</div></div><div><h3>Methods</h3><div>This study analysed Secondary Care Medicines Data from all NHS hospitals in England to evaluate time-trends in prescribing rates of targeted therapies by Integrated Care Board (ICB).</div></div><div><h3>Results</h3><div>Substantial and increasing regional variation in prescribing rates for targeted therapies was observed between 2019 and 2025. The disparity between the highest and lowest prescribing ICBs increased over time, with rates ranging from 2.0 to 6.5 per 1000 people in 2019 and 3.4 to 14.2 per 1000 people in 2025.</div></div><div><h3>Conclusions</h3><div>There is marked and growing regional variation in the prescribing of targeted therapies across England. Further research should explore the reasons for this divergence to ensure equitable access to these highly effective treatments for patients with chronic inflammatory disorders, irrespective of geography.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100717"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145841109","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}

{"title":"Global burden and trends of depression among women of childbearing age, 1990–2021","authors":"Xin Yang ,&nbsp;Chuan-ping Feng ,&nbsp;Zhuo Liu ,&nbsp;Ping Wu","doi":"10.1016/j.puhip.2025.100688","DOIUrl":"10.1016/j.puhip.2025.100688","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the global, regional, and national burden and temporal trends of depression among women of childbearing age (WCBA) from 1990 to 2021, and to identify major risk factors contributing to its disease burden.</div></div><div><h3>Study design</h3><div>Population-based trend analysis.</div></div><div><h3>Methods</h3><div>Data on prevalence, incidence, and disability-adjusted life years (DALYs) of depression in WCBA were retrieved from the Global Burden of Disease (GBD) 2021 database, covering 204 countries and territories. Age-standardized prevalence rate (ASPR) and age-standardized death rate (ASDR) were analyzed using estimated annual percentage change (EAPC). Inequality, decomposition, and frontier analyses were conducted to explore geographic disparities, drivers of burden changes, and potential for improvement.</div></div><div><h3>Results</h3><div>Between 1990 and 2021, the global ASPR of depression among WCBA increased from 5545.28 to 6173.45 per 100,000 population (1.33 % increase), with the largest rise observed in high-SDI regions. High-income North America recorded the highest ASPR in 2021 (10,443.59 per 100,000), whereas East Asia had the lowest (3700.00 per 100,000). The ASDR demonstrated heterogeneous patterns, with overall declines but recent increases since 2019. Major risk factors in 2021 included behavioral risks, child sexual abuse, bullying victimization, and intimate partner violence, with substantial regional variation. Decomposition analysis indicated that population growth was the dominant driver of increased DALYs.</div></div><div><h3>Conclusions</h3><div>The global burden of depression among WCBA has risen over the past three decades, with pronounced disparities across regions and SDI levels. High-income countries continue to face growing challenges, while inequalities persist despite narrowing trends. These findings underscore the urgent need for region-specific, gender-sensitive strategies to improve prevention and mental health care for WCBA worldwide.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100688"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038139","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}

{"title":"Quality of causes of death data in Minnesota from 2011 to 2021 – A descriptive analysis of the usage and correlates of garbage codes","authors":"Harshada Karnik ,&nbsp;Zachary Levin ,&nbsp;Jovin Lasway ,&nbsp;Jonathon P. Leider ,&nbsp;Elizabeth Wrigley-Field","doi":"10.1016/j.puhip.2026.100746","DOIUrl":"10.1016/j.puhip.2026.100746","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the cause-of-death data in Minnesota (2011-2021) to understand the usage of \"garbage codes\" on death certificates.</div></div><div><h3>Study design</h3><div>We conducted a logistic regression analysis using death data from the Minnesota Vital Statistics System that compiles statistical data on all births, deaths, infant deaths, and fetal deaths in Minnesota.</div></div><div><h3>Methods</h3><div>Death certificate data from the Minnesota Department of Health were analyzed, and garbage codes were classified using ANACONDA criteria. Logistic regression assessed associations with socioeconomic variables, considering demographic factors, county characteristics, and fixed effects.</div></div><div><h3>Results</h3><div>Garbage codes constituted 3-4% of deaths, with variations by location, demographics, and office affiliation. Logistic regression revealed significant odds variations, notably related to age, rural residence, education, marital status, and place of death.</div></div><div><h3>Conclusions</h3><div>The study unveiled variations in cause-of-death data reliability in Minnesota, emphasizing the prevalence of garbage codes. Enhancing cause-of-death data accuracy is pivotal for informed public health decisions and accurate death statistics to guide targeted public health interventions and mitigate health disparities.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100746"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187852","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}

{"title":"Survival analysis of time-to-death for under-five children in Somalia: Application of AFT modeling approach","authors":"Denekew Bitew Belay ,&nbsp;Ding-Geng Chen ,&nbsp;Minilik Derseh Yismaw ,&nbsp;Ashefet Agete Mengste ,&nbsp;Seyifemickael Amare Yilema ,&nbsp;Mahad Ibrahim Ali ,&nbsp;Jama Mohamed ,&nbsp;Nigussie Adam Birhan ,&nbsp;Teshager Zerihun Nigussie ,&nbsp;Yegnanew A. Shiferaw ,&nbsp;Alebachew Taye Belay ,&nbsp;Kenaw Derebe Fentaw","doi":"10.1016/j.puhip.2026.100745","DOIUrl":"10.1016/j.puhip.2026.100745","url":null,"abstract":"<div><h3>Objectives</h3><div>Sub-Saharan Africa continues to experience the highest under-five mortality rates globally, contributing 29.7% of all under-five deaths despite a 60% global decline between 1990 and 2022. This study aims to analyze time to death among children under five in Somalia and identify the key factors influencing child survival.</div></div><div><h3>Study design</h3><div>The data used in this study is a population-based cross-sectional survey using a multistage stratified cluster sampling design.</div></div><div><h3>Methods</h3><div>In this study, 17,610 children under five from a Somalia 2020 demographic and health survey (DHS) were used. The accelerated failure time (AFT) model was used to analyze the time to death of under-five children. Survival time ratios (TR) and corresponding p-values were used to identify significant determinants of child survival.</div></div><div><h3>Results</h3><div>Of the total 17,610 children, about 689 children (3.91%) experienced the event (death). Several AFT models were compared, and the Weibull AFT model was selected as the best fit. The results of the Weibull AFT model showed that significant factors that influence child survival include maternal age at the first birth, preceding birth interval, the number of children ever born, and regional disparities. Longer birth intervals (18-59 months) increased survival time for the children, while shorter or excessively long intervals reduced survival. Mothers aged 20-29 at first birth showed a 49.2% increase in survival time (TR = 1.492; p = 0.003), compared to the younger mother. The shape parameter (0.607) suggests a declining hazard rate over time.</div></div><div><h3>Conclusions</h3><div>This study highlights critical maternal, familial, and regional factors that influence child survival in Somalia. Strengthening targeted interventions, particularly those promoting optimal birth spacing and supporting younger mothers, may substantially improve under-five children survival outcomes.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100745"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188512","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}

{"title":"Design and validation of a bioethical assessment instrument for public health policies involving behavioral change: A mixed-methods study","authors":"A. Castillo Martínez ,&nbsp;P. Aristizábal Castrillón ,&nbsp;L.J. Lopez Erazo ,&nbsp;M. Montoya Villegas ,&nbsp;L.A. Tamayo ,&nbsp;M. Montagut Ascanio ,&nbsp;J.P. Borda ,&nbsp;E.F. Lasso","doi":"10.1016/j.puhip.2026.100742","DOIUrl":"10.1016/j.puhip.2026.100742","url":null,"abstract":"<div><h3>Objectives</h3><div>Growing interest in developing bioethical evaluation models for public health, together with limited consensus on fundamental moral values, highlights the need for a framework to guide ethical decision-making in this field. The Nuffield model has been proposed as an alternative for addressing ethical conflicts at the population level, as it offers a more suitable approach to the complexities of behavioral-change interventions than traditional clinical bioethics. Consequently, methodological tools are needed to guide decision-makers. This study sought to design and validate an instrument for the ethical evaluation of public health policies involving behavioral change.</div></div><div><h3>Study design</h3><div>Scale development and validation content study.</div></div><div><h3>Methods</h3><div>Reflective equilibrium was used as the overarching methodological strategy for instrument development. A three-phase mixed-methods (qualitative–quantitative) process was conducted, which included semi-structured interviews and expert validation using the Delphi technique.</div></div><div><h3>Results</h3><div>We developed an instrument for the bioethical evaluation of public health policies that include a behavioral-change component, comprising nine domains and 32 items. Two Delphi rounds were carried out for expert validation, followed by a pilot test that informed adjustments to the final version of the instrument.</div></div><div><h3>Conclusions</h3><div>The methodological approach enabled the construction of the instrument by contrasting and ensuring coherence among predefined domains and the theoretical frameworks analyzed. Through the application of reflective equilibrium, new domains, integrity, participation, and interculturality, emerged in addition to those identified in the literature, resulting in an instrument with a strong theoretical foundation and expert validation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100742"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188511","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}

{"title":"First dual-frame telephone survey for non-communicable disease risk and protective factors: Methods and main findings from a central Brazilian state, 2022","authors":"Magna Maria de Carvalho ,&nbsp;Max Moura de Oliveira ,&nbsp;Selma Alves Tavares de Oliveira ,&nbsp;Maria do Rosário Gondim Peixoto ,&nbsp;Robério Amorim de Almeida Ponde ,&nbsp;Flúvia Pereira Amorim da Silva ,&nbsp;João Bosco Siqueira Júnior","doi":"10.1016/j.puhip.2025.100691","DOIUrl":"10.1016/j.puhip.2025.100691","url":null,"abstract":"<div><h3>Objectives</h3><div>To Describe the methodology used in the first risk factor survey for non-communicable diseases in Goiás, a central state of Brazil and identify differences in prevalence of risk and protective factors for chronic disease between landline and mobile phone users.</div></div><div><h3>Study design</h3><div>A cross-sectional study.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using telephone interviews via landlines and mobile phones. The Random-Digit Dialing probabilistic sampling method was used to select phone lines. The Rake method weighted the data and the hot deck technique imputed missing weight and height data. A total of 5018 individuals residing in Goiás were stratified by sex, age group, education level and health macro-regions. Operational, demographic characteristics and prevalence of risk factors were evaluated, with crude and adjusted prevalence ratios calculated using the Poisson regression model.</div></div><div><h3>Results</h3><div>Mobile telephony offered some operational advantages, while refusal rates were lower for landlines. Landline telephony underestimated men, adults and individuals with fewer years of schooling, while mobile's underestimated the elderly. Significant differences in prevalence were found for 16 indicators. Mobile phone users showed higher prevalence of risk factors, while landline's showed higher prevalence of protective factors.</div></div><div><h3>Conclusion</h3><div>The use of both landline and mobile telephony was necessary to ensure population representativeness. However, new strategies are needed to improve participation in future surveys.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100691"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939302","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}

{"title":"Gaps in learning about dangers of tobacco products use at school amid comprehensive tobacco control in Panama. Results from the Global Youth Tobacco Surveys 2002, 2008, 2012, 2017, and 2023","authors":"Hedley Knewjen Quintana ,&nbsp;Flavio Figueroa ,&nbsp;Cecilio Niño ,&nbsp;Roger Montenegro ,&nbsp;Fulvia Bajura ,&nbsp;Bernardo González ,&nbsp;Reina Roa","doi":"10.1016/j.puhip.2025.100720","DOIUrl":"10.1016/j.puhip.2025.100720","url":null,"abstract":"<div><h3>Objective</h3><div>To assess secular trends in learning about dangers of tobacco products use at school (LADTAS) using the Panama Global Youth Tobacco Surveys 2002, 2008, 2012, 2017 and 2023.-</div></div><div><h3>Study design</h3><div>We analysed nationally representative data from the Global Youth Tobacco Survey (GYTS) cross-sectional studies conducted in Panama in 2002, 2008, 2012, 2017, and 2023 among students aged 13–15 years.</div></div><div><h3>Methods</h3><div>The key indicator was self-reported learning about dangers of tobacco products use at school in the past 12 months. Weighted proportions and logistic regression models were used to examine trends and correlates, adjusting for age, sex, and tobacco use status.</div></div><div><h3>Results</h3><div>The proportion of students reporting LADTAS declined from 64.6 % in 2002 to 55.0 % in 2023. Compared with 2002–2008, students surveyed from 2012 onwards had higher odds of not receiving tobacco education (adjusted OR 1.44; 95 % CI 1.31–1.59). No significant differences were observed by sex or age. Former tobacco users were less likely than never-users to report receiving instruction (adjusted OR 1.40; 95 % CI 1.23–1.59).</div></div><div><h3>Conclusions</h3><div>Despite Panama's comprehensive tobacco control policies, classroom education on tobacco risks has declined over the past two decades. Reinvestment in systematic, multi-year, and up-to-date curricula—including coverage of emerging products—is needed to complement structural measures and sustain progress toward a tobacco-free generation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100720"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939307","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}