Public Health in Practice最新文献_第2页

A bibliometric mapping of research on antimicrobial resistance and mental health 抗微生物药物耐药性与心理健康研究的文献计量图

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2026-01-28 DOI: 10.1016/j.puhip.2026.100739

Cyril Onwuelazu Uteh , Ozgun Yetkin , Claudia Dompe , Ovinuchi Ejiohuo

Objective

Antimicrobial resistance and mental health are critical global health concerns, yet the intersection of these fields remains underexplored. This study presents a bibliometric analysis of research trends at the nexus of antimicrobial resistance and mental health.

Study design

Bibliometric study design.

Methods

Publications related to antimicrobial resistance and mental health from January 1, 2004 to March 13, 2025 were extracted from the Web of Science and Scopus databases. Bibliometric analysis and visualisation were performed using the R-Bibliometrix package (biblioshiny). We analysed publication patterns, citation metrics, and key research themes to identify leading topics, countries, institutions, authors, and journals contributing to this emerging area.

Results

The analysis included 3449 documents from 1397 sources, authored by 22,900 researchers, with an annual growth rate of 2.35 % and an average of 41.7 citations per paper. Output increased steadily after 2017, reaching its peak in 2020–2021. PLOS One was the most featured journal (78 articles), and the University of California, San Francisco, led institutional output (173 articles). The United States showed the highest collaboration and publication volume. Thematic and keyword analyses revealed dominant attention to depression, schizophrenia, bipolar disorder, and anxiety, alongside a smaller but growing focus on antimicrobial resistance, particularly its links to the gut–brain axis, where terms such as antibiotic resistance appeared less frequently but formed emerging clusters in recent years.

Conclusion

This study identifies research hotspots and gaps in the relationship between antimicrobial resistance and mental health, highlighting the need for public health policies that integrate mental health into antimicrobial resistance strategies. Prioritising this integration and enhancing global surveillance and collaboration are essential to addressing these interconnected challenges effectively.

目的抗菌素耐药性和心理健康是关键的全球健康问题，但这些领域的交叉仍未得到充分探索。这项研究提出了一个文献计量学分析的研究趋势在抗菌药物耐药性和心理健康的关系。研究设计文献计量学研究设计。方法从Web of Science和Scopus数据库中提取2004年1月1日至2025年3月13日与抗微生物药物耐药性和心理健康相关的出版物。使用R-Bibliometrix软件包（biblioshiny）进行文献计量分析和可视化。我们分析了出版模式、引用指标和关键研究主题，以确定对这一新兴领域有贡献的主要主题、国家、机构、作者和期刊。结果共纳入文献3449篇，1397个来源，作者22900人，年增长率为2.35%，平均被引41.7次。2017年之后产量稳步增长，并在2020-2021年达到峰值。PLOS One是最具特色的期刊（78篇文章），而加州大学旧金山分校（University of California, San Francisco）的机构产出最多（173篇文章）。美国显示出最高的合作和出版量。主题和关键词分析显示，人们对抑郁症、精神分裂症、双相情感障碍和焦虑的关注占主导地位，同时对抗菌素耐药性的关注较少，但越来越多，特别是它与肠-脑轴的联系，其中抗生素耐药性等术语出现的频率较低，但近年来形成了新兴的集群。结论本研究明确了抗菌药物耐药性与心理健康关系的研究热点和空白，强调了将心理健康纳入抗菌药物耐药性策略的公共卫生政策的必要性。优先考虑这种整合并加强全球监测与合作，对于有效应对这些相互关联的挑战至关重要。

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引用次数: 0

Adolescent mortality in Lebanon (2017–2022): Trends, causes, and policy implications 黎巴嫩青少年死亡率（2017-2022年）：趋势、原因和政策影响

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 10.1016/j.puhip.2025.100700

Cyrine Naja , Samar Al-Hajj , Carine Sakr , Hilda L. Harb , Salim M. Adib

Objectives

Adolescents and young adults face a high risk of preventable mortality, yet national-level data in Lebanon are limited. This study aimed to analyze sex-, age-, and region-specific patterns of cause-specific mortality and assess temporal trends among Lebanese youth aged 10–24 years from 2017 to 2022.

Study design

Nationwide population-level analysis.

Methods

Mortality data from the Lebanese MoPH were analyzed. Causes of death were coded using ICD-10 and grouped into 12 categories. Population denominators were based on 2022 estimates. Crude and ASMR using WHO standard population were calculated. Poisson regression assessed temporal trends, with rate ratios comparing sexes and P-values (<0.05) indicating statistical significance.

Results

A total of 2776 deaths occurred, with an overall ASMR of 185.2 per 100,000. Age-specific mortality increased from 116.4 per 100,000 (10–14 years) to 246.1 per 100,000 (20–24 years, P < 0.001). External causes were the leading contributor (64.8 per 100,000), followed by circulatory/cardiovascular diseases and neoplasms. Male mortality exceeded female mortality (243.1 vs. 114.7 per 100,000; P < 0.001), with the largest disparity for external causes (RR = 3.80, P < 0.001). Regional differences were noted, with external deaths highest in North Lebanon and Bekaa, and circulatory deaths concentrated in Bekaa. No significant temporal trends were detected except in South Lebanon.

Conclusions

Mortality among Lebanese youth is primarily driven by preventable external and circulatory causes, with pronounced male excess and regional disparities. These findings support evidence-informed interventions, including targeted injury prevention and cardiovascular strategies tailored to high-risk populations and regions.

青少年和青壮年面临着可预防死亡的高风险，但黎巴嫩国家层面的数据有限。本研究旨在分析性别、年龄和地区特定原因死亡率模式，并评估2017年至2022年黎巴嫩10-24岁青年的时间趋势。研究设计：全国人口水平分析。方法对黎巴嫩卫生部的死亡率资料进行分析。使用ICD-10对死亡原因进行编码，并分为12类。人口分母是基于2022年的估计。使用WHO标准人群计算粗mr和ASMR。泊松回归评估了时间趋势，比率比较性别和p值（<0.05）表明有统计学意义。结果共发生死亡2776例，总ASMR为185.2 / 10万。年龄特异性死亡率从116.4 / 10万（10-14岁）增加到246.1 / 10万（20-24岁，P < 0.001）。外因是主要原因（每10万人中有64.8人），其次是循环系统/心血管疾病和肿瘤。男性死亡率超过女性死亡率（243.1比114.7 / 10万；P < 0.001），外因造成的差异最大（RR = 3.80, P < 0.001）。注意到区域差异，外部死亡在黎巴嫩北部和贝卡最高，循环死亡集中在贝卡。除黎巴嫩南部外，没有发现明显的时间趋势。结论黎巴嫩青年的死亡率主要由可预防的外部和循环疾病引起，男性死亡率明显偏高，且存在地区差异。这些发现支持循证干预措施，包括针对高危人群和地区的针对性伤害预防和心血管策略。

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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

Public Health in Practice

Pub Date : 2026-06-01 Epub 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。

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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

Public Health in Practice

Pub Date : 2026-06-01 Epub 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

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

Public Health in Practice

Pub Date : 2026-06-01 Epub 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。

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引用次数: 0

Frameworks encompassing intersectional perspective of artificial intelligence in healthcare. Scoping review 包括医疗保健中人工智能交叉视角的框架。范围审查

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2025-12-18 DOI: 10.1016/j.puhip.2025.100713

Sua Amaya-Santos , Carlos Vargas , Clara Bermúdez-Tamayo

Objectives

This study systematically evaluates how existing AI frameworks in healthcare address intersectional bias across the AI lifecycle and explores the mitigation strategies proposed.

Study design

Scoping review.

Methods

A scoping review was conducted per PRISMA-ScR guidelines, analyzing studies from 2014 to 2024. Searches included MEDLINE (Ovid), PubMed, EMBASE (Ovid), SCOPUS, ESCI, IEEE Xplore, and Google Scholar. Data were extracted on bias-related challenges and mitigation strategies across AI lifecycle phases (development, validation, implementation, monitoring). Studies were ranked by inclusivity (high, medium, or low).

Results

Of 374 records, 43 studies met inclusion criteria, primarily from high-income countries. Gender/sex (51.2 %) and race/ethnicity (44.2 %) were the most addressed dimensions, while disability (14 %) and citizenship (9.3 %) were least addressed. Inclusivity was categorized as high (21 studies, 48.8 %), medium (23.2 %), or low (27.9 %). Overall, 14 biases and 21 mitigation strategies were identified.

Conclusions

Significant gaps remain in addressing intersectional biases in AI frameworks, particularly for underrepresented groups such as individuals with disabilities and non-citizens. Despite many frameworks demonstrating efforts toward inclusivity, attention to intersectionality remains uneven and largely inconsistent. Mapping biases to lifecycle phases highlights actionable strategies to improve equity and inclusivity in AI-driven healthcare. These findings provide valuable guidance for researchers, policymakers, and developers to create equitable and responsible AI systems.

本研究系统地评估了医疗保健领域现有的人工智能框架如何解决整个人工智能生命周期中的交叉偏差，并探讨了提出的缓解策略。研究设计范围审查。方法根据PRISMA-ScR指南进行范围综述，分析2014 - 2024年的研究。检索包括MEDLINE （Ovid）、PubMed、EMBASE （Ovid）、SCOPUS、ESCI、IEEE explore和谷歌Scholar。提取了人工智能生命周期各阶段（开发、验证、实施、监测）中与偏见相关的挑战和缓解战略的数据。研究按包容性（高、中、低）进行排名。结果在374项记录中，43项研究符合纳入标准，主要来自高收入国家。性别/性别（51.2%）和种族/民族（44.2%）是被提及最多的维度，而残疾（14%）和公民身份（9.3%）被提及最少。包容性分为高（21项研究，48.8%）、中（23.2%）和低（27.9%）。总体而言，确定了14种偏见和21种缓解策略。在解决人工智能框架中的交叉偏见方面仍然存在重大差距，特别是对于残疾人和非公民等代表性不足的群体。尽管许多框架展示了对包容性的努力，但对交叉性的关注仍然不平衡，而且在很大程度上不一致。将偏见映射到生命周期阶段突出了可操作的战略，以改善人工智能驱动的医疗保健中的公平性和包容性。这些发现为研究人员、政策制定者和开发人员创造公平和负责任的人工智能系统提供了宝贵的指导。

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引用次数: 0

Assessment of cost-effectiveness threshold using a double-bounded dichotomous choice model 使用双界二分类选择模型评估成本-效果阈值

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 10.1016/j.puhip.2025.100705

Taito Kitano , Shinya Tsuzuki

Objectives

Willingness to pay (WTP) for one quality-adjusted life year (QALY) is highly variable according to survey methodology and can change over time, even within the same population. Our study objective was to assess Japanese WTP per QALY gain using a double-bounded dichotomous choice method for a scenario in the post-COVID-19 pandemic period.

Study design

A cross-sectional survey.

Methods

We conducted an online survey in 2024 to determine the mean WTP using double-bounded dichotomous choice among 2,500 Japanese adults. Four scenarios were presented (three for a non-fatal disease from three different perspectives and one scenario from an individual perspective) in two series of questions regarding WTP with the disease.

Results

The mean WTP per QALY gain with moderate and severe health status was 3.30 (95 % confidence interval: 2.38−4.36) and 3.36 (2.62−4.36) for a non-fatal disease and individual perspective, 7.34 (5.61−9.33) and 4.43 (3.45−5.57) million Japanese Yen (JPY) in 2025 for a non-fatal disease from societal and individual perspectives, 8.44 (6.49−10.56) and 5.58 (4.49−6.87) million JPY for a non-fatal disease from a societal but excluding an individual perspective, respectively; 8.41 (5.78−9.66) million JPY for a fatal disease with 6 months' treatment, 9.95 (7.45−12.71) million JPY for fatal disease with 6 months' prevention, 3.38 (2.78−5.42) million JPY for a fatal disease with 18 months' treatment, and 4.18 (3.29−6.65) million JPY for a fatal disease with 18 months’ prevention, respectively.

Conclusions

No significant change was observed in WTP between after versus before the COVID-19 pandemic. However, our findings suggest that questionnaire design may greatly influence response patterns. Further detailed examination is required to understand how these values have changed following the COVID-19 pandemic.

根据调查方法，一个质量调整生命年（QALY）的支付意愿（WTP）是高度可变的，并且可以随着时间的推移而变化，即使在同一人群中也是如此。我们的研究目的是在covid -19大流行后的一种情况下，使用双界二分类选择方法评估日本每QALY增加的WTP。研究设计：横断面调查。方法我们于2024年对2500名日本成年人进行了一项在线调查，采用双界二分类选择法确定平均WTP。在关于该病WTP的两个系列问题中，提出了四种情景（从三个不同角度对非致命性疾病的三种情景和从个人角度的一种情景）。结果中重度健康状况下，非致死性疾病和个体的WTP分别为3.30（95%可信区间2.38 ~ 4.36）和3.36(2.62 ~ 4.36)，非致死性疾病和个体的WTP分别为7.34（5.61 ~ 9.33）和4.43（3.45 ~ 557）万日元（JPY），非致死性疾病和非致死性疾病的WTP分别为8.44（6.49 ~ 10.56）和5.58（4.49 ~ 687）万日元；治疗6个月的致命疾病为8.41（578 - 966）万日元，预防6个月的致命疾病为9.95（745 - 1271）万日元，治疗18个月的致命疾病为3.38（2.78 - 542）万日元，预防18个月的致命疾病为4.18（329 - 665）万日元。结论新冠肺炎大流行前后WTP无明显变化。然而，我们的研究结果表明，问卷设计可能会极大地影响反应模式。需要进一步详细检查，以了解这些值在COVID-19大流行后如何变化。

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引用次数: 0

From prevalence to practice: Integrating dietary energy density into meta-analytic research on obesity in older adults 从流行到实践：将膳食能量密度纳入老年人肥胖的荟萃分析研究

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2026-01-14 DOI: 10.1016/j.puhip.2026.100729

Chang Hyung Lee

引用次数: 0

Project RUSH: Implementing and evaluating a community-based teen pregnancy prevention program among Hispanic youth in rural South Texas RUSH项目：在德克萨斯州南部农村的西班牙裔青年中实施和评估以社区为基础的青少年怀孕预防计划

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2026-02-06 DOI: 10.1016/j.puhip.2026.100743

Gerardo J. Pacheco , Howaida Werfelli , Ramalingam Shanmugam , Jose Betancourt , Alison Johnson

Objectives

The burden of sexually transmitted infections, HIV, and unintended pregnancies is disproportionate among Hispanic youth (ages 15-19) in Texas as compared to other groups nationally. A community intervention, Project Realistic Understanding of Sexual Health (RUSH) was developed using the Making Proud Choices, an evidence-based teen pregnancy program (TPP). This study aimed to present the use of a community-based participatory research (CBPR) framework in designing and implementing a sexual health intervention for rural Hispanic youth and participant outcomes (knowledge, attitudes, and behaviors).

Study design

Single group Pre/Post Design employing a CPBR approach.

Methods

A CBPR approach and programmatic evaluation were utilized to design and deliver an evidence-based teen pregnancy prevention program (TPP). A pre-post questionnaire was self-administered to eligible and consenting participants who were recruited via convenience sampling. Project RUSH was delivered over 8-week sessions in community centers throughout the 5-county service area.

Results

In total, 160 youth were recruited, and 112 participants completed the intervention with the pre-and-post assessments. The majority self-identified as Hispanic/Latino (76%). Increased knowledge of pregnancy, sexually transmitted infections (STIs), and HIV/AIDS were statistically significant after the intervention. Respondents’ feedback demonstrated satisfaction in the program (setting, facilitators, curriculum).

Conclusion

Input and engagement from community stakeholders helped refine the implementation of RUSH. Although a group change was observed, additional research, community engagement, and further analyses are needed to assess long term and support positive sexual behaviors among the youth in rural South Texas.

Implications and contributions

The findings support the continued need to develop tailored sexual education community interventions for youth in rural communities.

目的：与全国其他群体相比，德克萨斯州西班牙裔青年（15-19岁）的性传播感染、艾滋病毒和意外怀孕负担不成比例。一个社区干预，项目现实理解性健康（RUSH）是利用做出骄傲的选择，一个基于证据的青少年怀孕计划（TPP）。本研究旨在介绍基于社区的参与性研究（CBPR）框架在设计和实施针对农村西班牙裔青年的性健康干预和参与者结果（知识、态度和行为）中的应用。研究设计采用CPBR方法的单组前后设计。方法采用CBPR方法和纲领性评价，设计并实施循证青少年预防怀孕项目（TPP）。通过方便抽样，对符合条件和同意的参与者自行进行了一份前后问卷调查。RUSH项目在5个县服务区的社区中心进行了为期8周的会议。结果共招募青少年160人，其中112人完成干预前后评估。大多数人自认为是西班牙裔/拉丁裔（76%）。在干预后，对怀孕、性传播感染（STIs）和艾滋病毒/艾滋病的了解有所增加，这在统计上是显著的。受访者的反馈显示了对课程（设置、辅导员、课程）的满意度。结论社区利益相关者的投入和参与有助于完善RUSH的实施。虽然观察到了群体的变化，但需要进一步的研究、社区参与和进一步的分析来评估长期和支持南德克萨斯州农村青少年积极的性行为。启示和贡献本研究结果支持继续为农村社区的青少年制定针对性教育社区干预措施的必要性。

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引用次数: 0

Ground-based travel to European academic events as an alternative to air travel: Estimating associated greenhouse gas emissions, time and cost 以地面旅行代替航空旅行参加欧洲学术活动：估算相关温室气体排放、时间和成本

IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health in Practice

Pub Date : 2026-06-01 Epub Date: 2025-12-11 DOI: 10.1016/j.puhip.2025.100702

Joseph Grech , David A. Richards

Objectives

We aimed to identify the number of participants at three differently situated scientific events in Europe realistically able to switch from aviation to ground-based travel, modelling the potential impact of doing so in terms of travel-related greenhouse gas emissions (GHGe), time and costs.

Study design

Modelling study.

Methods

Travel for participants (N = 137) attending three academic European events in 2025, two centrally, and one peripherally located, was simulated, estimating the associated GHGe, time and cost. Alternative travel scenarios (air- and ground-based), in which participants realistically switched to ground-based travel, were modelled, highlighting differences in travel-related GHGe, time and costs.

Results

For this cohort, a central European location gave around 50 % of participants the opportunity to take ground-based travel, reducing total travel GHGe by a maximum of 29 % (14,116 kg of CO₂e). While ground-based journeys took longer, cost differences depended on the availability of international ground-based connections and low-cost airlines.

Conclusions

The potential to minimise travel-related, event-driven GHGe is driven by the distance from the participants' departing cities to arrival venue, and the number of participants who live within 1000 kms and/or one day's travel time by ground-based means. The ability to realise these GHGe reductions will depend on the extent to which eligible event participants may choose to shift from aviation to ground-based alternatives, driven by their capabilities to navigate such journeys (that may be more complex), and their motivation, which might be enhanced through financial incentives where ground-based transportation is more expensive.

我们旨在确定欧洲三个不同地点的科学活动的参与者数量，这些活动实际上能够从航空转向地面旅行，并根据与旅行相关的温室气体排放（GHGe）、时间和成本对这样做的潜在影响进行建模。研究设计：模型研究。方法对参加2025年3次欧洲学术活动的参与者（N = 137）进行旅行模拟，估算相关的温室气体排放、时间和成本。模拟了可选择的旅行情景（空中和地面），其中参与者实际转向地面旅行，突出了与旅行相关的温室气体、时间和成本的差异。结果：在这个队列中，中欧地区为大约50%的参与者提供了地面旅行的机会，最多减少了29%的总旅行温室气体（14116公斤二氧化碳当量）。虽然地面旅行花费的时间更长，但成本差异取决于国际地面连接和低成本航空公司的可用性。最小化与旅行相关的、事件驱动的温室气体排放的潜力取决于参与者从出发城市到到达地点的距离，以及居住在1000公里范围内的参与者数量和/或一天的地面旅行时间。实现这些温室气体减排的能力将取决于符合条件的活动参与者在多大程度上选择从航空转向地面替代方案，这取决于他们驾驭这种旅程（可能更复杂）的能力，以及他们的动机，在地面交通更昂贵的情况下，他们的动机可能会通过财政激励得到增强。

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