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Success factors in prevention activities and training intervention against workplace violence in healthcare: A systematic review 在医疗保健中预防工作场所暴力的活动和培训干预的成功因素:系统回顾
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-27 DOI: 10.1016/j.puhip.2026.100736
C. La Barbiera , C. Mento , C. Lombardo , D. Capozza , A. De Carlo

Objectives

Workplace violence (WPV) against healthcare workers (HCWs) represents a significant occupational hazard and is a widespread issue globally. WPV is linked to decreased job satisfaction, commitment, and efficiency among healthcare workers, leading to a poorer quality of life. This review aims to identify and evaluate effective strategies for the prevention and intervention against workplace violence in the healthcare sector.

Study design

Systematic review.

Methods

The review was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A comprehensive literature search was carried out in Web of Science, PubMed, and Scopus databases, focusing on studies published in the last four years. The selection process followed predefined inclusion and exclusion criteria based on the PICOS framework.

Results

Out of 442 initially identified studies, eight met the inclusion criteria and were included in the review. The findings indicate that training programs incorporating simulations and behavioral economics principles significantly improve healthcare workers' ability to manage aggression. The use of validated assessment tools to identify risks of violence and the implementation of effective organizational policies have proven essential in reducing the incidence of aggression, thus enhancing the safety and capability of staff.

Conclusions

An integrated approach combining advanced training, organizational support, and preventive policies is essential to foster a safer work environment and protect HCWs' well-being. Additional research is necessary to reinforce existing evidence and explore innovative interventions.
针对医护人员的工作场所暴力(WPV)是一种严重的职业危害,是全球普遍存在的问题。WPV与卫生保健工作者的工作满意度、承诺和效率下降有关,导致生活质量下降。本次审查的目的是确定和评价在保健部门预防和干预工作场所暴力的有效战略。研究设计:系统评价。方法按照PRISMA(系统评价和荟萃分析的首选报告项目)指南进行综述。在Web of Science、PubMed和Scopus数据库中进行了全面的文献检索,重点是最近四年发表的研究。选择过程遵循基于PICOS框架的预定义的纳入和排除标准。在最初确定的442项研究中,有8项符合纳入标准并被纳入综述。研究结果表明,结合模拟和行为经济学原理的培训项目显著提高了医护人员管理攻击行为的能力。事实证明,使用有效的评估工具来确定暴力风险和执行有效的组织政策对于减少侵略事件至关重要,从而提高工作人员的安全和能力。结论将先进的培训、组织支持和预防政策相结合的综合方法对于营造更安全的工作环境和保护医护人员的福祉至关重要。需要进一步的研究来加强现有证据并探索创新的干预措施。
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引用次数: 0
Actions to bridge the workforce and blood supply gaps - Response to “Health promotion for blood donors: A scoping review” 消除劳动力和血液供应差距的行动-对“促进献血者健康:范围审查”的回应
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-15 DOI: 10.1016/j.puhip.2026.100728
Valerie WY. Wong , Niki BN. So , Chelly CY. Chu , Cheuk-Kwong Lee , Janet YH. Wong
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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 Pub Date : 2026-01-14 DOI: 10.1016/j.puhip.2026.100729
Chang Hyung Lee
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引用次数: 0
Supporting families and building relationships: Evaluation of a home and sleep safety equipment scheme for impoverished communities 支持家庭和建立关系:对贫困社区家庭和睡眠安全设备计划的评估
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-14 DOI: 10.1016/j.puhip.2026.100733
J. Bates , O.C. Kokogho , K.E. Dunstan-Smith , L. Davison , H.L. Ball

Objectives

Sleep safety and home safety resources allow families to care for babies and young children, preventing injuries and child death, adverse outcomes that are strongly linked to poverty and social deprivation. Parenthood involves unexpected costs and greater levels of unmet need for safety resources occur in low-income families. We evaluate a local authority scheme which enabled professionals in County Durham to apply for necessary safety equipment on behalf of eligible families.

Study design

A holistic review of the first year of the operation of the Start For Life Fund (SFLF) scheme.

Methods

A mixed method approach was used comprising: 1) a descriptive analysis of the application data submitted by professionals; 2) an online survey to capture the views and experiences of staff who had and had not used the scheme; 3) semi structured interviews with staff applicants and recipient families.

Results

679 families (988 children) were supported during the first operational year, average cost £407 per family (£280/child). Three-quarters of children (72.3 %) were under three; over a third (35.7 %) were pre-birth to 1-year. Staff from seven services and over 20 job roles made applications for families with financial, relationship, housing, domestic violence, and disability-related needs, most from areas with high deprivation scores. 256 staff across 8 service areas submitted survey responses, 39 % of whom had used the scheme which was viewed extremely positively. Interviews with 13 staff and 7 families evidenced how children, families and practitioners benefitted. Recipients reported reduced stress and anxiety about child safety and increased parental confidence.

Conclusions

By providing families with the sleep and home safety equipment they can't afford the SFLF gives parents the opportunity to change behaviours and reduce the risk to babies and children from unintentional injury and death. It helps to improve working relationships between practitioners and families, reduces parental experiences of anxiety, and risk to staff of moral injury. Taking steps to reduce unexpected infant death and child unintentional injury is crucial for families in absolute and relative poverty. Other local authorities could emulate this scheme.
目的:睡眠安全和家庭安全资源使家庭能够照顾婴儿和幼儿,防止伤害和儿童死亡,以及与贫困和社会剥夺密切相关的不良后果。为人父母涉及意想不到的费用,低收入家庭对安全资源的需求未得到满足的程度更高。我们评估了一项地方当局计划,该计划使达勒姆郡的专业人员能够代表符合条件的家庭申请必要的安全设备。研究设计全面检讨“人生起点基金”计划第一年的运作情况。方法采用混合方法,包括:1)对专业人员提交的申请资料进行描述性分析;2)进行网上调查,收集曾使用和未使用该计划的员工的意见和经验;3)与员工申请人和受助家庭进行半结构化面试。结果第一年共支持679个家庭(988名儿童),平均每户花费407英镑(280英镑/名儿童)。四分之三的儿童(72.3%)不到三岁;超过三分之一(35.7%)是在出生前到1岁。来自7个服务部门和20多个职位的工作人员为有经济、关系、住房、家庭暴力和残疾相关需求的家庭提交了申请,其中大多数来自贫困得分较高的地区。8个服务领域的256名员工提交了调查回复,其中39%的人使用了该计划,并获得了非常积极的评价。对13名工作人员和7个家庭的采访证明了儿童、家庭和从业人员是如何受益的。接受者报告说,他们减轻了对孩子安全的压力和焦虑,提高了父母的信心。结论通过为家庭提供他们负担不起的睡眠和家庭安全设备,SFLF使父母有机会改变行为,降低婴儿和儿童意外伤害和死亡的风险。它有助于改善从业人员和家庭之间的工作关系,减少父母的焦虑经历,以及对工作人员道德伤害的风险。采取步骤减少婴儿意外死亡和儿童意外伤害,对绝对贫困和相对贫困家庭至关重要。其他地方政府可以效仿这一计划。
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引用次数: 0
Perceptions of public health education among medical students in Ireland: A qualitative study 爱尔兰医科学生对公共卫生教育的看法:一项定性研究
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-14 DOI: 10.1016/j.puhip.2026.100730
A. Malakhveitchouk , P. White , P. Barrett

Objectives

This study seeks to explore the perceptions, understanding and expectations held by medical students studying in Ireland towards public health (PH) education and the practice of public health medicine (PHM).

Study design

Qualitative semi-structured interviews.

Methods

Participants were recruited from all medical universities in Ireland using purposive and snowball sampling. Qualitative semi-structured interviews were conducted and transcribed. Thematic analysis was performed using the Braun and Clarke method to identify semantic and latent themes. Transcripts were read repeatedly for familiarization with the data, following which initial codes were created. Related codes were grouped into categories and these were subsequently reviewed to generate themes.

Results

13 medical students in their penultimate and final year across five Irish universities were recruited. Three key themes were generated from the analysis. 1) Variations in perceived relevance of PH to medical training. Students articulated mixed views on the importance of PH in the medical curriculum, as well as misconceptions around the role of PH physicians. 2) Deprioritization of PH education during clinical training. Participants perceived that PH was deprioritized by institutions and by students themselves. 3) Limited exposure to PH in practice. The reduced visibility of PH practitioners, and limited exposure to PH workplaces during clinical training deters students from considering PHM as a future career.

Conclusions

There is a need to address students’ lack of understanding and misconceptions relating to PH practice within the medical curriculum in Ireland and to provide more practical opportunities for exposure to PHM.
目的本研究旨在探讨在爱尔兰学习的医学生对公共卫生(PH)教育和公共卫生医学(PHM)实践的看法、理解和期望。研究设计定性半结构化访谈。方法采用目的抽样和滚雪球抽样的方法从爱尔兰所有医科大学招募参与者。进行定性半结构化访谈并进行转录。主位分析采用Braun和Clarke方法来识别语义主位和潜在主位。为了熟悉数据,反复阅读转录本,然后创建初始代码。有关的代码被分成几类,然后加以审查以产生主题。结果来自爱尔兰五所大学的13名医学院学生在倒数第二年和最后一年被招募。从分析中产生了三个关键主题。1) PH与医学培训感知相关性的差异。学生们对PH在医学课程中的重要性以及对PH医生角色的误解表达了不同的看法。2)临床培训中PH教育不优先。参与者认为PH被机构和学生自己剥夺了优先权。3)实践中有限的PH暴露。PH从业人员的可见度降低,以及在临床培训期间接触PH工作场所的机会有限,阻碍了学生将PHM作为未来的职业。结论有必要解决学生在爱尔兰医学课程中对PH实践缺乏理解和误解的问题,并提供更多接触PHM的实践机会。
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引用次数: 0
Determinants of neonatal morbidity in Rajshahi Division of Bangladesh 孟加拉国拉杰沙希地区新生儿发病率的决定因素
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-13 DOI: 10.1016/j.puhip.2026.100731
Md Monimul Huq , Md Kaderi Kibria

Objectives

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.

Study design

A population-based cross-sectional study.

Methods

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.

Results

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).

Conclusions

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.
目的新生儿发病率(NM)是指在出生后28天内发生的任何临床确定的健康并发症。在孟加拉国等低收入和中等收入国家,这仍然是一个重大的公共卫生挑战。这项研究的目的是调查孟加拉国拉杰沙希省产妇不孕症的决定因素,特别侧重于社会人口特征、产妇保健、分娩做法和母乳喂养行为。研究设计:基于人群的横断面研究。方法采用多阶段抽样法对我院475名产妇进行调查。通过结构化问卷和出生后3天和28天两个时间点的医疗记录收集信息。描述性统计总结了参与者的特征。采用卡方检验和二元逻辑回归探讨关键变量与NM之间的关系。结果新生儿总发病率为53.6%。产妇年龄、分娩方式、分娩出席率和母乳喂养习惯是NM的重要决定因素。与年龄≥35岁的母亲所生的婴儿相比,25-29岁母亲所生的婴儿患NM的几率显著降低(OR = 0.192, 95% CI: 0.043-0.855)。阴道分娩与剖宫产相比,NM的发生率更高(OR = 1.934, 95% CI: 1.334-2.829),而在医生和护士的陪同下分娩的发病率较低(OR = 0.366, 95% CI: 0.204-0.655)。纯母乳喂养和出生后1小时开始母乳喂养与非纯母乳喂养和延迟开始母乳喂养相比,NM的发生率较低(OR = 0.521, 95% CI: 0.343-0.794; OR = 0.588, 95% CI: 0.351-0.985)。此外,按需喂养的婴儿新生儿发病率明显较低(OR = 0.145, 95% CI: 0.031-0.671)。结论拉杰沙希地区新生儿新生儿死亡率受产妇年龄、分娩方式、接生次数和母乳喂养习惯的影响。促进熟练接生和最佳母乳喂养支持的政策和规划对于减少乳腺炎和改善该地区新生儿健康结果至关重要。
{"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":"2026-01-13","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}
引用次数: 0
Risk, precarity, and necropolitics among informal waste workers in peri-urban Islamabad 伊斯兰堡城郊非正规废物处理工人的风险、不稳定性和necropolitics。
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-13 DOI: 10.1016/j.puhip.2026.100725
Imran Sabir , Abida Sharif

Objectives

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.

Study design

Qualitative case study.

Methods

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.

Results

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.

Conclusions

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.
目标:在伊斯兰堡快速城市化的近郊地区Bhara Kahu,研究非正规家庭废物收集者的职业风险、健康不稳定和社会边缘化,并通过当代社会学框架解释这些风险。研究设计:定性案例研究。方法:我们对12名非正式的生活垃圾工人进行了深入的半结构化访谈,并将这些叙述与在Bhara Kahu的有针对性的实地观察相结合。访谈以乌尔都语或旁遮普语进行,征得同意后录音,翻译,并采用以解释现象学为导向的反思性方法进行主题分析。解读借鉴了风险社会、环境不稳定、结构性暴力和死亡政治,将日常危害置于更广泛的政治和制度安排之中。结果:出现了五个相互关联的主题。首先,工人报告说,缺乏可执行的劳工权利和社会保护,有口头雇用、任意扣发工资和没有保险,每月收入约为18,000-25,000巴基斯坦卢比(约65-90美元)。其次,安全问题被系统性地忽视:几乎没有培训,个人防护装备的供应很少,使用开放式人力车运输也不安全。第三,未经治疗的损伤和慢性疾病很常见,包括撕裂伤、肌肉骨骼疼痛、持续咳嗽和皮肤病,由于费用、时间压力和耻辱,延误或放弃了治疗。第四,家庭面临持续的卫生压力,因为拥挤的住房、恶劣的社区卫生条件和有限的疫苗接种扩大了工作日以外的暴露。第五,社会贬值使经济剥削和工作不安全成为可能,使公开交往中的羞辱正常化,偶尔还会延伸到临床遭遇。总之,这些模式揭示了一种通过牺牲劳动来换取城市清洁的卫生制度。结论:改善条件需要正式承认非正式收集者是公共卫生工作人员,签订书面合同和社会保险,有实践培训支持的可靠个人防护装备,常规疫苗接种和流动卫生服务,源头隔离以减少危险接触,以及在社区和诊所采取反污名化措施。如果没有这样的改变,风险将继续转移到那些最没有能力拒绝风险的人身上。
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引用次数: 0
“Reevaluating social networking dependency: Academic achievement beyond quantitative indicators” “重新评估社交网络依赖:超越量化指标的学术成就”
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-13 DOI: 10.1016/j.puhip.2026.100735
Kadek Suhardita , I Wayan Widana , Rikas Saputra , Erfan Ramadhani , Putu Ari Dharmayanti , Sri Datuti , Rizky Ananda Pohan , Ulfah , I Dewa Ayu Eka Purba Dharma , Laily Tiarani Soejanto , Arizona
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引用次数: 0
Parental socioeconomic status and other sociodemographic determinants of health disparities among children and adolescents in Austria 父母亲的社会经济地位和奥地利儿童和青少年健康差异的其他社会人口决定因素
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-13 DOI: 10.1016/j.puhip.2026.100732
Maximiliane Dozler , Michael Berger , Susanne Mayer

Objectives

Poor childhood health is a key predictor of adverse health and socioeconomic outcomes, emphasizing the need to address early-life disparities. This study aims to examine parental socioeconomic and sociodemographic factors associated with child and adolescent health in Austria, addressing the gap in European research on this topic.

Study design

This a retrospective analysis based on representative data from the 2019 Austrian Health Interview Survey including 5605 participants under the age of 18.

Methods

Logistic regression analyses were conducted to examine parent-reported health status (PRHS) and the presence of chronic conditions, assessed with the Children with Special Healthcare Needs Screener. Explanatory variables included parental education, income, employment status, migration background, and family structure, controlling for age, gender, and siblings.

Results

PRHS was rated as excellent in 80.92 % of cases, while 19.08 % reported fair to very poor health. Special healthcare needs were present in 8.35 %. Higher income (OR: 1.39, 95 % CI 1.14–1.69), marital partnership (OR: 1.43, 95 % CI 1.09–1.89), and the absence of a migration background (OR: 1.22, 95 % CI 1.02–1.46) were positively associated with PRHS. For special healthcare needs, only migration background showed a significant association, with the absence of a migration background being linked to a higher chronic disease risk (OR: 1.32, 95 % CI 1.01–1.73).

Conclusions

PRHS in Austria is shaped by socioeconomic and sociodemographic factors, while special healthcare needs are primarily linked to parental migration background, possibly reflecting underdiagnosis due to access barriers. Our findings suggest that policy measures should address income inequalities and enhance culturally sensitive healthcare access.
儿童健康状况不佳是不良健康和社会经济结果的关键预测因素,强调需要解决早期生活差距问题。本研究旨在研究与奥地利儿童和青少年健康相关的父母社会经济和社会人口因素,解决欧洲在这一主题上的研究差距。这是一项基于2019年奥地利健康访谈调查代表性数据的回顾性分析,该调查包括5605名18岁以下的参与者。方法采用logistic回归分析方法,对父母报告的健康状况(PRHS)和慢性疾病的存在进行分析,并使用特殊医疗保健需求儿童筛查器进行评估。解释变量包括父母教育程度、收入、就业状况、移民背景和家庭结构,控制了年龄、性别和兄弟姐妹。结果80.92%的患者健康状况为优,19.08%的患者健康状况为一般至极差。有特殊保健需要的占8.35%。较高的收入(OR: 1.39, 95% CI 1.14-1.69)、婚姻关系(OR: 1.43, 95% CI 1.09-1.89)和没有移民背景(OR: 1.22, 95% CI 1.02-1.46)与PRHS呈正相关。对于特殊的医疗需求,只有移民背景显示出显著的关联,没有移民背景与较高的慢性疾病风险相关(OR: 1.32, 95% CI 1.01-1.73)。结论奥地利的sprhs受社会经济和社会人口因素的影响,而特殊医疗需求主要与父母的移民背景有关,可能反映了由于获取障碍而导致的诊断不足。我们的研究结果表明,政策措施应解决收入不平等问题,并加强对文化敏感的医疗保健服务。
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引用次数: 0
A social justice lens on health inequalities: Implications and further considerations 从社会正义角度看保健不平等:影响和进一步考虑
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-13 DOI: 10.1016/j.puhip.2026.100734
Kadek Suhardita , I Wayan Widana , Rikas Saputra , Erfan Ramadhani , Putu Ari Dharmayanti , Sri Datuti , Rr Dwi Umi Badriyah , Rizky Ananda Pohan , Ulfah , I Dewa Ayu Eka Purba Dharma , Laily Tiarani Soejanto , Arizona
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引用次数: 0
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