Pub Date : 2026-01-27DOI: 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。
{"title":"Success factors in prevention activities and training intervention against workplace violence in healthcare: A systematic review","authors":"C. La Barbiera , C. Mento , C. Lombardo , D. Capozza , A. De Carlo","doi":"10.1016/j.puhip.2026.100736","DOIUrl":"10.1016/j.puhip.2026.100736","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100736"},"PeriodicalIF":1.9,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188515","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 : 2026-01-15DOI: 10.1016/j.puhip.2026.100728
Valerie WY. Wong , Niki BN. So , Chelly CY. Chu , Cheuk-Kwong Lee , Janet YH. Wong
{"title":"Actions to bridge the workforce and blood supply gaps - Response to “Health promotion for blood donors: A scoping review”","authors":"Valerie WY. Wong , Niki BN. So , Chelly CY. Chu , Cheuk-Kwong Lee , Janet YH. Wong","doi":"10.1016/j.puhip.2026.100728","DOIUrl":"10.1016/j.puhip.2026.100728","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100728"},"PeriodicalIF":1.9,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038143","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 : 2026-01-14DOI: 10.1016/j.puhip.2026.100729
Chang Hyung Lee
{"title":"From prevalence to practice: Integrating dietary energy density into meta-analytic research on obesity in older adults","authors":"Chang Hyung Lee","doi":"10.1016/j.puhip.2026.100729","DOIUrl":"10.1016/j.puhip.2026.100729","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100729"},"PeriodicalIF":1.9,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978122","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 : 2026-01-14DOI: 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.
{"title":"Supporting families and building relationships: Evaluation of a home and sleep safety equipment scheme for impoverished communities","authors":"J. Bates , O.C. Kokogho , K.E. Dunstan-Smith , L. Davison , H.L. Ball","doi":"10.1016/j.puhip.2026.100733","DOIUrl":"10.1016/j.puhip.2026.100733","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>A holistic review of the first year of the operation of the Start For Life Fund (SFLF) scheme.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100733"},"PeriodicalIF":1.9,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038115","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 : 2026-01-14DOI: 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.
{"title":"Perceptions of public health education among medical students in Ireland: A qualitative study","authors":"A. Malakhveitchouk , P. White , P. Barrett","doi":"10.1016/j.puhip.2026.100730","DOIUrl":"10.1016/j.puhip.2026.100730","url":null,"abstract":"<div><h3>Objectives</h3><div>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).</div></div><div><h3>Study design</h3><div>Qualitative semi-structured interviews.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100730"},"PeriodicalIF":1.9,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977380","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 : 2026-01-13DOI: 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.
{"title":"Determinants of neonatal morbidity in Rajshahi Division of Bangladesh","authors":"Md Monimul Huq , 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}
Pub Date : 2026-01-13DOI: 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.
{"title":"Risk, precarity, and necropolitics among informal waste workers in peri-urban Islamabad","authors":"Imran Sabir , 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":"2026-01-13","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}
Pub Date : 2026-01-13DOI: 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。
{"title":"Parental socioeconomic status and other sociodemographic determinants of health disparities among children and adolescents in Austria","authors":"Maximiliane Dozler , Michael Berger , Susanne Mayer","doi":"10.1016/j.puhip.2026.100732","DOIUrl":"10.1016/j.puhip.2026.100732","url":null,"abstract":"<div><h3>Objectives</h3><div>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.</div></div><div><h3>Study design</h3><div>This a retrospective analysis based on representative data from the 2019 Austrian Health Interview Survey including 5605 participants under the age of 18.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100732"},"PeriodicalIF":1.9,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977383","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}