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Correlates and Narratives of COVID-19 vaccine uptake in Ghana: A case study 加纳COVID-19疫苗接种的相关因素和叙述:案例研究
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2025-12-05 DOI: 10.1016/j.puhip.2025.100683
Lily Yarney , John Asamoah-Boateng , Herman Nuake Kofi Agboh , Gordon Abekah-Nkrumah , Joel Yarney , Robert Mayfield Yawson

Objectives

The COVID-19 pandemic significantly impacted public health and disrupted socioeconomic activities globally. Although vaccination efforts have intensified, overall community uptake of COVID-19 vaccines remain suboptimal. This study explored the facilitators and barriers of vaccine uptake in the New Juaben South Municipality (NJSM) in Ghana.

Study design

The Exploratory Case Study Design was employed for the research.

Methods

Using concurrent mixed-method approach, quantitative data were collected from 418 randomly selected respondents from eight communities. The qualitative data consisted of responses from 23 participants. Quantitative data were analyzed with SPSS version 28, descriptive statistics, regression analysis, and p-values were used to interpret the findings, whilst participant interviews were recorded, transcribed, and analyzed thematically.

Results

The level of COVID-19 vaccine uptake was 53.1 %. Various factors significantly influenced uptake, including age (p = 0.053), occupational category (p = 0.001), education (p = 0.003), income (p = 0.001), awareness of effectiveness of vaccines (p = 0.002), awareness of ongoing vaccination (p = 0.011), infection with coronavirus (p = 0.005), close family member infected with coronavirus (p = 0.039), death of someone due to COVID-19 (p = 0.022) and overall perception towards COVID-19 disease and vaccine (p = 0.001). Additionally, respondents above 47 years of age [AOR = 4.99, CI= (1.32–18.91), p = 0.018)], health workers [AOR = 2.65, CI = (1.03–6.18), p = 0.043)], those with basic education [AOR = 0.50, CI = (0.27–0.92), p = 0.025)], and good perception towards COVID-19 disease and vaccination [AOR = 2.30, CI = (1.37–3.85), p = 0.002)], all had higher odds of COVID-19 vaccine uptake. However, deeply rooted religious and cultural beliefs were major barriers to vaccination uptake.

Conclusion

Community-based health communication strategies are essential to counter vaccine misconceptions during pandemics and foster enduring behavioural change.
新冠肺炎大流行严重影响了全球公共卫生,扰乱了社会经济活动。尽管加强了疫苗接种工作,但社区对COVID-19疫苗的总体接种率仍不理想。本研究探讨了加纳新华本南市(NJSM)疫苗接种的促进因素和障碍。本研究采用探索性案例研究设计。方法采用并行混合方法,从8个社区随机抽取418名调查对象,收集定量数据。定性数据包括23名参与者的回答。定量数据分析与SPSS版本28,描述性统计,回归分析和p值被用来解释调查结果,而参与者的访谈被记录,转录,并分析主题。结果新冠肺炎疫苗接种率为53.1%。各种因素显著影响吸收率,包括年龄(p = 0.053)、职业类别(p = 0.001)、教育程度(p = 0.003)、收入(p = 0.001)、对疫苗有效性的认识(p = 0.002)、对正在接种疫苗的认识(p = 0.011)、冠状病毒感染(p = 0.005)、近亲属感染冠状病毒(p = 0.039)、因COVID-19死亡的人(p = 0.022)以及对COVID-19疾病和疫苗的总体认识(p = 0.001)。此外,年龄在47岁以上[AOR = 4.99, CI= (1.32 ~ 18.91), p = 0.018)]、卫生工作者[AOR = 2.65, CI= (1.03 ~ 6.18), p = 0.043)]、受过基础教育[AOR = 0.50, CI= (0.27 ~ 0.92), p = 0.025)]、对COVID-19疾病和疫苗接种认知良好[AOR = 2.30, CI= (1.37 ~ 3.85), p = 0.002)]的应答者对COVID-19疫苗的接种率较高。然而,根深蒂固的宗教和文化信仰是接种疫苗的主要障碍。结论以社区为基础的卫生传播战略对于在大流行期间消除疫苗误解和促进持久的行为改变至关重要。
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引用次数: 0
Antibiotic knowledge among ethnic minority groups in high-income countries: A mixed–methods systematic review 高收入国家少数民族人群的抗生素知识:一项混合方法的系统评价
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2025-12-23 DOI: 10.1016/j.puhip.2025.100715
Luisa Silva , Mayuri Gogoi , Zainab Lal , Paul Bird , Nisha George , Daniel Pan , Rebecca F. Baggaley , Pip Divall , Holly Reilly , Laura Nellums , Manish Pareek

Objectives

Antimicrobial resistance (AMR) is a major global public health concern. Although low-income countries are disproportionately affected by AMR, certain underserved groups in high-income countries (HICs), such as migrants and ethnic minorities, disproportionately bear the burden of AMR. This may be driven by socio-cultural factors including differences in health literacy. This review aimed to investigate the level of antibiotic knowledge amongst different ethnic minority groups in HICs.

Study design

This was a mixed-methods systematic literature review.

Methods

We searched four databases (MEDLINE, EMBASE, the Cochrane library, CINAHL) to May 5, 2023, for primary studies on knowledge of antibiotics in different ethnic groups in HICs. We included studies in English using qualitative, quantitative and/or mixed-methods approaches and reporting on antibiotic knowledge by ethnicity. We used the convergent integrated approach for data synthesis and the Mixed-Methods Appraisal tool for quality assessment.

Results

3935 articles were screened and 24 studies (17 quantitative, 5 qualitative, and 2 mixed-methods) were included, comprising 52778 participants from 8 countries (USA, UK, Australia, New Zealand, Netherlands, Greece, Sweden, Germany). Overall, participants from ethnic minority groups were able to identify common names of antibiotics and were aware of risks of antibiotics and side effects. However, participants thought antibiotics would treat viral-type illnesses. Ethnic minority groups generally had lower levels of knowledge compared to ethnic majority groups.

Conclusions

Although ethnic minority communities possessed good levels of knowledge on certain aspects of antibiotics (e.g. being able to identify names of antibiotics), there were gaps in other areas (e.g. misperception that antibiotics are used for viral infections). The lower level of knowledge in ethnic minority groups compared to majority groups may be a contributing factor to health inequalities, which calls for co-designed, culturally competent, educational interventions.
目的抗菌素耐药性(AMR)是一个主要的全球公共卫生问题。尽管低收入国家受到抗菌素耐药性的影响尤为严重,但高收入国家中某些服务不足的群体,如移民和少数民族,承受抗菌素耐药性的负担尤为严重。这可能是由社会文化因素造成的,包括卫生知识的差异。本综述旨在调查hic中不同少数民族人群的抗生素知识水平。研究设计这是一项混合方法的系统文献综述。方法检索MEDLINE、EMBASE、Cochrane library、CINAHL 4个数据库(截至2023年5月5日),收集不同种族HICs患者抗生素知识的初步研究。我们纳入了使用定性、定量和/或混合方法的英语研究,并按种族报告了抗生素知识。我们使用聚合集成方法进行数据合成,使用混合方法评估工具进行质量评估。结果共筛选3935篇文献,纳入24项研究(定量方法17项,定性方法5项,混合方法2项),包括来自8个国家(美国、英国、澳大利亚、新西兰、荷兰、希腊、瑞典、德国)的52778名受试者。总体而言,来自少数民族群体的参与者能够识别抗生素的常用名称,并意识到抗生素的风险和副作用。然而,参与者认为抗生素可以治疗病毒性疾病。与多数民族相比,少数民族的知识水平普遍较低。结论少数民族社区虽然对抗生素的某些方面(如能够识别抗生素的名称)具有良好的知识水平,但在其他方面(如对抗生素用于病毒感染的误解)存在差距。与多数群体相比,少数民族群体的知识水平较低,这可能是造成健康不平等的一个因素,因此需要共同设计、具有文化竞争力的教育干预措施。
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引用次数: 0
Moving from theory to practice: Rethinking socio-economic health inequalities beyond social justice framing 从理论走向实践:超越社会正义框架重新思考社会经济卫生不平等
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2026-01-29 DOI: 10.1016/j.puhip.2026.100741
Ulfah , Kadek Suhardita , I Wayan Widana , Rikas Saputra , Agung Slamet Kusmanto , Erfan Ramadhani , Arizona
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引用次数: 0
A comprehensive outside-of-school intervention to promote school attendance and achievement during the COVID-19 pandemic 在2019冠状病毒病大流行期间促进出勤率和学业成绩的综合校外干预措施
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2025-12-18 DOI: 10.1016/j.puhip.2025.100719
Emily M. D'Agostino , Raha Manyara , Tyler Erickson , Angel Chen , Ashley Peters , Ashley Blakemore , Elena Maina , Cynthia Vargas , Kanecia O. Zimmerman

Objectives

School absenteeism predicts poor academic achievement and long-term health inequities. Chronic absenteeism increased dramatically during the COVID-19 pandemic, and both student attendance and achievement disparities widened. This study examined the association between participation in an intensive outside-of-school intervention, Student U, and school absenteeism, as well as changes in attendee academic performance during the pandemic.

Study design

Observational cohort study.

Methods

A simple linear regression model was performed testing the association between Student U attendance and schools absences. Paired t-tests and a global test for overall improvement using generalized estimating equations were performed to examine changes in pre- and post-test academic performance.

Results

The sample included 65 students (Hispanic/Latino, 56.9 %; Non-Hispanic Black/African American, 33.8 %; 80.0 % first-generation college-bound). For every day a 7th-grade student attended Student U, school absences decreased by 0.14 days (p = 0.02). Mean differences in overall improvement for 7th- and 10th-grade student test scores were 23.65 (95 % CI: 19.91, 27.39; p < 0.001) and 22.12 (95 % CI: 15.67, 28.58; p < 0.001), respectively.

Conclusions

We demonstrated the association between participation in Student U and lower school absenteeism, as well as improved academic performance across multiple subjects for underserved youth. Findings reinforce the potential for comprehensive and intensive outside-of-school programs to support underserved youth and mitigate inequities following pandemics and other public health emergencies.
目的学校缺勤预示着学习成绩差和长期健康不平等。在2019冠状病毒病大流行期间,长期缺勤率急剧上升,学生出勤率和成绩差距都扩大了。本研究调查了参与强化校外干预、学生U和学校缺勤之间的关系,以及大流行期间出席者学业成绩的变化。研究设计:观察性队列研究。方法采用简单线性回归模型检验学生出勤与缺勤之间的关系。使用广义估计方程进行配对t检验和总体改进的全球检验,以检查测试前和测试后学业成绩的变化。结果样本包括65名学生(西班牙裔/拉丁裔占56.9%;非西班牙裔黑人/非洲裔美国人占33.8%;第一代大学生占80.0%)。七年级学生每参加学生U一天,缺课天数减少0.14天(p = 0.02)。七年级和十年级学生考试成绩总体改善的平均差异分别为23.65 (95% CI: 19.91, 27.39; p < 0.001)和22.12 (95% CI: 15.67, 28.58; p < 0.001)。结论:我们证明了学生U的参与与较低的学校缺勤率之间的联系,以及缺勤青少年在多个科目上学习成绩的提高。研究结果表明,有可能开展全面和密集的校外项目,以支持得不到充分服务的青年,并缓解大流行和其他突发公共卫生事件后的不平等现象。
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引用次数: 0
Enhancing antimicrobial stewardship and health literacy in Europe – moving forward through education and empowerment 加强欧洲的抗菌药物管理和卫生知识普及——通过教育和赋权向前迈进
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2025-12-17 DOI: 10.1016/j.puhip.2025.100711
Gabor Kertes , Andrew Robertson , Lisa Ackerley , Maria Brink Liljeberg , Christina Swedmark , Adrian Shephard , Thomas Bosch , Anders Miki Bojesen , Jessica Carreño Louro , Michele Calabró , Dorota Sienkiewicz , Pikka Jokelainen , Marianne Bengtsson , Lisbeth Thyregod , Nina Sønderberg , Charan Nelander , Lars Münter
Antimicrobial resistance (AMR) is a silent, growing pandemic of global proportions and impact. This commentary encourages relevant stakeholders to increase their joint commitment to collaboration and systemic action, dedicated antibiotic stewardship and health literacy including a stronger, evidence-based self-care to contribute to solving the AMR challenge. Key factors such as the removal of inadequate access to antibiotics, e.g. over-the-counter (OTC) sale of antibiotics, improving self-care and hygiene can help fight the increasing burden of AMR. Along with the increase in health care literacy, these measures can be implemented swiftly to combat the growing rate of AMR development.
抗菌素耐药性(AMR)是一种无声的、日益严重的全球性流行病,影响巨大。本评论鼓励相关利益攸关方加强对合作和系统行动、专门的抗生素管理和卫生素养的共同承诺,包括更强有力的循证自我保健,为解决抗生素耐药性挑战作出贡献。消除抗生素获取不足的情况(如非处方销售抗生素)、改善自我保健和卫生等关键因素可帮助应对抗生素耐药性日益加重的负担。随着卫生保健知识普及程度的提高,可以迅速实施这些措施,以遏制抗菌素耐药性的增长速度。
{"title":"Enhancing antimicrobial stewardship and health literacy in Europe – moving forward through education and empowerment","authors":"Gabor Kertes ,&nbsp;Andrew Robertson ,&nbsp;Lisa Ackerley ,&nbsp;Maria Brink Liljeberg ,&nbsp;Christina Swedmark ,&nbsp;Adrian Shephard ,&nbsp;Thomas Bosch ,&nbsp;Anders Miki Bojesen ,&nbsp;Jessica Carreño Louro ,&nbsp;Michele Calabró ,&nbsp;Dorota Sienkiewicz ,&nbsp;Pikka Jokelainen ,&nbsp;Marianne Bengtsson ,&nbsp;Lisbeth Thyregod ,&nbsp;Nina Sønderberg ,&nbsp;Charan Nelander ,&nbsp;Lars Münter","doi":"10.1016/j.puhip.2025.100711","DOIUrl":"10.1016/j.puhip.2025.100711","url":null,"abstract":"<div><div>Antimicrobial resistance (AMR) is a silent, growing pandemic of global proportions and impact. This commentary encourages relevant stakeholders to increase their joint commitment to collaboration and systemic action, dedicated antibiotic stewardship and health literacy including a stronger, evidence-based self-care to contribute to solving the AMR challenge. Key factors such as the removal of inadequate access to antibiotics, e.g. over-the-counter (OTC) sale of antibiotics, improving self-care and hygiene can help fight the increasing burden of AMR. Along with the increase in health care literacy, these measures can be implemented swiftly to combat the growing rate of AMR development.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100711"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939398","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
Facilitators and challenges to access fresh fruits and vegetables in a low to middle income group in Bangladesh: Consumers’ perception 孟加拉国中低收入群体获取新鲜水果和蔬菜的便利因素和挑战:消费者的看法
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2026-01-30 DOI: 10.1016/j.puhip.2026.100740
Fariza Fieroze , Md Badruddin Saify , Ummey Farwah , Rumana Huque

Objective

To explore challenges and barriers faced by vulnerable women and men in accessing fresh foods, and how they overcome existing barriers to healthier dietary improvements in households and communities.

Study design

This study employed an explorative qualitative research design.

Methods

Using purposive sampling through a local primary healthcare facility, 16 in-depth interviews (8 male, 8 female household heads) and 2 focus group discussions (8 participants each, gender-segregated) were conducted with vulnerable slum populations in Mirpur, Dhaka, Bangladesh, between September 2020 and August 2021. Participants were low-to-middle income household heads responsible for grocery shopping and menu decisions. Data were collected in the local language-Bangla, audio-recorded, transcribed verbatim, and analyzed using thematic framework analysis.

Results

Key findings identified price fluctuations as a major factor impacting purchase quantity and consumption. Participants knowingly purchased stale items due to necessity, while personal food preferences often dominated healthy food choices. Limited accessibility to wholesale markets forced dependence on mobile vendors and small shops regardless of product freshness. Furthermore, product availability fluctuated with natural calamities, the pandemic, and seasonal effects, alongside intentional crises created by market intermediaries. Conversely, knowledge of healthy foods helped determine optimal family menus.

Conclusions

Given the rising non-communicable disease burden in Bangladesh's urban areas, swift accessibility to fresh fruits and vegetables is vital for increasing healthy dietary intake among low-to-middle income populations.
目的探讨弱势女性和男性在获取新鲜食品方面面临的挑战和障碍,以及他们如何克服现有障碍,改善家庭和社区的健康饮食。本研究采用探索性质的研究设计。方法在2020年9月至2021年8月期间,通过当地初级卫生保健机构进行有目的抽样,对孟加拉国达卡米尔普尔的弱势贫民窟人口进行了16次深度访谈(8名男性户主,8名女性户主)和2次焦点小组讨论(每个参与者8名,性别隔离)。参与者是负责购买食品杂货和决定菜单的中低收入家庭的户主。数据以当地语言孟加拉语收集,录音,逐字转录,并使用专题框架分析进行分析。结果主要发现价格波动是影响购买数量和消费的主要因素。参与者出于需要故意购买不新鲜的食品,而个人的食物偏好往往主导了健康食品的选择。批发市场的可达性有限,无论产品是否新鲜,都不得不依赖流动供应商和小商店。此外,产品供应随自然灾害、流行病和季节性影响以及市场中介机构故意制造的危机而波动。相反,对健康食品的了解有助于确定最佳的家庭菜单。鉴于孟加拉国城市地区的非传染性疾病负担不断增加,快速获得新鲜水果和蔬菜对于增加中低收入人群的健康饮食摄入量至关重要。
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引用次数: 0
Global prevalence of musculoskeletal symptoms among restaurant workers: A systematic review and meta-analysis 全球餐馆工作人员肌肉骨骼症状的患病率:一项系统回顾和荟萃分析
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2026-02-12 DOI: 10.1016/j.puhip.2026.100750
Faezeh Makki , Javad Koroujde , Anahita Hejazi , Ali Sahebi , Mohammad Aref Rajaee , Somayeh Tahernejad

Objectives

To gain a comprehensive understanding of the prevalence of MSSs among restaurant workers, a systematic review and meta-analysis was conducted. The primary objective was to determine the magnitude of this issue and to provide valuable insights for the development and implementation of effective prevention and intervention strategies.

Study design

systematic review and meta-analysis.

Methods

This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and meta-analyses. Relevant studies were identified through a comprehensive search of multiple databases, including PubMed, Scopus, Web of Science, and Google Scholar. A random-effects model was employed for the meta-analysis, and heterogeneity among studies was assessed using the I2 statistic. Data analysis was conducted using STATA statistical software (version 14).

Results

Following the completing the stages of screening, selection, and evaluation of the quality of the studies, 17 studies were included in the meta-analysis. The results of the meta-analysis showed that The pooled prevalence of MSSs among restaurant workers was 67.01% (95% CI: 57.90-76.12, I2 = 98.2%, P < 0.001). The highest and lowest prevalence rates are related to the low back with a rate of 50.78% (95% CI: 39.45-62.11, I2 = 98.4%, P < 0.001) and hip/thigh with a rate of 19.05% (95% CI: 10.24-27.87, I2 = 98.2%, P < 0.001).

Conclusions

The relatively high occurrence of MSSs within the restaurant industry necessitates the implementation of preventive measures, including ergonomic interventions, to mitigate their adverse effects.
目的通过系统回顾和荟萃分析,全面了解餐馆工作人员的mss患病率。主要目标是确定这一问题的严重程度,并为制定和执行有效的预防和干预战略提供宝贵的见解。研究设计:系统回顾和荟萃分析。方法本研究遵循系统评价和荟萃分析首选报告项目(PRISMA)指南进行系统评价和荟萃分析。通过对PubMed、Scopus、Web of Science、谷歌Scholar等多个数据库的综合检索,确定了相关研究。meta分析采用随机效应模型,研究间异质性采用I2统计量进行评估。数据分析采用STATA统计软件(版本14)。结果在完成筛选、选择和评价研究质量阶段后,17项研究被纳入meta分析。meta分析结果显示,餐厅员工中mss的总患病率为67.01% (95% CI: 57.90 ~ 76.12, I2 = 98.2%, P < 0.001)。发病率最高和最低的部位为腰背部,分别为50.78% (95% CI: 39.45 ~ 62.11, I2 = 98.4%, P < 0.001)和19.05% (95% CI: 10.24 ~ 27.87, I2 = 98.2%, P < 0.001)。结论餐饮业的mss发生率较高,需要采取预防措施,包括人体工程学干预措施,以减轻其不良影响。
{"title":"Global prevalence of musculoskeletal symptoms among restaurant workers: A systematic review and meta-analysis","authors":"Faezeh Makki ,&nbsp;Javad Koroujde ,&nbsp;Anahita Hejazi ,&nbsp;Ali Sahebi ,&nbsp;Mohammad Aref Rajaee ,&nbsp;Somayeh Tahernejad","doi":"10.1016/j.puhip.2026.100750","DOIUrl":"10.1016/j.puhip.2026.100750","url":null,"abstract":"<div><h3>Objectives</h3><div>To gain a comprehensive understanding of the prevalence of MSSs among restaurant workers, a systematic review and meta-analysis was conducted. The primary objective was to determine the magnitude of this issue and to provide valuable insights for the development and implementation of effective prevention and intervention strategies.</div></div><div><h3>Study design</h3><div>systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for systematic reviews and meta-analyses. Relevant studies were identified through a comprehensive search of multiple databases, including PubMed, Scopus, Web of Science, and Google Scholar. A random-effects model was employed for the meta-analysis, and heterogeneity among studies was assessed using the I<sup>2</sup> statistic. Data analysis was conducted using STATA statistical software (version 14).</div></div><div><h3>Results</h3><div>Following the completing the stages of screening, selection, and evaluation of the quality of the studies, 17 studies were included in the meta-analysis. The results of the meta-analysis showed that The pooled prevalence of MSSs among restaurant workers was 67.01% (95% CI: 57.90-76.12, I2 = 98.2%, P &lt; 0.001). The highest and lowest prevalence rates are related to the low back with a rate of 50.78% (95% CI: 39.45-62.11, I2 = 98.4%, P &lt; 0.001) and hip/thigh with a rate of 19.05% (95% CI: 10.24-27.87, I2 = 98.2%, P &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The relatively high occurrence of MSSs within the restaurant industry necessitates the implementation of preventive measures, including ergonomic interventions, to mitigate their adverse effects.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100750"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188514","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
“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 : 2026-06-01 Epub 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
Feasibility and acceptability of an adapted WHO alcohol brief intervention: Pilot of a three-armed randomized trial in Sri Lanka 改编世卫组织酒精短期干预措施的可行性和可接受性:斯里兰卡三臂随机试验试点
IF 1.9 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-06-01 Epub Date: 2025-12-17 DOI: 10.1016/j.puhip.2025.100704
Dewasmika Ariyasinghe , Sally Carter , Cathy Banwell , Buddhima Lokuge , Thilini Rajapakse , Grace Joshy , Kamalini Lokuge

Background

Risky drinking (RD) is a major health hazard in Sri Lanka. Alcohol brief intervention (BI) has been proven effective in minimizing RD but has not been utilised in Sri Lanka. We therefore aimed to adapt the WHO alcohol BI and targeted educational material to Sri Lanka, assess their feasibility and acceptability and evaluate appropriateness of methodology and measures for a future RCT.

Study design

A three-arm parallel-group pilot RCT.

Methods

The BI was adapted based on expert feedback. The study included male inpatients (with AUDIT-C screening score ≥5) of a tertiary hospital. The three study arms were: adapted brief intervention (ABI), education about unit of alcohol (UOA), and feedback on screening results (FOA). Trained research assistants (RAs) screened and implemented the interventions. We report on follow-up rates (feasibility), participant and RA feedback (acceptability), recruitment efficiency and data quality (methodological appropriateness), and appropriateness of outcome measures.

Results

The ABI included a structured training manual for implementers, an alcohol information leaflet, and a personal information sheet. Patient follow-up rates were 69 %, 40 % and 71 % for FOA, UOA and ABI arms respectively. Family member recruitment was 31 %. Patient and RA feedback for ABI was overwhelmingly positive. Many patients were abstinent at baseline (37.5 %) and follow-up (75.9 %), mainly due to health concerns. FMQ revealed high ‘total family burden’. Patients struggled with TLFB recall. High childhood adversity prevalence (95.7 %) and low alcohol knowledge were observed.

Conclusions

The ABI demonstrated high acceptability among patients and RAs. All three interventions could be trialled in a future RCT. All measures except TLFB proved appropriate. Our innovative approach of evaluating outcomes from family members' perspectives proved feasible and valuable. The inpatient setting was not appropriate, rather a setting where patients continue their day-to-day activities, including usual drinking, should be considered in a future RCT.
危险饮酒(RD)是斯里兰卡的一个主要健康危害。酒精短期干预(BI)已被证明对减少RD有效,但尚未在斯里兰卡使用。因此,我们的目标是使世卫组织酒精BI和有针对性的教育材料适用于斯里兰卡,评估其可行性和可接受性,并评估未来随机对照试验的方法和措施的适当性。研究设计:三臂平行组先导随机对照试验。方法根据专家反馈对BI进行调整。研究对象为某三级医院男性住院患者(AUDIT-C筛查评分≥5分)。三个研究组分别为:适应性短期干预(ABI)、单位酒精教育(UOA)和筛查结果反馈(FOA)。训练有素的研究助理(RAs)筛选和实施干预措施。我们报告随访率(可行性)、参与者和RA反馈(可接受性)、招聘效率和数据质量(方法适当性)以及结果测量的适当性。结果:ABI包括一份针对实施人员的结构化培训手册、一份酒精信息传单和一份个人信息表。FOA组、UOA组和ABI组的随访率分别为69%、40%和71%。家庭成员招募率为31%。患者和RA对ABI的反馈非常积极。许多患者在基线时(37.5%)和随访时(75.9%)是禁欲的,主要是由于健康问题。FMQ显示“家庭总负担”很高。患者难以回忆起TLFB。观察到高童年逆境患病率(95.7%)和低酒精知识。结论ABI在患者和RAs中具有较高的可接受性。这三种干预措施都可以在未来的随机对照试验中进行试验。除TLFB外,所有措施均证明是适当的。我们从家庭成员的角度评估结果的创新方法被证明是可行和有价值的。在未来的随机对照试验中,应该考虑住院患者的环境,而不是让患者继续他们的日常活动,包括平常的饮酒。
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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 : 2026-06-01 Epub 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。
{"title":"Parental socioeconomic status and other sociodemographic determinants of health disparities among children and adolescents in Austria","authors":"Maximiliane Dozler ,&nbsp;Michael Berger ,&nbsp;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":"2026-06-01","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}
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Public Health in Practice
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