Pub Date : 2026-06-01Epub Date: 2025-12-11DOI: 10.1016/j.puhip.2025.100697
E.A. Derso , S. Fumagalli , M.G. Valsecchi , A. Nespoli , P. Rebora
Objective
Infant multimorbidity—defined as the co-occurrence of multiple symptoms or conditions—can negatively influence early development and population well-being. This study aimed to apply the International Classification of Functioning, Disability, and Health (ICF) framework to classify infant morbidity and examine its association with social and health-related risk factors.
Study design
Cross-sectional analysis of population-based survey data.
Methods
Data were drawn from the 2019 Performance Monitoring for Action Ethiopia (PMA-ET) community survey. Using multistage stratified cluster sampling, women aged 15–49 were screened, and those pregnant or postpartum within six weeks were eligible. Mothers reported infant illnesses in the preceding two weeks, which were then classified using the ICF framework. Multivariable weighted logistic regression was conducted to assess associations with selected risk factors.
Results
Among 2514 infants, 24.7 % experienced morbidity in the cardiovascular, hematological, immunological, or respiratory domains (ICF code b4); 14.0 % in digestive, metabolic, or endocrine systems (b5); 4.5 % in skin and related structures (b8); 2.5 % in sensory functions and pain (b2); and 1.5 % in mental function (b1). Significant risk factors for b4 morbidity included poor sanitation (adjusted OR = 0.68; 95 % CI: 0.47–0.99), lack of cooking facilities (adjusted OR = 0.72; 95 % CI: 0.52–0.99), and a partner's disapproval of family planning (adjusted OR = 1.40; 95 % CI: 1.05–1.87). For b5 morbidity, lower maternal education and partner disapproval or indifference toward family planning were significant predictors.
Conclusions
Addressing household-level determinants and empowering women through education and reproductive autonomy may reduce infant morbidity and support early childhood health.
{"title":"Evaluating infant multimorbidity in Ethiopia through the international classification of functioning, disability, and health framework: Results from the performance monitoring for action survey","authors":"E.A. Derso , S. Fumagalli , M.G. Valsecchi , A. Nespoli , P. Rebora","doi":"10.1016/j.puhip.2025.100697","DOIUrl":"10.1016/j.puhip.2025.100697","url":null,"abstract":"<div><h3>Objective</h3><div>Infant multimorbidity—defined as the co-occurrence of multiple symptoms or conditions—can negatively influence early development and population well-being. This study aimed to apply the International Classification of Functioning, Disability, and Health (ICF) framework to classify infant morbidity and examine its association with social and health-related risk factors.</div></div><div><h3>Study design</h3><div>Cross-sectional analysis of population-based survey data.</div></div><div><h3>Methods</h3><div>Data were drawn from the 2019 Performance Monitoring for Action Ethiopia (PMA-ET) community survey. Using multistage stratified cluster sampling, women aged 15–49 were screened, and those pregnant or postpartum within six weeks were eligible. Mothers reported infant illnesses in the preceding two weeks, which were then classified using the ICF framework. Multivariable weighted logistic regression was conducted to assess associations with selected risk factors.</div></div><div><h3>Results</h3><div>Among 2514 infants, 24.7 % experienced morbidity in the cardiovascular, hematological, immunological, or respiratory domains (ICF code b4); 14.0 % in digestive, metabolic, or endocrine systems (b5); 4.5 % in skin and related structures (b8); 2.5 % in sensory functions and pain (b2); and 1.5 % in mental function (b1). Significant risk factors for b4 morbidity included poor sanitation (adjusted OR = 0.68; 95 % CI: 0.47–0.99), lack of cooking facilities (adjusted OR = 0.72; 95 % CI: 0.52–0.99), and a partner's disapproval of family planning (adjusted OR = 1.40; 95 % CI: 1.05–1.87). For b5 morbidity, lower maternal education and partner disapproval or indifference toward family planning were significant predictors.</div></div><div><h3>Conclusions</h3><div>Addressing household-level determinants and empowering women through education and reproductive autonomy may reduce infant morbidity and support early childhood health.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100697"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799014","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 : 2026-06-01Epub Date: 2025-12-11DOI: 10.1016/j.puhip.2025.100695
Emma C. Lewis , M. Renée Umstattd Meyer , Kathryn M. Janda-Thomte , Jay E. Maddock , Marco A. Palma , Andrew C. McNeely , Yetunde O. Olawuyi , Rebecca A. Seguin-Fowler
Background
Throughout rural and urban communities in the United States, as well as in many places globally, chronic disease rates are high and increasing. Previous evidence suggests that residential environments and their designs play a role in shaping health behaviors and outcomes. Combining land use development with urban agricultural practices to create agriculturally-integrated neighborhoods (‘agrihoods’) has potential for improving the built, natural, and food environments while building community. However, the research on agrihoods is limited, and no structured reviews to date have synthesized the literature pertaining to agrihood impacts on community health. We begin filling this gap by providing a narrative review of the published and grey literature exploring opportunities and challenges of agrihoods for improving health, with an emphasis on integration of community engagement.
Study design
This narrative review followed Green and Colleagues’ (2001) “best-evidence synthesis” approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.
Methods
A robust search strategy was applied across the PubMed, Embase, Scopus, Science Direct, ProQuest, and Google Scholar databases. All searches and screenings were conducted manually using the primary key term “agrihood/s” and several secondary terms. Eligible peer-reviewed journal articles, reports, and academic theses published until November 2024 were included.
Results
We extracted and analyzed 29 sources and organized our findings into four key themes: (1) Opportunities for improved health and wellbeing; (2) Challenges to promoting equal and equitable health; (3) Community-engagement for helping to meet health-related needs; and (4) Recommendations to enhance future development. Within these, fifteen sub-themes are identified and discussed in further detail.
Conclusions
This synthesis adds to the scientific knowledge base and can help inform future agrihood initiatives led by researchers, organizations, and developers. We anticipate that the literature on agrihoods will continue to expand as more research is conducted, warranting a future scoping or systematic review.
{"title":"Cultivating connection between community, agriculture, food, and green space: A narrative review of agrihoods and their impact on health and wellbeing","authors":"Emma C. Lewis , M. Renée Umstattd Meyer , Kathryn M. Janda-Thomte , Jay E. Maddock , Marco A. Palma , Andrew C. McNeely , Yetunde O. Olawuyi , Rebecca A. Seguin-Fowler","doi":"10.1016/j.puhip.2025.100695","DOIUrl":"10.1016/j.puhip.2025.100695","url":null,"abstract":"<div><h3>Background</h3><div>Throughout rural and urban communities in the United States, as well as in many places globally, chronic disease rates are high and increasing. Previous evidence suggests that residential environments and their designs play a role in shaping health behaviors and outcomes. Combining land use development with urban agricultural practices to create agriculturally-integrated neighborhoods (‘agrihoods’) has potential for improving the built, natural, and food environments while building community. However, the research on agrihoods is limited, and no structured reviews to date have synthesized the literature pertaining to agrihood impacts on community health. We begin filling this gap by providing a narrative review of the published and grey literature exploring opportunities and challenges of agrihoods for improving health, with an emphasis on integration of community engagement.</div></div><div><h3>Study design</h3><div>This narrative review followed Green and Colleagues’ (2001) “best-evidence synthesis” approach and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist.</div></div><div><h3>Methods</h3><div>A robust search strategy was applied across the PubMed, Embase, Scopus, Science Direct, ProQuest, and Google Scholar databases. All searches and screenings were conducted manually using the primary key term “agrihood/s” and several secondary terms. Eligible peer-reviewed journal articles, reports, and academic theses published until November 2024 were included.</div></div><div><h3>Results</h3><div>We extracted and analyzed 29 sources and organized our findings into four key themes: (1) Opportunities for improved health and wellbeing; (2) Challenges to promoting equal and equitable health; (3) Community-engagement for helping to meet health-related needs; and (4) Recommendations to enhance future development. Within these, fifteen sub-themes are identified and discussed in further detail.</div></div><div><h3>Conclusions</h3><div>This synthesis adds to the scientific knowledge base and can help inform future agrihood initiatives led by researchers, organizations, and developers. We anticipate that the literature on agrihoods will continue to expand as more research is conducted, warranting a future scoping or systematic review.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100695"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799012","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}
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.
{"title":"Feasibility and acceptability of an adapted WHO alcohol brief intervention: Pilot of a three-armed randomized trial in Sri Lanka","authors":"Dewasmika Ariyasinghe , Sally Carter , Cathy Banwell , Buddhima Lokuge , Thilini Rajapakse , Grace Joshy , Kamalini Lokuge","doi":"10.1016/j.puhip.2025.100704","DOIUrl":"10.1016/j.puhip.2025.100704","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Study design</h3><div>A three-arm parallel-group pilot RCT.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100704"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145841110","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 : 2026-06-01Epub 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":"2026-06-01","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}
Pub Date : 2026-06-01Epub Date: 2026-01-09DOI: 10.1016/j.puhip.2026.100724
Loveline Nzenria Aboki , Nfor Omarine Nlinwe , Calvin Bisong Ebai , Loveline Lum Niba , Mary Bi Suh Atanga
Objectives
Malaria continues to be a major health burden in sub-Saharan Africa, prompting the introduction of malaria vaccines such as RTS,S/AS01 (Mosquirix™) and R21/Matrix-M to reduce disease incidence. Understanding caregivers’ acceptance is critical for successful vaccine deployment. This study assessed factors influencing malaria vaccine acceptance among caregivers in Bamenda and Bamenda III Health Districts of Cameroon.
Study design
This was a cross-sectional survey conducted among 1000 caregivers of children aged five years and below, using a structured questionnaire.
Methods
Data on socio-demographics, perceptions, sources of information, and vaccine acceptance were collected. Associations between variables and vaccine acceptance were analyzed using Chi-square tests, with significant factors further explored through post-hoc analysis and odds ratios.
Results
Overall, 89.6 % of caregivers indicated their willingness to vaccinate their children. Significant factors associated with vaccine acceptability included source of information (community health events vs. social media, p = 0.037; OR = 1.663, 95 % CI: 1.032–2.68), individual perception (very rejecting vs. very accepting, p = 0.000; OR = 0.098, 95 % CI: 0.05–0 0.193), Sex (male vs. female, p = 0.028; OR = 0.704, 95 % CI: 0.515–0 0.963), religion (other religion vs. Christian, p = 0.001; OR = 0.386, 95 % CI: 0.224–0.663), occupation (NGO employed vs. self-employed, p = 0.045; OR = 2.92, 95 % CI: 1.024–8.327).
Conclusions
Most caregivers demonstrated high acceptance of the malaria vaccine, influenced by positive perceptions and trust in healthcare sources. However, misinformation and limited awareness remain barriers. To improve vaccine uptake, targeted health communication strategies should focus on enhancing information accuracy, engaging trusted health professionals, and leveraging mobile health tools. Strengthening community engagement and addressing misconceptions are essential to achieving higher vaccine coverage and advancing malaria control efforts, especially in the Bamenda and Bamenda III Health Districts.
{"title":"Determinants of caregivers' acceptance of the malaria vaccine: The case of Bamenda and Bamenda III Health Districts in Cameroon","authors":"Loveline Nzenria Aboki , Nfor Omarine Nlinwe , Calvin Bisong Ebai , Loveline Lum Niba , Mary Bi Suh Atanga","doi":"10.1016/j.puhip.2026.100724","DOIUrl":"10.1016/j.puhip.2026.100724","url":null,"abstract":"<div><h3>Objectives</h3><div>Malaria continues to be a major health burden in sub-Saharan Africa, prompting the introduction of malaria vaccines such as RTS,S/AS01 (Mosquirix™) and R21/Matrix-M to reduce disease incidence. Understanding caregivers’ acceptance is critical for successful vaccine deployment. This study assessed factors influencing malaria vaccine acceptance among caregivers in Bamenda and Bamenda III Health Districts of Cameroon.</div></div><div><h3>Study design</h3><div>This was a cross-sectional survey conducted among 1000 caregivers of children aged five years and below, using a structured questionnaire.</div></div><div><h3>Methods</h3><div>Data on socio-demographics, perceptions, sources of information, and vaccine acceptance were collected. Associations between variables and vaccine acceptance were analyzed using Chi-square tests, with significant factors further explored through post-hoc analysis and odds ratios.</div></div><div><h3>Results</h3><div>Overall, 89.6 % of caregivers indicated their willingness to vaccinate their children. Significant factors associated with vaccine acceptability included source of information (community health events vs. social media, p = 0.037; OR = 1.663, 95 % CI: 1.032–2.68), individual perception (very rejecting vs. very accepting, p = 0.000; OR = 0.098, 95 % CI: 0.05–0 0.193), Sex (male vs. female, p = 0.028; OR = 0.704, 95 % CI: 0.515–0 0.963), religion (other religion vs. Christian, p = 0.001; OR = 0.386, 95 % CI: 0.224–0.663), occupation (NGO employed vs. self-employed, p = 0.045; OR = 2.92, 95 % CI: 1.024–8.327).</div></div><div><h3>Conclusions</h3><div>Most caregivers demonstrated high acceptance of the malaria vaccine, influenced by positive perceptions and trust in healthcare sources. However, misinformation and limited awareness remain barriers. To improve vaccine uptake, targeted health communication strategies should focus on enhancing information accuracy, engaging trusted health professionals, and leveraging mobile health tools. Strengthening community engagement and addressing misconceptions are essential to achieving higher vaccine coverage and advancing malaria control efforts, especially in the Bamenda and Bamenda III Health Districts.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100724"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977381","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 : 2026-06-01Epub Date: 2025-12-18DOI: 10.1016/j.puhip.2025.100718
Anna C. Reinwarth , Julia Petersen , Manfred E. Beutel , Kerstin Weidner , Vera Clemens , Elmar Brähler
Objectives
Empirical evidence increasingly highlights the importance of general self-efficacy (GEF) in preventing disease and promoting quality of life. While it is already known that GEF varies with socio-demographic factors, health variables and personality traits, little is known about the influence of socio-political context. The objective of the study was to examine and compare GEF between 2014 and 2022 in East and West Germany and to test differences regarding sex.
Study design
In 2014 (N = 2506) and 2022 (N = 2508), two large representative cohorts from the German general population were surveyed about their GEF using the General Self-Efficacy Short Scale (ASKU).
Methods
A three-way ANCOVA were calculated to test the effect of region of residence, survey date, and sex controlling for age on GEF in a combined sample (N = 5014).
Results
There was a significant decrease in GEF between 2014 and 2022. Women reported lower GEF than men. A statistically significant interaction was found between survey date and sex and between survey date, region of residence and sex on GEF. Almost the same patterns were observed for the ability to solve difficult and complex tasks well, with the exception, that men in East Germany reported an increase in the ability to solve difficult and complex tasks well from 2014 to 2022. The ability to solve most problems independently and to solve challenging and complex tasks well was mainly influenced by education and household income, rather than by the date of the survey, the region of residence or sex.
Conclusion
Although regional differences in GEF were minimal, more pronounced variations emerged across sex and socioeconomic groups. These patterns likely stem from historical socio-political legacies and structural inequalities, potentially amplified by the impact of COVID-19 restrictions.
{"title":"General self-efficacy in East and West Germany: A comparison of two German representative cohorts in 2014 and 2022","authors":"Anna C. Reinwarth , Julia Petersen , Manfred E. Beutel , Kerstin Weidner , Vera Clemens , Elmar Brähler","doi":"10.1016/j.puhip.2025.100718","DOIUrl":"10.1016/j.puhip.2025.100718","url":null,"abstract":"<div><h3>Objectives</h3><div>Empirical evidence increasingly highlights the importance of general self-efficacy (GEF) in preventing disease and promoting quality of life. While it is already known that GEF varies with socio-demographic factors, health variables and personality traits, little is known about the influence of socio-political context. The objective of the study was to examine and compare GEF between 2014 and 2022 in East and West Germany and to test differences regarding sex.</div></div><div><h3>Study design</h3><div>In 2014 (N = 2506) and 2022 (N = 2508), two large representative cohorts from the German general population were surveyed about their GEF using the General Self-Efficacy Short Scale (ASKU).</div></div><div><h3>Methods</h3><div>A three-way ANCOVA were calculated to test the effect of region of residence, survey date, and sex controlling for age on GEF in a combined sample (N = 5014).</div></div><div><h3>Results</h3><div>There was a significant decrease in GEF between 2014 and 2022. Women reported lower GEF than men. A statistically significant interaction was found between survey date and sex and between survey date, region of residence and sex on GEF. Almost the same patterns were observed for the ability to solve difficult and complex tasks well, with the exception, that men in East Germany reported an increase in the ability to solve difficult and complex tasks well from 2014 to 2022. The ability to solve most problems independently and to solve challenging and complex tasks well was mainly influenced by education and household income, rather than by the date of the survey, the region of residence or sex.</div></div><div><h3>Conclusion</h3><div>Although regional differences in GEF were minimal, more pronounced variations emerged across sex and socioeconomic groups. These patterns likely stem from historical socio-political legacies and structural inequalities, potentially amplified by the impact of COVID-19 restrictions.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100718"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939303","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 : 2026-06-01Epub Date: 2025-12-20DOI: 10.1016/j.puhip.2025.100721
Shayna D. Cunningham, Jennifer Sussman, Sydney Tabor, Alison Wiser, Megan A. O'Grady
Objectives
Connecticut consistently reports higher rates of alcohol and cannabis use than national averages. To inform equitable and data-driven prevention planning, this study assessed statewide substance use primary prevention resources and developed an interactive map to visualize and optimize prevention capacity across the state.
Study design
Descriptive cross-sectional study.
Methods
Surveys of Regional Behavioral Health Action Organizations (RBHAOs) and Local Prevention Councils (LPCs) assessed prevention strategies, funding sources, target populations, and implementation settings. Data were supplemented with web searches of public prevention resources and analyzed descriptively to identify geographic and community-type disparities. Findings informed the design of an interactive ArcGIS map to support planning and resource allocation.
Results
Data were collected from all five RBHAOs and 81 % of LPCs, representing 78 % of Connecticut towns. Most towns (92 %) received LPC prevention funding, and 77 % reported at least one additional funding source. The most common prevention strategies were information dissemination (85 %), education (80 %), and social marketing (64 %), primarily implemented in community and school settings. Rural and eastern regions reported fewer prevention resources and lower participation rates.
Conclusions
Connecticut's prevention infrastructure employs a comprehensive, multi-strategy approach but shows regional disparities in funding and strategy implementation. The interactive prevention map provides an actionable and adaptable framework for other jurisdictions to assess, visualize, and strengthen substance use prevention systems using standardized, data-driven approaches. Because many existing efforts rely heavily on educational and informational strategies, which alone have limited capacity to produce sustained, population-level change, expanding systems-level and environmental prevention strategies is important for long-term impact and equity.
{"title":"Connecticut's substance use primary prevention resource assessment and interactive map initiative","authors":"Shayna D. Cunningham, Jennifer Sussman, Sydney Tabor, Alison Wiser, Megan A. O'Grady","doi":"10.1016/j.puhip.2025.100721","DOIUrl":"10.1016/j.puhip.2025.100721","url":null,"abstract":"<div><h3>Objectives</h3><div>Connecticut consistently reports higher rates of alcohol and cannabis use than national averages. To inform equitable and data-driven prevention planning, this study assessed statewide substance use primary prevention resources and developed an interactive map to visualize and optimize prevention capacity across the state.</div></div><div><h3>Study design</h3><div>Descriptive cross-sectional study.</div></div><div><h3>Methods</h3><div>Surveys of Regional Behavioral Health Action Organizations (RBHAOs) and Local Prevention Councils (LPCs) assessed prevention strategies, funding sources, target populations, and implementation settings. Data were supplemented with web searches of public prevention resources and analyzed descriptively to identify geographic and community-type disparities. Findings informed the design of an interactive ArcGIS map to support planning and resource allocation.</div></div><div><h3>Results</h3><div>Data were collected from all five RBHAOs and 81 % of LPCs, representing 78 % of Connecticut towns. Most towns (92 %) received LPC prevention funding, and 77 % reported at least one additional funding source. The most common prevention strategies were information dissemination (85 %), education (80 %), and social marketing (64 %), primarily implemented in community and school settings. Rural and eastern regions reported fewer prevention resources and lower participation rates.</div></div><div><h3>Conclusions</h3><div>Connecticut's prevention infrastructure employs a comprehensive, multi-strategy approach but shows regional disparities in funding and strategy implementation. The interactive prevention map provides an actionable and adaptable framework for other jurisdictions to assess, visualize, and strengthen substance use prevention systems using standardized, data-driven approaches. Because many existing efforts rely heavily on educational and informational strategies, which alone have limited capacity to produce sustained, population-level change, expanding systems-level and environmental prevention strategies is important for long-term impact and equity.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"11 ","pages":"Article 100721"},"PeriodicalIF":1.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939304","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 : 2026-06-01Epub 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":"2026-06-01","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 : 2026-06-01Epub 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":"2026-06-01","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号