PUBLIC HEALTH REVIEWS最新文献

Objectives: The aim of this scoping review is to explore the international evidence to identify the potential costs and gains of the development of a career pathway for Health Support Worker's (HSW's), the economic gains and benefits connected with continual professional development (CPD) and value for money.

Methods: Scoping review following JBI methodology was conducted of peer-reviewed international literature using structured searches of electronic databases and grey literature (September 2013-November 2023) applying economic methodological terms to capture economic evidence and perspectives on the issues.

Results: Seventeen papers were critically appraised and during the process of data extraction four key themes emerged: 1) Cost-benefits of employment and training 2) Organisational economic perspectives 3) Service economic perspectives and 4) Sector economic perspectives. This scoping review revealed a scarcity of economic evidence contributing to critical educational approaches, costs and benefits in development of career pathways for HSWs.

Conclusion: Limited evidence was available on benefits of specific training programmes, and considerable gaps in the evidence to inform future investment. Recommendation is that future research should incorporate economic theory within evaluations to inform policy and practice.

Objectives: Socioeconomic status (SES) is in many cases related to air pollution exposure, but less is known about its effects on susceptibility to air pollution. The main aim of this study was to analyse the impact of SES on health effects associated with exposure to fine particles (PM_2.5).

Methods: Firstly, a systematic literature review of studies analysing the impacts of SES on health effects related to air pollution exposure was carried out. Secondly, a meta-analysis was performed by analysing studies on long-term mortality associated with exposure to PM_2.5 divided into different SES groups.

Results: The meta-analysis showed that the relative risk (RR) for all-cause mortality associated with PM_2.5 did not depend on individual education or income. It also revealed that adjustment for individual lifestyle factors (such as smoking, alcohol intake, physical activity, eating behaviours, and body mass index), in addition to adjustment for SES, did not significantly change the RR.

Conclusion: The association between all-cause mortality and PM_2.5 did not depend on education or individual income. Due to the high heterogeneity observed, further studies are required to draw firm conclusions.

Objective: This scoping review aims to comprehensively map the existing literature on Patient Involvement (PI) in mental health education (MHE), identify the needs of mental health (MH) educators, students, and patients with lived experiences of MH challenges and develop a checklist for successful implementation of PI in MHE.

Methods: Conducted between November 2023-January 2024, this review followed PRISMA-ScR guidelines in databases PubMed, Scopus, ProQuest Dissertations and Theses, and WHO. Eligibility criteria adhered to PICOS guidelines, and screening was done via Covidence. Content analysis was carried out to develop a checklist.

Results: Eleven qualitative articles were found, revealing two superordinate stakeholder needs categories: Interpersonal and Course Needs. Interpersonal Needs included Self-determination, Communication and Collaboration, Recognition and Support, and Holistic approach. Course Needs comprised Content, Organisational, and Teaching. A checklist was developed to support PI in MHE.

Conclusion: Guidelines for successful PI in MHE should prioritize patient autonomy, foster collaboration, provide support, ensure inclusive course content, and promote patient involvement in educational processes. Study limitations, such as potential bias, underscore the need for future research to enhance evidence-based practices in MHE.

Objective: To identify promising interventions targeting young people in East and Southern Africa through self-care practices, with a focus on prevention of unintended pregnancies and HIV and develop four evidence-based self-care models.

Methods: A structured literature review was conducted followed by a consultation with key stakeholders and youth networks from Malawi, South Africa, Zambia and Zimbabwe. Of the 2,890 published articles identified, 464 were fully reviewed and 59 were included in the final analysis along with 48 pieces of grey literature. A total of 31 youths participated in the consultation sessions.

Results: Self-care interventions with high levels of feasibility, acceptability, and scalability included HIV self-testing, self-management of contraceptives, and self-awareness for improved and safer sex behaviours and sexual health. Key features of these interventions included the use of non-clinical environments, regular follow ups to reinforce practice, use of digital solutions, linkage to in person care, and participatory approaches involving young people from ideation to implementation.

Conclusion: Self-care models that promote distribution, access, support through multiple mechanisms in non-clinical environments are more acceptable and more effective in reaching young people.

Objectives: To identify implementation variables and justify the use of the community component of the Mental Health Gap Action Programme (mhGAP).

Method: The search was carried out in Cochrane, PubMed, Emerald, Scopus, Scielo, Redalyc and Google Scholar databases. Studies that analyzed the implementation of the community component of mhGAP were included, excluding those focused solely on the clinical component of mhGAP.

Results: Out of the 726 records initially identified, only four met the inclusion criteria. The findings reveal that the evaluation of the community component of mhGAP has primarily been conducted in conjunction with other global and community mental health strategies, as part of multimodal approaches. Factors are recognized as key barriers and facilitators for the successful implementation of the program.

Conclusion: The community component of mhGAP presents itself as a promising proposal to strengthen community-based mental health strategies. However, there is an urgent need to generate more evidence on the implementation of these strategies, particularly in terms of resource availability, long-term sustainability, and outcome monitoring.

Objective: This scoping review examines health outcome trends in European cross-border regions, identifies available evidence, and highlights research gaps. The European Union's integration efforts aim to harmonise living standards and healthcare access. Removed border controls and freedom of movement enhanced service availability, benefiting populations in border regions with cross-border healthcare access. However, these populations are exposed to different institutional settings, highlighting health differences worth studying.

Methods: We employed the Joanna Briggs Institute methodology, using the PCC (Population-Concept-Context) framework to set eligibility criteria. The search covered literature databases and international governmental institution websites, yielding 785 studies, with 24 included in the final analysis.

Results: No comprehensive studies investigating longitudinal population health patterns were found. Instead, there are studies on specific diseases or health outcomes in particular border regions, especially around Germany. Most of these studies were cross-sectional. Five key research themes emerged: antibiotic resistance, COVID-19/SARS-CoV-2, other infectious diseases, cancer survival, and additional health outcomes.

Conclusion: The findings suggest that cross-border contexts have predominantly been used to study infectious disease spread, with little attention given to the broader impact of European integration on long-term health trends.