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Associations between adverse childhood experiences and family health in adulthood: a national cross-sectional analysis. 不良童年经历与成年后家庭健康之间的关系:一项全国性的横断面分析。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-27 DOI: 10.1186/s13690-025-01815-w
Yang Ni, Shirong Li, Niuniu Sun, Yiqian Deng, Zhenjie Yu, Lei Zha, Yibo Wu
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引用次数: 0
20 years of PediSurv: a critical evaluation of a surveillance network for severe or rare infectious diseases in children in Belgium (2002-2023). PediSurv的20年:对比利时儿童严重或罕见传染病监测网络的关键性评价(2002-2023年)。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-27 DOI: 10.1186/s13690-026-01864-9
Ilse Peeters, Cato Dambre, Yves Dupont, Marjorie Fonnesu, Kimberley Hansford, Laura Cornelissen
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引用次数: 0
Incidence of hospital-acquired toxin-producing clostridioides difficile infection between the pre-pandemic (2017-2019) and pandemic (2020-2022): a retrospective cohort study. 大流行前(2017-2019年)和大流行期间(2020-2022年)医院获得性产毒素艰难梭菌感染发生率:一项回顾性队列研究
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-20 DOI: 10.1186/s13690-026-01859-6
Raquel García Rodríguez, María José Pereira Rodríguez, Alejandra Pilar García López, Fabián Freijedo Fariñas, Angela Nogueira Gómez
<p><strong>Background: </strong>In 2020, the World Health Organization declared SARS-CoV-2 a global public health emergency. Healthcare systems were forced to reorganize care delivery and implement wide-ranging infection control strategies. Among hospital-acquired infections, toxin-producing Clostridioides difficile infection remains a major concern due to its transmission via contact and its association with high morbidity and mortality. Although primarily aimed at preventing viral transmission, the measures introduced during the COVID-19 pandemic may have influenced the incidence of other nosocomial infections, including toxin-producing Clostridioides difficile infection. This study aimed to evaluate and compare the incidence of nosocomial toxin-producing Clostridioides difficile infection during the pandemic and pre-pandemic periods, and to confirm associated risk factors across both periods.</p><p><strong>Methods: </strong>We conducted a retrospective observational cohort study at A Coruña University Hospital, including data from 2017 to 2022. Patients meeting criteria for nosocomial Clostridioides difficile infection were categorized into pre-pandemic (2017-2019) or pandemic (2020-2022) cohorts. Variables analyzed included demographics (age, sex), prior antibiotic use, antiulcer therapy, immunosuppression and surgical history. Incidence rates were calculated and compared between periods, and associations between risk factors and toxin-producing Clostridioides difficile infection were analyzed using odds ratios (OR).</p><p><strong>Results: </strong>A total of 249 nosocomial toxin-producing Clostridioides difficile infection cases were identified: 89 pre-pandemic and 160 during the pandemic, reflecting a 79.8% increase. Patients hospitalized during the pandemic faced a 92% greater risk of toxin-producing Clostridioides difficile infection (RR=1.92; CI95%: 1.48-2.49; P=0.001). Established risk factors such as prior antibiotic exposure (80% during the pandemic vs 86.5% pre-pandemic; P=0.20) and immunosuppression was frequent (39.3% pre-pandemic; 46.9% pandemic; P=0.25). Notably, the use of proton pump inhibitors significantly increased during the pandemic (P=0.02; 95%CI: 0.02-0.36). Surgical history, particularly gastrointestinal surgery, was significantly associated with complications (OR=6.6, 95%CI: 2.18-20.18). The incidence density of toxin-producing Clostridioides difficile infection (TCDI) during the pandemic years was 1.44 TCDI/10,000 patient-days. Predisposing factors included solid organ neoplasms (pre-pandemic 33.7%; pandemic 33.1%; P=0.36), secondary immunosuppression (pre-pandemic 31.5%; pandemic 40.6%; P= 0.41).</p><p><strong>Conclusion: </strong>Patients admitted experienced a significantly higher risk of acquiring toxin-producing Clostridioides difficile infection during the pandemic. The data also indicate an increase in mortality associated with this infection and highlight proton pump inhibitor use as a contributing factor to t
背景:2020年,世界卫生组织宣布SARS-CoV-2为全球突发公共卫生事件。卫生保健系统被迫重新组织保健服务并实施广泛的感染控制战略。在医院获得性感染中,产生毒素的艰难梭菌感染仍然是一个主要问题,因为它通过接触传播,并与高发病率和死亡率有关。尽管主要目的是预防病毒传播,但在2019冠状病毒病大流行期间采取的措施可能影响了其他医院感染的发生率,包括产生毒素的艰难梭菌感染。本研究旨在评估和比较大流行期间和大流行前时期院内产毒艰难梭菌感染的发生率,并确认这两个时期的相关危险因素。方法:我们在a Coruña大学医院进行了一项回顾性观察队列研究,包括2017年至2022年的数据。符合院内难辨梭菌感染标准的患者被分类为大流行前(2017-2019)或大流行(2020-2022)队列。分析的变量包括人口统计学(年龄、性别)、既往抗生素使用、抗溃疡治疗、免疫抑制和手术史。计算并比较不同时期的发病率,并使用比值比(OR)分析危险因素与产毒艰难梭菌感染之间的关系。结果:共发现249例院内产毒艰难梭菌感染病例,其中大流行前89例,大流行期间160例,增加79.8%。大流行期间住院的患者感染产生毒素的艰难梭菌(clostridiides difficile)的风险高出92% (RR=1.92; CI95%: 1.48-2.49; P=0.001)。确定的危险因素,如先前的抗生素暴露(大流行期间为80%,大流行前为86.5%,P=0.20)和免疫抑制是常见的(大流行前为39.3%,大流行前为46.9%,P=0.25)。值得注意的是,大流行期间质子泵抑制剂的使用显著增加(P=0.02; 95%CI: 0.02-0.36)。手术史,特别是胃肠手术史与并发症有显著相关性(OR=6.6, 95%CI: 2.18-20.18)。产毒艰难梭菌感染(clostridiides difficile, TCDI)在大流行年的发病率密度为1.44 TCDI/10,000患者-日。易感因素包括实体器官肿瘤(大流行前33.7%;大流行前33.1%;P=0.36)、继发性免疫抑制(大流行前31.5%;大流行前40.6%;P= 0.41)。结论:在流感大流行期间,住院患者获得产毒艰难梭菌感染的风险显著增加。数据还表明,与这种感染相关的死亡率增加,并强调质子泵抑制剂的使用是导致发病率升高的一个因素。
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引用次数: 0
Effect of infant feeding practices on stunting and wasting in Northwest Ethiopia: a birth cohort study. 埃塞俄比亚西北部婴儿喂养方式对发育迟缓和消瘦的影响:一项出生队列研究。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-18 DOI: 10.1186/s13690-026-01850-1
Sisay Eshete Tadesse, Amare Tariku, Gashaw Andargie Biks, Tadesse Awoke, Tefera Belachew
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引用次数: 0
Cardiovascular and sociodemographic factors associated with self-reported hearing loss: a cross-sectional analysis from the Polish PURE cohort. 与自报听力损失相关的心血管和社会人口因素:来自波兰PURE队列的横断面分析
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-18 DOI: 10.1186/s13690-026-01854-x
Katarzyna Fułek, Katarzyna Połtyn-Zaradna, Alicja Basiak-Rasała, Michał Fułek, Maria Wołyniec, Krzysztof Dudek, Andrzej Szuba, Mateusz Zatoński, Katarzyna Resler, Tomasz Zatoński

Hearing loss is a prevalent sensory impairment associated with significant social, economic, and health burdens. Despite its importance, data on the predictors of hearing loss in the Polish population remain limited. This study aimed to explore the prevalence of self-reported hearing loss and its sociodemographic and cardiovascular health-related determinants within the Polish arm of the Prospective Urban Rural Epidemiology (PURE) study.In this cross-sectional analysis of baseline data from the Polish PURE cohort, 2,030 participants aged 29-85 years were included. Data collection comprised structured interviews, clinical assessments, and self-report questionnaires. Self-reported hearing loss was defined using a single questionnaire item from the PURE core instrument. Multivariable logistic regression was used to identify independent correlates. Sociodemographic variables, cardiovascular conditions (e.g. hypertension, blood pressure), and lifestyle factors were examined.Hearing loss was reported by 12.1% of the participants, with a higher prevalence among urban residents and individuals aged ≥ 52 years. Multivariate analysis revealed that urban residence (aOR = 2.13, 95% CI: 1.56-2.90), age ≥ 52 years (aOR = 2.92, 95% CI: 2.00; 4.27), motor impairments (aOR = 1.72, 95% CI: 1.28-2.30), and systolic blood pressure ≥ 148 mm Hg (aOR = 1.36, 95% CI: 1.08;2.83) were independently associated with self-reported hearing loss.This study highlights the critical role of sociodemographic and cardiovascular health-related factors in hearing loss, with urbanization, aging, and hypertension emerging as key contributors. These findings support integrating cardiovascular and hearing-related assessments in population health strategies in Poland, while longitudinal PURE waves will be necessary to confirm temporality and causality.

听力损失是一种普遍存在的感觉障碍,与重大的社会、经济和健康负担有关。尽管它很重要,但波兰人口中听力损失的预测数据仍然有限。本研究旨在探讨前瞻性城乡流行病学(PURE)研究波兰分支中自我报告的听力损失的患病率及其社会人口统计学和心血管健康相关决定因素。在对波兰PURE队列基线数据的横断面分析中,纳入了2030名29-85岁的参与者。数据收集包括结构化访谈、临床评估和自我报告问卷。使用PURE核心仪器的单一问卷项目来定义自我报告的听力损失。多变量逻辑回归用于识别独立相关因素。调查了社会人口统计学变量、心血管疾病(如高血压、血压)和生活方式因素。12.1%的参与者报告有听力损失,在城市居民和年龄≥52岁的个体中患病率更高。多因素分析显示,城市居住(aOR = 2.13, 95% CI: 1.56-2.90)、年龄≥52岁(aOR = 2.92, 95% CI: 2.00; 4.27)、运动障碍(aOR = 1.72, 95% CI: 1.28-2.30)、收缩压≥148 mm Hg (aOR = 1.36, 95% CI: 1.08;2.83)与自报听力损失独立相关。这项研究强调了社会人口统计学和心血管健康相关因素在听力损失中的关键作用,城市化、老龄化和高血压是主要因素。这些发现支持将心血管和听力相关评估纳入波兰人口健康战略,而纵向PURE波将是确认时间和因果关系的必要条件。
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引用次数: 0
Enhancing time-varying reproduction number estimates for COVID-19 with behavior and surveillance data in South Korea, 2020-2022. 利用韩国2020-2022年的行为和监测数据加强COVID-19时变复制数估计。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-16 DOI: 10.1186/s13690-026-01858-7
Byul Nim Kim, Suhyeon Kim, Haram Seo, Gerardo Chowell, Sunmi Lee
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引用次数: 0
Separate and combined associations of heatwaves, air pollution, green spaces, and blue spaces with depressive symptoms: a national cohort study. 热浪、空气污染、绿色空间和蓝色空间与抑郁症状的单独和联合关联:一项国家队列研究。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-14 DOI: 10.1186/s13690-026-01853-y
Kang Wu, Guang-Li Hu, Jin-Zhong Cai, Bei Li, Yi-Li Zhang
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引用次数: 0
Engagement strategies for people living with leprosy: a scoping review of studies published from 1992 to 2024. 麻风病患者参与战略:对1992年至2024年发表的研究进行范围审查。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-14 DOI: 10.1186/s13690-026-01857-8
Letícia Guedes Morais Gonzaga de Souza, João Lucas Braga Perin, Mariana Moreira Drumond, Carina Carvalho Silvestre, Sabrina Cerqueira-Santos, Genival Araujo Dos Santos Júnior
{"title":"Engagement strategies for people living with leprosy: a scoping review of studies published from 1992 to 2024.","authors":"Letícia Guedes Morais Gonzaga de Souza, João Lucas Braga Perin, Mariana Moreira Drumond, Carina Carvalho Silvestre, Sabrina Cerqueira-Santos, Genival Araujo Dos Santos Júnior","doi":"10.1186/s13690-026-01857-8","DOIUrl":"https://doi.org/10.1186/s13690-026-01857-8","url":null,"abstract":"","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of physical, psychological, and cognitive multimorbidity with health service utilisation and catastrophic health expenditure among middle-aged and older adults: a longitudinal study in China. 中国中老年人身体、心理和认知多重疾病与卫生服务利用和灾难性卫生支出的关联:一项纵向研究
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-12 DOI: 10.1186/s13690-026-01855-w
Lin Sun, Jingru Wang, Hongyu Li, Pengjun Zhang
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引用次数: 0
Vulnerability and non-adherence to treatment in cisgender women living with HIV/AIDS: a scoping review (2000-2024). 感染艾滋病毒/艾滋病的顺性妇女的脆弱性和不坚持治疗:范围审查(2000-2024)。
IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-11 DOI: 10.1186/s13690-026-01852-z
Denise Eliziana de Souza, Cleber Nascimento do Carmo, Simone Monteiro
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引用次数: 0
期刊
Archives of Public Health
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