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Modifiable Risk Factors for Hypertensive Disorders in Pregnancy. 妊娠期高血压疾病可改变的危险因素。
IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2025-03-20 DOI: 10.1080/09581596.2025.2480277
Mei-Wei Chang, Alai Tan, Joshua M Smyth, Duane T Wegener

Hypertensive disorders in pregnancy (HDPs) are the leading causes of maternal mortality and morbidity. This study explored whether micronutrient intake and psychological distress were associated with HDPs. Micronutrients include folate and vitamin B12. Psychological distress refers to perceived stress, prenatal distress, and prenatal depression. HDPs were defined as systolic blood pressure (BP) ≥ 130 mmHg or diastolic BP ≥ 80 mmHg. Data were collected at ≤ 17 weeks gestation (T1), 25-27 weeks gestation (T2), and 35-37 weeks gestation (T3). T-tests comparing those with and without HDP were performed to explore the associations. Results showed that folate and vitamin B12 were associated with HDPs at T1 and T2 (T1: d = -0.41, d = -0.52; T2: d = -0.43, d = -0.24). Psychological distress was positively associated with HDPs, but associations varied between timepoints and by measure - prenatal distress at all times (T1: d = 0.26; T2: d = 0.54, T3: d = 0.40), perceived stress at T3 (d = 0.34), and prenatal depression at T2 and T3 (T2, d = 0.47; T3: d = 0.68). In summary, micronutrient intake and psychological distress are associated with HDPs but varied by construct and across gestational age.

妊娠期高血压疾病(HDPs)是孕产妇死亡和发病的主要原因。本研究探讨微量营养素摄入和心理困扰是否与HDPs有关。微量营养素包括叶酸和维生素B12。心理困扰是指感知压力、产前困扰和产前抑郁。hdp定义为收缩压(BP)≥130 mmHg或舒张压≥80 mmHg。数据采集于妊娠≤17周(T1)、25-27周(T2)和35-37周(T3)。采用t检验比较HDP患者和非HDP患者的相关性。结果显示,叶酸和维生素B12在T1和T2时与HDPs相关(T1: d = -0.41, d = -0.52; T2: d = -0.43, d = -0.24)。心理困扰与HDPs呈正相关,但相关关系在不同时间点和测量值之间存在差异——任何时候的产前困扰(T1: d = 0.26; T2: d = 0.54, T3: d = 0.40), T3时的感知压力(d = 0.34),以及T2和T3时的产前抑郁(T2, d = 0.47; T3: d = 0.68)。总之,微量营养素摄入和心理困扰与HDPs有关,但因构造和胎龄而异。
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引用次数: 0
Justice as care: embedding legal services into HIV care to address health-harming legal needs. 司法即护理:将法律服务纳入艾滋病毒护理,以解决危害健康的法律需求。
IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-01-01 Epub Date: 2025-10-21 DOI: 10.1080/09581596.2025.2575803
Omar Martinez, Sandra Rodriguez, Andrew Maude, Theresa Brabson, Florence Marie Momplaisir, Hervette Nkwihoreze, Robin Davison, Ashley French, Lisa Pozzi, Deja Alvarez, Souhail Malave-Rivera, Amanda Cruz-Gerena, Samantha Morton, Carlos Rodriguez-Diaz, Miguel Muñoz-Laboy

People with HIV face a constellation of social and structural barriers, including unstable housing, discrimination, lack of identification documents, immigration issues, and denial of public benefits, that impede access to and retention in care. These health-harming legal needs are rarely addressed systematically in HIV service settings, despite longstanding calls for structural interventions. This study examines the role and impact of a Medical-Legal Partnership (MLP) embedded within The Philadelphia AIDS Consortium, in collaboration with the Legal Clinic for the Disabled. As part of a larger feasibility and acceptability trial, we conducted follow-up interviews with 95 participants who engaged with the on-site attorney. Recruitment was conducted via venue-based outreach, online ads, and peer referral. Participants reported a substantial reduction in legal needs over time, with more than half reporting no health-harming legal needs (HHLNs) by the 3- and 6-month follow-ups. The most common concerns at baseline, transportation, care planning, and food access, declined significantly. Thematic analysis revealed six key domains of impact: (1) empowerment and knowledge-building; (2) trust, respect, and cultural competence; (3) accessibility and integration of legal services; (4) practical legal resolution; (5) emotional relief and therapeutic benefit; and (6) limitations in legal scope or access. Findings underscore the transformative potential of MLPs in HIV care. When embedded in trusted, culturally responsive settings, legal services can help dismantle structural barriers, foster trust, and support both practical legal resolution and improved mental health outcomes.

艾滋病毒感染者面临着一系列社会和结构性障碍,包括住房不稳定、歧视、缺乏身份证明文件、移民问题和拒绝享受公共福利,这些都阻碍了他们获得和保持护理。尽管长期以来一直呼吁进行结构性干预,但在艾滋病毒服务环境中,这些危害健康的法律需求很少得到系统解决。本研究考察了费城艾滋病协会与残疾人法律诊所合作建立的医疗-法律伙伴关系(MLP)的作用和影响。作为更大的可行性和可接受性试验的一部分,我们对95名与现场律师合作的参与者进行了后续访谈。招聘是通过基于地点的拓展、在线广告和同行推荐进行的。参与者报告说,随着时间的推移,法律需求大幅减少,在3个月和6个月的随访中,超过一半的人报告没有有害健康的法律需求(hhln)。在基线上最常见的问题,交通、护理计划和食物获取,显著下降。专题分析揭示了影响的六个关键领域:(1)赋权和知识建设;(2)信任、尊重和文化能力;(3)法律服务的可及性和一体化;(四)切实可行的法律解决办法;(5)情绪缓解和治疗效益;(六)法律范围或权限的限制。研究结果强调了mlp在艾滋病毒护理方面的变革潜力。如果将法律服务嵌入可信的、对文化敏感的环境中,就可以帮助消除结构性障碍,促进信任,并支持实际的法律解决方案和改善的心理健康结果。
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引用次数: 0
Factors influencing patients’ engagement with ChatGPT for accessing health-related information 影响患者使用 ChatGPT 获取健康相关信息的因素
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-02 DOI: 10.1080/09581596.2024.2348164
Fahad Alanezi
This study aims to investigate the factors influencing patients’ engagement with ChatGPT for accessing health-related information. A quasi-experimental design with a mixed-methods approach includin...
本研究旨在探讨影响患者使用 ChatGPT 获取健康相关信息的因素。研究采用了准实验设计和混合方法,包括...
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引用次数: 0
Indian dance (Bharatanatyam) to ease social loneliness and isolation in older adults 印度舞蹈(Bharatanatyam)缓解老年人的社会孤独感和隔离感
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-05 DOI: 10.1080/09581596.2024.2384938
Sloka Iyengar
Older adults worldwide are facing disproportionate levels of isolation and loneliness. The current frameworks for understanding social isolation and loneliness include factors such as the physical ...
全世界的老年人正面临着不成比例的孤立和孤独。目前理解社会隔离和孤独的框架包括身体、心理、社会和文化等因素。
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引用次数: 0
Association between menopause and occupational burnout in healthcare workers: a cross-sectional study 医护人员更年期与职业倦怠之间的关系:一项横断面研究
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-30 DOI: 10.1080/09581596.2024.2382696
Sanja Terzic, Gauri Bapayeva, Nazira Kadroldinova, Antonio Sarría-Santamera, Arnur Gusmanov, Aurora Sanchez-Anguiano, Gulzhanat Aimagambetova, Antonio Simone Laganà, Talshyn Ukybassova, Kuralay Kongrtay, Meruyert Abdukassimova, Milan Terzic
The increased proportion of women in the workplace and the labor force aging have been demanding investigations of the link between menopause and occupational health issues, especially in healthcar...
随着工作场所女性比例的增加和劳动力老龄化的加剧,人们要求对更年期与职业健康问题之间的联系进行调查,特别是在医疗保健领域。
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引用次数: 0
A new conceptualization of the professional practice of environmental health: an Australian qualitative study 环境卫生专业实践的新概念:澳大利亚定性研究
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-04 DOI: 10.1080/09581596.2024.2361153
Louise Dunn, Llewellyn Mann, Karen Farquharson
Environmental health professionals play a significant role in preventing and addressing public health problems. Improving this area of practice continues to be a key strategy of the Australian Gove...
环境卫生专业人员在预防和解决公共卫生问题方面发挥着重要作用。改进这一领域的实践仍然是澳大利亚政府的一项重要战略。
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引用次数: 0
Hernia repair prevalence by age and gender among the Australian adult population from 2017 to 2021 2017 年至 2021 年澳大利亚成年人口中按年龄和性别分列的疝气修复率
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-29 DOI: 10.1080/09581596.2024.2351981
Thi Nga Le, Mohammad Afshar Ali, Svetla Gadzhanova, Renly Lim, Indu Bala, Kumsa Netsanet Bogale, Marianne Gillam
Despite of high annual rate of surgery worldwide, few national-level studies have explored the epidemiological aspects of various types of hernia repairs. Our study aims to examine the 5-year preva...
尽管全世界每年的手术率都很高,但很少有国家级研究对各种类型疝修补术的流行病学方面进行探讨。我们的研究旨在探讨疝气修补术的 5 年预...
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引用次数: 0
‘COVID-19 vaccines are safe’: however, the issues of vaccine equity and data equity remain COVID-19 疫苗是安全的":然而,疫苗公平性和数据公平性问题依然存在
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-29 DOI: 10.1080/09581596.2024.2352595
Joe Thomas, Fahad Hanna
Published in Critical Public Health (Vol. 34, No. 1, 2024)
发表于《关键公共卫生》(第 34 卷,第 1 期,2024 年)
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引用次数: 0
Local government policymaking environment for Health in All Policies: a case study research investigation 地方政府全民健康政策的决策环境:案例研究调查
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-08 DOI: 10.1080/09581596.2024.2334364
Kara Lilly, Suzanne Robinson, Linda A. Selvey, Jonathan Hallett
The local level of government is identified as being well placed to address the determinants of health due to their flatter governance structure and proximity to the community. Research has identif...
地方一级政府的治理结构较为扁平,而且靠近社区,因此被认为是解决健康决定因素的理想场所。研究发现...
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引用次数: 0
Healthcare governance in prisons in England: prisoners’ experiences of changes over time 英格兰监狱的医疗保健管理:囚犯对长期变化的体验
IF 2.8 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-05-08 DOI: 10.1080/09581596.2024.2342331
Janet C. Bowstead, Rosie Meek
According to international law, prisoners should have access to healthcare on an equivalent basis to the rest of the population, and the UK Government has stated its commitment to such equivalence....
根据国际法,囚犯应在与其他人口同等的基础上获得医疗保健,英国政府已声明致力于实现这种同等....。
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引用次数: 0
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Critical Public Health
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