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Association Between Short-term Ambient Air Pollution and Psoriasis: A Time-Stratified Case-Crossover Study.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-29 DOI: 10.1177/10105395251328405
Yu-Tsung Chen, Yu-Ling Li, Chih-Yi Wu, Li-Ying Chen, Hung-Yi Chiou

This time-stratified case-crossover study evaluated the association between short-term exposure to ambient air pollution and psoriasis. A total of 107 462 psoriasis cases between 2002 and 2016 were retrieved from Taiwan's National Health Insurance Research Database. Conditional logistic regression was used to estimate the association between air pollutants (O3, CO, NO2, SO2, PM2.5, and PM10) and psoriasis with each interquartile range (IQR) increase. Consistent associations for psoriasis for each IQR increase in NO2 and CO exposure were noted at lag 0 both in single-pollutant and multiple-pollutant model. Exposure on lag 0 had the highest odds ratio (OR), decreasing consecutively from lag 1 to lag 3. Both NO2 and CO had a stronger influence among men, older patients (>60 years old), and patients with chronic disease. Short-term NO2 and CO exposure was associated with psoriasis. This link might provide insights into how air pollution, at least in part, affects the epidemiology and pathogenesis of psoriasis.

这项时间分层病例交叉研究评估了短期暴露于环境空气污染与银屑病之间的关系。研究人员从台湾 "国民健康保险研究数据库 "中检索了2002年至2016年间的107 462例银屑病病例。采用条件逻辑回归估算空气污染物(O3、CO、NO2、SO2、PM2.5 和 PM10)与银屑病之间的关系,每增加一个四分位数间距(IQR)。在单污染物和多污染物模型中,二氧化氮和一氧化碳暴露量每增加一个 IQR,银屑病的发病率就会增加。滞后 0 的暴露几率比(OR)最高,从滞后 1 到滞后 3 连续下降。二氧化氮和一氧化碳对男性、老年患者(60 岁以上)和慢性病患者的影响更大。短期接触二氧化氮和一氧化碳与银屑病有关。这种联系可能有助于人们了解空气污染如何至少部分地影响银屑病的流行病学和发病机制。
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引用次数: 0
Prevalence of Chronic Obstructive Pulmonary Disease in Adults Aged 40 Years and Older in China From 2014 to 2024: A Systematic Review and Meta-Analysis.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-25 DOI: 10.1177/10105395251329194
Yinxia Luo, Fang Wang, Xia Zeng, Sufang Tan, Liwen Xiang, Shuwen Pang, Xiaoxuan Guo, Xiaorong Mao

Chronic Obstructive Pulmonary Disease (COPD) imposed a heavy disease burden on China. The aim of this study was to identify the prevalence of COPD in adults aged 40 years and older in China through a systematic review and meta-analysis. A web-based search of 11 databases (including PubMed and Web of Science) from January 2014 to September 2024, using specified search/MeSH (Medical Subject Headings) terms and keywords, was conducted. A total of 92 studies (39 320 patients) were included. The combined prevalence of COPD in Chinese adults aged 40 years and older from 2014 to 2024 was 12.1% (11.3%-13.0%). Subgroup analysis showed that the prevalence was higher in males (16.4%, 15.2%-17.6%) than in females (8.4%, 7.5%-9.3%). The lowest prevalence was 4.8% in the age group of 40 to 49 years and 23.7% in the age group of over 70 years. The prevalence was highest in patients with a BMI of less than 18.5 kg/m2 (22.4%) and decreased with increasing BMI. The prevalence was highest in Northwestern China (13.9%) and lowest in Southern China (9.2%), and was higher in rural residents (13.7%) than urban residents (11.1%). The prevalence was higher among current smokers (18.7%) and former smokers (18.7%) than among non-smokers (7.9%).

慢性阻塞性肺病(COPD)给中国带来了沉重的疾病负担。本研究旨在通过系统综述和荟萃分析,确定慢性阻塞性肺疾病在中国 40 岁及以上成年人中的患病率。研究使用指定的检索/MeSH(医学主题词表)术语和关键词,对2014年1月至2024年9月的11个数据库(包括PubMed和Web of Science)进行了网络检索。共纳入 92 项研究(39320 名患者)。2014年至2024年期间,40岁及以上中国成年人的慢性阻塞性肺病综合患病率为12.1%(11.3%-13.0%)。亚组分析显示,男性患病率(16.4%,15.2%-17.6%)高于女性(8.4%,7.5%-9.3%)。40至49岁年龄组的患病率最低,为4.8%;70岁以上年龄组的患病率最高,为23.7%。体重指数小于 18.5 kg/m2 的患者发病率最高(22.4%),随着体重指数的增加而降低。西北地区患病率最高(13.9%),华南地区患病率最低(9.2%),农村居民患病率(13.7%)高于城市居民(11.1%)。目前吸烟者(18.7%)和曾经吸烟者(18.7%)的患病率高于非吸烟者(7.9%)。
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引用次数: 0
Wounded Healers: Exploring Coping With Intimate Partner Violence Among Health Care Workers in Malaysia.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-21 DOI: 10.1177/10105395251328421
Mastura Azalee, Sajaratulnisah Othman, Choo Wan Yuen, Norbani Che Ha, Norhasmah Mohd Zain

Intimate partner violence (IPV) can affect individuals across various professions, including health care workers (HCWs). Therefore, this qualitative study aimed to explore the coping strategies of HCWs experiencing IPV in Malaysia, providing insights to inform workplace support mechanisms. In-depth interviews were conducted among six HCWs in a tertiary hospital who were also the survivors of IPV. The findings revealed that the survivors employed diverse coping strategies, including seeking help, inclining toward spirituality, avoiding abusive situations, engaging in self-harm, and staying or leaving abusive relationships. Survivors primarily relied on coworkers for support and only sought formal support assistance when situations became critical. While some supportive workplace responses were reported, some hesitated to seek help due to misconceptions about IPV, concerns about privacy, and fear of workplace gossip. To address these barriers, workplaces should make efforts to raise IPV awareness among employees and implement dedicated support policies tailored to the IPV survivors' coping needs.

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引用次数: 0
Altitude Differences in Changes in Physical Activity and Weight Gain.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-18 DOI: 10.1177/10105395251325620
Qian Deng, Jianzhong Yin, Jie Peng, Zierdi Yeerkenaili, Xianlan Li, Ziyun Wang, Deji Quzong, Xianbin Ding, Jinjie Xia, Yufei Wang, Xing Zhao, Junmin Zhou

Previous studies speculated that physical activity (PA) at high altitude represents greater actual exercise than when performed at lower altitude. Efforts are needed to validate or reject such speculation. This study explored the relationships between PA changes and weight/body mass index changes in low and high altitudes. According to a previous study and the altitude distribution of our participants, we classified the participants into low altitude (<2500 m) and high altitude (≥2500 m). The relationships between changes in PA and weight/body mass index were assessed through multivariable linear regression. Furthermore, the stratified analyses were conducted to detect whether there was heterogeneity in relationships between PA changes and weight/body mass index changes across low altitude and high altitude. A total of 10 000 individuals were included (9122 in low altitude, 878 in high altitude). PA increases, per MET-h/d, were inversely associated with weight changes in low altitude with a mean change of -0.009 kg (95% CI [-0.015, -0.002] kg), and in high altitude with a mean change of -0.032 kg (95% CI [-0.056, -0.009] kg). The inverse relationship between changes in PA and weight was significantly modified by altitude (P = .016), and it was stronger among participants residing at high altitude. It suggests that future guidelines and interventions should differentiate populations in low and high altitudes. Specifically, PA recommendations for people living at high altitude should be lower than those for people living at low altitude.

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引用次数: 0
How has COVID-19 Impacted Community Mental Health Clinicians and the Delivery of Care in Australia. 2019冠状病毒病如何影响澳大利亚的社区精神卫生临床医生和护理服务:简短的沟通。
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.1177/10105395241309171
Bindu Joseph, Sini Jacob, Robeena Emmanuel, Jignesh Panchal, Muhammad Aziz Rahman
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引用次数: 0
The Epidemiological Profile of Tuberculosis Patients and Risk Factors for Poor Treatment Outcomes in Sarpang District, Bhutan: A 17 Years Retrospective Study. 不丹 Sarpang 地区结核病患者的流行病学概况及治疗效果不佳的风险因素:17年回顾性研究。
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1177/10105395251318112
Nar Bahadur Rai, Kinley Penjor, Amber Bahadur Gurung, Tshewang Samdrup, Yonten Dargay, Samzang Samzang, Kinley Wangdi

Tuberculosis (TB) is one of the major public health issues in Bhutan. This study aimed to evaluate epidemiology of TB and predictors of poor treatment outcomes in Sarpang District, Bhutan. A retrospective cohort study was conducted using TB case-based surveillance data of Sarpang District from 2005 to 2021. The outcome of interest was poor treatment outcome. The potential predictors were analyzed using logistic regression. A total of 1704 TB cases were analyzed in this study. The poor outcome in this study was 6.6% with 2.6% deaths due to TB. The patients older than 65 years (adjusted odds ratio [AOR] = 3.58) and sputum non-conversion in the second month with acid-fast bacilli results of scanty (AOR = 3.08), 1+ (AOR = 7.12), and 2+ (AOR = 21.05) were the significant predictors of poor treatment outcome. Therefore, older age and sputum non-conversion in the second month should be given priority.

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引用次数: 0
Health and Wellbeing of Older People in Mongolia: A Population-Based Survey.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI: 10.1177/10105395251315885
Robert G Cumming, Gantuya Dorj, Vasoontara Sbirakos Yiengprugsawan, Jocelyn G Dracakis, Undram Lkhagvaa, Nirmala Naidoo, Paul Kowal

The objectives of this survey were to describe the health of older Mongolians and compare those living in rural areas, urban apartment areas, and urban ger areas in the capital, Ulaanbaatar. A population-based random sample survey of 975 people aged 60 years and older was conducted in 2017 to 2018. Data were collected using methods of the World Health Organization's Study on global AGEing and adult health. The most common chronic self-reported health conditions were hypertension (65%), arthritis (40%), and angina (23%). Most (80%) reported they were satisfied with life and the mean World Health Organization Quality of Life score on a scale of 0 to 100 was 70.6, which is relatively high. There was a higher prevalence of activities of daily living (ADLs) disability in rural areas, with 17% reporting severe difficulty with at least one ADL. High levels of disability in rural areas suggest the need for improved health and social services, including housing, for older people living outside Ulaanbaatar.

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引用次数: 0
Prevalence of Culture-Confirmed Pulmonary Tuberculosis Requiring ICU Admission and the Trend in Prevalence Before and During the COVID-19 Pandemic in a Tertiary Academic Medical Center in Kuala Lumpur, Malaysia: A 7-Year Retrospective Cohort Study.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2025-02-28 DOI: 10.1177/10105395251319923
Nadia Atiya, M Shahnaz Hasan, Chee Kuan Wong, Azwani Abdullah, Khai Siang Lau, Eu Gene Cheah, Yady Zikry, Ying Xi Ngu, Yik Pheng Teo, Koo Koon Lim

There are limited data on pulmonary tuberculosis (PTB) requiring intensive care unit (ICU) admission despite its high mortality rate. The objectives of our study were to determine the prevalence of culture-confirmed PTB requiring ICU admission and the trend in prevalence before and during the COVID-19 pandemic. A retrospective cohort study was conducted on all patients aged ≥18 years with culture-confirmed PTB requiring ICU admission in a Malaysian tertiary academic medical center from 2015 to 2021. The linear-by-linear association test was performed to determine if the trend in prevalence was significant. The overall prevalence of culture-confirmed PTB requiring ICU admission was 8.0% (139/1736). Between 2015 and 2021, the prevalence increased by 5.8% from 1.6% (5/312) to 7.4% (16/215). This study demonstrated an overall low but increasing trend in the prevalence of culture-confirmed PTB requiring ICU admission. Disruption in TB services during the COVID-19 pandemic may have impacted the prevalence trend.

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引用次数: 0
Workforce Psychological Distress and Absenteeism in Australia: The Correlates of Industry, Age, and Gender. 澳大利亚劳动力心理困扰与旷工:行业、年龄和性别的相关性。
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2024-12-21 DOI: 10.1177/10105395241306477
Kristy Burns, Louise A Ellis, Abilio De Almeida Neto, Janaki Amin

The workplace is an important setting for improving population psychological health. This study aimed to identify priority industries and populations in Australia with highest adverse effects of psychological distress. The study included 5834 workers aged 18 to 64 years who participated in the 2020 to 2021 National Health Survey. Logistic regression analyses were used to estimate the prevalence of psychological distress by industry, age group, and gender. Productivity losses were analyzed using negative binomial regression. Increased odds of experiencing distress were found for younger workers 18 to 29 years (odds ratio [OR] = 2. 45) and female workers (OR = 1.52). Industry of employment did not impact distress once age and gender were accounted for (P = .956). Being highly/very highly distressed resulted in a mean of 21.56 more distress-related loss days per year (0.78 vs 22.34) compared with low/moderate distress. Targeted and tailored workplace intervention programs for these groups are required to build a healthy and productive future workforce.

工作场所是提高人群心理健康水平的重要场所。本研究旨在确定澳大利亚心理困扰最严重的优先行业和人群。该研究包括参加2020年至2021年全国健康调查的5834名18至64岁的工人。采用Logistic回归分析估计不同行业、年龄组和性别的心理困扰患病率。生产率损失采用负二项回归分析。18至29岁的年轻员工经历痛苦的几率增加(比值比[OR] = 2)。45, 95% CI[1.75, 3.43])和女工(OR = 1.52, 95% CI[1.16, 2.01])。一旦考虑到年龄和性别,就业行业对痛苦没有影响(P = .956)。与低/中度痛苦相比,高度/非常高度痛苦导致每年与痛苦相关的损失天数平均增加21.56天(0.78 vs 22.34)。需要为这些群体制定有针对性和量身定制的工作场所干预方案,以建立健康和富有成效的未来劳动力。
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引用次数: 0
Patterns and Duration of Antidepressant Use in Australian Women: Findings From the Australian Longitudinal Study on Women's Health.
IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-03-01 Epub Date: 2025-03-12 DOI: 10.1177/10105395251321316
Edgar Poon, Maria Donald, Mieke van Driel, David Pache, Samantha Hollingworth, Xenia Dolja-Gore, Treasure McGuire

Antidepressant use is common in women. However, characteristics associated with duration of use remain unclear. We conducted a descriptive study using data from the 1973-1978 and 1946-1951 birth cohorts of the Australian Longitudinal Study on Women's Health linked to antidepressant dispensing records from the Pharmaceutical Benefits Scheme, July 2012 to December 2019 to examine use patterns and their associated characteristics. Early discontinuation and prolonged antidepressant use were common, a significant deviation from current guideline recommendations. There were 5553 episodes of antidepressant use in 4416 women, with a mean estimated duration of first-time use of 664 days. One in four women had only one prescription filled, while 32% continued treatment beyond two years, with 14% continuing use at five years. Age and previous antidepressant use impacted duration of use, with a shorter average duration of use and a higher proportion of discontinuation for each subsequent episode after the first prescription.

{"title":"Patterns and Duration of Antidepressant Use in Australian Women: Findings From the Australian Longitudinal Study on Women's Health.","authors":"Edgar Poon, Maria Donald, Mieke van Driel, David Pache, Samantha Hollingworth, Xenia Dolja-Gore, Treasure McGuire","doi":"10.1177/10105395251321316","DOIUrl":"10.1177/10105395251321316","url":null,"abstract":"<p><p>Antidepressant use is common in women. However, characteristics associated with duration of use remain unclear. We conducted a descriptive study using data from the 1973-1978 and 1946-1951 birth cohorts of the Australian Longitudinal Study on Women's Health linked to antidepressant dispensing records from the Pharmaceutical Benefits Scheme, July 2012 to December 2019 to examine use patterns and their associated characteristics. Early discontinuation and prolonged antidepressant use were common, a significant deviation from current guideline recommendations. There were 5553 episodes of antidepressant use in 4416 women, with a mean estimated duration of first-time use of 664 days. One in four women had only one prescription filled, while 32% continued treatment beyond two years, with 14% continuing use at five years. Age and previous antidepressant use impacted duration of use, with a shorter average duration of use and a higher proportion of discontinuation for each subsequent episode after the first prescription.</p>","PeriodicalId":55570,"journal":{"name":"Asia-Pacific Journal of Public Health","volume":" ","pages":"272-280"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Asia-Pacific Journal of Public Health
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