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Cervical cancer screening beyond traditional barriers 超越传统障碍的子宫颈癌筛检
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1016/s2468-2667(25)00258-0
Milit S Patel, Krupam S Patel, Jonas Willmann, Erin Jay G Feliciano, Luisa E Jacomina, Edward Christopher Dee
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引用次数: 0
Bacterial sexually transmitted infections in incarcerated populations: a systematic review and meta-analysis 监禁人群细菌性传播感染:一项系统回顾和荟萃分析
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1016/s2468-2667(25)00277-4
Gabrielle Beaudry, Brendan L Harney, Sarah Larney, Emma Plugge, Anne C Spaulding, Nadine Kronfli
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引用次数: 0
Herd effect of human papillomavirus vaccination on incidence of high-grade cervical lesions: a population-based cohort study in Sweden 人乳头瘤病毒疫苗接种对高级别宫颈病变发生率的群体效应:瑞典一项基于人群的队列研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1016/s2468-2667(25)00297-x
Eva Meglic, Alexander Ploner, Mark Clements, Miriam Elfström, Jiayao Lei
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引用次数: 0
Oral nicotine pouch use in Great Britain: a repeat cross-sectional study, 2020–25 口服尼古丁袋在英国的使用:一项重复的横断面研究,2020-25
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-16 DOI: 10.1016/s2468-2667(25)00296-8
Harry Tattan-Birch, Sarah E Jackson, Lion Shahab, Vera Buss, Tianze Sun, Daniel Read, Eve Taylor, Jamie Brown

Background

Global oral nicotine pouch sales have grown rapidly in recent years, but population-level patterns of use remain poorly described. The aim of this study is to examine recent trends in nicotine pouch use in Great Britain.

Methods

We used data from the Smoking Toolkit Study, a representative monthly cross-sectional survey of tobacco and nicotine use in Great Britain, collected between October, 2020, and March, 2025 (recruiting around 2450 participants per month). Participants were aged 16 years or older (16–17-year-olds included from January, 2022). Nicotine pouch use was self-reported through questions on current use of various nicotine and tobacco products. We estimated trends in the prevalence of current nicotine pouch use, overall and stratified by sociodemographic characteristics and other nicotine product use, as well as trends in the use of pouches to aid quitting smoking. All reported percentages are survey-weighted.

Findings

A total of 127 793 individuals were included in this study. Among adults, nicotine pouch use increased from 0·1% (95% CI 0·1–0·2) in October, 2020, to 1·0% (0·8–1·2) in March, 2025. From 2022, increases were concentrated among young people: in 16–24-year-olds, use rose from 0·7% (0·4–1·4) in January, 2022, to 4·0% (2·9–5·5) in March, 2025, with no meaningful change in those aged 35 years and older. Use was higher among men, especially 16–24-year-old men (7·5%, 6·0–9·4 in March, 2025) and those who smoke or vape, but similar across nations and social grades. Among people using pouches surveyed from January, 2022, to March, 2025, 69% (95% CI 65–74) also used other nicotine products; 56% (52–61) smoked, 39% (34–44) vaped, and 16% (12–19) had never smoked regularly. Among people who attempted to quit smoking in the past year, the proportion using pouches in their most recent quit attempt rose from 2·6% (1·0–6·6) in October, 2020, to 6·5% (4·8–8·8) in March, 2025.

Interpretation

Nicotine pouch use has risen in Great Britain, primarily driven by sharp increases among young people, especially young men. Most users also smoked or vaped, and a growing proportion of smokers used pouches in attempts to quit smoking. These findings underscore the importance of implementing age-of-sale legislation for nicotine pouches and conducting research on their effectiveness for smoking cessation.

Funding

Cancer Research UK and Behavioural Research UK.
近年来,全球口服尼古丁袋的销售迅速增长,但人口水平的使用模式仍然缺乏描述。这项研究的目的是调查英国尼古丁袋使用的最新趋势。方法:我们使用的数据来自吸烟工具包研究,这是一项具有代表性的英国烟草和尼古丁使用的月度横断面调查,收集于2020年10月至2025年3月(每月招募约2450名参与者)。参与者年龄在16岁或以上(从2022年1月开始包括16 - 17岁的人)。通过对目前使用各种尼古丁和烟草产品的问题自我报告尼古丁袋的使用情况。我们根据社会人口特征和其他尼古丁产品的使用,估计了当前尼古丁袋使用的总体和分层趋势,以及使用尼古丁袋帮助戒烟的趋势。所有报告的百分比都是经过调查加权的。结果:本研究共纳入12793人。在成人中,尼古丁袋的使用从2020年10月的0.1% (95% CI 0.1 - 0.2)增加到2025年3月的1.0%(0.8 - 1.2)。从2022年开始,增长集中在年轻人身上:在16 - 24岁的人群中,使用量从2022年1月的0.7%(0.41 - 0.4%)上升到2025年3月的4.0%(2.9 - 5.5%),35岁及以上的人群没有明显变化。男性的使用率更高,尤其是16 - 24岁的男性(2025年3月为7.5%,6 - 9.4)和吸烟或吸电子烟的人,但不同国家和社会阶层的情况相似。在2022年1月至2025年3月期间接受调查的使用烟袋的人中,69%(95%可信区间65-74)还使用其他尼古丁产品;56%(52-61)吸烟,39%(34-44)吸电子烟,16%(12-19)从不经常吸烟。在过去一年中试图戒烟的人群中,在最近一次戒烟尝试中使用烟袋的比例从2020年10月的2.6%(1.0 - 6.6)上升到2025年3月的6.5%(4.8 - 8.8)。在英国,尼古丁袋的使用量有所上升,主要是由于年轻人,尤其是年轻男性的使用量急剧增加。大多数使用者还吸烟或吸电子烟,越来越多的吸烟者使用电子烟袋试图戒烟。这些发现强调了对尼古丁袋实施销售年龄立法和对其戒烟效果进行研究的重要性。资助英国癌症研究和英国行为研究。
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引用次数: 0
Violence against women: preventing the preventable. 针对妇女的暴力:预防可预防之事。
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-11 DOI: 10.1016/s2468-2667(25)00302-0
The Lancet Public Health
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引用次数: 0
Gaming and gambling behaviours among Italian adolescents: a cross-sectional study 意大利青少年的游戏和赌博行为:一项横断面研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-11 DOI: 10.1016/s2468-2667(25)00274-9
Giansanto Mosconi, Paola Bertuccio, Lorella Cecconami, Riccardo Vecchio, Elisa Benedetti, Marco Scalese, Silvia Biagioni, Silvano Gallus, Sabrina Molinaro, Anna Odone
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引用次数: 0
Commercialisation and care sufficiency: the privatisation of children's homes in England 商业化和照顾充足:英国儿童之家的私有化
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-11 DOI: 10.1016/s2468-2667(25)00279-8
Benjamin Goodair, François Schoenberger, Anders Bach-Mortensen
Although the commercialisation of care services is intended to produce markets that respond to care need, it is still unclear whether profit incentives align with population need. In this Health Policy, we examine the provision of the children's residential care market in England and whether it responds effectively to geographical need. We analysed comprehensive data on all children's homes in England between 2014 and 2023 and categorised providers as Local Authority, third sector, investment owned, individual owned, or corporate owned. We operationalised area need through net loss measures: the difference between the number of children placed outside a Local Authority versus those placed within it. Using Bayesian hierarchical models, we assessed the relationships between area characteristics, children's home locations, and ownership structures. In 2023, 852 (29·8%) of 2861 children's homes in England were owned by investment firms, doubling the number they ran in 2014 (414 of 1350 homes). All for-profit homes disproportionately located in areas of low need and investment-owned homes located more in areas with low house prices. Compared with Local Authority homes, investment-owned homes were less likely to operate in areas of high need and non-commercial homes were most likely to open in areas of high need. The commercialisation of children's social care provision has corresponded with less accessible services, contributing to sufficiency issues. Current market dynamics fail to address, and likely worsen, geographical disparities in children's residential care provision.
尽管护理服务的商业化旨在产生对护理需求作出反应的市场,但目前尚不清楚利润激励是否符合人口需求。在本健康政策中,我们研究了英格兰儿童寄宿照料市场的提供情况,以及它是否有效地满足了地域需求。我们分析了2014年至2023年间英格兰所有儿童之家的综合数据,并将提供者分类为地方政府、第三部门、投资所有、个人所有或公司所有。我们通过净损失措施来实现地区需求:被安置在地方当局之外的儿童人数与被安置在地方当局内的儿童人数之间的差额。使用贝叶斯层次模型,我们评估了区域特征、儿童家庭位置和所有权结构之间的关系。2023年,英格兰2861个儿童之家中有852个(29.8%)为投资公司所有,是2014年的两倍(1350个家庭中有414个)。所有营利性住房都不成比例地位于低需求地区,而投资性住房更多地位于低房价地区。与地方政府住房相比,投资拥有的住房不太可能在高需求地区运营,而非商业住房最有可能在高需求地区开放。儿童社会照顾服务的商业化与服务的可及性较低相对应,造成了充足性问题。目前的市场动态未能解决儿童寄宿照料提供方面的地域差异,而且可能会加剧这种差异。
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引用次数: 0
Temporal trends in associations between social drivers and life-years lost in newly diagnosed atrial fibrillation in Denmark, 2000–22: a nationwide cohort study 2000-22年丹麦新诊断房颤患者社会驱动因素与生命年损失的时间趋势:一项全国性队列研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-09 DOI: 10.1016/s2468-2667(25)00260-9
Nicklas Vinter, Søren Paaske Johnsen, Gregory Y H Lip, Ludovic Trinquart, Lars Frost, Emelia J Benjamin
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引用次数: 0
Correction to Lancet Public Health 2024; 9: e871–85 《柳叶刀公共卫生2024》更正;9: e871 - 85
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-03 DOI: 10.1016/s2468-2667(25)00299-3
Fletcher RA, Rockenschaub P, Neuen BL, et al. Contemporary epidemiology of hospitalised heart failure with reduced versus preserved ejection fraction in England: a retrospective, cohort study of whole-population electronic health records. Lancet Public Health 2024; 9: e871–85—In figure 1D of this Article, the annual change in incidence should have read “Reduced ejection fraction –2·6% (95% CI –9·5 to 4·8)” and “Preserved ejection fraction 2·5% (95% CI –3·7 to 9·2)”. This correction has been made as of Dec 3, 2025.
Fletcher RA, Rockenschaub P, Neuen BL,等。当代英格兰住院心力衰竭患者射血分数降低与保留的流行病学:一项对全人群电子健康记录的回顾性队列研究。柳叶刀公共卫生2024;[11:8 71 - 85]在本文的图1D中,发病率的年变化应该是“减少射血分数-2·6% (95% CI - 9.5 ~ 4·8)”和“保留射血分数2·5% (95% CI -3·7 ~ 9·2)”。此更正已于2025年12月3日进行。
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引用次数: 0
Correction to Lancet Public Health 2017; 2: e522–28 《柳叶刀公共卫生》2017年更正;2: e522-28
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-25 DOI: 10.1016/s2468-2667(25)00282-8
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Lancet Public Health
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