Global health journal (Amsterdam, Netherlands)最新文献

Parsing pathways from chronic illness to self-rated health in Egypt: the role of mental well-being 解析埃及从慢性病到自评健康的途径：心理健康的作用

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.11.006

Yusra Alkasasbeh

Objective

Chronic noncommunicable conditions are a major driver of poor health in low- and middle-income countries, yet the mental health pathways through which these illnesses shape perceived health remain underexamined. This study investigates whether recent mental well-being—measured using the World Health Organization Five-Item Well-Being Index (WHO-5)—mediates the association between chronic illness and self-rated health (SRH) among Egyptian adults aged 32–65.

Methods

This study uses nationally representative data from the 2023 Egypt Labor Market Panel Survey (n = 23,044) and estimates survey-weighted Ordinary Least Squares models predicting SRH (1 = very good/excellent to 5 = very bad). The key independent variable is chronic illness status. Mediation analysis is conducted using the Sobel–Goodman method with 1000 bootstrap replicates. All models adjust for sociodemographic covariates including age, sex, education, marital status, and regional residence.

Results

Chronic illness is associated with significantly worse SRH (β = 0.59, standard error [SE] = 0.02, P < 0.001). When mental well-being is added to the model, the chronic illness coefficient declines to 0.50 (SE = 0.02, P < 0.001), and WHO-5 is independently associated with better SRH (β = ‒0.22, SE = 0.01, P < 0.001). The indirect effect via WHO-5 is 0.08 (SE = 0.01, P < 0.001), indicating that 14.2% of the total association is mediated through recent psychological well-being.

Conclusion

Although most of the self-rated health disadvantage linked to chronic illness flows through somatic and functional channels, mental well-being accounts for a meaningful share. Incorporating WHO-5 screening and stepped referral into chronic care could improve subjective health outcomes in Egypt. Mental health integration should be viewed as a critical component of equitable noncommunicable disease strategies.

目的慢性非传染性疾病是低收入和中等收入国家健康状况不佳的一个主要驱动因素，但这些疾病影响人们感知健康的心理健康途径仍未得到充分研究。本研究调查了最近的心理健康-使用世界卫生组织五项幸福指数（WHO-5）测量-介导慢性疾病和自评健康（SRH）之间的关联在32-65岁的埃及成年人。方法本研究使用2023年埃及劳动力市场面板调查（n = 23,044）的全国代表性数据，并估计调查加权的普通最小二乘模型预测SRH（1 =非常好/优秀到5 =非常差）。关键的自变量是慢性疾病状态。采用Sobel-Goodman方法进行了1000次bootstrap重复的中介分析。所有模型都调整了社会人口协变量，包括年龄、性别、教育、婚姻状况和地区居住地。结果慢性疾病与SRH恶化相关（β = 0.59，标准误差[SE] = 0.02, P < 0.001）。当模型中加入心理健康因素时，慢性疾病系数降至0.50 (SE = 0.02, P < 0.001)， WHO-5与较好的SRH独立相关（β = -0.22, SE = 0.01, P < 0.001）。通过WHO-5的间接效应为0.08 (SE = 0.01, P < 0.001)，表明14.2%的关联是通过近期心理健康介导的。结论：尽管与慢性疾病相关的自评健康劣势大多通过躯体和功能渠道流动，但心理健康状况占了相当大的份额。将世卫组织-5筛查和分步转诊纳入慢性护理可改善埃及的主观健康结果。应将精神卫生整合视为公平的非传染性疾病战略的一个关键组成部分。

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引用次数: 0

Heat exposure, physiological strain, and wet bulb globe temperature prediction among outdoor agricultural workers in Pak Chong, Thailand 泰国Pak Chong户外农业工人的热暴露、生理应变和湿球温度预测

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.11.004

Pirutchada Musigapong , Tosaphol Ratniyomchai , Kiattisak Batsungnoen , Thanatchai Kulworawanichpong , Aduldatch Sailabaht

Objective

This study assessed heat exposure, physiological responses, and the risk of chronic kidney disease among outdoor agricultural workers in Pak Chong, Thailand, and developed a predictive model for Wet Bulb Globe Temperature (WBGT).

Methods

A cross-sectional study was conducted among 170 agricultural workers. Field WBGT was measured at 33 locations in April and July and corrected for Clothing Adjustment Factor to determine effective WBGT. Core temperature, skin temperature, heart rate, blood pressure, and body weight were monitored before, during, and after work shifts. Urine dipstick and microalbumin tests were performed to evaluate dehydration and kidney disorder. Workloads were classified according to American Conference of Governmental Industrial Hygienists (ACGIH) metabolic rate categories. Meteorological data were used to train machine learning models—including linear regression, decision tree, random forest, and extreme gradient boosting—to predict WBGT values.

Results

Effective WBGT at fruit gardens and field crops sites frequently exceeded ACGIH limits for moderate-to-heavy work. Workers’ systolic/diastolic blood pressure and heart rate increased during work (transient cardiovascular strain) while body temperature remained stable. Post-shift, 34.7% showed moderate dehydration; microalbumin screening was positive in 31/170 (18.2%) suggesting possible early renal involvement but not chronic kidney disease diagnosis. Among the predictive models, extreme gradient boosting achieved the best performance (root mean square error = 0.798 °C, mean absolute error = 0.576 °C, R² = 0.81). The most influential predictors were air temperature, sunshine duration, and site-specific factors.

Conclusions

Agricultural workers in Pak Chong are frequently exposed to heat stress that exceeds ACGIH standards, predisposing them to dehydration and kidney impairment. The findings support evidence-based preventive strategies such as regulated work–rest cycles, hydration management, and medical surveillance. Moreover, the validated WBGT prediction tool offers a practical approach for real-time monitoring and proactive climate adaptation to protect outdoor workers in heat-prone environments.

目的本研究评估了泰国Pak Chong户外农业工人的热暴露、生理反应和慢性肾脏疾病的风险，并建立了湿球温度（WBGT）的预测模型。方法对170名农业工人进行横断面调查。在4月和7月测量了33个地点的现场WBGT，并对服装调整因子进行了校正，以确定有效WBGT。在轮班之前、期间和之后监测核心温度、皮肤温度、心率、血压和体重。尿试纸和微量白蛋白试验评估脱水和肾脏疾病。根据美国政府工业卫生学家会议（ACGIH）代谢率分类工作量。气象数据被用来训练机器学习模型——包括线性回归、决策树、随机森林和极端梯度增强——来预测WBGT值。结果果园和大田作物场地的有效WBGT在中重度工作中经常超过ACGIH限制。工人在工作过程中收缩压/舒张压和心率升高（短暂性心血管紧张），而体温保持稳定。轮班后34.7%出现中度脱水；微量白蛋白筛查阳性的有31/170(18.2%)，提示可能早期肾脏受累，但未诊断为慢性肾脏疾病。其中，极端梯度增强的预测效果最好（均方根误差= 0.798°C，平均绝对误差= 0.576°C, R²= 0.81）。影响最大的预测因子是气温、日照时数和特定地点的因素。结论白冲农业工人经常暴露在超过ACGIH标准的热应激下，易发生脱水和肾损害。研究结果支持循证预防策略，如调节工作-休息周期、补水管理和医疗监测。此外，经过验证的WBGT预测工具为实时监测和主动适应气候提供了实用方法，以保护易热环境中的户外工人。

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引用次数: 0

The impact of private equity investments in Indian healthcare: a critical political economy perspective on equity, access, and rising health costs 私募股权投资对印度医疗保健的影响：对公平、获取和不断上升的医疗成本的关键政治经济学观点

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.12.001

Vivek Nenmini Dileep

Background

The Indian healthcare sector has undergone significant transformations due to private equity (PE) investments. The influx of capital has facilitated the expansion of infrastructure and improvement in services, particularly in urban and semi-urban areas. However, this transformation raises critical concerns regarding equity in healthcare access, rising health costs, and the potential commercialization of healthcare services.

Methods

Employing a critical political economy approach, this study examines the effects of PE investments in Indian healthcare. It integrates theories from Antonio Gramsci, David Harvey and Nancy Fraser to analyze the implications of these investments. The research draws on secondary data from industry reports, government statistics and academic literature to assess the trends, impacts and policy responses related to PE in healthcare.

Results

PE investments have led to increased privatization, rising healthcare costs and a focus on profit-driven models. Despite expanding infrastructure, access to quality healthcare remains inequitable, particularly for marginalized and rural populations. The analysis highlights the tension between capital accumulation and public health needs, showing how PE investments prioritize profitability over equity. The commodification of healthcare reflects broader neoliberal policies that undermine public health objectives and exacerbate inequalities.

Conclusion

While PE investments drive innovation and expansion, they also pose challenges to affordability and equitable access. Policy interventions are necessary to regulate PE investments and ensure that healthcare remains accessible and equitable for all.

由于私募股权（PE）投资，印度医疗保健行业经历了重大变革。资本的流入促进了基础设施的扩大和服务的改善，特别是在城市和半城市地区。然而，这一转变引发了对医疗保健公平性、医疗成本上升以及医疗保健服务潜在商业化的关键担忧。方法采用关键的政治经济学方法，本研究考察了私募股权投资对印度医疗保健的影响。它整合了安东尼奥·葛兰西、大卫·哈维和南希·弗雷泽的理论，分析了这些投资的含义。该研究利用了来自行业报告、政府统计数据和学术文献的二手数据，以评估医疗保健中与体育相关的趋势、影响和政策反应。结果spe投资导致了私有化程度的提高、医疗成本的上升以及对利润驱动模式的关注。尽管基础设施不断扩大，但获得优质医疗保健的机会仍然不公平，尤其是对边缘化人口和农村人口而言。分析强调了资本积累与公共卫生需求之间的紧张关系，显示了私募股权投资如何优先考虑盈利能力而不是股权。医疗保健的商品化反映了更广泛的新自由主义政策，这些政策破坏了公共卫生目标，加剧了不平等。结论私募股权投资在推动创新和扩张的同时，也对可负担性和公平获取提出了挑战。政策干预是必要的，以规范私募股权投资，并确保所有人都能获得和公平的医疗保健。

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引用次数: 0

Trends and determinants of preterm birth and neonatal mortality in Ghana (2008–2022): a WHO antenatal care guidelines analysis 加纳早产和新生儿死亡率的趋势和决定因素（2008-2022年）：世卫组织产前保健指南分析

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.11.005

Kasuni H.M. Akalanka , Kelly Lin , Jing Sun

Background

Preterm birth and neonatal mortality continue to pose significant public health challenges in Ghana. This study explores their temporal trends and associated determinants from 2008 to 2022.

Methods

Birth record data from the Ghana Demographic and Health Surveys (2008, 2014, and 2022) were used to analyse trends and determinants in neonatal mortality and preterm birth aligned with World Health Organization antenatal care (ANC) guidelines using Pearson’s Chi-square test and multivariate logistic regression with statistical significance at P < 0.05 and 95 % confidence intervals (CI).

Results

Preterm birth rate and neonatal mortality rate decreased from 13.0 % to 9.1 % and 27.6 to 23.7 per 1000 live births from 2008 to 2022 respectively. Lack of iron supplementation (odds ratio [OR]1.127, 95 % CI: 1.047 to 1.967) a nutritional intervention maternal assessments (moderate/severe anaemia (OR 1.423, 95 % CI: 1.178 to 2.051), preventive measures (Untreated malaria (OR 1.449, 95 % CI: 1.104 to 2.411) or deworming (OR 1.267, 95 % CI: 0.970 to 1.645) were associated with increased preterm birth risk. Attending < 8 ANC visits raised the odds of preterm birth (OR 1.24, 95 % CI: 1.03 to 1.257) and neonatal mortality (OR 1.583, 95 % CI: 1.120 to 2.480).

Conclusion

Despite reductions in preterm birth and neonatal mortality rates, substantial gaps in antenatal care remain. Strengthening the implementation of World Health Organization ANC guidelines is critical to reducing preterm birth and neonatal mortality in Ghana.

背景：在加纳，早产和新生儿死亡率继续构成重大的公共卫生挑战。本研究探讨了从2008年到2022年的时间趋势和相关决定因素。方法使用加纳人口与健康调查（2008年、2014年和2022年）的出生记录数据，根据世界卫生组织产前保健（ANC）指南，使用Pearson卡方检验和多变量logistic回归分析新生儿死亡率和早产的趋势和决定因素，P <； 0.05和95%置信区间（CI）具有统计学意义。结果2008年至2022年，早产儿出生率和新生儿死亡率分别从13.0%下降到9.1%和27.6下降到23.7。缺铁（优势比[OR]1.127, 95% CI: 1.047至1.967）、营养干预(中度/重度贫血（OR 1.423, 95% CI: 1.178至2.051）、预防措施(未经治疗的疟疾（OR 1.449, 95% CI: 1.104至2.411）或驱虫（OR 1.267, 95% CI: 0.970至1.645）与早产风险增加相关。参加8次ANC就诊增加了早产（OR 1.24, 95% CI: 1.03至1.257）和新生儿死亡率（OR 1.583, 95% CI: 1.120至2.480）的几率。结论：尽管早产和新生儿死亡率有所下降，但在产前保健方面仍存在巨大差距。加强执行世界卫生组织非洲人国民大会准则对于减少加纳的早产和新生儿死亡率至关重要。

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引用次数: 0

Socioeconomic disparities in outpatient treatment utilization among Indonesian older adults: findings from the 2015 and 2020 National Socioeconomic Survey 印度尼西亚老年人门诊治疗利用的社会经济差异：2015年和2020年全国社会经济调查的结果

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.12.002

Mardiana Dwi Puspitasari , Mugia Bayu Rahardja

Introduction

With an aging population, Indonesia must monitor health inequities and promote healthy aging. This study explores the trends and disparities in outpatient treatment utilization among Indonesian older adults across socioeconomic position (SEP), following the implementation of universal health coverage in 2014.

Methods

The unit of analysis includes 27,708 and 29,905 non-institutionalized Indonesian older adults aged 60 and over with poor self-rated health status residing in 413 and 514 districts, respectively. The data were obtained from the combined datasets of the 2015 National Socioeconomic Survey (SUSENAS) and 2014 Village Data Census (PODES), as well as the 2020 SUSENAS and 2021 PODES.. Outpatient treatment utilization is the outcome variable. SEP is assessed by household wealth index and educational attainment. The slope index of inequality (SII) is calculated using multilevel-adjusted prevalence estimates (P < 0.05).

Results

After adjusting for age, health insurance, and percentage of villages in district with primary care services, older adults in the highest SEP accessed outpatient more than those in the lowest SEP in both 2015 (P < 0.001 for education and for wealth) and 2020 (P < 0.001 for education and for wealth). The SII revealed a statistically significant increase in the disparity in outpatient between the highest and lowest educational levels from 2015 (14.1 %, P < 0.001) to 2020 (16.9 %, P < 0.001). The proportions of older adults with both the highest (−7.2 %, P < 0.001) and lowest (−9.4 %, P < 0.001) education levels accessing outpatient decreased. Between 2015 and 2020, the SII demonstrated a statistically significant decrease in the disparity between the highest (15.2 %, P = 0.01) and lowest (12.4 %, P = 0.03) wealth groups. The proportion of older adults in both the highest (−7.1 %, P < 0.001) and lowest (−5.8 %, P < 0.001) wealth groups accessing outpatient declined.

Conclusion

Macro-level policy interventions aimed at increasing outpatient treatment coverage should target all older adults, regardless of SEP. Further research into the broader macro-social context is warranted.

随着人口老龄化，印度尼西亚必须监测卫生不公平现象并促进健康老龄化。本研究探讨了2014年全民健康覆盖实施后，不同社会经济地位（SEP）的印度尼西亚老年人门诊治疗利用的趋势和差异。方法分析单元包括居住在印度尼西亚413和514个地区的27,708和29,905名60岁及以上的非机构老年人，他们自评健康状况较差。数据来自2015年全国社会经济调查（SUSENAS）和2014年村庄数据普查（PODES）以及2020年SUSENAS和2021年PODES的综合数据集。门诊治疗利用率是结果变量。SEP是由家庭财富指数和教育程度来评估的。不平等斜率指数（SII）使用多水平调整的患病率估计来计算（P < 0.05）。结果在调整了年龄、医疗保险和拥有初级保健服务的村庄比例后，2015年（教育和财富P <； 0.001）和2020年（教育和财富P <； 0.001）， SEP最高的老年人比SEP最低的老年人就诊次数多。SII显示，从2015年（14.1%,P < 0.001）到2020年（16.9%,P < 0.001），最高和最低教育水平之间的门诊差异在统计学上显著增加。受教育程度最高（- 7.2%,P < 0.001）和最低（- 9.4%,P < 0.001）的老年人就诊比例均有所下降。从2015年到2020年，SII显示，最高财富群体（15.2%,P = 0.01）和最低财富群体（12.4%,P = 0.03）之间的差距在统计学上显著缩小。在最高（- 7.1%,P < 0.001）和最低（- 5.8%,P < 0.001）财富群体中，老年人获得门诊服务的比例都有所下降。结论旨在提高门诊治疗覆盖率的宏观政策干预应针对所有老年人，而不考虑SEP。有必要对更广泛的宏观社会背景进行进一步研究。

{"title":"Socioeconomic disparities in outpatient treatment utilization among Indonesian older adults: findings from the 2015 and 2020 National Socioeconomic Survey","authors":"Mardiana Dwi Puspitasari , Mugia Bayu Rahardja","doi":"10.1016/j.glohj.2025.12.002","DOIUrl":"10.1016/j.glohj.2025.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>With an aging population, Indonesia must monitor health inequities and promote healthy aging. This study explores the trends and disparities in outpatient treatment utilization among Indonesian older adults across socioeconomic position (SEP), following the implementation of universal health coverage in 2014.</div></div><div><h3>Methods</h3><div>The unit of analysis includes 27,708 and 29,905 non-institutionalized Indonesian older adults aged 60 and over with poor self-rated health status residing in 413 and 514 districts, respectively. The data were obtained from the combined datasets of the 2015 National Socioeconomic Survey (SUSENAS) and 2014 Village Data Census (PODES), as well as the 2020 SUSENAS and 2021 PODES.. Outpatient treatment utilization is the outcome variable. SEP is assessed by household wealth index and educational attainment. The slope index of inequality (SII) is calculated using multilevel-adjusted prevalence estimates (<em>P</em> < 0.05).</div></div><div><h3>Results</h3><div>After adjusting for age, health insurance, and percentage of villages in district with primary care services, older adults in the highest SEP accessed outpatient more than those in the lowest SEP in both 2015 (<em>P</em> < 0.001 for education and for wealth) and 2020 (<em>P</em> < 0.001 for education and for wealth). The SII revealed a statistically significant increase in the disparity in outpatient between the highest and lowest educational levels from 2015 (14.1 %, <em>P</em> < 0.001) to 2020 (16.9 %, <em>P</em> < 0.001). The proportions of older adults with both the highest (−7.2 %, <em>P</em> < 0.001) and lowest (−9.4 %, <em>P</em> < 0.001) education levels accessing outpatient decreased. Between 2015 and 2020, the SII demonstrated a statistically significant decrease in the disparity between the highest (15.2 %, <em>P</em> = 0.01) and lowest (12.4 %, <em>P</em> = 0.03) wealth groups. The proportion of older adults in both the highest (−7.1 %, <em>P</em> < 0.001) and lowest (−5.8 %, <em>P</em> < 0.001) wealth groups accessing outpatient declined.</div></div><div><h3>Conclusion</h3><div>Macro-level policy interventions aimed at increasing outpatient treatment coverage should target all older adults, regardless of SEP. Further research into the broader macro-social context is warranted.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 4","pages":"Pages 330-336"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145845625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Healthcare utilization patterns in Indonesia: insights from the 2023 National Socio-economic Survey 印度尼西亚的医疗保健利用模式：来自2023年全国社会经济调查的见解

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.12.004

Haerawati Idris, Rizqa Fitri Damaiasa, Hamzah Hasyim

Objective

Unmet need for health services in Indonesia has increased significantly, reaching 6.09 % and representing the highest rate observed over the past 5 years. The number of people who have health complaints but do not access health services will certainly affect the degree of public health. This study investigates patterns of outpatient and inpatient healthcare utilization in Indonesia

Methods

This was a cross-sectional study using data from the 2023 National Socio-Economic Survey. The analysis included respondents aged ≥ 19 years 211,583 for outpatient services and 806,982 for inpatient services. Univariate, bivariate chi-square, and multivariate log-binomial regression analyses were conducted to identify determinants of healthcare utilization, including demographic, socioeconomic, and regional factors.

Results

Outpatient services were utilized by 34.0 % of respondents, while inpatient services were utilized by 3.6 %. Outpatient services were predominantly used by elderly individuals (aged ≥ 60 years), whereas inpatient services were more commonly utilized by those with health complaints.

Conclusion

The study underscores the importance of targeted health education initiatives and government-sponsored screening programs to address healthcare disparities and promote early detection of health issues. By improving awareness and equitable healthcare access, these efforts can contribute to effective health management and better public health outcomes

目的印度尼西亚未满足的卫生服务需求显著增加，达到6.09%，是过去5年来观察到的最高比率。有健康投诉但没有获得保健服务的人数肯定会影响公共卫生的程度。本研究调查了印度尼西亚门诊和住院医疗保健利用模式。方法：这是一项横断面研究，使用了2023年全国社会经济调查的数据。分析包括年龄≥19岁的受访者，门诊211,583人，住院806,982人。进行了单变量、双变量卡方和多变量对数二项回归分析，以确定医疗保健利用的决定因素，包括人口统计学、社会经济和区域因素。结果门诊使用率为34.0%，住院使用率为3.6%。使用门诊服务的主要是老年人（年龄≥60岁），而使用住院服务的更多是那些有健康投诉的人。结论本研究强调了有针对性的健康教育倡议和政府资助的筛查项目对于解决医疗保健差距和促进早期发现健康问题的重要性。通过提高认识和公平获得医疗保健，这些努力可以促进有效的卫生管理和更好的公共卫生成果

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引用次数: 0

If Europe lived the same lifestyle: insights into cardiovascular risk from the European Social Survey 如果欧洲人过着同样的生活方式：欧洲社会调查对心血管风险的见解

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.11.002

Michal Valko , Mark David Walker , April Htoon , Jocelyn Dumlao , Hakan Lane , Isabella G. Lee , Huda Amer , Janka Bursova

Background

Cardiovascular disease remains the leading cause of mortality across the European region. Despite marked regional variations, cross-national differences in underlying risk factors have received comparatively little attention.

Objective

To use European Social Survey, a unique cross-European dataset, to examine regional patterns in prevalence and lifestyle risks.

Methods

This study employs clustering analysis and nested logistic modelling. Counterfactual analysis was conducted to illustrate how lifestyle modifications could reduce risk.

Results

The prevalence of heart problems was highest in Latvia (25.6 %, 95 % CI: 23.0 to 28.2), Lithuania (17.6 %, 95 % CI: 15.5 to 19.7), and Bulgaria (14.9 %, 95 % CI: 13.4 to 19.4). Regionally, heart problems were higher in Northern and Eastern Europe (15 % and 11.9 %) than Western and Southern Europe (10.8 % and 9.5 %). Among the risk factors, modelling emphasised the importance of modifiable factors including education, body mass index and physical activity.

Conclusion

The results underline that cardiovascular disease is influenced by interrelated socioeconomic, environmental and lifestyle determinants. Public policy interventions could be targeted at those countries where greatest reductions are obtainable and concentrate on interventions on those lifestyle traits identified. The study utilised a social science dataset, thereby illustrating how multidisciplinary resources can benefit epidemiological research.

背景：在整个欧洲地区，心血管疾病仍然是导致死亡的主要原因。尽管存在显著的区域差异，但潜在风险因素的跨国差异相对较少受到关注。目的使用欧洲社会调查，一个独特的跨欧洲数据集，检查患病率和生活方式风险的区域模式。方法采用聚类分析和嵌套逻辑模型。反事实分析是为了说明改变生活方式可以降低风险。结果拉脱维亚（25.6%,95% CI: 23.0 ~ 28.2）、立陶宛（17.6%,95% CI: 15.5 ~ 19.7）和保加利亚（14.9%,95% CI: 13.4 ~ 19.4）的心脏问题患病率最高。从地区来看，北欧和东欧的心脏病发病率分别为15%和11.9%，高于西欧和南欧的10.8%和9.5%。在风险因素中，模型强调了可改变因素的重要性，包括教育、体重指数和体育活动。结论心血管疾病受社会经济、环境和生活方式等因素的影响。公共政策干预措施可针对可实现最大减排的国家，并集中针对已查明的生活方式特征进行干预。该研究利用了一个社会科学数据集，从而说明了多学科资源如何有益于流行病学研究。

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引用次数: 0

The role of emotional labor in occupational identity and work engagement among Portuguese firefighters: implications for crisis management 情绪劳动在葡萄牙消防员职业认同和工作投入中的作用：对危机管理的启示

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.12.005

Ana Luísa Sousa Pinto , Carla Maria Santos de Carvalho , Soraia Alexandra de Sousa Oliveira , Ana Karina Sousa Fernandes

Objective

To examine how emotional labor demands and strategies influence work engagement and occupational identity among Portuguese volunteer firefighters.

Methods

Participants completed the Emotional Work Requirements Scale, Emotional Labour Scale, Utrecht Work Engagement Scale, and Social Identity Scale. Multiple linear regression analyses were conducted to assess the predictive effects of emotional labor demands and strategies on work engagement and occupational identity.

Results

Emotional labor explained 11.8 % of the variance in work engagement and 10.9 % in occupational identity. Positive emotion expression significantly predicted higher work engagement and a stronger occupational identity, while the suppression of negative emotions predicted a weaker occupational identity. Other emotional labor dimensions were not significant.

Conclusions

Findings underscore the dual role of emotional labor—as a resource when positive emotions are expressed and as a strain when negative emotions are habitually suppressed. Targeted interventions to promote authentic positive expression and effective emotional processing may enhance firefighters’ well-being, strengthen crisis team performance, and benefit the communities they serve. Further research is needed to deepen the understanding of emotional labor in crisis response contexts.

目的探讨情绪劳动需求和策略对葡萄牙志愿消防员工作投入和职业认同的影响。方法完成情绪工作要求量表、情绪劳动量表、乌得勒支工作投入量表和社会认同量表。采用多元线性回归分析评估情绪劳动需求和策略对工作投入和职业认同的预测作用。结果情绪劳动对工作投入和职业认同的解释分别为11.8%和10.9%。积极情绪的表达显著预测较高的工作投入和较强的职业认同，而消极情绪的抑制显著预测较弱的职业认同。其他情绪劳动维度均不显著。结论：研究结果强调了情绪劳动的双重作用：当积极情绪被表达时，它是一种资源；当消极情绪被习惯性压抑时，它是一种压力。有针对性的干预促进真实的积极表达和有效的情绪处理可以提高消防员的幸福感，加强危机团队的表现，并使他们所服务的社区受益。需要进一步的研究来加深对危机反应情境下情绪劳动的理解。

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引用次数: 0

Erratum to “The intersection of mpox outbreak and mental health: a bibliometric analysis of current research trends” [Global Health Journal 9 (2025) 124–135] “麻疹爆发与心理健康的交集：当前研究趋势的文献计量学分析”的勘误[全球卫生杂志9 (2025)124-135]

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.07.001

Ovinuchi Ejiohuo , Cyril Onwuelazu Uteh , Olubusola O. Olaleye , Samuel Adefisoye Lawal , Abdulkadir Yusif Maigoro , Helen Onyeaka

引用次数: 0

Assessing meningitis knowledge and vaccination attitudes and practices among United Arab Emirates parents: a cross-sectional study 评估阿拉伯联合酋长国父母的脑膜炎知识和疫苗接种态度和做法：一项横断面研究

Global health journal (Amsterdam, Netherlands)

Pub Date : 2025-12-01 DOI: 10.1016/j.glohj.2025.12.003

Hiba Jawdat Barqawi , Kamel A. Samara , Marwan Faris , Mahmoud Jaber , Ahmad Haitham Otour , Abdelrahman Badran , Eman Abu-Gharbieh

Background

Invasive meningococcal disease is a potentially life-threatening infection caused by Neisseria meningitidis. Vaccination is highly effective in preventing meningitis and reducing its associated complications. This study aims to assess the United Arab Emirates (UAE) parents meningitis knowledge and explore vaccination attitudes and practices.

Methodology

An observational cross-sectional study was conducted between March and May 2024 across the UAE using convenience sampling through social media, electronic mail, and word of mouth. A 58-item questionnaire collected information regarding demographics, meningitis knowledge, attitudes and practices, and meningococcal vaccination knowledge and practices.

Results

Of 443 parents included, more than a third had no knowledge about meningitis. Symptoms and severity were well-recognized overall, but clear gaps were evident regarding complications and meningococcal vaccines. Only 10.38 % (46/443) identified themselves as knowledgeable/very knowledgeable regarding meningococcal vaccines. A healthcare provider recommendation was the strongest factor encouraging parents to vaccinate their child. Most vaccine hesitancy was seen regarding side effects. Views and practices regarding the two vaccines aligned closely, with more than four-fifths of participants needing more information and the major reasons for not vaccinating a child being a lack of information or lack of recommendation. Social media and governmental websites were the most common sources for learning more about meningitis, with doctors ranking third. In fact, trust in doctors varied with less than half having moderate or strong trust in their main paediatrician. Multivariate logistic regression revealed that coronavirus disease 2019 vaccination status [adjusted odds ratio (AOR): 0.365, 95 % confidence interval (CI): 0.172 to 0.774, P = 0.013] and female gender (AOR: 2.741, 95 % CI: 1.184 to 6.347, P = 0.019) were significant predictors of vaccine hesitancy.

Conclusion

Meningococcal vaccine hesitancy is a significant concern, primarily driven by fears of side effects and lack of knowledge and physician recommendation. However, vaccine attitudes were overall positive and highly dependent on physician involvement. There is a need for targeted educational initiatives enhancing meningitis disease awareness and vaccine uptake.

背景：侵袭性脑膜炎球菌病是由脑膜炎奈瑟菌引起的一种可能危及生命的感染。疫苗接种在预防脑膜炎和减少其相关并发症方面非常有效。本研究旨在评估阿拉伯联合酋长国（UAE）父母的脑膜炎知识，并探讨疫苗接种的态度和做法。方法：在2024年3月至5月期间，通过社交媒体、电子邮件和口头传播，在阿联酋各地进行了一项观察性横断面研究。一份包含58个项目的调查问卷收集了有关人口统计、脑膜炎知识、态度和做法以及脑膜炎球菌疫苗接种知识和做法的信息。结果443名家长中，超过三分之一对脑膜炎一无所知。症状和严重程度总体上得到了很好的认识，但在并发症和脑膜炎球菌疫苗方面存在明显差距。只有10.38%（46/443）的人认为自己对脑膜炎球菌疫苗了解/非常了解。医疗保健提供者的建议是鼓励父母给孩子接种疫苗的最有力因素。大多数对疫苗的犹豫是关于副作用的。关于这两种疫苗的观点和做法非常一致，五分之四以上的参与者需要更多的信息，而不给儿童接种疫苗的主要原因是缺乏信息或缺乏建议。社交媒体和政府网站是了解更多脑膜炎知识的最常见来源，医生排名第三。事实上，对医生的信任各不相同，只有不到一半的人对他们的主要儿科医生有中等或强烈的信任。多因素logistic回归分析显示，2019冠状病毒病疫苗接种状况[调整优势比（AOR）： 0.365, 95%可信区间（CI）： 0.172 ~ 0.774, P = 0.013]和女性性别（AOR: 2.741, 95% CI: 1.184 ~ 6.347, P = 0.019）是疫苗犹豫的显著预测因素。结论脑膜炎球菌疫苗犹豫是一个值得关注的问题，主要是由于担心副作用以及缺乏相关知识和医生建议。然而，对疫苗的态度总体上是积极的，并且高度依赖于医生的参与。有必要开展有针对性的教育活动，提高对脑膜炎疾病的认识和疫苗的吸收。

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