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24 neue Nachweise auf dieser Seite Publiziert in den letzten 30 Tagen Neueste zuerst Crossref DOI
03.09.2026journal-article

Frontiers in Public Health

Behavioral intention to use mental health chatbots in Saudi Arabia: a cross-sectional UTAUT-based study

Zaenb Alsalman, Abdullah Almaqhawi, Abdullah Almulhim, Anwar Fawzi Alqadeep, Ghadeer Mohammed Almutawah, Fatemah Ali Al Khalifa, Fatima Ramzi Alghadeer, Hawra Adnan Aleid, Walaa Mohammed Alkhalifah, Zainab Abdrabulridha Alabdullah, Safiah Ahmed AlAmer, Marwa Mahmoud Shafey

Background and objectives Despite the growing burden of mental health conditions in Saudi Arabia, sociocultural stigma, privacy concerns, and structural barriers leave a substantial proportion of the population with unmet psychological needs. Mental health chatbots offer an anonymous, accessible, and low-barrier alternative to traditional care, aligning with the Kingdom’s digital health transformation goals. This study investigated factors associated with behavioral intention to use mental health chatbots among adu …

03.09.2026journal-article

Frontiers in Public Health

The impact of oral health literacy on oral health in lung cancer patients: the mediating role of psychosocial factors

Nan Zhang, Yingao Liu, Tiane Fa

Background Lung cancer patients often have poor oral health due to treatment toxicities, increasing risks of oral mucositis, and pulmonary infection. Oral health literacy (OHL) is a key determinant, and psychosocial factors such as anxiety and family support also play roles. However, prior studies examined only single dimensions, not underlying mechanisms. This study aims to build a mediation model linking OHL, psychosocial factors, and oral health status in lung cancer patients, providing exploratory evidence for …

03.09.2026journal-article

Frontiers in Public Health

A co-production study of an art-based media campaign intervention to encourage early breast cancer screening uptake among Black women in England

Tarela Juliet Ike, Dung Ezekiel Jidong, Mieyebi Lawrence Ike, Evangelyn Ebi Ayobi, Peremi Richmond Ike, Oluwakorede Florence Adebowale, Gabriella Rooks, Nusrat Husain

Background Breast cancer is one of the most common cancers that affects women globally. Of central concern are Black women in the United Kingdom who are disproportionately affected, present late and suffer higher mortality due to poor early screening uptake. Informed by an interpretative phenomenological analytical lens, this study makes an original and significant contribution to address the gap by working with 15 Black women from the north of England to co-produce an art-based media campaign intervention designed …

03.09.2026journal-article

Frontiers in Public Health

Self-confidence and body image among adults engaged in daily bodybuilding exercise compared with non-exercising adults: a case-control study

Hayder Ameer Jabor, Bahaa Mirza Skal, Hasan Naeem Kareem, Richard Mottershead

Background Regular bodybuilding and resistance training may positively influence psychological wellbeing, particularly self-confidence and body image perception. This study aimed to compare self-confidence and body image between adults engaged in daily bodybuilding exercise and non-exercising adults in Iraq. Methods A case-control study was conducted in Al-Diwaniyah City, Iraq, between August 2025 and April 2026. A total of 188 participants were enrolled using a purposive sampling method, including 94 adults engage …

03.09.2026journal-article

Frontiers in Reproductive Health

Preoperative imaging for endometriosis awareness: an online survey study

Bassem Gerges, Allie Eathorne, George Condous

Introduction In 2024, an international consensus statement on non-invasive imaging techniques for the diagnosis of pelvic deep endometriosis was published, recommending transvaginal sonography as the first-line imaging modality because of cost, availability, and low impact on the environment. Despite the increasing body of evidence supporting the use of imaging in the preoperative diagnosis of endometriosis, there is a paucity of data to confirm patient awareness. The aim of this study was to use an online survey o …

03.09.2026journal-article

Frontiers in Public Health

Validating and applying a multidimensional scale to measure public security police stressors in China

Jue Deng, Jianping Ma, Yuanhua Ou, Xianghui Lai, Zhenqiang Li, Xiaoli Zhu

Background Policing is a highly stressful occupation, with considerable implications for officers' mental health and wellbeing. Despite increasing research on police stress, there remains a critical need for culturally relevant and up-to-date measurement tools, particularly in Eastern countries like China. This study aimed to develop and validate a revised version of the Police Stress Scale (PSS)—the Revised Chinese Public Security Police Stressors Scale (CPSPSS-R)—a tool assessing stressors affecting Chinese publi …

03.09.2026journal-article

Human Resources for Health

Building a One Health mobile laboratory workforce: strengthening public health preparedness across Europe and Africa

Aryse Martins Melo, Beate Becker-Ziaja, Markus Keller, Duncan Sangale, Dewi Ismajani Puradiredja, Theresa Habermann, Juliane Bönecke, Alexandru Tomazatos, Johannes R. Peham, Birgit Michalek, Andry Aasamäe, Georg G. Duscher, Lisa Winkelmayer, Denise Framke, Monique-Theres Schranz, Daniela Gleißner, Martin Groschup, Fereshteh Haghighi, Patrick Slowikowski, Katrin Schwabe, Lida Politi, Kassiani Mellou, Anastasia Flountzi, Dafni Dimitriadou, Ioanna Spiliopoulou, Grigoris Spanakos, Andriani Varela, Ramadhani Libenaga, Mariagoreth Beda, Edna Mgimba, Andrew Ugolole, Jackson Rashidi, Anselmi Munga, Proscovia Kagaruki, Shabani Motto, Ambele Mwafulango, Nyambura Moremi, Peter Mkama, Jürgen May, Muna Affara

Abstract The emergence and re-emergence of infectious diseases remain a major public health threat in Europe. The Horizon Europe-funded MOBILISE project addresses this challenge by establishing a One Health Mobile Laboratory capable of handling risk group 3 and 4 pathogens, while strengthening outbreak preparedness through targeted capacity-building activities and the development of a rapid-response expert network. A key component of the project is a training-of-trainers (ToT) model, which enables participants to p …

03.09.2026journal-article

BMC Public Health

Case-area targeted interventions (CATI) among household contacts and neighboring households after identifying cholera hotspot: a study protocol for the effectiveness of Oral Cholera Vaccine (OCV) and its potential impact on cholera control

Imam Tauheed, Afroza Akter, Md. Taufiqur Rahman Bhuiyan, Md. Shahinur Rahaman, Al Amin Ahmed Shakil, Sadia Sabrina, Istiaque Hossain, Hassan Afrad, Prasanta Kumar Biswas, Md. Amiruli Islam Bhuiyan, Sadia Isfat Ara Rahman, Marjahan Akhtar, Faisal Ahmmed, Andrew S Azman, Jason B Harris, Nicholas R. Thomson, Tahmina Shirin, John D. Clemens, Firdausi Qadri, Fahima Chowdhury

Abstract Background Cholera outbreaks and epidemics are often unpredictable and response strategies are frequently delayed due to resource constraints, scarcity of vaccine and logistical challenges. In Bangladesh, the risk of cholera infection is very high and studies have showed a greater than 20% risk among household contacts of cholera patients within the first 7 days after initial case presentation. As a more directed alternative to both reactive as well as routine largescale vaccination campaigns, which in Dha …

03.09.2026journal-article

Eastern Mediterranean Health Journal

Implications of the geographical distribution of Shisha outlets for targeted tobacco control policies in Oman

Salma Al Kalbani

Background: The availability and accessibility of Shisha strongly influence smoking behaviours, thus raising public health concerns and necessitating targeted interventions. Aim: To examine the geographic distribution of Shisha outlets in Oman and its implications for tobacco control policies. Methods: We obtained anonymised secondary data from the Oman Ministry of Economy on 1074 registered shisha outlets established across Oman's 11 governorates between January 2020 and October 2024. We analysed the data using SP …

03.09.2026journal-article

Children

Health-Related Quality of Life in Children with Acute Leukaemia and Central Nervous System Tumours: Current Evidence and Future Directions

Lyazat Manzhuova, Timur Saliev, Aigul Bazarbayeva, Maira Kabakova, Gulzhan Kashaganova, Aizhan Kudaibergenova, Zaure Dushimova

Remarkable advances in paediatric oncology over recent decades have transformed acute leukaemia and central nervous system (CNS) tumours from largely fatal diagnoses to conditions with survival rates exceeding 80% in many cases. This epidemiological success, however, has shifted the clinical and research focus toward survivorship and the long-term consequences of curative therapies. Health-related quality of life (HRQoL) has emerged as a critical outcome measure that captures the multidimensional impact of disease …

03.09.2026journal-article

Frontiers in Public Health

Factors associated with gay-affirmative practice among polish paramedics: a cross-sectional study

Michał Czapla, Piotr Karniej, Raúl Juárez-Vela, Krzysztof Griesmann, Kamil Kędzierski, Aleksander Mickiewicz, Antonio Martínez-Sabater, Anthony Dissen, Łukasz Pietrzykowski, Jacek Smereka

Introduction Gay-affirmative practice is considered an important component of equitable healthcare for sexual minority patients. However, little is known about the factors associated with affirmative beliefs and professional behaviors among paramedics. This study aimed to identify factors associated with gay-affirmative beliefs and behaviors among Polish paramedics, with particular emphasis on the role of LGBT clinical competence. Methodology A cross-sectional online survey was conducted between January and June 20 …

03.09.2026journal-article

Frontiers in Public Health

Estimating historic and recent non-sexual HIV transmission to women in sub-Saharan Africa

David Gisselquist

Introduction The proportion of HIV infections in sub-Saharan Africa from non-sexual risks has been debated for decades. This article estimates that proportion for women. Methods Use information from studies of discordant couples and from national surveys to estimate women’s incidence from sexual transmission and average male-to-female sexual transmission. Compare those estimates to historic increases in women’s infections and to recent incidence. Results Based on four studies reporting incidence in women in discord …

03.09.2026journal-article

Frontiers in Pediatrics

Constructing a predictive model for the risk of periventricular leukomalacia in very low birth weight premature infants based on Lasso-Logistic regression analysis

Faxiu Duan, LiZhen Ling, Lijuan Liao

Objective To analyze the predictors of periventricular leukomalacia (PVL) in very low birth weight premature infants based on Lasso-Logistic regression and construct a nomogram prediction model. Methods From March 2022 to May 2024, 248 very low birth weight premature infants born and hospitalized in our hospital were marked as the modeling group. Another 106 very low birth weight premature infants hospitalized from June 2024 to March 2025 were selected as the verification group. Lasso Logistic regression was used t …

03.09.2026journal-article

Frontiers in Digital Health

Governing AI-driven digital transformation in public healthcare: assessing administrative readiness and institutional capacity in Egypt's health system

Mohamed Abbas El-Naggar, Dina Helmy Al Nashily, Hiyam Ahmed Abdulrahim, Abdelrehim Awad, Zahid Hussain, Anber Abraheem Shlash Mohammad

Background Artificial intelligence (AI) and digital health technologies are increasingly shaping how public healthcare services are planned, delivered, and governed. In Egypt, national digital health reforms have created an urgent need to assess whether public healthcare institutions have the administrative readiness, institutional capacity, and governance arrangements required for AI-enabled digital health transformation. Methods A sequential explanatory mixed-methods design was employed across 24 Egyptian governo …

03.09.2026journal-article

Frontiers in Public Health

Integrative transcriptomic analysis identifies CCL22-associated immune signatures in air pollution-related atopic dermatitis

Chang Gao, Liping Chen, Tianfeng Huang, Zi Wang

Background Air pollution has been associated with the development and exacerbation of atopic dermatitis (AD), but the molecular signatures connecting pollutant-related targets with AD-associated immune dysregulation remain incompletely characterized. Methods We applied an integrated systems toxicology and transcriptomic framework to prioritize candidate pollutant-related immune signatures in AD. Pollutant-associated targets were intersected with high-confidence AD-related genes, followed by protein–protein interact …

03.09.2026journal-article

Plant Health Cases

Emerging Olive Anthracnose Pathosystem in Morocco

Khadija Benamar, Saad Benamar

Abstract Olive anthracnose, caused by various fungal species belonging to the genus Colletotrichum , is one of the most damaging diseases for olive cultivation in the Mediterranean area. Although the disease has been investigated widely in southern Europe, information regarding its epidemiology, pathogen diversity, and prevalence in North Africa is scarce. In Morocco, olive anthracnose has been considered a sporadic or secondary disease. However, it is becoming more prevalent due to climate variability, orchard int …

03.09.2026journal-article

Frontiers in Public Health

Mind over matter: psychological insights for effective weight reduction through exercise in university students

Wang Ying, Cong Guo, Meirong Zhang, Yixin Zhao

This comprehensive review article examines the multifaceted psychological dimensions that underpin effective weight reduction through exercise among university students, a demographic uniquely vulnerable to weight gain and sedentary lifestyles during a critical transitional life period. Adopting a structured narrative (integrative) review approach and drawing on peer-reviewed literature identified through structured searches of PubMed, PsycINFO, Scopus, Web of Science, and ERIC (2000–2025), with emphasis on studies …

03.09.2026journal-article

Frontiers in Public Health

Predicting 6-month decisional regret among family surrogate decision-makers of ICU patients: development and internal validation of prediction models

Xiaoyan Gong, Weijing Sui, Chuchu Zhang, Chaoyi Zhang, Yiyu Zhuang

Aim To develop and internally validate prediction models estimating the individual probability of high decisional regret at 6 months among family surrogate decision-makers (FSDMs) of intensive care unit (ICU) patients, and to compare regression-based and machine-learning approaches with respect to discrimination, calibration and clinical utility. Design A single-center prospective cohort study for the development and internal validation of prediction models. Methods This single-center observational prediction-model …

03.09.2026journal-article

Frontiers in Public Health

Self-care strategies and interventions to address antimicrobial resistance: evidence review and recommendations for national programs, service providers, caregivers, and self-carers

Reuben Kiggundu, J. P. Waswa, Fahad Lwigale, Herman Mwanja, Mackline Hope, Conrad Tumwine, Rodgers Rodriguez Ayebare, Andrew Kambugu, Dathan M. Byonanebye, Francis Kakooza

Background Antimicrobial resistance (AMR) poses a significant global health threat, disproportionately affecting low- and middle-income countries where fragile health systems struggle to respond effectively. Self-care strategies and interventions present a complementary approach to support antimicrobial stewardship by empowering individuals to prevent and manage infections with appropriate tools and guidance. Objective and key concepts This narrative review provides an interpretive synthesis of the role of self-car …

03.09.2026journal-article

Frontiers in Nutrition

Vitamin D status, metabolic determinants, and association with MASLD: retrospective health-screening cohort mediation analysis

Hui He, Yanfang Xie, Rui Peng, Xiao Pan, Han Xue, Meiyan Chen, Dong Du, Qian Ge, Yan Wu, Mingfei Wang, Yuanxiang Wang, Qingshan Geng, Weiqing Wu

Background The relationship between vitamin D and metabolic dysfunction–associated steatotic liver disease (MASLD) remains controversial due to confounding by metabolic risk factors. We aimed to evaluate the association between vitamin D status and MASLD and examine the extent to which metabolic factors statistically contribute to this association. Methods In this large retrospective cross-sectional health-screening cohort study, 35,468 adults (mean age 46.3 years [SD 11.8]) undergoing routine health examinations w …

03.09.2026journal-article

Frontiers in Psychiatry

Prevalence, role impairment, and mental health service utilization of depressive disorders among community-dwelling older adults in China

Dandan Wang, Xiaofei Hou, Zhaorui Liu, Yueqin Huang, Shuiyuan Xiao, Lingjiang Li, Tingting Zhang, Jie Yan, Yaqin Yu, Xiufeng Xu, Zhizhong Wang, Yifeng Xu, Tao Li, Xiangdong Xu, Limin Wang, Yongping Yan, Minghui Li, Guangming Xu, Huifang Yin

Background Depressive disorders pose a significant public health burden, particularly among older adults. However, their prevalence, associated factors, role impairment, and mental health service utilization patterns among community-dwelling older ay -30dults in China remain understudied. Methods The data for this study were obtained from the China Mental Health Survey (CMHS) among participants aged 60 years and older. The World Health Organization Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) …

03.09.2026journal-article

Arteriosclerosis, Thrombosis, and Vascular Biology

Cell-to-Cell Signaling Networks at the Blood-Brain Barrier in Health and Disease

Joseph H. McCarty

The blood-brain barrier (BBB) is a highly specialized interface between the central nervous system and the peripheral circulation, crucial for maintaining neuronal homeostasis and protecting the brain parenchyma from potentially harmful blood-borne substances. This review examines the molecular and cellular organization of the BBB and explores how defective cell adhesion and signaling networks lead to BBB pathologies. I discuss the intricate architecture of brain endothelial cells within the context of the larger m …

03.09.2026journal-article

Australian Journal of Primary Health

‘It’s about demonstrating the impact and effectiveness of the work we do.’ Results of a survey to measure the research capacity of a community-based health and social service

Debra Mitchell, Lauren Barker, Camilla Radia-George, Natasha K. Brusco

Background As health and social care services are increasingly delivered by organisations in the community, there is a need for them to prioritise research capacity building. Research-active organisations have been found to deliver better care processes and client outcomes, yet little is known about the capacity of community organisations to engage in and produce research. Methods A cross-sectional online survey was used to explore the research interest, self-rated skills and organisational support for research as …

03.09.2026journal-article

Phytotherapy Research

Catechins and Their Effect on the Gut Microbiome in Health and Cancer

Prakash Monika, Bindu Sadanandan, Honnamachanahalli Ramachandraiah Tejashree, Maitreyi Darbha, Kirti Gupta, Srinivas Reneeka

ABSTRACT Catechins are a group of flavonoids found primarily in green tea, fruits, and berries; they play a significant role in the modulation of the gut microbiota, thereby having an impact on gut health and cancer prevention. Owing to their low bioavailability, catechins are transformed by the gut microbiota into various bioactive metabolites such as valerolactones and glucuronides, which support the growth of several beneficial bacterial species including Bifidobacterium and Lactobacillus while inhibiting harmfu …