Frontiers in Public Health

Background Social media platforms have emerged as prominent channels for disseminating cardiovascular health information. However, the accuracy, completeness, and clinical reliability of cardiac rehabilitation (CR)-related content vary widely. Therefore, this study This study aims to identify upload sources, contents, and feature information of these videos on Bilibili and Douyin, and further eva…

Background and aim In Erbil, Iraq, the rising burden of type 2 diabetes (T2D) calls for effective preventive strategies targeting modifiable behaviors. This study aimed to evaluate the effect of a structured health education program on preventive practices and metabolic improvements related to T2D among high school teachers in Erbil. Method This quasi-experimental study was conducted from October…

Background As artificial intelligence (AI) integrates into healthcare, clinical nurses need digital resilience to adapt to technological changes. However, little is known about the digital resilience of practicing nurses. This study aimed to investigate the current status and influencing factors of digital resilience among clinical nurses. Design A quantitative, descriptive, cross-sectional study…

Introduction Longitudinal assessments of SARS-CoV-2 seroprevalence among a triad of parents, teachers and children in low-middle income countries are scarce. CoKiDSS assessed changes in seroprevalence among asymptomatic primary school learners, their parents, and teachers in a semi-rural South African school setting. Methods SARS-CoV-2 seroprevalence was estimated at baseline (May–August 2023) an…

Introduction Social work has entered a critical period of high-quality development. As the main force participating in social governance and providing professional services, social workers directly affect the effectiveness of social governance. However, the emotional demands inherent in their work make them vulnerable to emotional exhaustion. Drawing on the theoretical perspective of emotional la…

Background Understanding HIV testing patterns among older adults is critical for optimizing screening strategies, yet detailed descriptions of testing history remain scarce. We leveraged data from a county-wide screening program to characterize testing patterns and HIV positivity among adults aged ≥50 years in southwestern China. Methods We used data from a 2025 county-wide HIV screening program …

Objective This study is the first scoping review specifically focused on the health literacy of caregivers of patients with chronic obstructive pulmonary disease (COPD). It aims to summarize the current state of research in this field and provide guidance for the implementation of targeted health education and care support in clinical settings. Methods Guided by the scope review methodology, the …

Background Chronic postsurgical pain (CPSP) is a major complication following video-assisted thoracoscopic surgery (VATS) for lung resection. Despite its clinical importance, the reported incidence of CPSP varies considerably across studies, and a standardized tool for risk prediction remains lacking. This study aimed to identify predictors associated with CPSP after VATS lung resection within a …

Background Mental burden is largely conceptualized through mental illness, yet it can manifest beyond diagnostic categories. We contend that social suffering requires separate consideration, as it frames mental burden through intersubjective, collective, and power dynamics, while centering its inextricable link to social and political injustice. Lebanon offers a relevant setting, hosting Syrian r…

Introduction Gambling-related harm is increasingly recognized as a public mental health concern, yet referral pathways into formal treatment and support services remain poorly understood. Weak or absent referral structures may delay engagement with care and limit coordination across health and support systems. This review aimed to map structural and system-level factors shaping referral and treat…

Background End-stage kidney disease (ESKD) is often listed as a contributing rather than underlying cause of death, potentially understating its burden in underlying-cause surveillance. Using U.S. multiple-cause-of-death data, we evaluated trends, underlying-cause pathways, ESKD “penetration” into cause-specific mortality, and drivers of change in ESKD-involved deaths. Methods Using CDC WONDER Mu…

Background Air pollution is increasingly recognized as an important environmental risk factor for sepsis patients. However, previous studies have mostly focused on particulate matter, and few have explored the mortality risk associated with long-term ozone exposure among patients with sepsis, especially in China. Materials and methods A cohort of patients with sepsis was recruited from 13 prefect…

Background Fungal otitis externa is generally regarded as more common in warm and humid environments, yet long-term daily time-series evidence on short-term associations with meteorological conditions remains limited. Objective To examine short-term associations between daily meteorological factors and outpatient visits for clinically diagnosed fungal otitis externa, with particular attention to …

Introduction Physical activity (PA) levels remain insufficient among young adults, particularly college students, whose behavioral patterns often persist into adulthood. Although psychological factors are recognized as important determinants of PA behavior, limited attention has been paid to how individuals perceive and interpret their own physical activity and surrounding context. This study aim…

Despite remarkable advances in ophthalmic diagnostics and therapeutics over the past decade, the global prevalence of avoidable visual impairment and blindness has remained unchanged. This paradox reflects a crisis of care delivery and the persistent failure to consistently, equitably, and effectively translate evidence-based interventions into routine practice for the millions who need them most…

Introduction As the world's population ages, health problems among older rehabilitation patients show complicated features characterized by multimorbidity, functional decline, and interwoven dietary hazards. Methods This study uses a narrative review methodology to systematically examine the theoretical framework, key components, and current practice of the integrated rehabilitation-clinical-nutr…

Objective To systematically identify and synthesize the best available evidence on digital health interventions supporting self-management in patients with coronary artery disease (CAD). The aim of this study was to provide evidence-based guidance for healthcare professionals and to inform the development of digital intervention–based self-management programs that can support patients in optimizi…

Introduction Public willingness to pay (WTP) for environmental protection is a key indicator of societal readiness to bear the costs of environmental governance. However, the role of citizens’ confidence in government environmental performance at different hierarchical levels remains largely unexplored. This study introduces the concept of hierarchical government environmental confidence into WTP…

Background Volume-based procurement (VBP) is commonly premised on a linear transmission assumption, whereby restructuring procurement rules and price mechanisms is expected to drive clinical substitution. In practice, however, hospital-level change often displays differentiation, phasing, and reversibility, suggesting that policy effects do not simply descend in a linear fashion. This article aim…

Objective This study aims to investigate the epidemiological characteristics of human parainfluenza virus (HPIV) infections in hospitalized children with acute respiratory tract infections (ARTIs) at a single center in Shanghai, and to provide scientific evidence for optimizing diagnostic and therapeutic strategies for pediatric ARTIs. Methods A retrospective study was conducted on 29,260 childre…