IJERPH, Vol. 21, Pages 276: Spatial Accessibility to Primary Care in Metropolitan France: Results Using the SCALE Spatial Accessibility Index for All Regions
In conclusion, the SCALE index measures accessibility at the scale of a small geographic unit taking the proximity and the availability of health professionals into account. It is also possible to take into account the diversity of accessibility in a given territory. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 28, 2024 Category: Environmental Health Authors: Ludivine Launay Fabien Guillot Mohand Medjkane Guy Launoy Olivier Dejardin Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 277: Epidemiology of Suicide Mortality in Paraguay from 2005 to 2019: A Descriptive Study
The objective of this study was to characterize changes in suicide mortality, suicide methods, and years of potential life lost from 2005 to 2019 in Paraguay. This observational, descriptive study used data from the Vital Statistics Information Subsystem of the Ministry of Public Health and Social Welfare. The average mortality rate from suicide was 4.9 per 100,000 inhabitants, with an increase from 4.2 between 2005 and 2009 to 5.8 from 2014 to 2019. Suicide was more common in men (75%) than in women. In men, the highest mortality rate was observed among those 20–24 years old, whereas in women, the ages most ...
Source: International Journal of Environmental Research and Public Health - February 28, 2024 Category: Environmental Health Authors: Ethel Santacruz Derlis Duarte-Zoilan Gilda Benitez Rolandi Felicia Ca ñete Dins Smits No ël C. Barengo Guillermo Sequera Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 275: RETRACTED: Ai et al. The Effects of Environmental Regulations on Medical Expenses: Evidence from China. Int. J. Environ. Res. Public Health 2022, 19, 7567
n Xia The authors and journal retract the following article: “The Effects of Environmental Regulations on Medical Expenses: Evidence from China” [...] (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 28, 2024 Category: Environmental Health Authors: Hongshan Ai Xiaoqing Tan Zhen Xia Tags: Retraction Source Type: research

IJERPH, Vol. 21, Pages 278: Demographic and Behavioral Risk Factors Predict Functional Limitations Associated with Subjective Cognitive Decline in Americans with Chronic Obstructive Pulmonary Disease: A Secondary Analysis
ampbell Prior research indicates that subjective cognitive decline (SCD) affects approximately one-third of older adults with Chronic Obstructive Pulmonary Disease (COPD). However, there is limited population-based research on risk factors associated with SCD-related functional limitations within this vulnerable subgroup. A secondary data analysis of 2019 Behavioral Risk Factor Surveillance System data was conducted to address this gap, focusing on Americans ≥45 years old with COPD (N = 107,204). Several sociodemographic and health-related factors were independently associated with SCD-related functional lim...
Source: International Journal of Environmental Research and Public Health - February 28, 2024 Category: Environmental Health Authors: Michael Stellefson Min Qi Wang Sarah Flora Olivia Campbell Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 272: Voices from the Ground: Community Perspectives on Preventing Unintentional Child Injuries in Low-Income Settings
The objective was to understand community perceptions around child safety and determine what culturally and age-appropriate solutions may work to prevent child injuries. Analysis of discussions from ten focus groups revealed five main themes: injury causes, child development and behavior, adult behavior, environmental factors, and potential safety kit components. Common injuries included falls, burns, drowning, and poisoning, often linked to environmental hazards such as unsafe bunk beds and wet floors. Financial constraints and limited space emerged as cross-cutting issues. Participants suggested educational resources, fi...
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: Prasanthi Puvanachandra Anthony Mugeere Charles Ssemugabo Olive Kobusingye Margaret Peden Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 273: Frailty in an Adult Acute Hospital Population: Predictors, Prevalence, and Outcomes
In conclusion, CGA is an important risk assessment for hospitalised patients. Frailty was highly prevalent and associated with poor healthcare outcomes. Frailty status appears to worsen significantly during admission, likely reflecting acute illness, and it may not reflect a patient’s true frailty level. The development of frailty clinical care pathways is recommended in order to address the poor prognosis associated with a diagnosis of frailty in this setting. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: R ónán O’Caoimh Laura Morrison Maria Costello Antoinette Flannery Cliona Small Liam O ’Reilly Laura Heffernan Edel Mannion Ruairi Waters Shaun O ’Keeffe Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 274: Association of Endogenous Testosterone with Physical Fitness Measures during Firefighter Occupational Health Evaluations
L. Smith Firefighting is a physically demanding profession associated with unacceptably high on-duty cardiovascular mortality. Low endogenous total testosterone (TT) is an emerging cardiometabolic (CM) risk factor in men, but limited data exists on its interactions with physical fitness (PF). Data from occupational health and fitness assessments of 301 male career firefighters (FFs) were analyzed. TT was categorized as low (<264 ng/dL), borderline (264–399 ng/dL), and reference (400–916 ng/dL). PF tests included cardiorespiratory fitness (submaximal treadmill), body fat percentag...
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: Luiz Guilherme Grossi Porto Edgard M. K. V. K. Soares Sushant M. Ranadive Adriana Lofrano-Porto Denise L. Smith Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 269: Correction: Currie et al. Reality Check 2: The Cost-Effectiveness of Policy Disallowing Body Checking in Non-Elite 13- to 14-Year-Old Ice Hockey Players. Int. J. Environ. Res. Public Health 2021, 18, 6322
Carolyn A. Emery There was an error in our original publication [...] (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: Gillian R. Currie Raymond Lee Luz Palacios-Derflingher Brent Hagel Amanda M. Black Shelina Babul Martin Mrazik Deborah A. Marshall Carolyn A. Emery Tags: Correction Source Type: research

IJERPH, Vol. 21, Pages 270: Impact of Frailty on Healthcare Outcomes after Cardioembolic Ischaemic Stroke Due to Atrial Fibrillation
cia Galvin Stroke due to atrial fibrillation (AF) is more common in older adults. Frailty is associated with AF. As little is known about the impact of frailty on cardioembolic stroke, we examined its association with important healthcare outcomes including mortality and functional outcome in stroke with AF. Data were collected from patients presenting consecutively to a regional university hospital to assess pre-admission frailty using the Clinical Frailty Scale (CFS) and function with the Modified Rankin Scale (mRS). Stroke severity was assessed on the National Institute of Health Stroke Scale (NIHSS). In total, 113 ...
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: R ónán O’Caoimh Laura Morrison Marion Hanley Caoimhe McManus Kate Donlon Patricia Galvin Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 268: Comparison of Health Behaviors of Healthcare Workers and the General Public in Israel: A Cross-Sectional Survey
In conclusion, the HCWs and the public report suboptimal health behaviors. Beyond the concern for HCWs’ personal health, their health behaviors have implications for the health of patients and the general public, as they play an important role in health promotion and counseling. HCWs’ suboptimal “health profile” mandates implementing policies to improve their knowledge of recommended health behaviors, primarily targeting physicians, even at an early phase of their professional journey. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: Shira Ramot Orna Tal Tova Rosenbloom Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 271: Evaluating E-Health Literacy, Knowledge, Attitude, and Health Online Information in Portuguese University Students: A Cross-Sectional Study
Conclusion: From a public health perspective, there is a need to develop programs that increase health literacy among university students. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 27, 2024 Category: Environmental Health Authors: Sofia Almeida Elisabete Pinto Marta Correia N élio Veiga Armando Almeida Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 266: Reach, Acceptability, and Sustainability of the Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (CHOICES) Intervention: A Qualitative Evaluation of an Alcohol-Exposed Pregnancy Prevention Program
Buchwald American Indian (AI) women are at risk of alcohol-exposed pregnancy (AEP) due to the higher prevalence of alcohol use disorders (AUDs) and risky drinking. The Native Changing High-Risk Alcohol Use and Increasing Contraception Effectiveness Study (Native CHOICES) was implemented in partnership with a Northern Plains Tribal community to address the effectiveness of a brief, motivational interviewing-based intervention to reduce AEP risk among adult AI women. A subgroup of the participants shared their perspectives in a qualitative interview conducted following the completion of the six-month post-baseline data ...
Source: International Journal of Environmental Research and Public Health - February 26, 2024 Category: Environmental Health Authors: Sara M. London Jessica D. Hanson Michelle Sarche Kyra Oziel Dedra Buchwald Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 267: The Impact on Environmental Health from Cemetery Waste in Middle Tennessee
ederick The burial of caskets with arsenic-treated wood and formaldehyde-based embalming fluids can harm the environment and health. Arsenic (As) can leach into water, affecting aquatic life and the food chain. Formaldehyde can contaminate groundwater, risking drinking water and causing health problems. The purpose of this study was to investigate the prevalence of As and formaldehyde in cemetery plots of different ages. For this, we evaluated whether there is a potential for formaldehyde and As from cemetery caskets to contaminate waterways, which could impact livestock and allow transmission to individuals. There wer...
Source: International Journal of Environmental Research and Public Health - February 26, 2024 Category: Environmental Health Authors: Patrick Richardson Heather Tillewein Joao Antonangelo Daniel Frederick Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 263: Importance of Utilizing Non-Communicable Disease Screening Tools; Ward-Based Community Health Care Workers of South Africa Explain
weswe The screening of patients in the community is important and is a commonly used indicator to detect, prevent, and treat abnormal health changes. As such, the South African Department of Health following the initiative of the World Health Organization has appointed ward-based community health care workers through a primary health care reengineering program. The main objective of their appointment was to screen household members to reduce the burden of diseases such as diabetes mellitus and hypertension. As such, the study investigated the importance of using non-communicable disease screening tools by ward-based co...
Source: International Journal of Environmental Research and Public Health - February 24, 2024 Category: Environmental Health Authors: Elelwani Malau Irene Thifhelimbilu Ramavhoya Melitah Molatelo Rasweswe Tags: Article Source Type: research

IJERPH, Vol. 21, Pages 264: Maternal Depressive Symptoms in the First Year after Childbirth Predict Long-Term Developmental Risks in Sons and Daughters
This study provides observations of distinct long-term vulnerabilities for sons and daughters in association with early maternal distress at important transitional periods of development in early, middle, and later childhood. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2024 Category: Environmental Health Authors: Linda S. Pagani Kianoush Harandian Beatrice Necsa Marie-Jos ée Harbec George M. Tarabulsy Tags: Article Source Type: research