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        <title>International Journal of Public Health | New and Recent Articles</title>
        <link>https://www.ssph-journal.org/journals/international-journal-of-public-health</link>
        <description>RSS Feed for International Journal of Public Health | New and Recent Articles</description>
        <language>en-us</language>
        <generator>Frontiers Feed Generator,version:1</generator>
        <pubDate>2026-06-17T22:12:11.753+00:00</pubDate>
        <ttl>60</ttl>
        <item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609906</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609906</link>
        <title><![CDATA[Closing the implementation gap: the Joint Action on Cardiovascular Diseases and Diabetes (JACARDI) as a proof of-concept for Europe’s Safe Hearts Plan]]></title>
        <pubdate>2026-06-15T00:00:00Z</pubdate>
        <category>Commentary</category>
        <author>Benedetta Armocida</author><author>Beatrice Formenti</author><author>Albert Aszalos</author><author>Hector Bueno</author><author>Ewelina Chawłowska</author><author>Hanna Elonheimo</author><author>Mounia El Yamani</author><author>Irati Erreguerena</author><author>Sinikka Kyto</author><author>Matilde Leonardi</author><author>Jaana Lindström</author><author>Agnes Makai</author><author>Bernardino Morillo</author><author>Luigi Palmieri</author><author>Roberta Papa</author><author>Markku Peltonen</author><author>Helena Safadi</author><author>Natalia Skogberg</author><author>Anna Tarhanchuk</author><author>Hanna Tolonen</author><author>Edwin Wouters</author><author>Jelka Zaletel</author><author>Katarzyna Zukowska</author><author>Graziano Onder</author>
        <description></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609990</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609990</link>
        <title><![CDATA[The emergency events database, EM-DAT, must be preserved as a global public good]]></title>
        <pubdate>2026-06-15T00:00:00Z</pubdate>
        <category>Commentary</category>
        <author>Niko Speybroeck</author><author>Ilan Noy</author><author>Albert Kettner</author><author>Regina Below</author><author>Gabriele Messori</author><author>Wim Thiery</author><author>Valentin Wathelet</author><author>Aglaé Jézéquel</author><author>Damien Delforge</author><author>Dewald Van Niekerk</author>
        <description></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609152</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609152</link>
        <title><![CDATA[Substance use among second-generation immigrants in France: heritage language as a protective factor]]></title>
        <pubdate>2026-06-15T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Stéphane Legleye</author><author>Myriam Khlat</author><author>Damien Bricard</author>
        <description><![CDATA[ObjectivesStudy substance use among second-generation immigrants in France (G2) in comparison with first-generation immigrants (G1) and majority population, and particularly the variation according to practice of heritage language.Methodsin a nation-wide probability sample, we focused on the two largest groups (from Maghreb and Southern-Europe: n = 2,736), analysing their use of alcohol, tobacco and cannabis. The main factor of interest was practice of heritage language at home at age 15 (vs. exclusive use of French), and we also considered type of parentage: homogenous (two immigrant parents from the same country) vs. mixed (only one, the other being French).ResultsIn comparison with the majority population (neither G1 nor G2: n = 19,185), G1 had lower levels of substance use, followed by G2 speaking the heritage language and by G2 with homogeneous parentage. The other G2 reported higher levels of substance use, close to those of the majority population (even higher for tobacco among Maghrebins and cannabis among South-Europeans). These associations remained robust after adjusting for potential individual and contextual confounding variables.ConclusionIntegrating those specificities may help in designing culturally grounded prevention policies benefitting the population at large.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609244</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609244</link>
        <title><![CDATA[Pakistan’s HPV vaccination drive: navigating trust, culture, and misinformation in a new era of immunization]]></title>
        <pubdate>2026-06-11T00:00:00Z</pubdate>
        <category>Commentary</category>
        <author>Umaima Mir</author><author>Maria Asghar</author><author>Nayab Amjad</author><author>Urooj Amjad</author><author>Iqra Khan</author><author>Shandana Kifayat</author><author>Shanlina Kifayat</author><author>Muhammad Ali Jan Khan</author><author>Khadija Tul Kobra</author><author>Zeeshan Wali</author><author>Baber Wali</author><author>Sobia Shafiq</author><author>Asad Ullah</author><author>Fazal Jamil</author><author>Muhammad Ittefaq</author><author>Muhammad Salar Khan</author>
        <description></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1608979</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1608979</link>
        <title><![CDATA[Assessing Unmet Need for Mental Healthcare Among Adults in Germany – Results from a Nationwide Study with Data Linkage]]></title>
        <pubdate>2026-06-11T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Diana Peitz</author><author>Felicitas Vogelgesang</author><author>Heike Hölling</author><author>Thomas G. Grobe</author><author>Timm Frerk</author><author>Ursula Marschall</author><author>Julia Thom</author>
        <description><![CDATA[ObjectivesTo estimate the prevalence of self-reported (un)met need for mental healthcare and associated barriers among adults in Germany and to compare this information with documented mental healthcare use in order to assess the suitability of this indicator for mental health surveillance.MethodsSelf-report survey and routine data documented by healthcare providers from 6,558 randomly sampled adults insured with a major German health insurance company built the basis of bivariate and multivariate analyses, also examining influences of sociodemographic determinants and mental health literacy. Prevalence estimates were additionally replicated with representative data from two national health surveys (n = 10,676 and n = 27,102).Results57% of individuals with perceived need reported no mental healthcare use in the previous 12 months. Unmet need was associated with younger age, but not with sex or education. Most individuals with an unmet need reported internal barriers in terms of low mental health literacy. Self-report corresponds with documented mental healthcare use.ConclusionMonitoring self-reported met and unmet need can inform healthcare planning from a patient perspective and addresses the mental health treatment gap.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609740</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609740</link>
        <title><![CDATA[Invisible victims of border conflict: health and wellbeing of border communities between Cambodia and Thailand]]></title>
        <pubdate>2026-06-10T00:00:00Z</pubdate>
        <category>Commentary</category>
        <author>Virak Sorn</author>
        <description></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609454</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609454</link>
        <title><![CDATA[Bridging the implementation gap in cardiovascular prevention: a narrative review and call to action]]></title>
        <pubdate>2026-06-10T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Grzegorz Kubielas</author><author>Jacek Gonos</author><author>Christopher S. Lee</author><author>Angela Durante</author><author>Michela Barisone</author><author>Nicola Straiton</author><author>Adrian Jurczyk</author><author>Katarzyna Kułaga</author><author>Maria Jędrzejczyk</author><author>Izabella Uchmanowicz</author>
        <description><![CDATA[ObjectivesCardiovascular disease (CVD) remains a leading cause of morbidity and mortality worldwide, yet substantial gaps persist between evidence-based prevention strategies and their real-world implementation. This narrative review aimed to identify and synthesize contemporary models, programmes, and implementation strategies in preventive cardiovascular care, highlighting factors that facilitate or hinder adoption at scale.MethodsNarrative synthesis drawing on searches in MEDLINE (PubMed), Embase, and the Cochrane Library (to July 2025), prioritising systematic reviews, major guideline statements, and large multicentre studies.ResultsCommunity programmes yield modest but meaningful reductions in blood pressure, lipids, and glucose. Clinical programmes achieve greater individual-level effects but are constrained by limited reach. Key barriers include misaligned incentives, workforce limitations, and persistent inequities. The Consolidated Framework for Implementation Research (CFIR) and Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) frameworks remain underutilised. Emerging digital tools and updated cardiovascular risk models offer new opportunities but require pragmatic integration.ConclusionStrengthening preventive cardiovascular care requires aligning health-system incentives, integrating implementation science, and leveraging technology to support scalable and equitable prevention models.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609179</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609179</link>
        <title><![CDATA[Individual placement and support in Mexico: barriers and facilitators]]></title>
        <pubdate>2026-06-10T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>J. Carlos Arámbula-Román</author><author>Elsy Cárdenas-García</author><author>Sol Durand-Arias</author><author>Ricardo Saracco-Alvarez</author><author>Jaime Carmona-Huerta</author><author>Jesús Alejandro Aldana-López</author><author>Eveling Villafuerte-Jacob</author><author>Shoshana Berenzon</author><author>Ana Carolina Florence</author><author>Bob Drake</author><author>Ezra Susser</author><author>Franco Mascayano</author>
        <description><![CDATA[ObjectivesThe Individual Placement and Support (IPS) model has proven effective in different high-income countries. However, its implementation in low- and middle-income countries presents a new challenge. This study identified potential barriers and facilitators for IPS implementation in the metropolitan area of Guadalajara, México, to prepare for a clinical trial.MethodsThe study explored potential barriers and facilitators to implementing IPS in the metropolitan area of Guadalajara, Mexico, from the perspectives of 61 diverse stakeholders in mental health interest groups: policymakers, administrators, providers, service users, and potential employers. The study used semi-structured, qualitative interviews and structured questionnaires tailored to each participant group and their specific roles.ResultsMajor themes of barriers were stigma, limitations in treating people with serious mental illness, difficulties related to users and their support networks, and systems barriers. Potential facilitators included the effectiveness of programs and specific activities, institutional collaboration, patient-centered approach, and characteristics of IPS.ConclusionThe study provided critical information on challenges and potential strategies prior to an upcoming trial of IPS supported employment services in a large, middle-income country.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609143</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609143</link>
        <title><![CDATA[Large trials of psychosocial interventions: examples from individual placement and support]]></title>
        <pubdate>2026-06-09T00:00:00Z</pubdate>
        <category>Review</category>
        <author>Justin D. Metcalfe</author><author>Kim T. Mueser</author><author>Robert E. Drake</author>
        <description><![CDATA[ObjectivesLarge demonstration projects for health interventions often use randomized controlled trials (RCTs) to test the effectiveness of interventions implemented at larger scales, serving as crucial contributors to policy and funding decisions. Such trials are subject to limitations common to all RCTs, but their size and importance magnify the costs of failure to satisfy the assumptions for valid causal inference and generalizability. We examine common reasons for such threats to validity.MethodsWe examined large (N > 1,000) IPS RCTs for aspects of design and execution that undermine the validity of their results.ResultsWe identified three large IPS RCTs and identified threats to validity associated with treatment adherence and attrition.ConclusionLarge trials should rely on pilot studies to ensure that difficulties with recruitment, implementation of and participation in interventions, and follow-up measurement do not compromise study validity; intervention fidelity and participation should be measured to permit evaluation of study success. Funders should require and support the use of pilot studies and other prior research to justify the introduction of an intervention to a population and anticipate potential threats to validity.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609449</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609449</link>
        <title><![CDATA[Tool for identifying occupational exposures and risks in agriculture (TIERRA): application in coffee farming in Uganda]]></title>
        <pubdate>2026-06-04T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Hannah Wey</author><author>Lena Jäggi</author><author>Aggrey Atuhaire</author><author>Felix Boos</author><author>Peter Ssekkadde</author><author>Sandra Abeine</author><author>Ruth Mubeezi</author><author>Samuel Fuhrimann</author>
        <description><![CDATA[ObjectivesThis study developed a practical, context-sensitive assessment tool to prioritize occupational risks in agriculture (TIERRA). We applied TIERRA in a case study with smallholder coffee farmers in Uganda (FarmCoUganda) to demonstrate its effectiveness.MethodsTIERRA follows a stepwise, participatory process beginning with an inventory of 80 occupational hazards, reviewed by local experts for clarity and prioritized by community stakeholders through a Delphi workshop. Participants rate the likelihood, severity, and risk of hazards. In the Ugandan case study, 31 stakeholders rated 59 hazards relevant to smallholder coffee farmers in Mbale District.ResultsStakeholders prioritized 23 hazards across six categories: biological, chemical, ergonomic, and physical hazards, each comprising three items, plus five environmental and six psychosocial hazards. “Contact with a pesticide” received the highest overall risk score. “Mosquito bites” emerged as the most significant biological risk. Ergonomic hazards received the highest categorical risk rating.ConclusionTIERRA fosters stakeholder ownership and facilitates dialogue toward action. It supports the development of tailored farmer surveys, training and safer working conditions. It offers a methodological blueprint for adaptation across diverse agricultural contexts, including in LMICs.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609283</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609283</link>
        <title><![CDATA[Integrating equity and justice in rheumatic heart disease policy: addressing reproductive health challenges]]></title>
        <pubdate>2026-06-04T00:00:00Z</pubdate>
        <category>Theory & Concept</category>
        <author>Panduleni Penipawa Shimanda</author><author>Tekla Shipahu Natangwe Shiindi-Mbidi</author>
        <description><![CDATA[Rheumatic Heart Disease (RHD), a preventable disease of poverty, disproportionately affects women of reproductive age, highlighting a crisis at the intersection of cardiac and reproductive health. Despite effective interventions, RHD remains neglected in policy priorities. This paper uses the case of reproductive health dilemmas to demonstrate the need for the application of equity frameworks. We analyse how consequentialist, communitarian, and feminist principles can guide policymakers toward more effective and just interventions. The paper proposes a community-based model, justified through this ethical lens, and calls for policies prioritising equity to finally address RHD’s preventable burden.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609134</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609134</link>
        <title><![CDATA[COVID-19 testing and mental health service utilization in Ontario: a population-based cohort study]]></title>
        <pubdate>2026-06-02T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Kiran Saqib</author><author>Vivek Goel</author><author>Joel A. Dubin</author><author>Jeremy VanderDoes</author><author>Zahid Ahmad Butt</author>
        <description><![CDATA[ObjectiveTo examine differences in mental health–related healthcare utilization for anxiety and depression between individuals who did and did not undergo COVID-19 PCR testing in Ontario. Background: The COVID-19 pandemic has been associated with changes in mental health and healthcare utilization.MethodsWe conducted a population-based retrospective cohort study using linked ICES data, including 6,175,114 adults (January 2020–March 2021). Exposure was PCR-positive, PCR-negative, or untested. The outcome was time to first mental health–related healthcare use for anxiety and depression, identified using validated codes. Adjusted hazard ratios (aHRs) were estimated using Cox models with propensity score matching.ResultsIndividuals who underwent testing had higher mental health–related healthcare utilization than untested individuals. This was observed in PCR-positive (aHR 6.37; 95% CI 6.25–6.50) and PCR-negative groups (aHR 5.91; 95% CI 5.87–5.95). Higher utilization occurred among younger individuals, females, and socioeconomically disadvantaged groups. Results were consistent in matched analyses.ConclusionIndividuals underwent testing had higher mental health service utilization; similar estimates across PCR-positive and PCR-negative groups suggest testing reflects underlying vulnerability and healthcare-seeking behavior rather than a causal effect on mental health outcomes.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609153</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609153</link>
        <title><![CDATA[Development and external validation of an interpretable machine learning model for obesity-depression comorbidity in Korean and US adults]]></title>
        <pubdate>2026-05-28T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Yuwen Shangguan</author><author>Zhenhao Lin</author><author>Young-Je Sim</author><author>Kunpeng Wu</author><author>Yu Chu</author><author>Kunyi Huang</author><author>Fangxi Chen</author><author>Kangkang Ji</author><author>Fang Chen</author><author>Shangrui Liu</author>
        <description><![CDATA[ObjectiveTo investigate the association between physical inactivity and obesity–depression comorbidity (ODC), defined as the co-occurrence of obesity and depression, and to develop an effective screening tool for identifying high-risk individuals to facilitate early intervention.MethodsData were obtained from 3,357 physically inactive adults enrolled in the Korea National Health and Nutrition Examination Survey (KNHANES, 2007–2012). An XGBoost machine learning framework was applied to develop predictive models. Feature selection was conducted using random forest, and the prediction mechanism was interpreted with SHAP values. The model was validated internally using KNHANES 2011–2012 data and externally with the U.S. NHANES dataset.ResultsThe XGBoost model demonstrated good discriminative performance in internal validation (AUC = 0.783 and 0.744) and achieved an external validation AUC of 0.886. Feature importance analysis revealed that insulin concentration, white blood cell count, and height were the primary predictors of ODC, with insulin exerting the strongest influence.ConclusionThis study developed a high-performing and interpretable prediction model for ODC risk. SHAP-based interpretation identified insulin as the most influential predictor within the model, suggesting that metabolic factors may be important for ODC risk stratification.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609361</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609361</link>
        <title><![CDATA[Do youth e-cigarette users perceive smoking as attractive? The dynamics of demographics and contextual factors]]></title>
        <pubdate>2026-05-26T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Omar B. Da’ar</author><author>Maria Alamr</author><author>Randah Alalweet</author><author>Bandar AlEissa</author><author>Farah Kalmey</author>
        <description><![CDATA[ObjectiveThis study examines whether youth e-cigarette users perceive smoking as attractive and how comfort-based norms, industry promotion, and media or environmental exposures shape these perceptions.MethodsUsing a nation-wide representative 2022 Global Youth Tobacco Survey data from Saudi Arabia, we analyzed e-cigarette users’ perceptions of smoking attractiveness with descriptive statistics and a multivariable regression model to identify associated covariates.ResultsAmong 5,455 students aged 13–15 years, 14.3% had ever used e-cigarettes, and 26% of users viewed smoking as attractive. More males rated smoking favorably in crude analyses. However, adjusted model showed males had lower odds versus females. Youth exposed to secondhand smoke in enclosed public places, point-of-sale marketing, anti-smoking messages, and counter-branding marketing had reduced odds of viewing smoking as attractive, whereas those who found it as socially comfortable, offered free tobacco products by a company representative, or owning branded items had higher odds. Secondhand smoke at school or home was not significant.ConclusionFindings suggest prevention may benefit from targeting comfort-based norms and industry promotion, and future research should examine causal effects to guide youth-focused policy.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609298</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609298</link>
        <title><![CDATA[Whose education matters for later-life health trajectories? A three-generation comparison in China]]></title>
        <pubdate>2026-05-20T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Tingshuai Ge</author><author>Qing Han</author>
        <description><![CDATA[ObjectivesThis study examined the effects of own, parental, spousal, and children’s education on later-life health trajectories in the Chinese context, exploring variations across health measures and genders in these processes.MethodsHierarchical linear regression models were employed to the data from China Health and Retirement Longitudinal Study over the period 2011–2020 (N = 15,304 individuals aged 45–85; N = 62,836 person-years).ResultsAmong men, mental health disparities by own education remained stable with age, while those linked to spousal and children’s education widened. For physical health, disparities by own education were stable, whereas those related to children’s education diminished with age. Among women, mental health disparities tied to own and family members’ education widened with age. Physical health disparities driven by own and children’s education increased with age, while those associated with spousal education remained stable.ConclusionOur findings suggest that family members’ education differentially shapes later-life health trajectories, with these processes being sensitive to health measures and gender. Policies that enhance women’s education and support disadvantaged families and are essential to reduce health inequalities among aging populations.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1608462</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1608462</link>
        <title><![CDATA[Optimizing colorectal cancer screening through quality circles of primary care physicians: a cluster randomized controlled trial]]></title>
        <pubdate>2026-05-20T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Tamara Scharf</author><author>Marc-Andrea Janggen</author><author>Yonas Martin</author><author>Julian Jakob</author><author>Kali Tal</author><author>Nikola Biller-Andorno</author><author>Jean-Luc Bulliard</author><author>Kevin Selby</author><author>Reto Auer</author><author>Adrian Rohrbasser</author>
        <description><![CDATA[ObjectivesColorectal cancer (CRC) screening rates are low in Switzerland. This study tested whether a PCP intervention—training sessions and performance feedback within quality circles (QC) increased CRC screening rates.MethodsA pragmatic randomized controlled trial was conducted in Switzerland (2018–2021) with PCP in QC. The intervention included three training sessions, shared decision-making materials, and performance feedback based on 40 consecutive patients per PCP. The primary outcome was the difference in CRC screening rates between the intervention and control group after 12 months.ResultsOf 120 invited QC, nine participated (5 intervention, 4 control). A total of 63 PCPs (32 intervention, 31 control) collected data on 2,112 patients (1,130 intervention, 982 control; mean age 61.5, 53% women). Analysis clustered by PCP and QC showed screening rate was 58% in the intervention group vs. 42% in controls (OR1.98; 95% CI:1.14–3.42). Screening rates in the intervention group increased from 55% to 57.9% (absolute increase: 2.9%; 95% CI:1.1%–6.9%; OR1.29; 95% CI:1.08–1.55, p < 0.01).ConclusionTraining sessions and performance feedback in QC increased screening rates, but few QCs chose to participate.Clinical Trial RegistrationClinicalTrials.gov, identifier NCT03510858.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609429</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609429</link>
        <title><![CDATA[Multiple cause of death during the COVID-19 pandemic: a population study In Colombia and Brazil]]></title>
        <pubdate>2026-05-18T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Doris Durán</author><author>Mabel Carabali</author><author>Usama Bilal</author><author>Belinda Nicolau</author><author>Jay S. Kaufman</author>
        <description><![CDATA[ObjectivesTo assess differences in age-standardized disease-specific mortality rates derived from the underlying cause of death (UCOD) versus multiple cause of death (MCOD) data in two Latin American countries during the COVID-19 pandemic.MethodsUsing all death certificates for residents of Brazil (n = 6,207,785) and Colombia (n = 1,180,880) from 2019 through 2022, we extracted UCOD and all contributing causes, assigned weights (50% to UCOD, remainder equally among contributing causes), and calculated annual age- and sex-standardized mortality rates for neoplasms, circulatory diseases, diabetes mellitus (DM), and non-COVID communicable diseases. We then computed rate differences and rate ratios contrasting MCOD with UCOD estimates.ResultsMCOD-DM mortality exceeded UCOD by up to 70%. In Colombia, MCOD–CVD surpassed UCOD during 2020–2021, corresponding to approximately 1,950 extra male and 1,560 extra female CVD deaths in 2021. Discrepancies for neoplasms and other communicable diseases were smaller and stable.ConclusionThese findings demonstrate that MCOD methods reveal substantial underestimation of diabetes- and cardiovascular-related mortality, underscoring the value of MCOD surveillance for public health planning.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609612</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609612</link>
        <title><![CDATA[Issues and principles for legitimate and meaningful One Health monitoring]]></title>
        <pubdate>2026-05-18T00:00:00Z</pubdate>
        <category>Theory & Concept</category>
        <author>Juliette Colinas</author><author>Manon Boiteux</author><author>Cécile Aenishaenslin</author>
        <description><![CDATA[Although the One Health (OH) approach has gained prominence in health governance, no widely accepted method exists to assess the overall state of health across these interconnected domains in geographically defined settings. Available data remain fragmented, and existing evaluation frameworks largely focus on OH implementation rather than its outcomes. Two composite indices—the One Health Index and the Global One Health Index—have attempted to operationalize OH measurement, but their high level of aggregation, limited transparency, and top-down design constrain interpretability and legitimacy. We outline conceptual, logistical, and political challenges associated with measuring and monitoring OH outcomes, examine existing indices to illustrate these limitations, and argue that progress in OH measurement relies less on developing a single universal index than on establishing shared methodological principles. We propose core principles grounded in transparency and contextual relevance and highlight the need for collaborative efforts to develop clearer methodological guidance for more legitimate and meaningful OH monitoring systems.]]></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609910</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609910</link>
        <title><![CDATA[Beyond ethanol: wine, biological aging, and the Mediterranean context]]></title>
        <pubdate>2026-05-15T00:00:00Z</pubdate>
        <category>Letter to the Editor</category>
        <author>Alessandro Medoro</author><author>Giovanni Scapagnini</author><author>Sergio Davinelli</author>
        <description></description>
      </item><item>
        <guid isPermaLink="true">https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609008</guid>
        <link>https://www.ssph-journal.org/articles/10.3389/ijph.2026.1609008</link>
        <title><![CDATA[Food hygiene practice and associated factors among street food vendors in Addis Ababa; Ethiopia; mixed approach study]]></title>
        <pubdate>2026-05-14T00:00:00Z</pubdate>
        <category>Original Article</category>
        <author>Abduselam Ahmed Abdela</author><author>Tufa Kolola Huluka</author><author>Mecha Aboma Yebassa</author><author>Samuel Dessu Sifer</author>
        <description><![CDATA[ObjectivesThis study aimed to assess food hygiene practices and associated factors among street food vendors in Addis Ababa.MethodsA community-based cross-sectional study with mixed methods was conducted from 1–30 March 2024. A total of 337 vendors participated in the quantitative survey, and 25 took part in qualitative interviews and focus group discussions. Consecutive sampling was applied for the quantitative component and convenience sampling for the qualitative part. Data were collected using structured questionnaires with observational checklists and unstructured guides for qualitative interviews. Multivariable logistic regression identified predictors at p < 0.05, and qualitative data were analyzed thematically.ResultsGood hygiene practice was observed in 33.2% (95% CI:28.2–38.3). Significant factors included training (AOR: 2.43), knowledge (AOR:3.44), uninterrupted water supply (AOR: 2.52), professional visits (AOR: 5.42), and work experience >1 year (AOR: 4.68). Qualitative findings revealed barriers including inadequate water and sanitation, poor working conditions, lack of training, financial constraints, and customer pressures.ConclusionHygiene practices were generally low. Findings emphasize the need for targeted interventions in training, supervision, and infrastructure to improve food hygiene among street food vendors.]]></description>
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