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International Journal of Environmental Research and Public Health, Volume 22, Issue 1

2025 January - 131 articles

Cover Story: This rapid review reveals the crucial links between oral health and psychological wellbeing during pregnancy, highlighting a previously understudied but significant healthcare intersection. The analysis of 22 studies demonstrates that oral health conditions and mental health states, such as anxiety, depression, and stress, are interconnected through behavioral, physiological, and intergenerational pathways. These findings emphasize the need for integrated prenatal care approaches. The review provides evidence-based recommendations for combining oral and mental health screening in pregnancy care, potentially improving both maternal and fetal health outcomes. This work represents an important step toward more comprehensive prenatal care that considers both the physical and psychological aspects of maternal health. View this paper
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Articles (131)

  • Article
  • Open Access
1 Citations
3,816 Views
19 Pages

Likes, Shares, and Symptoms: The Hidden Toll of Early Adolescents’ Social Media Use on Well-Being

  • Lisanne Vonk,
  • Polina Putrik,
  • Thérèse van Amelsvoort,
  • Elien Vanluydt,
  • Philippe Delespaul,
  • Mark Levels and
  • Tim Huijts

Social media use has rapidly increased over the past decade, especially among young people. To obtain more insight into the potential negative associations with problematic social media use in Dutch early adolescents, we assessed its relation to self...

  • Article
  • Open Access
3 Citations
11,535 Views
14 Pages

Prospective Associations Between Preschool Exposure to Violent Televiewing and Externalizing Behavior in Middle Adolescent Boys and Girls

  • Linda S. Pagani,
  • Amélie Gilker Beauchamp,
  • Laurie-Anne Kosak,
  • Kianoush Harandian,
  • Claudio Longobardi and
  • Eric Dubow

Objective. Early childhood exposure to violent media content represents an actionable target for preventive intervention. The associated risks for later aggressive behavior have been established in childhood, but few studies have explored widespread...

  • Article
  • Open Access
4 Citations
3,245 Views
18 Pages

Analysis of the Climate Impact on Occupational Health and Safety Using Heat Stress Indexes

  • Guilherme Neto Ferrari,
  • Guilherme Custódio dos Santos,
  • Paulo Cesar Ossani,
  • Gislaine Camila Lapasini Leal and
  • Edwin Vladimir Cardoza Galdamez

Workers may be exposed to conditions that put their physical and mental integrity at risk, from workplace settings to climate characteristics. Heat stress is a harmful health condition caused by exceeding the human body’s tolerance limits, lead...

  • Article
  • Open Access
1 Citations
1,914 Views
12 Pages

Incidence of Tooth Loss in Remote Indigenous Populations of the Amazon Region: A 13-Year Cohort Study Before and After Belo Monte Dam

  • Renata Travassos da Rosa Moreira Bastos,
  • Eduardo Oliveira da Costa,
  • Lucca Sicilia and
  • David Normando

Tooth loss among indigenous people in the Amazon emphasizes the need for culturally appropriate oral health interventions. The objective of this study was to analyze the incidence of tooth loss in two remote Amazon indigenous populations. This prospe...

  • Article
  • Open Access
2 Citations
4,195 Views
12 Pages

Absenteeism Among Healthcare Workers: Job Grade and Other Factors That Matter in Sickness Absence

  • Carine J. Sakr,
  • Lina M. Fakih,
  • Umayya M. Musharrafieh,
  • Ghassan M. Khairallah,
  • Maha H. Makki,
  • Rita M. Doudakian,
  • Hani Tamim,
  • Carrie A. Redlich,
  • Martin D. Slade and
  • Diana V. Rahme

Background: Absenteeism among healthcare workers (HCWs) disrupts workflows and hampers the delivery of adequate patient care. The aim of the study was to examine predictors of sick leaves among HCWs in a tertiary medical center in Lebanon. Methods: A...

  • Article
  • Open Access
1 Citations
3,706 Views
14 Pages

A Qualitative Descriptive Study of Rural Primary Healthcare Professionals’ Capacity for Disaster Health Management Before and During the COVID-19 Pandemic

  • Ehmaidy Al qaf’an,
  • Stewart Alford,
  • Holly A. Mack,
  • Ravneet Sekhon,
  • Samuel Gray,
  • Kiara Song,
  • Katie Willson,
  • Glynn Kelly and
  • David Lim

Introduction: Rural areas face additional challenges in preventing, preparing for, responding to, and recovering from disasters. This study aimed to understand how rural primary healthcare professionals (PHCPs) perceive their roles, involvement, and...

  • Article
  • Open Access
1 Citations
2,260 Views
15 Pages

There is an increasing global acknowledgment of the critical role that men have as key partners in maternal, newborn, and child health (MNCH). Most male-engagement initiatives do not address the perceived benefits and risks that women may experience...

  • Article
  • Open Access
4 Citations
2,966 Views
18 Pages

Paternal Depression and Anxiety During the COVID-19 Pandemic

  • Emily E. Cameron,
  • Kayla M. Joyce,
  • Kathryn Hatherly and
  • Leslie E. Roos

The COVID-19 pandemic significantly impacted the lives of families worldwide. Findings suggest a substantial impact of the COVID-19 pandemic on maternal mental health. Yet, much less is known about the impact of COVID-19 on paternal mental health. Th...

  • Review
  • Open Access
4 Citations
4,042 Views
17 Pages

Elderhood and Healthy Aging from an Indigenous Perspective

  • Yu-Chi Kalesekes Huang and
  • Kathryn L. Braun

Researchers have outlined the components of healthy aging, and a 2022 scoping review by Quigley et al. examined healthy aging from Indigenous perspectives. Quigley’s review reinforced the notion that Indigenous health, and thus healthy aging, i...

  • Article
  • Open Access
3,000 Views
18 Pages

Out-of-home meals are characterized by poor nutritional quality, and their intake has been linked to adverse health outcomes. Therefore, national and local government initiatives have been implemented in the UK to promote healthier out-of-home meals....

  • Article
  • Open Access
3 Citations
5,083 Views
14 Pages

Enhancing Post-Training Muscle Recovery and Strength in Paralympic Powerlifting Athletes with Cold-Water Immersion, a Cross-Sectional Study

  • Felipe J. Aidar,
  • Wélia Yasmin Horacio dos Santos,
  • Saulo da Cunha Machado,
  • Albená Nunes-Silva,
  • Érica Leandro Marciano Vieira,
  • Diego Ignácio Valenzuela Pérez,
  • Esteban Aedo-Muñoz,
  • Ciro José Brito and
  • Pantelis T. Nikolaidis

(1) Background: The recovery method is important and decisive in the training system. This study aimed to assess the effects of various post-training recovery methods on muscle damage and strength indicators in Paralympic powerlifting athletes. (2) M...

  • Article
  • Open Access
1 Citations
1,740 Views
14 Pages

County-Level Food Insecurity and Hepatocellular Carcinoma Risk: A Cross-Sectional Analysis

  • Rebecca D. Kehm,
  • Chrystelle L. Vilfranc,
  • Jasmine A. McDonald and
  • Hui-Chen Wu

Food insecurity (FI) is associated with several known hepatocellular carcinoma (HCC) risk factors, but few studies have directly examined FI in association with HCC risk. We aimed to investigate whether county-level FI is associated with HCC risk. We...

  • Article
  • Open Access
1 Citations
3,773 Views
10 Pages

As snorkelling and breath-hold diving are conducted in a potentially hostile environment by participants with varying skills and health, fatalities occur. In this study, snorkelling and breath-hold diving fatalities were investigated in Australia fro...

  • Article
  • Open Access
1,629 Views
10 Pages

Introduction: Pakistan is confronted with the formidable challenge of high population growth, which is compounded by cultural norms that prioritize male offspring, leading to adverse implications for family planning efforts and demographic trends. De...

  • Article
  • Open Access
1 Citations
2,415 Views
22 Pages

Background: This study explored the experiences of adults with diverse rare diseases (RDs) and RD caregivers with barriers and facilitators to healthcare access in the United States (US), including during the early part of the COVID-19 pandemic, and...

  • Article
  • Open Access
4 Citations
7,439 Views
12 Pages

A crucial aspect of delivering healthcare is infection prevention and control (IPC), especially in public hospitals where the high volume of patients and limited resources can heighten the risk of healthcare-associated infections. This qualitative st...

  • Article
  • Open Access
1 Citations
2,216 Views
18 Pages

Older adults with intellectual disabilities are not adequately prepared for ageing and show anxiety and uncertainty regarding the future. Therefore, the two-year educational intervention “Good Life in Old Age” was implemented to improve t...

  • Article
  • Open Access
2 Citations
2,277 Views
16 Pages

The human immunodeficiency virus (HIV) pandemic is a global public health and social justice issue. HIV continues to disproportionately affect marginalized populations, including immigrants and refugees living with HIV (IRLHIV). This study investigat...

  • Article
  • Open Access
2 Citations
2,073 Views
13 Pages

A Retrospective Analysis Evaluating the Impact of Neighborhood Deprivation on Birth Weight in Phoenix, Arizona

  • Kristin D. Mickelson,
  • Megan Witsoe,
  • Brittany Krzyzanowski,
  • Pooja Doehrman,
  • Samantha Dinh,
  • Guangying Zhou and
  • Jacqueline Nguyen

Background: Health inequities begin before birth and are influenced by pregnancy conditions, race/ethnicity, social class, and environment. Research indicates that, in the United States, Black women are significantly more likely to have low-birth-wei...

  • Review
  • Open Access
1 Citations
4,801 Views
33 Pages

Smoking Among Healthcare Professionals in Australia: A Scoping Review

  • Masudus Salehin,
  • Louisa Lam and
  • Muhammad Aziz Rahman

Studies showed healthcare professionals who are non-smokers are more likely to deliver smoking cessation advice to their patients than those who are smokers. However, healthcare professionals continue to smoke across the globe. This scoping review as...

  • Article
  • Open Access
1 Citations
2,550 Views
19 Pages

Building Connections and Striving to Build Better Futures: A Qualitative Interview Study of Alcohol Recovery Navigators’ Practice in the North East of England, UK

  • Domna Salonen,
  • Amy O’Donnell,
  • Katherine Jackson,
  • Sarah Hulse,
  • James Crosbie,
  • Ryan Swiers,
  • Fiona Tasker,
  • Gemma Muldowney,
  • Anna Pickford and
  • Emma-Joy Holland
  • + 2 authors

To address the holistic and continuity of care needs of people who attend North East hospitals frequently for alcohol-related reasons, Recovery Navigator (Navigator) roles were introduced into Alcohol Care Teams in six hospitals in the North East of...

  • Review
  • Open Access
4 Citations
4,092 Views
25 Pages

Carbon monoxide (CO) is a toxic gas, and faulty gas appliances or solid fuel burning with incomplete combustion are possible CO sources in households. Evaluating household CO exposure models and measurement studies is key to understanding where CO ex...

  • Article
  • Open Access
3 Citations
2,106 Views
19 Pages

The First Report of Environmental Exposure to Barium in 10 Localities Close to Industrial Areas and Ports in the Amazon

  • Brenda Rodrigues Chagas,
  • Volney de Magalhães Câmara,
  • Karytta Sousa Naka,
  • Thaís Karolina Lisboa de Queiroz,
  • Lorena de Cássia dos Santos Mendes,
  • Iracina Maura de Jesus,
  • Marcelo de Oliveira Lima and
  • Armando Meyer

Environmental exposure to metallic contaminants such as barium (Ba) is a worldwide concern, as these metals can even be toxic to the human body. Data on different sources of exposure to Ba and possible routes of entry are important for preventing adv...

  • Article
  • Open Access
2,317 Views
10 Pages

WHOQOL-BREF in Measuring Quality of Life Among Sickle Cell Disease Patients with Leg Ulcers

  • Caroline Conceição da Guarda,
  • Jéssica Eutímio de Carvalho Silva,
  • Gabriela Imbassahy Valentim Melo,
  • Paulo Vinícius Bispo Santana,
  • Juliana Almeida Pacheco,
  • Bruno Terra Correa,
  • Edvan do Carmo Santos,
  • Elisângela Vitória Adorno,
  • Andrea Spier and
  • Milena Magalhães Aleluia
  • + 2 authors

Sickle cell disease (SCD) presents complex clinical manifestations influenced by genetic, social, environmental, and healthcare access factors as well as socioeconomic status. In this context, sickle cell leg ulcers (SLUs) are a debilitating complica...

  • Article
  • Open Access
2 Citations
2,320 Views
14 Pages

Perceived Stress: Psychosocial-Sociodemographic Factors as Predictors of Tension, Irritability, and Fatigue Among Ecuadorian University Professors

  • Henry Cadena-Povea,
  • Marco Hernández-Martínez,
  • Gabriela Bastidas-Amador and
  • Josué Calderón-Muñoz

The objective of this study was to identify the factors that best predict variations in tension, irritability, and fatigue (TIF) among university professors in Ecuador. Using a quantitative approach with a non-experimental, cross-sectional design, da...

  • Article
  • Open Access
2 Citations
3,172 Views
13 Pages

Background: Head-out aquatic training, using modalities such as water-aerobics/hydrogymnastics (HYD) and deep-water running (DWR), has been effective in improving the physical, metabolic and cognitive health of middle-aged adults. However, direct com...

  • Article
  • Open Access
1,753 Views
14 Pages

Life satisfaction includes various aspects, such as satisfaction with work, family, environment, and finances, and is influenced by sociodemographic and socioeconomic factors. This representative study investigates differential life satisfaction in t...

  • Review
  • Open Access
3 Citations
4,886 Views
22 Pages

Introduction: Pelvic floor dysfunction (PFD) is prevalent among athletes. Investigating whether athletes are practicing pelvic floor muscle training (PFMT) will assist in delineating the factors underlying the burden of PFD in this population. Additi...

  • Article
  • Open Access
3 Citations
1,905 Views
16 Pages

Influence of Sex and Body Composition on Aerobic Capacity in Normal Weight Lean, Normal Weight Obese, and Obese Phenotypes

  • Sam R. Emerson,
  • Samantha Hart,
  • Christina M. Sciarrillo,
  • Travis Eden,
  • Tyler J. Godsey,
  • Harrison Smith,
  • Ashley Keller and
  • Bryant H. Keirns

Normal weight obesity (NWO) is a body composition phenotype that is associated with increased cardiometabolic risk and is characterized by a normal weight body mass index but elevated body fat. The purpose of this study was to determine sex differenc...

  • Review
  • Open Access
3,832 Views
22 Pages

Regional Variations in the Prevalence of Risk Factors and Non-Communicable Diseases in Papua New Guinea: A Scoping Review

  • Bobby Porykali,
  • Ryley Gronau,
  • Phyllis Tran,
  • Juliana Chen,
  • Margaret Allman-Farinelli,
  • Anna Rangan,
  • Shelina Porykali,
  • Robin Oge,
  • Hans Nogua and
  • Alyse Davies

Often referred to as ‘the last unknown’, Papua New Guinea’s largely unexplored environments across its four distinct regions, the Highlands, New Guinea Islands, Momase, and Southern, exhibit remarkable diversity. Understanding this...

  • Article
  • Open Access
3,354 Views
16 Pages

Effectiveness of Global Postural Reeducation in Postural Changes and Postural Stability in Young Adults

  • Maria Paula Pacheco,
  • Sara Morais,
  • Paulo José Carvalho,
  • Luís Cavalheiro and
  • Filipa Sousa

Background: Postural changes are considered a public health issue and have gathered significant interest in both research and clinical practice. Aims: To evaluate the effectiveness of Global Postural Reeducation (GPR) in improving postural changes an...

  • Article
  • Open Access
4 Citations
3,232 Views
16 Pages

Associations Between Daily-Use Products and Urinary Biomarkers of Endocrine-Disrupting Chemicals in Adults of Reproductive Age

  • Jayne Marie Foley,
  • Carol F. Kwiatkowski,
  • Johanna R. Rochester,
  • Iva Neveux,
  • Shaun Dabe,
  • Michael Kupec Lathrop,
  • Eric J. Daza,
  • Joseph J. Grzymski,
  • Ben K. Greenfield and
  • Jenna Hua

Background: Daily-use products, including personal care products, household products, and dietary supplements, often contain ingredients that raise concerns regarding harmful chemical exposure. Endocrine-disrupting chemicals (EDCs) found in daily-use...

  • Article
  • Open Access
2,627 Views
16 Pages

Colorectal cancer (CRC) ranks third in terms of global cancer prevalence and is the second most common cause of cancer-related mortality. Although CRC rates are decreasing in the United States, inequalities still exist despite the effectiveness of in...

  • Article
  • Open Access
1 Citations
3,257 Views
17 Pages

Phenotypic Antibiotic Resistance Patterns of Escherichia coli Isolates from Clinical UTI Samples and Municipal Wastewater in a Grenadian Community

  • Makeda Matthew-Bernard,
  • Karla Farmer-Diaz,
  • Grace Dolphin-Bond,
  • Vanessa Matthew-Belmar,
  • Sonia Cheetham,
  • Kerry Mitchell,
  • Calum N. L. Macpherson and
  • Maria E. Ramos-Nino

Antimicrobial resistance (AMR) is a growing global health threat. This study investigated antibiotic resistance in E. coli isolates from municipal wastewater (86 isolates) and clinical urinary tract infection (UTI) cases (34 isolates) in a Grenadian...

  • Article
  • Open Access
2 Citations
2,068 Views
14 Pages

Using a Hand-Held Icterometer to Screen for Neonatal Jaundice: Validation, Feasibility, and Acceptability of the Bili-RulerTM in Kumasi, Ghana

  • Ashura Bakari,
  • Ann V. Wolski,
  • Benjamin Otoo,
  • Rexford Amoah,
  • Emmanuel K. Nakua,
  • Jacob Jacovetty,
  • Elizabeth Kaselitz,
  • Sarah D. Compton and
  • Cheryl A. Moyer

Background: Neonatal jaundice (NNJ) remains a leading cause of newborn mortality in much of sub-Saharan Africa. We sought to examine the validity of using a hand-held icterometer as a screening tool to determine which newborns need further assessment...

  • Article
  • Open Access
1 Citations
1,574 Views
7 Pages

Effects of an Easily Implemented Physical Exercise Program on the Ventricular Ejection Fraction of Women with Breast Cancer Undergoing Chemotherapy

  • Tiago Rafael Moreira,
  • Nuno Pimenta,
  • Alexandra Teixeira,
  • Bruno Nobre Pinheiro,
  • Rui Canário-Lemos,
  • Rafael Peixoto,
  • Nuno Domingos Garrido and
  • José Vilaça-Alves

Breast cancer (BC) is the most common cancer among women, with an incidence of 85–94 per 100,000 people annually in Europe. Despite the increasing incidence of BC, advancements in early detection and novel therapeutic approaches have improved s...

  • Review
  • Open Access
9 Citations
5,387 Views
7 Pages

There is a need to improve communication for patients and relatives who belong to cultural minority communities in intensive care units (ICUs). As a matter of fact, language barriers negatively impact patient safety and family participation in the ca...

  • Article
  • Open Access
3 Citations
2,028 Views
24 Pages

Digital Educational Escape Rooms for Providing Knowledge on Stress Management and Health Promotion for Students—A Rapid Review and Pilot Study

  • Joanna Albrecht,
  • Anna Lea Stark-Blomeier,
  • Pascal Schütz,
  • Nina Lenhard,
  • Christoph Dockweiler and
  • Pinar Tokgöz

The impact of stress on students’ well-being and academic success is tremendous. This paper addresses the issue of balancing stress with the realm of a digital educational escape room (deER). This article demonstrates how a deER can serve as a...

  • Article
  • Open Access
1 Citations
1,597 Views
13 Pages

The OUTPAC cohort study evaluates the setup and implementation of a nationwide Danish initiative focused on the impact of structured outdoor physical activity (PA) on individuals with rheumatic diseases. This prospective cohort study includes more th...

  • Article
  • Open Access
1 Citations
1,426 Views
21 Pages

Ototoxicity is a significant adverse effect associated with second-line anti-tuberculosis (TB) medications, particularly in treating extensively drug-resistant TB (XDR-TB). This study investigated the awareness of ototoxic effects among adults with X...

  • Article
  • Open Access
2 Citations
6,006 Views
44 Pages

Workplace Health and Wellbeing in Small and Medium Sized Enterprises (SMEs): A Mixed Methods Evaluation of Provision and Support Uptake

  • Nigel Lloyd,
  • Nigel Smeeton,
  • Imogen Freethy,
  • Julia Jones,
  • Wendy Wills,
  • Abi Dennington-Price,
  • John Jackson and
  • Katherine Brown

Today’s challenging times highlight the need for workplaces to support employee wellbeing. Workplaces can offer a means to improve employee wellbeing and promote health initiatives. However, small and medium-sized enterprises (SMEs) are less li...

  • Article
  • Open Access
4,610 Views
17 Pages

Borderline Personality Symptoms, Body Modification, and Emotional Regulation

  • Victoria Avon,
  • Nathalie Gullo and
  • D. Catherine Walker

Many people with BPD (borderline personality disorder) experience emotional dysregulation and thus engage in NSSI (non-suicidal self-injury), potentially in the pursuit of emotional regulation. However, research is lacking on whether body modificatio...

  • Review
  • Open Access
2,570 Views
19 Pages

Aboriginal and Torres Strait Islander (hereafter, respectfully, Indigenous) men’s health and social indicators reflect an ongoing legacy of social disruption with profound implications for broader family and community contexts. In response to r...

  • Article
  • Open Access
1 Citations
4,855 Views
47 Pages

This study investigates the process of planning for future inpatient resources (beds, staff and costs) for maternity (pregnancy and childbirth) services. The process of planning is approached from a patient-centered philosophy; hence, how do we disch...

  • Review
  • Open Access
11 Citations
8,470 Views
20 Pages

Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review

  • Evaline Chepchirchir Langat,
  • Paul Ward,
  • Hailay Gesesew and
  • Lillian Mwanri

Background: Universal health coverage (UHC) is a global priority, with the goal of ensuring that everyone has access to high-quality healthcare without suffering financial hardship. In Africa, most governments have prioritized UHC over the last two d...

  • Article
  • Open Access
2,505 Views
12 Pages

Context: Diabetes rates are high in Black and some other ethnic communities, often leading to more severe complications. We conducted a study to identify the prevalence and risk of diabetes among African Caribbean Black (ACB) individuals aged 18&ndas...

  • Article
  • Open Access
3 Citations
3,453 Views
14 Pages

Physicians’ Intentions to Recommend Influenza Vaccine: A Multi-Centered Hospital-Based Study Using the Theory of Planned Behavior in Bangladesh

  • Md Abdullah Al Jubayer Biswas,
  • Mahbubur Rahman,
  • Sazzad Hossain Khan,
  • Ahamed Khairul Basher,
  • Md Ariful Islam,
  • Ashrak Shad Pyash,
  • Homayra Rahman Shoshi,
  • Md Altaf Ahmed Riaj,
  • Md Nazrul Islam and
  • Md. Zakiul Hassan
  • + 7 authors

Background: Influenza remains a significant public health challenge in low- and middle-income countries (LMICs) like Bangladesh, where vaccine uptake remains low despite the substantial disease burden. Physicians play a vital role in promoting vaccin...

  • Article
  • Open Access
4,624 Views
17 Pages

Understanding HIV-Related Mental Health Challenges and Contributing Factors Among Indonesian Adolescents Living with HIV

  • Paul Russell Ward,
  • Reni Puspitasari,
  • Aasha Rose,
  • Biniyam Sahiledengle Gebremariyam and
  • Nelsensius Klau Fauk

Human Immunodeficiency Virus (HIV) has disproportionately affected various population groups, including adolescents living with HIV (ALHIV). In many contexts, ALHIV have been reported to experience mental health issues following their HIV diagnosis....

  • Article
  • Open Access
3 Citations
2,336 Views
14 Pages

The study aimed to investigate the reliability, construct, and discriminant validity of the Behavioral Regulation in Exercise Questionnaire 3 (BREQ-3) for evaluating motivational regulations and self-determination for exercise in Brazilian adults age...

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Int. J. Environ. Res. Public Health - ISSN 1660-4601