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International Journal of Environmental Research and Public Health, Volume 22, Issue 12

December 2025 - 122 articles

Cover Story: Where people live increasingly shapes how they grow older. In Portugal, older adults face not only the biological challenges of later life but also distinct social and environmental conditions that influence health, independence, and participation in daily life. This study explores how ageing unfolds differently in rural and urban settings, examining health status, functional capacity, lifestyle, and social engagement among adults aged 65 and over. It reveals marked rural–urban disparities, with rural residents showing poorer physical performance, a higher burden of chronic disease, and greater restrictions in social participation. These findings underscore the importance of context-sensitive, community-based physiotherapy strategies to reduce inequalities and promote healthy ageing across diverse living environments. View this paper
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Articles (122)

  • Article
  • Open Access
408 Views
22 Pages

Practices with medical cyclotrons to produce PET radiopharmaceuticals in Latin America represent a technological advance for the diagnosis and treatment of diseases such as cancer, but they involve occupational risks due to exposure to ionizing radia...

  • Article
  • Open Access
917 Views
15 Pages

(1) Background: Negative attitudes toward mental health problems remain a barrier for help-seeking, especially in collectivist, lower-middle-income countries like Nepal. While the Attitudes Towards Mental Health Problems Scale (ATMHPS) has been used...

  • Article
  • Open Access
308 Views
17 Pages

Motorized Two-Wheeled Vehicles Contribute Disproportionately to the Increase in Pandemic-Period Road Traffic Fatalities in New York State

  • Joyce C. Pressley,
  • Zarah Aziz,
  • Leah Hines,
  • Jancarlos Guzman,
  • Emilia Pawlowski and
  • Michael Bauer

Background: New York State, like many other states, experienced a significant increase in road traffic deaths during the COVID-19 pandemic that is not fully understood. Our earlier work using the Safe System framework suggests a shift in the distribu...

  • Review
  • Open Access
349 Views
25 Pages

Assessment of Noise Exposure in United States Urban Public Parks: A Scoping Review

  • Ugoji Nwanaji-Enwerem,
  • Kevin M. Mwenda,
  • Shira Dunsiger and
  • Diana Grigsby-Toussaint

Adverse exposure to noise pollution is increasingly recognized as a significant public health concern. Strong evidence links noise exposure with negative health outcomes such as cardiovascular disease, mental disorders, stress, and sleep disturbance....

  • Article
  • Open Access
273 Views
15 Pages

Barriers to Chronic Disease Healthcare Access in Rural Eastern Cape Province, South Africa

  • Siphelele Mntungwana,
  • Ntiyiso Vinny Khosa,
  • Andiswa Esethu Buso and
  • Nomfuneko Sithole

Background: Inadequate access to healthcare in rural areas worsens the burden of disease, leading to increased morbidity and mortality rates. This study aims to explore the multifaceted barriers that hinder access to chronic disease management at sel...

  • Review
  • Open Access
261 Views
17 Pages

Complexity and Barriers to Vision Care: A Narrative Review Informed by a Mobile Eye Program

  • Valeria Villabona-Martinez,
  • Anne Schulman,
  • Bharadwaj Chirravuri,
  • Kerollos Kamel,
  • Paula A. Sepulveda-Beltran,
  • Zeila Hobson and
  • Evan L. Waxman

Purpose: To describe structural and systemic barriers to ophthalmic care experienced by underserved patients, particularly those facing language obstacles, immigration-related constraints, limited insurance coverage, financial hardship, and navigatio...

  • Article
  • Open Access
186 Views
15 Pages

How Do Young Women Perceive Adult Responses to the Disclosure of Their Self-Harm and What Is the Impact of That Perception?

  • Demee Rheinberger,
  • Isabel Mahony,
  • Anastasia Hronis,
  • Samantha Tang,
  • Helen Christensen,
  • Fiona Shand,
  • Alexis Whitton,
  • Katherine Boydell,
  • Aimy Slade and
  • Alison L. Calear

Rates of self-harm amongst young women are rising. However, only half of individuals disclose self-harm, and when they do, they may be met with responses that can be harmful or helpful to recovery. The aim of the current study is to understand how yo...

  • Article
  • Open Access
358 Views
11 Pages

Occupation and Female Breast Cancer Mortality in South Africa: A Case–Control Study

  • Melitah Motlhale,
  • Hlologelo Ramatsoma,
  • Tsoseletso Maabela,
  • Kerry Wilson and
  • Nisha Naicker

Breast cancer is the most frequently diagnosed malignancy among South African women and remains a leading cause of cancer-related death, yet the role of occupation as an independent predictor of mortality has not been evaluated nationally. In this un...

  • Review
  • Open Access
344 Views
17 Pages

Background: Worldwide, cancer is a leading cause of morbidity and mortality, with symptoms of pain and emotional distress, associated with the disease and its treatment. Art therapy and art making are promising adjuncts to pharmacotherapy for these s...

  • Feature Paper
  • Article
  • Open Access
198 Views
22 Pages

Perceptions of Health in the Denver Refugee Community: A Mixed-Methods Study

  • Katherine Boyd,
  • Jini Puma,
  • Anne Lambert-Kerzner,
  • Benjamin C. Ingman,
  • Maytham Alshadood and
  • Carol E. Kaufman

Refugees often face significant barriers to healthcare access and integration, contributing to poor health outcomes. Although perceptions of health are known predictors of self-reported health status, little is known about how refugees themselves con...

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