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

2025 December - 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
660 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
1,486 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
525 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
711 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
786 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
571 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
554 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
679 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
1,027 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
373 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...

  • Article
  • Open Access
701 Views
23 Pages

Prenatal Exposure to Phthalates, Bisphenols and Their Mixtures and Early Childhood Allergic Conditions and Asthma: Results from the APrON Cohort

  • Emily Bartram,
  • Gillian England-Mason,
  • Jonathan W. Martin,
  • Amy M. MacDonald,
  • David W. Kinniburgh,
  • Deborah Dewey and
  • Munawar Hussain Soomro

Associations between prenatal exposure to phthalates, bisphenols and their mixtures and early childhood allergic conditions and asthma were examined. Five hundred and fifty-six mother–child pairs from the Alberta Pregnancy Outcomes and Nutritio...

  • Article
  • Open Access
647 Views
19 Pages

Young Australian Women’s Views on Peer Support for Self-Harm: A Qualitative Study

  • Amy Wang,
  • Demee Rheinberger,
  • Samantha Tang,
  • Helen Christensen,
  • Alison L. Calear,
  • Katherine Boydell,
  • Alexis Whitton,
  • Aimy Slade and
  • Anastasia Hronis

Self-harm among young women has been rising internationally and in Australia, yet many are not in contact with formal services. Peer support may play an important role in managing self-harm; however, it remains under-investigated. This qualitative st...

  • Article
  • Open Access
428 Views
25 Pages

In the digital age, online industry documents have become an available and abundant source to inform qualitative health research on the commercial determinants of health (CDOH), including how corporations shape knowledge, policy, and public perceptio...

  • Article
  • Open Access
761 Views
15 Pages

Barriers to Healthcare Access for Homeless Women: Perspectives of Social Intervention Professionals

  • María Virginia Matulič Domandzič,
  • José Manuel Díaz González,
  • Núria Fustier García and
  • Eliana González Gómez

(1) Background: Female homelessness is one of the most invisible forms of social exclusion, aggravated by structural and gender factors and by experiences of violence. This research analyzes the multifaceted barriers hindering women experiencing home...

  • Article
  • Open Access
481 Views
17 Pages

Perspectives from Young Australian Women with Lived Experience on Why Rates of Self-Harm Are Increasing: A Qualitative Study

  • Lorna Hankin,
  • Anastasia Hronis,
  • Alexis Whitton,
  • Samantha Tang,
  • Aimy Slade,
  • Helen Christensen,
  • Alison L. Calear,
  • Katherine Boydell and
  • Demee Rheinberger

Rates of self-harm in Australian young people have increased significantly in recent years, especially in young women. Self-harm has been associated with several risk factors, including a history of abuse, bullying, mood and personality disorders, so...

  • Article
  • Open Access
717 Views
21 Pages

This study examines the economic and humanistic burden associated with multimorbidity among adults in the United States. Using data from the 2019–2022 Medical Expenditure Panel Survey (MEPS), we identified individuals with two or more chronic c...

  • Article
  • Open Access
744 Views
19 Pages

The Association Between Racial Microaggressions and Stereotypes and Self-Rated Mental Health in Asian Women

  • Yvette C. Cozier,
  • Bhavana Ganduri,
  • Michael Tang,
  • Yifan Xie,
  • Uyen-sa D. T. Nguyen and
  • Hyeouk Chris Hahm

The impacts of microaggressions and the Model Minority Myth on self-rated mental health among Asian American (AA) women are unclear. A total of 152 AA women completed an online questionnaire including select items from the Racial and Ethnic Microaggr...

  • Review
  • Open Access
847 Views
32 Pages

An improved understanding of the sanitation enabling environment and status of market development (“sanitation economy”) is crucial not only for advancing national and global sanitation goals, but also for attracting the financing necessary to drive...

  • Article
  • Open Access
524 Views
16 Pages

Male partner involvement (MPI) is recognised as an important strategy for improving maternal health, yet little is known about women’s preferences for how men should participate in antenatal care (ANC) and childbirth. This study explored Sesoth...

  • Article
  • Open Access
749 Views
21 Pages

On 7 October 2023, Israel experienced a large-scale attack, initiating the Iron Swords War (also known internationally as the 2023 Israel–Hamas War). This protracted armed conflict profoundly disrupted social and economic life in Israel and the...

  • Editorial
  • Open Access
307 Views
4 Pages

Bridging the Gap in Studies on the Food Environment: The State-of-the-Art in LMICs

  • Mariana Carvalho de Menezes,
  • Ariene Silva do Carmo and
  • Larissa Loures Mendes

Food systems influence population health through multiple pathways and are recognized
as key drivers of the global syndemic of undernutrition, obesity, and climate change
(Swinburn et al., 2019) [...]

  • Article
  • Open Access
1,471 Views
21 Pages

Epidemiology Meets Advocacy: Understanding Pediatric Dental Trauma and Delayed Care in Post-Conflict Syria

  • Yasser Alsayed Tolibah,
  • Nada Bshara,
  • Ramah E. Makieh,
  • Marwan Alhaji,
  • Mohammed N. Al-Shiekh,
  • MHD Bashier AlMonakel,
  • Osama Aljabban and
  • Ziad D. Baghdadi

Objective. To evaluate the prevalence, risk factors, aetiology, and management of traumatic dental injuries (TDIs) among children aged 1–18 years attending the Department of Pediatric Dentistry, Damascus University, Syria, during 2023–202...

  • Review
  • Open Access
1,636 Views
16 Pages

What to Know About Falls in Older Adults? Risk Factors, Predictors, and Therapeutic Interventions

  • Fernanda Bueno Pilastri,
  • Julia Fantim Lopez,
  • Eric Nkansah Boateng and
  • Nise Ribeiro Marques

Background: Approximately one quarter of community-dwelling older adults experience at least one fall each year. Falls can result in soft tissue injuries, fractures, or even death. Given this high prevalence, it is essential to identify fall-related...

  • Article
  • Open Access
612 Views
19 Pages

In 2016, the South African government approved free oral PrEP distribution among high-risk groups like female sex workers (FSWs) to reduce new HIV infections. Despite the availability, unique barriers exist that challenge PrEP persistence, including...

  • Article
  • Open Access
865 Views
18 Pages

Getting an Active Start: Assessing the Impact of a Physical Literacy-Based Intervention on Preschool-Aged Children’s Fundamental Movement Skills, Motor Competency and Behavioral Self-Regulation

  • Breanne C. Wilhite,
  • Kenneth Chui,
  • Jennifer M. Sacheck,
  • Daniel P. Hatfield,
  • Margaret Morris,
  • Megan Ziembowicz,
  • Stephanie Herrick and
  • Erin Hennessy

Fundamental movement skills (FMS) and behavioral self-regulation (SR) are important for lifelong physical activity (PA). While physical literacy (PL) mediates child PA, its broader developmental impact in early childhood education (ECE) remains under...

  • Article
  • Open Access
793 Views
17 Pages

The Impact of Coursework Demand and Learning Engagement on Mental Fatigue in Online College Students

  • Fethi Ahmet Inan,
  • Edwin Teye Sosi,
  • Deniz Unal,
  • Fatemeh Marzban and
  • Gail Alleyne Bayne

The purpose of this study was to examine the relationships among coursework demand, course value, learning engagement, and mental fatigue among online undergraduate students in the United States. Data was collected through a panel survey involving 41...

  • Study Protocol
  • Open Access
867 Views
25 Pages

Design of a Prospective Human–Animal Cohort Study to Evaluate the Role of Camels and Other Livestock Species in the Transmission of Brucella spp. to Humans in Kenya

  • Dismas Oketch,
  • Ruth Njoroge,
  • Isaac Ngere,
  • John Gachohi,
  • Samuel Waiguru,
  • Dalmas Omia,
  • Peninah Munyua,
  • Samoel Khamadi,
  • Bonventure Juma and
  • Eric Osoro
  • + 16 authors

Brucellosis remains a major zoonotic disease worldwide, with disproportionate burden in low- and middle-income countries where limited veterinary and healthcare infrastructure constrain effective control measures. However, its pathways of transmissio...

  • Article
  • Open Access
314 Views
11 Pages

Objectives: The crime rate in Trinidad and Tobago has increased over the last few years. It is important to understand the impact of rising societal crime on university workplace productivity in order to make meaningful recommendations to mitigate th...

  • Article
  • Open Access
441 Views
11 Pages

Measuring Attitudes Toward Plastics: A Cross-Cultural Adaptation and Patient Evaluation Study

  • Francesca Diodati,
  • Denisa Gabriela Balan,
  • Giovanni Libralato,
  • Loredana Manfra,
  • Valerio Vanelli,
  • Matteo Puntoni and
  • Caterina Caminiti

Individual behaviors play a crucial role in generating and mitigating plastic pollution. Understanding citizen knowledge and perceptions is therefore critical to inform effective public interventions. Surveys can provide this information, but they mu...

  • Article
  • Open Access
1,337 Views
30 Pages

This study investigates how technostress and work intensification jointly influence employee health harm through two distinct stressor-strain pathways within Pakistan’s manufacturing sector. The proposed model specifies two mechanisms, (1) tech...

  • Article
  • Open Access
619 Views
11 Pages

Burden of Mental and Behavioral Disorders in Colombia, 2022: A Subnational Analysis Based on Disability-Adjusted Life Years

  • Karen Julieth Quintero Díaz,
  • Oscar Alexander Gutierrez Lesmes and
  • Emilce Salamanca Ramos

Mental disorders encompass conditions that affect cognition, emotions, and behavior, representing a major public health challenge. In Colombia, there are no studies that estimate the burden of disease caused by mental and behavioral disorders. This s...

  • Article
  • Open Access
1,566 Views
11 Pages

Inclusive sports and recreational programs are essential for enhancing the physical, social, and psychological well-being of learners with disabilities. In South Africa (SA), and particularly in rural provinces such as Limpopo, the development of suc...

  • Article
  • Open Access
442 Views
10 Pages

Genetic Predictors of Psychosomatic Symptoms in Individuals with Metabolic Syndrome: Insights from a Cross-Sectional Study in Kazakhstan

  • Dinara Nemetova,
  • Mira Zhunissova,
  • Gulnaz Nuskabayeva,
  • Ugilzhan Tatykayeva,
  • Ainash Oshibayeva,
  • Nursultan Nurdinov,
  • Dilbar Aidarbekova,
  • Ainur Turmanbayeva,
  • Yerbolat Saruarov and
  • Karlygash Sadykova
  • + 3 authors

Background: Metabolic syndrome (MetS), a cluster of cardiometabolic abnormalities including elevated blood pressure, impaired glucose regulation, dyslipidemia, and increased waist circumference is increasingly recognized as a condition linked to both...

  • Article
  • Open Access
401 Views
14 Pages

Consumption Patterns of Psychotropic Drugs Among Veterinary Medicine Students at the Federal University of Santa Maria

  • Giovanne de Jesus Silva Pereira,
  • Francini Arboit,
  • Júlia Rosa Diniz,
  • Eliane Maria Zanchet and
  • Guilherme Vargas Bochi

The rise in psychotropic drug use among students, particularly in Veterinary Medicine, correlates with high rates of mental disorders like depression and anxiety, often exacerbated by academic stress. Factors such as high academic demands, emotional...

  • Article
  • Open Access
973 Views
17 Pages

The Lived Experience of Thai LGBTQ+ Adolescents—Self-Discovery, Healing from Depression, and the Need for Support: A Phenomenological Study

  • Wipawan Chaoum Pensuksan,
  • Saifon Aekwarangkoon,
  • Montha Saithanwanitkul,
  • Christina Montsma and
  • Earlise Ward

LGBTQ+ adolescents experience disproportionately high rates of depression globally, yet little is known about how these experiences are shaped by Thailand’s unique cultural context. This study addresses this gap by examining how Thai LGBTQ+ ado...

  • Article
  • Open Access
805 Views
16 Pages

Effect of Atmospheric Temperature Variations on Glycemic Patterns of Patients with Type 1 Diabetes: Analysis as a Function of Different Therapeutic Treatments

  • Alessandra Mascitelli,
  • Stefano Tumini,
  • Piero Chiacchiaretta,
  • Eleonora Aruffo,
  • Lorenza Sacrini,
  • Maria Alessandra Saltarelli and
  • Piero Di Carlo

An overview of seasonal variations in glycaemic patterns in children and young adults with type 1 diabetes has been addressed in a previous work, which paved the way for an in-depth study involving not only traditional Multiple Dose Injection (MDI) t...

  • Article
  • Open Access
1,091 Views
21 Pages

Effective Model of Emerging Disease Prevention and Control in a High-Epidemic Area, Chiang Rai Province

  • Jiraporn Sangsuwan,
  • Phitsanuruk Kanthawee,
  • Pamornsri Inchon,
  • Phataraphon Markmee and
  • Phaibun Chiraphatthakun

A concurrent mixed-methods study was conducted to examine the factors influencing COVID-19 prevention and control behaviors and to describe the management model implemented in Mae Sai District, a Thai–Myanmar border community, from June 2022 to...

  • Article
  • Open Access
626 Views
12 Pages

There is sustained research interest examining what constitutes positive and effective professional experience placements. However, few studies have investigated the financial costs of placements for health profession students. This study bridges the...

  • Article
  • Open Access
631 Views
21 Pages

Texting while driving (TWD) is a leading cause of distracted driving-related crashes, especially among college students. This study applied the Multi-Theory Model (MTM) of health behavior change to predict initiation and sustenance of refraining from...

  • Article
  • Open Access
662 Views
12 Pages

Combating Malnutrition: Nutrient and Energy Composition of Locally Formulated Ready-to-Use Therapeutic Foods for Children

  • Amina Sa’id Muhammad,
  • Eridiong Ogbonna Onyenweaku,
  • Kamaluddeen Babagana,
  • David Sale Danjuma and
  • Raymond Nabem Beba

Background: Nigeria faces a severe child malnutrition crisis, with approximately 1 million severe cases reported for 2025. This burden positions Nigeria among the top countries globally for stunting and wasting in under-fives, exacerbated by factors...

  • Article
  • Open Access
740 Views
30 Pages

Temporal Trends in Tuberculosis Incidence in the 1st Health Region of Alagoas, Brazil (2001–2022)

  • Givanildo de Gois,
  • Paulo Miguel de Bodas Terassi,
  • Juaneza Barroso Falcão,
  • Kelly Alonso Costa,
  • Bruno Serafini Sobral,
  • Marcelo Alves Muniz,
  • Welington Kiffer de Freitas and
  • Roberta Fernanda da Paz de Souza Paiva

The present study aimed to examine the temporal dynamics of tuberculosis incidence, mortality, and TB–HIV coinfection in the First Health Region of Alagoas from 2001 to 2022, with particular attention to sex-specific differences. The analysis r...

  • Article
  • Open Access
771 Views
13 Pages

HPV Vaccine: An Effective but Underutilized Prevention Tool

  • Vittorio Grieco,
  • Debora Fiorito,
  • Gabriele Giorgianni,
  • Eleonora Irato,
  • Alessia Anna Di Prima,
  • Chiara Chillari,
  • Antonella Ippolito,
  • Liliana Mereu and
  • Rosalia Ragusa

HPV vaccines are among the most effective vaccines available, offering safe administration and high cost-effectiveness. The composition of the vaccines has been changed, involving enrichment with pathogenic strains and extending the possibility of pr...

  • Project Report
  • Open Access
536 Views
13 Pages

Impact of Cash for Health Assistance on Healthcare Access and Health-Seeking Behaviors for Families of Pregnant Women in Sindh, Pakistan

  • Faiza Rab,
  • Ahmad Wehbi,
  • Asma Hasnat,
  • Chelvi Singeswaran,
  • Mohamed Aliyar Ifftikar and
  • Salim Sohani

Background: The 2022 Pakistan floods devastated healthcare access for pregnant women in already impoverished areas in Sindh province. This study examines how Cash for Health assistance (CH) of USD 112 alleviated financial burdens and improved materna...

  • Systematic Review
  • Open Access
1,349 Views
30 Pages

Urban green infrastructure (UGI) is widely used to adapt to the impacts of climate change. Its multiple benefits are well documented, with health-related benefits receiving growing attention, especially post-COVID-19. However, the existing evidence r...

  • Article
  • Open Access
525 Views
11 Pages

Background: Lung carcinoma remains the leading cause of cancer-related mortality worldwide, with smoking as the primary risk factor and radon exposure as the second, and the first among non-smokers. The combined effect of tobacco smoke and indoor rad...

  • Feature Paper
  • Article
  • Open Access
655 Views
11 Pages

Qualitative Content Analysis of COVID-19’s Role in Suicide Attempts Leading to Hospital Care

  • Martina Mravlja,
  • Anthony Pisani,
  • Annamarie Bailey,
  • Nicola Meda,
  • Alexandre Paim-Diaz,
  • Kristina Zurich and
  • Kenneth Conner

Introduction: The impact of the COVID-19 pandemic on suicide risk has been documented during the acute phase, but less is known about people who attempted suicide during the post-acute period. This study investigates how adults who attempted suicide...

  • Article
  • Open Access
527 Views
11 Pages

Path Model of Risk Factors for Age at Primary Tooth Eruption: A Cohort Study of Preterm and Term Infants

  • Bianca S. Tavares,
  • Jéssica M. Bittencourt,
  • Joana Ramos-Jorge,
  • Saul M. Paiva,
  • Jhonathan Lopes-Silva and
  • Cristiane B. Bendo

Several factors have been associated with delayed eruption of primary teeth. Thus, the objective of the study was to test a path model of the direct and indirect birth-related risk factors influencing the age of first primary tooth eruption in infant...

  • Article
  • Open Access
400 Views
15 Pages

Correlations Between Oxygen Consumption, Ventilatory Mechanics, and Lung Ultrasound in Individuals with Post-COVID Syndrome

  • Jéssica Gabriela Messias Oliveira,
  • Samantha Gomes de Alegria,
  • Isabelle da Nóbrega Ferreira,
  • Iasmim Maria Pereira Pinto Fonseca,
  • Matheus Mello da Silva,
  • Beatriz Pereira dos Santos,
  • Marcelo Ribeiro-Alves,
  • Estêvão Rios Monteiro,
  • Agnaldo José Lopes and
  • Thiago Thomaz Mafort

Introduction: Since COVID-19 primarily targets the respiratory system, it is essential to longitudinally monitor functional capacity and pulmonary function in individuals with post-COVID syndrome (PCS). This study aimed to evaluate the functional cap...

  • Article
  • Open Access
548 Views
15 Pages

Poor nutrition knowledge and unhealthy eating habits are major contributors to the global rise in non-communicable diseases. Despite the abundance of nutrition information, many individuals struggle with adopting and maintaining healthy eating patter...

  • Article
  • Open Access
602 Views
15 Pages

Feasibility and Preliminary Efficacy of Enhanced Midwifery Care to Support Women Experiencing Subclinical Depression: A Pilot Randomised Controlled Trial

  • James R. John,
  • Wendy Pickup,
  • Antonio Mendoza Diaz,
  • Sara Cibralic,
  • Aleisha Heys,
  • Virginia Schmied,
  • Bryanne Barnett and
  • Valsamma Eapen

This study investigated the feasibility and preliminary effects of enhanced midwifery care in reducing subclinical depression symptoms among women in ethnically diverse areas of the South Western Sydney Local Health District (SWSLHD). A pilot randomi...

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