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International Journal of Environmental Research and Public Health, Volume 22, Issue 9

2025 September - 152 articles

Cover Story: Among OECD countries, Japanese people report the shortest subjective sleep duration. This study examined age-specific distributions of measured sleep duration and the prevalence of perceived insufficient sleep, while identifying related sleep parameters. Working-age adults had shorter measured sleep durations than those aged ≥ 60 years. About 20% of those aged ≥ 50 years and > 30% of those aged < 50 years reported ≥2 h of sleep deprivation. Perceived insufficient sleep was associated with irregular sleep but not sleep efficiency or sleep latency. There were individual differences in the amount of sleep considered sufficient and in sleep efficiency. In conclusion, implementing measures to address sleep deprivation in Japan’s working-age population is essential, and future epidemiological studies should consider individual differences. View this paper
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Articles (152)

  • Systematic Review
  • Open Access
2,917 Views
22 Pages

Postpartum Women’s Body Dissatisfaction: A Systematic Review of Theoretical Models and Regression Analyses

  • Marcela Rodrigues de Siqueira,
  • Tuany Mageste Limongi,
  • Eduardo Borba Salzer,
  • Ana Paula Delgado Bomtempo,
  • Juliana Fernandes Filgueiras Meireles and
  • Clara Mockdece Neves

Postpartum body image is a critical aspect of maternal well-being, influenced by sociocultural, psychological, and relational factors. Theoretical models offer a broader framework for understanding these influences, whereas regression analyses identi...

  • Article
  • Open Access
1,442 Views
11 Pages

Effects of Combined Training on Visceral Adiposity Index and Metabolic Phenotype in Obesity: A Randomized Clinical Trial

  • Júlia Elena Fontana Ronsani,
  • Mariana Papini Gabiatti,
  • Anne Ribeiro Streb,
  • Rodrigo Sudatti Delevatti,
  • Giovani Firpo Del Duca and
  • Fernanda Hansen

Introduction: The role of obesity in developing metabolic alterations is related to the distribution of adipose tissue, and visceral fat predisposes people to a higher risk than subcutaneous fat. The effect of different forms of periodization of comb...

  • Article
  • Open Access
1,076 Views
22 Pages

Associations of Place-Based Factors with Service Use and Consumer-Reported Unmet Service Needs Among Older Adults Using Publicly Funded Home- and Community-Based Services in the United States

  • Tetyana P. Shippee,
  • Romil R. Parikh,
  • Nicholas Musinguzi,
  • Benjamin W. Langworthy,
  • Jack M. Wolf,
  • Stephanie Giordano and
  • Eric Jutkowitz

Access to home- and community-based services (HCBS) is critical for aging in place; yet many older adults continue to experience unmet needs. While individual-level factors are better-studied, less is known about how neighborhood-level place-based fa...

  • Protocol
  • Open Access
3 Citations
1,627 Views
14 Pages

Designing, Developing, and Evaluating a Stakeholder-Informed Mobile App to Promote Physical Activity in Children

  • Olga Papale,
  • Emanuel Festino,
  • Lamprini Papargyri,
  • Cristina Cortis and
  • Andrea Fusco

Background: Prolonged sedentary behavior and associated obesity are recognized risk factors for poor health across the lifespan. Globally, data show that many children and adolescents aged 5 to 17 significantly increased their sedentary behaviors dur...

  • Review
  • Open Access
2 Citations
2,134 Views
24 Pages

Strengthening Jordan’s Laboratory Capacity for Communicable Diseases: A Comprehensive Multi-Method Mapping Toward Harmonized National Laboratories and Evidence-Informed Public Health Planning

  • Dalia Kashef Zayed,
  • Ruba A. Al-Smadi,
  • Mohammad Almaayteh,
  • Thekryat Al-Hjouj,
  • Ola Hamdan,
  • Ammar Abu Ghalyoun,
  • Omar Alsaleh,
  • Tariq Abu Touk,
  • Saddam Nawaf Almaseidin and
  • Ala’a B. Al-Tammemi
  • + 5 authors

Infectious diseases remain a global threat, with low- and middle-income countries disproportionately affected due to socio-economic and demographic vulnerabilities. Robust laboratory systems are critical for early detection, outbreak containment, and...

  • Article
  • Open Access
877 Views
9 Pages

Social workers are required to have the capacity to effectively support welfare recipients to restore their labor participation for social inclusion. However, a systematic method for process evaluation of this capacity has not yet been established. I...

  • Article
  • Open Access
3,197 Views
19 Pages

Marital relationship quality significantly influences health outcomes, but validated measurement tools for South Asian populations remain limited. To validate scales measuring trust, commitment, and satisfaction as key components of marital relations...

  • Article
  • Open Access
1,227 Views
14 Pages

A Summary of Pain Locations and Neuropathic Patterns Extracted Automatically from Patient Self-Reported Sensation Drawings

  • Andrew Bishara,
  • Elisabetta de Rinaldis,
  • Trisha F. Hue,
  • Thomas Peterson,
  • Jennifer Cummings,
  • Abel Torres-Espin,
  • Jeannie F. Bailey,
  • Jeffrey C. Lotz and
  • REACH Investigators

Background Chronic low-back pain (LBP) is the largest contributor to disability worldwide, yet many assessments still reduce a complex, spatially distributed condition to a single 0–10 score. Body-map drawings capture location and extent of pai...

  • Review
  • Open Access
1,387 Views
27 Pages

Occupational environments often expose workers to physical and psychological stressors that compromise well-being and productivity. While biophilic design has gained attention, there remains limited systematic integration of Nature-Based Solutions (N...

  • Review
  • Open Access
1 Citations
3,338 Views
20 Pages

This rapid literature review was conducted to better understand the evidence base for interventions aimed at improving psychological well-being in disaster response workers. Three databases were searched: MEDLINE, APA PsycArticles, and Embase. Grey l...

  • Article
  • Open Access
802 Views
12 Pages

(1) Introduction: Arab American (ArA) men have higher smoking rates than the general population, driven by cultural norms. Culturally tailored interventions that incorporate ArA cultural, linguistic, and social contexts are essential for addressing t...

  • Article
  • Open Access
1,518 Views
20 Pages

Role of Field Epidemiology in Environmental and Climate Change-Related Health Incidents in Wales: A Qualitative Analysis Through Expert Interviews

  • Omer Faruk Sonmez,
  • Behrooz Behbod,
  • Christopher Roberts,
  • Marco Barracchia,
  • Astghik Baghinyan,
  • Lichita Indra and
  • Katarzyna Czabanowska

Climate change and environmental degradation pose significant challenges to public health globally, intensifying the frequency and severity of related health incidents. Field epidemiology, traditionally focused on infectious disease outbreaks, is now...

  • Opinion
  • Open Access
1 Citations
3,211 Views
10 Pages

Too Hot to Ignore: The Escalating Health Impact of Heatwaves in Brazil

  • Jessica M. Neves,
  • Klauss K. S. Garcia,
  • Beatriz F. A. Oliveira and
  • Marco A. Horta

Heatwaves (HWs) are becoming more frequent and severe, posing a significant threat to human health. Studies have shown that extreme heat, whether as incremental temperature increases or prolonged HWs, is associated with an increased risk of heat-rela...

  • Article
  • Open Access
1,802 Views
11 Pages

Anxiety and Depression Among University Students in Cali, Colombia: A Cross-Sectional Analysis of the Prevalence and Contributing Factors

  • Florencio Arias-Coronel,
  • Carlos Andres Garibello-Millan,
  • Diana María Dávila-Vidal,
  • María Fernanda Serna-Orozco and
  • Mauricio Solórzano-Alarcón

Depression and anxiety are mental health conditions that can significantly impact individuals’ well-being, with various risk factors contributing to their severity. This study aimed to characterise the prevalence of anxiety and depression among...

  • Article
  • Open Access
729 Views
23 Pages

The Luminos Project: Co-Designing a Short-Stay Suicide Support Model for Young People

  • Aims Hansen,
  • Samantha Speirs,
  • Kirsten Panton,
  • Jacinta Freeman,
  • Zrinka Highfield,
  • Kieren Marshall,
  • Eleanor Tighe,
  • Laura Hemming,
  • Bep Uink and
  • Ashleigh Lin
  • + 2 authors

Background: Suicide was the leading cause of death among young Australians aged 15–24 years old in 2023, with 392 lives lost. The continued high numbers of youth suicide demand urgent exploration of alternative approaches to suicide interventio...

  • Article
  • Open Access
1,563 Views
14 Pages

Attitudes Toward Older Adults: A Descriptive Cross-Sectional Study in Chilean University Students

  • Igor Cigarroa,
  • Jesus Alonso,
  • María Gabriela Vallejos,
  • Maria Antonia Parra-Rizo,
  • Daniel Basoalto,
  • Daniela Robles-Tapia,
  • Yeny Concha-Cisternas,
  • Rafael Pizarro,
  • Juana Borja-González and
  • Rodrigo Yañez-Yañez

Background: Ageism is a growing concern in aging societies and can affect future professionals’ attitudes toward older adults. Objective: To analyze the association between attitudes toward old age, self-perceptions of aging, and contact with o...

  • Article
  • Open Access
1 Citations
1,433 Views
13 Pages

This study aimed to characterize access to food establishments through a meal delivery application in university and non-university settings within a Brazilian metropolis. This cross-sectional study used data from a leading meal delivery platform. Al...

  • Article
  • Open Access
1,940 Views
12 Pages

Suicide in Japan remains elevated and uneven across regions. We hypothesized that (H1) unemployment and (H2) living alone each increase suicide mortality, and that (H3) their combination yields more-than-additive risk, especially among middle-aged me...

  • Article
  • Open Access
1,036 Views
10 Pages

Antenatal depression significantly contributes to maternal and neonatal morbidity worldwide; however, the rate of screening, particularly in low- and middle-income countries (LMICs), remains very low. This cross-sectional survey study was aimed at de...

  • Article
  • Open Access
1,095 Views
12 Pages

The Healing Environment for Healthcare Staff in Paediatric Settings: A Cross-National Semi-Structured Survey on Healthcare Staff Satisfaction

  • Silvia Mangili,
  • Beatrice Pattaro,
  • Andrea Brambilla,
  • Gaia Ferraguzzi,
  • Cristiana Caira and
  • Stefano Capolongo

Background: The existing literature emphasises that the hospital environment plays a critical role in the experiences of patients and healthcare workers. To better understand the perspectives of healthcare staff in such settings, a questionnaire-base...

  • Systematic Review
  • Open Access
1,814 Views
19 Pages

This study aimed to systematically review literature on the effects of art therapy in Chinese patients with depression. The review was conducted in accordance with the guidelines of the preferred reporting items for systematic reviews and meta-analys...

  • Article
  • Open Access
3 Citations
1,934 Views
19 Pages

Latvia faces one of the lowest nurse-to-population ratios in the EU, resulting in critical staff shortages in intensive care units (ICUs). Nurses frequently care for more patients than recommended, which not only compromises patient safety but also p...

  • Review
  • Open Access
3 Citations
7,025 Views
22 Pages

Interventions to Reduce Mental Health Stigma Among Health Care Professionals in Primary Health Care: A Systematic Review and Meta-Analysis

  • Lazzat Zhamaliyeva,
  • Nurgul Ablakimova,
  • Assemgul Batyrova,
  • Galina Veklenko,
  • Andrej M. Grjibovski,
  • Sandugash Kudaibergenova and
  • Nursultan Seksenbayev

Background: Stigmatizing attitudes toward individuals with mental health conditions are common among healthcare professionals in primary healthcare (PHC) settings, posing a major barrier to early diagnosis, appropriate treatment, and recovery. Method...

  • Article
  • Open Access
1,675 Views
44 Pages

What key characteristics of forest sites and trails contribute to enjoyable and healthy immersive nature experiences for visitors? Previous research has helped identify the conceptual structure and criteria important in facilitating successful experi...

  • Article
  • Open Access
2,623 Views
15 Pages

Teaching is a complex profession that demands simultaneous cognitive and emotional efforts. The present study aims to determine whether teachers’ emotional intelligence moderates the relationship between psychosocial risk factors and burnout. A...

  • Article
  • Open Access
1,666 Views
16 Pages

Food safety management in rural ethnic schools remains underdeveloped in Northern Thailand. This study evaluates such systems in primary schools using the Plan Do Check Act (PDCA) framework, which can serve as a scalable and culturally sensitive tool...

  • Review
  • Open Access
1,185 Views
14 Pages

Environmental Risk in American Indian Children, Including Cardiovascular and Hematologic Consequences of Cadmium Exposure: Possible Means of Mitigation

  • Joseph Burns,
  • Cesar E. Larancuent,
  • Cian L. Jacob,
  • Danielle A. Heims-Waldron,
  • Whitney R. Lloyd,
  • Justin P. Zachariah,
  • Abraham Haimed,
  • Ana Navas-Acien and
  • Jason F. Deen

Emerging evidence reveals that cadmium exposure is associated with hypertension, cardiovascular disease (CVD), and anemia, among others. Toxic metal exposure poses a particular threat to American Indian/Alaska Native populations, particularly given t...

  • Article
  • Open Access
2,889 Views
16 Pages

This study investigated the effects of LED versus fluorescent task lighting on sleep quality and daytime functioning among office workers in a windowless environment. Using a within-subjects crossover design with 32 full-time employees, participants...

  • Article
  • Open Access
1 Citations
1,650 Views
29 Pages

An International Comparative Reliability and Concurrent Validity Assessment of the Multi-Level Job Content Questionnaire (JCQ) 2.0

  • Wilfred Agbenyikey,
  • Jian Li,
  • Sung-Il Cho,
  • Sarven S. McLinton,
  • Maureen Dollard,
  • Maren Formazin,
  • Bongkyoo Choi,
  • Irene Houtman and
  • Robert Karasek

Background: This paper empirically tests the new multi-level Associationalist Demand Control (ADC) theory by applying the Job Content Questionnaire (JCQ) 2.0 that assesses both a wide range of task characteristics as well as work organizational and e...

  • Correction
  • Open Access
565 Views
1 Page
  • Article
  • Open Access
1,131 Views
17 Pages

Evaluating a Research Training Program in Environmental Health and Noncommunicable Diseases in Georgia

  • Carla J. Berg,
  • Lela Sturua,
  • Amiran Gamkrelidze,
  • Tina Beruchashvili,
  • Tinatin Manjavidze,
  • Givi Javashvili,
  • Nino Kiladze,
  • Levan Baramidze and
  • W. Michael Caudle

The Clean Air Research and Education (CARE) program, launched in 2020, aims to enhance environmental health (EH) and noncommunicable disease (NCD) research capacity in the Republic of Georgia. This paper evaluates the first 4.5 years of CARE, summari...

  • Article
  • Open Access
769 Views
19 Pages

Traditional Knowledge Holders and Practitioners: First Responders in Native Nations During the COVID-19 Pandemic

  • Nicolette I. Teufel-Shone,
  • Amanda Hunter,
  • Carol Goldtooth-Begay,
  • Manley A. Begay,
  • Andria B. Begay,
  • Darold H. Joseph,
  • Melinda S. Smith and
  • Julie A. Baldwin

Native Americans in the US experienced disproportionate risks of COVID-19 infection and mortality. Despite these adversities, Native Americans relied on the world view and lessons of their cultural teachings, as strategies to find personal solace and...

  • Article
  • Open Access
1,000 Views
18 Pages

The COVID-19 pandemic led to psychological impacts for young adults worldwide. Young adults with chronic medical conditions (YACCs) generally experience a higher risk of psychological impairment. This study examined the differences regarding the impa...

  • Review
  • Open Access
2,766 Views
18 Pages

Digital Health Technologies for Diabetic Foot Ulcers: A Systematic Review of Clinical Evidence, Access Inequities, and Public Health Integration

  • Tatiana Cristina Dias de Oliveira,
  • Alana Ferreira de Oliveira,
  • Laila de Castro Araújo,
  • Maria Pantoja Moreira de Sena,
  • Valéria de Castro Fagundes,
  • Phelipe Augusto Rabelo Paixão,
  • Stefani Gisele Bastos Dornas,
  • Clarisse Andrade Sales,
  • Ana Paula Simões Castro and
  • Luann Wendel Pereira de Sena
  • + 1 author

Diabetic foot ulcers are among the most severe complications of diabetes mellitus, disproportionately affecting populations in low- and middle-income countries. Digital health technologies have emerged as promising tools for prevention, diagnosis, an...

  • Article
  • Open Access
1,836 Views
12 Pages

Assessing Transportation Barriers to Maternal Care for Black Women in Los Angeles County

  • Rebecca O. Usigbe,
  • Zanobia R. Ibrahim-Watkins,
  • Astrid Williams,
  • Sylvie Wilson,
  • Zoe Cunliffe,
  • Gabrielle Brown,
  • Tianna Shaw-Wakeman and
  • Regan F. Patterson

The United States ranks among the worst high-income countries for maternal health outcomes, with Black women experiencing disproportionately high and alarming rates of maternal mortality and morbidity. In Los Angeles County, Black women are four time...

  • Review
  • Open Access
1,810 Views
20 Pages

Psychological Resilience in Latin America Nursing Students Using the Wagnild and Young Scale: A Scoping Review

  • William Donegá Martinez,
  • Marco Antonio Ribeiro Filho,
  • Tiago Casaleiro,
  • Marcos Sanches Rodrigues,
  • Emerson Roberto dos Santos,
  • Daniele Nunes Longhi Aleixo,
  • João Daniel de Souza Menezes,
  • Matheus Querino da Silva,
  • Renato Mendonça Ribeiro and
  • Júlio César André
  • + 20 authors

Nursing students frequently experience considerable stress, impacting their mental well-being and preparedness for professional practice. Psychological resilience is paramount in navigating these demands. This scoping review synthesized studies on re...

  • Article
  • Open Access
1,745 Views
13 Pages

Burnout and Psychosocial Risks Among Doctors Working in the Private Sector: The Role of Health and Wellbeing Resources

  • Kevin Rui-Han Teoh,
  • Oliver Bullock,
  • Marleen Reinke,
  • Gail Kinman,
  • Nicola Cordell and
  • Jo Yarker

The increasing prevalence of private-sector work among doctors raises questions about its impact on their health and wellbeing. While private practice may offer autonomy and financial benefits, it presents unique psychosocial risks that are less unde...

  • Article
  • Open Access
1,932 Views
30 Pages

Thriving from Work Questionnaire: Validation of a Measure of Worker Wellbeing Among Older U.S. Workers

  • Maren Wright Voss,
  • Cal J. Halvorsen,
  • Kanchan Yadav,
  • Stephanie M. Neidlinger,
  • Gregory R. Wagner and
  • Susan E. Peters

As life expectancy and retirement ages rise globally, understanding how older workers thrive in the workplace is an increasingly vital measurement and wellbeing priority. In this study, we validated the Thriving from Work Questionnaire (TfWQ) for wor...

  • Article
  • Open Access
1,213 Views
20 Pages

Association Between Climate Change Awareness and Depression & Anxiety: Findings from a U.S. Sample

  • Stanley Nkemjika,
  • Colvette Brown,
  • Henry Onyeaka,
  • Srikanta Banerjee and
  • Jennifer A. Oliphant

Background: Exploring the connection between climate change awareness and overall well-being is crucial, particularly in how it impacts both the environment and mental health. The mental health consequences of climate change and its awareness have no...

  • Article
  • Open Access
2,304 Views
18 Pages

Users’ Perspectives on Primary Care and Public Health Services in the State of Rio de Janeiro, Brazil: A Cross-Sectional Study with Implications for Healthcare Quality Assessment

  • Igor F. L. Ferraz,
  • Mariana C. Raimundo,
  • Natalia M. A. M. Barros,
  • Jhoyce S. Souza,
  • Barbará M. V. Lucio,
  • Thiago P. Tenreiro,
  • Edna A. Reis,
  • Danielle Maria de Souza Serio dos Santos,
  • Luisa A. Chaves and
  • Isabella Piassi D. Godói
  • + 3 authors

This study focuses on the Unified Health System (SUS) in five regions of the state of Rio de Janeiro, Brazil, one of Brazil’s most important states, as part of a comprehensive analysis of a research project, which has generated publications in...

  • Article
  • Open Access
1,122 Views
12 Pages

Investigating the Dual Role of Trace and Toxic Elements in Pregnancy-Related Health Outcomes

  • Thaveesak Sai-ong,
  • Donrawee Waeyeng,
  • Tanaporn Khamphaya,
  • Yanisa Rattanapan,
  • Warinya Hnoocham,
  • Katesiri Samaphong,
  • Soisungwan Satarug and
  • Supabhorn Yimthiang

Maternal health during pregnancy can be influenced by exposure to essential trace and toxic elements, notably cadmium, lead, chromium, and arsenic. Using inductively coupled plasma optical emission spectrometry, this study determined blood concentrat...

  • Article
  • Open Access
1,504 Views
8 Pages

We conducted a cross-sectional, population-based study to investigate the association between hearing loss and allergic rhinitis with attention deficit hyperactivity disorder (ADHD) using pediatric patient samples from the Korea Health Insurance Revi...

  • Article
  • Open Access
1,594 Views
18 Pages

Latent Profile Analysis of Children’s Active Physical Recreation Patterns in Middle Childhood

  • Stephanie C. Field,
  • John T. Foley,
  • Patti-Jean Naylor and
  • Viviene A. Temple

Understanding factors that influence physical activity participation in middle childhood is essential for developing effective interventions. To date, many studies have contributed valuable knowledge on the individual, or person-centered, factors tha...

  • Article
  • Open Access
10 Citations
2,198 Views
28 Pages

Background and Objectives: Professional burnout threatens special education teachers’ well-being and educational service quality through three psychological dimensions: emotional exhaustion, depersonalization, and personal achievement. Limited...

  • Article
  • Open Access
733 Views
17 Pages

Foundational behaviours across health, education, sanitation, and energy use remain suboptimal in Mbire District, Zimbabwe. This qualitative formative study examined drivers of and barriers to five priority behaviours: birth notification and registra...

  • Article
  • Open Access
1,212 Views
13 Pages

Background: Prolonged use of electronic devices in virtual classrooms can influence posture, neck angle, and body discomfort. Recent evidence suggests that not only “incorrect” postures but also sustained static positions, regardless of b...

  • Review
  • Open Access
2,129 Views
22 Pages

Sex and Gender Influences on the Impacts of Disasters: A Rapid Review of Evidence

  • Carol Muñoz-Nieves,
  • Lorraine Greaves,
  • Ella Huber,
  • Andreea C. Brabete,
  • Lindsay Wolfson and
  • Nancy Poole

Both sex-related factors and gender-related factors affect the immediate and long term mental and physical health impacts of disasters, including those resulting from public health emergencies, climate-related events, and naturally occurring phenomen...

  • Article
  • Open Access
1,095 Views
13 Pages

Effectiveness of Ethnic-Cultural Educational Strategies for the Promotion of Breastfeeding

  • José Fabián Hidrobo-Guzmán,
  • Gladys Edelmira Morejón-Jácome,
  • Edison Daniel Cárdenas-Robles,
  • Lizbeth Dayana Pilco-Vargas,
  • Doménica Vanesa Posso López and
  • Estefany Tatiana Iguago Angamarca

Introduction: The implementation of pedagogical tactics with ethnic-cultural approaches represents essential mechanisms for promoting breastfeeding, ensuring greater effectiveness in knowledge dissemination. These are supported by cultural ideologies...

  • Article
  • Open Access
1,091 Views
13 Pages

Radiological Findings of Chest X-Rays During the Hajj Seasons 1444–1445 H/2023–2024 G: Diagnostic Quality and Gender Differences in Interpretation Concordance

  • Ghadah Sulaiman Alsaleh,
  • Abdulaziz Almosabahi,
  • Abdulaziz S. Alhomod,
  • Mohamed Elgaria,
  • Haifa Alharbi,
  • Mohamed Sabry,
  • Mohammed Elttanikhy,
  • Ebtsam Kamal,
  • Hassel Mohammed Alasmary and
  • Anas Khan
  • + 3 authors

Background: Mass gatherings like the Hajj pilgrimage present unique challenges for radiological services, with high patient volumes and increased respiratory disease risks necessitating reliable chest X-ray interpretation. Objectives: The objective o...

  • Article
  • Open Access
1,320 Views
12 Pages

The Use of Telerehabilitation Among Libyan Physiotherapists During the COVID-19 Pandemic: A Cross-Sectional Study

  • Sami Elmahgoub,
  • Adel El Taguri,
  • Amira Ben Said,
  • Farah Abu Khadra,
  • Aseel Aburub and
  • Ákos Levente Tóth

Background: The COVID-19 pandemic has significantly disrupted healthcare delivery globally, particularly affecting physiotherapy practices that rely on close patient interactions. Objectives: This study investigates the knowledge and readiness of Lib...

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