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International Journal of Environmental Research and Public Health, Volume 23, Issue 6

2026 June - 135 articles

Cover Story: Previous research shows that housing security and quality influence physical and mental health; however, relatively few studies explicate the mechanisms by which housing mobility programs affect family health. We use a single-case design to examine how the health of families with children is altered by Families Flourish, which combines three years of rental assistance, life coaching, and placements in safe, well-resourced neighborhoods. Our analysis identifies distinct pathways through which mobility improves health—via improved indoor air quality, reduced environmental and parental stress, and enhanced access to resources. Initial health gains are subsequently leveraged to improve educational and economic outcomes. We observe early gains in physical health, followed by improvements in mental health as stability and safety increase. View this paper
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Articles (135)

  • Article
  • Open Access
791 Views
22 Pages

Drinking Water Quality and Health Risk Assessment in Rural Ghana: Evidence from North-East and North Gonja Districts in the Savannah Region

  • Elvis Kichana,
  • Solomon A. Minyila,
  • Braimah Apambire,
  • Collins Gbeti,
  • Abukari Wumbei and
  • Fati Alhassan

Background: Access to safe drinking water remains a critical public health concern in rural Ghana, particularly in climatically vulnerable and underserved settings. This study assessed the microbiological and chemical quality of drinking water and ev...

  • Article
  • Open Access
1 Citations
619 Views
16 Pages

Physical Activity of University Students During COVID-19 Restrictions: Evidence from Poland

  • Piotr Gabryjończyk,
  • Anna Jęczmyk,
  • Monika Wojcieszak-Zbierska,
  • Jarosław Uglis and
  • Jan Zawadka

This study aims to empirically analyze the patterns, intensity, and perceived barriers to physical activity among Polish university students during the COVID-19 pandemic. The research utilized a diagnostic survey method, employing a questionnaire. Th...

(This article belongs to the Special Issue Physical Activity and Its Association with Health in University Students)
  • Article
  • Open Access
827 Views
16 Pages

Mosquito control personnel work within health departments, public works, private companies, and other agencies. These essential outdoor workers have highly specialized training and are faced with a variety of potential health and safety hazards (e.g....

  • Article
  • Open Access
1 Citations
648 Views
16 Pages

The growing prevalence of gaming disorder (GD) in adolescents is a global concern. Despite parents’ critical role in addressing GD, how dysfunctional parenting practices are associated with adolescent GD remains understudied. This study assesse...

(This article belongs to the Special Issue Psychological Wellbeing, Mental Health and Problematic Internet Use Among Adolescents)
  • Project Report
  • Open Access
633 Views
17 Pages

A National Virtual Peer Support Group for Women Veterans Living with Breast Cancer: Lessons from the Field

  • Jenny K. Cohen,
  • Kara Zamora-Rogoski,
  • Caitlin L. McLean,
  • Mariam E. Jacob,
  • Evana Mack,
  • Haley Moss and
  • Aimee Kroll-Desrosiers

Within the Veteran’s Health Administration (VHA), peer support specialists (PSSs) have traditionally worked in mental health and behavioral health settings. PSS-facilitated cancer support groups are less common and underused in this setting. Th...

(This article belongs to the Special Issue Public Health: Rural Health Services Research—2nd Edition)
  • Article
  • Open Access
515 Views
16 Pages

Faecal Pathogen Survival and Risks of Use of Ecological Sanitation By-Products in Burera District, Rwanda: A Quantitative Microbial Risks Assessment

  • Celestin Banamwana,
  • David Musoke,
  • Theoneste Ntakirutimana,
  • Esther Buregyeya,
  • John Ssempebwa,
  • Gakenia Wamuyu Maina,
  • Charles Drago Kato,
  • Lordrick Alinaitwe,
  • Patrick Albert Ipola and
  • Nazarius Mbona Tumwesigye

Reuse of human excreta and derivatives is becoming a common practice in areas with agricultural predominance. While in situ treated faeces through ecological sanitation (Ecosan), known as “faecal by-products” are being used to sustain soi...

  • Article
  • Open Access
1,138 Views
19 Pages

Background: Nutritional biomarkers are linked to body composition changes, but limited evidence has studied how nutritional biomarkers relate to low muscle mass, excess adiposity, and both coexisting conditions across different physical activity leve...

(This article belongs to the Special Issue Exercise and Active Living in Diverse Environments for Health Promotion)
  • Article
  • Open Access
923 Views
15 Pages

Perceived Exertion Is Associated with Cardiovascular Strain but Not Glycemic Response to Gym-Based Exercise in Adults with Type 1 Diabetes: An Exploratory Randomized Crossover Trial

  • José Adevalton Feitosa Gomes,
  • Anthony Rodrigues de Vasconcelos,
  • José Roberto Andrade do Nascimento Júnior,
  • Ysadora Verena Ribeiro de Souza,
  • Fabiana Oliveira dos Santos Camatari,
  • Bruno Bavaresco Gambassi,
  • Manoel da Cunha Costa,
  • Paulo Adriano Schwingel and
  • Jorge Luiz de Brito Gomes

Adults with type 1 diabetes mellitus (T1DM) face elevated cardiovascular risk, and regular exercise is a key non-pharmacological mitigation strategy. However, safe prescription requires cardiovascular and glycemic monitoring, often unfeasible in real...

(This article belongs to the Special Issue Health Effects of Physical Activity and Exercise in People at Risk for Cardiovascular Diseases)
  • Article
  • Open Access
1,050 Views
20 Pages

Data in sickle cell disease (SCD) shows that 30–50% of adults have chronic pain. Chronic pain is a life-shaping condition that is often inadequately managed with chronic opioid therapy (COT). Buprenorphine–naloxone (bup-nal) is an alterna...

  • Article
  • Open Access
924 Views
14 Pages

Changes in Bone Parameters and Serum Zinc Levels Following Oral Zinc Supplementation in Duchenne Muscular Dystrophy: A Quasi-Experimental Study

  • Thaís Borges,
  • Evellyn Grilo,
  • Thais Alves Cunha,
  • Luana Lima,
  • Karina Vermeulen-Serpa,
  • Mário Dourado-Júnior,
  • Marília Lopes,
  • Núbia Torres,
  • Breno Bezerra and
  • Sancha Vale
  • + 1 author

Individuals with Duchenne muscular dystrophy (DMD) are prone to nutritional imbalances, and zinc deficiency may contribute to impaired bone health. This study evaluated serum zinc status and the effects of oral supplementation on bone parameters in D...

(This article belongs to the Special Issue Healthcare Delivery and Nutritional Support in Rare Diseases)
  • Article
  • Open Access
745 Views
18 Pages

Risk of Diabetes Mellitus and Its Association with Cardiorespiratory Endurance in Zenú Indigenous People in Momil, Córdoba, Colombia

  • Leily Montoya-Alvarez,
  • Edgar Rodriguez-Sepúlveda,
  • Claudia Galeano-Páez,
  • Osnamir Elias Bru-Cordero and
  • Noelba Alcala-Tafur

Type 2 diabetes mellitus (T2DM) represents a growing public health concern in Indigenous populations, where early risk identification remains limited. This study aimed to analyze the association between estimated T2DM risk and cardiorespiratory endur...

(This article belongs to the Section Infectious Diseases, Chronic Diseases, and Disease Prevention)
  • Article
  • Open Access
1 Citations
584 Views
22 Pages

First-Mile Walking to Transit and Physical Activity: A Cross-Sectional Study of the MRT Pink Line Corridor in Bangkok, Thailand

  • Sigit D. Arifwidodo,
  • Nattanon Ubontip,
  • Natsiporn Sangyuan,
  • Orana Chandrasiri,
  • Panitat Ratanawichit and
  • Putthipanya Rueangsom

Background. First-mile walking to mass rapid transit (MRT) has two methodological problems. Composite walkability scores blur which features drive walking. And because walking to transit is itself transport physical activity (PA), linking it to total...

(This article belongs to the Special Issue Building Healthy Cities: Influences of the Urban Environment on Active Mobility and Human Health)
  • Brief Report
  • Open Access
704 Views
11 Pages

Comparison of Heart Rate Variability Between Sexes: Impact of a Physically Active Lifestyle

  • Reberth Magalhães Da Silva,
  • Ariane Viana,
  • Fernanda Monma,
  • Fernando Alves Santa Rosa,
  • José Robertto Zaffalon and
  • Kátia De Angelis

Sex differences and lifestyle factors such as physical activity play an important role in cardiovascular autonomic regulation. Heart rate variability (HRV) is a widely used marker of cardiac autonomic modulation and cardiovascular health. However, th...

(This article belongs to the Special Issue Health Effects of Physical Activity and Exercise in People at Risk for Cardiovascular Diseases)
  • Article
  • Open Access
820 Views
20 Pages

Male circumcision (MC) has been shown in studies from South Africa, Kenya, and Uganda to reduce heterosexual Human Immunodeficiency Virus (HIV) transmission among men by approximately 50–60%. Despite Namibia’s adoption of voluntary medica...

(This article belongs to the Section Infectious Diseases, Chronic Diseases, and Disease Prevention)
  • Article
  • Open Access
1 Citations
785 Views
11 Pages

A National Overview of Nutritional Care in Diet-Treated Inborn Errors of Metabolism in Brazil

  • Soraia Poloni,
  • Laura de Azevedo Pesce,
  • Viviane de Cássia Kanufre,
  • Lilia Ramos Farret,
  • Camila Pugliese,
  • José Araújo de Oliveira Silva,
  • Monique Poubel,
  • Maria Efigênia de Queiroz Leite and
  • Renata Bernardes de Oliveira

Aim: To evaluate the status of the nutritional management of diet-treated IEM in Brazil from the perspectives of healthcare professionals, patients, and families. Methods: Data were collected through two nationwide digital questionnaires administered...

(This article belongs to the Special Issue Healthcare Delivery and Nutritional Support in Rare Diseases)
  • Article
  • Open Access
521 Views
13 Pages

Association Between Physical Activity, Body Mass Index, and Aerobic Capacity in Periurban Adolescents

  • Fabian Sepúlveda,
  • Ana Peñata-Taborda,
  • Osnamir Bru-Cordero,
  • Leily Montoya-Álvarez and
  • Alicia Humanez-Álvarez

Adolescence is a critical window for health behavior consolidation, yet the combined influence of physical activity level (PAL) and the body mass index (BMI) on aerobic capacity remains understudied, especially in transitioning periurban environments...

(This article belongs to the Special Issue Healthy Child, Healthy Adult—Children’s Nutrition and Physical Activity as a Public Health Concern)
  • Article
  • Open Access
827 Views
18 Pages

Occupational Exposure Profiles and Respiratory Health Outcomes Among Surface and Underground Miners: A Comparative Epidemiological Analysis

  • Masilu Daniel Masekameni,
  • Thokozane Patrick Mbonane,
  • Khathutshelo Vincent Mphaga,
  • Themba Titus Sigudu and
  • Phoka Caiphus Rathebe

Occupational lung diseases remain a significant public health concern in mining populations, particularly in high-exposure environments. This study examined occupational exposure profiles and respiratory health outcomes among surface and underground...

(This article belongs to the Special Issue Modern Epidemiology of Occupational Lung Diseases)
  • Systematic Review
  • Open Access
719 Views
16 Pages

Preoperative Treatment Expectations and Their Association with Postoperative Quality of Life and Patient Satisfaction in Non-Orthopedic Surgery: A Systematic Review

  • Nanna W. Christiansen,
  • Thora G. Thomsen,
  • Elizabeth E. Rosted,
  • Marianne Krogsgaard,
  • Marian C. Petersen and
  • Anja Geisler

Background: Patients’ preoperative expectations may influence postoperative quality of life and satisfaction. Aim: To provide an overview of the evidence regarding the association between patients’ preoperative expectations and postoperat...

  • Correction
  • Open Access
465 Views
1 Page

Missing Conflict of Interest [...]

(This article belongs to the Special Issue Inequities in Health and Well-Being)
  • Article
  • Open Access
1 Citations
906 Views
14 Pages

Although asbestos has been banned in the European Union since 2005, asbestos-containing materials, such as brake pads and clutch linings, may still occur in waste streams due to the long service life of vehicles, legacy equipment, and international t...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
640 Views
15 Pages

Association Between Food Environment Characteristics and Overweight and Anemia in Socially Vulnerable Children Living in Favelas

  • Luiz Gonzaga Ribeiro Silva-Neto,
  • Risia Cristina Egito de Menezes,
  • Vanessa Sá Leal,
  • Thays Lane Ferreira dos Santos and
  • Telma Maria de Menezes Toledo Florêncio

Background: The food environment plays a significant role in determining children’s nutritional status, especially in socially vulnerable settings, where the high availability of ultra-processed beverages can contribute to both overweight and n...

(This article belongs to the Special Issue The Role of the Food Environment in the Health of Children and Adolescents)
  • Article
  • Open Access
794 Views
15 Pages

More than 500 unreclaimed mines and about 1100 associated waste sites remain on the Navajo Nation as a result of uranium (U) mining. This study evaluated the impact of U-mining water contamination in a region of Northwestern New Mexico. The goal of t...

(This article belongs to the Special Issue Socioeconomic–Environmental Factors in Cancer Epidemiology and Prevention)
  • Article
  • Open Access
1 Citations
1,027 Views
30 Pages

Factors Influencing Water and Sweet Beverage Purchasing Decisions and Behaviours Among Low-Income Households in Four Peri-Urban Communities in Accra: An Exploratory Study

  • Christopher Delali Amegah,
  • Gloria Adobea Odei Obeng-Amoako,
  • Shu Wen Ng,
  • Monica Lambon-Quayefio and
  • Seth Adu-Afarwuah

Background: In May 2023, Ghana implemented a 20% ad valorem tax on bottled water and sweet beverages (SBs), replacing a 17.5% tax; sachet water remained untaxed. The effect on low-income consumers’ purchasing decisions and consumption patterns...

(This article belongs to the Special Issue Beyond Hunger: Food Insecurity, Unhealthy Diets, and the Public Health Challenge of Malnutrition)
  • Article
  • Open Access
953 Views
19 Pages

Reliability and Validation of the Vietnamese Utian Quality-of-Life Scale in Postmenopausal Women

  • Nguyen Dinh Phuong Thao,
  • Le Thi Thanh Tuyen,
  • Dao Trong Quan and
  • Duong Thi Kim Hoa

The absence of a culturally adapted instrument to assess menopause-specific quality of life in Vietnamese women limits both clinical practice and research in this population. This study aimed to translate, culturally adapt, and psychometrically valid...

  • Article
  • Open Access
638 Views
15 Pages

Oral health problems among older adults represent a growing public health concern due to increasing life expectancy and treatment needs. This study aimed to assess dental treatment needs and cost burden within the context of oral health policies. Thi...

(This article belongs to the Special Issue Improving Oral Health for Older Adults)
  • Article
  • Open Access
531 Views
12 Pages

Sociodemographic and Structural Risk Factors for Dengue in a Rapidly Developing Indonesian District

  • Inke Nadia Diniyanti Lubis,
  • Nelli Khalilah Sari Siregar,
  • Gema Nazri Yanni,
  • Isti Ilmiati Fujiati and
  • Lenni Evalina Sihotang

Background: Dengue infection is an expanding public health threat in Indonesia, increasingly reported in semi-urban areas undergoing rapid demographic and environmental change, where household-level determinants remain poorly characterised. Methods:...

  • Article
  • Open Access
933 Views
25 Pages

India exhibits substantial variation in neonatal mortality across regions and socioeconomic groups. This study used nationally representative survey data (2019–2021) to examine wealth-based inequalities in neonatal mortality. Socioeconomic disp...

(This article belongs to the Special Issue Addressing Disparities in Health and Healthcare Globally)
  • Article
  • Open Access
646 Views
23 Pages

Emotional exhaustion has been discussed as a major contributor to work ability problems, with substantial economic, individual, and social consequences. Research largely focuses on specific professions and sometimes overlooks that exhaustion and work...

(This article belongs to the Section Behavioral and Mental Health)
  • Article
  • Open Access
809 Views
15 Pages

Influence of the GSTP1 rs1695 Polymorphism on Mercury Levels and Memory Performance in the Suruí Indigenous from the Brazilian Amazon

  • Mayara Calixto da Silva,
  • Paulo Cesar Basta,
  • Bruna Duarte Pinto,
  • Daniel Escorsim Machado,
  • Felipe Oliveira Pessoa-Silva,
  • Rogério Adas Ayres de Oliveira,
  • Ana Claudia Santiago de Vasconcellos and
  • Jamila Alessandra Perini

Mercury (Hg) is a major neurotoxicant and public health concern and gold mining is a significant source of Hg contamination in the Amazon. There, Indigenous peoples are vulnerable to this exposure. Individual susceptibility influences both internal m...

(This article belongs to the Section Environmental Health)
  • Article
  • Open Access
708 Views
16 Pages

Returning to work (RTW) following sickness absence due to common mental disorder (CMD) symptoms, such as anxiety, depression and stress, is increasingly recognised as a critical yet complex phase of recovery. Despite this, individuals do not always e...

(This article belongs to the Special Issue Mental Health Promotion in the Workplace)
  • Article
  • Open Access
458 Views
15 Pages

The majority of somatic symptoms have unexplained medical causes, and it is claimed that psychological factors are important in the initiation and exacerbation of somatic complaints. This study, cross-sectional and correlational in nature, investigat...

(This article belongs to the Special Issue The Effect of Positive Psychology on Health)
  • Article
  • Open Access
489 Views
10 Pages

Suicide is a substantial contributor to global mortality, with suicidal ideation (SI) a significant predictor of suicide. Research has demonstrated relationships between dispositional coping styles and SI. This study aimed to advance this research by...

(This article belongs to the Special Issue Research on Suicide Assessment, Prevention and Management)
  • Article
  • Open Access
614 Views
18 Pages

This study evaluated the effectiveness of a youth-developed vaping intervention created by the Airdrie Board of Youth Affairs (ABYA) in changing Grade 7 and 8 students’ knowledge, attitudes, and harm perceptions regarding e-cigarette use. The v...

  • Article
  • Open Access
765 Views
16 Pages

Hospitalizations After Bicycle Accidents: Injury Patterns, Severity and Costs

  • José Antonio Guerrero Serrano,
  • Samuel Lozano Martín,
  • Julia Sánchez García,
  • Marta Arroyo Hernández and
  • Pedro Caba Doussoux

Background Although cycling has definite health benefits, it is certainly not a risk-free activity; its increasing use is associated with a rise in accidents. This study aims to characterize cycling injuries and their associated factors in a tertiary...

(This article belongs to the Special Issue Sports Injuries: Epidemiology, Assessment, Prevention and Rehabilitation)
  • Article
  • Open Access
1 Citations
620 Views
16 Pages

Association of Park Size, Access and Neighbourhood Walkability with Physical Activity and Obesity: A Cross-Sectional Analysis

  • Ghazal S. Fazli,
  • Jane Polsky,
  • Ashley Johns,
  • Peter Gozdyra,
  • Jin Luo and
  • Gillian L. Booth

Background: We examined whether higher access to parks and greenspace is independently associated with an increase in physical activity and lower rates of obesity when neighbourhood walkability is accounted for and whether neighbourhood walkability a...

  • Article
  • Open Access
542 Views
15 Pages

Background: Traumatic brain injury (TBI) and substance use disorder (SUD) frequently co-occur due to shared risk factors and a potentially bidirectional relationship. However, epidemiological patterns in rural populations remain understudied despite...

(This article belongs to the Special Issue Substance Use Disorders: Etiology, Epidemiology, Prevention, Treatment and Recovery)
  • Project Report
  • Open Access
525 Views
19 Pages

In Burke County, North Carolina, a Hepatitis A outbreak among unsheltered residents exposed gaps in access to clinic-based care and prompted early, ad hoc “backpack medicine” outreach efforts to deliver care directly in nontraditional set...

(This article belongs to the Special Issue Advances and Trends in Mobile Healthcare)
  • Article
  • Open Access
2 Citations
758 Views
19 Pages

Industrial settlements of the East Kazakhstan Region face a persistent technogenic burden driven by the dense concentration of non-ferrous metallurgy and heat-and-power enterprises, further compounded by unfavorable pollutant dispersion conditions in...

(This article belongs to the Special Issue Air Pollution Exposure and Its Impact on Human Health)
  • Article
  • Open Access
622 Views
20 Pages

Implementing Caring Technologies and Social Mobilisation for Older Adults: A Mixed-Methods Evaluation Across Seven European Case Studies

  • Toni Wright,
  • Michelle England,
  • Thomas Thompson,
  • Sabina Hulbert,
  • Theofanis Fotis and
  • Eleni Hatzidimitriadou

Population ageing presents growing challenges for health and social care systems, particularly in supporting older adults to remain independent and involved in decisions concerning their own health and wellbeing. The EMPOWERing individuals and commun...

(This article belongs to the Section Health Care Sciences)
  • Article
  • Open Access
424 Views
10 Pages

Background: While caregiver and health system factors are known to influence paediatric ART outcomes, their roles within routine rural South African settings remain insufficiently characterised. Aim: The aim of this study is to assess the association...

(This article belongs to the Section Infectious Diseases, Chronic Diseases, and Disease Prevention)
  • Article
  • Open Access
529 Views
17 Pages

From Risk to Flourishing: Organizational Resources in Seasonal Tourism Work

  • Stefania Fantinelli,
  • Michela Cortini,
  • Morena Santoriello,
  • Leonardo Pagano and
  • Teresa Galanti

Seasonal workers in the tourism sector are exposed to significant psychosocial risks, such as work overload, emotional exhaustion, and precarious employment conditions. Despite growing interest in positive organizational psychology, little is known a...

(This article belongs to the Special Issue Psychological Well‑Being and Psychosocial Risks in Evolving Workplaces and Communities)
  • Article
  • Open Access
632 Views
19 Pages

Research examining risk and protective factors of suicidality among Black students remains limited. This study assessed the effects of psychological inflexibility and emotional resilience on suicidal behaviors among Black college students. We conduct...

(This article belongs to the Special Issue Proceedings of the 2024 and 2025 Research Centers in Minority Institutions (RCMI) Consortium National Conferences)
  • Review
  • Open Access
1,008 Views
19 Pages

Aboriginal people in Western Australia (WA) experience poorer cancer outcomes compared to non-Aboriginal Australians, with significant disparities in cancer screening participation, later-stage diagnosis, and lower survival rates. This narrative revi...

(This article belongs to the Special Issue Environmental Public Health Interventions in Chronic Disease Prevention)
  • Article
  • Open Access
538 Views
16 Pages

Experiences of discrimination and/or microaggressions may negatively affect mental health among university students. We assessed the association between experiences of discrimination, microaggressions, and combined exposure on poor behavioral health...

(This article belongs to the Special Issue Health Behaviors and Mental Health Among College Students)
  • Article
  • Open Access
1,006 Views
19 Pages

While South Africa’s Constitution guarantees the right to healthcare for all who live in the country, there are still inequities that affect vulnerable groups. Based on migration status, this paper examines how discrimination intersects with st...

(This article belongs to the Special Issue Discrimination as a Social Determinant of Health and Healthcare Inequities)
  • Article
  • Open Access
592 Views
16 Pages

Retail service workers face complex occupational demands across psychosocial, environmental, and physical domains; however, integrated multidomain workload assessments remain limited. A cross-sectional study among 253 retail workers used the Find My...

(This article belongs to the Special Issue The Importance of Psychosocial Work Environment for Occupational Health Promotion and Workforce Retention)
  • Article
  • Open Access
776 Views
24 Pages

Effects of a Synchronous Telehealth Exercise Program on Clinical, Functional, and Psychosocial Outcomes in Individuals with Type 2 Diabetes Mellitus (RED Study): A Randomized Clinical Trial

  • Samara Nickel Rodrigues,
  • Bruno Veiga Guterres,
  • Maurício Tatsch Ximenes Carvalho,
  • Rodrigo Sudatti Delevatti and
  • Cristine Lima Alberton

Individuals with type 2 diabetes mellitus (T2D) are at increased cardiovascular risk. Although exercise is an important strategy for reducing cardiometabolic risk, accessible and scalable intervention delivery strategies, such as synchronous teleheal...

(This article belongs to the Special Issue Health Effects of Physical Activity and Exercise in People at Risk for Cardiovascular Diseases)
  • Article
  • Open Access
741 Views
13 Pages

Objective: On 28 February 2026, Israel entered direct large-scale hostilities with Iran under Operation Roaring Lion. The opening phase was characterized by repeated missile alerts, civilian protected-space instructions, and rapid reorganization of h...

(This article belongs to the Section Environmental Health)

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