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International Journal of Environmental Research and Public Health, Volume 22, Issue 8

2025 August - 153 articles

Cover Story: Outdoor and household PM2.5 are established risk factors for chronic disease and premature mortality. In this longitudinal study, we examined how outdoor and household air pollution exposures relate to hand grip strength, a validated biomarker of functional aging and a strong predictor of disability and mortality in older adults. Using repeated field-based outdoor and household PM2.5 measures in addition to mixed-effects models with participant-level random effects, we found no strong evidence of adverse effects of household PM2.5 on grip strength but observed unexpected positive associations with outdoor PM2.5, which may reflect transient physiological changes following short-term exposure. These findings highlight the complexity of air pollution’s health impacts and the value of longitudinal data in capturing time-sensitive effects. View this paper
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Articles (153)

  • Article
  • Open Access
1,651 Views
11 Pages

Location-based games offer innovative approaches for health promotion among older adults, but their effectiveness depends on understanding complex contextual factors beyond technological design. In our study, we aimed to adapt a location-based game i...

  • Article
  • Open Access
3,040 Views
18 Pages

Multisystemic Therapy (MST) is an intensive family and community-based treatment targeting antisocial behaviours in adolescents. Treatment fidelity has proved crucial for successful implementation of the MST intervention, with prior research demonstr...

  • Review
  • Open Access
3,147 Views
16 Pages

There are a range of factors that influence alcohol use in pregnancy and create risk of fetal harm. However, limited research has articulated the multilevel nature of these influences and their entanglement. The purpose of this narrative review is to...

  • Systematic Review
  • Open Access
5 Citations
4,802 Views
27 Pages

Neurodevelopmental Outcomes Associated with Early-Life Exposure to Heavy Metals: A Systematic Review

  • André Soares da Silva,
  • Renata Maria Silva Santos,
  • Patricia Gazire De Marco,
  • Victhor Hugo Martins Rezende,
  • Tamires Coelho Martins,
  • Joyce Romano Silva,
  • Marco Aurélio Romano-Silva and
  • Débora Marques de Miranda

Introduction: Globally, approximately 53 million children under the age of five live with some form of developmental disability. Exposure to heavy metals has been identified in the literature as a contributing factor in the etiology of neurodevelopme...

  • Article
  • Open Access
3,010 Views
16 Pages

Despite its positive impact on household income, parental labour migration negatively affects left-behind children (LBC) and their caregivers. Studies in various settings have reported different impacts on LBC, but less is known about the consequence...

  • Article
  • Open Access
1 Citations
1,575 Views
17 Pages

The Development of the CAIRDE General Awareness Training

  • Jack Sweeney,
  • Noel Richardson,
  • Paula Carroll,
  • P. J. White,
  • Emilie Roche and
  • Shane O’Donnell

Suicide is a leading cause of death among construction workers, particularly younger and lower-skilled employees. Barriers such as stigma, low mental health literacy, and traditional masculine norms hinder help-seeking in this male-dominated sector....

  • Review
  • Open Access
1 Citations
3,145 Views
25 Pages

Background: The COVID-19 pandemic exposed major structural deficiencies in global health governance, including stark inequities in vaccine access, intervention timing, and mortality outcomes. While economic resources played a role, the influence of g...

  • Article
  • Open Access
1,484 Views
18 Pages

With persistent racial inequities, cultural adaptations of health programs can promote equitable maternal mental health. Despite the intersecting identities of Black mothers with preterm birth combined with racial discrimination, previous mental heal...

  • Article
  • Open Access
2,335 Views
16 Pages

Older adults with a refugee life experience have a disproportionate burden of mental health problems compared to non-refugee aging populations. Community-based participatory research (CBPR) is a promising approach to identify the challenges and stren...

  • Article
  • Open Access
1 Citations
1,368 Views
20 Pages

The COVID-19 pandemic and related public health and hospital restrictions directly influenced Canadian perinatal healthcare. This study aimed to evaluate predictors of pandemic-related pregnancy and postpartum stress in Canada. A sample of 398 women...

  • Article
  • Open Access
1 Citations
1,410 Views
11 Pages

Assessing Public Health Capacity for Infectious Disease Modeling: A Qualitative Study of State and Local Agencies

  • Skyler J. Crouch,
  • Katie S. Allen,
  • Delaney Thornton,
  • Joel Hartsell,
  • Elizabeth H. Weybright,
  • Julia E. Szymczak and
  • Kimberley I. Shoaf

Infectious disease modeling and forecasting tools are crucial for outbreak management. However, variability exists in the capacity of state and local health departments to effectively utilize these tools, influenced by factors such as infrastructure,...

  • Protocol
  • Open Access
1,484 Views
10 Pages

Background: Despite significant advancements in HIV prevention, Africa continues to bear a disproportionately high burden of new infections. Pre-exposure prophylaxis (PrEP) has demonstrated over 90% efficacy in preventing HIV acquisition when taken c...

  • Review
  • Open Access
1,750 Views
28 Pages

Chemical Hazards in Products of Animal Origin in Cambodia from 2000 to 2023: A Systematic Review and Meta-Analysis

  • Shwe Phue San,
  • Linda Nicolaides,
  • Delia Grace,
  • Tumnoon Charaslertrangsi,
  • Chhoun Chamnan,
  • Shetty Seetharama Thombathu,
  • Ra Thorng,
  • Leab Kong,
  • Sreymom Noeurn and
  • Rortana Chea
  • + 3 authors

Chemical hazards in food present a significant health risk. The objective of our review is to understand health risks associated with chemical contaminants in products of animal origin (POAO) in Cambodia, where there is no known published study. We f...

  • Article
  • Open Access
1,814 Views
32 Pages

Public libraries serve as vital community hubs that foster engagement, empowerment, and education, particularly for vulnerable populations, including refugee children and families. This study examines how Oklahoma’s public libraries contribute...

  • Article
  • Open Access
1,663 Views
19 Pages

Aging parents caring for adult children with disabilities or other care needs face significant challenges and health-related issues over extended periods. The aim of this study was to explore the experiences of aging parents with caregiving responsib...

  • Article
  • Open Access
1,959 Views
22 Pages

Assessing Annoyance and Sleep Disturbance Related to Changing Aircraft Noise Context: Evidence from Tan Son Nhat Airport

  • Thulan Nguyen,
  • Tran Thi Hong Nhung Nguyen,
  • Makoto Morinaga,
  • Yasuhiro Hiraguri and
  • Takashi Morihara

This study examines the impact of aircraft noise on annoyance and sleep disturbances among residents near Tan Son Nhat Airport in Ho Chi Minh City, Vietnam, from 2019 to 2023. It aims to assess the specific effects of aircraft noise exposure on sleep...

  • Article
  • Open Access
1,639 Views
14 Pages

The importance of physical activity, sedentary behaviour, and sleep behaviour in adolescents with type 1 diabetes (T1D) has been explored in isolation. However, adolescents experience health benefits when these behaviours are balanced appropriately t...

  • Article
  • Open Access
1 Citations
1,486 Views
15 Pages

Equine-assisted services (EAS) are used for civilian and military trauma survivors to reduce depression and posttraumatic stress symptoms. While early scientific evidence supports the benefits of EAS, the neurophysiological mechanisms underlying thes...

  • Article
  • Open Access
1,180 Views
13 Pages

The COVID-19 pandemic impacted mental health. This cross-sectional study analyzed the perception of concern related to the pandemic in Jundiaí-SP, June 2020. Participants consisted of residents of households selected by probability sampling an...

  • Article
  • Open Access
1,307 Views
14 Pages

Self-Reported Oral Health Among Elderly Immigrants Residing in Norway: A Cross-Sectional Study

  • Wegdan Hasha,
  • Stein Atle Lie,
  • Anne N. Åstrøm and
  • Manal Mustafa

Immigrants represent 20.8% of Norway’s population, with 22.2% aged 50+. This study aimed to assess oral health-related behaviors and perceived oral health in relation to sociodemographic factors among elderly immigrants aged 50+. Methods: 174 p...

  • Article
  • Open Access
1,946 Views
10 Pages

Sub-Saharan Africa bears the heaviest burden of HIV/AIDS. Kenya alone has an estimated 1.4 million people living with HIV. Therefore, this study determined HIV testing prevalence and associated factors among men aged 15–54 years in Kenya. The s...

  • Article
  • Open Access
1,769 Views
12 Pages

Socioeconomic Disparities and Risk of Papillary Thyroid Cancer Associated with Environmental Exposure to Per- and Polyfluoroalkyl Substances (PFAS) in Florida

  • Laura E. Wild,
  • Nicholas DiStefano,
  • Garrett Forman,
  • Bianca I. Arocha,
  • Ming S. Lee,
  • Peter A. Borowsky,
  • Elizabeth Franzmann,
  • Natasha Solle,
  • Alberto J. Caban-Martinez and
  • Erin Kobetz

The existing literature suggests that exposure to Per- and Polyfluoroalkyl Substances (PFAS) can increase Papillary Thyroid Cancer (PTC) risk by interfering with thyroid hormone signaling, leading to hormonal imbalances that promote carcinogenesis. I...

  • Article
  • Open Access
1 Citations
2,403 Views
11 Pages

Out-of-Pocket Expenditure (OOPE) Among COVID-19 Patients by Insurance Status in a Quaternary Hospital in Karnataka, India

  • Rajesh Kamath,
  • Chris Sebastian,
  • Varshini R. Jayapriya,
  • Siddhartha Sankar Acharya,
  • Ashok Kamat,
  • Helmut Brand,
  • Reshma Maria Cocess D’Souza,
  • Prajwal Salins,
  • Aswin Sugunan and
  • Sanjay B. Kini
  • + 2 authors

Out-of-pocket expenditure (OOPE) comprises 62% of national health expenditure in India. This heavy reliance on direct payments has engendered economic vulnerability and catastrophic financial pressures (typically defined as out-of-pocket spending exc...

  • Article
  • Open Access
1,509 Views
11 Pages

Acute Glycemic and Hemodynamic Responses to Single- and Multi-Joint Resistance Exercises in Individuals with Type 2 Diabetes: A Pilot Randomized Crossover Study

  • Rodrigo Sudatti Delevatti,
  • Fábio Duarte da Silva,
  • Filipe De Lucca Braga,
  • Lucineia Orsolin Pfeifer and
  • Maria Eduarda de Moraes Sirydakis

Introduction: There is a lack of knowledge regarding the acute glycemic and blood pressure responses to resistance exercises that involve different amounts of muscle mass. Objective: To analyze the acute effects of single- and multi-joint resistance...

  • Article
  • Open Access
1,266 Views
9 Pages

Association of Financial Distress and Monthly Income with Smoking During the COVID-19 Pandemic Recession in Thailand: A Nationwide Cross-Sectional Study

  • Chutarat Sathirapanya,
  • Wit Wichaidit,
  • Vijj Kasemsup,
  • Vasin Pipattanachat and
  • Rassamee Chotipanvithayakul

(1) Background: Psychological distress causes increased smoking frequency. Thus, financial distress (FD), a type of psychological distress, during the COVID-19 pandemic recession is possibly associated with increased smoking frequency. We studied the...

  • Review
  • Open Access
2 Citations
6,285 Views
15 Pages

Rehabilitating Soldiers for Load Carriage Tasks: An International Perspective

  • Robin Orr,
  • Joseph J. Knapik,
  • Rachel Rodgers,
  • Robyn Cassidy,
  • Jacques Rousseau,
  • Damien Van Tiggelen and
  • Rodney Pope

Soldiers are likely to suffer an injury and require rehabilitation at some stage of their career. Load carriage, whilst a fundamental requirement, is also a source of injury risk. To optimize the rehabilitation of soldiers and prepare them for a full...

  • Article
  • Open Access
1 Citations
2,277 Views
15 Pages

Social media promotion of harmful products (e.g., combustible tobacco) poses a public health threat. However, strategies that amplify exposure to and engagement with such content remain understudied. This study aims to characterize strategies boostin...

  • Article
  • Open Access
2,796 Views
20 Pages

Online psychotherapy for patients with suicidal behavior was considered inappropriate by the Brazilian Federal Psychology Council prior to the COVID-19 pandemic. Due to the need for physical distancing, this restriction was temporarily suspended. Thi...

  • Article
  • Open Access
1,496 Views
19 Pages

Effects of Outdoor and Household Air Pollution on Hand Grip Strength in a Longitudinal Study of Rural Beijing Adults

  • Wenlu Yuan,
  • Xiaoying Li,
  • Collin Brehmer,
  • Talia Sternbach,
  • Xiang Zhang,
  • Ellison Carter,
  • Yuanxun Zhang,
  • Guofeng Shen,
  • Shu Tao and
  • Sam Harper
  • + 1 author

Background: Outdoor and household PM2.5 are established risk factors for chronic disease and early mortality. In China, high levels of outdoor PM2.5 and solid fuel use for cooking and heating, especially in winter, pose large health risks to the coun...

  • Brief Report
  • Open Access
1 Citations
1,091 Views
6 Pages

Background/Objectives: There is still debate about students’ health in medical schools. The aim of this study was to assess the proportion of chronic diseases among medical students and analyze their predictors. Methods: We performed a secondar...

  • Article
  • Open Access
2,706 Views
19 Pages

A Gamified Digital Mental Health Intervention Across Six Sub-Saharan African Countries: A Cross-Sectional Evaluation of a Large-Scale Implementation

  • Christopher K. Barkley,
  • Charmaine N. Nyakonda,
  • Kondwani Kuthyola,
  • Polite Ndlovu,
  • Devyn Lee,
  • Andrew Dallos,
  • Danny Kofi-Armah,
  • Priscilla Obeng and
  • Katherine G. Merrill

Mental health conditions affect many young people in sub-Saharan Africa (SSA), where stigma is high and access to care is limited. Digital tools accessible on basic mobile phones offer a scalable way to promote mental health, but evidence on their ef...

  • Article
  • Open Access
1 Citations
1,311 Views
23 Pages

Environmental Exposures and COVID-19 Experiences in the United States, 2020–2022

  • Elyssa Anneser,
  • Thomas J. Stopka,
  • Elena N. Naumova,
  • Keith R. Spangler,
  • Kevin J. Lane,
  • Andrea Acevedo,
  • Jeffrey K. Griffiths,
  • Yan Lin,
  • Peter Levine and
  • Laura Corlin

Certain environmental exposures are associated with COVID-19 incidence and mortality. To determine whether environmental context is associated with other COVID-19 experiences, we used data from the nationally representative Tufts Equity in Health, We...

  • Systematic Review
  • Open Access
2,427 Views
19 Pages

Introduction: Healthcare service utilisation for type 2 diabetes (T2D) is suboptimal among people from culturally and linguistically diverse (CALD) backgrounds. Synthesised evidence on drivers influencing their healthcare access and utilisation acros...

  • Article
  • Open Access
2,893 Views
16 Pages

The internalisation of sociocultural ideals and beliefs about weight and shape has long been recognised as an important predictor of disordered eating. However, thin-ideal internalisation and weight bias internalisation (WBI) are generally examined s...

  • Article
  • Open Access
2,303 Views
14 Pages

Content Analysis of Assessment Tools Used in Post-Stroke Rehabilitation: A Scoping Review with Linkage to the International Classification of Functioning

  • Maria Heloiza Araujo Silva,
  • Thaissa Hamana de Macedo Dantas,
  • Ana Cecília de Medeiros Araújo,
  • Diego de Sousa Dantas,
  • Maria Isabelle de Araújo Dantas,
  • Beatriz Cristina Medeiros de Lucena,
  • Isabelly Cristina Rodrigues Regalado Moura and
  • Aline Braga Galvão Silveira Fernandes

Stroke rehabilitation requires comprehensive assessments aligned with the International Classification of Functioning, Disability, and Health (ICF) biopsychosocial model. Linking assessment tools to the ICF helps integrate this approach by identifyin...

  • Article
  • Open Access
1,499 Views
11 Pages

Risk Factors for Locomotive Syndrome in Brazilian Older Adults: A Nested Case–Control Study

  • Julia de Carvalho Galiano,
  • Patricia de Castro Rodrigues,
  • Fania Cristina dos Santos and
  • Virginia Fernandes Moça Trevisani

This study aimed to describe the risk factors for locomotive syndrome (LS) in Brazilian oldest old individuals. Study subjects were older adults aged ≥80 years who were cognitively healthy, independent for activities of daily living and had been f...

  • Article
  • Open Access
1 Citations
2,328 Views
13 Pages

Consumption of Ultra-Processed Foods and Metabolic Parameters in Type 2 Diabetes Mellitus: A Cross-Sectional Study

  • Julia Bauer,
  • Fernanda Oliveira Ayala,
  • Aline Marcadenti,
  • Rachel Helena Vieira Machado,
  • Ângela Cristina Bersch-Ferreira,
  • Maria Fernanda Souza Moreira,
  • Mileni Vanti Beretta,
  • Ana Maria Pandolfo Feoli and
  • Fernanda Michielin Busnello

Background: Understanding how food processing impacts type 2 diabetes (T2DM) control is essential for disease management. This study aimed to assess the association between ultra-processed food (UPF) consumption, as defined by the NOVA classification...

  • Article
  • Open Access
1 Citations
1,290 Views
22 Pages

The Effects of Socioeconomic Contextual Factors on Racial Differences in Foster Care Placement Stability

  • Leanne Heaton,
  • William Sabol,
  • Miranda Baumann,
  • Arya Harison and
  • Charlotte Goodell

This study investigated how county- and state-level socioeconomic factors influence racial differences in placement stability outcomes for children in foster care. Using a sample drawn from the Adoption and Foster Care Analysis and Reporting System (...

  • Article
  • Open Access
4 Citations
3,161 Views
30 Pages

Prevalence of Antibiotic Resistance Bacteria in Manure, Soil, and Vegetables in Urban Blantyre, Malawi, from a Farm-to-Fork Perspective

  • Amon Abraham,
  • Andrew G. Mtewa,
  • Chimwemwe Chiutula,
  • Richard Lizwe Steven Mvula,
  • Alfred Maluwa,
  • Fasil Ejigu Eregno and
  • John Njalam’mano

The use of untreated livestock manure in urban agriculture sustains soil fertility but risks disseminating antimicrobial resistance (AMR) in resource-limited settings. This study characterized antibiotic-resistant bacteria (ARB) prevalence across man...

  • Article
  • Open Access
1 Citations
1,216 Views
15 Pages

Tuberculosis (TB) remains a critical public health issue in Johannesburg, South Africa, driven by a complex interplay of individual, social, and structural factors. This study assessed the syndemic relationship between these determinants to understan...

  • Article
  • Open Access
1 Citations
1,087 Views
13 Pages

Evaluating Breastfeeding Self-Efficacy in Adolescents Attending a Co-Designed Breastfeeding Program: A Prospective Pilot Cohort Study

  • Christina M. Cantin,
  • Wendy E. Peterson,
  • Amisha Agarwal,
  • Jemila S. Hamid,
  • Bianca Stortini and
  • Nathalie Fleming

Adolescents have lower rates of breastfeeding (BF) compared to older mothers. BF self-efficacy (SE) has been identified as an important factor influencing BF outcomes. An innovative BF program for young women was co-designed and implemented, which in...

  • Article
  • Open Access
2 Citations
1,454 Views
11 Pages

Preterm birth is a leading cause of perinatal morbidity and mortality and is particularly prevalent among socially disadvantaged female populations. This quantitative, cross-sectional study aimed to explore the prevalence of preterm birth in three se...

  • Article
  • Open Access
1,272 Views
16 Pages

PeerOnCall: Evaluating Implementation of App-Based Peer Support in Canadian Public Safety Organizations

  • Sandra E. Moll,
  • Rosemary Ricciardelli,
  • R. Nicholas Carleton,
  • Joy C. MacDermid,
  • Stephen Czarnuch and
  • Renée S. MacPhee

Public safety personnel (PSP), including correctional workers, firefighters, paramedics, police, and public safety communicators, are at increased risk for posttraumatic stress injury, yet face barriers in receiving timely support. Mobile health (mHe...

  • Review
  • Open Access
2 Citations
2,900 Views
18 Pages

Heat Stress and Determinants of Kidney Health Among Agricultural Workers in the United States: An Integrative Review

  • Justin J. Zhao,
  • Erwin W. Leyva,
  • Kamomilani A. Wong,
  • Merle Kataoka-Yahiro and
  • Leorey N. Saligan

Agricultural workers in the United States (U.S.) are exposed to occupational heat stress, increasing their risk of adverse kidney outcomes. The aim of this integrative review was to explore the relationship between occupational heat stress and kidney...

  • Article
  • Open Access
1 Citations
1,399 Views
17 Pages

Due to rapid urbanization over the past five decades, there has been growing interest in the role of biodiversity in supporting human well-being. While previous research highlights the role of landscape biodiversity in psychological restoration, the...

  • Article
  • Open Access
2,011 Views
21 Pages

Updating Health Canada’s Heat-Health Messages for the Environment and Climate Change Canada Heat Warning System: A Collaboration with Canadian Experts

  • Emily J. Tetzlaff,
  • Melissa MacDonald,
  • Glen P. Kenny,
  • Brittany Murphy,
  • Rachel F. Siblock,
  • Ahmed Al-Hertani,
  • Rebecca C. Stranberg,
  • Peter Berry and
  • Melissa Gorman

It is critical to inform the public of the threat heat poses to health and provide actionable guidance on mitigating this risk before, during, and after heat events. To help educate the public during heat events, Health Canada works closely with Envi...

  • Review
  • Open Access
2 Citations
4,348 Views
13 Pages

Infants are at a higher risk of heat-related morbidity and mortality compared to children and adults. However, it remains unclear whether this vulnerability stems from immature thermoregulatory mechanisms or simply from their dependence on caregivers...

  • Brief Report
  • Open Access
1,025 Views
16 Pages

This study aimed to analyze the perception of women who were victims of rape about the care provided at a teaching hospital located in the northeast of Brazil. A qualitative study was conducted with seven women. The interviews took place in a trustwo...

  • Article
  • Open Access
1,685 Views
18 Pages

This paper focuses on clarifying the relationship between noise exposure and the prevalence of highly sleep-disturbed (HSD) people due to road traffic and railway noise in Japan. The authors accumulated 22 datasets, which were provided by the Socio-A...

  • Article
  • Open Access
1 Citations
2,903 Views
12 Pages

Using data on the children of the respondents who participated in Wave IV (2008) and Wave V (2016–2018) of the National Longitudinal Study of Adolescent to Adult Health, we estimate the effect of long-term exposure to ozone (O3) and particulate...

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