Explore the vast range of titles available.

Background Maternal diet during pregnancy might influence the development of childhood allergic disorders. There are few studies on the association between processed food intake and infant atopic dermatitis (AD) during pregnancy. The aim of the present study was to investigate the association of ultra-processed food (UPF) intake during pregnancy with infantile AD. Methods This study involved 861 pairs of pregnant women and their offspring from the Mothers’ and Children’s Environmental Health (MOCEH) study, a multi-center birth cohort project conducted in Korea. Dietary intake was estimated using a 24-h recall method at 12−28 weeks gestation. The NOVA classification was used to identify UPF, and UPF intake was calculated as the percentage of total energy consumption and categorized into quartiles. Infantile AD was assessed based on medical history and the criteria of the International Study of Asthma and Allergies in Childhood (ISAAC). Associations were assessed by logistic regression with adjustment for confounding factors. Results Children born to mothers in the highest quartile of UPF consumption (15.5% or more of the total energy) compared to the lowest quartile (6.8% or less) showed a higher risk of AD within 12 months [odds ratio (OR) = 1.69; 95% confidence interval (CI): 1.07−2.66, P for trend 0.0436]. After adjustment for the confounding factors under study, the association was strengthened; the adjusted OR between extreme quartiles was 2.19 (95% CI: 1.11–4.32, P for trend = 0.0418). This association was maintained even after an additional adjustment based on the Korean Healthy Eating Index (KHEI), an indicator of diet quality. Conclusions Higher maternal consumption of UPF during pregnancy was associated with a greater risk of infantile AD within the first year of life.

Rapid development and adoption of natural language processing (NLP) techniques has led to a multitude of exciting and innovative societal and health care applications. These advancements have also generated concerns around perpetuation of historical injustices and that these tools lack cultural considerations. While traditional health care NLP techniques typically include clinical subject matter experts to extract health information or aid in interpretation, few NLP tools involve community stakeholders with lived experiences. In this perspective paper, we draw upon the field of community-based participatory research, which gathers input from community members for development of public health interventions, to identify and examine ways to equitably involve communities in developing health care NLP tools. To realize the potential of community-based NLP (CBNLP), research and development teams must thoughtfully consider mechanisms and resources needed to effectively collaborate with community members for maximal societal and ethical impact of NLP-based tools.

Background Critical health literacy enables older adults to make informed health decisions and take actions for the health and wellbeing of themselves and their community, within their own social and cultural context. A community-based approach has the potential to improve the critical health literacy of older adults and their communities. However, it is not clear how such initiatives consider critical health literacy. Therefore, this study explored how community-based initiatives address the critical health literacy of older adults and their communities. Methods A systematic literature search was conducted. Two reviewers independently screened titles and abstracts, as well as the quality of the methodological and community-based elements of the studies. In addition, a meta-synthesis was carried out, consisting of a qualitative text analysis of the results sections of the 23 included studies. Results We identified two main themes, which are practices that contribute to the critical health literacy of older adults as well as their communities: 1) collaborative learning, and 2) social support. In these practices we identified reciprocity as a key characteristic of both co-learning and social support. Conclusions This study provides the first overview of community-based initiatives that implicitly address the critical health literacy of older adults and their community. Our results demonstrate that in the context of one’s own life collaborative learning and social support could contribute to people’s understanding and ability to judge, sift and use health information. We therefore suggest to add these two practices to the definition of critical health literacy.

In recent years, the mental health of migrant communities has gained increased attention, yet significant gaps persist in research, service provision, and policy action. Forced displacement, precarious living conditions, discrimination, and barriers to healthcare systems exacerbate vulnerabilities, leading to higher rates of depression, anxiety, and post-traumatic stress. Despite these challenges, migrant communities show remarkable resilience and strength, often mobilizing social networks and cultural resources to support well-being. At the same time, migration policies in Europe are undergoing important transformations, shaped by the EU's Migration and Asylum Pact, post-Brexit immigration frameworks, evolving labour market needs, geopolitical instability, and shifts in public opinion and political discourse. These broader developments influence the contexts in which interventions must be designed and implemented, highlighting the need for approaches that are flexible, inclusive, and rights based. This workshop aims to explore the complex intersections between migration and mental health, drawing on multidisciplinary perspectives to address the specific needs of migrants. Its objectives are to: (1) raise awareness of the mental health challenges faced by these populations; (2) present innovative participatory and community-based interventions; and (3) discuss how evidence can better inform inclusive and responsive mental health practices. The added value of organising this workshop lies in creating a dedicated space to share evidence-based insights and lived experiences, facilitating the translation of knowledge into action. It promotes a broader understanding of mental health, beyond clinical diagnoses, by recognising the role of social determinants and migration pathways. The format of the workshop will include a scientific session with four panellists, each addressing complementary dimensions: (1) evidence on psychological distress and post-traumatic stress disorder among migrants, drawing from a longitudinal study in Germany; (2) a specific look at mental health burden in migrant populations living in detention centres in Italy; (3) delve into participatory research and co-designed interventions centred on migrant voices, based on a project in Portugal; (4) overview of a multisectoral response for coordinated support of psychosocial help targeted to Ukraine displaced people. This structure will ensure an integrated discussion connecting research and practice. Short presentations will be followed by an interactive debate with participants to promote critical engagement and collaborative learning. Key messages • Migrants’ mental health needs demand urgent, tailored, and rights-based responses. • Co-designed, culturally sensitive approaches can significantly improve mental health outcomes.

Background The concept of collaborative approaches involves community residents in joint decision-making processes to maintain or enhance their material and social conditions. During COVID-19, public services saw the benefits of actively collaborating with communities and involving residents in decision-making processes. As communities have resources and assets, they are well-placed to contribute to developing local health and wellbeing initiatives. An interdisciplinary and nationally funded three-phase research programme, “Mobilising community assets to tackle health inequalities”, was established with the objective of utilising local, cultural, and natural assets to support health and wellbeing. The current study aimed to synthesise evidence collected by research teams awarded funding in phase one of the programme, comprising academic and non-academic, health and social care, voluntary and community partners. Methods Ten online focus groups were conducted with research teams from across the UK exploring the successes and challenges of partnership working to tackle health inequalities using collaborative approaches to community-based research. Eight focus group questions were split between partnership working and health inequalities. Results Thematic and content analysis produced 185 subthemes from which 12 themes were identified. Major themes representing an above average number of coded responses were research evidence; funding; relationships with partners; health inequalities and deprivation; community involvement; and health service and integrated care systems. Minor themes were link workers and social prescribing; training and support; place-based factors; longevity of programmes; setting up and scaling up programmes; and mental health. Conclusions Successes included employing practice-based and arts-based methods, being part of a research project for those not normally involved in research, sharing funding democratically, building on established relationships, and the vital role that local assets play in involving communities. Challenges involved a lack of sustainable financial support, the short-term nature of funding, inconsistencies in reaching the poorest people, obtaining the right sort of research evidence, making sufficient research progress, building relationships with already over-burdened health care staff, and redressing the balance of power in favour of communities. Despite the challenges, participants were mainly optimistic that collective approaches and meaningful co-production would create opportunities for future research partnerships with communities.

The needs of people with severe mental illness are complex and require a range of services embedded in well-coordinated systems of care to enable recovery, promote well-being and optimise social integration. The concept of recovery is strongly rooted in the centrality of multi and intersectoral systems of care, and, while multi and -intersectoral dimensions of mental health systems have been highlighted in analyses focusing on high-income regions, little has been elaborated in terms of these approaches in the recovery of people with severe mental illness (SMI) in low- and middle-income countries (LMICs). The aim of this review was to identify and describe multi and intersectoral approaches underpinning community-based SMI recovery interventions in LMICs. A scoping review was carried out following the following steps: (1) Objectives for the review were developed and refined; (2) A systematic search of databases (EbscoHost, PubMed, Google Scholar) and previous reviews were undertaken from 2012 to 2022, where relevant papers were identified; (3) Papers with a focus on SMI and recovery, a specific description of an intervention, located in LMICs, with explicit linkages between sectors, and published in English, were selected for inclusion; (4) Data were extracted and charted and (5) Findings were analysed and reported thematically. Thirty-six papers were included for analysis, from 18 countries, including qualitative studies, trials, desktop and secondary data reviews and case studies. Examples of multi- and intersectoral action included collaboration between healthcare and community support systems, collaboration in providing supported housing and supportive community spaces for recovery, and linkages between biomedical and social spheres of care. Barriers included the dominance of mental health professions in delivering care, community-based stigmatising attitudes towards SMI. Multi- and intersectoral collaboration for SMI recovery requires investments in financing, education and coordination by a governing body.

Background: Responding to concerns about perinatal health risks and adverse outcomes, we established a community-based participatory research (CBPR) partnership between a Nêhiyawi (Cree) community and university-based researchers. We designed and implemented a community-derived Elders Mentoring Program (EMP) to provide additional support for pregnant women and their partners. Our objective was to understand the collective experiences of those involved in the Program. Methods: We conducted a qualitative description with the principles of CBPR as an overarching framework. We carried out 14 qualitative interviews with parents, perinatal clinic staff, and mentor Elders involved in the Program. We also used detailed notes from Community Advisory Committee (CAC) meetings as data. All qualitative data were analyzed with content analysis. Results: The Program helped pregnant women and their partners by fostering enhanced and multi-generational support networks. It also improved cultural security within the clinical environment and learning among health care staff. A sense of intergenerational fulfillment and enjoyment among those involved was common and was underpinned by genuine, collaborative relationships. Conclusions: A community-derived prenatal EMP, designed in partnership with those who have intimate knowledge of the community, is a major step toward ensuring multi-generational and culturally secure care in pregnancy for women and families.

Purpose – This paper seeks to focus on industry clusters and a rationale for why they may be considered an antidote for stimulating knowledge sharing and collaborative innovation. Design/methodology/approach – Community based participatory research was undertaken using case studies and interviews within four industry clusters based in two countries – Australia and Dubai. Findings were ranked according to a knowledge sharing relational framework. Findings – Industry clusters can play a key role in growing both established and new areas of economic development. Member firm collaboration, knowledge sharing and innovation can result in positive outcomes if the cluster is managed and facilitated appropriately and knowledge sharing is nurtured. Research limitations/implications – The paper examines top-down, hybrid and bottom-up clustering from a variety of sectors as a way of understanding knowledge sharing and innovation exchange. However, given this research comprised case studies, it is recommended that broader, more internationally generalizable research is conducted that includes cluster firms within a range of sectors. Practical implications – The stimulation of opportunities for collaboration and innovation are mandatory for firms and regions to move forward. Irrespective of the uncertainty of the outcome, cluster managers/facilitators need to ensure that they provide regular opportunities for cluster firms facilitators/managers and representatives to network and generate new ideas. Originality/value – The role of cluster managers/facilitators in supporting knowledge sharing processes has been largely overlooked to date. Agglomeration needs both visible and invisible hands to stimulate knowledge sharing and exchange.

Child maltreatment is a pervasive public health problem with well-documented impacts on a child's well-being. The connection between social , determinants , of health and child maltreatment is well established, particularly economic stability and mobility, education, and health care. Prevention and aftercare networks (P&A) use a community-based approach to offer volun tary services to address social determinants of health through collaborative approaches to supporting and strengthening families in their communities. The three core strategies of P&A are to provide economic opportunities and support self-sufficiency, decrease social isolation, and increase access to a broad range of existing community-based resources, supports, and services. The current study leveraged administrative child protection system (CPS) records and P&A program data from Los Angeles County to document the relationship between P&A referrals and CPS involvement following service engagement among families with screened-out CPS reports between January 1, 2016, and December 31, 2019 (N = 52,353). Overall, 6,895 (13.2%) families were referred for P&A services and 748 (1.4%) successfully completed P&A services. Weighted Cox analyses showed families who completed P&A services were less likely to enter foster care compared to families never referred to P&A services (HR = 0.51; 95% CI = 0.33, 0.78). Results suggest that offering voluntary, community-based services may prevent out-of-home placement, especially if families engage in and successfully complete services.

The growth of groundwater irrigation poses opportunities and challenges, particularly in Africa where substantial potential exists for increased groundwater irrigation but has been constrained by limited access to energy, technology for pumps and drilling, markets, and other factors. Conventional groundwater governance concepts for state-led regulation or co-management are problematic for conditions where state capacity or political support for regulation to reconcile conflicting interests is limited. Experience in Africa and elsewhere does offer examples that may help recognize feasible patterns for collective action that can influence the equity, efficiency, and sustainability of groundwater development. An extended ladder of participation helps look beyond state-led water governance and co-management to a more diverse range of opportunities for supporting local autonomy and initiative to expand opportunities and solve problems in groundwater development. Collective action in groundwater governance can include well spacing; sharing of wells, pumps, and pipes; protecting domestic water sources; crop coordination; groundwater recharge; water imports; and aquifer management. Even where non-state organizations and collective action play primary roles in water governance, they may still be empowered by, receive advice from, or share information with government agencies and other actors. Polycentric groundwater governance can be supported by improving information, facilitating cooperation, endorsing standards, providing a legal framework for resolving conflicts and constituting governance agreements, and through polycentric social learning. Polycentric institutional artisanship by water users and their organizations can help find feasible solutions for improving groundwater governance.