Abstract Background As graphical abstracts (GA) gain popularity in scientific journals, they enhance visibility and engagement by summarizing research articles visually, while reaching both scientists and lay audiences more effectively. This study assesses the integration of GA in public health journals, focusing their role in enhancing scientific dissemination. Methods We conducted a descriptive quantitative analysis of 163 top-tier journals in Public Health, Environmental, and Occupational Health, using SCImago rankings. The analysis focused on factors such as mentions of GA and video abstracts (VA) in guidelines, mandatory use of GA, accessibility to GA, and adherence to GA’s best practices, which include graphical support, titles, and basic explanations. Results Of the journals analysed, 43 (26.4%) mention GA in their guidelines; only three (1.8%) require their mandatory use. Eight journals (4.9%) offer GA as part of paid promotional services, while 16 (9.8%) provide easy access to GA in their articles, and just six adhere to basic best practices. VA is mentioned in 25 journals (15.3%), with only nine (5.5%) featuring both GA and VA. Dedicated website sections for GA or VA are found in six journals (3.7%). Elsevier B.V. and Wiley-Blackwell are leaders in promoting GA usage, with 19 and nine mentions in guidelines, respectively. Conclusions The adoption of GA in public health journals is increasing, yet full adherence to best practices is not widespread. This trend points to a more visually engaging form of scientific communication, potentially influencing publication standards and research dissemination. The study underscores the need for further training in GA production and promotion among researchers and editors. Additionally, the emergence of GA as a paid promotional tool indicates a novel approach to broadening research outreach, with relevant implications for the standardization of scientific communication across Europe. Key messages • Only 26.4% of public health journals mention graphical abstracts, highlighting the need for wider adoption to enhance research visibility. • Graphical abstracts boost engagement, but adherence to best practices remains low, underlining the need for better training in visual communication.