Frontiers in Public Health最新文献

{"title":"Family hardiness among primary caregivers of breast cancer patients in Hunan Province: a cross-sectional study exploring the relationship with attachment and caregiver preparedness.","authors":"Xin Sun, Lili Xu, Lijuan Sheng","doi":"10.3389/fpubh.2024.1367029","DOIUrl":"10.3389/fpubh.2024.1367029","url":null,"abstract":"<p><strong>Background: </strong>Family hardiness is a key variable contributing to positive family functioning, which has significant effects on the quality of life and the mental health of patientsand caregivers. The factors that contribute to family hardiness support both the psychological and physical well-being of caregivers is unknown. More specifically, the relationship of family hardiness with attachment and caregiver preparedness has not been explored.</p><p><strong>Aim: </strong>The current study aimed to investigate the family hardiness in caregivers of breast cancer patients and explore the relationship with attachment and caregiver preparedness and identify the associated factors.</p><p><strong>Methods: </strong>This cross-sectional correlational study was conducted from March to July, 2022. 140 caregivers of breast cancer patients were recruited in two IIIA-grade hospitals in Hunan Province using convenience sampling. Data were collected using a personal characteristics questionnaire, The Family Hardiness Index (FHI), Caregiver Preparedness Scale (CPS), and the Experiences in Close Relationships Inventory-Revised Edition (ECR-R). Chi-square, Pearson's correlation coefficient, generalized additive model and multiple logistic regression analyses were performed.</p><p><strong>Results: </strong>A total of 140 caregivers participated in the study. The mean age of participants was (42.29 ± 14.54) years and most of them were male (57.1%). The mean FHI score of caregivers was 58.11 ± 5.67. Multiple linear regression analysis indicated that family hardiness is affected by ECR-R, CPS, education level, and knowledge of breast cancer. The score of CPS was positively associated with family hardiness (<i>β</i> = 0.265, <i>p</i> < 0.001), whereas ECR-R negatively predicted family hardiness (<i>β</i> = -0.078, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Family hardiness plays a critical role in helping caregivers manage the stresses associated with providing care to breast cancer patients. Enhancing caregiver preparedness and education, as well as addressing attachment-related issues, can significantly improve family hardiness. In light of our findings, we suggest that closer relationships within families, adding preparedness and knowledge of disease should be encouraged during the care of breast cancer patients.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1367029"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting mental health and wellbeing as means to prevent disability: a review.","authors":"Yasir A Alsamiri, Malik A Hussain, Omar A Alsamani, Abdulrahman A Al Bulayhi","doi":"10.3389/fpubh.2024.1425535","DOIUrl":"10.3389/fpubh.2024.1425535","url":null,"abstract":"<p><strong>Background: </strong>Mental health is one of the key pillars of general welfare, and through its promotion, disability can be prevented.</p><p><strong>Objective: </strong>This research paper covers the field of literature that primarily addresses the increase of mental health and wellbeing aimed at preventing disability.</p><p><strong>Methodology: </strong>The analysis depends on secondary data that is acquired from different studies and reports to determine the link between mental health interventions and disability prevention. After screening, 50 articles eventually qualified for this narrative review.</p><p><strong>Results: </strong>The results indicate that prevention of mental health problems could reduce the risk of disability development by reducing underlying risk factors and, consequently, improving the quality of life. The study highlights the significance of early preventive interventions and support systems to curtail the onset of mental health disorders, which could later result in impairment. It does the same by advocating for multi-disciplinary approach that combines mental health promotion policies with existing disability prevention strategies to improve outcomes.</p><p><strong>Conclusion: </strong>The review points to mental health promotion as a preventative measure that can prevent disability and improve overall wellbeing. Through efforts to identify, prevent, and cure mental health problems, individuals can ensure optimal functioning and enjoy a better quality of life.</p><p><strong>Recommendation: </strong>This finding is indicative of a broader healthcare approach integrating mental health promotion that is aimed at diminishing the burden of disabilities and improving overall public health outcomes.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1425535"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with hygiene practices among primary school children in southern Ethiopia.","authors":"Eyasu Bamlaku Golla, Dawit Denano Leta, Alegntaw Abate, Habtamu Geremew, Samuel Abdisa Kuse","doi":"10.3389/fpubh.2024.1402455","DOIUrl":"10.3389/fpubh.2024.1402455","url":null,"abstract":"<p><strong>Background: </strong>Eight years into the Sustainable Development Goal period, Ethiopia is not on track to achieve good hygiene practices among school children. Ensuring good hygiene practices among primary school children to prevent the spread of communicable diseases remains a challenge in most primary schools in Ethiopia. Therefore, the aim of this study was to identify factors associated with hygiene practices among primary school children in southern Ethiopia.</p><p><strong>Methods: </strong>A school-based cross-sectional study was conducted from June 3 to July 28, 2022, in five primary schools. The simple random sampling technique was used to select the school. Subsequently, 640 students were selected from the proportionally allocated sample size. Pretested semi-structured interviewer-administered questionnaires and observational checklists were utilized to collect data. The data was then entered into EpiData version 4.6 and analyzed using SPSS version 25. Variables with a <i>p</i> ≤ 0.25 at bivariate analysis were used to develop a multivariable logistic model to identify factors associated with hygiene practices. <i>P</i> < 0.05 with a 95% confidence interval was considered statistically significant.</p><p><strong>Results: </strong>The magnitude of overall good hygiene practices was 29.2% (95% CI: 25.81-32.59). Urban residence (AOR = 3.4, 95% CI 2.1-5.55), knowledge of handwashing (AOR = 4.5, 95% CI 2.8-7.36), being a member of a hygiene and sanitation club (AOR = 3.7, 95% CI 2.4-6.86), and experience of visiting a model school (AOR = 3.1, 95% CI 2.1-5.55) were found to be significantly associated with hygiene practices.</p><p><strong>Conclusion: </strong>The overall level of good hygiene practices in Kedida district was low. Therefore, it is essential to enhance health education on handwashing, establish sanitation and hygiene clubs, and conduct visits to district model elementary schools.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1402455"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How air pollution influences the difference between overweight and obesity: a comprehensive analysis of direct and indirect correlations.","authors":"Muchun Yu, Jinchen Xie, Yanyan Liu","doi":"10.3389/fpubh.2024.1403197","DOIUrl":"10.3389/fpubh.2024.1403197","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Obesity, characterized by excessive or abnormal fat accumulation, is a major public health concern. Air pollution is a significant potential obesogenic factor, but the clear direct and indirect correlations between air pollution and obesity remain unclear. This study aims to provide a comprehensive understanding of the relationship between air pollution and obesity by identifying both direct and indirect causal correlations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We used nationally representative data from the China Family Panel Survey. Air pollution concentrations were quantified as the mass (μg) of air pollutants per cubic meter (m&lt;sup&gt;3&lt;/sup&gt;) based on nationally representative statistical data. To minimize statistical bias inherent in traditional methods, the direct relationship between air pollution and obesity was estimated using a regression discontinuity model, while the potential underlying mechanisms were explored through structural equation modeling.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Air pollution was generally positively associated with overweight/obesity ( &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;W&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;A&lt;/mi&gt; &lt;mi&gt;Q&lt;/mi&gt; &lt;mi&gt;I&lt;/mi&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.109, [95%CI = 1.027:1.305], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;B&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;A&lt;/mi&gt; &lt;mi&gt;Q&lt;/mi&gt; &lt;mi&gt;I&lt;/mi&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.032, [95%CI = 1.006:1.217], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mi&gt;SO&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;A&lt;/mi&gt; &lt;mi&gt;Q&lt;/mi&gt; &lt;mi&gt;I&lt;/mi&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.069, [95%CI = 1.014:1.208], PM&lt;sub&gt;2.5&lt;/sub&gt; and PM&lt;sub&gt;10&lt;/sub&gt; positively affected overweight/obesity ( &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;W&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;2.5&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.173, [95%CI = 1.094:1.252], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;B&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;2.5&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.022, [95%CI = 1.016:1.028], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mi&gt;SO&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;2.5&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.035 [95%CI = 1.015:1.055], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;W&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;10&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.053, [95%CI = 1.030:1.076], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;B&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;10&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.008 [95%CI = 1.006:1.010], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mi&gt;SO&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;PM&lt;/mi&gt; &lt;mn&gt;10&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 1.013 [95%CI = 1.007:1.019]), and SO&lt;sub&gt;2&lt;/sub&gt; and CO posed negative impacts on overweight/obesity ( &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;W&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;SO&lt;/mi&gt; &lt;mn&gt;2&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 0.972, [95%CI = 0.965:0.979], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubsup&gt;&lt;mi&gt;R&lt;/mi&gt; &lt;mrow&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;mi&gt;B&lt;/mi&gt;&lt;/mrow&gt; &lt;mrow&gt;&lt;mi&gt;SO&lt;/mi&gt; &lt;mn&gt;2&lt;/mn&gt;&lt;/mrow&gt; &lt;/msubsup&gt; &lt;/math&gt; = 0.997, [95%CI = 0.996:0.998], &lt;math&gt;&lt;mi&gt;O&lt;/mi&gt; &lt;msubs","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1403197"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between sleep quality and cognitive impairment in older adults hypertensive patients in China: a case-control study.","authors":"Shunxin Lv, Huachen Jiao, Xia Zhong, Ying Qu, Mengdi Zhang, Rui Wang, Donghai Liu","doi":"10.3389/fpubh.2024.1446781","DOIUrl":"10.3389/fpubh.2024.1446781","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have found that poor sleep quality promotes the occurrence of cognitive impairment (CI), but this relationship has been rarely reported in older adults hypertensive patients. The purpose of this study was to investigate the relationship between sleep quality and CI in older adults hypertensive patients and the mediating effect of sleep quality between physical activity (PA) and CI.</p><p><strong>Methods: </strong>A total of 2072 older adults hypertensive patients were included in this case-control study. Five hundred and eighteen older adults hypertensive patients with CI were matched 1:3 by age and sex to 1,554 older adults hypertensive patients with normal cognitive function. The International Physical Activity Questionnaire-Long Form, Pittsburgh Sleep Quality Index, and Mini-Mental State Examination were used to evaluate PA intensity, sleep quality, and cognitive function in older adults hypertensive patients. Multivariate logistic regression and the mediation package in R Language were used to analyze the relationship between sleep quality and CI and the mediating effect of sleep quality between PA intensity and CI in older adults hypertensive patients.</p><p><strong>Results: </strong>After adjusting for all confounding factors, sleep quality was positively correlated with CI in older adults hypertensive patients (OR = 2.565, 95%CI: 1.958-3.360, <i>p</i> < 0.001), and this relationship also existed in the older adults hypertensive patients with education levels of primary school and below and junior high school and above (OR = 2.468, 95%CI: 1.754-3.473, <i>p</i> < 0.001; OR = 2.385, 95%CI: 1.367-4.161, <i>p</i> = 0.002). In addition, sleep quality mediated part of the mediating effect between PA intensity and CI in older adults hypertensive patients (Za*Zb: - 17.19339; 95%CI: -0.37312, -0.04194).</p><p><strong>Conclusion: </strong>Poor sleep quality was associated with the occurrence of CI in older adults hypertensive patients, and this relationship also existed in older adults hypertensive patients with education levels of primary school and below and junior high school and above.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1446781"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rural-urban disparities in basic sanitation access among households: a multivariable decomposition analysis of Ethiopian demographic and health survey 2019.","authors":"Awoke Keleb, Chala Daba, Abel Endawkie, Lakew Asmare, Fekade Demeke Bayou, Eyob Tilahun Abeje, Aznamariam Ayres, Anissa Mohammed, Natnael Kebede, Kaleab Mesfin Abera, Asnakew Molla Mekonen, Endalkachew Mesfin Gebeyehu, Shimels Derso Kebede, Ermias Bekele Enyew, Mastewal Arefaynie, Abiyu Abadi Tareke, Yawkal Tsega","doi":"10.3389/fpubh.2024.1420077","DOIUrl":"10.3389/fpubh.2024.1420077","url":null,"abstract":"<p><strong>Introduction: </strong>Disparities in access to basic sanitation services between rural and urban households pose significant challenges to public health and human development. Understanding the determinants contributing to this gap is vital for advancing the Sustainable Development Goals (SDGs) and improving environmental and public health through evidence-based interventions.</p><p><strong>Objective: </strong>This study aims to analyze and understand the disparities in access to basic sanitation services between rural and urban households in Ethiopia.</p><p><strong>Methods: </strong>This study analyzed a sample of 8,663 weighted households, collected using stratified sampling techniques, utilizing the data from the 2019 Ethiopian Demographic and Health Survey (EDHS). The primary outcome was basic sanitation access, defined as access to flush or pour-flush systems, septic tanks, pit latrines, or composting toilets. A multivariable decomposition analysis was conducted to identify factors contributing to rural-urban disparities. Statistically significant variables were determined at a <i>p</i>-value of <0.05 with a 95% confidence interval.</p><p><strong>Results: </strong>The weighted proportion of basic sanitation access in Ethiopia was 13.78% (95% CI, 12.67-14.96), with significant disparities between rural (6.02%) and urban (27.15%) residents. Endowment factors accounted for 78.9% of this disparity, while behavioral coefficients contributed 22.1%. If the characteristics of respondents in rural and urban households had been similar, significant factors that would have narrowed the gap included the age of the household head (15-35 years), the absence of under-five children, smaller family size, and the attainment of secondary education, reducing the gap by 1.83, 2.07, 5.08, and 3.25%, respectively. Conversely, illiteracy and primary education levels widened the gap between rural and urban access to basic sanitation services by 16.85 and 0.23%, respectively. Additional factors exacerbating the rural-urban disparity included poverty (which widened the gap by 58.71%), residence in pastoralist regions (which widened the gap by 10.10%) or agrarian regions (which widened the gap by 7.03%), and access to water sources located more than 30 min away (which widened the gap by 7.91%).</p><p><strong>Conclusion: </strong>Significant disparities in access to basic sanitation services exist between rural and urban households in Ethiopia. Key factors contributing to these disparities include the age of the household head, education level, family size, region of residence, and water source proximity. Addressing these factors is essential for improving sanitation access and achieving the Sustainable Development Goals (SDGs).</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1420077"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to household air pollution and childhood multimorbidity risk in Jimma, Ethiopia.","authors":"Elias Mulat, Dessalegn Tamiru, Kalkidan Hassen Abate","doi":"10.3389/fpubh.2024.1473320","DOIUrl":"10.3389/fpubh.2024.1473320","url":null,"abstract":"<p><strong>Background: </strong>Childhood multimorbidity, characterized by the simultaneous occurrence of multiple medical conditions in children, is a global concern. Notably, exposure to household air pollution has been linked to various health issues, particularly affecting vulnerable segments of the population residing in poorly ventilated homes. However, evidence regarding the impact of household air pollution on the risk of multimorbidity in low-income settings remains scarce. Therefore, this study aims to investigate the association between household air pollution and childhood multimorbidity in Jimma, Ethiopia.</p><p><strong>Methods: </strong>A comparative cross-sectional study was conducted to collect data from 280 children under the age of five who lived in households using solid fuel (<i>n</i> = 140) and clean fuel (<i>n</i> = 140). The Demographic Health Survey morbidity questionnaire was used to collect information from mothers about common childhood illnesses. Multiple logistic regression analysis was employed to explore the relationship between the use of solid fuel for cooking in households and the likelihood of childhood multimorbidity. In addition, Poisson regression estimation was used to determine if exposure to solid fuel could increase the number of morbidities.</p><p><strong>Results: </strong>The overall prevalence of childhood multimorbidity was 34.3% [95% CI: 0.29-0.40]. Among these cases, 23.9% were among children from solid fuel user households, whereas about 10.4% were from clean fuel user households. Adjusted for all possible socioeconomic, demographic, water, sanitation, hygiene, and health care covariates, children living in solid fuel user households had more than three times the odds of childhood multimorbidity compared to children living in clean fuel user households (AOR = 3.14, 95% CI [1.42-6.95], <i>p</i> < 0.001). Moreover, household air pollution from solid fuel use was positively associated with an increased number of individual morbidity conditions, with an adjusted <i>β</i> coefficient of 0.46 (IRR = 1.58, 95% CI [1.17-2.13], <i>p</i> = 0.003).</p><p><strong>Conclusion: </strong>Solid fuel use was an independent predictor of childhood morbidity risk. Efficient policies and strategies, such as the integration of environmental regulation policies into the healthcare system aimed at the reduction of harmful air pollutants and their adverse health effects on children, need to be implemented.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1473320"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embodied cognition driven Qigong: a cross-sectional study and a pilot randomized controlled trial on managing depression and preventing relapse in substance dependence.","authors":"Chao Sun, Siyao Yang, Xiaojun Wang, Yongcong Shao, Xuetong Huang, Huanhuan Qi, Zhuolin Zhang, Guobai Su","doi":"10.3389/fpubh.2024.1388887","DOIUrl":"10.3389/fpubh.2024.1388887","url":null,"abstract":"<p><strong>Objective: </strong>Substance use disorders (SUDs) pose a significant challenge to public health systems worldwide, with persistent high relapse rates underscoring the urgency for innovative intervention strategies. This study embarked on a systematic exploration of the factors influencing relapse among individuals with SUDs, alongside the implementation of targeted Health Qigong intervention to mitigate these effects based on the embodied cognition.</p><p><strong>Methods: </strong>In the cross-sectional survey, a total of 398 male substance users were recruited to complete the questionnaires assessing depression, self-esteem, resilience, and relapse inclination. Subsequently, 60 participants diagnosed with depression were selected for a Pilot RCT, randomly divided into an intervention group, which underwent a 12-week Health Qigong program designed to combat depression through embodied cognition principles, and a control group, which maintained their daily routines.</p><p><strong>Results: </strong>Structural equation modeling demonstrated that depression not only had a direct effect on substance users' relapse, but also exerted an indirect effect through three paths: firstly, via the mediating role of self-esteem; secondly, via the mediating role of resilience; and thirdly, via the chain-mediated role of self-esteem and resilience. Two-factor mixed-design ANOVA showed that the 12-week targeted Health Qigong training not only mitigated depression in individuals with SUDs, but also enhanced self-esteem and mental resilience, and reducing the propensity for relapse.</p><p><strong>Conclusion: </strong>This research identifies critical factors influencing relapse in individuals with SUDs and introduces a novel, non-pharmacological intervention that significantly diminishes relapse rates and enhances recovery outcomes. It highlights the importance of physical activity in promoting mental health improvement and integrates traditional Chinese exercises with contemporary psychological insights, offering a comprehensive approach to drug rehabilitation and the integration of cultural practices in holistic health interventions.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1388887"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation outcomes of peer education programme comparing state-led and NGO-facilitated models in two Indian states: qualitative findings.","authors":"Monika Arora, Shalini Bassi, Deepika Bahl, Nishibha Thapliyal, Deepak Kumar, Harish K Pemde, Zoya Ali Rizvi","doi":"10.3389/fpubh.2024.1434959","DOIUrl":"10.3389/fpubh.2024.1434959","url":null,"abstract":"<p><strong>Introduction: </strong>Each Indian state can select one of the two implementation models under India's National Adolescent Health Strategy, i.e., Rashtriya Kishor Swasthya Karyakram, either direct implementation through the existing State Health Department and systems, or the Non-Governmental Organisation (NGOs) implementation model, which involves partnering with one or more field-level NGOs to provide the services and personnel.</p><p><strong>Methods: </strong>To compare and comprehend the implementation strategies of the Peer Education programme under the Direct and NGO implementation models within India's National Adolescent Health Strategy, and to document factors facilitating and hindering the adoption and implementation of the programme across two Indian states, using a qualitative approach.</p><p><strong>Results: </strong>Variations and similarities were seen across the two models. Employing a multi-level selection process, Madhya Pradesh selected two peer educators (PEs), while Maharashtra had four. Criteria included adolescents aged 15 and above in Madhya Pradesh and younger (10-14 years) and older (15-19 years) in Maharashtra. Madhya Pradesh selected Shadow Peers (10-14 years) to address attrition. Training in Madhya Pradesh spanned over 6 days, structured, led by NGO Mentors, utilising standardised, interactive resources with participatory methods. Maharashtra's training, facilitated by Auxiliary Nurse Midwife or Medical Officer, followed traditional approaches and relied on the trainer's expertise. PE session frequency and duration varied from monthly to quarterly. PEs were comfortable in handling issues like nutrition and non-communicable diseases but faced hesitancy in handling sexual and reproductive health issues. Regular Adolescent Friendly Clubs supported peer educators (PEs). In Madhya Pradesh, Adolescent Health and Wellness Days were suspended due to the pandemic, which led to decreased awareness of adolescent health services. Maharashtra resumed Adolescent Health and Wellness Days albeit on a limited scale.</p><p><strong>Conclusion: </strong>The study identified various similarities and deviations from operational guidelines for the implementation of the peer education programme, offering valuable guidance for policymakers, practitioners, and stakeholders involved in RKSK's planning and implementation. It presents actionable strategies to strengthen peer education interventions within national adolescent health programmes, regionally and globally.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1434959"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Prevalence, pattern, and determinants of disabilities in India: Insights from NFHS-5 (2019-21).","authors":"Sweta Pattnaik, Jogesh Murmu, Ritik Agrawal, Tanveer Rehman, Srikanta Kanungo, Sanghamitra Pati","doi":"10.3389/fpubh.2024.1487631","DOIUrl":"https://doi.org/10.3389/fpubh.2024.1487631","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fpubh.2023.1036499.].</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1487631"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}