Frontiers in Public Health最新文献

{"title":"Influencing factors of health utility values in older adult people with normal cognition or mild cognitive impairment: a cross-sectional survey.","authors":"Yanqiu Du, Bingbing Zheng, Xiuru Wang, Tianlei Song, Di Liang, Jindong Ding Petersen, Jiayan Huang","doi":"10.3389/fpubh.2025.1538665","DOIUrl":"10.3389/fpubh.2025.1538665","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to present the findings of a cross-sectional survey on health state utility (HSU) values, a crucial metric for economic evaluations, and to analyze the primary factors influencing the HSU values of individuals with normal cognition (NC) or mild cognitive impairment (MCI).</p><p><strong>Methods: </strong>A community-based survey was conducted in Haikou City, China, employing cluster random sampling to select participants. The presence of NC and MCI was determined through the administration of the Chinese version of the Mini-Mental State Examination (MMSE). The assessment of HSU was conducted using the Chinese version of the Short Form Six Dimensions version 2 (SF-6Dv2), in conjunction with a questionnaire that collected data on socio-demographic characteristics, health-related behaviors, and health conditions. The HSU values were calculated using the SF-6Dv2 value set, which was developed for the Chinese population. A multiple linear regression model was constructed to identify the factors influencing HSU values.</p><p><strong>Results: </strong>The survey indicated that 536 older individuals were identified with NC (mean age 70.7, SD 7.1, 51.4% females), 245 were identified with MCI (mean age 73.0, SD 7.8, 67.4% females). The mean HSU values in NC group and MCI group were 0.792 (SD: 0.174) and 0.720 (SD: 0.199), respectively. The optimal multiple regression model for the MCI group demonstrated a linear relationship between age, depression symptomatology, and MMSE score with HSU, with coefficients of -0.009 (<i>p</i> < 0.001) for age and -0.132 (<i>p</i> < 0.001) for depression symptomatology. And for NC group, the optimal multiple linear regression model included five variables: age, sex, monthly personal income, depression symptomatology, and number of comorbidities.</p><p><strong>Conclusion: </strong>This study presented findings on HSU and its influencing factors in both the NC and MCI groups. The older adult individuals with MCI demonstrated lower HSU compared to their cognitively normal counterparts. The results of the factor analysis indicated that intervention programs designed to enhance the health-related quality of life for older adult individuals with MCI should include strategies to address depression.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1538665"},"PeriodicalIF":3.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718597","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":"Profiling adolescent participation in wildlife activities and its implications on mental health: evidence from the Young-HUNT study in Norway.","authors":"Skender Elez Redzovic, Ingvill Jeanette Hektoen Johansen, Tore Bonsaksen","doi":"10.3389/fpubh.2025.1517089","DOIUrl":"10.3389/fpubh.2025.1517089","url":null,"abstract":"<p><strong>Background: </strong>Adolescent mental health challenges are on the rise globally, and Norway is no exception. Wildlife activities (WAs) have been increasingly promoted as a potential measure to improve adolescent well-being. However, there is limited research on the extent of adolescent participation in these activities and its association with mental distress among Norwegian adolescents.</p><p><strong>Aim: </strong>This study has a twofold aim: to explore the degree of adolescent participation in WAs and to examine the association between this participation and mental distress.</p><p><strong>Methods: </strong>The study design was cross-sectional, using Young-HUNT data from Norway collected between 2017 and 2019. A total of 6,361 participants were included in the final sample. Participants were categorized based on their level of participation in WAs, and ordinal regression analysis was conducted to assess factors associated with their level of wildlife activity. Furthermore, multivariate linear regression analysis assessed the association between wildlife activity and mental distress.</p><p><strong>Results: </strong>The majority of participants reported low levels (34.6%) or medium levels (53.2%) of engagement in WAs. Adjusted analyses showed that higher levels of participation in WAs were associated with a range of factors, particularly female sex, having both parents born in Norway, and maintaining a medium or high level of physical activity. A weak yet statistically significant relationship was identified between higher levels of wildlife activity and increased mental distress among the participants.</p><p><strong>Conclusion: </strong>Various sociodemographic, lifestyle, and social factors influence the involvement in WAs. The observed weak but significant association between higher participation in WAs, and increased mental distress raises questions about the assumption that nature and WAs are universally beneficial for adolescent mental health. These results highlight the need for further research to explore the underlying mechanisms of this relationship. These findings also caution policymakers against making generalized claims about the mental health benefits of WAs without a deeper consideration of individual and contextual factors.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1517089"},"PeriodicalIF":3.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718611","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":"Echocardiography screening of German military pilot applicants as an example for high-hazard occupations.","authors":"Norbert Guettler, Stefan Sammito","doi":"10.3389/fpubh.2025.1436805","DOIUrl":"10.3389/fpubh.2025.1436805","url":null,"abstract":"<p><strong>Introduction: </strong>Pre-employment screening is of utmost importance in high-risk occupations for the early diagnosis and prevention of cardiac and non-cardiac disease, and for risk mitigation. Recommendations for echocardiography screening, however, are contradictory. It was the aim of this study to retrospectively analyze echocardiography data from German military pilot applicant screening to find out in how many cases cardiac disease was diagnosed, and how often the diagnosis influenced aeromedical decision making.</p><p><strong>Methods: </strong>6,110 screening echocardiographies from German military pilot applicants, 5,923 were male, examined between January 2007 and June 2020 were retrospectively analyzed for findings and their impact on aeromedical decisions.</p><p><strong>Results: </strong>During a 14.5-year period, 4,477 out of 6,110 screening echocardiograms were normal. The remaining 1,633 applicants revealed a total of 1,962 abnormalities, mainly consisting of minor tricuspid and mitral valve regurgitations (81.9%). Due to echocardiography findings, 80 applicants (1.3%) were unfit for flying duties, 9 (0.1%) were fit with limitations, and 1,544 (25.3%) were fit with findings that had to be monitored over time, but which were not aeromedically relevant. The most common diagnoses leading to disqualification or limitations were bicuspid aortic valve with or without aortic regurgitation (84.9%) and mitral valve prolapse with or without regurgitation (9.3%).</p><p><strong>Conclusion: </strong>Percentages of abnormal findings were similar to other studies. Aeromedical assessments based on those findings, however, were slightly different, as they depend on national employment policies. As a consequence, the usefulness of echocardiography may vary between different countries and different professions, depending on the acceptance of certain findings for employment.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1436805"},"PeriodicalIF":3.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718579","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":"Social mobility and health gain: the combined effects of material conditions, psychological support, and social capital.","authors":"Lu Zhang, Hai Gu, Huiying Chen, Qinglin Xu, Zi Lin, Yang Yi","doi":"10.3389/fpubh.2025.1496279","DOIUrl":"10.3389/fpubh.2025.1496279","url":null,"abstract":"<p><strong>Rationale: </strong>Research on how social mobility impacts health has primarily focused on developed countries or regions, with a notable absence of in-depth examination into the underlying mechanisms responsible for these influences.</p><p><strong>Objective: </strong>This paper utilizes data from the 2021 Chinese General Social Survey to focus on the health effects of social mobility in China and the underlying mechanisms behind these effects.</p><p><strong>Methods: </strong>We employed an ordered logistic regression model as the baseline to test the health effects of social mobility. To address endogeneity issues, we used placebo tests, instrumental variable methods, and the Karlson-Holm-Breen mediation analysis to explore the pathways through which social mobility affects health.</p><p><strong>Results: </strong>Our findings indicate that upward social mobility is associated with better self-rated health, and this conclusion holds in China. The health benefits of upward social mobility are more pronounced for males and individuals with lower initial socioeconomic status. Upward social mobility primarily influences individuals' health through material conditions, psychological support, and social capital.</p><p><strong>Conclusion: </strong>Our research findings support the rising from rags hypothesis, expanding the research context of social mobility theory, which provides a new perspective on promoting health equity and improving health within the life course context.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1496279"},"PeriodicalIF":3.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143718618","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":"Workforce outcomes among substance use peer supports: a scoping review of individual and organizational influences.","authors":"Justin S Bell, Dennis P Watson, Tina Griffin, Sierra Castedo de Martell, Emma Sophia Kay, Mary Hawk, Bradley Ray, Michelle Hudson","doi":"10.3389/fpubh.2024.1515264","DOIUrl":"10.3389/fpubh.2024.1515264","url":null,"abstract":"<p><strong>Introduction: </strong>Peer recovery support services (PRSS), an expanding component in SUD treatment, are delivered by individuals with lived experience of substance use disorder (SUD). Despite the growing importance of these peers and the unique challenges they face in a developing health profession, limited research has focused on their workforce outcomes. This review aims to map the literature on (a) workforce outcomes among peers and (b) the individual and organizational contributors to these outcomes.</p><p><strong>Materials and methods: </strong>We conducted a scoping review of empirical literature from January 1, 1999 to January 26 2023 on APA PsycINFO®, Embase®, CINAHL®, Web of Science™, and Google Scholar. We also conducted a search of grey literature on institutional websites to locate additional articles. Search strategies targeted terms related to peers (e.g., peer specialist, people with lived experience), workforce outcomes (e.g., burnout, compassion fatigue), and organizational environments (e.g., workplace, volunteer). The review was preregistered with Open Science Framework (https://doi.org/10.17605/OSF.IO/C9YNR).</p><p><strong>Results: </strong>Of the 16,361 total articles retrieved, 20 were included after screening, consisting of 9 quantitative, 9 qualitative, and 2 mixed-methods studies. Cross-sectional survey was the most common study design (<i>n</i> = 9). Organizational factors, such as supervisory support and professional development opportunities, were linked to increased job satisfaction and retention while factors such as inadequate compensation and stigma were barriers to workforce sustainability. Individual challenges, including boundaries with clients and a lack of self-care, were associated with burnout and decreased job satisfaction.</p><p><strong>Conclusion: </strong>Results highlight challenges faced by peers in SUD services which limit their ability to sustain well-being and achieve career longevity. Research gaps include the need for longitudinal studies, a clearer understanding of work settings, and an exploration of mediating or moderating factors affecting workforce outcomes. Future efforts to foster a sustainable peer workforce should focus on improving peer workers' well-being through organizational support, professional development, and targeted interventions based on occupational health theories.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"12 ","pages":"1515264"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11935349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709648","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":"COVID-19 vaccination refusal among the anti-vaccinationists in a Chinese society: a critical medical anthropology study of the vaccination barriers.","authors":"Judy Yuen-Man Siu","doi":"10.3389/fpubh.2025.1495951","DOIUrl":"10.3389/fpubh.2025.1495951","url":null,"abstract":"<p><strong>Introduction: </strong>This study investigated the reasons for COVID-19 vaccination refusal among some Hong Kong residents who were anti-vaccinationists, despite the implementation of a vaccine incentive policy called the Vaccine Pass. The health belief model and the theory of planned behavior have been widely employed to analyze the determinants of COVID-19 vaccination. However, these two theories focus on the micro individual factors, which do not provide a sufficiently comprehensive analysis.</p><p><strong>Study design: </strong>A qualitative descriptive approach with a critical medical anthropology framework.</p><p><strong>Methods: </strong>This study adopts a critical medical anthropology framework that provides a micro and macro analysis at four social levels. A qualitative approach with individual, semi-structured, in-depth interviews was conducted from September 2022 to March 2023 with 30 individuals aged 20-59 years who did not receive COVID-19 vaccination in Hong Kong. The participants were recruited through purposive sampling and snowball sampling. A thematic analysis of data was implemented.</p><p><strong>Results: </strong>The reasons for COVID-19 vaccination refusal involved intertwining relationships among factors in the four social levels of the critical medical anthropology framework. The participants' doubts about the safety of COVID-19 vaccines at the individual level were interacting with: (1) their ethnocultural beliefs and the perceived profit-oriented nature of vaccine production and distribution at the macro-social level, (2) their interpretation of the inconsistent advice of medical doctors at the micro-social level, and (3) their distrust in the government's vaccination policies at the intermediate-social level.</p><p><strong>Conclusion: </strong>The participants' refusal of COVID-19 vaccines was correlated with perceived profit motives related to the vaccine, perceived conflict of interest of health-care providers, and the distrust of government.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1495951"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708150","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":"Knowledge, attitudes, and practices toward biologics among systemic lupus erythematosus patients: a cross-sectional study.","authors":"Xue Xu, Mengru Du, Peng Lai, Zhiling Zhao, Linyu Geng, Jun Liang, Haifeng Chen, Lingyun Sun","doi":"10.3389/fpubh.2025.1445576","DOIUrl":"10.3389/fpubh.2025.1445576","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the knowledge, attitudes, and practices (KAP) toward biologics among systemic lupus erythematosus (SLE) patients.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at Nanjing Drum Tower Hospital from March 2023 to January 2024. Demographic information and KAP were obtained through the distribution of self-designed questionnaires.</p><p><strong>Results: </strong>A total of 543 SLE patients participated in this study, with a mean age of 39.14 ± 13.08 years. The mean scores for knowledge, attitude, and practice were 6.08 ± 5.49 (possible range: 0-32), 33.14 ± 4.01 (possible range: 10-50), and 12.06 ± 3.95 (possible range: 6-30), respectively. Multivariate logistic regression analysis revealed that knowledge score (OR = 1.08, 95% CI: 1.019-1.144, <i>p</i> = 0.009), attitude score (OR = 1.476, 95% CI: 1.337-1.63, <i>p</i> < 0.001), average monthly income of 5,000-10,000 Yuan (OR = 2.129, 95% CI: 1.327-3.416, <i>p</i> = 0.002), and average monthly income of more than 10,000 Yuan (OR = 2.245, 95% CI: 1.184-4.260, <i>p</i> = 0.013) were independently associated with proactive practice. Structural equation modeling revealed significant direct effects of knowledge on attitude (<i>β</i> = 0.586, <i>p</i> < 0.001) and practice (<i>β</i> = 0.140, <i>p</i> = 0.041). Additionally, attitudes were found to directly influence practice (<i>β</i> = 0.628, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>SLE patients demonstrated inadequate knowledge, suboptimal attitudes, and passive practices regarding biologics. It is recommended that healthcare providers prioritize education and interventions aimed at enhancing knowledge, fostering positive attitudes, and promoting proactive practices regarding biologic therapies among SLE patients.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1445576"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709509","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":"A cross-sectional study of evidence-based practice and association factors among nurses in public health facilities of Dessie city, Northeast Ethiopia.","authors":"Tariku Yimam, Asnakew Molla Mekonnen, Yawkal Tsega, Endalkachew Mesfin Gebeyehu","doi":"10.3389/fpubh.2025.1540388","DOIUrl":"10.3389/fpubh.2025.1540388","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) is essential in modern healthcare to improve patient outcomes and enhance the quality of care. Nurses play a crucial role in implementing EBP in clinical settings, yet its utilization remains suboptimal in many healthcare facilities, particularly in resource-limited settings. However, nursing practice in Ethiopia often relies on experience, tradition, intuition, common sense, and untested theories. Additionally, there is a lack of information on the implementation of EBP by nurses in Ethiopia, particularly in the study area. However, there is limited empirical evidence assessing the level of EBP implementation and the associated factors among nurses in these facilities. Therefore, this study aims to assess evidence-based practice and association factors among nurses in public health facilities of Dessie city, Northeast Ethiopia.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted among 442 nurses in public health facilities of Dessie City from January 17 to February 17, 2023. A stratified random sampling technique was used to select participants. Data were collected using a structured self-administered questionnaire and analyzed using bi-variable and multivariable binary logistic regression. Adjusted odds ratios (AOR) with 95% Confidence Intervals (CI) were calculated, and statistical significance was declared at <i>p</i> < 0.05.</p><p><strong>Results: </strong>The prevalence of good Evidence-Based Practice (EBP) utilization among nurses was 37.6% (95% CI: 32.9-42.2%), indicating a low level of adoption. The mean (±SD) age of the participants was 41.34 (±12.86) years. Key factors significantly associated with EBP implementation included: Knowledge of EBP: Nurses with good knowledge were six times more likely to implement EBP (AOR = 6.01; 95% CI: 3.78, 9.55). Type of Health Facility: Nurses working in hospitals were nearly three times more likely to practice EBP compared to those in health centers (AOR = 2.89; 95% CI: 1.45, 5.76). Attitude towards EBP: Nurses with a favorable attitude were 3.4 times more likely to engage in EBP (AOR = 3.41; 95% CI: 2.04, 5.71). Additionally, barriers to EBP adoption included limited resources (34.4%), high workload (27.5%), and lack of internet access at the workplace (68.7%). Less than 10% of nurses reported using nursing journals as sources of evidence, while 73.4% relied on information from coworkers.</p><p><strong>Conclusion: </strong>This study highlights a low prevalence of EBP utilization among nurses in Dessie City. The strong association between EBP adoption and factors such as knowledge, attitude, and type of health facility suggests the need for targeted interventions. Improving nurses' access to EBP training, research resources, and institutional support could significantly enhance EBP implementation, leading to better patient care and health outcomes.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1540388"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709649","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":"A patient-reported questionnaire for evaluating utilization of the National Essential Public Health Service Program in China among older adults with hypertension and diabetes.","authors":"Lu Liu, Meicen Liu, Linghe Yang, Xinyue Chen, Yuanli Liu, Lili You","doi":"10.3389/fpubh.2025.1459754","DOIUrl":"10.3389/fpubh.2025.1459754","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to develop a patient-reported questionnaire to assess service utilization and patient satisfaction among older adults with hypertension and diabetes in primary health-care centers operating under China's National Essential Public Health Service Program (NEPHSP).</p><p><strong>Methods: </strong>The questionnaire's item pool was constructed on the basis of a logic model. A cross-sectional survey was conducted in three provinces of mainland China between November and December 2019. The questionnaire was evaluated using Cronbach's alpha coefficients and confirmatory factor analysis (CFA) to refine items and assess internal consistency, construct validity, convergent validity, and discriminant validity.</p><p><strong>Results: </strong>The final questionnaire adopted a second-order factor model comprising three domains: essential services for all older adults, follow-up services for older adults with hypertension or diabetes, and patient satisfaction assessment. Through a two-step refinement process, nine factors encompassing 29 items were selected, including elements such as \"health records and health education,\" \"blood pressure/glucose monitoring,\" and \"health education in follow-up.\" Cronbach's alpha coefficients indicated excellent reliability, with values of 0.899 and 0.906. The 29-item instrument had robust model fit for both hypertension and diabetes cohorts. The fit indices for the hypertension model included a Bollen-Stine bootstrap chi-square to degrees of freedom ratio (χ²/df) of 1.78, root mean square error of approximation (RMSEA) of 0.03, and goodness-of-fit index (GFI) of 0.97. Similarly, for the diabetes model, the fit indices were a Bollen-Stine bootstrap χ²/df ratio of 1.38, RMSEA of 0.02, and GFI of 0.97. CFA revealed factor loadings ranging from 0.516 to 0.940 for the hypertension model and from 0.504 to 0.943 for the diabetes model. All three first-order factors were significantly correlated with each other (<i>p</i> < 0.01), and their correlation coefficients were lower than the square root of the average variance extracted. The models demonstrated strong structural validity, convergent validity, and discriminant validity.</p><p><strong>Conclusion: </strong>A valid and reliable questionnaire for evaluating service utilization and patient satisfaction among older adults with hypertension and diabetes in primary health-care center was developed in China. This instrument will serve as a practical tool for patient-reported assessments within the NEPHSP framework at primary health-care centers.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1459754"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709650","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":"Longitudinal relationships between daily activities, depressive symptoms, anxiety, and suicidality during the COVID-19 pandemic: a three-wave cross-lagged study.","authors":"Juhee Choi, Gaeun Son, Kee-Hong Choi","doi":"10.3389/fpubh.2025.1459300","DOIUrl":"10.3389/fpubh.2025.1459300","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has caused significant unprecedented changes in lives. In particular, core daily activities, such as sleep, diet, physical activity, education, and social activities have significantly changed. Restrictions on daily activities are associated with the deterioration of mental health. However, few studies have comprehensively explored the relationship between daily activities and mental health during the COVID-19 pandemic, and longitudinal studies of these relationships are lacking. Therefore, this study examined the dynamic interaction between core daily activities and mental health during the COVID-19 pandemic.</p><p><strong>Methods: </strong>An online survey was conducted with 586 adults (age: M = 46.80, SD = 12.515) in three waves: September 2020, December 2020, and April 2021. Depressive symptoms, anxiety, and suicidality were assessed using Mental Health Screening Tool. Daily activities were assessed using Core Life Activities Inventory. Autoregressive and cross-lagged effects were investigated using a cross-lagged panel analysis.</p><p><strong>Results: </strong>Reduced daily activities contributed to increased depression, anxiety, and suicidality, which, in turn, resulted in further decreases in daily activities in subsequent waves. These autoregressive and reciprocal effects persisted for 7 months during the pandemic. Among core daily activities, sleep quality, physical activity, and social activities had reciprocal relationships with depression. Moreover, only social activities showed a reciprocal relationship with anxiety and suicidality.</p><p><strong>Conclusion: </strong>These findings highlight the complex relationship between core daily activities and mental health and provide valuable insights for targeted therapeutic strategies. Implementing timely and effective interventions to maintain and enhance key activities, particularly social engagement, is crucial for alleviating negative mood symptoms. Clinical support and promotion of these essential daily activities are necessary to improve mental health outcomes.</p>","PeriodicalId":12548,"journal":{"name":"Frontiers in Public Health","volume":"13 ","pages":"1459300"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709494","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}