Healthcare最新文献

{"title":"Attitudes Toward Coercion Among Mental Healthcare Workers in Italy: A Cross-Sectional Study.","authors":"Calogero Gugliotta, Antonino Amato, Giuliano Anastasi, Teresa Rea, Roberto Latina, Pasquale Iozzo, Stefano Bambi","doi":"10.3390/healthcare13141680","DOIUrl":"https://doi.org/10.3390/healthcare13141680","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Coercive measures remain a common practice in mental health, despite ethical concerns, potential risks, and uncertain efficacy. Mental healthcare workers' (MHCWs) attitudes toward coercion can influence their use. However, research in Italy is limited. This study aimed to investigate Italian MHCWs' attitudes toward coercion and their associations with sociodemographic and professional characteristics. <b>Methods</b>: A cross-sectional study was conducted on 356 MHCWs from a mental health department in Southern Italy. Participants completed the Staff Attitude to Coercion Scale (SACS), which assesses negative, pragmatic, and positive attitudes toward coercion. Descriptive statistics (i.e., frequencies, percentages, means) and bivariate analyses (i.e., one-way ANOVA) were used to explore the associations between variables. <b>Results</b>: The majority of participants were male (56.7%), nurses (50.3%), and worked in acute psychiatric settings (52%), with a mean age of 51.08 years (±10.59) and 13.74 years (±12.14) of experience in mental health. Attitudes differed significantly according to age, sex, professional role, and work setting. More negative attitudes were found among staff in residential settings and non-caring roles (<i>p</i> < 0.001). Pragmatic attitudes were lower among older staff (<i>p</i> = 0.012) and among those in residential settings and non-caring roles (<i>p</i> < 0.001). Positive attitudes were higher among males (<i>p</i> = 0.001), nursing staff (<i>p</i> < 0.001), and staff in acute settings (<i>p</i> = 0.049). <b>Conclusions</b>: Italian MHCWs reported different attitudes toward coercion, which was influenced by personal and professional factors. These findings highlight the need for targeted interventions and policy strategies to promote attitudinal change, particularly in settings where positive attitudes are prevalent.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pressure Ulcers and Nursing-Led Mobilization Protocols in ICU Patients: A Retrospective Observational Cohort Study.","authors":"Anna Korompeli, Eleni Karakike, Petros Galanis, Pavlos Myrianthefs","doi":"10.3390/healthcare13141675","DOIUrl":"https://doi.org/10.3390/healthcare13141675","url":null,"abstract":"<p><p><b>Background:</b> Pressure ulcers (PUs) remain a prevalent complication in intensive care unit (ICU) settings, especially among immobilized patients. The impact of structured, nursing-led mobilization protocols on PU prevention and recovery remains underexplored. <b>Objective:</b> To evaluate the impact of nursing-led mobilization protocols on the incidence and progression of PUs in critically ill patients. <b>Methods:</b> In this retrospective observational cohort study, 188 ICU patients were admitted during one of two consecutive periods of care: conventional care (6-hourly repositioning) and an advanced nursing-led protocol (3-hourly repositioning with support surfaces and specialized nurse training), which replaced conventional care as standard in our institution. The primary outcome included new PU development for patients with no pre-existing ulcers or worsening/non-progression of pre-existing ulcers at discharge; ICU mortality was evaluated as a secondary outcome. <b>Results:</b> Among patients without pre-existing ulcers (n = 155), new PU incidence did not significantly differ between groups, even after adjusting for SOFA score (OR 0.40, 95% CI: 0.05 TO 3.17; <i>p</i> = 0.374). However, in patients with pre-existing ulcers (n = 33), the advanced care group showed improvement (53.3% versus 0% in the conventional group, OR 0.07, 95% CI: 0.01-0.64; <i>p</i> = 0.012); this effect was independent of initial SOFA score. Mortality was associated with the SOFA score, but not with the type of care. <b>Conclusions:</b> While advanced nursing-led mobilization did not reduce PU incidence, it significantly improved existing ulcer outcomes. Findings support the integration of structured protocols for high-risk ICU patients, especially those with existing ulcers.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Pediatric Outpatient Medical Services Through the Implementation of the Smart Well Child Center Application.","authors":"Naporn Uengarporn, Teerapat Saengthongpitag, Poonyanuch Chongjaroenjai, Atcha Pongpitakdamrong, Wutthipong Sriratthnarak, Phonpimon Rianteerasak, Kanyarat Mongkolkul, Paninun Srinuchasart, Panuwat Srichaisawat, Nicharee Mungklang, Raiwada Sanguantrakul, Pattama Tongdee, Wichulada Kiatmongkol, Boonyanulak Sihaklang, Piraporn Putrakul, Niwatchai Namvichaisirikul, Patrapon Saritshasombat","doi":"10.3390/healthcare13141676","DOIUrl":"https://doi.org/10.3390/healthcare13141676","url":null,"abstract":"<p><strong>Background: </strong>Caregivers of children often encounter barriers when accessing pediatric healthcare services. These challenges highlight the need for digital innovations to improve accessibility and efficiency in pediatric outpatient care.</p><p><strong>Objectives: </strong>This study aimed to design, implement, and pilot evaluate the Smart Well Child Center application in conjunction with enhancements to the Pediatric Outpatient Department.</p><p><strong>Methods: </strong>This study employs a mixed-methods research approach. The application was developed following the system development life cycle (SDLC) process, and its performance was subsequently evaluated. Additionally, its effectiveness in real-world settings was assessed through a satisfaction survey completed by 85 child caregivers. The results were summarized using the mean and standard deviation, and satisfaction levels were compared using paired <i>t</i>-test and repeated measures ANOVA.</p><p><strong>Results: </strong>The findings reveal that caregivers face significant challenges, including financial burdens related to travel, prolonged wait times, and difficulties accessing healthcare services. In response, the application was designed to incorporate key functionalities. Within the pre-consultation self-assessment module, caregivers can complete evaluations and receive recommendations directly through the application. Furthermore, the service procedure flowchart was restructured to seamlessly integrate these digital innovations, thereby enhancing the overall healthcare experience. The evaluation results indicate that the application achieved high performance ratings across all assessed dimensions (4.06 ± 0.77). Additionally, caregivers reported a substantial increase in satisfaction levels both immediately after implementation (4.58 ± 0.57) and one month afterward (4.59 ± 0.33).</p><p><strong>Conclusions: </strong>Given these findings, it is recommended that the hospital fully adopt the Smart Well Child Center application to improve healthcare accessibility and reduce patient wait times. Future research should assess the long-term impact of the intervention on both caregiver outcomes and healthcare professional workflow, satisfaction, and system usability, to inform broader implementation strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Environmental Quality Dimensions and Green Practices on Patient Satisfaction from Students' Perspective-Managerial and Financial Implications.","authors":"Nikola Milicevic, Nenad Djokic, Ines Djokic, Jelena Radic, Nemanja Berber, Branimir Kalas","doi":"10.3390/healthcare13141673","DOIUrl":"https://doi.org/10.3390/healthcare13141673","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Healthcare institutions, similar to other service providers, should prioritize their clients-in this case, patients-to effectively meet their needs. However, fulfilling this objective becomes increasingly challenging due to numerous factors. Therefore, this study explores student patient satisfaction by examining the effects of environmental quality dimensions (Internal Spaces, External Spaces, And Social Environment) and green practices, as well as investigating how environmental knowledge moderates the relationship between green practices and patient satisfaction. <b>Methods</b>: Given the latent nature of the variables investigated, structural equation modeling (SEM) was employed. Some variables were conceptualized as hierarchical constructs comprising higher-order and lower-order components. Before testing the relationships among variables, reliability and validity assessments were performed. For this purpose, the SmartPLS 4 software was used. Since the focus of the research was on students' health in general, the sample consisted of 280 students from the University of Novi Sad (Republic of Serbia). <b>Results</b>: Among the three environmental quality dimensions, only the Social Environment had a significant and positive influence on patient satisfaction. Furthermore, the green practices emerged as a significant determinant of patient satisfaction. However, the moderating effect of environmental knowledge on this relationship was found to be non-significant. <b>Conclusions</b>: This research underscores the significance of patient satisfaction as a critical objective for healthcare institutions. Special attention should be directed toward enhancing positive interactions between medical staff and patients and adopting green practices. Consequently, certain managerial aspects related to human resource management (such as adequate staffing and organization of personnel) should be considered. In addition, issues concerning financial challenges and benefits regarding the implementation of green practices in healthcare were presented.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Intensity and Health Service Utilization in United States Adults with Pain: A Cross-Sectional Database Analysis.","authors":"David R Axon, Blair Jensen, Jordanne Koulong Kuemene, Mason Leech, Estabraq Mahmood","doi":"10.3390/healthcare13141678","DOIUrl":"https://doi.org/10.3390/healthcare13141678","url":null,"abstract":"<p><strong>Background: </strong>Pain is a common, often debilitating ailment that may necessitate considerable health service utilization. However, there is a need to assess the associations of pain intensity and other variables with health service utilization among United States adults who have pain.</p><p><strong>Methods: </strong>This cross-sectional database analysis made use of the Medical Expenditure Panel Survey full-year consolidated data file and included United States adults (≥18 years) who have pain. The dependent variables consisted of four health service utilization variables, which included the number of emergency room visits, inpatient discharges, office visits, and outpatient visits in 2021. The number of visits or discharges were categorized as either ≥1 or 0. The independent variable was pain intensity (extreme, quite a bit, moderate, or little pain). Other variables analyzed included age, race, ethnicity, sex, marriage, education, employment, income, insurance, chronic conditions, limitations, exercise, smoking, physical health, and mental health. Chi-squared tests compared differences between pain intensity groups, and multivariable logistic regression models assessed the associations of pain intensity and other variables with each of the four health service utilization variables. The analysis was weighted for national estimates. The significance (alpha) level was 0.05.</p><p><strong>Results: </strong>This analysis included 6280 adults, representing 89,314,769 United States adults with pain. In the multivariable analyses, there were statistically significant associations for extreme pain (odds ratio = 1.72, 95% confidence interval = 1.27-2.33), quite a bit of pain (odds ratio = 1.75, 95% confidence interval=1.37-2.24), and moderate pain (odds ratio = 1.28, 95% confidence interval = 1.02-1.60) versus little pain with emergency room visits, extreme pain (odds ratio = 2.10, 95% confidence interval = 1.44-3.08) and quite a bit of pain (odds ratio = 1.66, 95% confidence interval = 1.21-2.28) versus little pain with inpatient discharges, and quite a bit of pain (odds ratio = 1.47, 95% confidence interval = 1.03-2.11) versus little pain with office visits. There was no correlation between pain intensity levels and outpatient visits. In addition, several other variables were associated with various health service utilization variables.</p><p><strong>Conclusions: </strong>This database analysis discovered greater pain intensity levels were often correlated with increased health service utilization, including more emergency room, inpatient, and office visits. These findings may inform the development of targeted interventions for people with specific characteristics. Further work is needed to implement initiatives that optimize health service utilization and ultimately improve health outcomes for United States adults who have pain.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity and Psychonutritional Correlates of Eating Disorder Risk in Female Health Science Students.","authors":"Patricia Ruiz-Bravo, Germán Díaz Ureña, Bárbara Rodríguez-Rodríguez, Nuria Mendoza Laiz, Sonia García-Merino","doi":"10.3390/healthcare13141679","DOIUrl":"https://doi.org/10.3390/healthcare13141679","url":null,"abstract":"<p><p><b>Objective:</b> This study sought to examine the correlation between physical activity levels and various psychological and nutritional factors associated with the risk of developing eating disorders among female university students in the Health Sciences discipline. <b>Method:</b> The study assessed body image, self-esteem, nutritional status, adherence to the Mediterranean diet, and attitudes toward food in a sample of 96 women, categorized into two groups based on their level of physical activity. <b>Results:</b> Significant differences in skeletal muscle mass were identified between the groups, alongside associations between body dissatisfaction, low self-esteem, and elevated EAT-26 scores. Furthermore, students with higher levels of physical activity exhibited a significantly increased prevalence of eating disorder risk. Logistic regression analysis identified body dissatisfaction as a significant predictor of eating disorder risk, while membership in the group with the highest physical activity levels enhanced model fit and increased eating disorder risk. <b>Conclusions:</b> These findings indicate that, while physical activity is associated with certain benefits related to body composition and eating habits, it may also be linked to a heightened risk of disordered eating behaviors, contingent upon the underlying motivations and body perceptions involved. This study highlights the necessity for comprehensive preventive strategies that address both the physical and psychological dimensions of physical activity in female university students.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing an Outdoor Office Work Intervention: Exploring the Relevance of Measuring Frequency, Perceived Stress, Quality of Life and Connectedness to Nature.","authors":"Dorthe Djernis, Charlotte Petersson Troije, Victoria Linn Lygum, Peter Bentsen, Sidse Grangaard, Yun Ladegaard, Helle Haahr Nielsen, Katia Dupret, Christian Gaden Jensen","doi":"10.3390/healthcare13141677","DOIUrl":"https://doi.org/10.3390/healthcare13141677","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Outdoor office work (OOW) has been shown to promote health and well-being and to reduce stress. However, few empirical studies have examined research-based, simple approaches to implementing OOW. In preparation for a larger study, we conducted a feasibility study focusing on limited efficacy testing of potentially relevant outcomes for future OOW research. <b>Methods:</b> The simple <i>Pop Out</i> OOW programme consists of three workshops and access to online tutorials designed to support employees in transitioning relevant everyday office tasks outdoors. Before and after a 12-week intervention, employees from five small- and medium-sized Danish companies (<i>N</i> = 70) reported their weekly number of days including OOW, connectedness to nature (CNS and INS), Perceived Stress Scale (PSS), and well-being (WHO-5) scores. <b>Results:</b> At baseline, higher CNS scores were associated with a greater number of days including OOW per week (r = 0.25, <i>p</i> = 0.020). Following the intervention, participants reported a significant increase in the number of days per week with OOW (<i>p</i> < 0.01, d = 0.65). CNS scores also increased significantly (<i>p</i> = 0.019, d = 0.32). No significant changes were observed in stress or well-being scores across the entire sample. However, participants with PSS scores exceeding a national Danish criterion for high stress (<i>n</i> = 11) exhibited a significant and substantial reduction in perceived stress (<i>p</i> < 0.01, d = 1.00). <b>Conclusions:</b> Days including OOW, along with PSS and CNS scores, may serve as relevant outcome measures in future studies evaluating interventions aimed at promoting OOW. These outcomes should be assessed in larger and more diverse and controlled samples to establish generalisability.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Active Coping Strategies in the Relationship Between Academic Stressors and Stress Responses Among University Students.","authors":"Cristina Ruiz-Camacho, Margarita Gozalo, Inmaculada Sánchez Casado","doi":"10.3390/healthcare13141674","DOIUrl":"https://doi.org/10.3390/healthcare13141674","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Academic stress is a major factor affecting university students' psychological well-being and overall functioning. This study examined whether three active coping strategies-positive reappraisal, social support seeking, and strategic planning-mediate the relationship between academic stressors and self-reported stress responses. <b>Methods</b>: A quantitative, cross-sectional, non-experimental design was employed. The sample comprised 1014 students from the University of Extremadura (M<i>_age</i> = 20.56, SD = 3.50). Three subscales of the Academic Stress Questionnaire (CEA) were administered: Academic Stressors (E-CEA), Stress Responses (R-CEA), and Coping Strategies (A-CEA). Descriptive statistics, correlation analyses, and a multiple mediation model using structural equation modeling (SEM) tested direct and indirect effects, controlling for gender, study year, and academic field. <b>Results</b>: (1) Academic stressors were inversely related to positive reappraisal (<i>β</i> = -0.34, <i>p</i> < 0.001), planning (<i>β</i> = -0.12, <i>p</i> < 0.001), and social support seeking (<i>β</i> = -0.09, <i>p</i> < 0.01). (2) All three coping strategies were significantly associated with fewer stress symptoms, with positive reappraisal showing the strongest effect (<i>β</i> = -0.13, <i>p</i> < 0.001), followed by social support seeking (<i>β</i> = -0.06, <i>p</i> < 0.05) and planning (<i>β</i> = -0.03, <i>p</i> < 0.05). (3) Stressors had a strong positive direct effect on stress responses (<i>β</i> = 0.54, <i>p</i> < 0.001). (4) Coping strategies partially mediated the stressor-symptom link (total indirect effect: <i>β</i> = 0.12, <i>p</i> < 0.001, 95% CI [0.08, 0.16]). <b>Conclusions</b>: Active coping partially buffers the negative effects of academic stressors on perceived distress. Findings underscore the importance of enhancing students' coping skills and implementing institutional policies that reduce structural stress and support psychological well-being.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician and Patient Dissatisfaction with Outpatient Pre-Screening Triage in Public Dental Hospitals: Scope and Strategies for Improvement.","authors":"Siwei Ma, Li Zhang, Wenzhi Du, Gaofeng Fang, Peng Zhang, Fangfang Xu, Xingke Hao, Xiaojing Fan, Ang Li","doi":"10.3390/healthcare13141672","DOIUrl":"https://doi.org/10.3390/healthcare13141672","url":null,"abstract":"<p><p><b>Objectives:</b> While pre-screening triage (PST) enhances healthcare efficiency in emergency and pediatric settings, its application in dental healthcare remains undervalued. This novel study implemented PST in dental services, identifying determinants of physician-patient dissatisfaction to optimize triage systems and promote dental health outcomes. <b>Methods:</b> A cross-sectional survey (July-September 2024) recruited 113 physicians and 206 patients via convenience sampling. Dissatisfaction levels were quantified using validated questionnaires and analyzed through <i>t</i>-tests, ANOVA, and regression models. <b>Results:</b> In total, 37.17% of physicians with prior PST experience demonstrated significantly higher dissatisfaction scores (37.67 ± 9.08 vs. 32.51 ± 10.08, <i>p</i> = 0.006). Multivariate analysis revealed that experienced physicians rated PST services 5.63 points higher than less experienced counterparts (95% CI: 0.75-10.51). Dental patients expressed dissatisfaction with nurse attitudes (β = 1.04, 95% CI: 0.07-2.01) and triage process inefficiencies. <b>Conclusions:</b> Key dissatisfaction drivers include a lack of physician PST exposure and nurse-patient interaction quality in dental settings. These findings advocate for the development of a specialized triage system to enhance clinical workflow efficiency and service effectiveness in dental healthcare.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144730014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations Between Metabolic Risk Factors and Lung Function Among Adults in Northern Thailand: A Cross-Sectional Study.","authors":"Anurak Wongta, Nan Ei Moh Moh Kyi, Muhammad Samar, Nyan Lin Thu, Tipsuda Pintakham, Surat Hongsibsong","doi":"10.3390/healthcare13141671","DOIUrl":"https://doi.org/10.3390/healthcare13141671","url":null,"abstract":"<p><strong>Background/objectives: </strong>Lung function decline is influenced by metabolic risk factors (e.g., obesity, hyperglycemia, dyslipidemia) and environmental exposures (e.g., PM2.5), which may jointly contribute to airway inflammation and lung function impairment. This study aimed to investigate these associations in northern Thai adults and identify factors linked to lung function impairment.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in San Pa Thong, Chiang Mai, Thailand, involving 137 adults. Data on metabolic indicators and spirometry were collected. Statistical analyses included Spearman's correlation, multivariable linear regression, and logistic regression.</p><p><strong>Results: </strong>Higher triglyceride levels and shorter 6-min walk test (6MWT) distances were associated with reduced forced expiratory volume in one second (FEV₁) and forced vital capacity (FVC). Only 6MWT distance remained a significant factor for lung function impairment in logistic regression (adjusted OR = 0.763, 95% CI: 0.588-0.990, <i>p</i> = 0.042).</p><p><strong>Conclusions: </strong>Combining metabolic and respiratory assessments may improve early detection of lung function impairment in high-risk populations, particularly given the dual burden of metabolic disorders and air pollution in northern Thailand. These findings support the integration of metabolic and respiratory screening in community health programs to enhance preventive strategies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 14","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144729915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}