International Journal of Environmental Research and Public Health最新文献_第7页

Age and Hair Cortisol Levels as Predictors of SARS-CoV-2 Infection 年龄和毛发皮质醇水平是 SARS-CoV-2 感染的预测因素

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-09-02 DOI: 10.3390/ijerph21091166

Nancy Fiedler, Pamela Ohman-Strickland, Jialin Doris Shen, Kathleen Black, Daniel B. Horton, Reynold Panettieri, Martin J. Blaser, Jeffrey Carson, Kestutis Bendinskas, Hana Cheng, Emily S. Barrett

{"title":"Age and Hair Cortisol Levels as Predictors of SARS-CoV-2 Infection","authors":"Nancy Fiedler, Pamela Ohman-Strickland, Jialin Doris Shen, Kathleen Black, Daniel B. Horton, Reynold Panettieri, Martin J. Blaser, Jeffrey Carson, Kestutis Bendinskas, Hana Cheng, Emily S. Barrett","doi":"10.3390/ijerph21091166","DOIUrl":"https://doi.org/10.3390/ijerph21091166","url":null,"abstract":"Chronic psychosocial stress is known to adversely impact immune function. During the SARS-CoV-2 pandemic, occupational stress among workers in healthcare was at an unprecedented level due to risks of infection and work demands. We performed a nested case–control study to investigate the associations between chronic stress and the risks of contracting SARS-CoV-2. We collected 3 cm of hair from employees at an academic medical center who tested positive for SARS-CoV-2 (N = 49) and controls who tested negative (N = 49), matched for age, race, and sex. The diagnosis of SARS-CoV-2 was based on polymerase chain reaction or antibody tests. As a proxy for chronic stress, we segmented hair into 1 cm sections each representing one month and measured cortisol levels using a cortisol enzyme-linked immunosorbent assay. For cases, we used cortisol concentrations measured in hair segments from the month prior to a positive SARS-CoV-2 test, and for controls, we used time-matched hair segments. We fitted conditional logistic regression models adjusted for sex, age, race, body mass index, and healthcare worker status, and stratified models by older vs. younger age (cutoff = 41 years). African Americans had higher hair cortisol levels relative to participants of other races and ethnicities. In adjusted models, higher hair cortisol concentrations were associated with an increased odds of infection with SARS-CoV-2 (OR = 1.84; CI: 1.10–3.07) among older, but not younger, participants. The results suggest that psychosocial stress may be a risk factor for SARS-CoV-2 infection; stress management may be an important part of a comprehensive approach to protect against SARS-CoV-2 infection.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using Association Rules to Obtain Sets of Prevalent Symptoms Throughout the COVID-19 Pandemic: An Analysis of Similarities Between Cases of COVID-19 and Unspecified SARS in São Paulo-Brazil 利用关联规则获取整个 COVID-19 大流行期间的流行症状集：巴西圣保罗 COVID-19 和不明 SARS 病例的相似性分析

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-09-01 DOI: 10.3390/ijerph21091164

Julliana Gonçalves Marques, Bruno Motta de Carvalho, Luiz Affonso Guedes, Márjory Da Costa-Abreu

{"title":"Using Association Rules to Obtain Sets of Prevalent Symptoms Throughout the COVID-19 Pandemic: An Analysis of Similarities Between Cases of COVID-19 and Unspecified SARS in São Paulo-Brazil","authors":"Julliana Gonçalves Marques, Bruno Motta de Carvalho, Luiz Affonso Guedes, Márjory Da Costa-Abreu","doi":"10.3390/ijerph21091164","DOIUrl":"https://doi.org/10.3390/ijerph21091164","url":null,"abstract":"The efficient recognition of symptoms in viral infections holds promise for swift and precise diagnosis, thus mitigating health implications and the potential recurrence of infections. COVID-19 presents unique challenges due to various factors influencing diagnosis, especially regarding disease symptoms that closely resemble those of other viral diseases, including other strains of SARS, thus impacting the identification of useful and meaningful symptom patterns as they emerge in infections. Therefore, this study proposes an association rule mining approach, utilising the Apriori algorithm to analyse the similarities between individuals with confirmed SARS-CoV-2 diagnosis and those with unspecified SARS diagnosis. The objective is to investigate, through symptom rules, the presence of COVID-19 patterns among individuals initially not diagnosed with the disease. Experiments were conducted using cases from Brazilian SARS datasets for São Paulo State. Initially, reporting percentage similarities of symptoms in both groups were analysed. Subsequently, the top ten rules from each group were compared. Finally, a search for the top five most frequently occurring positive rules among the unspecified ones, and vice versa, was conducted to identify identical rules, with a particular focus on the presence of positive rules among the rules of individuals initially diagnosed with unspecified SARS.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtual Reality in Cancer Care: Enhancing Knowledge and Reducing Anxiety about Chemotherapy among Patients and Caregivers 癌症护理中的虚拟现实技术：增强患者和护理人员对化疗的了解并减轻其焦虑感

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-09-01 DOI: 10.3390/ijerph21091163

Melissa K. Thomas, Abolfazl (Abel) Jarrahi, Lauren Dennie, Sam Scott, Ted Lau, Annika Johnson

{"title":"Virtual Reality in Cancer Care: Enhancing Knowledge and Reducing Anxiety about Chemotherapy among Patients and Caregivers","authors":"Melissa K. Thomas, Abolfazl (Abel) Jarrahi, Lauren Dennie, Sam Scott, Ted Lau, Annika Johnson","doi":"10.3390/ijerph21091163","DOIUrl":"https://doi.org/10.3390/ijerph21091163","url":null,"abstract":"Virtual reality (VR) technology has evolved from entertainment to significant applications in healthcare and education. Despite its potential, there is limited research on the role of VR in cancer care. This study investigates VR’s ability to simulate the chemotherapy process, aiming to enhance patients’ knowledge and mitigate anxiety associated with chemotherapy. Utilizing a two-arm, mixed-methods pre/post-survey design, the study measured changes in patients’ anxiety and knowledge before and after exposure to a VR simulation. Participants (n = 267) engaged with VR simulations or interactive 360-degree videos depicting the chemotherapy process. Data analyses revealed a significant median increase in chemotherapy knowledge post-exposure to the VR content (z = 12.511, p < 0.001). Demographic factSors significantly influenced perceptions of VR realism and usefulness (p < 0.05). Additionally, VR exposure was correlated with reduced anxiety levels and improved treatment expectations (p < 0.05). Participants with higher post-understanding chemotherapy scores considered VR a useful tool for managing anxiety about chemotherapy and recommended VR for other medical procedures (p < 0.001). These findings underscore VR technology’s potential as a valuable tool in cancer treatment, suggesting it can enhance patient education and reduce anxiety, thereby improving patient outcomes during cancer therapy.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiation-Induced Childhood Thyroid Cancer after the Fukushima Daiichi Nuclear Power Plant Accident 福岛第一核电站事故后辐射诱发的儿童甲状腺癌

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-09-01 DOI: 10.3390/ijerph21091162

Yoshihiro Sokawa

{"title":"Radiation-Induced Childhood Thyroid Cancer after the Fukushima Daiichi Nuclear Power Plant Accident","authors":"Yoshihiro Sokawa","doi":"10.3390/ijerph21091162","DOIUrl":"https://doi.org/10.3390/ijerph21091162","url":null,"abstract":"After the Fukushima Nuclear Power Plant accident in March 2011, a large-scale ultrasound examination of childhood thyroid cancer for all Fukushima residents aged 18 years old or younger was initiated. Fukushima was divided into four areas according to the external radioactivity released by the accident: the highest (A), high-intermediate (B), low-intermediate (C), and the lowest (D). Five rounds of surveys were carried out from October 2011 to March 2023. The annual incidence rates of the “Common Case” not affected by the accident were able to be estimated. The difference between the incidence rate of whole patients and the “Common Case” is that of the “Radiation-induced Case”. The annual incidence rate of the “Radiation-induced Case” began to increase immediately after the accident, where the highest level was seen in A area, and the order was A > B > C > D. It showed that the development of childhood thyroid cancer was affected by the radiation released by the accident. The effect of the radiation consisted of two phases: the first phase may have been due to the damage to the immune system, and the second phase may have been due to the genetic mutation in the children who were youngest at the time of the accident.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physical Activity and Psychosocial Outcomes in Adults with Achondroplasia: An Exploratory Study 软骨发育不全成人的体育锻炼和社会心理结果：一项探索性研究

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-31 DOI: 10.3390/ijerph21091160

Inês Alves, Orlando Fernandes, Maria António Castro, Sofia Tavares

{"title":"Physical Activity and Psychosocial Outcomes in Adults with Achondroplasia: An Exploratory Study","authors":"Inês Alves, Orlando Fernandes, Maria António Castro, Sofia Tavares","doi":"10.3390/ijerph21091160","DOIUrl":"https://doi.org/10.3390/ijerph21091160","url":null,"abstract":"Background: Adults with achondroplasia face physical and psychosocial challenges that may impact their health-related quality of life and mental health. This exploratory cross-sectional study aimed to investigate relationships between health-related quality of life, mental health, and physical activity levels in adults with achondroplasia, focusing on potential gender differences. Methods: Sixteen adults with achondroplasia (10 women, 6 men; age 37.2 ± 13.5 years) completed the Short Form Health survey, the Brief Symptom Inventory, and the International Physical Activity questionnaire. Descriptive statistics, non-parametric group comparisons, correlational analyses, and linear regressions were conducted. Results: Moderate physical activity showed strong positive correlations with general health (rs = 0.79, 95% CI [0.50, 0.92]), vitality (rs = 0.60, 95% CI [0.15, 0.85]), and physical functioning (rs = 0.62, 95% CI [0.18, 0.86]), on SF-36. Women reported lower quality of life scores than men across most SF-36 dimensions. Significant gender difference was observed in vitality (r = 0.61) and pain (r = 0.55). Physically active participants presented better outcomes in general health (r = 0.63) and vitality (r = 0.55) compared to inactive participants. Conclusions: This study provides preliminary evidence suggesting potential benefits of moderate-intensity physical activity on health-related quality of life and mental health among adults with achondroplasia, with notable gender differences. While limited by sample size and study design, the findings highlight the need for larger, longitudinal studies to further explore the role of physical activity in enhancing well-being in this population.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142224873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-31 DOI: 10.3390/ijerph21091161

Marilene Ghiraldi de Souza Marques, Braulio Henrique Magnani Branco, Déborah Cristina de Souza Marques, Marielle Priscila de Paula Silva Lalucci, Victor Augusto Santos Perli, José Roberto Andrade do Nascimento, Pablo Valdés-Badilla, Daniel Vicentini de Oliveira

{"title":"Health-Related Physical Fitness and Biochemical Parameters in Overweight Older People during Social Isolation Imposed by the COVID-19 Pandemic: A Longitudinal and Observational Study","authors":"Marilene Ghiraldi de Souza Marques, Braulio Henrique Magnani Branco, Déborah Cristina de Souza Marques, Marielle Priscila de Paula Silva Lalucci, Victor Augusto Santos Perli, José Roberto Andrade do Nascimento, Pablo Valdés-Badilla, Daniel Vicentini de Oliveira","doi":"10.3390/ijerph21091161","DOIUrl":"https://doi.org/10.3390/ijerph21091161","url":null,"abstract":"With COVID-19, evidence indicates that the elderly will have worse biochemical markers related to health in social isolation. The objective was to analyze the impacts on physical fitness and biochemical parameters of older adults’ health during COVID-19 social isolation. Quantitative, longitudinal, and observational study was conducted between 2020, 2021, and 2022. Thirty-three older adults of both sexes were evaluated. A sociodemographic questionnaire, biomarkers, and health-related physical fitness were used. Significant differences were observed for the sum of maximum isometric right and left handgrip strength, with a reduction in 2022 (p = 0.009); getting up and walking (p < 0.001), reduction in 2021 and 2022 (p < 0.05); elbow flexion and extension (p = 0.004), reduction in 2021 (p = 0.006); and sitting and standing (p = 0.002), reduction in 2022 (p = 0.003) and peak oxygen consumption (p < 0.001), reduction in 2021 and 2022 (p < 0.05). Differences were observed in fasting blood glucose (p < 0.001), with increase in 2021 and 2022 (p < 0.05), triglycerides (p < 0.001), with increase in 2021 and 2022 (p < 0.05), triglyceride–glucose index (p < 0.001), with increase in 2021 and 2022 (p < 0.05), triglyceride–glucose index with waist circumference (p < 0.001), with increase in 2021 (p < 0.001); and triglyceride–glucose index with body mass index (p < 0.001), with increase in 2021 (p < 0.001). However, no differences were observed between anthropometric and body composition (p > 0.05). Conclusions: Older people had changes in biochemical and physical fitness parameters related to health during the social isolation of the COVID-19 pandemic.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Associated with Communities’ Satisfaction with Receiving Curative Care Administered by Community Health Workers in the Health Districts of Bousse and Boussouma in Burkina Faso, 2024 2024 年布基纳法索 Bousse 和 Boussouma 卫生区社区对社区卫生工作者提供的治疗服务满意程度的相关因素

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091151

Hamed Sidwaya Ouedraogo, Abdoul-Guaniyi Sawadogo, Ahmed Kabore, Badra Ali Traore, Mamadou Traore, Massoudou Harouna Maiga, Marcella Valerie Zombre Sanon, Maxime Koine Drabo

{"title":"Factors Associated with Communities’ Satisfaction with Receiving Curative Care Administered by Community Health Workers in the Health Districts of Bousse and Boussouma in Burkina Faso, 2024","authors":"Hamed Sidwaya Ouedraogo, Abdoul-Guaniyi Sawadogo, Ahmed Kabore, Badra Ali Traore, Mamadou Traore, Massoudou Harouna Maiga, Marcella Valerie Zombre Sanon, Maxime Koine Drabo","doi":"10.3390/ijerph21091151","DOIUrl":"https://doi.org/10.3390/ijerph21091151","url":null,"abstract":"Background: Since 2010, Burkina Faso has developed and initiated community-based management of childhood illnesses. Following the increased presence of community health workers and the adoption of free community health care, this study aims to assess community satisfaction with curative care administered by community health workers. Methodology: This was a descriptive and analytical cross-sectional study. Data were collected in the health districts of Boussé and Boussouma from 20 February to 30 March 2023 for quantitative data and from 12 to 30 January 2024 for qualitative data using a questionnaire (household survey) and an interview grid (focus groups). Analyses were conducted using SPSS IBM 25 and Nvivo 14. Results: Households benefit from oral curative care when using Community health workers, but are not satisfied with the temporal accessibility of these community health workers. Temporal accessibility and awareness during care have a significant influence on household satisfaction. Conclusions: Curative care by community health workers is effective, but its use could be improved by addressing the unavailability of community health workers, inputs and better communication during care.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theory-Based Determinants of Stopping Drowsy Driving Behavior in College Students: A Cross-Sectional Study 基于理论的大学生停止瞌睡驾驶行为的决定因素：横断面研究

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091157

Md Sohail Akhter, Sidath Kapukotuwa, Chia-Liang Dai, Asma Awan, Omolola A. Odejimi, Manoj Sharma

{"title":"Theory-Based Determinants of Stopping Drowsy Driving Behavior in College Students: A Cross-Sectional Study","authors":"Md Sohail Akhter, Sidath Kapukotuwa, Chia-Liang Dai, Asma Awan, Omolola A. Odejimi, Manoj Sharma","doi":"10.3390/ijerph21091157","DOIUrl":"https://doi.org/10.3390/ijerph21091157","url":null,"abstract":"Drowsy driving among college students is a critical public health issue due to its significant impact on road safety. This cross-sectional study aimed to investigate the determinants of stopping drowsy driving behavior among college students using the multi-theory model (MTM) of health behavior change. Data for this study were collected from September to October 2023 via a 42-item psychometric valid, web-based survey disseminated via Qualtrics, involving 725 students from a large southwestern university. Nearly half of the participants (49.38%) reported drowsy driving in the past month. Hierarchical multiple regression analysis revealed that participatory dialogue (p = 0.0008) and behavioral confidence (p < 0.0001) significantly predicted the initiation of refraining from drowsy driving, with the final model explaining 36.4% of the variance. Similarly, emotional transformation (p < 0.0001) and practice for change (p = 0.0202) significantly predicted the sustenance of behavior change, with the final model accounting for 40.6% of the variance. These findings underscore the importance of targeted MTM-based interventions focusing on enhancing students’ awareness and confidence in managing drowsiness to mitigate drowsy driving, ultimately improving road safety and student well-being.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep Differences in Firefighters: Barracks vs. Home 消防员的睡眠差异：军营与家庭

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091155

Lainey E. Hunnicutt, Makenzie Corgan, Sarah R. Brown, Alyssa Nygaard, George Lesley Meares, Scott R. Collier

{"title":"Sleep Differences in Firefighters: Barracks vs. Home","authors":"Lainey E. Hunnicutt, Makenzie Corgan, Sarah R. Brown, Alyssa Nygaard, George Lesley Meares, Scott R. Collier","doi":"10.3390/ijerph21091155","DOIUrl":"https://doi.org/10.3390/ijerph21091155","url":null,"abstract":"It has been shown that the firefighter occupation leads to poor sleep quality and sleep architecture. Disturbed sleep in these occupations can lead to deleterious outcomes including a series of chronic diseases and illnesses such as CVD. Purpose: The aims were (1) to quantify firefighters’ sleep via polysomnography, (2) to identify differences between sleeping in the barracks versus sleeping at home, and (3) to compare firefighter data to age-matched normative data. We expected significant differences between both the home and the barrack conditions as well as significant differences when both conditions were compared to normative data. Methods: 10 male firefighters completed 3 nights of polysomnography recordings (SleepProfilerTM (Advanced Brain Monitoring, Carlsbad, CA, USA)) counterbalanced in both their own beds or barracks. A one-way rmANOVA statistical analysis was used to determine differences in sleep values with a Bonferroni correction if a significant difference was found with significance set at p < 0.05. Results: Three important variables, cortical arousals (p < 0.05), autonomic activations (p < 0.01), and spindle duration (p < 0.01), had differences that were statistically significant between sleep at home or in the barracks, with sleep in the barracks being more disturbed. Clinical differences were also observed between the home and barrack conditions and all sleep results were more deleterious when compared to normative data. Conclusions: The data demonstrates that firefighters show poor sleep quality and heavily impacted sleep architecture. This may be due to the effects of rotating shifts and occupational stress on the sleep–wake cycle. These results, when compared to age-matched normative data, show clinical manifestations of disturbed sleep in the firefighter population.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Collaborative Approach to Understanding the Intersections of Practice and Policy for Peers in the Alcohol and Other Drugs Sector 以合作的方式了解酒精和其他药物部门同侪实践与政策的交叉点

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091152

Timothy Piatkowski, Emma Kill

{"title":"A Collaborative Approach to Understanding the Intersections of Practice and Policy for Peers in the Alcohol and Other Drugs Sector","authors":"Timothy Piatkowski, Emma Kill","doi":"10.3390/ijerph21091152","DOIUrl":"https://doi.org/10.3390/ijerph21091152","url":null,"abstract":"Introduction: Peers in the alcohol and other drug sectors possess lived–living experience (LLE) crucial for shaping community care. However, genuine consumer collaboration is often confounded by stigma. This study examined peers’ perceptions, exploring their experiences regarding workforce dynamics, policy implications, and impacts on health equity. In presenting the research, we sought to synthesise the research methods and illustrate the methodological innovation and knowledge production in substance use research through authentic collaboration. Methods: We purposively sampled peer networks and community organisations, involving peer-researchers in planning, design, and analysis. We conducted semi-structured digital interviews with 18 peers and applied iterative coding to analyse the data. Results: This collaborative process provided nuanced insights into sectoral challenges. Peers expressed emotional strain revisiting personal substance use experiences, blurring personal and professional boundaries. Tokenistic peer involvement critiques underscored the need for genuine leadership and organisational support. Conclusion: We advocate for a shift towards equitable and inclusive policy development through both organisational and systemic restructuring. However, these changes are hamstrung by broader policy frameworks, which require a shift to peer-led principles, ensuring the expertise of peers is genuinely valued. Policymakers should invest in expanding peer frameworks, acknowledging the diversity within communities of people who use drugs to improve health equity and public health outcomes. This innovative approach to substance use research emphasises the transformative impact of integrating LLE into research.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0