Birgit Wagner, Olivia Lucia Marie Emmerich, Betteke Maria van Noort
{"title":"Internet-Based Prevention of Re-Victimization for Youth with Care Experience (EMPOWER-YOUTH): Results of a Randomized Controlled Trial","authors":"Birgit Wagner, Olivia Lucia Marie Emmerich, Betteke Maria van Noort","doi":"10.3390/ijerph21091159","DOIUrl":"https://doi.org/10.3390/ijerph21091159","url":null,"abstract":"Traumatic experiences and maltreatment are highly prevalent among adolescents in foster or institutional care and have severe long-term effects on mental health. Childhood maltreatment increases the risk of revictimization. This study aimed to evaluate the efficacy of the internet-based prevention program EMPOWER YOUTH in reducing victimization experiences among youth with care experience. A total of 163 youth, that is, adolescents in foster or institutional care, adopted adolescents, or young care leavers aged 14 to 21 years (Mage= 17.68 years; SD = 2.11) were randomized to the six-module guided program or a wait-list control group. The primary endpoint was the decrease in victimization experiences at an 18-week follow-up. Secondary endpoints included risk perception, aggressive tendencies, empathy, prosocial behavior, depressiveness, post-traumatic stress symptoms, and loneliness. About half of the youth exhibited increased psychopathology. No significant interaction between time-point and group was found for victimization measures, though both groups saw a significant reduction over time (p = 0.012, ηp2 = 0.06; p = 0.017, ηp2 = 0.06). The intervention group showed a significant increase in perception of thrill-seeking and rebellious risks (p = 0.036, ηp2 = 0.04; p = 0.026, ηp2 = 0.05). While EMPOWER YOUTH effectively increased risk perception of thrill-seeking and rebellious behaviors, it should be considered an add-on to more intensive interventions for common mental health disorders in this vulnerable group, rather than a stand-alone online program.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191951","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}
Inés Pellón-Elexpuru, Ana Martínez-Pampliega, Susana Cormenzana
{"title":"Physical and Psychological Symptomatology, Co-Parenting, and Emotion Socialization in High-Conflict Divorces: A Profile Analysis","authors":"Inés Pellón-Elexpuru, Ana Martínez-Pampliega, Susana Cormenzana","doi":"10.3390/ijerph21091156","DOIUrl":"https://doi.org/10.3390/ijerph21091156","url":null,"abstract":"Although the consequences of divorce and conflict have been extensively studied, most research has focused on children rather than ex-spouses, although variables such as parental health or co-parenting may have an influence on children’s development through processes such as emotion socialization. In addition, the relationship between these variables has never been considered in high-conflict divorces. Therefore, the present study aimed to analyze the impact of physical and psychological symptomatology and co-parenting on the emotion socialization patterns of parents experiencing high-conflict divorces. Furthermore, the moderating role of resilience was considered, as it has been highly studied as a coping mechanism in adverse situations but barely in divorce at the parental level. For this purpose, a Latent Profile Analysis was carried out with Mplus 8.10, using a sample of 239 parents from Family Visitation Centers. Results revealed, on the one hand, that parents with fewer physical and psychological symptoms sowed more emotion socialization behaviors than those with more symptomatology. On the other hand, in situations of high interparental conflict, the role of co-parenting and resilience seems less relevant than that of physical and psychological symptomatology when analyzing parental skills like emotion socialization.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142224875","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}
{"title":"A Follow up on the Continuum Theory of Eco-Anxiety: Analysis of the Climate Change Anxiety Scale Using Item Response Theory among French Speaking Population","authors":"Taha Hannachi, Sonya Yakimova, Alain Somat","doi":"10.3390/ijerph21091158","DOIUrl":"https://doi.org/10.3390/ijerph21091158","url":null,"abstract":"The mental health impact of the environmental crisis, particularly eco-anxiety, is a growing research topic whose measurement still lacks consensus. This study aims to use item response theory (IRT) to gain a deeper understanding of the constructs measured by existing questionnaires. To conduct this review, we applied the graded response model with the help of the MIRT package in R on open-access data from the short French version of the Climate Change Anxiety Questionnaire, which measures cognitive–emotional impairment and functional impairment. The models tested in this study are the one, two, and three-factor models, and the bifactor model. After model selection, the psychometric properties of the selected model were tested. Our results suggest that the unidimensional model seems to be the most appropriate for measuring eco-anxiety. The item difficulty parameter extracted from the IRT enabled us to discuss the severity levels of the items comprising this tool. The Climate Change Anxiety Questionnaire appears to be more appropriate for measuring moderate to severe eco-anxiety. Avenues for improving this questionnaire and the measurement of eco-anxiety in general are then discussed.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191950","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}
Nancy Shehadeh, Georgina Silva-Suarez, Emily Ptaszek, Farah Roman Velez
{"title":"The Reality of Healthcare Professionals in Leadership Positions at the Onset of the COVID-19 Pandemic","authors":"Nancy Shehadeh, Georgina Silva-Suarez, Emily Ptaszek, Farah Roman Velez","doi":"10.3390/ijerph21091154","DOIUrl":"https://doi.org/10.3390/ijerph21091154","url":null,"abstract":"While pandemics have long been a topic of discussion in public health, COVID-19 placed healthcare leaders in a completely new and challenging situation. This qualitative study sought to understand the personal experiences of healthcare professionals in leadership roles at the beginning of the COVID-19 pandemic. Sixteen in-depth interviews were conducted and recorded via Zoom. Most participants were men (n = 8, 57.1%) and had a doctorate or master’s degree (n = 8, 57.1%). The themes of mental health, dynamic infrastructure, and transformative experience emerged from our participants’ narratives. Most respondents reported heightened stress during that time and shared the institutional and personal mechanisms they used to deal with the situation. They were proud of their profession and their work. They discussed the “dynamic infrastructure” they experienced at the time that helped them lead. Feeling overworked was a common experience for them. Most considered leading during COVID-19 a “transformative experience” that taught them valuable lessons. They also witnessed acts of heroism as their colleagues continued to work during difficult times, even though some succumbed to COVID-19. Despite all the challenges and uncertainties healthcare professionals in leadership positions faced at the onset of COVID-19, their resilience, dedication, and commitment to their profession prevailed. In conclusion, the firsthand experiences recounted by healthcare leaders in this study shed light on the multifaceted nature of leadership during a global health crisis. Their unwavering resilience, dedication, and commitment stand as a testament to the fortitude required in such demanding circumstances. As the COVID-19 pandemic continues to evolve, the insights gleaned from this research bear significant implications for informing future strategies and support systems aimed at bolstering healthcare leadership worldwide.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191947","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}
{"title":"The Impacts of COVID-19 Lockdowns on Road Transport Air Pollution in London: A State-Space Modelling Approach","authors":"Hajar Hajmohammadi, Hamid Salehi","doi":"10.3390/ijerph21091153","DOIUrl":"https://doi.org/10.3390/ijerph21091153","url":null,"abstract":"The emergence of the COVID-19 pandemic in 2020 led to the implementation of legal restrictions on individual activities, significantly impacting traffic and air pollution levels in urban areas. This study employs a state-space intervention method to investigate the effects of three major COVID-19 lockdowns in March 2020, November 2020, and January 2021 on London’s air quality. Data were collected from 20 monitoring stations across London (central, ultra-low emission zone, and greater London), with daily measurements of NOx, PM10, and PM2.5 for four years (January 2019–December 2022). Furthermore, the developed model was adjusted for seasonal effects, ambient temperature, and relative humidity. This study found significant reductions in the NOx levels during the first lockdown: 49% in central London, 33% in the ultra-low emission zone (ULEZ), and 37% in greater London. Although reductions in NOx were also observed during the second and third lockdowns, they were less than the first lockdown. In contrast, PM10 and PM2.5 increased by 12% and 1%, respectively, during the first lockdown, possibly due to higher residential energy consumption. However, during the second lockdown, PM10 and PM2.5 levels decreased by 11% and 13%, respectively, and remained unchanged during the third lockdown. These findings highlight the complex dynamics of urban air quality and underscore the need for targeted interventions to address specific pollution sources, particularly those related to road transport. The study provides valuable insights into the effectiveness of lockdown measures and informs future air quality management strategies.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191945","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}
{"title":"The Worldwide Prevalence of Internet Addiction among Medical Students: A Systematic Review and Meta-Analysis","authors":"Zhandos Salpynov, Zhanar Kosherova, Antonio Sarría-Santamera, Yerbol Nurkatov, Arnur Gusmanov, Yuliya Semenova","doi":"10.3390/ijerph21091146","DOIUrl":"https://doi.org/10.3390/ijerph21091146","url":null,"abstract":"Background: The internet helps us obtain necessary information, facilitates social communication, and provides access to entertainment content. The internet can also lead to the behavioral addictive condition termed internet addiction (IA) if used excessively. As active internet users, medical students are susceptible to IA, which is known to lead to depression and improper medical care delivery, poor academic performance, worse sleep quality, and undesirable financial issues. This systematic review and meta-analysis aimed to assess medical students’ pooled IA prevalence. Methods: The analysis included thirteen cross-sectional studies involving 4787 medical students. Cumulative, subgroup, and meta-regression meta-analyses were applied, using the random-effects model and the restricted maximum likelihood method. Results: The cumulative meta-analysis revealed a rise in the proportion of IA from 0.08 to 0.29, with minor fluctuations between 2015 and 2022. The IA prevalence in lower-middle-income countries was approximately three times higher than in high-income ones. Age and gender were not associated with IA among medical students. Conclusions: The worldwide prevalence of IA was 0.29, with a 95% CI between 0.19 and 0.41. Considering negative IA implications for medical students’ well-being, policymakers and all stakeholders should pay special attention to addressing IA within the medical student community.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191953","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}
Lynn Kemp, Emma Elcombe, Stacy Blythe, Rebekah Grace, Kathy Donohoe, Robert Sege
{"title":"The Impact of Positive and Adverse Experiences in Adolescence on Health and Wellbeing Outcomes in Early Adulthood","authors":"Lynn Kemp, Emma Elcombe, Stacy Blythe, Rebekah Grace, Kathy Donohoe, Robert Sege","doi":"10.3390/ijerph21091147","DOIUrl":"https://doi.org/10.3390/ijerph21091147","url":null,"abstract":"This study evaluated the associations between positive and adverse experiences and environments in adolescence and health, education and employment outcomes in early adulthood. Data were extracted from the Longitudinal Studies of Australian Youth cohort that commenced in 2003. The items were conceptually mapped to Positive and Adverse Youth Experiences and environments (PYEs and AYEs) at 15, 16 and 17 years old and outcomes at 25 years old. The associations between PYEs, AYEs and general health, mental health, education and employment were examined, including testing whether PYEs mitigated the association between AYEs and outcomes. A higher number of AYEs was associated with poorer health, education, and employment outcomes. Conversely, a higher number of PYEs was correlated with positive outcomes. The participants with higher PYEs had significantly greater odds of better general and mental health outcomes, even after accounting for AYEs. This relationship was not observed for employment or education outcomes. Adolescence and the transition to adulthood are critical developmental stages. Reducing adverse experiences and environments and increasing positive ones during adolescence could enhance adult wellbeing.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191789","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}
Galina Soldatova, Svetlana Chigarkova, Elena Rasskazova
{"title":"Collisions and Perceptions of Cyberbullying: Comparison of Intergenerational Experiences","authors":"Galina Soldatova, Svetlana Chigarkova, Elena Rasskazova","doi":"10.3390/ijerph21091148","DOIUrl":"https://doi.org/10.3390/ijerph21091148","url":null,"abstract":"With regard to negative consequences, cyberbullying is recognized as one of the most traumatic types of cyber aggression. The aim is to study the specific features of adolescents and youth’s cyberbullying experience in the role of an aggressor, victim or bystander, as well as awareness on the part of parents of adolescents. A total of 3395 adolescents, youth and parents filled out specially designed questionnaires. Older adolescents turned out to be at higher risk of cyberbullying. In two-thirds of cases, cyberbullying is related to real-life incidents. Aggressors are motivated by domination and entertainment, primarily employing strategies of social exclusion, harassment and denigration. As victims of cyberbullying, younger adolescents turn to their parents and friends for social support, whereas older adolescents and young adults are more likely turn to their peers. In the role of a bystander, almost half of younger adolescents and about a third of older adolescents and young adults choose the prosocial strategy of protecting a victim. The parents often underestimate the experience of encountering cyberbullying or find it difficult to assess such experience. The identified risk groups and strategies and the lack of parents’ awareness are important to take into account when drawing up cyberbullying prevention programs.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191793","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}
Lunthita M. Duthely, Sanjana Satish, Sapna A. Kedia, Lilliana Vilchez, Priscilla T. Valls, Michaela E. Larson, Carolina Cruzval O’Reilly, Vanessa Hurtado, Maria Camila Bernal, Karla Inestroza, Nicholas Fonseca, Tiffany R. Glynn, Mariano J. Kanamori, Claudia A. Martinez
{"title":"What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences","authors":"Lunthita M. Duthely, Sanjana Satish, Sapna A. Kedia, Lilliana Vilchez, Priscilla T. Valls, Michaela E. Larson, Carolina Cruzval O’Reilly, Vanessa Hurtado, Maria Camila Bernal, Karla Inestroza, Nicholas Fonseca, Tiffany R. Glynn, Mariano J. Kanamori, Claudia A. Martinez","doi":"10.3390/ijerph21091149","DOIUrl":"https://doi.org/10.3390/ijerph21091149","url":null,"abstract":"Cardiovascular disease (CVD) is a significant health concern influenced by various determinants. Stigma and resilience have emerged as factors in CVD development and management. Women with HIV (WWH) have higher CVD rates than women without HIV. To improve cardiovascular health for WWH, a comprehensive understanding of how these factors interact, the understanding about individual awareness and willingness to engage in risk-reduction interventions are needed. Methods: As part of a study examining CVD risk among WWH aged >35 years old, 90-minute focus groups were conducted (May 2022) in the English language. Focus groups aimed to elicit participants’ CVD risk knowledge and potential prevention strategies. Transcripts underwent a qualitative analysis. Results: Nineteen WWH participated in three focus groups. Participants experienced the following: (a) enacted stigma related to their HIV diagnosis (e.g., family, church member, healthcare staff); (b) a recent event (e.g., hospitalization of self/family, death in family, chest pain) triggered both heart health-promoting lifestyle changes and suboptimal health behaviors (e.g., COVID-19 pandemic: unhealthy snacking). Participants wanted to obtain more knowledge (“on a mission”) about CVD risk. In total, 100% expressed willingness to take medication or embark on other lifestyle changes to prevent future CVD events. Although participants identified preventative heart health behaviors (e.g., eating healthy foods; exercising; limiting stress, substances, and smoking), misconceptions were also identified (e.g., “catching” heart disease). Conclusions: Understanding the interplay of the different factors related to heart health is needed both at the provider and the patient level to inform interventions that reduce CVD risk amongst racial/ethnic minoritized women with HIV, living in the Southern region of the US.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191792","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}
{"title":"A Scoping Review of Non-Communicable Diseases among the Workforce as a Threat to Global Peace and Security in Low-Middle Income Countries","authors":"Daniel Doh, Rumbidzai Dahwa, Andre M. N. Renzaho","doi":"10.3390/ijerph21091143","DOIUrl":"https://doi.org/10.3390/ijerph21091143","url":null,"abstract":"Non-communicable diseases (NCDs) continue to pose a threat to public health. Although their impact on the workforce is widely recognized, there needs to be more understanding of how NCDs affect peace and security, particularly in low-middle-income countries. To address this, we conducted a scoping review and presented a narrative to explore how NCDs in the workforce threaten peace and security. Out of 570 papers screened, 34 articles, comprising 26 peer review and 8 grey literature, met the study criteria. Our findings reveal that while no study has drawn a direct relationship between NCDs in the workforce in LMICs and peace and security, several studies have demonstrated a relationship between NCDs and economic growth on one hand and economic growth and peace and security on the other. Therefore, using economic growth as a proximal factor, our findings show three pathways that link NCDs in the workforce to peace and security: (i) NCDs lead to low productivity and poor economic growth, which can threaten public peace and security; (ii) NCDs in the workforce can result in long-term care needs, which then puts pressure on public resources and have implications for public expenditure on peace and security; and (iii) household expenditures on caring for a family member with an NCD can destabilize families and create an unfavourable condition that threatens peace and security. This research highlights the dual threat of NCDs to health and security, as they impact human resources and community structures crucial for peace and security. The results underscore the importance of considering the workplace as a strategic setting for NCD prevention, which will have long-term implications for economic growth and peace and security.","PeriodicalId":14044,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142191952","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}