Health & Social Care in the Community最新文献

{"title":"Mapping Variation in Delivery Models and Data Recording of Primary Care Social Prescribing Link Worker (SPLW) Schemes Across Five Regions in England and Scotland","authors":"Eddie Donaghy,&nbsp;Hillary Collins,&nbsp;Morgan Beeson,&nbsp;Heather Brant,&nbsp;Manal Etemadi,&nbsp;Catherine Perry,&nbsp;Stewart W. Mercer,&nbsp;Hugh McLeod,&nbsp;Kate O’Donnell,&nbsp;Caroline Sanders,&nbsp;Paul Wilson","doi":"10.1155/hsc/9243925","DOIUrl":"https://doi.org/10.1155/hsc/9243925","url":null,"abstract":"<div>\u0000 <p>Social prescribing link workers (SPLWs) connect people to community resources for better health and well-being. Over the past decade, SPLW schemes have expanded rapidly in NHS primary care in England and Scotland. However, how these schemes have been implemented and assessed in different parts of England and Scotland is not well understood. A mapping exercise of SPLW schemes in three English and two Scottish regions was undertaken to identify services and describe their key features, as well as any variations in delivery, what data are recorded, and how outcomes are measured. Consultations were held with SPLW stakeholders (<i>n</i> = 98) supplemented with online analysis. Using the TIDieR framework, a taxonomy of SPLW services was created. Across the five regions, four different SPLW employment models were identified, varying by employer and SPLW management approaches. Some regions used up to three models, others only one. Local variations in delivering SPLW schemes included different referral routes, age ranges, priority groups, types of SPLW schemes available, and number of sessions offered. A variety of methods were used to assess service user outcomes, including validated well-being tools, bespoke well-being tools, bespoke service user surveys, and qualitative case studies. Variation existed in data recording systems used and, in the frequency, and consistency in using assessment tools and recording service user outcomes. Variation in SPLW delivery models indicates regional and localized interpretations of SPLW schemes. Variations in recording and measuring service user outcomes and in well-being tools used present challenges for effective evaluation/s of each model and primary care SPLW schemes overall. Enhancing local and national data systems, along with supporting strategies and frameworks for evaluations, would boost SPLW infrastructure and support future policy developments.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9243925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144524821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Case Management Activities to Support Implementation and Fidelity of a Pediatric Hospital-Based Violence Intervention Program","authors":"Carolena Muno,&nbsp;Hillary M. Kapa,&nbsp;Jody Thigpen,&nbsp;Laura Vega,&nbsp;Rachel K. Myers","doi":"10.1155/hsc/4122097","DOIUrl":"https://doi.org/10.1155/hsc/4122097","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Hospital-based violence intervention programs (HVIPs) provide community-based case management to victims of violence and address recovery across a range of needs, including safety, medical, mental health, legal, and basic needs. Describing and standardizing program practices are essential in supporting victim service program replication and growth. Our aim was to explicate the discrete activities undertaken within a pediatric HVIP to support resolution of client needs. With this information, we developed visual goal maps, which can be used to enhance fidelity and delivery of evidence-informed HVIP case management services.</p>\u0000 <p><b>Methods:</b> As part of a formative evaluation of a pediatric HVIP affiliated with a major urban Level I pediatric trauma center, we coded a retrospective sample of HVIP encounter notes (<i>n</i> = 2218) from a random sample of 67 former clients, stratified to ensure representation of a diversity of client demographics and needs. Program activities, resources, outputs, and outcomes were identified using a structured coding schema. Using a directed content analysis approach, we reviewed coded data to categorize discrete programmatic activities undertaken in support of clients’ recovery goals.</p>\u0000 <p><b>Results:</b> We developed visual goal maps that illustrate common and exemplar activities HVIP case managers complete as they support clients in addressing recovery goals across 12 need domains. Maps illustrate common and exemplar activities HVIP staff complete as they support clients in addressing recovery goals across 12 need domains. Organizing the activities is used to achieve goals within need domains differentiated between case management services (e.g., obtain insurance information) and measurable recovery goals (e.g., provide mental health therapy).</p>\u0000 <p><b>Conclusions:</b> These maps provide a user-friendly visualization to inform case management services to support client recovery. Within victim service programs, the maps may be useful tools to enhance training, guide care planning, support supervision, standardize program services, and ensure implementation fidelity.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4122097","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Friendly Communities and Mortality Risk Among Older Adults in China: A Study Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS)","authors":"Hongyu Chen,&nbsp;George Grekousis,&nbsp;Jie Deng,&nbsp;Jiaxian Ji,&nbsp;Ziming Wang,&nbsp;Yilin Li,&nbsp;Jiaxuan Han,&nbsp;Zhixin Feng","doi":"10.1155/hsc/1959158","DOIUrl":"https://doi.org/10.1155/hsc/1959158","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> With the progression of aging and urbanization, the relationship between the external environment and health has gained increasing attention. This study examined the association between comprehensive community environments and mortality risk among older adults from a macro-level perspective.</p>\u0000 <p><b>Methods:</b> We used longitudinal data from the 2014–2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS), which includes information on community environments. Guided by the World Health Organization’s framework for age-friendly communities, we constructed five domains: natural environment, medical support, living security, public education, and community support. Multilevel binary logistic regression models were used to examine the associations between these age-friendly community characteristics and mortality risk among older adults in 2018.</p>\u0000 <p><b>Results:</b> Among 3810 older adults (aged 60–117), a better natural environment (OR: 0.78 and 95% CI: 0.60–1.02) and stronger living security (OR: 0.41 and 95% CI: 0.26–0.65) were significantly associated with reduced mortality risk. Specifically, in communities with better medical support, older adults who were ethnic minorities, lived alone, or had higher household incomes exhibited a lower risk of mortality. Living security was particularly effective in reducing mortality risk among those living with a spouse. However, drinkers in communities with stronger community support showed a higher mortality risk.</p>\u0000 <p><b>Conclusion:</b> Mitigating environmental degradation and ensuring equitable service provision are essential for building age-friendly communities. While enhancing the health and wellbeing of all older adults is important, particular attention should be given to vulnerable groups, such as those with lower incomes or limited family support.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1959158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Becoming Experts: Life Changes, Adaptation, and Learning of Stroke Survivors’ Informal Caregivers","authors":"Ana Moura,&nbsp;Mariana Amorim,&nbsp;Sofia Castanheira Pais,&nbsp;Elisabete Alves","doi":"10.1155/hsc/2418706","DOIUrl":"https://doi.org/10.1155/hsc/2418706","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social and health trends (e.g., the aging population and growth of chronic diseases) place stroke and informal care as global concerns. After a stroke, most survivors return home relying primarily on informal caregivers, who ensure essential daily support. Although informal care’s adaptive and learning dimensions are evident, it has rarely been problematized. Understanding what and how learning processes emerge in the context of informal caregiving may be useful for the development of health, social, and educational strategies that support caregiving contexts.</p>\u0000 <p><b>Methods:</b> This mixed methods’ study included informal caregivers of stroke survivors hospitalized between September 2018 and August 2019 in all Stroke Units of Northern Portugal. Structured questionnaires (<i>n</i> = 443) were filled in and analyzed through chi-square tests and logistic regression models. About 12–18 months later, semistructured interviews were carried out (<i>n</i> = 37), and a reflexive thematic analysis was performed.</p>\u0000 <p><b>Results:</b> Adaptation to informal care is supported by learning processes that are driven by the impact that care assumes on caregivers’ lives, as shown in both quantitative and qualitative data. Qualitative findings supported that throughout the care trajectory learning is influenced by enablers and barriers, with practice and experience playing a central role. Learning needs and proposals to facilitate the learning and adaptation were generated.</p>\u0000 <p><b>Conclusion:</b> Becoming an informal caregiver is a dynamic, impactful, and experiential learning-based process where individual and social spheres interact. Integrated health, social, and educational resources and services within proximity and people-centered logics can facilitate and improve the adaptation to this unexpected role, fostering caregivers’ wellbeing and ultimately improving care quality within communities.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2418706","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144492931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Isolation, Social Support and Loneliness and Their Relationship With Physical Activity and Physical Function Among Older People","authors":"Karine E. Manera,&nbsp;Ben J. Smith,&nbsp;Alice Owen,&nbsp;Rosanne Freak-Poli","doi":"10.1155/hsc/3212813","DOIUrl":"https://doi.org/10.1155/hsc/3212813","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Older adults are at risk of poor social health which may lead to reduced physical activity and physical function. The aim of this study was to determine whether social isolation, social support, and loneliness are independently associated with and/or predictive of physical activity and physical function in older adults.</p>\u0000 <p><b>Methods:</b> Secondary analysis of 9066 participants from the ASPirin in Reducing Events in the Elderly (ASPREE) trial and ASPREE Longitudinal Study of Older Persons (ALSOP) substudy. Social health domains and physical activity were measured through self-report. Physical function was assessed using three indicators: grip strength, gait speed, and activities of daily living (ADLs).</p>\u0000 <p><b>Results:</b> Cross-sectionally, social isolation and low social support were associated with lower physical activity. Becoming socially isolated was correlated with a decrease in physical activity over a 3-year period (HR = 1.51, 95% CIs 1.03–2.21). Social isolation and low social support were cross-sectionally associated with low gait speed among men, but not women. Loneliness was cross-sectionally associated and longitudinally predictive of ADL difficulties (HR = 1.54, 95% CIs 1.18–2.01). No longitudinal association between social health and grip strength was observed.</p>\u0000 <p><b>Conclusion:</b> Among older adults, social isolation and low social support may be more important risk factors for reduced physical activity and gait speed than loneliness, whereas loneliness may be more important for ADLs. Social health domains should be considered in physical activity and physical function strategies.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3212813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Potential for Experienced Occupational Health Professionals in Encouraging Recruitment to the Field in England: Perspectives of Medical and Nursing Undergraduates and Practitioners Working Outside of Occupational Health","authors":"Antonina Semkina,&nbsp;Caroline Norrie,&nbsp;Ian Kessler,&nbsp;Annette Boaz,&nbsp;Rekha Elaswarapu,&nbsp;Jo Moriarty,&nbsp;Alec Knight,&nbsp;Jill Manthorpe","doi":"10.1155/hsc/4286368","DOIUrl":"https://doi.org/10.1155/hsc/4286368","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The United Kingdom (UK) population is experiencing high levels of economic inactivity due to long-term sickness absence. Concurrently, the occupational health (OH) workforce, which plays an important role in assisting people back to work and maintaining their health and well-being at work, is declining in numbers and struggling to recruit. The study aim was to explore the role that experienced OH professionals (OHPs) can play in encouraging recruitment to the field—from the perspective of non-OH doctors and nurses (pre- and postqualification) as groups who could potentially join the field.</p>\u0000 <p><b>Methods:</b> In 2023, we undertook a study where we explored the awareness and attractiveness of the OH field based on the perspectives of 58 medical and nursing students, practitioners, and career leavers working within and outside OH. The role of experienced professionals was identified as an important element in OH recruitment. We therefore reinterrogated data (i.e., reanalysed codes) collected in 25 interviews and 3 focus groups (total = 43 participants) with non-OH medical and nursing students and practitioners about the factors that influenced participants’ career choices, factors that influenced levels of awareness and attractiveness of OH, and strategies and channels to increase both and to promote OH career. Data were analysed thematically using NVivo 14 to manage the process.</p>\u0000 <p><b>Findings:</b> Two themes about the role of experienced OHPs in recruitment were identified: developing opportunities to build interactions with OHPs, sharing knowledge about OH occupational features and providing insights about career choices in mentoring relationships.</p>\u0000 <p><b>Conclusions:</b> The potential for experienced OHPs as specialism advocates and ambassadors could be leveraged more purposefully and systematically. Employers, professional and educational bodies, and policy makers could encourage and incentivise experienced OHPs to host more placements and to provide other opportunities for quality interactions between OHPs and potential recruits.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4286368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Burdens of Social Work Professionals: A Critical Analysis Within the German Welfare System","authors":"Sora Pazer","doi":"10.1155/hsc/6624474","DOIUrl":"https://doi.org/10.1155/hsc/6624474","url":null,"abstract":"<div>\u0000 <p>This study investigates the psychological burdens faced by social work professionals within the German welfare system, with a particular focus on three interrelated constructs: administrative workload (job demand), emotional exhaustion (burnout indicator), and professional resilience (personal resource). Drawing on survey data from 143 social workers in Rheinland-Pfalz, collected between January and May 2024 via an online survey (Unipark), the study operationalizes these constructs using standardized Likert-scale instruments. Guided by the job demands–resources (JD–R) model, the analysis examines (a) the relationships between these constructs, (b) their associations with key sociodemographic and professional variables (educational qualification, field of practice, and organization type), and (c) their implications for evidence-based interventions. The findings indicate that a high administrative workload is strongly associated with emotional exhaustion, while professional resilience serves as a mitigating factor. Social workers employed in municipal agencies report significantly higher levels of emotional exhaustion compared to those in free welfare organizations, suggesting that bureaucratic constraints in public-sector social work exacerbate stress levels. In addition, the study finds that professional resilience moderates the relationship between administrative workload and emotional exhaustion, underscoring its protective role against burnout. These results emphasize the urgent need for systemic reforms aimed at reducing bureaucratic burdens, strengthening resilience-building programs, and restructuring administrative processes within social work organizations. The study contributes to the theoretical and practical understanding of occupational stress in social work and provides recommendations for improving worker well-being through targeted interventions.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6624474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic Literature Review of Decision-Analytic Modeling Studies on Nature-Based Social Prescribing and Loneliness","authors":"Ursula Rochau,&nbsp;Veronika Papon,&nbsp;Igor Stojkov,&nbsp;Felicitas Kuehne,&nbsp;Marjan Arvandi,&nbsp;Annette Conrads-Frank,&nbsp;Daniela Schmid,&nbsp;Beate Jahn,&nbsp;Júlia Santamaria Navarro,&nbsp;Erica Aranha Suzumura,&nbsp;Richard Kimberlee,&nbsp;Kaisu H. Pitkälä,&nbsp;Laura Coll-Planas,&nbsp;Jill S. Litt,&nbsp;Uwe Siebert,&nbsp;Sibylle Puntscher","doi":"10.1155/hsc/6115206","DOIUrl":"https://doi.org/10.1155/hsc/6115206","url":null,"abstract":"<div>\u0000 <p>Nature-based social prescribing (NBSP) is an evolving subject aiming to reduce loneliness and to foster social connections, health, and well-being. To evaluate the short-term and long-term consequences of different health technologies, decision-analytic modeling can be applied. Decision-analytic modeling studies systematically integrate current short- and long-term evidence to weigh benefits, harms, and costs of different strategies. Our systematic literature review identified and assessed decision-analytic modeling studies addressing specifically NBSP or other interventions aiming to reduce loneliness. Predefined inclusion/exclusion criteria guided our systematic literature search in five databases. Title/abstract screening and full-text screening were conducted by two independent reviewers. An a priori defined extraction table included country, intervention, and model type. The Philips framework was used to evaluate the quality of the studies. Overall, 3273 studies were identified, and 16 studies were eligible for full-text screening. None of these studies applied a decision-analytic model specifically to NBSP. However, two studies compared interventions for reducing loneliness. One study was conducted in Australia and performed a cost-utility analysis, resulting in cost-saving results and a positive return on investment. The second study was conducted in England and applied a cost-effectiveness analysis resulting in 768 British pounds per loneliness-free year gained. Overall, the evaluated interventions can be regarded as cost-effective, and in some instances, they have the potential to save costs. Further research on the connection of loneliness, overall health, social well-being, and quality of life and their integration into decision-analytic studies is needed.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6115206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Social Prescribing for Mental Health Across Care Intensity Needs: A Pre–Post Evaluation in Australia","authors":"Rosanne Freak-Poli,&nbsp;Alessandra K. Teunisse,&nbsp;Vaishnavi Sudhakar,&nbsp;Htet Lin Htun,&nbsp;Paula Muis,&nbsp;Achamyeleh Birhanu Teshale,&nbsp;Xin Yuan Quek,&nbsp;Eugene McGarrell,&nbsp;J. R. Baker","doi":"10.1155/hsc/1566354","DOIUrl":"https://doi.org/10.1155/hsc/1566354","url":null,"abstract":"<div>\u0000 <p>Social prescribing is an innovative approach that aims to improve health and wellbeing by addressing nonmedical needs through community-based supports and services. This approach can be delivered through link workers, who work closely with participants to understand their needs and connect them to appropriate services. While social prescribing shows potential for cost savings and improved care quality, further research is needed to understand its effectiveness for people experiencing mental health problems. This pre–post evaluation examined the impact of a social prescribing intervention on health-related quality of life, subjective health, wellbeing and psychological distress among Australian adults diagnosed with mental health conditions. Adults (aged 18 years and over) from metropolitan Northern Sydney region in New South Wales, who either self-presented to their general practitioner or self-referred, were eligible. 398 eligible participants completed the program between December 2021 and August 2024 (data cutoff date) from an ongoing initiative. Participants were assigned to a link worker within 4–6 weeks of initial intake. The 12-week social prescribing program involved link workers codesigning individualised plans addressing specific needs, providing support and revising plans when required. Validated instruments measuring quality of life, wellbeing and psychological distress were administered preintervention and postintervention, alongside a satisfaction survey. Program enrolment lasted a mean of 17.6 ± 7.6 weeks (median 16.6, range: 1–48). Participants experienced improvements in health-related quality of life (<i>p</i> &lt; 0.001), mental wellbeing (<i>p</i> &lt; 0.001), general wellbeing (<i>p</i> &lt; 0.001), subjective health (<i>p</i> &lt; 0.001) and psychological distress (<i>p</i> &lt; 0.001). Benefits were consistent across binary gender, clustered mental health diagnoses and clustered care intensity levels (lower and higher). These findings suggest that social prescribing program can improve wellbeing outcomes among people experiencing mental illness, highlighting the potential for broader implementation within Australian mental healthcare systems.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1566354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144256404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and Urban–Rural Disparities in Housing, Environmental Sustainability and the Physical Well-Being of Older Adults in Ghana","authors":"Joseph Kojo Oduro,&nbsp;Mary Ama Oduro","doi":"10.1155/hsc/5527044","DOIUrl":"https://doi.org/10.1155/hsc/5527044","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The rapid growth in the population of older adults creates challenges such as workforce shortages, higher healthcare costs and poor living conditions. These strain the existing social support systems and the decline in the physical well-being of older adults. This study examines how gender, urban–rural differences, housing conditions and environmental sustainability impact the physical well-being of older adults in Ghana.</p>\u0000 <p><b>Methods:</b> Using a nationally representative dataset from the 2021 Ghana Population and Housing Census, the authors analysed 47,962 adults aged 60 years and over. Logistic regression analyses were used to examine the association between gender, urban–rural differences, housing conditions, environmental sustainability and older adults’ physical well-being. The output was reported as odds ratios (OR).</p>\u0000 <p><b>Results:</b> Findings indicate that males, urban residence and improved housing conditions (e.g., better building materials, roofing (OR = 1.08, 95% CI = 0.99, 1.17), walls (OR = 1.11, 95% CI = 1.04, 1.18), floors (OR = 1.10, 95% CI = 0.99, 1.23) and lighting (OR = 1.05, 95% CI = 0.96, 1.14)) are significantly associated with higher physical well-being. Environmental factors like access to clean drinking water (OR = 1.12, 95% CI = 1.02, 1.23), improved sanitation (solid waste disposal methods (OR = 1.18, 95% CI = 1.09, 1.27), bathing facilities (OR = 1.01, 95% CI = 0.95, 1.07) and toilet facilities (OR = 1.00, 95% CI = 0.94, 1.07)) and safer cooking conditions ((improved cooking fuel) (OR = 1.24, 95% CI = 1.14, 1.34) and (improved cooking space) (OR = 1.18, 95% CI = 1.12, 1.26)) are also associated positively with physical health.</p>\u0000 <p><b>Conclusion:</b> The study highlights the need for policies targeting gender and geographic health disparities, suggesting that enhancing housing and environmental conditions could improve the quality of life for older adults in Ghana.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5527044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}