Health & Social Care in the Community最新文献

{"title":"Individual or Intergenerational Responses? A Mixed-Methods Study of Future Care Preparation Among Chinese Families in Hong Kong","authors":"Xue Bai,&nbsp;Wei Yang,&nbsp;Chang Liu","doi":"10.1155/hsc/6839955","DOIUrl":"https://doi.org/10.1155/hsc/6839955","url":null,"abstract":"<p>Effective care preparation requires families to work as teams. This study employed a mixed-methods design and a dyadic approach to examine the levels, processes, person-centered profiles, and characteristics of intergenerational care preparation among families in Hong Kong. Quantitative data were collected from 213 pairs of older parents (aged ≥ 50 years) and their adult children. In addition, individual interviews were conducted with 60 pairs of older parents and their adult children to understand the role of adult children in their older parents’ care preparation. A latent profile analysis of the quantitative data identified three care planning profiles: child-active intergenerational planners, dyadic thinkers, and filial-uninvolved intergenerational avoiders. An integrative analysis of both quantitative and qualitative data revealed a child-centered approach across all three profiles, influenced by the life stage and circumstances of the dyad members. The study also uncovered intergenerational discrepancies in preparation and care expectations, highlighting the need to strengthen family dynamics and intergenerational engagement for effective later-life planning and wellbeing.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6839955","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920559","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":"Prediction and Feature Analysis of Intracranial Aneurysms in Community Residents: A Study Based on Machine Learning","authors":"Xinwei Wang,&nbsp;Sutong Wang,&nbsp;Dujuan Wang,&nbsp;Xiutian Sima","doi":"10.1155/hsc/3585981","DOIUrl":"https://doi.org/10.1155/hsc/3585981","url":null,"abstract":"<p>The global incidence of intracranial aneurysms is increasing annually, and their rupture is associated with a high mortality rate. Many community residents often unknowingly develop intracranial aneurysms and are at risk of rupturing. To solve this problem, we conduct an innovative approach using machine learning to predict both the occurrence and rupture of intracranial aneurysms in patients with brain diseases and analyze the essential features derived from residents’ health data at various stages of clinical admission. Specifically, we design an ensemble classifier candidate pool model for the initial two stages of admission diagnosis and a deep fusion network model that integrates textual and structured data for the detailed screening stage. Also, the feature importance is explored by the Shapley value and word frequency. The proposed deep fusion neural network achieves the highest predictive performance, with a precision of 0.787, sensitivity of 0.785, specificity of 0.870, <i>F</i>1 score of 0.785, and AUC of 0.871. In addition, text features contribute most significantly to model output, and word frequency varies across different disease types in patient medical records.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3585981","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144920571","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":"Troubleshooting Social Prescribing and the Arts in East London: Qualitative Findings From Community Arts Organisations and Link Workers","authors":"Maria Grazia Turri,&nbsp;Vivian Vigliotti,&nbsp;Yumeng Wang,&nbsp;Joseph Cook,&nbsp;William Chamberlain,&nbsp;Francesca Cornaglia","doi":"10.1155/hsc/4318767","DOIUrl":"https://doi.org/10.1155/hsc/4318767","url":null,"abstract":"<p>Engagement in the arts has been shown to benefit health by supporting both prevention and treatment, leading to the concept of creative health. The social prescribing agenda has spurred the development of dedicated arts on prescription programmes; however, the creative health agenda is mostly delivered by community arts organisations which lack a specific brief for health and whose contribution to social prescribing is under-researched. Supported by Creative Wick, an independent nonprofit, community interest company based in East London, we investigated the practice, viability, and challenges of social prescribing of the arts within the two London boroughs of Tower Hamlets and Hackney. Qualitative, in-depth semistructured interviews were conducted with 13 community artists and four primary care link workers, and the findings were thematically analysed. We found that both artists and link workers lacked reciprocal knowledge, with link workers mostly unaware of the rich local offer, and artists either unaware of the social prescribing model or only indirectly informed through the influx of referred participants. We also found that a lack of standards in quality assurance for community arts organisations was perceived as a barrier to consistent referral by link workers. Moreover, the shortage and instability of funding for community arts organisations makes the model extremely precarious. On the positive side, both artists and link workers supported the idea of integrating community arts engagement into healthcare. Drawing from our findings, we propose that supporting community arts organisations to deliver creative health requires at least three key elements: stable funding, possibly through statutory provision within healthcare; a system of quality assurance and evaluation which accounts for a context-specific, nonmedicalised approach; and the implementation of virtuous referral pathways grounded in reciprocal knowledge. As the creative health agenda is considered vital for public health, integrating the contribution of community arts organisations becomes essential.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4318767","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144914854","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":"Multigenerational Living and Mental Health Outcomes of Working-Age Adults and Children—A Scoping Systematic Review","authors":"Abbeygail Jones,&nbsp;Daniel Pugh,&nbsp;Vaughan Bell,&nbsp;Keri Ka-Yee Wong","doi":"10.1155/hsc/7513142","DOIUrl":"https://doi.org/10.1155/hsc/7513142","url":null,"abstract":"<p><b>Background:</b> Household compositions can impact health-related outcomes. However, the definition of multigenerational living and its associations with mental health outcomes in adults and children are unclear.</p><p><b>Method:</b> A systematic review was conducted according to PRISMA guidelines. Searches were conducted in Embase, PsycInfo and Medline via OVID, PubMed and the Cochrane Library. Two raters identified 112 reports for full paper reviews and 62 papers for data extraction. Quality ratings and certainty of evidence were assessed, and data were narratively synthesised.</p><p><b>Results:</b> There were 289,071 participants across studies. Ten studies recruited samples of children/young people. The average quality rating was 7.8 (out of 10) and the certainty of evidence was low. Definitions of multigenerational living and associations with mental health outcomes were heterogeneous, indicating the role of moderating factors, and a need for better operationalisation in future research.</p><p><b>Conclusions:</b> Findings have implications for clinical practice when conducting assessments and formulating psychological difficulties. There are further implications for researchers and policymakers responsible for housing and healthcare provision. The broad search strategy and specification of only anxiety and depression in the search strategy are limitations of the review, despite the scoping aims. A consensus definition of multigenerational living could benefit future research.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7513142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144910275","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":"A Study on Video Conference Fatigue: Moderating Effect of Mindfulness and Mediating Effect of Appearance Dissatisfaction","authors":"Bilei Zhou,&nbsp;Qingru Qiu,&nbsp;Yuling Li","doi":"10.1155/hsc/3293591","DOIUrl":"https://doi.org/10.1155/hsc/3293591","url":null,"abstract":"<p>With the increasing popularity of remote video online meetings, video conference fatigue has become a new issue of concern. This study aimed to explore the moderating effect of mindfulness intervention on the relationship between camera use and video conference fatigue mediated by appearance dissatisfaction through two experiments. Experiment I recruited 112 undergraduate students using a 2 (camera use: on vs. off) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. Results showed that turning on the camera significantly increased video conference fatigue, whereas mindfulness meditation significantly reduced it; furthermore, the interaction between mindfulness intervention and camera use on appearance dissatisfaction was significant, and appearance dissatisfaction was positively correlated with video conference fatigue. Experiment II recruited 100 undergraduate students using a 2 (appearance dissatisfaction: appearance satisfaction vs. appearance dissatisfaction) × 2 (mindfulness intervention: mindfulness vs. mind-wandering) between-subjects design. We found a significant interaction between appearance dissatisfaction and mindfulness intervention on video conference fatigue. In conclusion, camera use directly influenced video conference fatigue, whereas the moderating effect of mindfulness intervention was mediated by appearance dissatisfaction.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3293591","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891745","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":"Health Literacy Among Late-Life Migrants in China: The Role of Multilevel Migration Characteristics","authors":"Siqi Wan,&nbsp;Bo Qin","doi":"10.1155/hsc/1574967","DOIUrl":"https://doi.org/10.1155/hsc/1574967","url":null,"abstract":"<p>China is experiencing rapid population aging alongside large-scale internal migration. In this context, the health literacy (HL) of late-life migrants is a crucial yet understudied issue of healthy aging. Drawing on the data from 814 late-life migrants aged 50 or above from the 2016 China Migrants Dynamic Survey, this study employed multiple linear regression models to examine how migration characteristics—at the individual, community, and city levels—relate to HL and its specific dimensions. The results showed a modest overall HL in the sample, with health-related skills scoring the lowest. Higher levels of HL were observed in those who migrated shorter distances, with family members, for employment or caregiving purposes, and had better access to community health services. Living in larger cities with more abundant healthcare resources was associated with better HL outcomes. The impact of migration characteristics varied across different HL dimensions. This study fills a key research gap by focusing on a large but often overlooked population in China’s aging society. These findings suggest the need to improve multilevel health service provision to support HL, thereby promoting health equity in the context of aging and mobility.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1574967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144888417","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":"Frames of Peer Support: Perceptions of Peer Support Among Men With Prostate Cancer","authors":"Laura Lahti,&nbsp;Eeva Harju,&nbsp;Annastiina Hakulinen,&nbsp;Marjaana Jones,&nbsp;Teemu J. Murtola,&nbsp;Ilkka Pietilä,&nbsp;Suvi Holmberg","doi":"10.1155/hsc/9408124","DOIUrl":"https://doi.org/10.1155/hsc/9408124","url":null,"abstract":"<p>Prostate cancer significantly impacts the lives of those diagnosed, causing emotional and psychological distress, including fear, uncertainty, and anxiety. While formal peer support has been suggested as a beneficial way for men to share their experiences, little is known about the perspectives of those who choose not to participate in such activities. This study aims to explore how those men with prostate cancer who have not engaged in formal peer support perceive and describe peer support before and after participating in a supervised exercise group. This study is part of an exercise intervention research project involving men diagnosed with prostate cancer. The data consists of the individual interviews of 15 men in an intervention group who participated in supervised gym sessions with peers. The intervention did not include formal, institutionally organised peer support. Semistructured interviews were conducted three times: before, immediately after and 3 months after the group exercises. The interviews were analysed using frame analysis. The participants described peer support through five distinct frames: taking distance and highlighting individuality, existing social networks, daily activities, extended peer support, and fellowship and voluntary sharing. Before exercising in the group, the participants had often distanced themselves from formal peer support, emphasised their ability to cope independently and relied on existing social networks. After the group exercises, they still viewed formal peer support negatively but nonetheless perceived the exercise group as a low-threshold meeting place where informal peer support occurred naturally through shared activities. The study suggests that while formal peer support may not appeal to all men with prostate cancer, alternative models that incorporate shared activities and informal interactions can provide meaningful support. These findings highlight the importance of tailoring peer support options to accommodate diverse needs and preferences, potentially improving the well-being of men with prostate cancer.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9408124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144832377","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 Health Among Informally Employed Workers: The Impact of Social Support","authors":"Yong Zhan,&nbsp;Xiaoyi Zhan,&nbsp;Xiling Wu","doi":"10.1155/hsc/3015020","DOIUrl":"https://doi.org/10.1155/hsc/3015020","url":null,"abstract":"<div>\u0000 <p>In an evolving global labor market, the expansion of informal employment presents profound implications for workers’ health and social welfare, especially among women. Using data from the China Family Panel Studies (CFPS) in 2016, 2018, and 2020, this study employs logistic regression models to investigate gender disparities in health status among informal workers. The findings reveal that women in informal employment have significantly lower health levels than men, and these health disparities vary across different ages and educational levels. The study results indicate that within informal employment, women’s health levels are significantly lower than those of men. This disparity is not only related to economic income and educational levels but also closely associated with social support. In the informal employment sector, although women are more active in informal social support networks such as family, friends, and community, they are influenced by a variety of factors and significantly lag behind men in obtaining formal social support, such as government subsidies and social security. Policymakers should pay more attention to the informal employment sector and consider implementing targeted health interventions and policies to enhance the health levels and social welfare of women in informal employment.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3015020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782384","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":"Primary and Secondary Stressors Affecting Family Caregiver Burden for Disabled Older Adults: A Systematic Review","authors":"Jing Li,&nbsp;Khadijah Alavi,&nbsp;Azahah Abu Hassan Shaari","doi":"10.1155/hsc/5109659","DOIUrl":"https://doi.org/10.1155/hsc/5109659","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> With the rapidly aging global population, family caregivers face increased burdens when caring for disabled older adults; however, comprehensive understanding of the determinants remains limited.</p>\u0000 <p><b>Objective:</b> To systematically analyze the factors affecting caregiver burden among family caregivers of disabled older adults within the stress process model framework.</p>\u0000 <p><b>Methods:</b> In accordance with PRISMA guidelines, six electronic databases were searched up to September 2024. The methodological quality was assessed via the JBI critical appraisal tool. Twenty-eight studies meeting the inclusion criteria were analyzed.</p>\u0000 <p><b>Results:</b> Analysis of 28 studies revealed that caregiver burden results from a complex stress process involving distinct patterns of stressors and moderators. Primary stressors included care recipients’ functional limitations in activities of daily living (ADLs), behavioral problems, and cognitive impairments, with functional dependency and behavioral problems showing consistent positive correlations with burden. The secondary stressors included caregivers’ psychological factors (depression and anxiety) and socioeconomic circumstances, with caregiving time, depressive symptoms, and financial difficulties demonstrating strong positive associations with burden. Conversely, caregiver health status and cohabitation were negatively correlated with burden. Moderating factors—particularly social support, service utilization, and psychological resources such as resilience and coping strategies—consistently demonstrated significant protective effects against caregiver burden.</p>\u0000 <p><b>Conclusion:</b> The stress process model effectively frames the multifaceted nature of caregiver burden, highlighting the interaction between primary and secondary stressors. Future interventions should adopt a dual-focus approach, addressing both primary care-related stressors and secondary psychosocial factors while strengthening moderating resources to enhance caregivers’ quality of life.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5109659","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773554","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 Reconstruction of Identity in the Context of Severe Mental Illness: A Qualitative Study of the Recovery Process","authors":"Xavier Miranda-Ruche","doi":"10.1155/hsc/4721343","DOIUrl":"https://doi.org/10.1155/hsc/4721343","url":null,"abstract":"<div>\u0000 <p>Despite the health and social problems resulting from a severe mental illness, there are cases of people diagnosed who manage to live a satisfactory life. This study focuses precisely on people who undergo positive and consolidated recovery processes over time. The objective is to understand the mechanisms that enable this achievement. To do so, a sample of 16 subjects aged between 33 and 63 years, who met this condition, was set up. Sample recruitment was carried out via the intermediation of professionals at mental health social care services in Catalonia (Spain). A qualitative research approach was employed, based on in-depth interviewing. The results highlight the importance of identity reconstruction in the recovery process. Three relevant factors that emerged during the course of the interviews associated with this reconstruction are identified and described as follows: a) the participants’ ability to provide a biographical meaning to the experience arising from the disorder; b) the presence of a discursive ability, manifested through the use of metaphors, that provides them with greater control over their identity narrative; and c) the establishment of group and collective identification relationships that allow them to overcome the negative self-perception associated with stigma. The findings reveal that identity reconstruction processes do not involve a return to “normality” prior to the onset of the disorder. Likewise, recovery itineraries develop through social dimensions and spaces that go beyond the context of healthcare. The appropriateness of continuing to conduct holistic and comprehensive research that allows delving into the richness and complexity of positive recovery experiences in the first person is brought to the fore.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4721343","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740553","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}