Health & Social Care in the Community最新文献

{"title":"Implications of Occupational Stress and Burnout on Patient Safety at Public Hospitals in Malawi","authors":"Paliani Chinguwo","doi":"10.1155/hsc/4625173","DOIUrl":"https://doi.org/10.1155/hsc/4625173","url":null,"abstract":"<div>\u0000 <p>Due to an acute shortage of medical doctors, clinical officers (COs) in Malawi are tasked with duties that conventionally fall within the purview of the former. The purpose of this paper is to demonstrate that excessive workload and long hours of work are psychosocial hazards that contribute to occupational stress (OS) and burnout among COs at public hospitals. The study used a qualitative research approach. The study sites comprised five state-owned hospitals: Mulanje District Hospital, Chikwawa District Hospital, Balaka District Hospital, Nkhata Bay District Hospital, and Queen Elizabeth Central Hospital in Blantyre. Three methods of data collection were used: semistructured interviews, focus group discussions, and document analysis. Thematic analysis was employed as a method of data analysis. The study found that the cognitive effects of OS and burnout among COs are eventually externalized to the general public through medical errors and mistakes. The study concluded that the medical errors and mistakes associated with the cognitive effects of OS and burnout among COs pose negative impacts on patient safety. The medical errors and mistakes associated with OS and burnout are ultimately impediments to patient satisfaction. Hence, this paper coins the term ‘impact shifting’ to refer to the externalization of the consequences of OS and burnout among COs to the general public through poor patient safety and ultimately low patient satisfaction.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4625173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880160","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":"Barriers and Facilitators to Accessing and Engaging With Community-Based Singing Support Services in Dementia","authors":"Megan Polden,&nbsp;Clarissa Giebel,&nbsp;Faraz Ahmed,&nbsp;Heather Brown,&nbsp;Jeanette Main,&nbsp;Steve Pendrill,&nbsp;Carol Holland","doi":"10.1155/hsc/9480037","DOIUrl":"https://doi.org/10.1155/hsc/9480037","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Community-based singing services can offer beneficial post-diagnostic support for people living with dementia and their carers. However, despite the benefits, many people with dementia and their carers encounter barriers when trying to access and engage with such groups. This study examined the barriers and facilitators to access and engagement with a singing community support group.</p>\u0000 <p><b>Methods:</b> Semi-structured interviews were conducted with people living with dementia, carers, session leaders and volunteers who attended or were involved with a singing support service named “Lyrics and Lunch.” The interviews focused on the accessibility of the service. Interviews were analysed using thematic analysis which was supported by public advisors.</p>\u0000 <p><b>Results:</b> Twenty-six people participated in the study. This consisted of seven people living with dementia, eleven unpaid carers, four session leaders and four volunteers. Three overarching themes were found relating to barriers to access and engagement with singing intervention services: (1) travel, (2) increased reliance on carers and (3) health comorbidities. Two further themes relating to facilitators were found: (1) engagement with music and (2) promoting effective communication and accessibility.</p>\u0000 <p><b>Conclusions:</b> A wider availability of support services is needed to improve ease of access, promote continued engagement and reduce travel demands. A greater understanding of these barriers and facilitators could help to improve the accessibility of current community-based singing support groups.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9480037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884122","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":"“Good Luck Out There Without NDIS”: Challenges Accessing Individualized Support Packages by Autistic Young People Leaving School","authors":"Caroline Mills,&nbsp;Danielle Tracey,&nbsp;Nicole Sharp","doi":"10.1155/hsc/6830644","DOIUrl":"https://doi.org/10.1155/hsc/6830644","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> The transition from schooling to adulthood is an important and complex time in a young person’s life, especially when they have a disability. For young autistic people, it is critical to receive the right support to ensure a successful transition. In Australia, disability supports are provided by the National Disability Insurance Scheme (NDIS), a scheme implemented and administered by the Australian Government (specifically the National Disability Insurance Agency [NDIA]) since 2013. Implementation of Australia’s NDIS has been inadequate in supporting the needs of many autistic young people. Autistic people are the largest group of participants in the NDIS. Support for this group is important considering the significant investment involved in the provision of NDIS funding, coupled with the potential negative consequences if they are not well-supported. This study explores the experiences of key stakeholders in relation to young autistic school leavers and their challenges accessing NDIS Tier 3 individualized support packages.</p>\u0000 <p><b>Method:</b> This study adopted a qualitative methodology using a constructivist paradigm. This study draws on the perspectives of four key groups: young autistic people, parents/carers, educators, and disability service providers. Reflexive thematic analysis of the interview data was conducted.</p>\u0000 <p><b>Findings:</b> Two overall themes were identified. The first theme was related to fighting to get access to the NDIS, encompassing subthemes related to the NDIS maze, a heavy emotional and practical toll as well as inconsistencies in access. A second theme highlighted a worry for the future if autistic young people did not receive the support they needed postschool. Findings highlighted a range of difficulties accessing individualized funding packages (Tier 3) for autistic young people. There has been a critical failing of service provision at “Tier 2” of the NDIS (also referred to as information linkages and capacity building or foundational support), which was intended to facilitate access and participation in mainstream community services for people with disability. This placed additional pressure on Tier 3 and exacerbated the toll that interacting with the NDIS took on participants.</p>\u0000 <p><b>Conclusion:</b> Urgent work is needed to ensure that systems within the NDIS are funded appropriately and operating as intended to ensure good and equitable outcomes for autistic people leaving school.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6830644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143884121","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":"Spiritual Care and Community Wellness: A Mixed-Methods Approach to Explore Chaplains’ Integration in Community Health Initiatives","authors":"Kelsey B. White,&nbsp;Paul Galchutt,&nbsp;Khanya Collier,&nbsp;Csaba Szilagyi,&nbsp;George Fitchett","doi":"10.1155/hsc/6128995","DOIUrl":"https://doi.org/10.1155/hsc/6128995","url":null,"abstract":"<div>\u0000 <p>Religious organizations have influenced parts of the history of healthcare in the United States. Whether at the local faith community level or national religious bodies, faith communities and health systems have explored partnerships to connect health service delivery and promote population health in its complexity. The changes to health policy in the past decades have fueled how health systems dedicate financial and tangible resources to improving the health of their local communities. Hospitals also increasingly hire and employ chaplains–professional spiritual care providers with extensive graduate and clinical education. The present explanatory mixed-methods study explored the integration of these chaplains in their health systems’ community health and wellness initiatives. The findings highlight that chaplains’ activities focus on social connection and improving healthcare access and quality. Chaplains highlighted how they use their interpersonal skills to build rapport and trust with communities, which may provide an additional resource for health systems looking to expand their impact within the local community. That possibility, however, comes with caution as chaplaincy education will need to include population health if the profession considers these activities core to their arena of expertise.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6128995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880158","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":"Satisfaction With Toilet Renovation in Rural Areas: A Case Study of G Village","authors":"Fang Fang,&nbsp;Chunyu Yang","doi":"10.1155/hsc/7739311","DOIUrl":"https://doi.org/10.1155/hsc/7739311","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To investigate the satisfaction of villagers in G village with the renovation of household toilets.</p>\u0000 <p><b>Methods:</b> 335 villagers from G village in Anhui Province were randomly invited to fill out a self-designed questionnaire. Data were analyzed using SPSS.</p>\u0000 <p><b>Results:</b> Before the toilet renovation, 74.9% of the households had separate toilets, 91.6% of the villagers supported the toilet renovation, 11.6% of the villagers still used the aqua toilet, 67.5% of the funds for toilet renovation came from themselves, and 81.2% of the villagers often used the renovated toilets. Participants were dissatisfied with the overall work of toilet renovation, and their evaluations of the five aspects of toilet renovation were only “dissatisfied” or “neutral.” There were significant differences in satisfaction among different age groups (<i>p</i> &lt; 0.001), among different income groups (<i>p</i> &lt; 0.001), and among people with different levels of education (<i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusions:</b> The villagers in G village are not satisfied with the renovation of household toilets, and efforts should be made to improve their satisfaction.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7739311","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143875662","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":"How Does Living in a Homeless Hostel Impact on Residents Lived Experience of Health and Wellbeing: A Scoping Review","authors":"Emma Head,&nbsp;Julia Morgan,&nbsp;Jane Matonhodze,&nbsp;John Foster","doi":"10.1155/hsc/3086235","DOIUrl":"https://doi.org/10.1155/hsc/3086235","url":null,"abstract":"<div>\u0000 <p>Living in a homeless hostel can be challenging. This global scoping review explored the impact of living in a homeless hostel on residents lived experience of health and wellbeing. A systematic process was followed using Arksey and O’Malley framework for scoping reviews with the addition of the PRISMA-ScR checklist. In total, 1094 articles were identified through database searches and a thesis search on Google Scholar. Screening of title/abstract and then full text, according to inclusion and exclusion criteria, resulted in 40 papers being included in the review. Twenty-two were carried out in the United Kingdom (UK), nine in the United States (US), four in Australia, two in Canada, one in South Africa, one in Iran and one study had a worldwide focus. The findings identify difficulties in accessing care along with incidences of discrimination, being dismissed, disrespected and other experiences of stigmatic encounters. Survival tactics and coping strategies like drug and alcohol use were employed. A lack of stability and routine added to the challenges of living in that environment. The hostel itself and the experience of homelessness were found to impact on health and well-being. This review demonstrates a picture of disadvantage, discrimination and increased disease within the populations who reside in homeless hostels. More research is needed on lived experiences of those residing in homeless hostels to understand their experiences and inform the creation of environments more conducive to good health and wellbeing.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3086235","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871798","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 Role of Social Prescribers in Engaging Older Adults in Strength and Balance Training After Being Discharged From Physiotherapy Rehabilitation: A Qualitative Investigation","authors":"Bethany Fordham,&nbsp;Esther Williamson","doi":"10.1155/hsc/8292209","DOIUrl":"https://doi.org/10.1155/hsc/8292209","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Older adults are advised to undertake strength and balance training (SBT) to prevent falls. This can be provided by physiotherapy services for a limited time, but long-term engagement is required to maintain the benefits. Finding ways to support long-term engagement is needed.</p>\u0000 <p><b>Aim:</b> To understand if it is feasible to develop a referral pathway from physiotherapy services to social prescribers for engaging older adults in long-term SBT within their daily lives.</p>\u0000 <p><b>Methods:</b> We purposefully recruited and interviewed social prescribers via Microsoft Teams. We undertook a framework analysis based on the Capability-Opportunity-Motivation behaviour change framework.</p>\u0000 <p><b>Results:</b> We interviewed eight social prescribers including one manager and two whose role was related specifically to physical activity and exercise. All participants demonstrated motivation to engage older adults in SBT. However, there was variation in their perceived capability and opportunity to do this. Some felt their roles were well suited to encourage SBT as their role was linked to exercise provision, but others felt less confident and identified barriers. All participants identified that the social prescribers were becoming overwhelmed by their workload. They identified motivation as the most potent barrier to older adults engaging in SBT along with opportunity and capability barriers. Participants felt that improving motivation would be the biggest driver of behaviour change but not all felt equipped to do this.</p>\u0000 <p><b>Conclusion:</b> It may be feasible to trial setting up a referral pathway from physiotherapy services to social prescribing to support older adults to engage in SBT. However, services may lack capacity, and there was variability in how services work and social prescribers identified barriers to engaging older adults in SBT. A better option may be to explore the development of a pathway from outpatient physiotherapy services directly to community physical activity services.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8292209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865754","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":"Emotional Well-Being of Live-In Migrant Domestic Workers: A Qualitative Study of the Experiences During Sociopolitical Crisis in Hong Kong","authors":"Kim Kwok,&nbsp;Yu Cheung Wong,&nbsp;Siu Ming Chan","doi":"10.1155/hsc/9934752","DOIUrl":"https://doi.org/10.1155/hsc/9934752","url":null,"abstract":"<div>\u0000 <p>This article explores the emotional well-being of live-in migrant domestic workers (MDWs) in Hong Kong during the 2019 sociopolitical crisis associated with the antiextradition movement (AEM). It examines their emotional experiences, the impact on their care work, and coping strategies, highlighting the interplay between emotions, emotional well-being, and mental health during the crisis. The study employs the concept of structural vulnerability to address gaps in the mental health literature. Qualitative data collection and analysis of interviews with 27 Indonesian live-in MDWs revealed their negative emotions (fear and anxiety) and suppressed positive emotions (attachment to Hong Kong), along with additional care duties and emotional labor. Coping strategies included silence and emotional distance, negatively affecting their self-perception, social connections, and mental well-being. This article argues that the unique emotional experiences of MDWs reflected internalized vulnerability, shaped by the intersection of oppressive social positions and the AEM crisis, which contributed to a heightened state of precarity for MDWs. It highlights the necessity for social care practitioners to address structural influences in their community and individual engagements. Neglecting this could hinder global efforts to promote health equity (SDG 3) and inclusive employment (SDG 8). Using an emotional lens reveals the complexity of MDWs’ work, highlighting their humanity.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9934752","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865691","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":"Factors Associated With Missed Nursing Care in Home Care Setting: Insights From the AIDOMUS-IT Multicentre Study","authors":"Valeria Caponnetto,&nbsp;Marco Di Nitto,&nbsp;Manuele Cesare,&nbsp;Paolo Iovino,&nbsp;Yari Longobucco,&nbsp;Ilaria Marcomini,&nbsp;Francesco Zaghini,&nbsp;Rosaria Alvaro,&nbsp;Alessandra Burgio,&nbsp;Giancarlo Cicolini,&nbsp;Jonathan Drennan,&nbsp;Loreto Lancia,&nbsp;Paolo Landa,&nbsp;Duilio Fiorenzo Manara,&nbsp;Beatrice Mazzoleni,&nbsp;Laura Rasero,&nbsp;Gennaro Rocco,&nbsp;Maurizio Zega,&nbsp;Loredana Sasso,&nbsp;Annamaria Bagnasco","doi":"10.1155/hsc/6664667","DOIUrl":"https://doi.org/10.1155/hsc/6664667","url":null,"abstract":"<div>\u0000 <p><b>Aims:</b> To explore factors associated with missed nursing care (MNC) in home care in Italy.</p>\u0000 <p><b>Methods:</b> A secondary analysis of the AIDOMUS-IT national cross-sectional study was conducted investigating structural factors, including details on services offered, waiting times, nurses’ working conditions and workload, nurses’ perceptions of the work environment, climate, staffing adequateness, opportunities for career advancements, leadership, level of burnout, and work-life balance. Nurses’ and patients’ characteristics were hypothesized as “part of the MNC process,” while patients’ perception of care as an MNC outcome. The “Missed Nursing Care in the Home Care” (MNC_HC) instrument was developed and validated. Other instruments used were the “Practice Environment Scale of the Nursing Work Index,” the “NASA Task Load Index,” and the “Copenhagen Psychosocial Questionnaire version III”. Data from nursing directors, home care nurses, and patients were used in a quantile regression to explore factors linked to MNC. A univariate linear regression model assessed the relationship between MNC and patients’ evaluation of the service.</p>\u0000 <p><b>Results:</b> A total of 3949 nurses and 9780 patients participated in this study. MNC was reported by 3545 nurses (89.77%), and MNC_HC mean score of items of care missed was 5.23 (SD = 3.18) out of 9. When MNC was low, overtime work increased it, while staffing adequacy and leadership quality reduced it. When MNC was at a medium level, associated factors included longer patient waiting times, more home visits per shift, and inadequate staffing. When MNC was high, work-life conflict and burnout were strongly associated with increased MNC. High perceived workload and lack of career progression opportunities were consistently associated with MNC, regardless of its level.</p>\u0000 <p><b>Conclusion:</b> A critical appraisal of organizational and staffing features is recommended in home care. To enhance both patient outcomes and nurse satisfaction, it is advisable to implement indicators to monitor care delivery, revise nurse staffing levels, and establish advanced roles, such as specialized community nursing positions.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6664667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861590","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":"Subjective Cognitive Decline Among Middle-Aged and Older Adults in Hong Kong: A Cross-Sectional Study","authors":"Jed Montayre,&nbsp;Ka Man Carman Leung,&nbsp;Kay Kuo","doi":"10.1155/hsc/9987266","DOIUrl":"https://doi.org/10.1155/hsc/9987266","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Subjective cognitive decline (SCD) is a self-reported perception of cognitive deterioration in individuals who are cognitively normal. Cognitive functions keep steady during adulthood up until around age 40; thereafter, individuals are more likely to experience cognitive decline. SCD is viewed as a possible early sign of Alzheimer’s disease and other forms of dementia. Early detection and intervention addressing SCD could delay the onset of mild cognitive impairment and dementia. Several tools have been developed and evaluated for the phenomenon of SCD in different countries; however, limited research findings can be found in Hong Kong.</p>\u0000 <p><b>Objective:</b> To investigate the prevalence of SCD among middle-aged and older adults in Hong Kong and identify the related factors contributing to its occurrence.</p>\u0000 <p><b>Methods:</b> A cross-sectional survey was undertaken from December 2023 to January 2024 to 200 individuals living in Hong Kong aged 50 years or older. The respondents filled out a questionnaire that collected demographic information, including gender, age, education level and health status. They also completed the Subjective Cognitive Decline Questionnaire-21. Descriptive analysis, logistic analysis and factor analysis were conducted in this study.</p>\u0000 <p><b>Results:</b> A total of 200 samples were collected, of which 122 were classified as having SCD, leading to a prevalence rate of 61% that exceeds that of neighbouring countries. SCD was correlated with the self-rated health score. The Cronbach’s alpha was 0.905. The findings demonstrated significant differences in response to patterns between the two scoring groups for all questions. The results of the factor analysis confirmed the reliability of the four-factor structure, reinforcing the strength of the scale.</p>\u0000 <p><b>Conclusion:</b> The study analysed the prevalence of SCD among middle-aged and older adults in Hong Kong as well as explored the relationship between various factors and SCD. The initial insights gained from the questionnaire will inform the future development of more comprehensive and effective solutions to address cognitive decline in older adults in Hong Kong.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9987266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861589","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}