Health & Social Care in the Community最新文献

{"title":"Healthy Aging in Bangladesh: Prospects of Changing Behavior From Reactive Medical Response to Proactive Fitness Approach","authors":"Syed Shahnawaz Mohsin,&nbsp;Salwa Jahan,&nbsp;Afia Ibnat","doi":"10.1155/hsc/6617979","DOIUrl":"https://doi.org/10.1155/hsc/6617979","url":null,"abstract":"<p>Bangladesh is undergoing a demographic and epidemiological transition marked by rapid population aging and rising noncommunicable disease burdens. Despite this shift, the healthcare system remains predominantly reactive, with high out-of-pocket expenditure and limited emphasis on prevention. This paper adopts a qualitative, narrative-analytical approach based on secondary data to examine the structural, behavioral, and gendered dimensions of healthy aging in Bangladesh, with particular attention to elderly populations and homemakers. The study identifies key systemic constraints, including limited access to preventive fitness opportunities, sociocultural barriers to women’s physical activity, and increasing psychological isolation among older adults. It argues that proactive, fitness-oriented health strategies—combining physical activity, social engagement, and community-based interventions—can serve as cost-effective mechanisms for improving long-term health outcomes. The paper contributes by conceptually distinguishing reactive healthcare from proactive fitness-based prevention and by proposing a community-clinic-centered intervention model supported by behavioral change strategies and measurable implementation frameworks. Policy implications include the need for gender-sensitive programming, integration of fitness promotion into primary healthcare systems, and the prioritization of preventive health within national policy planning.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6617979","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145723","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":"Aboriginal Health Workers and Practitioners Provide Critical Ear and Hearing Health Care But Face Systemic Barriers to Practice","authors":"Jacqueline H. Stephens,&nbsp;Brianna F. Poirier,&nbsp;Laura Nolan,&nbsp;Patricia Macfarlane,&nbsp;Tamara Mackean,&nbsp;Nicola Spurrier,&nbsp;Leanne Quirino","doi":"10.1155/hsc/1220599","DOIUrl":"https://doi.org/10.1155/hsc/1220599","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ear health care for Aboriginal and Torres Strait Islander children must be grounded in community-based health services. Aboriginal Health Workers and Practitioners (AHWPs) play essential roles in this culturally grounded care, but little is known about their experiences delivering ear and hearing health services. This study explored AHWPs’ perspectives on their involvement in ear and hearing health to inform improvements to screening and care models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Guided by Indigenous research methodology, we undertook a qualitative study using yarning with AHWPs across three South Australian health clinics (remote, regional and urban). Twenty-three participants took part in yarning circles or individual yarns. Data were analysed using reflexive thematic analysis, with Aboriginal and non-Indigenous researchers working collaboratively. Governance was provided by a Project Steering Committee with majority Aboriginal representation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five themes were identified. First, AHWP described middle ear disease as a severe, recurrent and life-long problem impacting children’s learning, well-being and future opportunities. Second, AHWP strengthened community access through culturally safe communication, school screenings and family-centred follow-up. Third, insufficient training, high workloads, limited specialist access and systemic undervaluing of AHWP roles restricted their capacity to deliver comprehensive care. Fourth, participants outlined solutions to strengthen community-led and culturally responsive screening programs, emphasising community-led decision-making, improved parent and teacher education about ear and hearing health and streamlined care pathways. Finally, AHWP stressed the need for continuity in training, funding and community-based screening to enable effective and sustainable ear health strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AHWPs provide critical, culturally grounded ear and hearing health care for Aboriginal and Torres Strait Islander children, yet systemic barriers limit their capacity and impact. Strengthening community-led approaches, improving practical and ongoing training and ensuring stable service pathways are essential to support effective, equitable ear health screening and care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/1220599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145744","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":"Perspectives on Person-Centred End-of-Life Care in Care Homes: Findings From a Qualitative Secondary Analysis","authors":"Gary Hodge,&nbsp;Susie Pearce","doi":"10.1155/hsc/6664193","DOIUrl":"https://doi.org/10.1155/hsc/6664193","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The number of older people dying in long-term care facilities (LTCF) is growing globally. This highlights an urgent need for high-quality and person-centred palliative and end-of-life care (PEoLC) to be incorporated in LTCFs’, such as care homes. Resident health and care complexities can lead to challenges around PEoLC decision-making and delays in pre-death discussions, ultimately impacting on a care home’s ability to provide a ‘good death’ for the resident and those caring for them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>We aimed to explore what good person-centred end-of-life care might look like in a care home from the perspective of residents, family members and health and care professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative secondary analysis (QSA) of multistakeholder interview data collected from a multiple case study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixty-one interviews were undertaken across seven care homes. Participants included care home residents, family members and health and care professionals. The data of these interviews were reanalysed by posing new questions; what might good person-centred end-of-life care (a ‘good death’) look like in a care home, and what factors influence its delivery? Data were analysed using reflexive thematic analysis (RTA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes were generated from this QSA: Getting it right for the resident: ‘we only get one shot at it’; Supporting family members: ‘there till the end together’; and Caring for the care professionals: ‘I hate that part of my job’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Good person-centred end-of-life care not only ‘gets it right’ for the resident by personalising moments spent with them during their last days and hours of life, but it also cares for their family and the care professionals delivering care. A people-centred approach to end-of-life care can guide future research and practice towards more responsive, setting-specific approaches that support a ‘good death’ in care homes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6664193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149145745","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":"Multidimensional Bodily Senses in the Digital Age: An Online Ethnography of Chinese Digital Fitness Participants","authors":"Chen Jia,&nbsp;Songdong Ye","doi":"10.1155/hsc/7162599","DOIUrl":"https://doi.org/10.1155/hsc/7162599","url":null,"abstract":"<p>This study examines the bodily awareness and embodied experiences of digital fitness participants in technologically mediated fitness environments. Drawing on nine months of participant observation in China’s oldest and most popular virtual fitness community and interviews with 22 active users who had been members of the community for more than six months, the study identifies three interrelated dimensions of digital fitness experience: bodily sensory experiences, encompassing kinesthetic, tactile, respiratory, and circulatory sense; technology-embodied experiences, encompassing human–machine integration, self-understanding, and self-actualization; and emotional experiences, encompassing serenity, equanimity, enjoyment, and anxiety. These findings demonstrate that digital fitness reshapes how individuals sense, interpret, and experience their bodies through the interplay of embodied practice, technological mediation, and social interaction. By addressing the limited attention given to the sensory and embodied dimensions of everyday digital fitness participation, this study extends existing research beyond technological functionality, behavioral outcomes, and platform use.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7162599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146910","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":"Developing Interventions to Address Subjective Cognitive Decline: Insights From a Co-Design Study","authors":"Jed Montayre,&nbsp;Ka Man Carman Leung,&nbsp;Kay Kuo,&nbsp;Jasmine Montayre,&nbsp;Ivy Yan Zhao","doi":"10.1155/hsc/5090083","DOIUrl":"https://doi.org/10.1155/hsc/5090083","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive function plays a crucial role throughout an individual’s lifespan. With advancing ages, the cognitive ability normally deteriorates due to changes in brain and neuronal structures. The rate of deterioration differs across individuals. Previous studies have shown that people with SCD will experience increased cognitive decline, which may eventually develop into irreversible cognitive diseases such as MCI or even dementia. Our research had previously revealed that the prevalence of SCD among middle-aged and older adults was 60.5%, surpassing that of other countries. Early identification and intervention targeting SCD can postpone the development of MCI and dementia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate the comprehension of SCD in middle-aged and older people and to identify the reasons that influence their perceptions of cognitive decline and daily coping strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A focus group discussion was utilized in the context of a qualitative study design. Thirty-seven middle-aged and older participants took part at the university. The discussion themes were selected based on the three highest-rated responses from a previously conducted questionnaire survey by our team. These topics included (1) perceptions of memory deterioration, (2) the process of conveying information, and (3) the acquisition of information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All participants who had subjective cognitive complaints consistently agreed that cognitive decline leads to a deterioration in quality of life. They shared that cognitive decline can be affected by various factors beyond just age, as well as expressed their experiences of how cognitive decline has affected their lives and their coping strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study raises knowledge of middle-aged and older persons’ perceptions and experiences about cognitive decline. Their knowledge can aid in formulating effective interventions and increasing public awareness of SCD, with the objective of fostering early intervention for those at risk of memory loss and postponing the start of irreversible cognitive decline.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5090083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146912","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":"Multidimensional Dynamics of Refugee Inclusion: A Case of African Refugees in the US South","authors":"Arati Maleku,&nbsp;Youn Kyoung Kim,&nbsp;Hanna Haran,&nbsp;Mee Young Um,&nbsp;Shambika Raut,&nbsp;Dauda Sesay,&nbsp;Solange Van Camp","doi":"10.1155/hsc/8882046","DOIUrl":"https://doi.org/10.1155/hsc/8882046","url":null,"abstract":"<p>Although migration and health literature has widely addressed resettlement challenges among refugees in the United States, most studies emphasize individual and behavioral challenges, with little attention to the structural and contextual factors that affect refugee well-being and inclusion. A comprehensive understanding of barriers and facilitators encountered by refugee subpopulations in a cross-cultural context from multiple perspectives is essential to developing tailored programs and services that ease refugee transition and help foster refugee inclusion in new spaces. Using the perspectives of African refugee populations and stakeholders in the Southern US, we highlight the barriers to and facilitators of refugee resettlement across multiple nested systems at the individual, interpersonal, community, societal, and policy levels and examine how they shape refugee inclusion. Drawing from a larger mixed-methods study that used a community-based participatory research approach, we use qualitative data from focus group discussions with resettled African refugee members (<i>n</i> = 11) and local stakeholders (<i>n</i> = 13) to understand multilevel barriers and facilitators to refugee inclusion. Data analysis first followed a rigorous and accelerated data reduction (RADaR) technique, and then proceeded with thematic coding and analysis. Findings provide insights into how policy and practices can include these new and valuable members of American society. Our study contributes to a comprehensive understanding of refugee resettlement and inclusion efforts, both of which are crucial tasks for maintaining cohesive societies.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8882046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146913","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 Effect of an Integration of Vibration and Cold on Vaccination Pain in 4-Month-Old Infants: A Randomized Controlled Trial","authors":"Azar Sajed,&nbsp;Zahra Unesi,&nbsp;Javad Jamavar","doi":"10.1155/hsc/2301620","DOIUrl":"https://doi.org/10.1155/hsc/2301620","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Vaccination is the most common iatrogenic pain in children which is often done without pain management. Therefore, given the importance of pain control in children, this study was carried out to determine the effect of combining vibration and external cold on vaccination pain in 4-month-old infants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This two-group clinical trial was conducted on sixty-four-month-old infants conveniently recruited from a primary healthcare center as per the inclusion criteria in Brigand, Iran. They were randomly allocated into intervention (<i>n</i> = 30) and control (<i>n</i> = 30) groups. In the intervention group, the skin was stimulated half a centimeter above the injection site from 10 s before until the end of the injection using a cold-inducing and vibrating device as buzzy. In the control group, a similar procedure was followed for injection, except for the application of buzzy. The pain status in the two groups was measured using the Pain Behavioral Response Scale (Face, Legs, Activity, Cry, Consolability [FLACC]) 15 s after injection, and also the duration of crying with digital stopwatch from the injection of the vaccine till the end of it. Data were analyzed using the <i>t</i>-test, Mann–Whitney, or chi-square test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean scores of pain severity in the intervention (7.70 ± 1.74) group were significantly less than the control (8.66 ± 0.96) group (<i>p</i> = 0.010), while no significant difference was found between the groups (control: 50.56 ± 33.21, intervention: 45.23 ± 29.1) respecting the duration of crying (<i>p</i> = 0.399).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>As a safe and simple way to reduce pain severity of infants during vaccine injection, an integration of vibration and cold can be advised by health care providers.</p>\u0000 \u0000 <p><b>Trial Registration:</b> Iranian Registry of Clinical Trials: IRCT20140519017756N46</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/2301620","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048583","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 Care Curriculum: Lessons Learned From a Community-Based Program to Address Intergenerational Needs of Older Adults","authors":"Jeremy Holloway,&nbsp;Yasmine Mustafa,&nbsp;Reyna Acosta,&nbsp;Owais Sayeed,&nbsp;Christine Ringhiser,&nbsp;Lynn Shaffer","doi":"10.1155/hsc/6758518","DOIUrl":"https://doi.org/10.1155/hsc/6758518","url":null,"abstract":"<p>Social isolation and loneliness among older adults have emerged as major public health concerns, highlighting the need for innovative community-based interventions that promote meaningful social engagement. This study evaluated the Tellegacy program, an intergenerational initiative designed to provide experiential learning in communication and community engagement for undergraduate nursing students while exploring its potential to reduce loneliness and improve life satisfaction among older adults. Undergraduate nursing students, referred to as Legacy Builders, were paired with community-dwelling older adults in the Columbus, Ohio, area and completed structured training in active listening, mindfulness, goal setting, growth mindset, legacy interviewing, and mentorship. Participants engaged in weekly guided conversations that culminated in the development of personalized legacy books. A mixed-methods design was employed using the UCLA Loneliness Scale and the Satisfaction with Life Scale administered before and after the intervention, complemented by thematic analysis of students’ reflective journals. Although 98 student–older adult pairs participated in the program, quantitative analyses were conducted on data from the 73 older adults who completed both pre- and postintervention assessments. Quantitative findings demonstrated modest numerical improvements in loneliness and life satisfaction; however, these changes were not statistically significant. In contrast, qualitative findings highlighted meaningful relationship building, enhanced communication, increased social connectedness, and positive educational experiences for nursing students. These findings suggest that the Tellegacy program is a feasible and well-received community-based intervention that may promote intergenerational engagement and psychosocial well-being. Larger controlled studies with more diverse populations are warranted to determine its effectiveness and broader applicability.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6758518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048582","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 Support Needs and Satisfaction Rates for People Living With Bipolar Disorder in Australia","authors":"Sophie Hillier,&nbsp;Tania Perich","doi":"10.1155/hsc/8177786","DOIUrl":"https://doi.org/10.1155/hsc/8177786","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bipolar disorder may have a significant impact on social connection and social support, which may lead to a poorer quality of life. This study aimed to assess the needs of people living with bipolar disorder in Australia regarding social needs and explore factors associated with levels of social satisfaction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 366 Australian participants took part in an online survey that assessed social satisfaction, with social needs, barriers and the desire for government support being assessed using open-ended questions and analysed using content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Providing support and social opportunities (<i>n</i> = 112, 31.9%) was endorsed as a key area of need. The top barriers cited were stigma and understanding of bipolar disorder (<i>n</i> = 119, 33.9%) along with symptoms of the illness itself (<i>n</i> = 116, 33%). Those diagnosed with Bipolar I were more likely to report a need for support and social opportunities compared to those with Bipolar II. Participants who were younger were more likely to report that they were unsure of their social needs or barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>More research is needed to determine how to best support people living with bipolar disorder in Australia to increase their social connectedness and improve social satisfaction, with more attention focused on understanding the different social support needs depending on bipolar subtype and age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8177786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048584","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 the Antecedents of Health-Protective Behavior During the Pandemic: A Multimodel Analysis Using Symmetrical, Artificial Neural Network, and Asymmetrical Approaches","authors":"Javed Iqbal,&nbsp;Muhammad Asif Naveed,&nbsp;Muhammad Zaheer Asghar","doi":"10.1155/hsc/5978658","DOIUrl":"https://doi.org/10.1155/hsc/5978658","url":null,"abstract":"<p>Based on social cognitive theory and the health belief model, this study investigated the association of pandemic literacy (operationalized here as factual awareness) with health-protective behaviors among medical education students, and pandemic fear and conspiracy beliefs were used as potential indirect pathways. The authors surveyed 399 students from six medical institutions in Lahore, Pakistan, and employed a cross-sectional survey design to examine the relationships using a multimodel approach, including partial least squares structural equation modeling (PLS-SEM), artificial neural network (ANN) architecture, and fuzzy-set qualitative comparative analysis (fsQCA). The results indicated that pandemic literacy is associated with the adoption of health-protective behaviors. The outcomes of our study suggested that pandemic literacy significantly contributes to the adoption of health-protective behaviors when accompanied by fear of the pandemic. However, conspiracy beliefs did not mediate this relationship. The study concludes that pandemic literacy enhances awareness and is associated with health-protective behaviors, especially in the presence of pandemic-related fear. The ANN analysis identified pandemic literacy as a potentially influential predictor, though this finding remains exploratory given the model’s modest performance (training <i>R</i>² = 0.279, testing <i>R</i>² = 0.329). The fsQCA results supported this by identifying multiple high-consistency configurations, with pandemic literacy appearing as a key condition across most sufficient pathways. This study addresses both theoretical and methodological gaps in the existing body of research on pandemic-related health literacy, which has thus far remained limited in scope. The findings offer context-specific insights for health education strategies targeting university students in similar developing-country settings.</p>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2026 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5978658","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048556","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}