Archives of Public Health最新文献

{"title":"The impact of the Covid-19 pandemic on outpatient visits for patients with cancer in Iran: an interrupted time series analysis.","authors":"Siavash Beiranvand, Meysam Behzadifar, Aidin Aryankhesal, Seyed Jafar Ehsanzadeh, Banafshe Darvishi Teli, Masoud Behzadifar","doi":"10.1186/s13690-024-01482-3","DOIUrl":"https://doi.org/10.1186/s13690-024-01482-3","url":null,"abstract":"<p><strong>Background: </strong>The Covid-19 pandemic has posed unprecedented challenges to healthcare systems worldwide, affecting routine medical services, including for cancer patients. This study investigates the impact of the Covid-19 pandemic on outpatient visits for patients with cancer in Iran.</p><p><strong>Methods: </strong>We conducted an interrupted time series analysis (ITSA) on data collected from electronic medical records. The ITSA methodology was employed to analyze monthly outpatient visits for patients with cancer data from March 2017 to January 2023 in Lorestan University of Medical Sciences.</p><p><strong>Results: </strong>Following the announcement of Covid-19 in Iran, outpatient visits for patients with cancer decreased immediately and sharply, with a mean of 247.08 visits per month, which has a 95% confidence interval of [-297; -197]. Subsequent waves in June 2020, September 2020, April 2021, July 2021, and January 2022 further affected outpatient visits. However, the initiation of Covid-19 vaccination, particularly for cancer patients, marked a positive turning point, leading to an increase of 156.39 outpatient visits between January and February 2022.</p><p><strong>Conclusion: </strong>Our study provides critical insights into the dynamic relationship between the Covid-19 pandemic, patient behavior, and cancer care utilization. The observed decrease in outpatient visits underscores the multifaceted challenges faced by cancer patients during the pandemic, while the positive influence of vaccination signals a pathway towards recovery. The importance of vaccination is highlighted as a key factor in improving outpatient visit rates. As healthcare systems adapt to ongoing challenges, understanding the complex interplay between public health crises and patient behavior is crucial for shaping resilient and patient-centric healthcare systems.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"1"},"PeriodicalIF":3.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the biopsychosocial model of disability on the medicolegal assessment of personal injury.","authors":"Isabelle Lutte, Marguerite Schneider, Amandine Kapita, Anouk Gille, Pascal Staquet, Claude Tomberg","doi":"10.1186/s13690-024-01471-6","DOIUrl":"10.1186/s13690-024-01471-6","url":null,"abstract":"<p><strong>Background: </strong>The objective of this paper was to determine whether the medicolegal assessment of injured and disabled persons is based on the biopsychosocial model of disability proposed by the International Classification of Functioning, Disability, and Health.</p><p><strong>Methods: </strong>We searched for the word disability and other keywords, occurring alone or in combination as well as the meaning given to the word \"disability\" in two Belgian legal databases (JURA and STRADALEX) for the period from 1960 to 2020.</p><p><strong>Results: </strong>The use of the term disability has increased over time, more so from 2001 to 2010, in areas of public health law, labor relations, and personal injury law. Cross-referencing keywords revealed that incapacity (personal, domestic, or professional) reflecting the victim's disability from a legal perspective appears to be dominated by the impairment criterion.</p><p><strong>Conclusions: </strong>Although the biopsychosocial model of disability appears to be widely accepted by courts, medical experts have made few changes to their methodology of assessing personal injuries. We identify four potential factors that could explain the status quo.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"248"},"PeriodicalIF":3.2,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring social vulnerability in communities and its association with leprosy burden through spatial intelligence in central West Brazil to guide strategic actions.","authors":"José Francisco Martoreli Júnior, Antônio Carlos Vieira Ramos, Josilene Dália Alves, Thaís Zamboni Berra, Yan Mathias Alves, Reginaldo Bazon Vaz Tavares, Letícia Perticarrara Ferezin, Titilade Kehinde Ayandeyi Teibo, Ricardo Alexandre Arcêncio","doi":"10.1186/s13690-024-01484-1","DOIUrl":"10.1186/s13690-024-01484-1","url":null,"abstract":"<p><strong>Background: </strong>It is known that leprosy is a socially determined disease, but most studies using spatial analysis have not considered the vulnerabilities present in these territories.</p><p><strong>Objectives: </strong>To measure the association between social vulnerability and the burden of leprosy in the urban space of Cuiabá.</p><p><strong>Methods: </strong>Ecological study, carried out in Cuiabá, Brazil. Diagnosed cases of leprosy were surveyed through the Notifiable Diseases Information System, from 2008 to 2018. The spatial scan statistics technique of leprosy cases per each Human Development Unit was applied. Social vulnerability was measured based on the Municipal Human Development Index (MHDI), education level and average per capita income. For the spatial correlation between vulnerability and leprosy, Global and local bivariate Moran's index was used.</p><p><strong>Results: </strong>8389 cases of leprosy were georeferenced, the majority being male (58%), 30% of cases were not evaluated for degree of physical disability. One of the spatial scan clusters had a relative risk (RR) of 6.93 (95% CI 6.49-7.4), and another had 1360 cases with RR 1.71 (95% CI 1.62-1.82). The bivariate global autocorrelation of Moran's index for MHDI was 0.579, observing 1 High-High in the East region and 1 in South, for education the index was 0.429, 2 High-High in the East and 1 in the South, and 0.145 for average per capita income, 1 High-High in the East.</p><p><strong>Conclusion: </strong>There was a spatial association between leprosy cases and territories with low MHDI, having a percentage of the population without schooling and/or with low income. The study advances knowledge by presenting characteristics of territories most affected by leprosy, verifying the spatial correlation of the disease with the recurrent socioeconomic characteristics in these territories.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"246"},"PeriodicalIF":3.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of environmental parameters on sick building syndrome prevalence among residents: a walk-through survey in Rasht, Iran.","authors":"Ali Ahmadi Orkomi","doi":"10.1186/s13690-024-01486-z","DOIUrl":"10.1186/s13690-024-01486-z","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the prevalence of sick building syndrome (SBS) in Rasht, Iran, a subtropical climate with wetter cold season city, during the autumn and winter months of 2020, focusing on the effects of noise and ventilation.</p><p><strong>Methods: </strong>A total of 420 residents completed the indoor air climate questionnaire (MM040EA), and a walk-through survey of 45 randomly selected residential units assessed environmental noise, ventilation rate, and luminous conditions.</p><p><strong>Results: </strong>Approximately 38.2% reported SBS symptoms in the past three months. Significant associations were found between SBS and dim light (P-value = 0.012, OR = 2.1, CI = 1.09-4), noise (P-value = 0.031, OR = 1.75, CI = 1.1-2.9), passive smoking (P-value < 0.01, OR = 2.6, CI = 1.22-5.4), static electricity (P-value < 0.01, OR = 3.8, CI = 1.15-12.6), bad air (P-value < 0.01, OR = 4.6, CI = 1.6-13), and high room temperature (P-value = 0.039, OR = 2.6, CI = 1.13-5.95) at α = 0.05. The field survey revealed that 75.5% of units exceeded the national noise threshold of 55 dBA. The average ventilation rate was 20 lit/(p.sec), while 32% of the units reported low or moderate lighting during daytime hours. No significant association was found between the type of interior wall finishing or heating systems and SBS. Stronger correlation was observed between noise and SBS in districts with higher traffic-induced noise.</p><p><strong>Conclusion: </strong>Considering high noise levels in residential areas, local authorities must prioritize noise insulation policies in building design and construction.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"247"},"PeriodicalIF":3.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11684049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Agreement between self-reported and objectively measured hypertension diagnosis and control: evidence from a nationally representative sample of community-dwelling middle-aged and older adults in China.","authors":"Jingxian Wu, Danlei Chen, Cong Li, Yingwen Wang","doi":"10.1186/s13690-024-01456-5","DOIUrl":"10.1186/s13690-024-01456-5","url":null,"abstract":"<p><strong>Background: </strong>As the population ages, hypertension has become the leading risk factor for cardiovascular diseases (CVDs) and premature deaths worldwide. Accurate monitoring of CVD risks and planning community-based public health interventions require reliable estimates of hypertension prevalence and management. While the validity of self-reporting in assessing hypertension prevalence has been debated, the concordance between self-reports and clinical measurements of hypertension control remains underexplored, particularly in large, community-based older populations. This study aims to examine the agreement between self-reported and objectively measured data on both hypertension diagnosis and control, as well as the associated factors, among community-dwelling middle-aged and older Chinese adults.</p><p><strong>Methods: </strong>Data from the China Health and Retirement Longitudinal Study were utilized, with household survey responses combined with biomedical data. Sensitivity, specificity, and kappa coefficients were used to assess the agreement between self-reported and objectively measured hypertension diagnosis in the general sample, and the agreement on hypertension control among individuals who reported having hypertension. Binary and multinomial logistic regression analyses were conducted to identify individual, household, and community-level factors associated with the agreement.</p><p><strong>Results: </strong>Self-reports exhibited substantial sensitivity, excellent specificity, and moderate agreement with objective measurements for hypertension diagnosis, while demonstrating fair sensitivity, excellent specificity, but low agreement for hypertension control. The odds of agreement on hypertension diagnosis were negatively associated with older age and heavy drinking, but positively related to marital status, higher education, chronic kidney disease, recent healthcare service utilization, and higher household economic levels. Meanwhile, the likelihood of agreement on hypertension control was negatively associated with older age, comorbid diabetes or cardiovascular disease, heavy drinking, BMI over 25, and antihypertensive medication adherence, but positively associated with recently healthcare service utilization.</p><p><strong>Conclusions: </strong>Self-reporting underestimated hypertension prevalence but significantly overestimated the hypertension control rates. For middle-aged and older Chinese adults, individual-level factors including age, multimorbidity, behavioural risks, and healthcare-seeking behaviours were identified as significant predictors of agreement between self-reported and objectively measured hypertension data. Recognizing these factors is essential for improving the accuracy of chronic condition estimates and facilitating targeted chronic disease management programs for China's aging population and other developing countries with similar demographic and health challenges.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"245"},"PeriodicalIF":3.2,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of registration of antenatal, intrapartum, and newborn information in the Georgian birth registry.","authors":"Charlotta Rylander, Tinatin Manjavidze, Ingvild Hersoug Nedberg, Maia Kerselidze, Erik Eik Anda","doi":"10.1186/s13690-024-01479-y","DOIUrl":"10.1186/s13690-024-01479-y","url":null,"abstract":"<p><strong>Background: </strong>The Georgian Birth Registry (GBR) is a comprehensive digital birth registry covering 99.8% of births nationwide. By law, registration in the GBR is mandatory, with data primarily transferred from medical records (MRs) by designated personnel at medical facilities. We aimed to assess the correspondence of the registration of selected variables between GBR and MRs.</p><p><strong>Methods: </strong>We randomly selected 1,044 women who gave birth in 2018. Data were extracted from the GBR on 27 variables related to pregnancy, childbirth, and the newborn and individually linked to the MRs. We specifically compared the agreement of dichotomous, ordinal, and date variables between the GBR and the MRs to assess the consistency of individual registrations.</p><p><strong>Results: </strong>Of the 27 dichotomous, ordinal, and date variables, 22 displayed more than 95% complete agreement with the information in the MRs. The prevalence of maternal morbidity registered in the MRs was lower than expected, while the proportion of fetuses with transverse lies was higher than expected.</p><p><strong>Conclusions: </strong>Most antenatal, intrapartum, and newborn information registered in the GBR has satisfactory agreement with the MRs, with error typical for single data entry system. The lower-than-expected prevalence of gestational diabetes, preeclampsia, hypertensive disorders, and postpartum hemorrhage registered in the MRs, as well as the higher-than-expected prevalence of transverse fetal presentation, warrants in-depth investigation to ensure that the quality of care is satisfactory and to further improve registration in both the MRs and GBR. Therefore, our findings indicate that while the agreement between the GBR and MRs is generally high, MRs are sometimes incomplete or incorrect for certain conditions.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"244"},"PeriodicalIF":3.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suicide risk factors among Lithuanian medical doctors and residents.","authors":"Povilas Kavaliauskas, Evaldas Kazlauskas, Giedre Smailyte","doi":"10.1186/s13690-024-01478-z","DOIUrl":"10.1186/s13690-024-01478-z","url":null,"abstract":"<p><strong>Background: </strong>Medical doctors and residents are regularly exposed to multiple stressors that may lead to mental health problems. Work-related stressors contribute to elevated levels of psychological distress, anxiety, and depression among health care workers. This is the first investigation evaluating suicidal behaviour and thoughts among Lithuanian medical doctors and residents exposed to various professional stressors at two years after the start of the COVID-19 pandemic. The aim of the study was to evaluate suicidality and factors associated with high suicide risk in a large sample of Lithuanian medical doctors and residents.</p><p><strong>Methods: </strong>The research included 685 participants who completed an online questionnaire over a two-month period in December 2021 and January 2022. Medical doctors and residents from all specialties were invited to participate in the survey. The most common stressors in their work environment were measured. Mental health was assessed using the Depression, Anxiety and Stress Scale-21 (DASS-21) scale, and suicidality was measured with the Suicidal Behaviors Questionnaire-Revised (SBQ-R).</p><p><strong>Results: </strong>The lifetime suicide risk was found in 30.4% of the sample. Moreover, 11.4% of medical doctors and residents were identified as having previous or current suicide planning ideation, and 2.5% reported a previous suicide attempt. Univariate analysis showed that younger age, having no long-term relationships, shorter work experience, career change ideation, higher depression and anxiety, poor working conditions, at the direct contact with patients, lack of career perspectives, and exposure to mobbing and exhaustion at work were statistically significant risk factors for higher suicidality. Furthermore, regression analysis supported that having no long-term relationship, high depression, and high anxiety were significant risk factors for suicide risk in the sample.</p><p><strong>Conclusion: </strong>We found out that almost one-third of medical doctors and residents had lifetime suicide ideations and behaviours at the high suicide risk level. Main suicide risk factors were poor mental health, work-related stressors, and a lack of long-term relationships. The results of the study can help to develop prevention strategies by identifying populations that may be at high risk for mental health problems and provide evidence in implementing specific interventions to address mental health problems in healthcare workers.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"243"},"PeriodicalIF":3.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repeated participation in hospital smoking cessation services and its effectiveness in smoking cessation: a seven-year observational study in Taiwan.","authors":"Po-Hsun Yang, Yuan-Shan Chien, Dih-Ling Luh","doi":"10.1186/s13690-024-01452-9","DOIUrl":"10.1186/s13690-024-01452-9","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate repeated participation in hospital smoking cessation services and its related factors and to explore the correlation between the frequency of participation and its effectiveness in smoking cessation. This study uniquely follows participants over a seven-year period after the removal of financial barriers, with a maximum charge of TWD 200 (USD 6.4) for cessation medications in Taiwan.</p><p><strong>Methods: </strong>A secondary analysis of data from a regional teaching hospital in Central Taiwan was conducted, utilizing the database of the Smoking Cessation Therapy Management Center of Health Promotion Administration and the hospital's documentation from 2013 to 2019. Successful smoking cessation was defined as a non-smoking status at the six-month follow-up stages. Repeat participation was identified through the hospital's smoking cessation logs. Logistic and Cox regression analyses were conducted to meet the study objectives, with all statistical procedures performed on SAS version 9.4.</p><p><strong>Results: </strong>In this study, 19.16% of the smoking cessation service users participated repeatedly over a period of seven years. After adjusting for the observation time, the Cox regression analysis showed that those who experienced the side effects of smoking cessation, long-term smokers, and those with a history of disease were more likely to participate again (HR:1.39;1.17;2.60). However, those who smoked heavily, drank alcohol, and failed to quit smoking after previous participation were significantly less likely to participate again (HR:0.59,0.55,0.70;0.89;0.66). Finally, this study found no significant correlation between the frequency of repeated participation and the effectiveness of the last smoking cessation service.</p><p><strong>Conclusion: </strong>A certain proportion of smokers repeatedly participate in the same hospital's smoking cessation program, which does not diminish its effectiveness. It is implied that relaxing the limit on the quantity of smoking cessation services subsidies will contribute to overall tobacco harm control efforts.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"241"},"PeriodicalIF":3.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mediating effect of expectations regarding aging between psychological resilience and quality of life in rural elderly.","authors":"Haojie Zeng, Yunfan Liu, Chen Zhang, Xia Zhang, Meiying Shen, Zeyu Zhang","doi":"10.1186/s13690-024-01470-7","DOIUrl":"10.1186/s13690-024-01470-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;At present, China's elderly population is facing several difficulties. The implementation of active aging is an important initiative in the face of the rapidly developing situation of population aging, among which improving elderly expectations regarding the aging level is the key link to achieving active aging. Improving the quality of life of the majority of elderly individuals is the main goal of active aging. Moreover, increasing the level of expectations regarding the aging of the elderly depends to a large extent on psychological resilience. However, most of the current research related to expectations regarding aging focuses on urban elderly individuals and pays less attention to the expectations regarding the aging level of rural elderly individuals. It is not yet known how quality of life, psychological resilience, and expectations regarding aging are related among rural elderly individuals. This study focused on the state of expectations regarding aging, psychological resilience, and quality of life among senior citizens living in rural areas, as well as the relationships among these three factors. The goal is to provide a theoretical basis for further targeted interventions and promote active aging in China.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A cross-sectional descriptive design was conducted via convenience sampling of 320 elderly individuals living in four rural areas of Panzhihua, China, from January to May 2024. Questionnaires were used to collect data on the participants' demographic information, the aging expectancy scale (ERA-21), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and a 12-item short-form health survey (SF-12). The data were analysed via SPSS version 26.0 software for descriptive statistics, one-way ANOVA, and Pearson's correlation coefficient. In addition, AMOS version 24.0 software was employed for path analysis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results revealed that Chinese rural elderly individuals have low expectations regarding aging, moderate levels of psychological resilience, and moderate levels of quality of life. There were positive relationships between expectations regarding aging and quality of life (r = 0.631, p &lt; 0.01), positive relationships between expectations regarding aging and psychological resilience (r = 0.261, p &lt; 0.01), and psychological resilience in terms of quality of life (r = 0.334, p &lt; 0.01). Expectations regarding aging play a partial mediating role between psychological resilience and quality of life (β = 0.273, 95% CI, 0.185 ~ 0.381), with an indirect effect accounting for 45.81% of the total effect.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Expectations regarding aging play a partial mediating role in the relationship between psychological resilience and quality of life. These findings suggest that grassroots health workers should take an active role in providing health education and psychological counselling, as well as actively working to im","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"239"},"PeriodicalIF":3.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a unified global framework for studying dementia knowledge: insights from a narrative review.","authors":"Sophia Lazarova, Dessislava Petrova-Antonova","doi":"10.1186/s13690-024-01476-1","DOIUrl":"10.1186/s13690-024-01476-1","url":null,"abstract":"<p><strong>Background: </strong>With the global population aging rapidly, dementia has become a pressing public health challenge, affecting the cognitive functions and daily activities of older adults worldwide. Enhancing literacy about dementia is a proactive prevention strategy, yet the effectiveness of educational programs can vary based on the target population's background. Thus, understanding dementia knowledge levels across different communities and countries is essential for successful educational interventions. Despite the large аmount of studies, there is no common framework for studying dementia knowledge, leading to significant variability in methods and poor data comparability.</p><p><strong>Methods: </strong>A narrative review is conducted to examine the methodological variability in studies of dementia knowledge and to propose a unified framework for future investigations. We hypothesize that significant differences will be evident in the methodologies employed, particularly regarding knowledge domains, research designs, influencing factors, and assessments of attitudes toward dementia.</p><p><strong>Results: </strong>A total of 59 research publications published after 2000 were selected, revealing significant variability in approaches to studying dementia knowledge and confirming our hypothesis. We identified eight dementia knowledge domains and various sociodemographic and experiential correlates, along with commonly used complementary assessments. These findings were organized into a unified global framework comprising two core components-dementia knowledge domains and correlates-supplemented by a component addressing affective dispositions towards dementia and an action list to guide future research. The framework aims to provide a foundational basis for enhancing inter-study comparisons and deepening our understanding of dementia knowledge and attitudes across diverse communities.</p><p><strong>Conclusion: </strong>Aligning methodologies for surveying dementia knowledge through a common framework can empower stakeholders to implement effective educational programs, fostering an informed and supportive environment for individuals affected by dementia.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"82 1","pages":"242"},"PeriodicalIF":3.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}