International Journal of Environmental Research and Public Health最新文献

{"title":"The Physical Activity Environment, Nature-Relatedness and Wellbeing.","authors":"Josh Furjes-Crawshaw, Ihirangi Heke, Tim Jowett, Nancy J Rehrer","doi":"10.3390/ijerph22020299","DOIUrl":"10.3390/ijerph22020299","url":null,"abstract":"<p><p>This study explored the relationship between the physical activity (PA) environment, nature affinity and wellbeing. An online survey was used incorporating the Nature-Relatedness Scale (NR-6), EQ-5D health questionnaire, WHO-5 wellbeing questionnaire and International Physical Activity Questionnaire-Short Form (IPAQ-SF), with additional questions on PA environment and connection to place (<i>n</i> = 179). Statistical analyses were conducted using generalised linear mixed effects and quantile regression. PA in nature was correlated with wellbeing, with each additional bout of PA in nature associated with an increase in EQ-5D score of 3.13 and an increase in WHO-5 score of 5.62, (<i>p</i> = 0.0058, η_p² = 0.074; <i>p</i> < 0.0001, η_p² = 0.089, resp. (medium effect sizes)). PA indoors was also positively associated with physical and psychological wellbeing (<i>p</i> = 0.0192, η_p² ₌ 0.018; <i>p</i> = 0.0009, η_p² = 0.03, resp. (small effect sizes)), but PA in nature had a greater effect than PA indoors on both physical (<i>p</i> = 0.008) and psychological wellbeing (<i>p</i> = 0.001). There was a significant interaction between nature-relatedness and PA in nature on wellbeing (<i>p</i> = 0.0002), indicating a difference in the association between nature-relatedness and both physical and psychological wellbeing, i.e., there was a greater effect of PA in nature on wellbeing in those with greater nature-relatedness. Nature-relatedness was also associated with physical activity in nature (<i>p</i> ≤ 0.0001).</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumers' Health and Environmental Attitudes and Local Food Purchases.","authors":"Lan Tran, Ye Su","doi":"10.3390/ijerph22020298","DOIUrl":"10.3390/ijerph22020298","url":null,"abstract":"<p><p>There has been increasing interest in the health and environmental benefits of the growth of local food, especially since the COVID-19 pandemic. In the United States, local food and labels have many implications and attributes, such as organic, non-GMO, and reduced-chemical production. Therefore, consumers' purchase decisions and willingness to pay for local labels with sustainable attributes are heterogeneous. This study uses a consumer survey in Missouri to examine how differences and differentiations in health and environmental attitudes affect consumers' willingness to pay for local food. A discrete choice experiment and a structural equation model (SEM) were employed to measure how personal attitudes affect consumer's willingness to pay for local labels (typical label and state-grown). Results show that supportive attitudes toward local farms and farmers positively affect consumer preferences for locally labeled produce, but the premiums will be lower if they are more concerned about GMOs and pesticide residue in food. No evidence was found for the effects of general environmental attitudes on willingness to pay for local food.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Extent and Predictors of Fathers' Involvement in the Raising of Children with Autism Spectrum Disorder in the UAE.","authors":"Maxwell Opoku, Ahmed Mohamed, Shamsa Almarzooqi, Aisha Cheikhmous","doi":"10.3390/ijerph22020300","DOIUrl":"10.3390/ijerph22020300","url":null,"abstract":"<p><strong>Background: </strong>Raising children with autism spectrum disorder (ASD) has consistently been found to be challenging for parents. However, available studies have mainly focused on mothers, raising questions about fathers' involvement in raising children with ASD. Indeed, fathers' involvement has consistently been reported as fundamental to the development of children with ASD. Thus, it necessitates extensions of Western-dominated literature to novel contexts such as the United Arab Emirates (UAE). The purpose of this study, therefore, was to explore the extent and predictors of fathers' participation in the nurturance of children living with ASD.</p><p><strong>Methods: </strong>The survey was completed by 177 fathers raising children with ASD in the UAE and was based on the revised 27-item Fathers' Involvement in Development and Rehabilitation Scale. The Statistical Package for Social Science was used to compute means and perform a multivariate analysis of variance and hierarchical multiple regression.</p><p><strong>Results: </strong>Fathers' ratings were high on involvement: attitude, support, and participation in training to assist their children with ASD. Also, support and participation in training significantly contributed to the variance in attitude towards children with ASD. Moreover, the place of residence of participants made a significant contribution to the variance in attitude towards children with ASD.</p><p><strong>Conclusions: </strong>There is a need for policymakers to capitalize on the gains already made in creating a favorable environment for the development of children with ASD in the UAE. Regular engagement between policymakers and fathers could enhance their engagement in raising their children.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Determinants and Health Equity Activities: Are They Connected with the Adaptation of AI and Telehealth Services in the U.S. Hospitals?","authors":"Pearl A Pinera, Pearl C Kim, Fye A Pinera, Jay J Shen","doi":"10.3390/ijerph22020294","DOIUrl":"10.3390/ijerph22020294","url":null,"abstract":"<p><p>In recent decades, technological shifts within the healthcare sector have significantly transformed healthcare management and utilization, introducing unprecedented possibilities that elevate quality of life. Organizational factors are recognized as key drivers in technology adoption, but involvement of hospitals in community-oriented activities and promotion of health equity are underexplored. This study investigated the impact of community social determinant activities and health equity activities on the adoption of AI and telehealth services within U.S. hospitals. The data were collected from the 2021 American Hospital Association (AHA) annual survey and were analyzed using multiple logistic and linear regression models to examine activities related to addressing population health, particularly social determinants and health equity, and their impacts on the adoption of AI and telehealth among U.S. hospitals. The results indicate a significant positive association between the community social determinant indicator and health equity indicator in adopting AI and telehealth services. Organizational factors were also major drivers of AI and telehealth adoption. The active incorporation of hospital strategies that address social determinants and promote health equity leads to the integration of advanced technologies and improves hospital conditions, enabling more adaptability to the changing healthcare landscape, which enhances healthcare services and accessibility.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower Musculoskeletal Fitness Among Youth with Disabilities, Ages 6 to 15 Years.","authors":"E Andrew Pitchford, Willie Leung","doi":"10.3390/ijerph22020302","DOIUrl":"10.3390/ijerph22020302","url":null,"abstract":"<p><strong>Background: </strong>Youth with disabilities (YWD) often exhibit deficits in physical fitness, but much of the literature is limited by small, non-representative samples. The purpose of this study was to examine differences in musculoskeletal fitness between youth with and without disabilities from the 2012 National Youth Fitness Survey (NYFS).</p><p><strong>Methods: </strong>A secondary analysis was conducted with cross-sectional data from the 2012 NYFS of youth, 6 to 15 years of age. Fitness measures included plank, modified pull-ups, and grip strength. Disability was identified by multiple parent report items. Logistic regression with sampling weights was employed to examine group differences and associated factors.</p><p><strong>Results: </strong>A total of 1177 youth were analyzed, including 173 YWD. A significantly greater proportion of YWD demonstrated low fitness in all three measures compared to youth without disabilities. Factors associated with low fitness included sex, engagement in physical activity, and the body mass index category. Age was not a significant factor for any fitness measure.</p><p><strong>Conclusions: </strong>This secondary analysis provides additional evidence for lower musculoskeletal fitness among YWD, in particular for females and youth with obesity. Physical fitness continues to be an area in need of intervention to improve overall health among YWD.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Return on Investment (SROI) Evaluation of Citizens Advice on Prescription: A Whole-Systems Approach to Mitigating Poverty and Improving Wellbeing.","authors":"Rachel Granger, Ned Hartfiel, Victory Ezeofor, Katharine Abba, Rhiannon Corcoran, Rachel Anderson de Cuevas, Benjamin Barr, Aregawi Gebremedhin Gebremariam, Roberta Piroddi, Clare Mahoney, Mark Gabbay, Rhiannon Tudor Edwards","doi":"10.3390/ijerph22020301","DOIUrl":"10.3390/ijerph22020301","url":null,"abstract":"<p><p>Citizens Advice on Prescription (CAP), a Liverpool (UK)-based service, provides welfare advice and link worker social prescription support to people experiencing and at risk of experiencing financial or social hardship. CAP, which receives referrals from healthcare and third-sector services, aims to improve service users' financial security, health, and wellbeing. A mixed-methods social return on-investment (SROI) analysis was used to evaluate this service. Between May 2022 and November 2023, a subset of service users (<i>n</i> = 538) completed the Short Warwick-Edinburgh Mental Wellbeing Survey (SWEMWBS) at baseline and a 2-month follow-up. Supporting quantitative and qualitative economic data were also collected (February 2023-February 2024) through semi-structured interviews (<i>n</i> = 16). Changes in social value were determined by comparing pre- and post-SWEMWBS scores. These scores were then mapped to monetary values using the Mental Health Social Value Bank (MHSVB). SROI ratios were then calculated by dividing the change in social value by the associated service provision costs. The mean social value change per person ranged from GBP 505.70 to GBP 697.52, and the mean service provision cost was GBP 148.66 per person. The overall study reported a positive SROI return range of GBP 1: GBP 3.40-GBP 4.69. The results indicate that non-clinical support services, like CAP, may be an effective intervention for addressing the wider determinants of health and wellbeing.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coverage and Characterization of Food Delivery Services Through a Mobile Application in Small and Medium-Sized Cities in Brazil.","authors":"Renata Júlia da Costa, Paloma Aparecida Anastacio Barros, Juliana de Paula Matos, Paula Martins Horta","doi":"10.3390/ijerph22020293","DOIUrl":"10.3390/ijerph22020293","url":null,"abstract":"<p><p>This is the first study to analyze the coverage and profile of establishments registered on a meal delivery application (MDA) in small and medium-sized cities in Brazil. The app serves 497 municipalities across 22 states, offering 28,325 establishments. App coverage was measured as the ratio of cities served to the total small and medium-sized cities in each Brazilian region. The establishments were categorized using keyword analysis into six groups: International Cuisine, Snacks, Bakery Products, Complete Meals and Side Dishes, Sweets, Ice Creams and Desserts, and Healthy Options. Greater app coverage was observed in the South (13.68%) and Southeast (13.63%) regions. In contrast, lower coverage was noted in the North (2.46%) and Northeast (2.30%) regions. The keyword category 'Snacks' was the most used across all Brazilian regions, while 'Healthy Options' was the least utilized. Positive correlations were identified between the number of establishments on the app and the Municipal Human Development Index (r = 0.30; <i>p</i> < 0.001), demographic density (r = 0.23; <i>p</i> < 0.001), and urban population (r = 0.55; <i>p</i> < 0.001). The use of keyword categories varied across municipalities based on their demographic and socioeconomic characteristics. Our findings reveal significant asymmetries in app coverage and the types of registered establishments, which may further exacerbate inequalities in food access.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to Interpretable Data to Support Disproportionate Health Risks from Industrial Releases: A Case Study on the Environmental Protection Agency's Datasets and Their Application to the Latinx Communities of Houston, Texas.","authors":"Hannah Wheless, Lori A Hoepner","doi":"10.3390/ijerph22020291","DOIUrl":"10.3390/ijerph22020291","url":null,"abstract":"<p><p>Latinx communities face disproportionate environmental injustices and are targeted due to systematic economic and political inequities. This research evaluates the ease at which links between industrial releases and risk of adverse health effects can be defined to influence policy change in Houston, TX. The Environmental Protection Agency (EPA)'s Toxic Release Inventory (TRI) is the most comprehensive public database on industrial facilities' toxic chemical releases in the US. TRI is presented within a risk-based context through the Risk Screening Environmental Indicators (RSEI) scores. TRI and RSEI datasets for Houston in 2022 were assessed in QGIS to analyze chemical release and risk in neighborhoods using Community Tabulation Areas (CTAs), identifying demographics of communities facing disproportionate industrial releases and consequent potential health risks. Geospatial visualizations reflected Latinx communities to house the heaviest polluting industrial facilities in Houston. As a result, these communities face the highest potential risk of adverse health effects due to exposure to a multitude of chemicals-particularly 1,3-butadiene, benzene, and chromium-as reflected in cumulative RSEI scores. An analysis of TRI and RSEI datasets elucidates the burden of gathering and analyzing chemical release data in a public health context, reflecting why change beginning at the local level can be difficult for under-resourced Latinx communities facing industrial pollution. Improving the accessibility and utility of the EPA resources will provide a resource to advocate for data-driven policy change.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Care in Primary Care: Exploring the Role and Impact of General Practice Pharmacists in Managing Long-Term Conditions in Northern Ireland.","authors":"Ahmed Abuelhana, Petra Garlone Clark, Aaron Courtenay, Heather Coleman, Nermeen Ali, Kingston Rajiah","doi":"10.3390/ijerph22020292","DOIUrl":"10.3390/ijerph22020292","url":null,"abstract":"<p><p>The role of General Practice Pharmacists (GPPs) has expanded in response to increasing demands on primary care services, particularly in managing chronic conditions. While GPPs are recognised for their contributions to medication optimisation and patient care, challenges such as role clarity, workload pressures, and confidence in clinical decision-making remain underexplored. This study aims to investigate the tasks, professional identity, confidence levels, and challenges faced by GPPs in Northern Ireland. A mixed-methods design was employed, incorporating a questionnaire distributed to GPPs across Northern Ireland. The questionnaire comprised 20 multiple-choice questions and 5 open-ended questions, focusing on demographics, tasks, confidence levels, role clarity, and professional challenges. Quantitative data were analysed using descriptive and inferential statistics, while qualitative responses underwent thematic analysis using NVIVO software. A total of 44 GPPs participated, with a majority being female and aged 34-39 years. Most participants had 4-6 years of experience as GPPs. Quantitative findings revealed significant correlations between clinical confidence and factors such as years of experience, age, and employment type. Qualitative analysis revealed key themes: clinical confidence was enhanced by training and experience, but workload pressures often limited time for patient care. Variability in role integration and the lack of public awareness were highlighted as barriers to maximising the GPP role. This study highlights the key challenges of workload distribution and role ambiguity in the GPP role. Delegating administrative tasks and developing clear frameworks for role integration could address these barriers. Additionally, targeted training programs and public education campaigns are essential to enhance the impact of GPPs in primary care.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing an Ecotoxicological Classification for Frequently Used Drugs in Primary Care.","authors":"Tiphaine Charmillot, Nathalie Chèvre, Nicolas Senn","doi":"10.3390/ijerph22020290","DOIUrl":"10.3390/ijerph22020290","url":null,"abstract":"<p><p>Most drugs excreted in urine are not filtered by wastewater treatment plants and end up in aquatic systems. At concentrations measured in waters, toxic effects on species have been described. Second, most of the drug consumption is attributable to primary care prescriptions. We thus present here, an ecotoxicity classification of the most sold drugs in primary care in Switzerland. Three datasets were combined: (1) surveyed ecotoxic drugs by the Swiss National Surface Water Quality Monitoring Programme and its European equivalent, (2) the top 50 drugs by sale in primary care in Switzerland, and (3) active pharmaceutical ingredient (API) concentrations in Lake Geneva and the rivers of the canton of Vaud between 2017 and 2022. We classified APIs into five categories from the safest to the least safe: (1) APIs found in concentrations (C) <10× their environmental quality standard (EQS·10^-1), (2) EQS·10^-1 < C < EQS and not listed by the Swiss or the EU Watch List, (3) EQS·10^-1 < C < EQS and listed, (4) C > EQS and not listed, and (5) C > EQS and listed. We obtained full ecotoxicological data for 35 APIs. Fifteen APIs were designated as safe (category (1):paracetamol, tramadol, amisulpride, citalopram, mirtazapine, metformin, gabapentin, lamotrigine, primidone, candesartan, irbesartan, atenolol, hydrochlorothiazide, ofloxacin, sulfadiazine), eleven as intermediately safe, and nine were of concern (azithromycin, ciprofloxacin, clarithromycin, sulfamethoxazole, carbamazepine, diclofenac, ibuprofen, iomeprol, iopromide). Full data were available for only one-third of the drugs most sold in primary care. Where data do exist, we observed significant differences in environmental impact among the same class of drugs. Our classification could therefore help guide doctors to adopt more eco-friendly prescriptions.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11855898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"综合性期刊","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}