Alicia Julia Wilson Takaoka, Letizia Jaccheri, Kshitij Sharma
{"title":"Exploring Self-Care, Anxiety, Depression, and the Gender Gap in the Software Engineering Pipeline.","authors":"Alicia Julia Wilson Takaoka, Letizia Jaccheri, Kshitij Sharma","doi":"10.3390/ijerph21111468","DOIUrl":"10.3390/ijerph21111468","url":null,"abstract":"<p><p>Software engineers may experience burnout, which is often caused by the anxieties and stresses of the workplace. Understanding the well-being and resilience practices of software engineers and evaluating their knowledge of mental health is one factor to understand our current, diverse, multi-generational workplaces. Here, we present preliminary results of a study examining the self-care practices of software engineers, a general overview of the state of mental health of software engineers, and correlations between expressions of mental health and demographic factors. Among 224 respondents, positive correlations between imposter syndrome and happiness, anxiety, and depression were identified. We also identified negative correlations between mental health literacy and imposter syndrome, happiness, anxiety, and depression. Well-being had a positive correlation with self-efficacy, as well as with happiness. We also present the Gender Gap in mental health and our findings in relation to that construct. Our findings suggest increasing mental health support services.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733858","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":"Emotional Status, Motor Dysfunction, and Cognitive Functioning as Predictors of Quality of Life in Physically Engaged Community-Dwelling Older Adults: A Structural Equation Modeling Approach.","authors":"Inaihá Laureano Benincá, Maria Gattuso, Stefania Butti, Davide Caccia, Francesca Morganti","doi":"10.3390/ijerph21111469","DOIUrl":"10.3390/ijerph21111469","url":null,"abstract":"<p><p>The demographic transition has become a reality, and it demands public policies to promote physical and mental health in aging. Group exercise emerges as a cost-effective and accessible alternative to promote active aging on a large scale, but to optimize the effectiveness of these programs, it is crucial to understand the underlying mechanisms that improve quality of life. This study aimed to explore the associations between emotional status, cognitive functioning, motor dysfunction, and their relationship with quality of life in community-dwelling older adults participating in a group physical exercise program. Structural equation modeling was used to explore these relationships in a sample of 190 older adults. Emotional state directly predicted all domains of quality of life. Motor dysfunction predicts the physical health domain of quality of life. Motor dysfunction and cognitive functioning are strongly correlated with emotional status. The fit indices of the final model are acceptable, and it demonstrates that within group-exercise dynamics, emotional status is the main component of quality-of-life promotion. Therefore, professionals designing group physical exercise programs to promote active aging should consider not only physical fitness, but also the integration of psychosocial elements, offering a holistic approach to enhancing overall well-being.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733651","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}
Andrew Prevett, Monica Short, Maxwell Morrissey, Ben Wadham
{"title":"Examining Sex-Based Delays in Utilizing Advocacy Support Services Among Australian Military Veterans: Implications for Health Care Access and Suicide Prevention.","authors":"Andrew Prevett, Monica Short, Maxwell Morrissey, Ben Wadham","doi":"10.3390/ijerph21111467","DOIUrl":"10.3390/ijerph21111467","url":null,"abstract":"<p><p>This study explores the impact of sex on delays experienced by Australian military veterans in accessing advocacy support services within the veterans' non-profit sector. A detailed analysis of intake records from 150 injured veterans who entered the Returned and Services League of Australia's advocacy program in 2021 reveals significant disparities between male and female veterans in seeking assistance. On average, male veterans delay accessing support by 20.4 years post-service, compared to 9.1 years for female veterans. These prolonged delays hinder veterans' ability to secure financial and medical support from the Department of Veterans' Affairs, limiting timely access to essential healthcare services. As a result, delays can exacerbate physical and psychological symptoms, impede recovery, and increase the risk of suicide. The findings provide valuable insights for international healthcare professionals on the influence of military culture and traditional masculine norms in shaping veterans' help-seeking behaviors. By understanding these dynamics, healthcare practitioners can develop targeted, sex-sensitive interventions that address specific barriers faced by male and female veterans. Ensuring timely access to advocacy support is crucial for improving health outcomes and reducing suicide risk in this vulnerable population.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733828","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}
Adam Nored, Xianqiang Fu, Rui Qi, Namuun Batbaatar, Chunrong Jia
{"title":"Volatile Organic Compound (VOC) Contamination in Hotel Rooms: A Pilot Study to Understand Sources and Health Risks.","authors":"Adam Nored, Xianqiang Fu, Rui Qi, Namuun Batbaatar, Chunrong Jia","doi":"10.3390/ijerph21111464","DOIUrl":"10.3390/ijerph21111464","url":null,"abstract":"<p><p>The COVID-19 pandemic drove the use of cleaning products, causing organic solvent contamination in hospitality environments. This pilot study investigated the presence and concentrations of volatile organic compounds (VOCs) in selected hotels in four different US cities with varying star ratings at the end of the pandemic period. Targeting 139 VOCs, 57 were detected across eight groups: alcohols, halocarbons, aromatics, alkanes, terpenes, carbonyls, ethers, and esters, in the indoor air. Alcohols were the most prevalent, especially in lower-rated hotels, suggesting higher use of cleaning supplies. Elevated levels of aromatics were detected in hotels rated under three stars, with a notable disparity compared to higher-rated hotels. Additionally, alkanes and terpenes such as n-tetradecane and d-limonene were consistently detected. Health risk assessment showed concentrations of all VOCs remained below their health criteria for customers. The cumulative cancer risk was 2.25 × 10<sup>-6</sup> for hotel workers from chronic occupational exposure to eight carcinogenic VOCs, representing 1/3 of the lifetime risk from these chemicals in the ambient air. Cancer risks from individual VOCs ranged from 0.001 × 10<sup>-6</sup> to 1.07 × 10<sup>-6</sup>, with chloroform accounting for nearly half of the cumulative risk. The findings underscore the need for careful selection and use of furnishings and cleaning supplies and for effective indoor air pollution control and management in hotel indoor environments.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733945","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}
Keren Politi, Patrice L Weiss, Kfir Givony, Elana Zion Golumbic
{"title":"Utility of Electroencephalograms for Enhancing Clinical Care and Rehabilitation of Children with Acquired Brain Injury.","authors":"Keren Politi, Patrice L Weiss, Kfir Givony, Elana Zion Golumbic","doi":"10.3390/ijerph21111466","DOIUrl":"10.3390/ijerph21111466","url":null,"abstract":"<p><p>The objective of this literature review was to present evidence from recent studies and applications focused on employing electroencephalogram (EEG) monitoring and methodological approaches during the rehabilitation of children with acquired brain injuries and their related effects. We describe acquired brain injury (ABI) as one of the most common reasons for cognitive and motor disabilities in children that significantly impact their safety, independence, and overall quality of life. These disabilities manifest as dysfunctions in cognition, gait, balance, upper-limb coordination, and hand dexterity. Rehabilitation treatment aims to restore and optimize these impaired functions to help children regain autonomy and enhance their quality of life. Recent advancements in monitoring technologies such as EEG measurements are increasingly playing a role in clinical diagnosis and management. A significant advantage of incorporating EEG technology in pediatric rehabilitation is its ability to provide continuous and objective quantitative monitoring of a child's neurological status. This allows for the real-time assessment of improvement or deterioration in brain function, including, but not limited to, a significant impact on motor function. EEG monitoring enables healthcare providers to tailor and adjust interventions-both pharmacological and rehabilitative-based on the child's current neurological status.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733943","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 Tax Incidence and Tax Pass-Through of Smokeless Tobacco in the US.","authors":"Yanyun He, Qian Yang, Ce Shang","doi":"10.3390/ijerph21111465","DOIUrl":"10.3390/ijerph21111465","url":null,"abstract":"<p><strong>Background: </strong>States adopt different tax bases for smokeless tobacco (SLT), making tax incidence on SLT not directly comparable across states. In addition, how taxes are passed through to SLT prices among states that impose specific taxes, and whether the pass-through rates for SLT are affected by the uptake and evolution of e-cigarettes, is unknown.</p><p><strong>Objective: </strong>This study will calculate the tax incidence on SLT and investigate how SLT taxes are passed to prices at the 25th, 50th, and 75th percentile levels, as well as whether these pass-through rates vary by e-cigarette uptake and evolution.</p><p><strong>Methods: </strong>We regressed SLT prices on specific taxes using ordinary least square regressions while controlling for state-, year-, and quarter-fixed effects. We then tested the difference in tax pass-through rates by different periods.</p><p><strong>Findings: </strong>The average tax incidence on chewing tobacco, moist snuff, dry snuff, and snus was 22%, 22%, 23%, and 20%, respectively. For moist snuff, taxes were fully passed to prices at the 25th and 50th percentiles (rate = 1.01, <i>p</i> < 0.001) and overly passed to prices at the 75th percentile (rate = 1.25, <i>p</i> < 0.001). The e-cigarette uptake and evolution significantly raised taxes by 13 cents and 14 cents per ounce, respectively, for moist snuff at the 75th percentile prices (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>If harm is considered a criterion for taxing tobacco products, the tax incidence on SLT could be further increased. Considering that lower-priced SLT have lower tax pass-through rates, price promotion restrictions and minimum pricing laws may be needed to increase the cost of lower-priced products. Additionally, we observed that tobacco companies tended to increase tax pass-through for premium SLT products as e-cigarettes gained popularity, which may indicate a strategic response to shifting consumer preferences.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733852","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":"Self-Reported Difficulty with and Assistance Needed by People with Spinal Cord Injury to Prepare Meals at Home.","authors":"Katherine Froehlich-Grobe","doi":"10.3390/ijerph21111463","DOIUrl":"10.3390/ijerph21111463","url":null,"abstract":"<p><p>Individuals with spinal cord injury (SCI) experience an increased risk for obesity and cardiometabolic disease. Recommendations to prevent and treat obesity for those with SCI follow those of the US Department of Agriculture to adopt a healthy eating pattern that includes eating a variety of fruits, vegetables, grains, dairy, and protein, plus limiting added sugars, saturated fats, and sodium. Yet, people with SCI eat too many calories, fat, and carbohydrates and too few fruits, vegetables, and whole grains. The study is based on secondary analyses of SCI participants (<i>n</i> = 122) who enrolled in a weight loss study to determine how SCI may impact their ability to prepare food at home. We hypothesize those with higher-level spinal injuries (specifically, those with cervical versus those with thoracic or lumbar/sacral injuries) experience significantly greater difficulty and are more likely to rely on others' assistance to perform meal preparation tasks. Physiologic (weight, BMI, blood pressure, hemoglobin A1c) and self-reported data (demographic plus responses to the Life Habits Short Survey and meal prep items) were collected at baseline and qualitative data were obtained from a subsample after the intervention during phone interviews. Participants' average age was 50 ± 14.7 years old, they lived with SCI for an average of 13.0 ± 13.1 years, and their average BMI was 32.0 ± 6.5. Participants were predominantly white (76.1%) men (54.1%) who had some college education (76.3%), though only 28.8% worked. A substantial proportion of respondents (30% to 68%) reported difficulty across the 13 tasks related to purchasing and preparing meals, with a proxy reported as the most common assistance type used across all tasks (17% to 42%). Forty-nine percent reported difficulty preparing simple meals, with 29% reporting a proxy does the task. More than half reported difficulty using the oven and stove, though between 60% to 70% reported no difficulty using other kitchen appliances (e.g., coffee machine, food processor, can opener), the refrigerator, or microwave. There was a significant difference in kitchen function by injury level. Those living with cervical-level injuries had significantly greater limitations than those with thoracic-level injuries. Spouses, other family members, and caregivers were most likely to serve as proxies and these individuals exerted both positive and negative influences on respondents' dietary intake, based on qualitative data obtained during interviews. The results suggest that many people living with SCI experience functional and environmental barriers that impact their ability to prepare food and use kitchen appliances. Future research should examine how SCI-related functional limitations, transportation access, accessibility of the kitchen, ability to use appliances, availability of financial resources, and assistance by others to prepare foods impact people's ability to follow a healthy eating pattern.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733935","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}
Margaret Hodgins, Declan Fahie, Sarah MacCurtain, Rhona Kane, Patricia Mannix McNamara
{"title":"\"My Core Is Cracked\"-Bullying in Higher Education as a Traumatic Process.","authors":"Margaret Hodgins, Declan Fahie, Sarah MacCurtain, Rhona Kane, Patricia Mannix McNamara","doi":"10.3390/ijerph21111462","DOIUrl":"10.3390/ijerph21111462","url":null,"abstract":"<p><p>Sectoral and institutional context[s] are critical to understanding how workplace toxicity manifests and how it might best be addressed. The education sector, specifically higher education, is the focus of this study, drawing on qualitative data collected from Irish Higher Education Institutions [HEIs]. Underpinned by a multi-faceted conceptualisation of bullying, the study explores how it is experienced by university staff and how institutional or contextual factors impinge on that experience. The study employed a qualitative interpretive methodology involving one-to-one semi-structured interviews with self-selecting participants. Persons who currently work or have recently worked in higher education institutions were recruited into the study. A generic thematic approach resulted in five intersecting themes, converging on one overarching organising construct, i.e., bullying in higher education as a traumatic process. The data displayed relationality, institutionalisation and unethicality, which are underlying features of a multi-faceted conceptualisation of bullying. It was concluded that the processes and procedures in place to address bullying and provide redress do not appear to be sufficiently nuanced to accommodate the complex behaviours and power plays involved in bullying in Higher Education, assuming a rationality stripped of power dynamics, which risks aggravating the damage already inflicted by bullying. The findings suggest that the institutional response, or lack thereof, can sometimes be more traumatising than the bullying itself. Individual cases often reflect a wider organisational culture that tolerates bullying and victimisation. Institutional responses will need to tackle the entire HEI ecosystem, requiring and a more nuanced understanding of the power dynamics and organisational context.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733729","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}
Karl B Angendu, Pierre Z Akilimali, Dieudonné K Mwamba, Allan Komakech, Julien Magne
{"title":"Cardiovascular Disease and Diabetes Are Among the Main Underlying Causes of Death in Twenty Healthcare Facilities Across Two Cities in the Democratic Republic of Congo.","authors":"Karl B Angendu, Pierre Z Akilimali, Dieudonné K Mwamba, Allan Komakech, Julien Magne","doi":"10.3390/ijerph21111450","DOIUrl":"10.3390/ijerph21111450","url":null,"abstract":"<p><strong>Introduction: </strong>The mortality rates associated with cardiovascular disease (CVD) and diabetes exhibit disparities by region, with Central Africa ranking fourth globally in terms of mortality rate. The Democratic Republic of Congo (DRC) does not possess mortality data pertaining to these specific underlying causes of death. This study aimed to determine the death rate attributable to CVD and diabetes in two cities in the DRC.</p><p><strong>Methodology: </strong>The data on CVD and diabetes utilized in this study were obtained from a pilot project and were registered in the National Health Information System (NHIS). Data quality was initially evaluated using an automated Digital Open Rule Integrated Selection (DORIS), followed by an assessment conducted manually by three assessors. Descriptive and comparative analyses were carried out to determine the proportion of mortality related to CVD and diabetes.</p><p><strong>Results: </strong>CVD accounted for 20.4% (95%CI: 17.7-23.4%) of deaths in the two cities (Kinshasa and Matadi), whereas diabetes accounted for 5.4% (95%CI: 3.9-7.2%). After adjusting for age and city, the proportional mortality from CVD and diabetes was higher for women than men and increased with age. This study recorded 4.4% of deaths among men and 7.0% among women as the proportional mortality from diabetes.</p><p><strong>Conclusions: </strong>Non-communicable diseases (NCDs) continue to be a major cause of death, and CVD and diabetes are among the leading causes of early mortality in adults in urban areas. The proportional mortality related to CVD and diabetes appears to be higher in women than in men. Special emphasis should be placed on women, particularly during adulthood, to ensure the prompt detection of diabetes and cardiovascular conditions.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11593621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733811","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}
Mariane Carolina Faria Barbosa, Ana Luiza Peres Baldiotti, Ramon Targino Firmino, Saul Martins Paiva, Ana Flávia Granville-Garcia, Fernanda de Morais Ferreira
{"title":"Evaluation of the Psychometric Properties of the Digital Health Literacy Instrument (DHLI-BrA) for Use in Brazilian Adolescents.","authors":"Mariane Carolina Faria Barbosa, Ana Luiza Peres Baldiotti, Ramon Targino Firmino, Saul Martins Paiva, Ana Flávia Granville-Garcia, Fernanda de Morais Ferreira","doi":"10.3390/ijerph21111458","DOIUrl":"10.3390/ijerph21111458","url":null,"abstract":"<p><p>This study evaluated the psychometric properties of the Portuguese version of Digital Health Literacy Instrument for Brazilian Adolescents (DHLI-BrA). Two hundred and sixty Brazilian adolescents answered the DHLI-BrA and the Brazilian version of quality-of-life and health literacy instruments: WHOQOL-Bref, eHEALS-BrA, NVS-BR, and REALMD-20. Then, they answered a questionnaire on sociodemographics, health, Internet access, and digital health aspects. The data collection was conducted between September and December of 2022.The statistical test assessed internal consistency, stability, discriminant and convergent validities, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Item response theory (IRT) analysis using 2PL was applied to performance-based DHLI-BrA. The DHLI-BrA self-reported questions demonstrated almost perfect internal consistency (α and ω = 0.83) and good stability (ICC = 0.906; 95% CI: 0.75-0.95). In EFA and CFA, the best-adjusted model was composed of six factors (χ<sup>2</sup> = 229.173 (df = 174, <i>p</i> = 0.003), CFI = 0.944, TLI = 0.933, RMSEA = 0.035, and RMSR = 0.047). The performance-based DHLI-BrA demonstrated moderate internal consistency (α = 0.57 and KR20 = 0.56) and good stability (ICC = 0.86, 95% CI: 0.76-0.92). In EFA and CFA, the best-adjusted model was composed of a single factor (χ<sup>2</sup> = 17.901 (df = 14, <i>p</i> = 0.2113), CFI = 0.952, TLI = 0.927, RMSEA = 0.033, and RMSR = 0.038). IRT analyses revealed item discrimination ranging from -0.71 to 1.83 and difficulty from -1.53 to 1.02. Convergent validity of the self-reported DHLI-BrA was obtained by its correlation with the eHEALS-BrA (r = 0.45) and REALMD-20 (r = 0.19), besides the performance-based DHLI-BrA with its correlation with the NVS (r = 0.47) and REALMD-20 (r = 0.44). The DHLI-BrA demonstrated adequate psychometric properties to measure the self-reported, performance-based digital health literacy of Brazilian typically developing adolescents.</p>","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"21 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11594048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733816","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}