International Journal of Environmental Research and Public Health最新文献_第9页

Variations in Sleep, Fatigue, and Difficulty with Concentration Among Emergency Medical Services Clinicians During Shifts of Different Durations. 不同轮班期间急诊医疗服务临床医生睡眠、疲劳和注意力难以集中的差异

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-06 DOI: 10.3390/ijerph22040573

Paul D Patterson, Sarah E Martin, Sean A MacAllister, Matthew D Weaver, Charity G Patterson

{"title":"Variations in Sleep, Fatigue, and Difficulty with Concentration Among Emergency Medical Services Clinicians During Shifts of Different Durations.","authors":"Paul D Patterson, Sarah E Martin, Sean A MacAllister, Matthew D Weaver, Charity G Patterson","doi":"10.3390/ijerph22040573","DOIUrl":"https://doi.org/10.3390/ijerph22040573","url":null,"abstract":"We sought to characterize momentary changes in fatigue, sleepiness, and difficulty with concentration during short and long duration shifts worked by emergency medical services (EMS) and fire personnel across the United States. In addition, we tested for differences in pre-shift and on-shift sleep stratified by shift duration. We examined real-time mobile-phone text message queries during scheduled shifts from the EMS Sleep Health Study, a nationwide, cluster-randomized trial (ClinicalTrials.gov Identifier: NCT04218279). Linear mixed effects models were used and Bonferroni p-values reported for multiple comparisons. In total, 388 EMS clinicians from 35 EMS/fire agencies documented 4573 shifts and responded to 64.6% of 161,888 text message queries. Most shifts (85.5%) were 12 or 24 h in duration. Mean sleep hours pre-shift was 6.2 (SD1.9) and mean sleep hours on shift was 3.4 (SD2.9) and varied by shift duration (p < 0.0001). The highest level of fatigue, sleepiness, and difficulty with concentration during any shift occurred during 24 h shifts and corresponded to the early morning hours at 03:00 or 04:00 a.m. The real-time assessments of sleep hours and fatigue in this study revealed deficits in sleep health for EMS and fire personnel and critical time points for intervention during shifts when the risk to safety is high.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994288","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}

引用次数: 0

Barriers and Facilitators of Cardiac Rehabilitation in a Middle-Income Country: A Qualitative Study from China. 中等收入国家心脏康复的障碍和促进因素：来自中国的定性研究。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-06 DOI: 10.3390/ijerph22040574

Ying Zou, Sarah Janus, Jiamin Du, Ning Qu, Karel Zuidema, Huibert Burger, Kees Ahaus, Zhigang Guo, Sytse Zuidema

{"title":"Barriers and Facilitators of Cardiac Rehabilitation in a Middle-Income Country: A Qualitative Study from China.","authors":"Ying Zou, Sarah Janus, Jiamin Du, Ning Qu, Karel Zuidema, Huibert Burger, Kees Ahaus, Zhigang Guo, Sytse Zuidema","doi":"10.3390/ijerph22040574","DOIUrl":"https://doi.org/10.3390/ijerph22040574","url":null,"abstract":"Background: Although effective and recommended by guidelines worldwide, Cardiac Rehabilitation (CR) remains scarce and underutilized. CR implementation has taken place in middle-income countries, but the progress is influenced by both positive and negative factors that remain underexplored. This study identified the barriers and facilitators of CR in a middle-income country, specifically China.Methods: An exploratory qualitative study was conducted using semi-structured interviews.Results: Fifteen CR stakeholders were interviewed. According to the interviewees, the delivery of CR is impeded due to a lack of resources, a lack of CR professionals, and a lack of coordination between health institutions. The participation of CR is hindered by a lack of awareness, a lack of reimbursement, and a lack of access to CR. However, the interviewees also mentioned facilitating factors, namely, a positive attitude of stakeholders, high motivation of some patients, and policy support.Conclusions: More awareness regarding the effectiveness of CR is needed. Implementing CR in secondary and primary health institutions could overcome the barriers regarding travel distance and transportation to faraway hospitals. The CR reimbursement methods are needed to ease the financial burden on patients. Our findings reveal factors that need to be considered by policymakers to deliver CR on a wider scale in China.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041319","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}

引用次数: 0

Substance Use Problems and Death of Despair in a 32-Year Follow-Up Study of Suicide Attempters Examined at a Medical Emergency Inpatient Unit. 药物使用问题和绝望的死亡在32年的随访研究在医疗急救住院病房检查自杀未遂者。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-06 DOI: 10.3390/ijerph22040575

Erik Niwhede, Jonas Berge, Agneta Öjehagen, Sara Lindström

{"title":"Substance Use Problems and Death of Despair in a 32-Year Follow-Up Study of Suicide Attempters Examined at a Medical Emergency Inpatient Unit.","authors":"Erik Niwhede, Jonas Berge, Agneta Öjehagen, Sara Lindström","doi":"10.3390/ijerph22040575","DOIUrl":"https://doi.org/10.3390/ijerph22040575","url":null,"abstract":"Deaths of despair (DoD), encompassing suicide, drug overdose, and alcohol-related mortality, are often linked to social and psychological distress. This study examined the long-term risk of DoD among individuals previously hospitalized for suicide attempts, with a focus on substance use problems and psychiatric disorders as potential risk factors. A prospective cohort of 1044 individuals admitted to inpatient care following a suicide attempt between 1987 and 1998 was followed for up to 32 years using national registers. Cox proportional hazards regression models were used to assess associations between psychiatric diagnoses and mortality outcomes. The results showed that substance use problems, compared to no such problems, were associated with an increased risk of all-cause mortality but not DoD. In secondary analyses, dysthymia was linked to an increased risk of suicide but not non-suicidal DoD, suggesting distinct underlying mechanisms. Notably, aside from gender, no control variables were significantly associated with non-suicidal DoD, indicating that other factors may play a more prominent role in this high-risk population. These findings challenge the traditional DoD framework and highlight the need for tailored prevention efforts that consider the distinct risk profiles of suicide and non-suicidal DoD. Future research should incorporate socioeconomic and demographic factors to enhance understanding and prevention strategies.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036180","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}

引用次数: 0

Methodology of Epidemic Risk Analysis in the Naval Military. 海军军队流行病风险分析方法。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-05 DOI: 10.3390/ijerph22040572

Laetitia Peultier-Celli, Alain Gérard, Franck Letourneur, Clara Inghels, Audrey Duclos, Philippe Perrin

{"title":"Methodology of Epidemic Risk Analysis in the Naval Military.","authors":"Laetitia Peultier-Celli, Alain Gérard, Franck Letourneur, Clara Inghels, Audrey Duclos, Philippe Perrin","doi":"10.3390/ijerph22040572","DOIUrl":"https://doi.org/10.3390/ijerph22040572","url":null,"abstract":"This review of the literature examines diseases and pathogen characteristics on military vessels, in order to improve the success of missions on a boat. Our aim is to understand the spread of disease, aiming to maximize biological resilience and hopefully eliminate outbreaks. Keyword research was conducted from various sources of information, including scientific publications, theses, public health organization websites, and clinical trials. A synthesis of bacterial, viral, fungal, and parasitosis characteristics was established, and a risk prioritization index was defined, based on contagiousness (basic reproduction number (R0)) and clinical severity. For instance, COVID-19 was assessed as moderately contagious, with critical severity, and Influenza A H1N1 as having a minor level of contagiousness with critical severity, resulting in a level two out of three risk prioritization index. This approach demonstrates that while diseases have numerous characteristics, a method for classifying them by isolating specific criteria and prioritizing them could be proposed. In conclusion, further work is needed to analyze onboard operator activities and develop simulation models related to pathogen characteristics.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022319","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}

引用次数: 0

Relationship Between Darkness and Healing of Night Sky in Planetarium. 天文馆夜空黑暗与治愈的关系。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-05 DOI: 10.3390/ijerph22040569

Midori Tanaka, Kenichi Otani, Takahiko Horiuchi

{"title":"Relationship Between Darkness and Healing of Night Sky in Planetarium.","authors":"Midori Tanaka, Kenichi Otani, Takahiko Horiuchi","doi":"10.3390/ijerph22040569","DOIUrl":"https://doi.org/10.3390/ijerph22040569","url":null,"abstract":"This study aimed to address the unexplored relaxing effects of stargazing with different night sky darknesses in a planetarium by conducting an experiment to investigate the physiological effects of the relaxation/stress state on brain and autonomic nervous system activity, as well as the psychological healing effects. Five healthy young women participated in our experiment. We conducted physiological measurements of oxygenated hemoglobin (OxyHb) concentration in the left and right prefrontal cortices by near-infrared spectroscopy, heart rate variability as a measure of the relaxation/stress state, and a psychological assessment of healing on an 11-point Likert scale. We used 9 types of stimuli: 6-star image stimuli that imitated dark star fields (low light pollution) to bright night sky (high light pollution), and movie stimuli that were viewed daily. The results showed that (1) visual stimulation with images of dark night sky significantly reduced the concentration of OxyHb in the right prefrontal cortex and (2) the psychological rating of healing was significantly higher compared to bright night sky. The results of this study will help solve the problems of the mental and physical effects of light pollution on astronomical observations and the reproduction of star images in planetariums.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058436","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}

引用次数: 0

Adolescents' Knowledge on Climate Change: A Nationwide Study in Indonesia. 青少年对气候变化的认知：一项在印度尼西亚的全国性研究。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-05 DOI: 10.3390/ijerph22040571

Evi Martha, Besral, Ulfi Hida Zainita, Naurah Assyifa Rilfi, Syifa Aulia Aminudin

{"title":"Adolescents' Knowledge on Climate Change: A Nationwide Study in Indonesia.","authors":"Evi Martha, Besral, Ulfi Hida Zainita, Naurah Assyifa Rilfi, Syifa Aulia Aminudin","doi":"10.3390/ijerph22040571","DOIUrl":"https://doi.org/10.3390/ijerph22040571","url":null,"abstract":"Adolescents' knowledge about climate change is key to protecting the well-being of all generations and to promoting individuals' rights and resilience. This study assesses the climate change literacy of Indonesian adolescents and its determinants. This nationwide study was conducted in 2023 in Sumatra, Java, Kalimantan, Sulawesi, and Eastern Indonesia. A total of 1126 adolescents aged 13-19 years were selected through multi-stage sampling. The data were analyzed using the chi-square test and multinomial logistic regression. This study found that 49.7% of adolescents had poor climate change literacy. In the multivariate analysis, the significantly related factors had an odds ratio of 1.66-4.75. Climate change literacy was higher in adolescents from the West and Central Regions, from public or religious schools, and those with educated parents, than in adolescents from the Eastern Region, from private or vocational schools, and those whose parents had low education, respectively. This study suggests the need to promote equality in climate change literacy among Indonesian adolescents through formal and informal education. High-quality formal education would necessitate well-trained teachers with expertise in climate change, as well as a structured, age-appropriate curriculum. Meanwhile, informal education through another information dissemination and social media-based movements can help broaden outreach among adolescents.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040064","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}

引用次数: 0

Health Information Use and Trust: The Role of Health Literacy and Patient Activation in a Multilingual European Region. 健康信息的使用和信任：多语言欧洲地区健康素养和患者激活的作用。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-05 DOI: 10.3390/ijerph22040570

Christian J Wiedermann, Verena Barbieri, Stefano Lombardo, Timon Gärtner, Patrick Rina, Klaus Eisendle, Giuliano Piccoliori, Adolf Engl, Dietmar Ausserhofer

{"title":"Health Information Use and Trust: The Role of Health Literacy and Patient Activation in a Multilingual European Region.","authors":"Christian J Wiedermann, Verena Barbieri, Stefano Lombardo, Timon Gärtner, Patrick Rina, Klaus Eisendle, Giuliano Piccoliori, Adolf Engl, Dietmar Ausserhofer","doi":"10.3390/ijerph22040570","DOIUrl":"https://doi.org/10.3390/ijerph22040570","url":null,"abstract":"The acquisition of reliable health information plays a pivotal role in shaping informed decision-making and health-related behaviours. This investigation examined the factors influencing health information use and trust in health information sources among the adult population in South Tyrol, Italy, employing a population-based cross-sectional survey (n = 2090). Descriptive analyses revealed sociodemographic disparities, with younger individuals and those with higher educational attainment demonstrating increased engagement with digital sources, while older adults and those with lower educational levels exhibited a greater reliance on traditional media and healthcare professionals. Correlation analyses showed that elevated health literacy (HLS-EU-Q16) was linked to enhanced engagement with structured and professional health sources, whereas higher patient activation (PAM-10) exhibited a negative correlation with a dependence on healthcare professionals, indicating that more activated individuals are less reliant on medical consultations for health information. Individuals reporting a better health status were less inclined to use health information sources, such as media, healthcare professionals, or the internet, as opposed to relying on personal knowledge or experience. Ordinal regression models further identified age, education, and linguistic background as crucial predictors of health information use and trust in sources. These findings highlight the influence of health literacy and patient activation on information engagement and trust and emphasise the need for tailored public health initiatives to ensure equitable access to reliable health information across diverse demographic groups.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041344","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}

引用次数: 0

Reconfiguring Rehabilitation Services for Rural South Africans with Disabilities During a Health Emergency: A Qualitative Descriptive Study. 在卫生紧急情况下为南非农村残疾人重新配置康复服务：一项定性描述性研究。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-04 DOI: 10.3390/ijerph22040567

Litakazi Tekula, Madri Engelbrecht, Lieketseng Ned

{"title":"Reconfiguring Rehabilitation Services for Rural South Africans with Disabilities During a Health Emergency: A Qualitative Descriptive Study.","authors":"Litakazi Tekula, Madri Engelbrecht, Lieketseng Ned","doi":"10.3390/ijerph22040567","DOIUrl":"https://doi.org/10.3390/ijerph22040567","url":null,"abstract":"The COVID-19 pandemic and the subsequent hard lockdown in South Africa, implemented in March 2020, significantly disrupted disability and rehabilitation services. Persons with disabilities experienced limited access to essential Orthotic and Prosthetic services, particularly in rural provinces such as the Eastern Cape. This study aimed to explore how Medical Orthotists and Prosthetists reconfigured their services during and after the pandemic to inform disability-inclusive emergency responses. A descriptive qualitative study was conducted with 12 Medical Orthotists and Prosthetists practicing in the public sector in the Eastern Cape. Semi-structured interviews were conducted via MS Teams, and the data were analysed by using thematic analysis to identify key themes related to service disruptions and adaptations. Four main themes emerged: (1) disrupted access to Orthotic and Prosthetic services, (2) backlogs and limited services, (3) safety measures and adaptation control, and (4) lingering challenges and gaps. Service delivery was hindered by halted outreach clinics, limited access to materials, budget reallocations, and the deprioritisation of rehabilitation services. This study highlights the challenges faced by Medical Orthotists and Prosthetists in maintaining the functionality of Orthotic and Prosthetic services during the pandemic. These findings emphasise the need for disability-inclusive policies and strategies to ensure the continuity of rehabilitation services during emergencies.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027852","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}

引用次数: 0

The Emergence of AI in Public Health Is Calling for Operational Ethics to Foster Responsible Uses. 人工智能在公共卫生领域的出现呼唤业务伦理，以促进负责任的使用。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-04 DOI: 10.3390/ijerph22040568

Gauthier Chassang, Jérôme Béranger, Emmanuelle Rial-Sebbag

{"title":"The Emergence of AI in Public Health Is Calling for Operational Ethics to Foster Responsible Uses.","authors":"Gauthier Chassang, Jérôme Béranger, Emmanuelle Rial-Sebbag","doi":"10.3390/ijerph22040568","DOIUrl":"https://doi.org/10.3390/ijerph22040568","url":null,"abstract":"This paper discusses the responsible use of artificial intelligence (AI) in public health and in medicine, and questions the development of AI ethics in international guidelines from a public health perspective. How can a global ethics approach help conceive responsible AI development and use for improving public health? By analysing key international guidelines in AI ethics (UNESCO, WHO, European High-Level Expert Group on AI) and the available literature, this paper advocates conceiving proper ethical and legal frameworks and implementation tools for AI in public health, based on a pragmatic risk-based approach. It highlights how ethical AI principles meet public health objectives and focuses on their value by addressing the meaning of human-centred innovations, transparency, accountability, diversity, equity, privacy protection, technical robustness, environmental protection, and post-marketing surveillance. It concludes that AI technology can reconcile individual and collective ethical approaches to public health, but requires specific legal frameworks and interdisciplinary efforts. Prospects include the development of supporting data infrastructures, of stakeholders' involvement to ensure long-term commitment and trust, of the public's and users' education, and of international organisations' capacity to coordinate and monitor AI developments. It formulates a proposal to reflect on an integrated transparent public health functionality in digital applications processing data.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12027014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992267","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}

引用次数: 0

Associations Between the Built Environment in GPS-Derived Activity Spaces and Sedentary Behavior, Light Physical Activity, and Moderate-to-Vigorous Physical Activity. gps衍生活动空间中的建筑环境与久坐行为、轻度体育活动和中度至剧烈体育活动之间的关系。

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2025-04-04 DOI: 10.3390/ijerph22040566

Dante G Vittor, Jeffrey S Wilson, Scott E Crouter, Benjamin G Ethier, Ling Shi, Sarah M Camhi, Philip J Troped

{"title":"Associations Between the Built Environment in GPS-Derived Activity Spaces and Sedentary Behavior, Light Physical Activity, and Moderate-to-Vigorous Physical Activity.","authors":"Dante G Vittor, Jeffrey S Wilson, Scott E Crouter, Benjamin G Ethier, Ling Shi, Sarah M Camhi, Philip J Troped","doi":"10.3390/ijerph22040566","DOIUrl":"https://doi.org/10.3390/ijerph22040566","url":null,"abstract":"Built environment and physical activity (PA) studies have predominantly used fixed or home-centric approaches to identify environmental exposures. In this study, GPS-derived daily activity spaces were used to examine the relationships between the built environment and sedentary behavior (SB), light PA (LPA), and moderate-to-vigorous PA (MVPA). Thirty-one adults were assessed with activity monitors and GPS units. Three types of activity spaces were created: 50 m buffered GPS tracks, minimum convex hulls (MCHs), and standard deviational ellipses (SDEs). The environmental variables included land use mix, greenness, and intersection, multi-use trail, bike infrastructure, and bike station densities. Repeated measures regression was used to test the associations for 141 person-days, controlling for age, gender, income, body mass index, crime, precipitation, and temperature. Greenness within MCH activity spaces was positively associated with LPA (p = 0.02). The bike infrastructure density within SDE spaces had a significant positive association with MVPA (p = 0.04). Multi-use trail, bike infrastructure, and bike station densities had significant negative associations with LPA (p ≤ 0.05). There were no significant adjusted associations with SB. The few significant associations in this study varied by outcome and type of activity space. Further studies are needed to determine optimal, yet flexible methods for activity spaces in built environment and PA research.","PeriodicalId":49056,"journal":{"name":"International Journal of Environmental Research and Public Health","volume":"22 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12026672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005217","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}

引用次数: 0