Nursing & Health Sciences最新文献

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Chinese Nurses' Perceptions of Intra-Organizational Workplace Psychological Violence: A Qualitative Study. 中国护士对组织内职场心理暴力认知的质性研究
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70225
Ying Zhang, Hu Jiang, Huimin Sun
{"title":"Chinese Nurses' Perceptions of Intra-Organizational Workplace Psychological Violence: A Qualitative Study.","authors":"Ying Zhang, Hu Jiang, Huimin Sun","doi":"10.1111/nhs.70225","DOIUrl":"10.1111/nhs.70225","url":null,"abstract":"<p><p>Intra-organizational workplace psychological violence has a significant impact on the physical and mental health of nurses. This study aimed to explore Chinese nurses' perceptions of intra-organizational workplace psychological violence and examine their attitudes, coping strategies, and the ramifications of such violent incidents. Semi-structured interviews were conducted with 18 nurses from a tertiary hospital in China, and the data were analyzed using the Colaizzi 7-step analysis method. Three main themes and 11 subthemes were extracted. The three themes included (a) nurses' perceptions and attitudes; (b) nurses' response ways; (c) the coexistence of positive and negative influences. Intra-organizational workplace psychological violence manifests in diverse forms and is driven by complex factors, which exert profound effects on nurses. Moreover, nurses exhibit cognitive biases and adopt different coping mechanisms to face these challenges. Consequently, the management staff needs to work toward enhancing nurses' understanding of intra-organizational psychological violence and offering effective guidance on coping strategies. By fostering a culture that encourages the reconstruction of meaning, managers can help reduce both the prevalence and negative repercussions of psychological violence in the workplace.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70225"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976449","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}
引用次数: 0
The Opinions of Graduates, Nurse Educators and Nurses on the Competencies Gained by Graduate Education in Nursing: A Qualitative Study. 研究生、护理教育者和护士对护理研究生教育能力的看法:一项质性研究。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70232
Emine Şenyuva, Ümran Görügen, Nazik Yalniz
{"title":"The Opinions of Graduates, Nurse Educators and Nurses on the Competencies Gained by Graduate Education in Nursing: A Qualitative Study.","authors":"Emine Şenyuva, Ümran Görügen, Nazik Yalniz","doi":"10.1111/nhs.70232","DOIUrl":"10.1111/nhs.70232","url":null,"abstract":"<p><p>Continuous and systematic monitoring, evaluation, and restructuring of postgraduate nursing education-through active stakeholder engagement-has become increasingly vital. This qualitative study aimed to explore the perspectives of graduates, nurse educators, and practicing nurses concerning the competencies acquired through postgraduate nursing education. A total of 24 participants from these three stakeholder groups contributed to the research. Data were collected via tailored information forms and semistructured interview guides, and analyzed using the MAXQDA software. The findings were categorized into three main themes and 14 subthemes. The results revealed a strong alignment between the competencies expected from postgraduate education and those actually attained, while also highlighting several challenges and offering constructive recommendations. The study underscores the need to enhance postgraduate nursing education within a competency-based framework and calls for further research involving broader and more diverse populations to facilitate both national and international comparisons.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70232"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070942","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}
引用次数: 0
Dialysis Vintage and Symptom Burden in Hemodialysis: A Comprehensive Analysis. 透析年代与血液透析症状负担的综合分析。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70226
Shanshan Yan, Ya Wang, Zhenzhen Li, Duo Wang, Dongfang Yao
{"title":"Dialysis Vintage and Symptom Burden in Hemodialysis: A Comprehensive Analysis.","authors":"Shanshan Yan, Ya Wang, Zhenzhen Li, Duo Wang, Dongfang Yao","doi":"10.1111/nhs.70226","DOIUrl":"10.1111/nhs.70226","url":null,"abstract":"<p><p>End-stage renal disease (ESRD) requires lifelong maintenance hemodialysis (MHD), and patients commonly experience a high symptom burden that affects their quality of life. This study explores the impact of dialysis vintage on symptom burden and quality of life in ESRD patients undergoing MHD. Our cross-sectional study of 213 Chinese hemodialysis patients found that symptom burden tended to increase with longer dialysis duration (Dialysis Symptom Index score from < 1 to > 10 years, p = 0.084), while urine output (p = 0.032) and Kt/V (p = 0.004) significantly decreased. Interestingly, quality of life improved across multiple domains as dialysis duration increased, including Kidney Disease Targeted Areas (KDTA) (p = 0.005), Symptom/Problem List (SPL) (p < 0.001), Effects of Kidney Disease (EKD) (p = 0.004), and Burden of Kidney Disease (BKD) (p < 0.001). These findings suggest that longer dialysis is associated with greater symptoms but also notable improvements in certain quality of life aspects. Personalized care is essential to address the evolving needs of long-term MHD patients and enhance their well-being.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70226"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076442","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}
引用次数: 0
Frailty, Nutrition, and Quality of Life in Urban-Dwelling Older Adults Facing Vulnerability: Observational Study in Primary Heath Care Settings in Underpopulated Areas. 在人口稀少地区的初级卫生保健机构中,面对脆弱性的城市居住老年人的脆弱、营养和生活质量观察研究
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70234
Kalyne Patrícia de Macêdo Rocha, Larissa Amorim Almeida, Nathaly da Luz Andrade, Mayara Priscilla Dantas Araújo, Andreia Luíza de Oliveira, Maria Eduarda Oliveira de Albuquerque, Matheus Medeiros de Oliveira, Estefane Beatriz Leite de Morais, Rafaela Carolini de Oliveira Távora, Carola Rosas, Maria Antónia Fernandes Caeiro Chora, Maria Laurência Grou Parreirinha Gemito, Bruno Araújo da Silva Dantas, Gilson de Vasconcelos Torres
{"title":"Frailty, Nutrition, and Quality of Life in Urban-Dwelling Older Adults Facing Vulnerability: Observational Study in Primary Heath Care Settings in Underpopulated Areas.","authors":"Kalyne Patrícia de Macêdo Rocha, Larissa Amorim Almeida, Nathaly da Luz Andrade, Mayara Priscilla Dantas Araújo, Andreia Luíza de Oliveira, Maria Eduarda Oliveira de Albuquerque, Matheus Medeiros de Oliveira, Estefane Beatriz Leite de Morais, Rafaela Carolini de Oliveira Távora, Carola Rosas, Maria Antónia Fernandes Caeiro Chora, Maria Laurência Grou Parreirinha Gemito, Bruno Araújo da Silva Dantas, Gilson de Vasconcelos Torres","doi":"10.1111/nhs.70234","DOIUrl":"10.1111/nhs.70234","url":null,"abstract":"<p><p>To investigate the predictive relationships between frailty, nutritional factors, and Quality of Life (QoL) on the vulnerability of older adults enrolled in Primary Health Care (PHC) in an urban area. This was a cross-sectional study conducted with community-dwelling older adults. Participants receiving care in PHC in two Brazilian municipalities located in a sparsely populated region were recruited. The instruments used were Vulnerable Elders Survey (VES-13), Mini Nutritional Assessment (MNA), Edmonton Frailty Scale (EFS), and Medical Outcomes Study Short Form-36 (SF-36). Association analyses, Spearman's correlation, and binary logistic regression were used. A total of 323 individuals were included. Binary logistic regression revealed frailty (EFS) as the main predictor of vulnerability (R<sup>2</sup> = 0.20; p < 0.001; OR = 1.35 [95% CI: 1.24-1.48]), with functional independence (R<sup>2</sup> = 0.25; p < 0.001; OR = 3.9 [95% CI: 2.74-5.73]) and functional performance (R<sup>2</sup> = 0.17; p < 0.001; OR = 3.21 [95% CI: 2.21-4.67]) being the domains that most strongly increased the odds of vulnerability. Impaired nutrition showed a consistent predictive association (R<sup>2</sup> = 0.11; p < 0.001; OR = 0.82 [95% CI: 0.76-0.89]). Frailty and poor nutritional status were predictors of vulnerability, with particular emphasis on physical-functional aspects. QoL showed a moderate to strong correlation with vulnerability, especially in the physical domains.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70234"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12449832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092929","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}
引用次数: 0
The Ripple Effect of COVID-19: How Lockdown Regulations Shaped Antiretroviral Therapy Initiation Among People Living With HIV in Johannesburg. 2019冠状病毒病的连锁反应:约翰内斯堡封锁条例如何影响艾滋病毒感染者开始抗逆转录病毒治疗。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70235
N Nkadimeng, L Makhado, O P Netshisaulu
{"title":"The Ripple Effect of COVID-19: How Lockdown Regulations Shaped Antiretroviral Therapy Initiation Among People Living With HIV in Johannesburg.","authors":"N Nkadimeng, L Makhado, O P Netshisaulu","doi":"10.1111/nhs.70235","DOIUrl":"10.1111/nhs.70235","url":null,"abstract":"<p><p>The COVID-19 pandemic has severely impacted global healthcare systems and significantly affected individuals living with HIV. In South Africa, where the HIV epidemic is prevalent, strict lockdown measures were introduced to curb COVID-19 transmission. This study explores the effects of these lockdown regulations on the initiation of antiretroviral therapy (ART) among HIV-positive individuals in Johannesburg. Employing a quantitative retrospective chart review design, the research analyzed ART initiation trends in Soweto before, during, and after the lockdowns using medical records from selected clinics in Region D. Data were collected with a checklist, and descriptive analysis was performed. The findings revealed a 40% decrease in ART initiation at community health centers (CHCs) during the lockdowns, compared to a 20% decrease in clinics. Additionally, clinics maintained a patient retention rate of 75%, whereas CHCs saw only 55%. These results highlight significant disparities in healthcare access and outcomes during the pandemic, indicating that COVID-19 threatens to reverse progress in the global HIV response, emphasizing the need for targeted interventions to sustain advancements in fighting HIV.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70235"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082263","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}
引用次数: 0
Development and Validation of the Women's Perceived Privacy in Infertility Treatment Scale. 不孕症治疗量表中女性感知隐私的开发与验证。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70221
İlknur Atasever, Çiğdem Yücel Özçırpan
{"title":"Development and Validation of the Women's Perceived Privacy in Infertility Treatment Scale.","authors":"İlknur Atasever, Çiğdem Yücel Özçırpan","doi":"10.1111/nhs.70221","DOIUrl":"https://doi.org/10.1111/nhs.70221","url":null,"abstract":"<p><p>This study aimed to develop and validate the Scale of Women's Privacy Perception in Infertility Treatment (SWPPIT) to assess privacy perceptions during infertility diagnosis and treatment. A methodological design was used in two phases. In phase one, scale items were developed through qualitative observations and interviews with women undergoing ART. In phase two, validity and reliability were tested on 370 women at a private IVF center. Construct validity was established via exploratory and confirmatory factor analyses, and reliability was assessed using Cronbach's alpha and test-retest methods. The SWPPIT revealed a single-factor structure, explaining 45.19% of the variance, with factor loadings between 0.30 and 0.87. It demonstrated high internal consistency (Cronbach's alpha = 0.949) and excellent test-retest reliability (r = 0.98, p < 0.001). The final scale comprises 37 items rated on a 5-point Likert scale. The SWPPIT is a reliable and valid tool for evaluating women's privacy perceptions in ART settings, enabling healthcare professionals to address privacy concerns and enhance patient-centered care.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70221"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132259","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}
引用次数: 0
"No One Knows I Exist": A Qualitative Study Exploring the Experiences of Young People and Staff in UK Mental Health Hospitals. “没有人知道我的存在”:一项探讨英国精神卫生医院年轻人和工作人员经历的定性研究。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70224
William Murcott, Scott Weich, Andrew Thompson, Deborah L Biggerstaff
{"title":"\"No One Knows I Exist\": A Qualitative Study Exploring the Experiences of Young People and Staff in UK Mental Health Hospitals.","authors":"William Murcott, Scott Weich, Andrew Thompson, Deborah L Biggerstaff","doi":"10.1111/nhs.70224","DOIUrl":"10.1111/nhs.70224","url":null,"abstract":"<p><p>Supporting youth mental health is a priority; currently, one in 10 young people experience a mental health disorder. Accordingly, integrated youth health services are a focus for service development both in the United Kingdom and internationally. Less attention is given to inpatient settings and the experiences of young people who use them. This in-depth qualitative study aimed to understand the experiences of people aged 16-25 years, admitted to inpatient mental health settings, and the experiences of staff caring for them. Individual interviews with seven inpatient young people and three focus groups with staff (N = 27) were conducted. An Interpretative Phenomenological Analysis (IPA) methodology with a polyvocal design was used. Young people reported how the impact of restriction, lack of inclusion, information, and transparency affected their experiences. Relationships with other young people and staff were important while shared experiences were especially salient. Staff identified difficulties of working within a system divided into separate services while attempting to work flexibly with young people. Future practice needs to enhance relational, inclusive, and flexible working practices to optimize care delivery.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70224"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041732","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}
引用次数: 0
A Systematic Review and Meta-Analysis of Barriers Affecting Early Ambulation in Older Patients After Hip Fracture Surgery. 影响髋部骨折术后老年患者早期活动障碍的系统回顾和荟萃分析。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70177
Jingru Chen, Xueyang Gan, Jie Song, Ling Gao, Mengqi Shao, Youting Wang, Yuan Gao
{"title":"A Systematic Review and Meta-Analysis of Barriers Affecting Early Ambulation in Older Patients After Hip Fracture Surgery.","authors":"Jingru Chen, Xueyang Gan, Jie Song, Ling Gao, Mengqi Shao, Youting Wang, Yuan Gao","doi":"10.1111/nhs.70177","DOIUrl":"10.1111/nhs.70177","url":null,"abstract":"<p><p>Hip fracture is a catastrophic traumatic injury for the older adults, early ambulation is crucial for recovery. Prior researchers explored a number of influencing factors, but there is still a pressing need for synthesizing the evidence. A systematic literature review was conducted for original studies by searching electronic databases included PubMed, Embase, CINAHL, Scopus, web of science and Cochrane Library from inception till July 2023. The odds ratio and 95% confidence interval were calculated for the combined risk factors using Review Manager 5.4. Finally, 2665 articles were initially assessed, and 26 studies were ultimately deemed eligible for inclusion in this meta-analysis, contributing a collective total of 18 698 subjects to the analysis. The following factors were showed strong association with early ambulation: age (OR: 1.04, 95% CI: 1.03-1.05); low pre-fracture functional level (OR: 1.39, 95% CI: 1.25-1.54); anemia (OR: 2.81, 95% CI: 1.79-4.42); vitamin D deficiency (OR: 2.73, 95% CI:1.64-4.56); poor nutritional status (OR:2.08, 95% CI: 1.56-2.77); cognitive impairment (OR: 1.16, 95% CI: 1.09-1.22); Charlson Comorbidity Index (OR: 0.80, 95% CI: 0.72-0.90); intertrochanteric fracture (OR: 3.24, 95% CI: 1.99-5.28). For patients presenting with the aforementioned influencing factors, targeted preventive approaches and management strategies should be employed to facilitate rapid postoperative recovery.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70177"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838407","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}
引用次数: 0
Complementary Interventions Using Technology for Individuals With Infertility Using Assisted Reproductive Technology: A Scoping Review. 辅助生殖技术对不孕症患者的辅助干预:范围综述。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70227
Jiwon Lee, Jaejin Kang, Jo Woon Seok
{"title":"Complementary Interventions Using Technology for Individuals With Infertility Using Assisted Reproductive Technology: A Scoping Review.","authors":"Jiwon Lee, Jaejin Kang, Jo Woon Seok","doi":"10.1111/nhs.70227","DOIUrl":"10.1111/nhs.70227","url":null,"abstract":"<p><p>The global rise in infertility highlights the need for personalized informational and psychological support. Digital health technology offers a promising avenue; however, knowledge gaps remain regarding optimal delivery methods, outcomes, and limitations. This scoping review synthesizes recent evidence on complementary interventions using technology for individuals with infertility undergoing reproductive technology-assisted interventions and evaluates their effectiveness and limitations. Seven databases were systematically searched to identify studies published in English or Korean between 2000 and December 2023. The risk of bias was assessed using the Joanna Briggs Institute checklist, and data were synthesized using a standardized template. Of 1353 screened studies, 16 were selected, featuring interventions such as web-based programs, mobile applications, and online meetings. Positive outcomes were observed in knowledge, stress reduction, self-efficacy, coping, and dietary behaviors. However, mixed results were found for fertility-related stress, depression, and anxiety, with no significant improvements in fertility-related quality of life, health behaviors, and pregnancy rates. While digital interventions show promise, further research is needed to validate their effectiveness through large-scale randomized controlled trials and to develop standardized assessment tools for better implementation and evaluation.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70227"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006717","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}
引用次数: 0
Dementia Risk and Gender Equality: Global Insights Into Social Determinants. 痴呆症风险和性别平等:对社会决定因素的全球见解。
IF 1.6 3区 医学
Nursing & Health Sciences Pub Date : 2025-09-01 DOI: 10.1111/nhs.70230
Wenpeng You
{"title":"Dementia Risk and Gender Equality: Global Insights Into Social Determinants.","authors":"Wenpeng You","doi":"10.1111/nhs.70230","DOIUrl":"10.1111/nhs.70230","url":null,"abstract":"<p><p>This retrospective cross-sectional study analyzed data from 2011 to 2021 across 154 countries to explore the relationship between gender equality, measured by the Gender Equality Index (GEI), female dementia incidence, and gender disparities at global and regional levels. Higher GEI scores were linked to elevated dementia incidence among women and an expanding female-male disparity, with the strongest associations observed in resource-limited countries undergoing rapid social and lifestyle transitions. Multiple regression identified GEI as the most significant predictor of both female dementia incidence and gender disparity, while economic affluence and urbanization showed no independent effects. Findings highlight a paradox: although gender equality advances women's access to education, employment, and healthcare, it may simultaneously increase exposure to dementia-related risk factors, including chronic stress, work-life imbalance, and lifestyle changes such as greater smoking and alcohol use. These results emphasize the importance of gender-sensitive public health strategies that address unintended health consequences of social progress. Interventions should prioritize stress management, workplace mental health, and lifestyle modification while accounting for disproportionate caregiving responsibilities, thereby supporting equitable cognitive health outcomes for women worldwide.</p>","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"27 3","pages":"e70230"},"PeriodicalIF":1.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12441479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076395","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}
引用次数: 0
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