International Journal of Public Health最新文献

Dietary Knowledge, Attitudes, and Behaviors Related to Obesity and Highly Underweight Among Urban Chinese High School Students: A Cross-Sectional Study 城市中国高中生与肥胖和体重过轻相关的饮食知识、态度和行为：一项横断面研究

International Journal of Public Health Pub Date : 2024-08-09 DOI: 10.3389/ijph.2024.1606840

Yujia Huo, T. Monma, Chie Kataoka, F. Takeda

{"title":"Dietary Knowledge, Attitudes, and Behaviors Related to Obesity and Highly Underweight Among Urban Chinese High School Students: A Cross-Sectional Study","authors":"Yujia Huo, T. Monma, Chie Kataoka, F. Takeda","doi":"10.3389/ijph.2024.1606840","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606840","url":null,"abstract":"This study aimed to identify dietary knowledge, attitudes, and behaviors related to obesity and highly underweight among urban Chinese high school students.Using the data of 403 high school students from a cross-sectional survey in 2022, multinomial logistic regression analysis was conducted with the body mass index as the objective variable (reference: normal weight), dietary knowledge, attitudes, and behaviors as the explanatory variables, adjusted for sex.Both obesity and highly underweight were most strongly related to incorrect dietary knowledge of desirable types of diets. Additionally, obesity was related to inappropriate dietary attitudes regarding the importance of diet, eating at irregular meal-times, and eating without chewing well, while highly underweight was related to picky eating and not having three meals per day, but not related to attitudes.The incorrect knowledge of desirable type of diet was related to both obesity and highly underweight, while other risk factors of knowledge, attitudes, and behaviors related to obesity or highly underweight differed respectively. These findings should be useful in examining effective nutrition education for urban Chinese high school students.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"29 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141924889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breast Cancer Awareness and Screening Perceptions of Women in Yerevan, Armenia 亚美尼亚埃里温妇女对乳腺癌的认识和筛查观念

International Journal of Public Health Pub Date : 2024-05-16 DOI: 10.3389/ijph.2024.1607029

Haley Tupper, Razmik Ghukasyan, Armine Bayburtyan, Marine Hovhannisyan, Shant Shekherdimian

{"title":"Breast Cancer Awareness and Screening Perceptions of Women in Yerevan, Armenia","authors":"Haley Tupper, Razmik Ghukasyan, Armine Bayburtyan, Marine Hovhannisyan, Shant Shekherdimian","doi":"10.3389/ijph.2024.1607029","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607029","url":null,"abstract":"Breast cancer is the leading cause of female cancer mortality in Armenia. The government is considering covering breast cancer screening, but prevailing attitudes towards it are unknown. This cross-sectional study assessed Armenian women’s awareness and perceptions of breast cancer screening.We administered a validated telephone survey to women ages 35–65 registered in Yerevan’s polyclinic system between 2019–2021, assessing sociodemographic characteristics, breast cancer exposure and screening attitudes, using an adapted Champion’s Health Belief Model Scale (CHBMS). We analyzed the association, unadjusted and adjusted, between sociodemographic characteristics, screening exposure, and CHBMS scores.170 women completed surveys. Most (82.9%) were aware of screening, 48.5% knew someone with breast cancer, but only 42.5% had undergone screening, predominantly without their physician’s recommendation (63.2%). Despite elevated awareness, 76.2% had never discussed screening with their provider. Barriers included cost and mistreatment concerns. Education consistently predicted prior screening and most CHBMS scores.Armenian women are highly exposed to breast cancer, but knowledge and prior screening primarily emanate from non-physician sources. Results highlighted the influence of education, patient-provider relationships, and healthcare costs, underscoring the importance of multi-level interventions.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"18 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140967437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of Food Insecurity Among Pregnant Adolescents and Adolescent Mothers in Ghana: A Photovoice Method 加纳怀孕少女和未成年母亲的粮食不安全经历：摄影选择法

International Journal of Public Health Pub Date : 2024-05-14 DOI: 10.3389/ijph.2024.1607043

Isabelle Posey, C. Nsiah-Asamoah, Nicholas Fergusson Russell, Esther Darkwa Entwi, Harriet Okronipa

{"title":"Experiences of Food Insecurity Among Pregnant Adolescents and Adolescent Mothers in Ghana: A Photovoice Method","authors":"Isabelle Posey, C. Nsiah-Asamoah, Nicholas Fergusson Russell, Esther Darkwa Entwi, Harriet Okronipa","doi":"10.3389/ijph.2024.1607043","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607043","url":null,"abstract":"Objectives: Food insecurity (FI) remains a major public health problem globally. However, there is limited information about adolescents’ experiences. The current study explored FI experiences of pregnant adolescents and adolescent mothers in Cape Coast, Ghana using a Photovoice method.Methods: This study recruited 34 pregnant adolescents and adolescent mothers from communities in Cape Coast, Ghana. Each participated in a training session then was provided prompts to take photos that portrayed food access barriers, facilitators and coping strategies. In a debrief session, each participant selected two pictures they took and explained the image, followed by a group discussion of the selected photos. Debrief sessions were audio recorded and transcribed verbatim to develop themes using a theory-driven approach.Results: Most participants reported several or many experiences with FI (64.7%) in the previous month. Participants discussed money, unwanted pregnancy, and unstable work as barriers to obtaining food and working, selling goods, and family support as facilitators to obtaining food. Coping strategies mentioned include providing services to others, borrowing food and goods, meal stretching, pawning personal items and trading.Conclusion: The FI experience of this population is complex; interventions, including trade training or school retention, should be multifaceted.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the War in Ukraine on the Ability of Children to Recognize Basic Emotions 乌克兰战争对儿童识别基本情绪能力的影响

International Journal of Public Health Pub Date : 2024-05-13 DOI: 10.3389/ijph.2024.1607094

O. Loshenko, Petr Palíšek, Ondřeji Straka, Michal Jabůrek, Šárka Portešová, Anna Ševčíková

引用次数: 0

Critical Care Nurses’ Perceptions of Abuse and Its Impact on Healthy Work Environments in Five European Countries: A Cross-Sectional Study 欧洲五国重症监护护士对虐待的看法及其对健康工作环境的影响：横断面研究

International Journal of Public Health Pub Date : 2024-05-10 DOI: 10.3389/ijph.2024.1607026

Adriano Friganović, Jelena Slijepčević, Slađana Režić, Cristina Cristina Alfonso-Arias, Monika Borzuchowska, Anca Constantinescu-Dobra, M. Coțiu, Estel Estel Curado-Santos, Beata Dobrowolska, Aleksandra AGutysz-Wojnicka, Maria Hadjibalassi, Mireia Laurado-Serra, A. Sabou, Evanthia Georgiou

{"title":"Critical Care Nurses’ Perceptions of Abuse and Its Impact on Healthy Work Environments in Five European Countries: A Cross-Sectional Study","authors":"Adriano Friganović, Jelena Slijepčević, Slađana Režić, Cristina Cristina Alfonso-Arias, Monika Borzuchowska, Anca Constantinescu-Dobra, M. Coțiu, Estel Estel Curado-Santos, Beata Dobrowolska, Aleksandra AGutysz-Wojnicka, Maria Hadjibalassi, Mireia Laurado-Serra, A. Sabou, Evanthia Georgiou","doi":"10.3389/ijph.2024.1607026","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607026","url":null,"abstract":"Workplace violence is a prevalent phenomenon in hospital settings which critical care nurses are particularly exposed to. The aim of this study was to research abuse against Critical Care Nurses in five European countries, and its association with and impact on Healthy Work Environments.This was a multinational cross-sectional study. The 1,183 participants were nurses working in intensive care units from five European countries: Croatia, Cyprus, Poland, Spain, and Romania. The participants were selected by the convenience sampling method from 1 January 2021 to April 2022.Of 1,033 critical care nurses who answered questions about abuse, 646 reported at least one incident in the previous year. The highest number of incidents came from patients (2,050), followed by another nurse (1,453) and physicians (1,039).Although nurses in ICUs are aware that a healthy working environment benefits them in their daily work, most of them still face some form of abuse. Organizations must take a realistic approach to prevent abuse and to educate nurses and nurse managers by implementing standards for healthy work environments.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140991355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Social Representativeness and Intervention Adherence—A Systematic Review of Clinical Physical Activity Trials in Breast Cancer Patients 社会代表性与坚持干预--乳腺癌患者临床体育锻炼试验的系统回顾

International Journal of Public Health Pub Date : 2024-05-09 DOI: 10.3389/ijph.2024.1607002

Ragna Stalsberg, Monica Dahle Darvik

{"title":"Social Representativeness and Intervention Adherence—A Systematic Review of Clinical Physical Activity Trials in Breast Cancer Patients","authors":"Ragna Stalsberg, Monica Dahle Darvik","doi":"10.3389/ijph.2024.1607002","DOIUrl":"https://doi.org/10.3389/ijph.2024.1607002","url":null,"abstract":"Representativeness in physical activity randomised controlled trials (RCT) in breast cancer patients is essential to analyses of feasibility and validity considering privileged- social groups. A step-by-step exclusion of less privileged groups through the trial process could reinforce health inequality. This study aimed at examining representativeness in breast cancer (BC) physical activity trials, investigate associations between socio-economic status (SES) and intervention adherence, and explore associations between representativeness and the relationship between SES and intervention adherence.Systematic, computerised searches were performed in PubMed, CINAHL, AMED, EMBASE and PsycINFO. Additional citation-based searches retrieved 37 articles. Distributions of education level, ethnicity, and marital status in study samples were compared to national populations data to estimate representativeness in less privileged groups.A preponderance of studies favoured educated, married and white patients. Only six studies reported SES-adherence associations, hampering conclusions on this relationship and possible associations between representativeness and an SES-adherence relationship.Less educated, unmarried and non-white individuals may be underrepresented in BC physical activity RCTs, while SES-adherence associations in such trials are inconclusive. Unintentional social misrepresentations may indicate that disguised inequity warrants revived attention.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140997005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study 瑞士厄立特里亚移民的产科结果：比较研究

International Journal of Public Health Pub Date : 2024-05-08 DOI: 10.3389/ijph.2024.1606745

R. M. Erhardt, Kristen Jafflin, N. Zepro, Charles Abongomera, A. Chernet, Daniel H. Paris, Sonja Merten

{"title":"Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study","authors":"R. M. Erhardt, Kristen Jafflin, N. Zepro, Charles Abongomera, A. Chernet, Daniel H. Paris, Sonja Merten","doi":"10.3389/ijph.2024.1606745","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606745","url":null,"abstract":"Objectives: This study aims to compare obstetric outcomes between Eritrean and Swiss women in Switzerland, focusing on instrumental or surgical interventions and analgesia use.Methods: The study included data from 45,412 Swiss and 1,132 Eritrean women who gave birth in Swiss hospitals (2019–2022). Mixed-effects logistic regression was used to assess the effect of nationality on mode of delivery and analgesia use and multinomial mixed-effects logistic regression to assess the effect of nationality on mode of delivery in women intended for spontaneous vaginal delivery.Results: Compared with Swiss, Eritrean women had a lower rate of primary C-section (Adj. OR 0.73, 95% CI [0.60, 0.89]) but a higher risk of initially planned vaginal deliveries ending in emergency C-section (RRR 1.31, 95% CI [1.05, 1.63]). Eritrean women were less likely to receive epidural analgesia (Adj. OR 0.53, 95% CI [0.45, 0.62]) and more likely to not receive any analgesia (Adj. OR 1.73, 95% CI [1.52, 1.96]).Conclusion: This study reveals disparities in obstetric care, notably in higher emergency C-section rates and lower analgesia use among Eritrean women. For promoting equitable healthcare practices deeper understanding of obstetrics decision-making is needed.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140998186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual and Gender Minority Status and Suicide Mortality: An Explainable Artificial Intelligence Analysis 少数性和性别身份与自杀死亡率：可解释的人工智能分析

International Journal of Public Health Pub Date : 2024-05-06 DOI: 10.3389/ijph.2024.1606855

Ying Yin, T. E. Workman, J. Blosnich, Cynthia A Brandt, M. Skanderson, Y. Shao, Joseph L Goulet, Qing Zeng-Treitler

{"title":"Sexual and Gender Minority Status and Suicide Mortality: An Explainable Artificial Intelligence Analysis","authors":"Ying Yin, T. E. Workman, J. Blosnich, Cynthia A Brandt, M. Skanderson, Y. Shao, Joseph L Goulet, Qing Zeng-Treitler","doi":"10.3389/ijph.2024.1606855","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606855","url":null,"abstract":"Objectives: Suicide risk is elevated in lesbian, gay, bisexual, and transgender (LGBT) individuals. Limited data on LGBT status in healthcare systems hinder our understanding of this risk. This study used natural language processing to extract LGBT status and a deep neural network (DNN) to examine suicidal death risk factors among US Veterans.Methods: Data on 8.8 million veterans with visits between 2010 and 2017 was used. A case-control study was performed, and suicide death risk was analyzed by a DNN. Feature impacts and interactions on the outcome were evaluated.Results: The crude suicide mortality rate was higher in LGBT patients. However, after adjusting for over 200 risk and protective factors, known LGBT status was associated with reduced risk compared to LGBT-Unknown status. Among LGBT patients, black, female, married, and older Veterans have a higher risk, while Veterans of various religions have a lower risk.Conclusion: Our results suggest that disclosed LGBT status is not directly associated with an increase suicide death risk, however, other factors (e.g., depression and anxiety caused by stigma) are associated with suicide death risks.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"18 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phthalate Exposure and Neurotoxicity in Children: A Systematic Review and Meta-analysis 邻苯二甲酸盐暴露与儿童神经毒性：系统回顾和元分析

International Journal of Public Health Pub Date : 2024-03-25 DOI: 10.3389/ijph.2024.1606802

Evangelia E. Antoniou, Rainer Otter

{"title":"Phthalate Exposure and Neurotoxicity in Children: A Systematic Review and Meta-analysis","authors":"Evangelia E. Antoniou, Rainer Otter","doi":"10.3389/ijph.2024.1606802","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606802","url":null,"abstract":"Objectives: This systematic review aims to assess the relationship between prenatal and childhood exposure to phthalates and neurodevelopmental outcomes, identifying periods of heightened susceptibility. Data sources considered studies examining repeated phthalate exposure during pregnancy and childhood on neurodevelopment.Methods: Evaluation included bias risk and study quality criteria. Evidence was synthesized by groups of low and high phthalate molecular weight and exposure measured prenatally and postnatally and outcome measured in childhood. Beta coefficients and their standard errors were extracted, leading to meta-analyses of various neurodevelopmental outcomes: cognition, motor skills, language, behavior, and temperament.Results: Eleven pregnancy and birth cohort studies were identified as relevant. For each phthalate group and outcome combination, there was low or very low evidence of an association, except for prenatal and postnatal phthalate exposure and behavioral development and postnatal exposure and cognition.Conclusion: The estimated effects sizes were relatively small and strong evidence for periods of heightened susceptibility could not be elucidated. No distinction between phthalates of low molecular weight and those of high molecular weight with regards to the outcomes was found.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Service Use Among Migrants in the German National Cohort—The Role of Birth Region and Language Skills 德国国家组群中移民使用医疗服务的情况--出生地区和语言技能的作用

International Journal of Public Health Pub Date : 2024-03-06 DOI: 10.3389/ijph.2024.1606377

Christian Wiessner, Sara Licaj, Jens Klein, B. Bohn, Tilman Brand, Stefanie Castell, Amand Führer, V. Harth, Margit Heier, Jana-Kristin Heise, Bernd Holleczek, Stefanie Jaskulski, Carmen Jochem, L. Koch-Gallenkamp, Lilian Krist, Michael F Leitzmann, Wolfgang Lieb, Claudia Meinke-Franze, R. Mikolajczyk, Ilais Moreno Velásquez, Nadia Obi, Tobias Pischon, Sabine Schipf, Sigrid Thierry, Stefan N. Willich, Hajo Zeeb, Heiko Becher

{"title":"Health Service Use Among Migrants in the German National Cohort—The Role of Birth Region and Language Skills","authors":"Christian Wiessner, Sara Licaj, Jens Klein, B. Bohn, Tilman Brand, Stefanie Castell, Amand Führer, V. Harth, Margit Heier, Jana-Kristin Heise, Bernd Holleczek, Stefanie Jaskulski, Carmen Jochem, L. Koch-Gallenkamp, Lilian Krist, Michael F Leitzmann, Wolfgang Lieb, Claudia Meinke-Franze, R. Mikolajczyk, Ilais Moreno Velásquez, Nadia Obi, Tobias Pischon, Sabine Schipf, Sigrid Thierry, Stefan N. Willich, Hajo Zeeb, Heiko Becher","doi":"10.3389/ijph.2024.1606377","DOIUrl":"https://doi.org/10.3389/ijph.2024.1606377","url":null,"abstract":"Objective: To compare health service use (HSU) between migrants and non-migrants in Germany.Methods: Using data from the population-based German National Cohort (NAKO), we compared the HSU of general practitioners, medical specialists, and psychologists/psychiatrists between six migrant groups of different origins with the utilization of non-migrants. A latent profile analysis (LPA) with a subsequent multinomial regression analysis was conducted to characterize the HSU of different groups. Additionally, separate regression models were calculated. Both analyses aimed to estimate the direct effect of migration background on HSU.Results: In the LPA, the migrant groups showed no relevant differences compared to non-migrants regarding HSU. In separate analyses, general practitioners and medical specialists were used comparably to slightly more often by first-generation migrants from Eastern Europe, Turkey, and resettlers. In contrast, the use of psychologists/psychiatrists was substantially lower among those groups. Second-generation migrants and migrants from Western countries showed no differences in their HSU compared to non-migrants.Conclusion: We observed a low mental HSU among specific migrant groups in Germany. This indicates the existence of barriers among those groups that need to be addressed.","PeriodicalId":504643,"journal":{"name":"International Journal of Public Health","volume":"132 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140078599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0