Public Health Nursing最新文献

{"title":"Determinants of Cervical Cancer Screening Among Rural Women in Zimbabwe.","authors":"Paddington T Mundagowa, Oscar Tapera, Bothwell Guzha, Megan Burke Fitzpatrick, Racheal S Dube Mandishora, Mufaro Kanyangarara","doi":"10.1111/phn.13490","DOIUrl":"10.1111/phn.13490","url":null,"abstract":"<p><strong>Objective: </strong>To identify the determinants of cervical cancer (CC) screening among underserved rural women in Zimbabwe.</p><p><strong>Design: </strong>Community-based cross-sectional survey.</p><p><strong>Sample: </strong>840 rural women (25-65 years).</p><p><strong>Measurements: </strong>A structured, pretested questionnaire was used to collect data on sociodemographic characteristics and factors influencing screening. The outcome was defined as self-reported ever screening for CC. Multivariable logistic regression was used to examine the association between CC screening and independent variables.</p><p><strong>Results: </strong>Of the 840 women included, 33% had a history of screening. Women 25-45 years (adjusted odds ratio (aOR): 0.43; 95% CI: 0.30-0.61) and without medical insurance (aOR: 0.66; 95% CI: 0.45-0.97) had reduced odds of CC screening. Conversely, women who had seen or heard messages on CC screening (aOR: 1.48; 95% CI: 1.03-2.13), were living with HIV (aOR: 1.87; 95% CI: 1.22-2.87) reported recent antibiotic use (aOR: 4.50; 95% CI: 1.47-13.79) and had malaria in the last 6 months (aOR: 2.45; 95% CI: 1.02-5.86) had increased odds of CC screening.</p><p><strong>Conclusion: </strong>There is a need for intensified efforts to improve CC screening uptake, particularly in underserved rural areas with suboptimal screening rates and high CC burden. Strategies should include widespread tailored awareness messaging targeting younger women, women living with HIV, and women without medical insurance.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"621-630"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Determinants of Older Adults' and Caregivers' Willingness to Deprescribe: A Systematic Review.","authors":"Sara Alves Jorge, Stephan Van den Broucke, Ruth-Janet Koumba Maguena, Anne Spinewine","doi":"10.1111/phn.13516","DOIUrl":"10.1111/phn.13516","url":null,"abstract":"<p><strong>Background: </strong>Deprescribing is a strategy to optimize medication use and to prevent medication harm. Despite the fact that behavioral theories have been shown to be useful in explaining health behaviors, the literature on deprescribing relies almost exclusively on attitudes as an explanatory factor for deprescribing behavior. This study systematically reviews the literature that made explicit use of the constructs included in health behavior theories (HBTs) to explain older adults' and informal caregivers' deprescribing behavior and outcomes.</p><p><strong>Methods: </strong>Studies were screened from five electronic databases by two reviewers. Quantitative interventional and non-interventional studies applying at least one HBTs or construct from these theories to older adults' or informal caregiver' intention or behavior to deprescribe, were included. Studies that used the patients' attitudes toward deprescribing (PATD) questionnaire or its revised version were excluded.</p><p><strong>Results: </strong>A total of 11 non-interventional studies and 11 interventional studies were identified, seven of which applied HBTs, and the other 15 used constructs from the HBTs. Health literacy and locus of control were identified as moderator variables. Only two studies targeted informal caregivers' deprescribing intentions or behavior.</p><p><strong>Conclusions: </strong>HBTs are not systematically used. However, combining the main HBT constructs reported in the literature offers a better explanation of the (intention to) engage in deprescribing.</p><p><strong>Trail registration: </strong>The study protocol (ID: CRD42022378157) was published on PROSPERO.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1084-1114"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-Engaged Insights: Understanding the Housing Needs of Rural Caregivers During Hospital Treatment.","authors":"Jennifer A Owens, Angie Bush, Peter Campbell, Roger J Ward, Flavius R W Lilly","doi":"10.1111/phn.13522","DOIUrl":"10.1111/phn.13522","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the experiences of rural caregivers who require temporary housing during hospital treatment when healthcare is not available in their home communities. Understanding these experiences can identify challenges and inform solutions for improving rural access to healthcare.</p><p><strong>Methods: </strong>We conducted a community-engaged qualitative study using semi-structured interviews with caregivers who stayed at a healthcare hospitality house in Charlotte, NC. Data were collected through virtual interviews in the fall of 2023 and analyzed by three independent reviewers using thematic analysis.</p><p><strong>Findings: </strong>Caregivers faced significant financial, logistical, and emotional challenges associated with accessing healthcare far from home. Financial burdens were notable, with substantial out-of-pocket expenses despite reduced costs from the hospitality house. Proximity to hospitals was crucial, with participants favoring hospitality houses over hotels for their convenience and security. Emotional support from peers provided meaningful social bonds and alleviated feelings of isolation. Practical amenities, such as laundry facilities and kitchens, eased the daily living obligations. Participants also highlighted the need for advocacy and coordination in navigating care logistics.</p><p><strong>Conclusion: </strong>Our findings highlight key themes showcasing the challenges faced by rural caregivers experiencing a health crisis and who must travel to access healthcare outside their home communities. Medical housing can serve multifaceted social needs during a health crisis and support the interconnectedness of financial, emotional, and practical aspects of healthcare access. Future research should explore broader and more diverse samples and continue to consider community-engaged approaches to deepen the understanding of health-related social needs needed to access healthcare.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"981-985"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploration of Psychological, Social, and Familial Issues of Females Living in the Shelter in Iraqi Kurdistan Through an Art-Based Qualitative Study.","authors":"Bayar Mohammed Omar Abdulla, Deldar Morad Abdulah, Zuhair Rushdi Mustafa","doi":"10.1111/phn.13513","DOIUrl":"10.1111/phn.13513","url":null,"abstract":"<p><strong>Objective: </strong>Female young prisoners may not be willing to discuss their familial and social issues through direct interviews. Therefore, other academic techniques, such as art-based techniques, could be used in this context. We aimed to explore female prisoners' psychological, familial, and social issues through an art-based approach.</p><p><strong>Methods: </strong>In this thematic qualitative study, we conducted a 2-h painting training program for females (21-48 years) who were confined in women's shelters in the Kurdistan Region. To carry out this initiative, we collaborated with the administration of women's prisoners in Duhok, Erbil, and Sulaymaniyah governorates in the Kurdistan Region.</p><p><strong>Results: </strong>The paintings included in this study explored the social and familial issues faced by girls and women who were imprisoned for various reasons. The paintings of the participants were categorized under the following three main headings: familial issues, social pressure, and women's rights. The artwork expresses that these girls and women suffer from a wide range of familial and social issues. They share that they lack the rights, as men do, to discuss their opinions and feelings within their societies and families. Additionally, these women experience pressure from their families and society for various reasons, as mentioned hereafter.</p><p><strong>Conclusions: </strong>This study revealed that the lack of meeting females' rights and their inability to practice their wishes and rights could be the main reason for the familial and social issues in Kurdish society. The findings suggest that the restrictions and limitations placed on women's agency and autonomy contribute significantly to the challenges and hardships faced by women within their families and communities. Addressing these issues and promoting gender equality may be essential in fostering a more inclusive and harmonious society in the Kurdistan region.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"912-929"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming Healthcare in Low-Resource Settings With Artificial Intelligence: Recent Developments and Outcomes.","authors":"Ravi Rai Dangi, Anil Sharma, Vipin Vageriya","doi":"10.1111/phn.13500","DOIUrl":"10.1111/phn.13500","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence now encompasses technologies like machine learning, natural language processing, and robotics, allowing machines to undertake complex tasks traditionally done by humans. AI's application in healthcare has led to advancements in diagnostic tools, predictive analytics, and surgical precision.</p><p><strong>Aim: </strong>This comprehensive review aims to explore the transformative impact of AI across diverse healthcare domains, highlighting its applications, advancements, challenges, and contributions to enhancing patient care.</p><p><strong>Methodology: </strong>A comprehensive literature search was conducted across multiple databases, covering publications from 2014 to 2024. Keywords related to AI applications in healthcare were used to gather data, focusing on studies exploring AI's role in medical specialties.</p><p><strong>Results: </strong>AI has demonstrated substantial benefits across various fields of medicine. In cardiology, it aids in automated image interpretation, risk prediction, and the management of cardiovascular diseases. In oncology, AI enhances cancer detection, treatment planning, and personalized drug selection. Radiology benefits from improved image analysis and diagnostic accuracy, while critical care sees advancements in patient triage and resource optimization. AI's integration into pediatrics, surgery, public health, neurology, pathology, and mental health has similarly shown significant improvements in diagnostic precision, personalized treatment, and overall patient care. The implementation of AI in low-resource settings has been particularly impactful, enhancing access to advanced diagnostic tools and treatments.</p><p><strong>Conclusion: </strong>AI is rapidly changing the healthcare industry by greatly increasing the accuracy of diagnoses, streamlining treatment plans, and improving patient outcomes across a variety of medical specializations. This review underscores AI's transformative potential, from early disease detection to personalized treatment plans, and its ability to augment healthcare delivery, particularly in resource-limited settings.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1017-1030"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Health Education Service for HealthStudents: Feedback From Experience in France.","authors":"Anne-Laure Lejot, Stéphanie Bouget Mohammedi","doi":"10.1111/phn.13514","DOIUrl":"10.1111/phn.13514","url":null,"abstract":"","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"986-991"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital Healthy Diet and Health Literacy as Determinants of Physical Activity Level in Adults: A Descriptive Correlational Study.","authors":"Alime Selçuk Tosun, Büşra Duran, Nurcan Akgül Gündoğdu, Neslihan Lök","doi":"10.1111/phn.13511","DOIUrl":"10.1111/phn.13511","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the level of health literacy, digital healthy diet literacy, and physical activity of adult individuals to evaluate the relationship of physical activity with health literacy and digital healthy diet literacy and to examine the determinants of physical activity level.</p><p><strong>Design and method: </strong>It is a descriptive and correlational study. The sample of the study consists of 404 individuals aged 18-65. Personal Information Form, International Physical Activity Questionnaire-Short Form, Health Literacy Scale-Short Form, and Digital Healthy Diet Literacy Scale were used to collect the study data. Number, percentage, mean and standard deviation, t test in independent groups, one-way analysis of variance, and multiple regression analysis were used in the analysis of the study data.</p><p><strong>Results: </strong>Participants' gender (β = 0.572, p = 0.000), educational status (β = 0.630, p = 0.000), employment status (β = 0.573, p = 0.000), perceived economic situation (β = 0.774, p = 0.000), cohabitants (β = 0.609, p = 0.000), perceived health (β = 0.580, p = 0.000), smoking status (β = 0.639, p = 0.045), health literacy total score (β = 0.603, p = 0.000), and digital health literacy (β = 0.782, p = 0.000) were found to be predictors of physical activity level (p < 0.001). It was determined that these determinants explained 57.3% (adjusted R² = 0.573) of the change in physical activity level.</p><p><strong>Conclusion: </strong>The mean scores of the participants' physical activity level were at a medium level. Increasing the participants' awareness of health literacy and digital healthy diet literacy may be effective in increasing the level of physical activity.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"734-743"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Combination of Metabolic Syndrome and Low Fat-Free Mass Shorten an Individual's Disability-Free Life? A 12-Year Prospective Cohort Study of the Korean Genome and Epidemiology Study (KoGES).","authors":"Ji Hye Shin, Ju Young Yoon","doi":"10.1111/phn.13494","DOIUrl":"10.1111/phn.13494","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the combined risk of metabolic syndrome (MetS) and low fat-free mass (FFM) on an individual's disability-free survival (DFS). Disability is defined as a composite of dementia, physical disability, and mortality.</p><p><strong>Methods: </strong>Using data from the Korean Genome and Epidemiology Study, we divided 3721 participants aged 40-69 years based on their MetS status and FFM index (FFMI) score. Kaplan-Meier survival analysis and Cox regression were used to analyze differences in DFS between the four groups.</p><p><strong>Results: </strong>From 108 events, MetS group had significantly shorter DFS than the non-MetS group regardless of FFMI (p < 0.0001). After adjusting other potential confounding variables, the MetS group had a higher risk of shortened DFS regardless of FFMI, and the MetS group with low FFMI had a 2.06-fold increased risk compared to the non-MetS group with high FFMI (p < 0.001). Older age and lower income were also associated with higher risk of shorter DFS (p < 0.001).</p><p><strong>Conclusions: </strong>The combination of MetS and low FFMI contribute to a cumulative risk of shortened DFS. Community nurses can perform MetS screening and body composition assessment to predict and control the risk of developing disability over time.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"675-683"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Media Use of Young Children: The Perceptions of Public Health Nurses Working in Child Health Clinics.","authors":"Siiri Utriainen, Katri Vehviläinen-Julkunen, Reeta Lamminpää","doi":"10.1111/phn.13501","DOIUrl":"10.1111/phn.13501","url":null,"abstract":"<p><strong>Objective: </strong>To describe the perceptions of public health nurses (PHNs) working in child health clinics on media use of young children and to investigate what are the perceptions of PHNs on adults' role in young children's media use.</p><p><strong>Design: </strong>An electronic cross-sectional survey with Likert-scaled and open-ended questions.</p><p><strong>Sample: </strong>The total of 183 PHNs working in Finnish child health clinics.</p><p><strong>Measurements: </strong>Statistical descriptive analysis for Likert-scaled questions and thematic analysis for open-ended questions were used.</p><p><strong>Results: </strong>Most (96.7%) PHNs agreed that media use was very common among young children. According to PHNs, the negative impacts of media use of young children included social, physical, and psychological impacts. The positive impacts included learning, communication, and access to information. PHNs stated that parents were most responsible for intervening in media use of young children, but PHNs have an important role in counseling families on it. Most PHNs (80.9%) stated that parents did not control media use of their children effectively.</p><p><strong>Conclusions: </strong>PHNs are aware of impacts of media use and its prevalence among young children. They agree to have an important role in counseling families in it. More work in research is needed to improve PHNs' expertise and resources for them to be able to guide families in young children's media use. A wider perspective from other health care professionals working with families should be studied to constitute multi-professional understanding.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"841-847"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intrinsic Capacity and Instrumental Activity of Daily Living Among Community Dwelling Elderly in China: The Mediating Effect of Two-Way Social Support and Sense of Coherence.","authors":"Qingqing Hu, Jiajia Xu, Yifei Ren, Jie Ding, Ting Chu","doi":"10.1111/phn.13505","DOIUrl":"10.1111/phn.13505","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the influence of intrinsic capacity (IC) on instrumental activities of daily living (IADL) among community-dwelling elderly and to analyze the chain-mediated effects of two-way social support, and sense of coherence (SOC).</p><p><strong>Design: </strong>This study was a cross-sectional research design. Participants were recruited from September 2023 to December 2023 from Hangzhou City, Zhejiang Province, China, using a multistage sampling method.</p><p><strong>Sample: </strong>Participants in this study were at least 60 years old and had been currently living in the community for at least 1 year (n = 458).</p><p><strong>Measurements: </strong>The Integrated Care for Older People screening tool, the Brief Two-Way Social Support Scale, the Sense of Coherence Scale-13, and the Functional Activities Questionnaire were used to collect relevant data, which were statistically tested using structural equation modeling and multiple mediation effects.</p><p><strong>Results: </strong>There were correlations between IC, two-way social support, SOC and IADL in community-dwelling elderly (all p < 0.01). IC predicted two-way social support (β = 0.570, p < 0.001), SOC (β = 0.544, p < 0.001) and IADL (β = -0.492, p < 0.001); two-way social support had a positive predictive effect on SOC (β = 0.363, p < 0.001) but a negative predictive effect on IADL (β = -0.193, p < 0.001); SOC negatively predicted IADL (β = -0.150, p < 0.05).</p><p><strong>Conclusions: </strong>To mitigate the impact of declining IC on IADL among community-dwelling elderly, to sustain independent living, and to reduce the risk of progression to illness and disability, this study proposes two-way social support and SOC as potential effective intervention targets. This conclusion holds implications for the assessment and intervention of elderly health, as well as the formulation of public health policies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"762-770"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}