Public Health Nursing最新文献

{"title":"Attitudes of the Population Toward Vaccines During the COVID-19 Pandemic: The PROACTIVE Study.","authors":"Michela Calzolari, Mariarosaria Gammone, Daniela Cattani, Giulia Ottonello, Giuseppe Aleo, Loredana Sasso, Milko Zanini, Gianluca Catania, Annamaria Bagnasco","doi":"10.1111/phn.13561","DOIUrl":"10.1111/phn.13561","url":null,"abstract":"<p><strong>Background: </strong>Vaccination is a vital strategy to prevent infectious diseases and reduce mortality globally. However, vaccine hesitancy threatens these efforts, especially highlighted during the COVID-19 pandemic. Understanding factors influencing vaccination decisions is crucial for improving public health strategies.</p><p><strong>Objective(s): </strong>To investigate the attitudes of the Italian general population toward mandatory (e.g., HBV or tetanus) or recommended (e.g., influenza, HPV, or meningococcus) vaccinations, factors influencing vaccine uptake, and risk perceptions related to COVID-19.</p><p><strong>Design: </strong>A cross-sectional descriptive study using the PROACTIVE Survey questionnaire.</p><p><strong>Sample: </strong>The study included 411 participants aged 18-98 years from the general Italian population, recruited via convenience and snowball sampling in June 2022.</p><p><strong>Measurements: </strong>Data included sociodemographic characteristics, adherence to vaccinations, COVID-19 experiences, preventive behaviors, and individual risk perceptions. Inferential statistics included Pearson's r correlation, t-test, and analysis of variance (ANOVA) to explore correlations and differences.</p><p><strong>Results: </strong>Adherence to preventive measures positively correlated with risk perceptions (r = 0.358, p < 0.001). Females, older individuals, and those with chronic conditions showed higher adherence to preventive behaviors. Previous adherence to vaccines correlated with greater COVID-19 preventive behaviors (r = 0.124, p = 0.012).</p><p><strong>Conclusions: </strong>Age, gender, risk perceptions, and chronic conditions significantly influenced vaccination attitudes and preventive measures. These findings underscore the need for tailored public health strategies, especially in post-pandemic contexts, to address vaccine hesitancy and improve vaccination campaigns.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1485-1494"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782000","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":"Gender Disparity Among Homeless People: Evidence From a Territory-Wide Survey in Hong Kong.","authors":"Siu-Ming Chan, Hung Wong, Anna Chen, Yuen-Ki Tang, Yaojian Wu","doi":"10.1111/phn.13562","DOIUrl":"10.1111/phn.13562","url":null,"abstract":"<p><strong>Objective: </strong>This study examined gender differences and their impact on the livelihoods of the homeless population in Hong Kong, exploring variables such as homeless duration, mental health, social relationships, economic status, risky behavior, and welfare assistance utilization.</p><p><strong>Background: </strong>Gender inequalities worsen the health vulnerabilities of homeless women. While existing studies have focused on Western contexts, there is a lack of understanding in non-Western settings, especially in East Asian regions with a strongly patriarchal culture like Hong Kong.</p><p><strong>Methods: </strong>Based on gender socialization theory, the study analyzed quantitative data from the largest territory-wide study of Hong Kong's homeless population in 2021. Models included measures of duration of homelessness, reason for homelessness, health, mental health, economic status, risky behavior, social relationships, and the use of welfare assistance.</p><p><strong>Results: </strong>Homeless women had shorter homelessness duration (32.8 vs. 48.2 months for men) and more frequent connections with friends and families. Despite less risky behaviors, women faced more mental health issues (higher PHQ-2 and GAD-2 scores), poorer economic status (lower median income), and did not seek welfare assistance more actively than men.</p><p><strong>Conclusion: </strong>Effective interventions require targeted outreach for invisible women, gender-specific and trauma-informed mental health services, and homeless-friendly policies accounting for gender disparities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1449-1460"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012371","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":"Disaster Preparedness Evaluation Tool: Adaptation and Psychometric Evaluation of the Spanish Version.","authors":"José Antonio Cernuda Martínez, Rick Kye Gan, Pedro Arcos González","doi":"10.1111/phn.13566","DOIUrl":"10.1111/phn.13566","url":null,"abstract":"<p><strong>Background: </strong>A standardized tool, the Disaster Preparedness Evaluation Tool (DPET), originally published in English, is available for the purpose of assessing the level of disaster preparedness among nurses, however, a Spanish version is yet to be developed. The purpose of this study was twofold: first, to prepare a Spanish version of the DPET (DPET-SP), and secondly, to analyse the psychometric properties of the new Spanish version.</p><p><strong>Methods: </strong>The target population comprised nurses in the region of Asturias, Spain. Cronbach's alpha (internal consistency) and item-total correlations (item discrimination) were used to test the reliability of the tool. Construct validity was tested using confirmatory factor analysis. The content validity of the Spanish version was estimated using the scale-level content validity index. The appropriateness of the factor analysis was tested using the Kaiser-Meyer-Ollin test. Sphericity of the correlation matrix was examined using Barlett's test. Principal component analysis (PCA) was utilized to categorise the measurement instrument into salient factors. Convergent validity was assessed using Average Variance Extracted (AVE).</p><p><strong>Results: </strong>The PCA determined that the 45 items could be grouped into five factors Cronbach's alpha value was 0.964, the AVE values for the five constructs ranged from 0.51 to 0.71, the goodness-of-fit of the model structure was good, the convergence reliability values ranged from 0.80 to 0.95 and the square root of the AVE of each individual factor must be greater than all other correlations between pairs of constructs, so there is divergent validity.</p><p><strong>Conclusions: </strong>The DPET-SP has adequate validity and reliability. Therefore, it can be utilised by nurses for whom Spanish is their first language.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1544-1553"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042518","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":"I Found It on Instagram: Exploring the Impact of Social Media on Public Health Communication.","authors":"Lucía Carton-Erlandsson, María Sanz-Guijo, Raúl Quintana-Alonso","doi":"10.1111/phn.13554","DOIUrl":"10.1111/phn.13554","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the perspectives of social media users and health influencers on the use of these platforms as tools for health communication and literacy.</p><p><strong>Design: </strong>To address the objective, a qualitative descriptive study was conducted using focus groups with general social media users and health content influencers.</p><p><strong>Results: </strong>During the discussions, participants revealed that everyone accesses health information on social media, either actively or unintentionally, thus exposing themselves to this reality. Additionally, a paradigm shift was highlighted due to the 2020 pandemic in relation to the consumption of health information on these platforms. This shift increased interest in the topic as well as general distrust toward official institutions and the phenomenon of misinformation. In response, the importance of the presence of health professionals on social media was emphasized, as well as the need to educate the public to consume this type of information safely.</p><p><strong>Conclusion: </strong>Social media plays a significant role as a public health communication tool, and its use for this purpose is increasingly widespread. However, it is crucial to educate the public to engage in informed and responsible consumption to avoid the consequences of misinformation prevalent on these platforms.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1534-1543"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056048","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":"Analysis of the Impact of E-Health Literacy on Health Behavior Among the Elderly in Jiangsu: Structural Equation Model.","authors":"Aojie Chen, Xiquan Wang, Anying Xu, Qingyu Liu, Biying Tong","doi":"10.1111/phn.13565","DOIUrl":"10.1111/phn.13565","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the correlation between e-health literacy, physiology, and health behaviors of older adults in Jiangsu to assess the factors influencing digital health in older adults.</p><p><strong>Methods: </strong>Data were collected through a 1:1 face-to-face survey conducted in hospitals and elderly communities from May 1 to June 14, 2024, using a structured questionnaire. In this study, the electronic health literacy questionnaire, the quality-of-life questionnaire, and the Anderson health behavior model were used. According to the collected data, the structural relationship between electronics and health literacy, physiological function, and health behavior of the elderly aged 60 years and above was confirmed, and the structural equation modeling (SEM) analysis was carried out.</p><p><strong>Results: </strong>E-health literacy significantly positively impacted physiological function (β = 0.916, p < 0.001), while physiological function showed a positive but non-significant association with health behaviors (β = 0.343, p = 0.091). The mediating role of physiological function between e-health literacy and health behaviors was confirmed (*indirect effect = 0.005, 95% CI: -0.010 to 0.125*). Pearson correlations revealed significant relationships: e-health literacy with physiological function (γ = 0.331, p < 0.001) and physiological function with health behaviors (γ = 0.146, p < 0.01).</p><p><strong>Conclusion: </strong>In the era of big data and the aging society, it is necessary to strengthen publicity and guidance to improve the e-health literacy of older adults, especially those with poor physiological function. Explain the potential threats of some health information and ensure healthy digital aging through multi-stakeholder societal participation.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1461-1468"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999728","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":"Effect of Climate Change and Health Course on Global Warming Knowledge and Attitudes, Environmental Literacy, and Eco-Anxiety Level of Nursing Students: A Quasi-Experimental Study.","authors":"Merve Çolak, Rıdvan Dogan, Selma Dogan","doi":"10.1111/phn.13536","DOIUrl":"10.1111/phn.13536","url":null,"abstract":"<p><strong>Background: </strong>Climate change is the most important problem that threatens the health of individuals, public health, and health systems on a global scale. The International Council of Nurses emphasizes that nurses should strive to reduce the effects of climate change and help individuals and systems adapt. In addition, it is stated that climate change should be integrated into nursing education curricula and nursing students, who are future healthcare providers, should be prepared to reduce the effects of climate change and promote a healthier environment.</p><p><strong>Aim: </strong>The aim of this study is to examine the effect of the Climate Change and Health course on global warming knowledge and attitude, environmental literacy, and eco-anxiety levels in nursing students.</p><p><strong>Design and methods: </strong>In this study, a pretest-posttest comparative quasi-experimental design type was used. The research was conducted with 117 students taking the \"Climate Change and Health\" course added to the curriculum at the Nursing Department of a private university in Istanbul between February 2023 and June 2023. Data were collected before and after the intervention using the Descriptive Characteristics Form, Global Warming Knowledge Questionnaire, Global Warming Attitude Scale, Environmental Literacy Scale for Adults, and Eco-Anxiety Scale.</p><p><strong>Results: </strong>After taking the Climate Change and Health course, nursing students' global warming knowledge and attitude total scores increased, and a statistically significant increase was detected in the eco anxiety total and behavioral symptoms subscale mean scores. There was no statistically significant change in the Environmental Literacy Scale total and subscale mean scores.</p><p><strong>Conclusions: </strong>It can be stated that the Climate Change and Health course positively improved nursing students' knowledge and attitudes toward global warming and increased their sensitivity about climate change. Nurses, who constitute the most important part of the healthcare workforce worldwide, have an important role in creating a healthy and safe environment and in combating the effects of global warming and climate change. For this reason, in order to train knowledgeable and equipped health professionals on this subject, it is recommended that courses on the effects of climate change, adaptation, and coping with it be added to the nursing curriculum and integrated into all subjects every year to ensure continuity.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1315-1324"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015714","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":"Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases: A Systemic Review and Meta-Analysis.","authors":"Dipali Dumbre, Sheela Upendra, Betsy Sara Zacharias","doi":"10.1111/phn.13521","DOIUrl":"10.1111/phn.13521","url":null,"abstract":"<p><strong>Background: </strong>Subclinical vitamin D insufficiency is frequent in both developing and developed countries. Even after rickets was eliminated in the 1930s by fortifying milk, up to 1 billion people worldwide suffer from subclinical vitamin D deficiency (VDD). Numerous noncommunicable diseases (NCDs), including depression, autoimmune illnesses, diabetes, osteoporosis, and cardiovascular disease, are linked to this deficiency.</p><p><strong>Methodology: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol was applied when conducting a systematic review. Relevant studies published between 2010 and 2023 were found by searching databases such as Web of Science, Scopus, and PubMed. To find correlations between deficiency of vitamin D and NCDs, data was extracted from the studies and analyzed using the Mixed Method Appraisal Tools (MMAT). In meta-analysis data combined from multiple observational Unraveling the Relationship Between Vitamin D and Noncommunicable Diseases-A Systemic Review and Meta-Analysis studies to evaluate the relationship between vitamin D insufficiency and health outcomes. Statistical techniques, such as calculating effect sizes and constructing confidence ranges, are employed to determine combined outcomes and investigate possible causal connections.</p><p><strong>Results: </strong>Fourteen studies-including cross-sectional studies, prospective cohorts, randomized controlled trials, and longitudinal studies-met the inclusion criteria. Significant correlations among deficiency of vitamin D and a number of NCDs, including anemia, diabetes, hypertension, rheumatoid arthritis (RA), mental health issues, and autoimmune hypothyroidism, were found in the review. The results highlight the prevalence of deficiency of vitamin D worldwide and its detrimental impact on health. In order to lower the risk of numerous NCDs, this review emphasizes the need for greater awareness and possible interventions to maintain appropriate vitamin D levels. A meta-analysis was conducted to investigate the potential causal connections between vitamin D insufficiency and different health disorders. It elucidates the connections between deficient levels of vitamin D and conditions such as mental health disorders, anemia, diabetes, hypertension, and autoimmune diseases. The study prioritizes the examination of temporal correlations, biological plausibility, and the removal of confounding factors to provide support for these associations. While the text acknowledges that experimental data, such as randomized controlled trials, would enhance the argument for causation, it mostly depends on observational studies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1302-1314"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958964","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":"Psychosocial Correlates of Loneliness and Suicidality in the Taiwanese General Population.","authors":"Wei-Chieh Hung, Chia-Yi Wu, Ming-Been Lee, Chia-Ta Chan, Vivian Isaac, Chun-Ying Chen","doi":"10.1111/phn.13531","DOIUrl":"https://doi.org/10.1111/phn.13531","url":null,"abstract":"<p><strong>Objectives: </strong>To estimate the prevalence of loneliness and to investigate the associations between loneliness and suicidality among the general population in Taiwan.</p><p><strong>Design: </strong>Cross-sectional analysis of random samples in surveys.</p><p><strong>Sample: </strong>During 2016 and 2017, 2148 and 2098 participants (N = 4246) from a representative sampling of the Taiwanese population were interviewed via the computer-assisted telephone system in Taiwan.</p><p><strong>Measurements: </strong>The study measured demographics, psychological distress, suicide risk factors, and loneliness status (single-item measurement). The association between loneliness and psychosocial factors was analyzed using Spearman's correlation. Logistic regression was applied in the association between loneliness and current suicide ideation.</p><p><strong>Results: </strong>Around 13.1% in the sample perceived feelings of loneliness. Loneliness status was significantly associated with increased psychological distress and suicide risks. The regression model indicated that the three most significant factors linked to loneliness were \"no one trustworthy to talk to\" (OR = 3.69), substance abuse (OR = 3.43), and depression (OR = 3.07), whereas self-rated mental health (poor to good) (OR = 4.11), loneliness (OR = 2.59), and depression (OR = 2.09) were associated with current suicide ideation.</p><p><strong>Conclusion: </strong>Loneliness was a significant suicide risk factor with multiple underlying psychosocial influences. Establishing support groups or service referrals through early psychosocial assessment could identify or alleviate loneliness and/or reduce suicide risk.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":"42 3","pages":"1171-1181"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018977","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":"Impact of Dietary Habits, Physical Activity, and Perceived Health Status on Health-Related Quality of Life by Household Characteristics of Patients With Chronic Diseases: The Korea Community Health Survey (KCHS).","authors":"Soyean Kang, Hae Sagong, Juyoung Lee","doi":"10.1111/phn.13541","DOIUrl":"10.1111/phn.13541","url":null,"abstract":"<p><strong>Background: </strong>Modern societies are seeing a steady rise in individuals living alone. This study examines the impact of dietary habits, physical activity, and perceived health status on the health-related quality of life (QoL) of adults aged 40 and older with chronic diseases, comparing living-alone households to multi-person households.</p><p><strong>Methods: </strong>Data from the 2022 Korean Community Health Survey, including 65,861 respondents, were analyzed. The analysis utilized the Rao-Scott χ² test, independent t-test, and multiple logistic regression with a complex sample design to assess differences in variables affecting QoL by household type.</p><p><strong>Results: </strong>Individuals living alone were more likely to be female, older, less educated, economically inactive, divorced or separated, and have lower household incomes compared to those in multi-person households. Physical activity, perceived health status, and QoL were higher in multi-person households. Although all variables influenced QoL in multi-person households, nutritional labeling awareness and frequency of physical activity showed no significant association with QoL in living-alone households.</p><p><strong>Conclusion: </strong>Living-alone households with chronic diseases face notable demographic disparities. Additional research is needed to understand why nutritional labeling awareness and physical activity frequency do not significantly affect QoL in this group. The influence of mental health warrants further investigation to guide targeted interventions.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1182-1191"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450855","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":"Diverse Care Needs Assessment for Older Adults in China: A Latent Profile Analysis Study.","authors":"Junyu Chen, Qing Wang, Zichun Ding, Meng Wang, Lixia Chen, Guihua Xu","doi":"10.1111/phn.13539","DOIUrl":"10.1111/phn.13539","url":null,"abstract":"<p><strong>Background: </strong>Grasping the nuanced needs of older adults is paramount for the efficacious provision of day-care services. Our study sought to identify the demand patterns for day-care services in China and to explore the underlying factors. This study aims to offer useful evidence that can refine nursing care strategies and guide policy development within day-care settings.</p><p><strong>Methods: </strong>We implemented a comprehensive electronic survey comprising 46 questions targeting older adults across nine day-care centers in Nanjing, China. Employing latent profile analysis (LPA), we systematically examined and categorized the demand characteristics for day-care services. This analysis was conducted using Mplus version 8.3 and SPSS version 26.0 software, ensuring a rigorous and precise methodological approach.</p><p><strong>Results: </strong>Our study involved a comprehensive survey of 1016 older adults. The participants were categorized into three groups based on their demand for day-care services: high demand (n = 127), medium demand (n = 197), and low demand (n = 692). The low-demand group exhibited higher levels of social support and better activities of daily living (ADL) scores compared to their counterparts. Multivariate regression analysis indicated that older adults characterized by male gender, advanced age, higher levels of education, receipt of support from a child, presence of chronic diseases, and lower social support and ADL scores exhibited a statistically significant inclination towards moderate to high demand for day-care services (p < 0.05).</p><p><strong>Conclusion: </strong>The demand for day-care services for older adults in China is intricately influenced by a complex array of interrelated factors. Tailoring service offerings to meet the varied physical and emotional needs of older adults is essential, with a particular focus on health and wellness management in day-care centers.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1160-1170"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016701","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}