Public Health Nursing最新文献

{"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}

{"title":"Communicable Disease Risk Awareness and Prevention: A Study on University Students in the Context of Social Support and Disaster Risk.","authors":"Eylül Gülnur Erdoğan, Pınar Duru","doi":"10.1111/phn.13498","DOIUrl":"10.1111/phn.13498","url":null,"abstract":"<p><strong>Objective: </strong>Factors such as the risk of the spread of infectious diseases, global health crises, and disasters are among the major health and security challenges facing societies. Informed protective measures and effective risk awareness are necessary to cope with these challenges. As young adults, university students represent a significant segment of society, making studies conducted on this group critical for implementing effective measures against infectious disease risks. This study aimed to investigate university students' awareness and prevention behaviors regarding communicable diseases, their perception of disaster risk, and the role of social support networks.</p><p><strong>Method: </strong>The descriptive study was conducted with a total of 372 undergraduate students studying at a university in Türkiye. Data were collected using a sociodemographic characteristics form, the Communicable Disease Risk Awareness and Prevention Scale, the Disaster Risk Perception Scale for University Students, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using IBM SPSS Statistics 27.0, employing independent sample t-tests, one-way ANOVA tests, Pearson correlation, and multiple linear regression analysis.</p><p><strong>Results: </strong>The mean age of the university students participating in the study was 21.19 ± 2.08 years (min. 18.00-max. 32.00), with 64.5% (n = 240) being female. Participants generally exhibited high levels of awareness and preventive behaviors regarding communicable diseases. Significant contributors to awareness included gender (β = 9.51, p < 0.05), increased disaster risk perception (β = 8.80, p < 0.01), obtaining information from health organization websites (β = 7.90, p < 0.01), preparing an emergency kit (β = 5.56, p < 0.05), and obtaining information from news websites (β = 4.81, p < 0.05). It was found that an increase in perceived social support positively impacted students' awareness and prevention levels (β = 0.48, p < 0.01). Additionally, an increase in disaster risk perception was positively correlated with communicable disease risk awareness (β = 0.01, p < 0.05).</p><p><strong>Conclusion: </strong>The study concludes that robust social support networks enhance students' health awareness and protective health behaviors. Universities should organize educational programs and drills to increase student disaster awareness and preparedness. Such training will help students better prepare for and effectively cope with disaster situations.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"857-868"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808707","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":"Identifying Settler Colonial Determinants of Indigenous Health Within the United States: A Discursive Paper.","authors":"Nicole A Thomas, Anne L Ersig, Lonnie A Nelson, Brenda Owen, Kyle Powys Whyte, Bram Wispelwey, Lisa C Bratzke","doi":"10.1111/phn.13523","DOIUrl":"10.1111/phn.13523","url":null,"abstract":"<p><strong>Aim(s): </strong>This discursive article aims to examine how systemic factors (both) reproduce the structure of settler colonialism and influence health outcomes among Indigenous peoples in the United States through settler colonial determinants of Indigenous health (SCDoIH).</p><p><strong>Design: </strong>Discursive paper.</p><p><strong>Methods: </strong>This discursive paper demonstrates how settler colonialism and health relate to each other within a nursing context. The concept of settler colonialism that was consolidated into a scholarly field beginning in the late 1990s is used to identify and contextualize SCDoIH for individuals residing in the United States as an entry point to advance scholarship on settler colonialism and nursing.</p><p><strong>Results: </strong>A research framework that identifies factors of settler colonialism and SCDoIH within the United States is presented.</p><p><strong>Conclusion: </strong>The structure of settler colonialism in the United States includes settler colonial determinants of health for Indigenous populations that have detrimental effects on health outcomes.</p><p><strong>Implications for nursing: </strong>To provide holistic nursing care, nurses must be aware of settler colonialism as a determinant of health. Nurses providing care to Indigenous peoples need to be attuned to the pathways and processes through which settler colonialism leads to exposures that may affect their patients' health.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"890-898"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911117","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":"Evaluation of Adult Individuals' Climate Change Concern and Mental Well-Being Levels in Türkiye: A Descriptive and Correlational Study.","authors":"Adem Sümen, Yelda Kublay, Derya Adibelli","doi":"10.1111/phn.13493","DOIUrl":"10.1111/phn.13493","url":null,"abstract":"<p><strong>Objectives: </strong>This study was conducted to determine the relationship between climate change concerns and mental well-being levels in adult individuals.</p><p><strong>Design: </strong>A descriptive and correlational study.</p><p><strong>Sample: </strong>The study was conducted with 513 adult individuals who applied to primary healthcare institutions between May and October 2022 in Türkiye.</p><p><strong>Measurements: </strong>The research data were collected face-to-face using an introductory information form, the Climate Change Worry Scale (CCWS), and the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS).</p><p><strong>Results: </strong>Among the occupations of the adults participating in the survey, the group most affected by climate change was greenhouse cultivation with 30.8%. The top three most common events experienced by the participants in the study are forest fire (40.6%), earthquake (29.2%), and flood (19.7%). In the study, the mean CCWS score of adults was 33.92 ± 10.27 and the mean WEMWBS score was 50.20 ± 11.88. A positive correlation was found between the total, anxiety, and feeling of helplessness sub-dimensions of the CCWS and the mean score of WEMWBS (p < 0.001). The mean scores of CCWS and WEMWBS of the participants who stated that they experienced an extraordinary event related to climate change, who had a relative who experienced these events, who followed these events from the media, and the mean scores of CCWS of those who experienced these events themselves were found to be significantly higher (p < 0.05). The mean scores of CCWS and WEMWBS were higher for those who experienced forest fire and flood disasters; CCWS for those who experienced tornado; and WEMWBS for those who experienced earthquake and storm/hurricane (p < 0.05).</p><p><strong>Conclusions: </strong>One of the most important results of the study is that there is a positive relationship between the sub-dimensions of helplessness due to climate concern and the level of mental well-being. It is important to increase climate change awareness activities at individual and community levels.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"655-664"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717816","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":"LGBTQ+ Population Well-Being: Health Equity Implementation Science in Action.","authors":"Theresa Ryan Schultz, Desiree Edemba, Matthew E Lecuyer, Allison Garzone, Shane Henise, Amy Liljestrand, Pamela S Hinds, Simmy King","doi":"10.1111/phn.13480","DOIUrl":"10.1111/phn.13480","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;Health equity is actualized when all individuals can attain the highest level of health. Youth who identify as LGBTQ+ experience health disparities and scarce access to culturally congruent mental healthcare. Our nurse-led research team recognized evidence-based practice guidance gaps and prioritized a systematic inquiry into the lived experiences of LGBTQ+ identifying youth who needed emergency care for suicidality. Concurrently, we translated new findings into practice. The purpose of this endeavor is to implement a nimble evidence-based practice adoption process for nursing staff to effectively address LGBTQ+ population health needs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Informed by Purnell's Cultural Competence Theory, qualitative findings from a prospective study and available literature, we developed an LGBTQ+ sensitive care curriculum for nursing staff using the American Nurses Credentialing Center's (ANCC) Nursing Continuing Education Professional Development (NCPD) Framework to address the intersectionality of cultural awareness and care provision. The curriculum was delivered and formally evaluated longitudinally with a focus on communication confidence and knowledge.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;The curriculum was delivered in one session to nursing staff during a 6-month period. Program evaluations indicated curriculum acceptability and effectiveness. Participants reported improved ability to use appropriate language when communicating with patients who identify as LGBTQ+ and their families and a moderate to high change in confidence when providing care to LGBTQ+ identifying patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Concurrent, evidence-based efforts to uncover and apply new knowledge relevant to nursing communication with youth who identify as LGBTQ+ is possible and yield effective, positive change in nursing knowledge and confidence in providing care for these youth. Implementation science is essential to advance evidence-based nursing practice or the full positive impact of research on patient outcomes is not likely. When the implementation science program is not incorporated early in the research process, research excellence is at risk. Evolving evidence-based practices that enhance individualized holistic patient care delivery for LGBTQ+ individuals are strengthened when primary research, implementation science, and scaling research co-occurrence is achievable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for the profession: &lt;/strong&gt;This implementation strategy demonstrates that early translation of health equity research on culturally congruent care for individuals identifying as LGBTQ+ can be done effectively and replicated across practice settings. Further, this work validates the importance of the relationship between nurse scientists, translational scientists, and clinical practice and education experts in the early dissemination and adoption of new knowledge. Evidence-based practice adoption improves healthcare prof","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"957-965"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774715","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":"Perceptions and Experiences of Exercise Snacks Among Middle-Aged and Older Adults: A Systematic Review and Meta-Synthesis.","authors":"Yunfei Du, Ruotong Peng, Xiao Wan, Chi Zhang, Yongzhen Guo, Jing Chang, Hui Feng, Zeng Cao","doi":"10.1111/phn.13495","DOIUrl":"10.1111/phn.13495","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity in middle-aged and older adults is a major health problem. Exercise snacks are an emerging form of physical activity characterized by shorter single bouts of high-intensity exercise spread out repeatedly throughout the day which can provide more exercise opportunities for middle-aged and older adults.</p><p><strong>Purpose: </strong>To summarize perceptions and experiences of exercise snacks among middle-aged and older adults, and explore the barriers and facilitators of promoting exercise snacks.</p><p><strong>Methods: </strong>We followed the PRISMA and systematically searched five databases from the earliest to May 2024. The Critical Appraisal Skills Program tool is used to quality assess and the Capability, Opportunity, and Motivation Model of Behavior (COM-B model) is used to guide thematic synthesis.</p><p><strong>Results: </strong>Fourteen categories from nine studies were summarized, and 277 findings were identified. Three synthesized findings were: capability of middle-aged and older adults (including health-related exercise disorders, learning and mastery skills, and health literacy), opportunities for exercise snacks (including flexible and free, easy and quick, integration into life, social and family support, and application of mobile health technology), and motivation of exercise snacks (including pleasurable experiences, gaining physical and mental benefits, effective reminders, incentives and feedback, personalized needs, and self-efficacy).</p><p><strong>Conclusion: </strong>Exercise snacks are a promising approach， however, they need to be continuously optimized. Our results can provide evidence for designing and optimizing exercise snack programs. Medical workers should assist middle-aged and older adults in developing appropriate exercise snack strategies.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024544089).</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"1031-1046"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803497","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":"Influencing Factors of Nurses' Well-Being in Critical Care During Pandemic Era: A Systematic Review.","authors":"Maria Emma Musio, Marta Russo, Martina Barbieri, Andrea Moro, Milko Zanini, Loredana Sasso, Annamaria Bagnasco, Gianluca Catania","doi":"10.1111/phn.13471","DOIUrl":"10.1111/phn.13471","url":null,"abstract":"<p><strong>Aim: </strong>To identify factors protecting and hindering the well-being of critical care nurses during the COVID-19 pandemic.</p><p><strong>Background: </strong>The unique work challenges of critical care nurses can undermine their professional and mental well-being; as evidenced by the prevailing literature on burnout, compassion fatigue, and moral distress. The COVID-19 pandemic has seen these professionals on the front lines and has raised many questions about professional well-being. Identifying the factors that protect and hinder the well-being of critical care nurses would help to develop the strategies necessary to reduce worrying phenomena associated with professional malaise.</p><p><strong>Evaluation: </strong>A systematic review was conducted using electronic databases including PubMed, CINAHL, Scopus, Cochrane, PsycINFO, and Web on Science.</p><p><strong>Key issues: </strong>After full text analysis, 25 papers were included in the current systematic review. Factors influencing the well-being of critical care nurses have been grouped into \"Protective\" and \"Hindering.\"</p><p><strong>Conclusions: </strong>This review shows that critical care nurses' well-being is influenced by factors like personal resilience and supportive work environments, which enhance their experience. Challenges include sociodemographic issues and the COVID-19 pandemic's impact. Addressing these factors is crucial for their well-being and the effectiveness of healthcare systems.</p><p><strong>Implications for clinical practice: </strong>The well-being of nurses is intricately linked to the quality and security of patient care, ultimately influencing clinical outcomes. This review delves deeply into the multifaceted factors that affect the professional well-being of critical care nurses during the COVID-19 pandemic. Recognizing these elements is critical for directing health policy toward the development of initiatives that bolster healthcare workers' welfare. Prioritizing the professional well-being of nurses is imperative, as it is fundamental in mitigating the increasing inclination towards job turnover, a challenge that is profoundly impacting the healthcare sector.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"996-1016"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632814","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":"Childhood and Adolescent Overweight/Obesity Prevalence Trends in Jiangsu, China, 2017-2021: An Age-Period-Cohort Analysis.","authors":"Jinxia Yu, Sunan Chen, Jie Yang, Xiyan Zhang, Hui Xue, Xiaoyan Ni, Wei Du, Lijun Fan, Fengyun Zhang, Yan Wang","doi":"10.1111/phn.13517","DOIUrl":"10.1111/phn.13517","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate temporal trends in childhood and adolescent overweight/obesity in Jiangsu Province, China, evaluating the effects of age, period, and birth cohort.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Sample: </strong>Participants were 210,168 students aged 6-17 years from the five waves of the consecutive cross-sectional Jiangsu provincial surveillance project in 2017-2021.</p><p><strong>Measurements: </strong>Overweight/obesity was assessed according to the sex- and age-specific body mass index. We used age-period-cohort (APC) analysis to explore the temporal trends of overweight/obesity and to estimate the effects of age, period, and birth cohort on the prevalence.</p><p><strong>Results: </strong>The overall prevalence of overweight/obesity has increased from 32.08% to 38.60% between 2017 and 2021. The 6-9-year-old group and the 10-13-year-old group were significantly associated with a higher risk of overweight/obesity, in contrast to 14-17-year-olds. The pandemic was also significantly associated with a much higher risk. The cohort 2000-2003 was associated with higher risk, and such association continued until the cohort 2012-2015, denoting a significantly lower risk.</p><p><strong>Conclusions: </strong>Despite an increasing trend in the prevalence of overweight/obesity, especially during the COVID-19 pandemic, the latest cohort effect was significantly associated with a lower risk. We recommend continuous efforts on preventive interventions and more research about prevalence trends.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"754-761"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907922","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}