Public Health Nursing最新文献

{"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-31","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-31","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}

{"title":"Mobile Application-Based Care on Health Outcomes in Patients With Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.","authors":"Manyu Long, Yingping Fu, Hui Liang, Lingxue Duan, Songyuan Tie, Jing Wang, Shuya Wang","doi":"10.1111/phn.13502","DOIUrl":"https://doi.org/10.1111/phn.13502","url":null,"abstract":"<p><strong>Background: </strong>Effective disease management is crucial for rheumatoid arthritis (RA) patients as it can significantly reduce disease-associated symptoms. Currently, the utilization of mobile applications for managing RA patients has gained widespread popularity in clinical settings. However, there is a notable absence of a comprehensive meta-analysis exploring their effectiveness specifically in the context of RA patients.</p><p><strong>Objective: </strong>The purpose of our research was to evaluate the effectiveness of mobile app-based care for patients with rheumatoid arthritis.</p><p><strong>Methods: </strong>We searched eight databases, including CNKI and PubMed, for randomized controlled trials on the implementation of care for RA patients by mobile apps. This search encompassed a timeframe ranging from the inception of the databases to December 1, 2023. Two researchers reviewed the literature and gathered data based on inclusion and exclusion criteria. The quality of the study was evaluated using the Cochrane Handbook version 5.1.0. The meta-analysis was carried out using Revman5.4. software.</p><p><strong>Results: </strong>Eight articles encompassing 3175 patients were retrieved for analysis. Over one-half of the research was from China, duration of the intervention was 6 weeks to 12 months, and eight included studies were of moderate quality. The meta-analysis revealed that mobile app-based care was effective in relieving disease activity, relieving pain, and improving patients' quality of life, however, the impact on self-management was not clear.</p><p><strong>Conclusion: </strong>Mobile app-based care has proven effective in reducing disease activity, alleviating joint pain, and improving quality of life in RA patients. Nonetheless, an in-depth study is recommended to clarify the potential of these interventions for self-management.</p><p><strong>Trial registration: </strong>International Prospective Register of Systematic Reviews; Registration number: CRD CRD42024498623.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907923","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":"Recovery From Heroin Addiction: A Qualitative Study.","authors":"Jessica Krowka, Loretta Aller","doi":"10.1111/phn.13526","DOIUrl":"https://doi.org/10.1111/phn.13526","url":null,"abstract":"<p><strong>Objective: </strong>Understanding the recovery process from heroin addiction is crucial as nonmedical opioid use persists. This study aims to comprehensively describe the recovery journey, focusing on the experiences and challenges faced by individuals in recovery to inform treatment approaches and support strategies.</p><p><strong>Methods: </strong>This qualitative study, guided by critical social theory, emphasized balancing power dynamics and fostering equal participation to ensure all voices are heard, challenging traditional hierarchies and promoting inclusivity. Data were collected through audio-recorded and semi-structured interviews, and analyzed using Diekelmann's framework. Participants included 10 adults in recovery from heroin addiction, recruited through convenience and snowball sampling methods.</p><p><strong>Results: </strong>A relational theme \"As normal as you can get\" was supported by four categories of (a) Being ready: You have to want this; (b) Structure: I need to do certain things through my week and I need to let you know why; (c) Obligation: You realize death was at your door, so many people are dying and you've been granted this gift; and (d) Acceptance: I am who I am today.</p><p><strong>Conclusion: </strong>Understanding recovery experiences is essential for effective education and support for those at risk of relapse. Insights from this study can help guide the selection of successful treatment and recovery options.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911136","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level of Information and Awareness About Colorectal Cancer and Its Screening Program in Türkiye: A Community-Based Cross-Sectional Study.","authors":"Hatice Merve Alptekin, Burcu Küçükkaya","doi":"10.1111/phn.13519","DOIUrl":"https://doi.org/10.1111/phn.13519","url":null,"abstract":"<p><strong>Objective: </strong>Colorectal cancer (CRC) has high mortality if it is detected in advanced stages, persons can lower their risk of CRC by adopting a healthy lifestyle that may lead to prevention. Screening is the most powerful public health tool to reduce mortality, considering the challenges of making substantial lifestyle changes or implementing widespread primary prevention strategies to lower the risk of CRC. This study aims to find out the levels of information and awareness about CRC and its screening program in individuals living in Türkiye.</p><p><strong>Design: </strong>This study was a community-based cross-sectional.</p><p><strong>Sample: </strong>This study was performed from November 2019 to November 2022 with a web-based survey circulated through social media and communication platforms. The research was conducted with 4146 participants.</p><p><strong>Measurements: </strong>The \"Survey Form\" was used in the data collection. Descriptive statistics and logistic regression were used in the data analysis.</p><p><strong>Results: </strong>The study found that 43.3% of participants had information about CRC and its screening program. Among all participants, 94.7% had never undergone CRC screening, and 55.6% were aware of a CRC awareness month. The study also revealed that participants who were knowledgeable about CRC screening were more likely to have a family history of cancer, a personal history of cancer, prior awareness of CRC, and previous information about the disease. Additionally, they were more likely to have undergone CRC screening before and to believe that CRC screening is necessary.</p><p><strong>Conclusion: </strong>It was found that the majority of participants had no information on CRC and its screening program and never underwent CRC screening before. More studies should be performed to find out the factors negatively affecting the participation of individuals in the CRC screening program.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883442","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":"Modifiable Risk Factors for Breast Cancer: Insights From Systematic Reviews.","authors":"Xuehua Li, He Zhang, He Yang, Yingli Song, Fengpei Zhang, Aiping Wang","doi":"10.1111/phn.13504","DOIUrl":"https://doi.org/10.1111/phn.13504","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a comprehensive review of reversible factors associated with breast cancer, with the aim of offering insights for the creation of early intervention strategies for breast cancer prevention.</p><p><strong>Methods: </strong>The PubMed, EMBASE, and Scopus databases were systematically searched to collect systematic reviews and meta-analyses related to breast cancer risk. Searches were limited to literature published from the inception of each database up to May 1, 2024. Two investigators independently screened the literature, extracted data, and assessed the methodological quality and evidence synthesis of the studies included in our review.</p><p><strong>Results: </strong>We included 31 systematic reviews in our analysis, and breast cancer risk factors were divided into four categories: diet and lifestyle habits, reproductive and familial factors, body weight and physical activity, and environmental and miscellaneous factors.</p><p><strong>Conclusion: </strong>Our findings suggest that a high-fat diet, low intake of dietary fiber, alcohol consumption, smoking, and obesity are linked to a higher risk of breast cancer. Conversely, physical activity and breastfeeding appear to lower breast cancer risk. However, the methodological and evidence quality of the reviewed studies was generally low, necessitating caution in the application of these findings. Additionally, there is a need for more research into lifestyle interventions to better develop and advocate for effective breast cancer prevention strategies.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878483","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":"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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-22","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":"Prevalence and Risk Factors of Poststroke Cognitive Impairment: A Systematic Review and Meta-Analysis.","authors":"Yuxia Ma, Yifang Yang, Xinyu Wang, Yanan Huang, Jinhan Nan, Juanjuan Feng, Fanghong Yan, Lin Han","doi":"10.1111/phn.13503","DOIUrl":"https://doi.org/10.1111/phn.13503","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a common disease that poses a significant threat to human health. Approximately one-third of stroke patients experience poststroke cognitive impairment (PSCI), which severely impacts their quality of life and survival time. Although the prevalence and risk factors for PSCI have been widely reported, these results have not been synthesized.</p><p><strong>Objectives: </strong>This systematic review was conducted to explore the prevalence and risk factors of PSCI.</p><p><strong>Methods: </strong>PubMed, EMBASE, Web of Science, and Cochrane Library were comprehensively searched for studies exploring the prevalence and risk factors of PSCI from inception to July 5, 2022.</p><p><strong>Results: </strong>A total of 49 articles were included for meta-analysis. It was found that the combined prevalence of PSCI was 39%-47%. Risk factors for PSCI include female gender, age, education level less than 7 years, atrial fibrillation, diabetes, smoking, drinking, hypertension, coronary artery disease, carotid artery plaque, admission NIHSS score ≥ 5, unemployment, and homocysteine.</p><p><strong>Conclusions: </strong>This systematic review has revealed a combined prevalence of PSCI is ranging from 39% to 47% and identified several risk factors for PSCI. These findings indicate a high incidence of the condition and underscore the need for increased public awareness. Future investigations should prioritize the identification of PSCI risk factors, providing a theoretical basis for nursing professionals to effectively manage and treat PSCI patients.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866335","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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2024-12-18","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}