Risk Management and Healthcare Policy最新文献

{"title":"Alcohol in Daily Products: Health Risks, Cultural Considerations, and Economic Impacts.","authors":"Yedi Herdiana","doi":"10.2147/RMHP.S495493","DOIUrl":"10.2147/RMHP.S495493","url":null,"abstract":"<p><p>Ethanol, a bioactive compound prevalent in both social and industrial applications, is present in alcoholic beverages as well as a range of everyday products. In food, ethanol functions primarily as an additive or a by-product of fermentation, while in pharmaceuticals and cosmetics, it serves as a solvent or preservative. Despite its widespread use, three critical research gaps exist in current literature. First, existing research focuses predominantly on single-sector analyses, overlooking the cumulative effects of cross-sectoral ethanol exposure. Second, despite growing global market integration, there is limited understanding of how cultural and religious requirements influence ethanol-related regulations and product formulations. Third, current economic models fail to integrate both health impact costs and cultural compliance expenses, hindering effective policy development. The World Health Organization has determined that no amount of alcohol consumption can be considered entirely safe, as ethanol's health impacts include contributions to chronic diseases, neurotoxicity, and potential carcinogenic effects. These risks are compounded by the pervasive and often unrecognized presence of ethanol in various products, particularly affecting vulnerable populations. The economic burden associated with alcohol-related issues, including lost productivity and healthcare costs, highlights the necessity for robust public health strategies and stringent regulatory guidelines. This review investigates ethanol's role across multiple domains, emphasizing its presence in food, medicine, cosmetics, and industrial products, and evaluates its broader implications for public health, cultural practices, and economic impact. This review recommend implementing standardized labeling systems, establishing cultural-sensitive alternatives in product formulations, and developing harmonized international guidelines for ethanol use across industries.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"217-237"},"PeriodicalIF":2.7,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025786","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":"Translation and Validation for the Portuguese Population of the Bedside Handover Attitudes and Behaviors Questionnaire.","authors":"Paulo Cruchinho, María Dolores López-Franco, Gisela Teixeira, Pedro Lucas, Filomena Gaspar","doi":"10.2147/RMHP.S482728","DOIUrl":"10.2147/RMHP.S482728","url":null,"abstract":"<p><strong>Purpose: </strong>The Bedside Handover Attitudes and Behaviors questionnaire is a 32-item instrument originally developed in English that enables nurse managers to monitor the consistency of nurses' practice during the implementation of the Nursing Bedside Handover. We aimed to cross-culturally validate this questionnaire for the Portuguese population and to examine its psychometric properties.</p><p><strong>Methods: </strong>An exploratory-descriptive, quantitative, cross-sectional, and validation study was conducted. A sample of 241 nurses from a Portuguese acute care hospital participated in the field test. The questionnaire was cross-culturally adapted through translation, translation synthesis, and back-translation procedures, an expert committee harmonization, and two pre-tests.</p><p><strong>Results: </strong>We obtained one factorial solution through exploratory factor analysis that explained 53.5% of the total variance, with 18 items distributed by four components: Direct Engagement, Personal Interaction, Information Sharing, and Individualized Approach. Confirmatory factor analysis supported the four-factor factorial structure of the questionnaire X²/df = 1.440; CFI = 0.0953; GFI = 0.926; RMSEA = 0.043; P[rmsea] < 0.001; MECVI = 1.175). <i>Cronbach'</i>s α indicated acceptable reliability for the total questionnaire (α = 0.790). The refinement of the instrument led to the proposal of a new Conceptual Model for Patient Participation in Nursing Bedside Handover.</p><p><strong>Conclusion: </strong>The questionnaire is valid and reliable for use by Portuguese nurse managers. This adapted version of the BHAB questionnaire can be applied by nurse managers to facilitate the implementation of Nursing Bedside Handover.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"185-203"},"PeriodicalIF":2.7,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016999","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":"Sanming Model of Medical Service Integration: Impact on Medical Expenditures, Service Provision, and Resource Allocation in China.","authors":"Kunhe Lin, Xiao Liu, Li Xiang, Fei Luo","doi":"10.2147/RMHP.S503613","DOIUrl":"10.2147/RMHP.S503613","url":null,"abstract":"<p><strong>Background: </strong>Fragmentation of healthcare services has been a central issue, contributing to escalating medical expenditures and service provision, thereby exacerbating the waste of limited medical resources. In response, China has introduced the Sanming Mode, a medical service integration model designed to address these challenges. This study evaluates the model's impact on medical expenditures, service provision, and resource allocation.</p><p><strong>Methods: </strong>We conducted an interrupted time series analysis on outcome variables related to medical expenditures, service provision, and resource allocation in Sanming City. The dataset encompassed operational data from all public hospitals and community health service institutions in Sanming from January 2016 to November 2019.</p><p><strong>Results: </strong>Post-reform, the monthly medical expenditures, outpatient visits, and inpatient admissions in Sanming City shifted from a rapid growth trend to a slower growth trend, with slopes decreasing by 0.1%, 1.4%, and 0.5%, respectively. Heterogeneity analysis between hospitals and community health service institutions revealed a more pronounced slowdown in the growth rate of monthly medical expenses in community health service institutions. However, the growth rates for outpatient and inpatient visits in hospitals significantly decreased post-reform, while there was no significant change observed in community health service institutions.</p><p><strong>Conclusion: </strong>The Sanming Model represents a significant localized attempt to integrate hospital and community health services in China. It effectively curbs the rapid growth of medical expenditures and service provision, thereby reducing the consumption of basic medical insurance funds. The Model enhances the efficiency of medical resource utilization and promotes a shift in service provision from hospitals to community health service institutions, reflecting a trend in resource allocation that concentrates serious illnesses in hospitals while directing minor health issues to community health service institutions. This positive impact promotes the effective integration and rational allocation of medical resources.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"205-216"},"PeriodicalIF":2.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016993","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":"Health Literacy, Label Comprehension, and Consumer Perceptions of Quasi-Drug Information Among Korean Adults: A Cross-Sectional Study.","authors":"Youngill Ko, Heui Jae Kim, Seung-Mi Lee","doi":"10.2147/RMHP.S502368","DOIUrl":"10.2147/RMHP.S502368","url":null,"abstract":"<p><strong>Purpose: </strong>Health literacy (HL) is crucial in understanding labels of healthcare products. This study aimed to evaluate HL and its impact on comprehending quasi-drug labels, assess consumer perceptions of key label elements and their perceived importance, and provide actionable recommendations for improving label design and health communication.</p><p><strong>Methods: </strong>An online cross-sectional survey of 500 Korean adults (aged 20-69) was conducted in September 2023 using proportionate stratified sampling based on the 2020 Korean Census. HL was assessed using the Korean Rapid Estimate of Adult Literacy in Medicine (REALM-K). The survey included demographic data, quasi-drug usage patterns, comprehension of 63 quasi-drug terms, and perceptions of label elements. A 5-point Likert scale was used to assess the importance, agreement, and need for improvement of label elements, and statistical analyses included descriptive statistics, chi-square tests, <i>t</i>-tests, Pearson correlation, and logistic regression.</p><p><strong>Results: </strong>Most participants had inadequate HL (68.4%). Adequate HL is strongly associated with higher comprehension of quasi-drug terms (r = 0.783, <i>p</i> < 0.001). Older age (60-69 years, AOR = 5.97, 95% CI: 1.74-20.48) and adequate HL (AOR = 28.54, 95% CI: 9.68-84.15) positively influenced comprehension. Participants with adequate HL rated the importance of label elements, such as \"ingredient name\" (mean = 4.02, SD = 0.79, <i>p</i> = 0.015) and \"contraindications\" (mean = 4.68, SD = 0.57, <i>p</i> < 0.001), higher than those with inadequate HL.</p><p><strong>Conclusion: </strong>Significant disparities exist in the comprehension and perceived importance of quasi-drug label elements based on HL levels among Korean adults. Findings emphasize the need for targeted strategies, such as using simplified language and visual aids, to enhance label comprehension. These interventions could improve public health outcomes by increasing understanding of quasi-drug information across diverse HL levels. Future research should focus on developing and testing these targeted interventions to bridge the identified comprehension gap.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"173-183"},"PeriodicalIF":2.7,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016985","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":"Cost-Benefit Analysis of in vivo Reflectance Confocal Microscopy for Melanoma Diagnosis in a Real-World Clinical Setting.","authors":"Giacomo Matteo Bruno, Sergio Di Matteo, Caterina Longo, Ignazio Stanganelli, Francesca Farnetani, Stefania Borsari, Laura Mazzoni, Silavana Ciardo, Margherita Raucci, Serena Magi, Sara Bassoli, Marco Spadafora, Victor Desmond Mandel, Alice Casari, Johanna Chester, Shaniko Kaleci, Giorgio Lorenzo Colombo, Giovanni Pellacani","doi":"10.2147/RMHP.S487814","DOIUrl":"10.2147/RMHP.S487814","url":null,"abstract":"<p><strong>Background: </strong>In a recent prospective, multicenter, two-arm randomized controlled trial (RCT), we demonstrated that adjunctive reflectance confocal microscopy (RCM) in routine clinical practice provides clinical benefits, including safe melanoma detection and a 43.3% reduction in the number needed to excise (NNE).</p><p><strong>Methods: </strong>A cost-benefit analysis was conducted based on NNEs for standard care (5.3) and adjunctive RCM (3.0). Cost data were supplied by one center, applying a micro-costing approach from the hospital's perspective. Costs were calculated for dermatology exams, excisions, medications, histopathology, and follow-up. The outcomes were extrapolated to provincial and national settings to assess the economic benefits of RCM.</p><p><strong>Results: </strong>The cost per patient for standard care was €143.63, compared to €114.74 for adjunctive RCM. The cost per melanoma excised with standard care (NNE 5.3) was €904.87, almost twice the cost for RCM (€458.96). Annual regional and national costs for standard care were €864,150.85 and €11,491,849.00, respectively, while RCM reduced these to €438,306.80 and €5,828,792.00. Estimated annual savings with adjunctive RCM were €425,844.05 regionally and €5,663,057.00 nationally. The cost-benefit ratio for RCM was 3.89, meaning that for every €1 spent on RCM, there is a benefit of €3.89.</p><p><strong>Conclusion: </strong>In real-world clinical practice, adjunctive RCM offers significant economic advantages at local, regional, and national levels while maintaining patient safety and reducing unnecessary surgical procedures.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"163-172"},"PeriodicalIF":2.7,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016972","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":"Epidemiology, Controversies, and Dilemmas of Perioperative Nutritional Risk/Malnutrition: A Narrative Literature Review.","authors":"Miao He, Yuanzhu Long, Rong Peng, Pinglin He, Yue Luo, Yan Zhang, Weiwei Wang, Xiaoqian Yu, Lei Deng, Zhaoqiong Zhu","doi":"10.2147/RMHP.S496098","DOIUrl":"10.2147/RMHP.S496098","url":null,"abstract":"<p><p>Current perioperative nutrition management is discouraging due to the under-recognition of clinical nutrition and the lagging development of clinical nutriology. This review aimed to identify and explore epidemiology, related adverse outcomes, controversies, and dilemmas of perioperative nutritional risk/malnutrition to call for further development of perioperative nutritional medicine. Databases including PubMed, Embase, Cochrane Library, Wanfang Database, China National Knowledge Infrastructure, China Biology Medicine disc, and Chongqing VIP Database were searched for articles published between January 1, 2014 and August 31, 2024 using the following MeSH terms: (\"nutritional risk\"[Title/Abstract] OR \"malnutrition\"[Title/Abstract] OR \"undernutrition\"[Title/Abstract]) AND (\"surgery\"[Title/Abstract] OR \"surgical\"[Title/Abstract] OR \"operative\"[Title/Abstract] OR \"operation\"[Title/Abstract]). The incidence of nutritional risk was in the 20% range in patients undergoing elective surgery, 54% in older adults, 44-70% in patients with tumors or major elective surgeries, and 50-55% in children. The incidence of malnutrition ranged from 11-77% in surgical patients. Nutrition-related perioperative adverse events included mainly infection, wound healing disorders, reoperation and unplanned readmission, prolonged hospital stay, mortality, perioperative neurocognitive dysfunction, and venous thrombosis. Current controversies and dilemmas in this field include the low rates of nutrition screening and medical nutrition therapy, numerous nutrition screening tools and malnutrition diagnostic criteria, no consensus on optimal assessment method, low level of evidence-based clinical nutrition research and lack of in-depth mechanistic studies, inconsistent timing of nutrition assessment, lack of reports for community hospitals, small hospitals, and low/middle-income countries or regions, and under-recognition of micronutrient malnutrition. It is, therefore, necessary for perioperative patients to undergo nutritional screening at the first outpatient visit before surgery and/or on admission. Perioperative nutritional management needs urgent attention and requires a multidisciplinary team, including anesthesia, nursing, nutrition, and surgery.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"143-162"},"PeriodicalIF":2.7,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11740574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016975","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":"Global Trends in the Incidence and Primary Causes of Femoral Fractures, Excluding Femoral Neck Fractures: A Global Epidemiological Study.","authors":"Fanyu Fu, Bo Liu, Haifang Pu, Yuebin Wang, Pengfei Zhang, Song Wei, Hao Gu, Qian Zhang, Hengli Ye","doi":"10.2147/RMHP.S498918","DOIUrl":"10.2147/RMHP.S498918","url":null,"abstract":"<p><strong>Purpose: </strong>Fractures pose a significant global health challenge, with varying incidence trends and causes across demographics and regions. This study aims to analyze global patterns in the incidence and primary causes of femoral shaft fractures.</p><p><strong>Methods: </strong>Data from the Global Burden of Disease database were analyzed for femoral fractures (excluding femoral neck fractures) by age, gender, and socio-demographic index regions. The estimated annual percentage change (EAPC) was calculated to assess trends in the incidence of femoral shaft fractures.</p><p><strong>Results: </strong>Global femoral fracture cases increased from 8,559,886 in 1990 to 11,566,429 in 2021, a rise of 35.12%. However, the incidence rate dropped from 160.49 to 146.57 per 100,000 (EAPC: -0.35). Males consistently had higher rates, reaching 155.53 per 100,000 in 2021. The 15-49 age group recorded the most cases, while individuals aged 75 and older saw the largest rise in incidence, from 445.91 to 603.32 per 100,000. In 2021, Slovenia (616.1 per 100,000), Croatia (568.51 per 100,000), and Czechia (434.77 per 100,000) reported the highest rates, while Malawi, Kiribati, and Liberia had the lowest (<63 per 100,000). Leading causes were mechanical forces, motor vehicle injuries, and pedestrian injuries, with notable regional disparities.</p><p><strong>Conclusion: </strong>Although the global incidence rate of femoral shaft fractures has declined, it has risen significantly among older adults, increasing their burden. Understanding regional variations in causes is crucial for developing targeted public health interventions to address this growing issue.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"117-129"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016981","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":"Impact of Order Restrictions on Hemoglobin A1c Requests at Primary Health Care Centers in Riyadh, Saudi Arabia.","authors":"Maha Alakeely, Nazish Masud, Fatemah Bin Saleh, Razan Alghassab, Nouf AlFagih, Moath Abdulmohsen Alkathiri, Sarrah Albakri","doi":"10.2147/RMHP.S499918","DOIUrl":"10.2147/RMHP.S499918","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study was to assess the effect of policy intervention on the physician ordering of HbA1c for the patients seen at the primary health care center in Riyadh, Saudi Arabia.</p><p><strong>Methods: </strong>The study included patients over the age of 18 for whom HbA1c tests were ordered before and after the policy restrictions were implemented at the three main Primary Health Care Centers under the Ministry of National Guard Health Affairs (MNGHA) in Riyadh, between October 2020 and August 2023. Several data management steps and restrictions were carried out to identify the patients seen before and after the intervention and controlled for the confounders. The outcome variable was inappropriate testing, and early testing was defined based on standard cutoffs of HbA1c, diabetic control, and patient history. The logistic regression analysis was used to identify predictors for early testing.</p><p><strong>Results: </strong>Among 16,290 participants, the mean age was 50 ± 16 years, with a predominance of females (66.5%). Approximately 22.3% of participants were diabetic, and the mean HbA1c level was 6.2 ± 1.55%. About 89.6% of tests were deemed inappropriate based on criteria for glycemic control, diabetic status, and duration of testing. Policy restrictions led to a 70.3% reduction in the odds of early testing (OR = 0.297, 95% CI: 0.246-0.358, p < 0.001). Each unit increase in HbA1c decreased the odds of early testing by 1.517 (OR = 0.219, 95% CI: 0.193-0.249, p < 0.001). Additionally, younger participants were more likely to undergo early testing, with odds decreasing by 3% for each additional year of age (OR = 0.970, 95% CI: 0.966-0.974, p < 0.001).</p><p><strong>Conclusion: </strong>We conclude that policy restriction alone might not be effective in reducing the burden of early testing. The early testing tendency was less in the post-intervention period. However, early testing was a common practice in both pre- and post-intervention phases. As physicians are the ones ordering the tests, deeper insight is needed from the physician's perspective.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"95-104"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016989","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":"The Relationship Between Physical Activity Levels and Periodontal Health Status Among College Students: A Cross-Sectional Study.","authors":"Piaopiao Qiu, Bo Dong, Rongkai Cao, Junli Hu, Jiaao Yang, Ruoqi Yu, Zhen Fan","doi":"10.2147/RMHP.S498108","DOIUrl":"10.2147/RMHP.S498108","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between physical activity levels and periodontal health status among college students in Shanghai, with the goal of informing oral health policy recommendations.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from March 2023 to March 2024 involving 120 university students aged 18-29. Data was collected using the World Health Organization (WHO) oral health survey methods. Periodontal status was assessed using the Community Periodontal Index (CPI), and physical activity was measured with a simplified version of the International Physical Activity Questionnaire (IPAQ). Data analysis was performed using Statistical Package for the Social Sciences (SPSS) version 27.0 (IBM, USA), employing chi-square tests and multivariable logistic regression.</p><p><strong>Results: </strong>Among the participants (77 males, 43 females), 70% met physical activity guidelines. Adjusting for gender, age, tooth brushing frequency, and dental floss use, insufficient physical activity was associated with higher odds of periodontitis (adjusted model: OR = 5.293, 95% CI = 1.334 to 20.993, <i>p</i> = 0.018). High-intensity physical activity significantly reduced the incidence of periodontitis (<i>p</i> = 0.006), while sedentary behavior showed no significant correlation (<i>p</i> = 0.176).</p><p><strong>Conclusion: </strong>Promoting physical activity among college students may enhance periodontal health, underscoring the need to integrate oral and public health initiatives.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"131-141"},"PeriodicalIF":2.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016996","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":"Interventions to Improve Sexual and Reproductive Health Related Knowledge and Attitudes Among the Adolescents: Scoping Review.","authors":"Yayu Handayani Syaidar Putri, Ida Maryati, Tetti Solehati","doi":"10.2147/RMHP.S490395","DOIUrl":"10.2147/RMHP.S490395","url":null,"abstract":"<p><p>Many interventions have been studied to improve sexual and reproductive health (SRH) knowledge and attitudes. These interventions aim to prevent adolescents from the risk of sexually transmitted infections (STIs), unwanted pregnancy, and abortion. The lack of comprehensive sex education contributes to adolescents' limited understanding of SRH. This study aims to describe reproductive health educational interventions aimed at preventing the RH triad (STIs, unintended pregnancies, and abortions) in adolescents. This study employed a scoping review method. Articles were searched from three databases: CINAHL, PubMed, and Scopus. The keywords used were: reproductive health, sex education, adolescent, knowledge, behavior, intervention. Inclusion criteria included quantitative intervention research, quasi-experimental, or randomized controlled trials; involving adolescents aged 10-19 years; describing at least one intervention to improve knowledge, attitudes, or awareness about reproductive health; and published in English or Indonesian between 2019-2024. Data were manually extracted and analyzed descriptively using qualitative methods. Based on the search results, 13 articles were identified that discussed interventions to improve adolescents' knowledge and attitudes towards reproductive health. The types of interventions included smartphone-based, school-based, game-based, educational, and family-based interventions. The duration of interventions varied from a few sessions to several months. Activities included watching videos, accessing educational materials through apps, participating in discussions and demonstrations at school, playing educational games, and engaging in interactive family sessions. These interventions generally aim to enhance adolescents' knowledge and attitudes towards reproductive health through various methods and durations. Further studies are needed to explore and develop more comprehensive and contextual interventions for diverse adolescent groups.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"105-116"},"PeriodicalIF":2.7,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985601","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}