Risk Management and Healthcare Policy最新文献

{"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}

{"title":"Exploring Mortality and Prognostic Factors of Heart Failure with In-Hospital and Emergency Patients by Electronic Medical Records: A Machine Learning Approach.","authors":"Cheng-Sheng Yu, Jenny L Wu, Chun-Ming Shih, Kuan-Lin Chiu, Yu-Da Chen, Tzu-Hao Chang","doi":"10.2147/RMHP.S488159","DOIUrl":"10.2147/RMHP.S488159","url":null,"abstract":"<p><strong>Purpose: </strong>As HF progresses into advanced HF, patients experience a poor quality of life, distressing symptoms, intensive care use, social distress, and eventual hospital death. We aimed to investigate the relationship between morality and potential prognostic factors among in-patient and emergency patients with HF.</p><p><strong>Patients and methods: </strong>A case series study: Data are collected from in-hospital and emergency care patients from 2014 to 2021, including their international classification of disease at admission, and laboratory data such as blood count, liver and renal functions, lipid profile, and other biochemistry from the hospital's electrical medical records. After a series of data pre-processing in the electronic medical record system, several machine learning models were used to evaluate predictions of HF mortality. The outcomes of those potential risk factors were visualized by different statistical analyses.</p><p><strong>Results: </strong>In total, 3871 hF patients were enrolled. Logistic regression showed that intensive care unit (ICU) history within 1 week (OR: 9.765, 95% CI: 6.65, 14.34; p-value < 0.001) and prothrombin time (OR: 1.193, 95% CI: 1.098, 1.296; <0.001) were associated with mortality. Similar results were obtained when we analyzed the data using Cox regression instead of logistic regression. Random forest, support vector machine (SVM), Adaboost, and logistic regression had better overall performances with areas under the receiver operating characteristic curve (AUROCs) of >0.87. Naïve Bayes was the best in terms of both specificity and precision. With ensemble learning, age, ICU history within 1 week, and respiratory rate (BF) were the top three compelling risk factors affecting mortality due to HF. To improve the explainability of the AI models, Shapley Additive Explanations methods were also conducted.</p><p><strong>Conclusion: </strong>Exploring HF mortality and its patterns related to clinical risk factors by machine learning models can help physicians make appropriate decisions when monitoring HF patients' health quality in the hospital.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"77-93"},"PeriodicalIF":2.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11727332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980543","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":"Factors Influencing the Willingness of Hospitalized Children's Parents to Engage in Patient Safety: A Cross-Sectional Study.","authors":"Yujeong Kim, Mingi Chang","doi":"10.2147/RMHP.S478114","DOIUrl":"10.2147/RMHP.S478114","url":null,"abstract":"<p><strong>Background: </strong>Hospitalized children's patient safety incidents can have a significant long-term impact on their physical, psychological, cognitive, and social development. Family-centered care emphasizes engaging parents, and parental involvement is an effective way to ensure child safety. This study aims to identify the factors influencing parents of children with hospitalization experiences in their willingness to engage in patient safety.</p><p><strong>Methods: </strong>In this cross-sectional study, we surveyed 210 parents whose children had been hospitalized within the past one year in South Korea. We used a structured questionnaire including patient safety knowledge, patient safety literacy, children's hospitalization experience, and the willingness to engage in patient safety. The collected data were analyzed using descriptive statistics, <i>t</i>-test, chi-square test, analysis of variance, correlational analysis, and regression analysis.</p><p><strong>Results: </strong>The willingness to engage in patient safety had significant positive correlations with patient safety knowledge (r=0.36,<i> p<</i>0.001) and patient safety literacy (r=0.24,<i> p<0</i>.001). The variables that had a statistically significant influence on the willingness to engage in patient safety were the birth order of the hospitalized child (β=0.41, <i>p</i>=0.014), patient safety knowledge (β=0.25, <i>p</i><0.001), communication with the child (β= -0.25, <i>p</i>=0.018), and attention to safety and comfort (β=0.21, <i>p</i>=0.026).</p><p><strong>Conclusion: </strong>This study found that the birth order of the hospitalized child, patient safety knowledge, and children's hospitalization experience are important factors in parents' willingness to engage in patient safety. The findings indicated the need to develop patient safety education programs for parents, considering the facilitators of and barriers to their willingness to engage in patient safety.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"53-63"},"PeriodicalIF":2.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973418","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":"Distance and Direction Matters: Risk Perception Among Residents Around a Dump Yard in Kerala, India.","authors":"Antony Paul Payyappilly, Priya Babu, Manju R Nair","doi":"10.2147/RMHP.S491900","DOIUrl":"10.2147/RMHP.S491900","url":null,"abstract":"<p><strong>Purpose: </strong>Waste mismanagement is a growing concern in developing countries where unsustainable practices such as open dumping and open burning are rampant. This study examined the risk perceptions of the residents living in proximity to the Brahmapuram dump yard, situated in Ernakulam district of Kerala State, India- A site marked by persistent local protests, public outrage, and legal disputes arising from issues related to waste mismanagement. The study focused on the geospatial and sociodemographic factors that might influence these perceptions.</p><p><strong>Patients and methods: </strong>A cross-sectional survey was conducted among 302 respondents living within 4 kilometers from the borders of the dump yard using a structured interview schedule. The responses of the participants were used to compute a risk perception score, which reflected participants' risk perception regarding the environment and their health.</p><p><strong>Results: </strong>Among the participants in the study, those who lived within 2 kilometers (2.3 (95% CI 0.96, 3.7; p<0.001)), those who lived to the east (2.7 (95% CI 1.1, 4.2; p<0.001)) and those who reported perceiving strong malodor from the dump yard (2.0 (95% CI 0.54, 3.4; p=0.007)), had a higher risk perception in the multivariate linear regression model. Women had a lesser risk perception compared to men (-2.6 (95% CI -3.7, -1.4; p<0.001)).</p><p><strong>Conclusion: </strong>The findings highlight the importance of geospatial characteristics (distance and direction), malodor and gender differences in shaping the risk perceptions among the proximate residents living around a waste dump yard. Consideration of geospatial and sociodemographic determinants in risk assessment and management could potentially reduce the perceived risks and public discontent around waste management facilities.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"65-76"},"PeriodicalIF":2.7,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973495","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":"A Summary of the Best Evidence for Wet Pack Management.","authors":"Liangying Yi, Yanhua Chen, Ruixue Hu","doi":"10.2147/RMHP.S497773","DOIUrl":"10.2147/RMHP.S497773","url":null,"abstract":"<p><strong>Background: </strong>Wet pack after steam sterilization of medical devices in healthcare facilities are unacceptable.</p><p><strong>Purpose: </strong>To retrieve, evaluate and integrate the best evidence related to wet pack management.</p><p><strong>Methods: </strong>We searched the JBI, Up To Date, BMJ, National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence (NICE), Scottish Intercollegiate Guidelines Network (SIGN), Cochrane library, PubMed, Guideline International Network (GIN), AORN Journal, and other databases using the pyramid \"6S\" model for guidelines, expert consensus, systematic reviews, evidence summaries, decisions, recommended practices, and technical reports on wet pack management. The period of the literature search is from the establishment of the database to January 2024. Two researchers evaluated the literature quality independently, and evidence was extracted from the literature that met the quality standards. AGREE II assessment system, Cochrane bias risk assessment, and JBI Evidence-Based Health care center authenticity assessment were used as the literature evaluation criteria and the JBI 2014 edition evidence pre-grading system for intervention studies. For all types of research, the literature quality and evidence level was evaluated, extracted, and summarized according to the theme.</p><p><strong>Results: </strong>Based on the inclusion criteria, seven pieces of literature were selected, including three guidelines, three randomized controlled trials, and consensus from an expert. Twenty pieces of evidence were obtained from seven different aspects: device packaging stage, loading stage, sterilization stage, unloading and cooling stage, distribution stage, wet package evaluation and analysis, and personnel training.</p><p><strong>Conclusion: </strong>This study summarizes the best evidence on wet pack management and can provide a reference for staff practices in disinfection supply centers to reduce the incidence of wet packs.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"43-52"},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973494","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":"Factors Associated with Management of Workplace Violence Competence Among Chinese Nursing Interns.","authors":"Lingyao Meng, Lifang He, Lu Ouyang, Mengxue Fu, Pan Li, Yongmei He","doi":"10.2147/RMHP.S491989","DOIUrl":"10.2147/RMHP.S491989","url":null,"abstract":"<p><strong>Purpose: </strong>The cases of workplace violence (WPV) experienced by nurses and nursing students in recent years has become alarming high. However, managing and developing WPV competence among nursing students remain underreported. Therefore, this study investigated the current status of management of workplace violence competence (MWVC) and identify associated factors affecting their MWVC among nursing interns.</p><p><strong>Participants and methods: </strong>A total of 817 nursing interns from six tertiary hospitals in Hunan Province, China, participated in this study in July 2023. Data were collected via online survey questionnaires using the Management of Workplace Violence Competence Scale (MWVCS), the Patient Risk Identification Ability Assessment Questionnaire, and the Professional Identity Questionnaire for Nursing Students (PIQNS).</p><p><strong>Results: </strong>Among participants, 91.1% were female (n=744), 68.1% (n=556) were between 21 to 23 years old, and 54.1% (n=442) obtained a bachelor's degree. The score of management of workplace violence competence was 123.25 (SD=11.06). The multiple linear regression analysis showed that the diploma degree (B=3.152, p<0.001, 95% CI: 2.087-4.217), witnessed a workplace violence incident in a hospital (B=4.274, p<0.001, 95% CI: 3.164-5.384), trained in WPV prevention skills (B=7.196, p<0.001, 95% CI: 6.007-8.386), patient risk identification ability (B=1.006, p<0.001, 95% CI: 1.163-0.893), and professional identity (B=0.693, p<0.001, 95% CI: 0.571-0.815) were the associated factors of MWVC among nursing interns.</p><p><strong>Conclusion: </strong>The MWVC among nursing interns was at an intermediate level. To enhance MWVC, it is recommended to strengthen WPV prevention and management training, particularly for interns with diploma degrees, no experience witnessing WPV incidents, no prior training in WPV prevention skill, and lower levels of patient risk identification ability and professional identity. Our findings may guide the establishment of focused training programs and support measures to improve interns' capacity to manage WPV, increasing their professional growth and mental health while giving significant insights and intervention techniques for nursing educators and managers.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"33-42"},"PeriodicalIF":2.7,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973341","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":"Engaging Community Pharmacies in Promoting Outpatient Medication Safety - Identifying and Prioritizing Research Needs by Modified Nominal Group Technique.","authors":"Emilia Mäkinen, Anna-Kaisa Taimi, Charlotta Sandler, Anna Marietta Schoultz, Anna-Riia Holmström","doi":"10.2147/RMHP.S483642","DOIUrl":"https://doi.org/10.2147/RMHP.S483642","url":null,"abstract":"<p><strong>Introduction: </strong>Medication errors are one of the most endangering factors for patient safety, and they have become a key target for improvement in health- and social care systems worldwide. The most current development needs are related to outpatient care; however, up-to-date medication safety research and improvement activities have primarily focused on hospital environments. To promote medication safety in outpatient care, community pharmacies could be more effectively utilized.</p><p><strong>Objective: </strong>To identify the most central research needs, which would promote the use of community pharmacies in outpatient medication risk management and enhance collaboration between community pharmacies and other parts of the health- and social care system.</p><p><strong>Methods: </strong>The study applied a modified nominal group technique. A group of Finnish patient and medication safety experts (n=28) participated in the study and were divided into four nominal groups (incl. a pilot group). Data collection was conducted through electronic surveys and facilitated online group meetings. The collected data were analyzed using qualitative inductive thematic analysis and quantitative descriptive analysis by the van Breda technique.</p><p><strong>Results: </strong>The final data comprised 83 research needs organized under five main themes with 22 subthemes. The most prioritized research needs covered all five main themes, which were: medication safety collaboration (final rank proportion 30%); medication care pathways (27%); operating processes of community pharmacies (17%); medication safety incident reporting (16%); and community pharmacy-based services improving medication safety (11%).</p><p><strong>Conclusion: </strong>The identified research needs for promoting outpatient medication safety by involving community pharmacies in medication risk management, covered a wide range of areas. Producing evidence about the effectiveness and cost-effectiveness of activities in these areas is particularly needed for practice development and policymaking, together with updating regulations supporting the implementation of the produced evidence.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1-18"},"PeriodicalIF":2.7,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959433","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":"A Narrative Review with Strategic Analysis of Home Care Services for Older Adults in Seoul, South Korea: Toward a Comprehensive Care Approach.","authors":"Dasom Kim, Hyeongsu Kim, Rahil Hwang, Sungwon Jung, Mi Young Kim, Young Ko, Jina Kang, Jinbeom Park, Seoyoung Yun","doi":"10.2147/RMHP.S478550","DOIUrl":"https://doi.org/10.2147/RMHP.S478550","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to establish a role framework and organizational redesign for home care services in response to the evolving internal and external environments in South Korea. The specific objectives were: (1) to perform a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis based on the external and internal factors related to home care services; (2) to propose key ideas for restructuring services and human resources; and (3) to suggest strategies for enhancing the quality of home-based care services.</p><p><strong>Patients and methods: </strong>The policy landscape for older adult healthcare in Seoul, South Korea along with the current state and challenges of home care services were reviewed. A systematic analysis of internal and external factors influencing organizational goals and strategies was conducted following the SWOT analysis framework.</p><p><strong>Results: </strong>We highlight the difficulties in grassroots health management and suggest the need for regional organizational structures. A transition from individual nurse-centric care to a team-based approach is suggested with an emphasis on targeting services to vulnerable groups.</p><p><strong>Conclusion: </strong>Restructuring of home care services is essential with a focus on vulnerable populations and the establishment of performance metrics. Seamless communication between stakeholders and specialized training for team leaders are crucial for successful implementation.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3341-3353"},"PeriodicalIF":2.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933601","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 Severity of the COVID-19 Among Chronic Disease Patients in the Selected Hospitals in Riyadh, Saudi Arabia - A Retrospective Study.","authors":"Mahmood Basil A Al-Rawi, Amer Hayat Ibrahim Khan, Siti Maisharah Sheikh Ghadzi","doi":"10.2147/RMHP.S456155","DOIUrl":"10.2147/RMHP.S456155","url":null,"abstract":"<p><strong>Background and aims: </strong>Chronic disease is a lifelong disorder that necessitates continuing medical care and is more prone to infections such as COVID-19, compared to healthy individuals. Therefore, this study aimed to assess the severity of COVID-19 among chronic disease patients in the Kingdom of Saudi Arabia.</p><p><strong>Methods and materials: </strong>A cross-sectional study was conducted in selected hospitals in the Riyadh region in Saudi Arabia, over 6 months in 2022. All participants' records were reviewed for socio-demographic data including age, gender, residence, marital status, level of education, occupation, and special habits such as smoking or addiction. In addition to this main complaint and present history, history of chronic illnesses, drug intake, surgical interference, general examination findings including vital signs, state of consciousness, general condition at admission and discharge, and outcome of cases were recorded.</p><p><strong>Results: </strong>The mean age of the patient was 54.46 ± 15.85 (median of 53.67 years). In this study, the severity of COVID-19 was significantly associated with chronic diseases. For instance, 22.31% of the patients with diabetes reported mild symptoms, compared with 77.69% of the patients without diabetes. The current findings reported 2.18% of COVID-19 patients with respiratory diseases and 97.82% of the patients without respiratory diseases reported mild symptoms of COVID-19 infection. In comparison, 97.75% of COVID-19 patients without respiratory diseases and 2.25% of patients with respiratory diseases reported moderately severe COVID-19 infection.</p><p><strong>Conclusion: </strong>The current findings revealed that 66.2% of the COVID-19 patients with chronic diseases were free of symptoms, 5.3% of them died and 0.9% of the patients were in a worse situation. The severity of COVID-19 was significantly associated with the presence of chronic diseases. Additionally, medical practitioners must be more knowledgeable about the long-term illnesses that put patients at risk for serious COVID-19 challenges and mortality.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3327-3339"},"PeriodicalIF":2.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11687317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916390","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":"Relationship Between Physical Exercise and Risk of Depression: An Assessment of Intermediate Variables Through Self-Assessed Health Status and Life Satisfaction in the Chinese Family Tracking Survey (CFPS) Data.","authors":"Chaoming Gong, Yue Li, Gaopeng Chen","doi":"10.2147/RMHP.S499489","DOIUrl":"10.2147/RMHP.S499489","url":null,"abstract":"<p><strong>Objective: </strong>Depression is a potential health killer. As an important means of preventing various human diseases, physical exercise plays an important role in reducing the risk of depression. Using data from the Chinese Household Tracking Survey, this study analyzed the mechanisms by which physical exercise, self-rated health and life satisfaction reduce the risk of depression.</p><p><strong>Methods: </strong>The data for this study comes from the China Family Panel Studies (CFPS) released by the China Social Science Survey Centre of Peking University. The 2020 survey data was used as the sample, which contained a total of 21,057 individuals. The study variables were analyzed in sequence for reliability and validity, correlation analysis, regression analysis, structural equation model testing, and bias-corrected percentile Bootstrap testing using SPSS 23.0 software and Hayes' (2013) Process plug-in.</p><p><strong>Results: </strong>Physical exercise was significantly positively correlated with self-assessed health status and satisfaction of life (<i>β</i> = 0.049, <i>p</i> < 0.01; <i>β</i> = 0.075, <i>p</i> < 0.01), and significantly negatively correlated with risk of depression (<i>β</i> = -0.022, <i>p</i> < 0.01); self-assessed health status was significantly positively correlated with satisfaction of life (<i>β</i> = 0.440, <i>p</i> < 0.01), and significantly negatively correlated with risk of depression (<i>β</i> = -0.047, <i>p</i> < 0.01); satisfaction of life was significantly negatively correlated with risk of depression (<i>β</i> = -0.137, <i>p</i> < 0.01).</p><p><strong>Conclusion: </strong>Physical exercise not only negatively predicted the risk of depression, but also indirectly predicted the risk of depression through the independent mediating effects of self-assessed health status and satisfaction of life, as well as chain mediating effects. There were no differences in the effects of physical exercise on depression risk by age, gender and marital status. Significant differences in the effect of physical exercise on depression risk were found among groups with different places of residence.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"17 ","pages":"3315-3325"},"PeriodicalIF":2.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11682662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904135","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}