BMC Public Health最新文献

{"title":"Longitudinal policy surveillance of state obesity legislation in California, 1999-2020.","authors":"Denise D Payán, Alec M Chan-Golston, Kesia K Garibay, Corbin Farias","doi":"10.1186/s12889-024-20557-y","DOIUrl":"10.1186/s12889-024-20557-y","url":null,"abstract":"<p><strong>Background: </strong>Obesity rates among children and adults continue to accelerate in the U.S., particularly among marginalized and low-income populations. Obesity prevention and reduction policies can significantly impact population health by improving environmental conditions and increasing access to health-promoting resources. Limited research has been conducted to examine state obesity policy change over time. The primary aim of this study is to examine legislative approaches used to prevent and reduce obesity in the state of California (U.S.).</p><p><strong>Methods: </strong>We used quantitative policy surveillance methods to develop a state database of obesity-related legislation (bills, resolutions) introduced in California's legislature between 1999 and 2020. Descriptive statistics were used to examine trends of introduced and enacted policy by legislative and policy characteristics. Chi-square tests were used to determine differences in characteristics between enacted and non-enacted legislation. Legislative session and policy characteristics found to be associated with enactment were used to predict adoption in a logistic regression.</p><p><strong>Results: </strong>A total of 284 obesity-related bills and resolutions were introduced in California's legislature between 1999 and 2020 with a peak of 43 in 2005-2006. On average, 25.8 bills and resolutions were introduced each 2-year legislative cycle. Findings indicate that (a) children and schools were the most frequently specified population and setting; (b) the most common policy topics were nutrition (45%) and physical activity (33%); and (c) only 15% of legislation mentioned race/ethnicity. Overall, 24.9% of bills were enacted compared to 82.1% of resolutions adopted. Legislation to raise awareness about obesity had 5.4 times the odds of being passed compared to other topics. Yet this difference was not statistically significant in a sensitivity analysis when we excluded resolutions.</p><p><strong>Conclusions: </strong>This database can be leveraged to advance our knowledge of effective and equitable policy instruments to prevent and reduce obesity. Results reveal important policy elements that may impact legislative success, including policy topic, and contribute to a nascent evidence base for public health law research, legal epidemiology, and practice. Future work should investigate the role of policy effectiveness research and evidence on legislative policymaking.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a questionnaire to evaluate the productive engagement of Chinese older adults in the community.","authors":"Yingjie Shen, Mingli Zhao, Wenya Zhao, Shuangshuang Dai, Xue Wang, Yijia Zhuo","doi":"10.1186/s12889-024-20582-x","DOIUrl":"10.1186/s12889-024-20582-x","url":null,"abstract":"<p><strong>Background: </strong>The evaluation of productive engagement of old adults has become a challenging task because cultural, ethical, religious, and other personal values may influence perceptions of the meaning and consequences of productive engagement. Assessing the productive engagement of the older adults is crucial to promote active and productive aging. The objective of this study was to develop and validate a questionnaire concerning the productive engagement of Chinese older adults in the community.</p><p><strong>Methods: </strong>A draft scale was created via a literature review and interviews with 17 older adults in the community, following the cross-cultural framework for productive engagement in later life. Content validity was assessed by seven experts. Subsequently, a preliminary questionnaire containing 33 items was developed and its psychometric properties were evaluated.</p><p><strong>Results: </strong>The final version of the questionnaire was composed of 27 items distributed across five dimensions. The overall standardized Cronbach's α for the productive engagement questionnaire was 0.904, with individual dimension values ranging from 0.759 to 0.869. Nearly all dimensions displayed satisfactory factor loadings. The correlation coefficient between each item's score and its respective dimension ranged from 0.473 to 0.723.</p><p><strong>Conclusions: </strong>The developed questionnaire exhibited good validity and reliability, showing promise for effectively evaluating the productive engagement level of Chinese older adults within the community.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supporting vulnerable families' meal practices: process evaluation of a nationwide intervention implemented by a retailer and social organizations.","authors":"Vos Marjolijn, Van Kerckhove Anneleen, Deforche Benedicte, Proesmans Viktor, Michels Nathalie, Poelman Maartje, Geuens Maggie, Van Lippevelde Wendy","doi":"10.1186/s12889-024-20488-8","DOIUrl":"10.1186/s12889-024-20488-8","url":null,"abstract":"<p><strong>Background: </strong>Lower socioeconomic status (SES) is associated with poorer dietary habits and fewer family meals. Therefore, initiatives to empower families with a lower SES to adopt healthier meal practices are employed. The objective of this study was to evaluate a nationwide intervention \"Dinner is served at 1-2-3 euros\", developed by a Belgian retailer in collaboration with social organizations. It targets families with a lower SES and aims to promote more balanced and freshly cooked meals by providing recipe booklets of affordable meals at a guaranteed price of 1, 2, or 3 euros per portion. The process evaluation aimed to gain insight into the implementation process (Reach, Recruitment, Dose-delivered, Context), the satisfaction with the intervention (Dose-received), and the perceived impact of intervention participation.</p><p><strong>Methods: </strong>A mixed-methods study combining qualitative (i.e., focus groups and individual interviews) and quantitative research (i.e., surveys) was conducted. An interview with the retailer (n = 1), three focus group interviews with the involved social organizations (n = 15), and interviews with participants of \"Dinner is served at 1-2-3 euros\" (n = 26) were carried out, as well as surveys among these social organizations and participants.</p><p><strong>Results: </strong>Social organizations were generally satisfied with the project and appreciated the collaboration with the retailer. The main barrier to implement the project was a lack of time to help participants subscribing. Participants appreciated the inspiration from the recipe booklets, and the recipes' ease of preparation, their healthiness, and the variety. However, the recipes were sometimes deemed too exotic for participants' children. Participants also appreciated the budget friendliness, although the price guarantee mechanism of 1, 2 or 3 euros per portion was not always clear. Positive effects were mentioned in areas such as perceived healthy cooking and eating, improved cooking skills and ideas, and reduced financial concerns.</p><p><strong>Conclusions: </strong>In general, participants and social organizations were satisfied with the delivery and implementation of the intervention. Participants also noted some positive effects on their meal practices. Future research should provide insight into the intervention's effectiveness and impact on the healthiness of participants' dietary choices.</p><p><strong>Trial registration: </strong>The study protocol was pre‑registered prior to data collection at Clinicaltrials.gov (NCT05595551-27/10/2022).</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social support, self-efficacy, self-esteem, and self-management behaviors among people living with HIV/AIDS in China: a structural equation modeling analysis.","authors":"Haitao Huang, Ling Tu, Xiaona Zhang, Liao Zhang, Jianxiong Zhang, Qin Liu, Qianwen Liu, Ying Liu, Hong Chen","doi":"10.1186/s12889-024-20541-6","DOIUrl":"10.1186/s12889-024-20541-6","url":null,"abstract":"<p><strong>Background: </strong>Understanding the psychosocial factors influencing self-management behaviors among people living with HIV/AIDS (PLWHA) is crucial for effective medical interventions and improving their quality of life. However, few studies have explored the psychosocial mechanisms influencing self-management behaviors among PLWHA in China. This study, conducted in accordance with STROBE guidelines, uses SEM to explore the roles of social support, self-efficacy, and self-esteem in predicting self-management behaviors among Chinese PLWHA.</p><p><strong>Methods: </strong>From March 2023 to July 2023, a convenience sample of 282 PLWHA, recruited from one designated AIDS hospital and one Centers for Disease Control and Prevention in Sichuan Province, China, was surveyed. Data were collected via four validated self-report scales (the Social Support Rating Scale, the General Self-Efficacy Scale, the Self-Esteem Scale, and the HIV/AIDS Patient Self-Management Scale). Structural equation modeling was used to assess the relationships among social support, self-efficacy, self-esteem, and self-management behaviors.</p><p><strong>Results: </strong>The new model demonstrated acceptable fit parameters (χ²/df = 2.15, GFI = 0.96, AGFI = 0.93, CFI = 0.93, IFI = 0.94, RMSEA = 0.05). The direct effect of social support on self-management behaviors was significant (β = 0.117, P < 0.05). In addition, self-efficacy and self-esteem played significant mediating roles in the influence of social support on self-management behaviors, accounting for 38.73% and 22.79% of the total effect, respectively. Moreover, they served as chain mediators, contributing 9.80% to the total effect.</p><p><strong>Conclusions: </strong>These findings contribute to our understanding of the psychosocial dynamics influencing self-management behavior in Chinese PLWHA and have broader implications for populations in other countries. Targeted interventions that enhance social support, self-efficacy, and self-esteem could be applied in various cultural contexts to improve self-management practices among PLWHA globally.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of fear of falling and low physical activity with fall risk among older Taiwanese community-dwellers.","authors":"Yih-Jian Tsai, Wen-Jung Sun, Yi-Ching Yang, Mei-Yu Wei","doi":"10.1186/s12889-024-20467-z","DOIUrl":"10.1186/s12889-024-20467-z","url":null,"abstract":"<p><strong>Background and purpose: </strong>Fear of falling and low physical activity become prevalent in an aged society, but their association with fall risk warrants further investigation.</p><p><strong>Methods: </strong>Our study involved 600 individuals aged 70.8-96.1 years who completed two rounds of community surveys. During the second survey, we analyzed the correlations between fall incidents and a range of factors, including age, sex, gait maneuverability, vision, comorbidity count, depressive symptoms, cognitive function, history of falls, fear of falling, and physical activity level. The chi-square test and univariate and multivariate logistic regression models were used, with further analyses either adjusted for or stratified by the full-factor combinations of fear of falling (with versus without) and low physical activity (low versus moderate-to-high).</p><p><strong>Results: </strong>Falls exhibited a prevalence rate of 13.8%. A fall risk gradient by the full-factor combinations was observed. Multivariate logistic regression modeling identified independent risk predictors for falls, including the number of comorbidities, depressive symptoms, a history of falls, and fear of falling. Fear of falling and low physical activity presented a synergistic effect to increase the fall risk by two- and one-third times (adjusted odds ratio: 2.35, 95% confidence interval: 1.12-4.91). Depressive symptoms, cognitive impairment, and a history of falls remained as significant risk predictors for older adults with both factors, those with fear of falling only, and those with neither, respectively, when the models were further stratified.</p><p><strong>Conclusion: </strong>Fear of falling and low physical activity presented likely synergism to increase the fall risk. Those older community-dwellers with both risk factors warrant fall prevention resources as a priority over those with either or neither.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community beliefs and practices about diabetes and their implications for the prevention and management of diabetes in Southeast Ghana.","authors":"Stanley Kofi Alor, Irene Akwo Kretchy, Franklin N Glozah, Philip Baba Adongo","doi":"10.1186/s12889-024-20589-4","DOIUrl":"10.1186/s12889-024-20589-4","url":null,"abstract":"<p><strong>Background: </strong>Diabetes is a major public health issue, and over half a billion people are estimated to be living with diabetes, with 6.7 million deaths reported in 2021. The global diabetes burden has been recognised and included in the United Nations Sustainable Development Goals to achieve a zero increase in diabetes cases and reduce one-third of premature diabetes deaths by 2030. However, local beliefs about the causes of diabetes have affected its prevention and management. This study examined community beliefs and practices about diabetes and how they affect the prevention and management of diabetes in the community.</p><p><strong>Methods: </strong>This study was carried out in the Ho Municipality of the Volta Region of Ghana. We conducted 33 in-depth interviews with 18 patients with diabetes, 5 carers (caretakers of patients with diabetes), 3 traditional healers, 2 religious leaders, 3 community elders, and 2 assembly members who were purposefully selected from urban and rural areas across the municipality. The interviews were recorded digitally and transcribed verbatim. Thematic analysis was applied to analyse the data using QRS NVivo 20.</p><p><strong>Results: </strong>Diabetes was described locally as sukli dɔ (sugar disease), which affects humans. Diabetes is believed to be caused by spiritual forces (juju, bewitchment, and punishment from gods) and physical factors (unhealthy diet, physical inactivity, eating fruits and vegetables sprayed with pesticides and insecticides, sugary and starchy foods, smoking, and abuse of alcohol). In terms of the management of diabetes, participants said traditional remedies are performed for spiritual interpretation, deliverance, fortification, and cleansing before biomedical and physical remedies are sought. Diabetes was likened to HIV/AIDS, and the sufferers were described as bringing the condition upon themselves as a result of their bad deeds. They were stigmatised, coupled with delays at the hospital, and poverty has also affected the prevention and management of diabetes.</p><p><strong>Conclusion: </strong>The local belief that diabetes is caused by spiritual forces, likened to HIV/AIDS, delays at hospitals, and poverty, has affected the prevention and management of diabetes. Incorporating local beliefs and practices into the intervention design using culturally sensitive health education programmes and improving social determinants of health may help improve the prevention and management of diabetes in communities.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11542306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamics of HIV transmission among men who have sex with men in Taiwan: a mathematical modeling study.","authors":"Haoran Sun, Hiromi Kawasaki, Miwako Tsunematsu, Yoko Shimpuku, Sanmei Chen, Fumiko Kagiura, Masayuki Kakehashi","doi":"10.1186/s12889-024-20494-w","DOIUrl":"10.1186/s12889-024-20494-w","url":null,"abstract":"<p><strong>Background: </strong>In Taiwan, the human immunodeficiency virus (HIV) is primarily transmitted among men who have sex with men (MSM). We believe that the primary source of heterogeneity influencing transmission is from whether the infected individuals engage in behaviors that promote transmission. Therefore, we differentiated and modeled the statuses of infected individuals, estimated parameters, and predicted future infection trends to better understand HIV transmission dynamics among MSM.</p><p><strong>Methods: </strong>We devised a computational approach to accurately estimate the number of infectious individuals during early surveillance years in Taiwan using monthly data of newly diagnosed patients with HIV from January 2005 to December 2006. Subsequently, using annual incident cases from 2005 to 2019, we estimated the susceptibility rate, transmission rates, and duration of risk and conducted short-term forecasts of HIV infection among MSM through mathematical modeling based on the susceptible-infected-removed model. Parameters and their values, such as HIV and acquired immunodeficiency syndrome (AIDS) transmission rates and removal rates, were also estimated.</p><p><strong>Results: </strong>A total of 850 infectious individuals with HIV were identified in 2005. From 2005 to 2019, approximately 0.68% (95% confidence interval: 0.64-0.71%) of Taiwan's male population were estimated to be susceptible to HIV infection via MSM. The transmission rate did not significantly differ between individuals with HIV and AIDS (0.0110 and 0.107 per 10,000 individuals, respectively). The average infection duration between infection and AIDS onset was 4.5 years and between AIDS onset and death was 2.1 years. In 2019, the proportion of infectious infected individuals continuously decreased. By 2026, only 11.85% and 10.21% of individuals with HIV and AIDS, respectively, will be infectious.</p><p><strong>Conclusions: </strong>Our study presents a new dynamic mathematical model for estimating infectious HIV cases among MSM in Taiwan. By accounting for the heterogeneity of infectious HIV/AIDS within the MSM population, we effectively estimated the number of infections during early surveillance years and implement concentrated measures, thereby reducing infectious HIV/AIDS cases, which contributes to the overall reduction in HIV/AIDS cases. With these estimations, identifying target populations and implementing effective intervention measures at appropriate times can be improved.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The alcohol harm paradox: is it valid for self-reported alcohol harms and does hazardous drinking pattern matter?","authors":"Ingeborg Rossow, Elin K Bye","doi":"10.1186/s12889-024-20530-9","DOIUrl":"10.1186/s12889-024-20530-9","url":null,"abstract":"<p><strong>Background: </strong>The alcohol harm paradox (APH) posits that alcohol harms are more prevalent in low socioeconomic position (SEP) groups compared to high SEP groups, when adjusted for alcohol consumption volume.</p><p><strong>Aim: </strong>We explored whether APH is valid for self-reported alcohol harms and whether SEP differences in hazardous drinking patterns may explain SEP differences in alcohol harms, accounting for consumption volume.</p><p><strong>Data and methods: </strong>We applied cross-sectional data from national population surveys in Norway, restricted to a subsample of past month drinkers aged 25-79 years (n = 8 171). Two binary outcome measures of self-reported alcohol-related harms were constructed from the AUDIT-10 items 4 through 10; alcohol dependence symptoms and alcohol related consequences. We separated two SEP groups based on education level: low versus high. Employing logistic regression models, we examined the extent to which SEP differences in alcohol-related harms were attributable to a more hazardous drinking pattern in terms of: (i) heavy episodic drinking and (ii) proportion of consumption volume by spirits, adjusting for consumption volume and demographic characteristics.</p><p><strong>Results: </strong>In the low SEP group, alcohol-related harms were significantly more prevalent as compared to the high SEP group when adjusted for gender and age, and more so after adjustment for consumption volume. Measures of hazardous drinking pattern and having a spouse could only to a minor extent account for the elevated risk of alcohol-related harm in the low SEP group. The findings were robust across various sensitivity analyses.</p><p><strong>Conclusion: </strong>Low SEP was associated with alcohol-related harm and a more hazardous drinking pattern but also with lower consumption volume. The findings support the validity of the alcohol harm paradox for self-reported alcohol harms.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain and depressive symptoms among adolescents: prevalence and associations with achievement pressure and coping in the Norwegian Ungdata study.","authors":"Henriette Jahre, Margreth Grotle, Kaja Smedbråten, Kåre Rønn Richardsen, Britt Elin Øiestad","doi":"10.1186/s12889-024-20566-x","DOIUrl":"10.1186/s12889-024-20566-x","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the prevalence of pain, depressive symptoms, and their co-occurrence in Norwegian adolescents. Additionally, we investigated if perceived achievement pressure and coping with pressure were associated with pain, depressive symptoms and co-occurrent pain and depressive symptoms.</p><p><strong>Methods: </strong>Cross-sectional data from the Norwegian Ungdata Survey (2017-2019) were analysed. Adolescents from across Norway completed an electronic questionnaire including questions on perceived achievement pressure, coping with pressure, pain, and depressive symptoms. Descriptive statistics presented prevalence rates, and multinominal regression reported in relative risk ratios (RR) was employed to estimate associations, adjusted for gender (boys/girls), school level, and socioeconomic status.</p><p><strong>Results: </strong>The analyses included 209,826 adolescents. The prevalence of pain was 33%, 3% for depressive symptoms, and 14% reported co-occurring pain and depressive symptoms. The prevalence of co-occurring symptoms was higher in girls (22%) than boys (6%). Significant associations were found between perceived achievement pressure and pain (RR 1.11, 95% CI 1.10-1.11), depressive symptoms (RR 1.27, 95% CI 1.27-1.28), and co-occurring symptoms (RR 1.34, 95% CI 1.33-1.34). Struggling to cope with pressure was associated with pain (RR 2.67 95% CI 2.53-2.81), depressive symptoms (RR 16.68, 95% CI 15.60-17.83), and co-occurring symptoms (RR 27.95, 95% CI 26.64-29.33).</p><p><strong>Conclusion: </strong>The prevalence of co-occurring pain and depressive symptoms is high among Norwegian adolescents. Perceived achievement pressure and struggling to cope with pressure were associated with isolated and, more strongly, co-occurring pain and depressive symptoms. Enhancing adolescents' ability to cope with pressure could be a crucial target in treating pain and depressive symptoms.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 childhood hunger experiences and activities of daily living disability: a mediating role of depression.","authors":"Weile Zhang, Min Su, Dongxu Li, Xi Guo, Zhengrong Li, Tianjiao Zhang, Zheru Hu","doi":"10.1186/s12889-024-20041-7","DOIUrl":"10.1186/s12889-024-20041-7","url":null,"abstract":"<p><strong>Background: </strong>Hunger is an important public health issue. This study aims to explore the impact of childhood hunger experiences (CHEs) on activities of daily living (ADL) disability and to discover the mediating role of depression on this correlation.</p><p><strong>Methods: </strong>Data were derived from the China Health and Retirement Longitudinal Study 2011, 2013, 2015, 2018, and 2020. Depression was assessed using the Centre for Epidemiological Studies Depression Scale. ADL disability, basic ADL (BADL) disability and instrumental ADL (IADL) disability were assessed using the ADL scale. The relationships between CHEs, depression and ADL disability were estimated using probit methods, and the mediating effect of depression was estimated using the stepwise regression test and bootstrap methods.</p><p><strong>Results: </strong>A total of 9,905 sample were included in the study. The study found that CHEs increased ADL disability by approximately 9.1% (β = 0.091, 95% CI: 0.028, 0.154), and increased the probability of IADL disability by approximately 8.0% (β = 0.080, 95% CI: 0.016, 0.144). CHEs increased ADL disability by approximately 29.8% (β = 0.298, 95% CI: 0.202, 0.393) in samples under 60 years of age. CHEs indirectly increased ADL (β = 0.062, 95% CI: 0.000, 0.124) by increasing the probability of depression.</p><p><strong>Conclusion: </strong>CHEs predicted ADL disability, and depression mediated this correlation. There is a need to focus on the impact of CHEs on mental and physical health. In particular, focusing on mental health is necessary to prevent impairment of physical functioning.</p>","PeriodicalId":9039,"journal":{"name":"BMC Public Health","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}