Frontiers in Public Health最新文献

Background: The growth of digital technology, represented by the development of the Internet, has become popular among older adults. Implying digital health literacy on older adults also affects their ability to use digital technology to search, browse, understand, and evaluate health information to improve their health status. This scoping review aims to explore (1) the situation of digital health literacy among older adults and (2) the influencing factors on the digital health literacy of older adults.

Methods: A scoping review was performed to evaluate evidence on influencing factors on digital health literacy among older adults in October 2023 employing data from literature indexed in PubMed, Web of Science, EBSCO, Springer Link, and CNKI with search terms such as "digital health literacy," "e-health literacy," "eHealth literacy" and "elderly people," "aged people," "old age." The review comprised research articles that addressed issues related to digital health literacy and older adults, excluding non-research and research articles that only expressed opinions without concrete data or material support.

Results: The final review included 28 articles from 4,706 retrieved records. The synthesis revealed that the digital health literacy of older adults was reflected in the scores of older adults in high-income countries, which were relatively high. In contrast, those in middle-income countries tended to be generally lower. The digital health literacy of older adults was affected by socio-demographic factors, related factors of electronic devices, and use and social support factors.

Conclusion: Gaps of study discussed in this scoping review should be narrowed in further studies. Developing digital health literacy interventions with education and training programs should be considered to improve the digital health literacy of older adults. The digital divide among older adults should be bridged by improving social capital and family support through integrated intervention roles of government, community, and family.

Objective: Limited research exists on comprehensive interventions for individuals with Alcohol Related Brain Injury (ARBI). Exploring the impact of a rehabilitation service on individuals with ARBI and their relatives/caregivers, this study aimed to gain insights into their experiences and assess how the service influenced cognitive functioning, psychological well-being, social relationships, community engagement, and the desire for abstinence.

Method: This was a qualitative, semi structured interview study as part of a larger mixed methods study of residents and their family members. Data was collected over 4 timepoints with n = 20 residents: baseline (n = 20 interviews), 6 months (n = 15 interviews), 12 months (n = 6 interviews) and at discharge (n = 8 interviews). The interviews took place at a specialist residential rehabilitation facility for people with ARBI. Remote interviews were conducted with family members (n = 10). A thematic analysis of transcripts using NVivo software was undertaken.

Results: Qualitative findings for residents with ARBI across 4 timepoints from baseline to time of discharge indicated an improvement in all outcomes. Overall, residents reported that the ARBI holistic intervention improved psychological wellbeing, social relationships/community participation, functioning abilities, and abstinence from alcohol, particularly when residents were residing in the unit. Family members and carers presented more trepidation regarding the long-term impacts.

Conclusion: Whilst the residential unit provided structure and a protective environment, residents required ongoing support post discharge for their addictive behaviours. An outreach intervention for these individuals is currently being piloted.

Background: Military veterans residing in rural areas face unique challenges that can impact their wellbeing, including limited access to healthcare resources, social isolation, and distinct environmental stressors. Despite growing interest in veteran wellbeing, there remains a gap in understanding how service-connected disabilities and health conditions intersect with wellbeing in rural contexts.

Methods: This study employed a comprehensive approach to investigate the relationships between wellbeing, service-connected disabilities, and health outcomes among rural veterans. First, a short version of the PERMA Profiler was psychometrically validated for use among rural veterans. Then, associations between wellbeing and mental/physical health outcomes were examined. Lastly, differences in wellbeing between veterans with and without service-connected disabilities were evaluated.

Results: The psychometric validation of the short-form PERMA Profiler yielded robust results, establishing its reliability and validity for assessing wellbeing among rural veterans. Significant positive associations were found between wellbeing and mental/physical health outcomes. Moreover, rural veterans with service-connected disabilities exhibited lower wellbeing scores compared to those without such disabilities.

Conclusion: This study enhances our understanding of wellbeing among rural veterans, emphasizing the importance of considering service-connected disabilities and health conditions. The findings underscore the need for targeted interventions and support systems tailored to the specific needs of rural veterans, particularly those with service-connected disabilities. Recognizing and addressing these factors are crucial steps toward enhancing the overall wellbeing of this population.

Background: Mental health is one of the key pillars of general welfare, and through its promotion, disability can be prevented.

Objective: This research paper covers the field of literature that primarily addresses the increase of mental health and wellbeing aimed at preventing disability.

Methodology: The analysis depends on secondary data that is acquired from different studies and reports to determine the link between mental health interventions and disability prevention. After screening, 50 articles eventually qualified for this narrative review.

Results: The results indicate that prevention of mental health problems could reduce the risk of disability development by reducing underlying risk factors and, consequently, improving the quality of life. The study highlights the significance of early preventive interventions and support systems to curtail the onset of mental health disorders, which could later result in impairment. It does the same by advocating for multi-disciplinary approach that combines mental health promotion policies with existing disability prevention strategies to improve outcomes.

Conclusion: The review points to mental health promotion as a preventative measure that can prevent disability and improve overall wellbeing. Through efforts to identify, prevent, and cure mental health problems, individuals can ensure optimal functioning and enjoy a better quality of life.

Recommendation: This finding is indicative of a broader healthcare approach integrating mental health promotion that is aimed at diminishing the burden of disabilities and improving overall public health outcomes.

Background: Family hardiness is a key variable contributing to positive family functioning, which has significant effects on the quality of life and the mental health of patientsand caregivers. The factors that contribute to family hardiness support both the psychological and physical well-being of caregivers is unknown. More specifically, the relationship of family hardiness with attachment and caregiver preparedness has not been explored.

Aim: The current study aimed to investigate the family hardiness in caregivers of breast cancer patients and explore the relationship with attachment and caregiver preparedness and identify the associated factors.

Methods: This cross-sectional correlational study was conducted from March to July, 2022. 140 caregivers of breast cancer patients were recruited in two IIIA-grade hospitals in Hunan Province using convenience sampling. Data were collected using a personal characteristics questionnaire, The Family Hardiness Index (FHI), Caregiver Preparedness Scale (CPS), and the Experiences in Close Relationships Inventory-Revised Edition (ECR-R). Chi-square, Pearson's correlation coefficient, generalized additive model and multiple logistic regression analyses were performed.

Results: A total of 140 caregivers participated in the study. The mean age of participants was (42.29 ± 14.54) years and most of them were male (57.1%). The mean FHI score of caregivers was 58.11 ± 5.67. Multiple linear regression analysis indicated that family hardiness is affected by ECR-R, CPS, education level, and knowledge of breast cancer. The score of CPS was positively associated with family hardiness (β = 0.265, p < 0.001), whereas ECR-R negatively predicted family hardiness (β = -0.078, p < 0.001).

Conclusion: Family hardiness plays a critical role in helping caregivers manage the stresses associated with providing care to breast cancer patients. Enhancing caregiver preparedness and education, as well as addressing attachment-related issues, can significantly improve family hardiness. In light of our findings, we suggest that closer relationships within families, adding preparedness and knowledge of disease should be encouraged during the care of breast cancer patients.

Background: Eight years into the Sustainable Development Goal period, Ethiopia is not on track to achieve good hygiene practices among school children. Ensuring good hygiene practices among primary school children to prevent the spread of communicable diseases remains a challenge in most primary schools in Ethiopia. Therefore, the aim of this study was to identify factors associated with hygiene practices among primary school children in southern Ethiopia.

Methods: A school-based cross-sectional study was conducted from June 3 to July 28, 2022, in five primary schools. The simple random sampling technique was used to select the school. Subsequently, 640 students were selected from the proportionally allocated sample size. Pretested semi-structured interviewer-administered questionnaires and observational checklists were utilized to collect data. The data was then entered into EpiData version 4.6 and analyzed using SPSS version 25. Variables with a p ≤ 0.25 at bivariate analysis were used to develop a multivariable logistic model to identify factors associated with hygiene practices. P < 0.05 with a 95% confidence interval was considered statistically significant.

Results: The magnitude of overall good hygiene practices was 29.2% (95% CI: 25.81-32.59). Urban residence (AOR = 3.4, 95% CI 2.1-5.55), knowledge of handwashing (AOR = 4.5, 95% CI 2.8-7.36), being a member of a hygiene and sanitation club (AOR = 3.7, 95% CI 2.4-6.86), and experience of visiting a model school (AOR = 3.1, 95% CI 2.1-5.55) were found to be significantly associated with hygiene practices.

Conclusion: The overall level of good hygiene practices in Kedida district was low. Therefore, it is essential to enhance health education on handwashing, establish sanitation and hygiene clubs, and conduct visits to district model elementary schools.

Background: Previous studies have found that poor sleep quality promotes the occurrence of cognitive impairment (CI), but this relationship has been rarely reported in older adults hypertensive patients. The purpose of this study was to investigate the relationship between sleep quality and CI in older adults hypertensive patients and the mediating effect of sleep quality between physical activity (PA) and CI.

Methods: A total of 2072 older adults hypertensive patients were included in this case-control study. Five hundred and eighteen older adults hypertensive patients with CI were matched 1:3 by age and sex to 1,554 older adults hypertensive patients with normal cognitive function. The International Physical Activity Questionnaire-Long Form, Pittsburgh Sleep Quality Index, and Mini-Mental State Examination were used to evaluate PA intensity, sleep quality, and cognitive function in older adults hypertensive patients. Multivariate logistic regression and the mediation package in R Language were used to analyze the relationship between sleep quality and CI and the mediating effect of sleep quality between PA intensity and CI in older adults hypertensive patients.

Results: After adjusting for all confounding factors, sleep quality was positively correlated with CI in older adults hypertensive patients (OR = 2.565, 95%CI: 1.958-3.360, p < 0.001), and this relationship also existed in the older adults hypertensive patients with education levels of primary school and below and junior high school and above (OR = 2.468, 95%CI: 1.754-3.473, p < 0.001; OR = 2.385, 95%CI: 1.367-4.161, p = 0.002). In addition, sleep quality mediated part of the mediating effect between PA intensity and CI in older adults hypertensive patients (Za*Zb: - 17.19339; 95%CI: -0.37312, -0.04194).

Conclusion: Poor sleep quality was associated with the occurrence of CI in older adults hypertensive patients, and this relationship also existed in older adults hypertensive patients with education levels of primary school and below and junior high school and above.

Background: Childhood multimorbidity, characterized by the simultaneous occurrence of multiple medical conditions in children, is a global concern. Notably, exposure to household air pollution has been linked to various health issues, particularly affecting vulnerable segments of the population residing in poorly ventilated homes. However, evidence regarding the impact of household air pollution on the risk of multimorbidity in low-income settings remains scarce. Therefore, this study aims to investigate the association between household air pollution and childhood multimorbidity in Jimma, Ethiopia.

Methods: A comparative cross-sectional study was conducted to collect data from 280 children under the age of five who lived in households using solid fuel (n = 140) and clean fuel (n = 140). The Demographic Health Survey morbidity questionnaire was used to collect information from mothers about common childhood illnesses. Multiple logistic regression analysis was employed to explore the relationship between the use of solid fuel for cooking in households and the likelihood of childhood multimorbidity. In addition, Poisson regression estimation was used to determine if exposure to solid fuel could increase the number of morbidities.

Results: The overall prevalence of childhood multimorbidity was 34.3% [95% CI: 0.29-0.40]. Among these cases, 23.9% were among children from solid fuel user households, whereas about 10.4% were from clean fuel user households. Adjusted for all possible socioeconomic, demographic, water, sanitation, hygiene, and health care covariates, children living in solid fuel user households had more than three times the odds of childhood multimorbidity compared to children living in clean fuel user households (AOR = 3.14, 95% CI [1.42-6.95], p < 0.001). Moreover, household air pollution from solid fuel use was positively associated with an increased number of individual morbidity conditions, with an adjusted β coefficient of 0.46 (IRR = 1.58, 95% CI [1.17-2.13], p = 0.003).

Conclusion: Solid fuel use was an independent predictor of childhood morbidity risk. Efficient policies and strategies, such as the integration of environmental regulation policies into the healthcare system aimed at the reduction of harmful air pollutants and their adverse health effects on children, need to be implemented.

Objective: Substance use disorders (SUDs) pose a significant challenge to public health systems worldwide, with persistent high relapse rates underscoring the urgency for innovative intervention strategies. This study embarked on a systematic exploration of the factors influencing relapse among individuals with SUDs, alongside the implementation of targeted Health Qigong intervention to mitigate these effects based on the embodied cognition.

Methods: In the cross-sectional survey, a total of 398 male substance users were recruited to complete the questionnaires assessing depression, self-esteem, resilience, and relapse inclination. Subsequently, 60 participants diagnosed with depression were selected for a Pilot RCT, randomly divided into an intervention group, which underwent a 12-week Health Qigong program designed to combat depression through embodied cognition principles, and a control group, which maintained their daily routines.

Results: Structural equation modeling demonstrated that depression not only had a direct effect on substance users' relapse, but also exerted an indirect effect through three paths: firstly, via the mediating role of self-esteem; secondly, via the mediating role of resilience; and thirdly, via the chain-mediated role of self-esteem and resilience. Two-factor mixed-design ANOVA showed that the 12-week targeted Health Qigong training not only mitigated depression in individuals with SUDs, but also enhanced self-esteem and mental resilience, and reducing the propensity for relapse.

Conclusion: This research identifies critical factors influencing relapse in individuals with SUDs and introduces a novel, non-pharmacological intervention that significantly diminishes relapse rates and enhances recovery outcomes. It highlights the importance of physical activity in promoting mental health improvement and integrates traditional Chinese exercises with contemporary psychological insights, offering a comprehensive approach to drug rehabilitation and the integration of cultural practices in holistic health interventions.