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Racial Attitudes and Perceptions of Government Response during the COVID-19 Pandemic: Implications for Public Health Strategies 种族对 COVID-19 大流行期间政府应对措施的态度和看法:对公共卫生战略的影响
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-05 DOI: 10.3390/ijerph21091183
Man Hung, Jeremy D. Franklin, William A. Smith, Carlos J. Crespo, Evelyn U. Ezikwelu, Jerry Bounsanga, Martin S. Lipsky
Background: This study explored whether opinions about the government’s role in addressing the COVID-19 pandemic vary based on demographic characteristics and racial beliefs. We hypothesized that opinions about the United States (U.S.) government’s response to COVID-19 would differ based on an individual’s characteristics such as age, race, and racial beliefs. Methods: We utilized an Inter-University Consortium for Political and Social Research dataset to examine differences in opinion regarding the government’s pandemic response, considering personal characteristics and racial beliefs. Descriptive statistics depicted respondents’ characteristics, and a Chi-square test for independence assessed whether differences emerged based on racial attitude, self-reported racial identity, sex, income, education, and age. Logistic regression analyses were conducted to independently determine which characteristics were associated with differences in evaluating the government’s pandemic response. Results: The sample consisted of 1028 respondents: 47.5% male and 52.5% female. Overall, the group viewed the government unfavorably, with only 40% reporting that the government responded correctly and 54% believing the government is almost always wasteful and inefficient. Hispanics or Latinos were more likely to view the government as wasteful or inefficient, while more Whites rated the government’s pandemic response as appropriate. Individuals who believed that racial discrimination is the main reason why many Black people cannot get ahead generally regarded the government’s pandemic response more favorably. Only 5% deemed the government’s response excessive. Being Black, younger, and female was associated with the view that racial discrimination is the main reason why many Black people cannot get ahead. Individuals who felt this way viewed the government unfavorably by almost a 2:1 ratio. Conclusions: A majority of U.S. residents do not believe the government responded correctly to the pandemic and more than half viewed the government as wasteful and inefficient. Differences emerged by ethnicity and racial attitudes, with individuals of color holding more negative views of the government’s response. Understanding this perspective can help develop messaging and strategies that resonate with communities where racial and minority groups live.
研究背景本研究探讨了人们对政府在应对 COVID-19 大流行病中所扮演角色的看法是否会因人口特征和种族信仰而有所不同。我们假设,对美国政府应对 COVID-19 的看法会因个人的年龄、种族和种族信仰等特征而有所不同。研究方法:我们利用大学间政治与社会研究联合会(Inter-University Consortium for Political and Social Research)的数据集研究了个人特征和种族信仰对政府应对大流行病的看法差异。描述性统计描述了受访者的特征,而独立的卡方检验则评估了种族态度、自我报告的种族身份、性别、收入、教育程度和年龄是否会产生差异。我们还进行了逻辑回归分析,以独立确定哪些特征与评价政府大流行病应对措施的差异有关。结果样本由 1028 名受访者组成:男性占 47.5%,女性占 52.5%。总体而言,该群体对政府的看法不佳,只有 40% 的人认为政府的应对措施正确,54% 的人认为政府几乎总是浪费和效率低下。西班牙裔或拉美裔更倾向于认为政府浪费或效率低下,而更多的白人认为政府的大流行病应对措施是恰当的。认为种族歧视是许多黑人无法出人头地的主要原因的人一般对政府的大流行病应对措施评价较高。只有 5%的人认为政府的应对措施过度。黑人、年轻和女性与种族歧视是许多黑人无法出人头地的主要原因这一观点有关。持这种观点的人对政府的负面看法几乎达到了 2:1。结论大多数美国居民不认为政府对大流行病做出了正确的反应,一半以上的人认为政府浪费和效率低下。不同民族和种族的态度出现了差异,有色人种对政府的应对措施持更消极的看法。了解这一观点有助于制定能引起种族和少数民族群体所在社区共鸣的信息和策略。
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引用次数: 0
Perceptions of Knowledge and Experience in Nature-Based Health Interventions 对基于自然的健康干预措施的知识和经验的看法
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-05 DOI: 10.3390/ijerph21091182
Carissa R. Smock, Courtney L. Schultz, Jeanette Gustat, Robby Layton, Sandy J. Slater
Although perceptions and uses vary, nature-based health interventions (NBHIs) help facilitate the additional health benefits of physical activity (PA) experienced in nature, thereby reducing all-cause morbidity and mortality. The purpose of this mixed-methods, cross-sectional study was to better understand perceptions, terminology, and participation in NBHIs. A questionnaire was developed by reviewing validated instruments and gauging expert experience with stakeholders. Distributed electronically, a community partner listserv promoting active living served as the population. Quantitative questionnaire measures assessed familiarity with NBHI terms, concepts, experience, how NBHI should be used, and the importance of NBHI components. Qualitative themes included the strengths and weaknesses of NBHIs. Participants (n = 53) were familiar with the terms nature play (82%), forest bathing (78%), and park and nature prescriptions (74%) and moderately familiar with NBHIs (5-point Likert scale, M = 3.27, SD = 1.17). Most thought NBHIs could be useful in treating physical (96%) and mental health conditions (100%) and would follow or write one (80%). The location was reported as the most important component, followed by access, social comfort, dosage, and ongoing support. This study suggests stakeholders are familiar with and support NBHIs conceptually; however, policies, support, and funding opportunities are needed to operationalize components to increase use of NBHIs.
尽管对自然健康干预(NBHIs)的认识和使用各不相同,但它有助于促进在自然中体验体育活动(PA)带来的额外健康益处,从而降低全因发病率和死亡率。这项混合方法横断面研究旨在更好地了解人们对 NBHIs 的看法、术语和参与情况。研究人员通过查阅有效工具,并与利益相关者共同评估专家经验,编制了一份调查问卷。问卷以电子形式分发,并以促进积极生活的社区合作伙伴列表服务器为调查对象。问卷的定量测量评估了对 NBHI 术语、概念、经验的熟悉程度,NBHI 应如何使用,以及 NBHI 各组成部分的重要性。定性主题包括 NBHI 的优缺点。参与者(n = 53)熟悉 "自然游戏"(82%)、"森林浴"(78%)以及 "公园和自然处方"(74%)等术语,并对 NBHI 有一定了解(5 点李克特量表,M = 3.27,SD = 1.17)。大多数人认为 NBHI 可用于治疗身体(96%)和精神健康状况(100%),并会关注或撰写 NBHI(80%)。据报告,地点是最重要的组成部分,其次是可及性、社会舒适度、剂量和持续支持。这项研究表明,利益相关者在概念上熟悉并支持非营利性医疗机构;然而,需要政策、支持和资助机会来落实各组成部分,以提高非营利性医疗机构的使用率。
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引用次数: 0
Mixed Reality in Clinical Settings for Pediatric Patients and Their Families: A Literature Review 混合现实技术在儿科患者及其家庭临床环境中的应用:文献综述
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-05 DOI: 10.3390/ijerph21091185
Jae Eun Sin, Ah Rim Kim
In the post-pandemic context, there has been an increasing demand for technology-based interventions in education and healthcare systems, such as augmented and mixed reality technologies. Despite the promising outcomes of applying mixed reality (MR), there is limited aggregated evidence focusing on child–patient interventions in hospital-based or clinical settings. This literature review aimed to identify and synthesize existing knowledge on MR technologies applied to pediatric patients in healthcare settings. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search of the Scopus and Web of Science databases was conducted to identify articles published in the last 10 years that address the application of augmented and/or MR technologies in pediatric hospital settings or clinical environments to improve patient and family outcomes. A total of 45 articles were identified, and following a rigorous screening and eligibility process, 4 review articles were selected for qualitative synthesis. From these reviews, 10 studies with relevant interventions and measured effects were extracted. The extracted studies were analyzed based on eight key attributes: country of origin, study design, characteristics of the study population, primary clinical setting, type of MR device used, nature of the intervention, variables measured, and significant effects observed in the outcome variables. The analysis revealed diverse approaches across different clinical settings, with a common focus on improving both emotional well-being and learning outcomes in pediatric patients and their families. These findings suggest that MR-based pediatric interventions generally provide children and their parents with positive emotional experiences, enhancing both learning and treatment outcomes. However, the studies reviewed were heterogeneous and varied significantly in terms of clinical settings and MR applications. Future research should focus on developing more controlled study designs that specifically target the pediatric population to strengthen the evidence base for MR interventions in healthcare.
在大流行后的背景下,教育和医疗保健系统对基于技术的干预措施(如增强和混合现实技术)的需求日益增长。尽管应用混合现实技术(MR)取得了可喜的成果,但侧重于医院或临床环境中儿童患者干预措施的综合证据却十分有限。本文献综述旨在识别和综合有关医疗机构中应用于儿科患者的混合现实技术的现有知识。按照系统综述和荟萃分析首选报告项目(PRISMA)指南,我们对 Scopus 和 Web of Science 数据库进行了全面检索,以确定过去 10 年中发表的有关在儿科医院环境或临床环境中应用增强和/或磁共振技术以改善患者和家庭预后的文章。共确定了 45 篇文章,经过严格的筛选和资格审查程序,选出了 4 篇综述文章进行定性综合。从这些综述中提取了 10 项具有相关干预措施和测量效果的研究。我们根据以下八个关键属性对提取的研究进行了分析:来源国、研究设计、研究人群的特征、主要临床环境、使用的磁共振设备类型、干预的性质、测量的变量以及在结果变量中观察到的显著效果。分析结果表明,不同的临床环境采用了不同的方法,其共同点是改善儿科患者及其家属的情绪和学习效果。这些研究结果表明,基于磁共振成像的儿科干预通常能为儿童及其家长提供积极的情感体验,从而提高学习和治疗效果。不过,所回顾的研究内容各不相同,在临床环境和磁共振应用方面也有很大差异。未来的研究应侧重于开发更多专门针对儿科人群的对照研究设计,以加强 MR 干预在医疗保健中的证据基础。
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引用次数: 0
Rental Housing Type and Self-Reported General Health and Mental Health Status: Evidence from the Canadian Housing Survey 2018–2019 租房类型与自我报告的一般健康和心理健康状况:来自2018-2019年加拿大住房调查的证据
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-05 DOI: 10.3390/ijerph21091181
Shirmin Bintay Kader, Md Sabbir Ahmed, Kristen Desjarlais-deKlerk, Xavier Leloup, Laurence Simard, Catherine Leviten-Reid, Nazeem Muhajarine
Using the Canadian Housing Survey, 2018–2019, we examined self-reported general and mental health among tenants residing in various housing types, including cooperative, non-profit, government, and private housing. Adjusting for confounders, we discovered that tenants in not-for-profit housing reported the highest odds, over four and half times (odds ratio 4.63), of poor general health compared to tenants in privately owned housing in Canada. On the other hand, the odds were reversed for tenants in cooperative housing and government housing, with 24% and 33% lower odds of poor general health, respectively, compared to tenants in privately owned housing. Moreover, we found that tenants in not-for-profit (1.26) and government housing (1.43) reported higher odds of poor mental health. On the other hand, tenants in cooperative housing reported 42% lower odds of poor mental health than tenants in privately owned housing. Furthermore, we observed variations in the odds of poor general and poor mental health among tenants from different equity-seeking groups across different housing types. These findings highlight the importance of considering housing type and equity factors in understanding health outcomes among tenants.
利用 2018-2019 年加拿大住房调查,我们研究了居住在各种住房类型(包括合作住房、非营利住房、政府住房和私人住房)的租户自我报告的一般健康和心理健康情况。在对混杂因素进行调整后,我们发现,与加拿大私有住房的租户相比,非营利住房的租户报告一般健康状况不良的几率最高,超过4.5倍(几率比4.63)。另一方面,合作住房和政府住房的租户的几率则相反,与私有住房的租户相比,他们的总体健康状况差的几率分别低 24% 和 33%。此外,我们还发现,非营利性住房租户(1.26)和政府住房租户(1.43)的心理健康状况较差的几率较高。另一方面,合作建房租户的心理健康状况不佳几率比私有住房租户低 42%。此外,我们还观察到,在不同类型的住房中,来自不同公平追求群体的租户的一般健康状况较差和精神健康状况较差的几率也不尽相同。这些发现凸显了在了解租户的健康状况时考虑住房类型和公平因素的重要性。
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引用次数: 0
Remote Parenting in Families Experiencing, or at Risk of, Homelessness: A Study Based on Grounded Theory 经历或面临无家可归风险的家庭中的远程养育:基于基础理论的研究
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-05 DOI: 10.3390/ijerph21091184
Filipa Maria Reinhardt Andrade, Ana Resende, Maria Clara Roquette-Viana, Amélia Simões Figueiredo
The situation/risk of family homelessness presents multiple interrelated issues. It has considerable negative consequences, namely the deterioration of the family members’ health and well-being, and alterations in the family’s dynamics, with parents sometimes being separated from their children. The aim of this research was to understand how parenting takes place in families experiencing, or at risk of, homelessness. The conducted study falls within the qualitative paradigm, using Strauss and Corbin’s version of the Grounded Theory methodology. Three main categories emerged, supported by all the participating families: “Meaning of Parenthood”, “Key Events”, and “Transition Circumstances”. These categories were translated into facilitating/inhibiting factors, within the following dimensions: “Individual”, “Family”, and “Society”. We were able to conclude that, in the population under study, parenting is restricted, being mostly exerted in a remote manner. Furthermore, it takes on different forms, depending on the specific homelessness situation/risk. In families at risk of homelessness, we identified “Remote Parenting with Maintained Parental Authority”, as well as “Restricted Parenting”, when the children still lived with their parents. On the other hand, in families experiencing homelessness, we identified “Remote Parenting with Maintained Parental Authority”, “Unilateral Remote Parenting”, “Interrupted Parenting”, and the “Total Disruption of Parenting”.
家庭无家可归的状况/风险带来了多个相互关联的问题。它带来了相当大的负面影响,即家庭成员的健康和福祉恶化,家庭动态发生变化,父母有时与子女分离。本研究旨在了解无家可归或面临无家可归风险的家庭如何养育子女。本研究采用斯特劳斯和科尔宾的 "基础理论 "方法,属于定性研究范式。在所有参与家庭的支持下,形成了三个主要类别:"为人父母的意义"、"关键事件 "和 "过渡情况"。这些类别被转化为以下维度中的促进/抑制因素:"个人"、"家庭 "和 "过渡环境":"个人"、"家庭 "和 "社会"。我们得出的结论是,在所研究的人群中,养育子女受到限制,大多以远程方式进行。此外,根据无家可归的具体情况/风险,养育子女的形式也各不相同。在面临无家可归风险的家庭中,我们发现了 "保持亲权的远程养育",以及 "限制性养育"(子女仍与父母住在一起)。另一方面,在无家可归的家庭中,我们发现了 "保持父母权力的远程养育"、"单方面远程养育"、"中断养育 "和 "完全中断养育"。
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引用次数: 0
The Relationship between Bicultural Acceptance Attitude and Self-Esteem among Multicultural Adolescents: The Mediating Effects of Parental Support 多元文化青少年的双文化接受态度与自尊之间的关系:父母支持的中介效应
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-04 DOI: 10.3390/ijerph21091175
Youn-Joo Um
As the rate of international marriage increases, the adaptation of multicultural families and their children—multicultural adolescents—remains an issue requiring continuous monitoring, support, and improvement. This study investigates the mediating effects of parental support on the relationship between bicultural acceptance attitude and self-esteem among multicultural adolescents. Data are derived from 1197 high school sophomores, all of whom were multicultural adolescents, surveyed by the National Youth Policy Institute in 2018. Descriptive statistics, correlation, and hierarchical regression were used during data analysis. Bicultural acceptance attitude, parental support, and self-esteem all showed mutual positive correlations. Parental support had a partial mediating effect on the relationship between bicultural acceptance attitude and self-esteem. Multicultural adolescents exposed to both parent’s cultures are more likely to develop positive self-esteem and a healthy personality if they receive the support of their parents. The self-esteem of multicultural adolescents can be improved by implementing measures to nurture a bicultural acceptance attitude and parental support.
随着跨国婚姻的增加,多元文化家庭及其子女--多元文化青少年--的适应问题仍然是一个需要不断监督、支持和改进的问题。本研究探讨了父母支持对多元文化青少年双文化接受态度与自尊之间关系的中介效应。数据来源于美国国家青年政策研究所2018年调查的1197名高中二年级学生,均为多元文化青少年。数据分析过程中使用了描述性统计、相关性和分层回归等方法。双文化接受态度、父母支持和自尊均呈现相互正相关。父母的支持对双文化接受态度和自尊之间的关系有部分中介作用。受到父母双方文化影响的多元文化青少年如果得到父母的支持,更有可能形成积极的自尊和健康的人格。通过采取培养双文化接受态度和父母支持的措施,可以提高多元文化青少年的自尊心。
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引用次数: 0
The Effect of Periodontitis on Body Size Phenotypes in Adults without Diagnosed Chronic Diseases: The Korean National Health and Nutrition Examination Survey 2013–2015 牙周炎对未确诊慢性疾病的成年人体型表型的影响:2013-2015年韩国国民健康与营养调查
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-04 DOI: 10.3390/ijerph21091180
Young Sang Lyu, Youngmin Yoon, Jin Hwa Kim, Sang Yong Kim
We aimed to examine the correlation between periodontitis and body size phenotypes in 7301 participants without diagnosed chronic diseases in the Korean National Health and Nutrition Examination Survey 2013–2015. The participants were categorized into the following body size phenotype groups based on body mass index and the presence of metabolic syndrome: metabolically healthy normal weight (MHNW), metabolically abnormal normal weight (MANW), metabolically healthy obese (MHO), and metabolically abnormal obese (MAO). The prevalence rates of mild and severe periodontitis were 18.1% and 7.5%, respectively. Patients with periodontitis were older, current smokers, had a lower family income, were less likely to engage in regular tooth brushing or exercise, and had a higher body mass index and glucose levels. Periodontitis was more prevalent in the MANW and MAO groups than in the MHNW and MHO groups. Compared with the MHNW phenotype, the MAO and MANW phenotypes were significantly associated with mild and severe periodontitis, and the MHO phenotype was significantly associated with mild periodontitis. The MANW and MAO phenotypes are independent risk factors for periodontitis in adults without diagnosed chronic diseases. To enhance public health, a greater focus and effective approaches for identifying metabolic disease phenotypes among individuals with periodontal disease may be clinically relevant.
我们旨在研究牙周炎与体型表型之间的相关性,研究对象是韩国 2013-2015 年国民健康与营养调查中的 7301 名未确诊慢性疾病的参与者。根据体重指数和是否患有代谢综合征,参与者被分为以下体型表型组:代谢健康正常体重组(MHNW)、代谢异常正常体重组(MANW)、代谢健康肥胖组(MHO)和代谢异常肥胖组(MAO)。轻度和重度牙周炎的发病率分别为 18.1%和 7.5%。牙周炎患者年龄较大,目前吸烟,家庭收入较低,不太可能定期刷牙或锻炼,体重指数和血糖水平较高。牙周炎在男性和女性组及 MAO 组的发病率高于男性和女性组及 MHO 组。与 MHNW 表型相比,MAO 和 MANW 表型与轻度和重度牙周炎显著相关,而 MHO 表型与轻度牙周炎显著相关。MANW和MAO表型是未确诊慢性疾病的成年人患牙周炎的独立风险因素。为了提高公共卫生水平,在牙周病患者中识别代谢疾病表型的重点和有效方法可能与临床相关。
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引用次数: 0
Beyond the Screen: A Comprehensive Analysis of Emotional Skills and Social Networking in French Young Adults 屏幕之外全面分析法国青少年的情感技能和社交网络
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-04 DOI: 10.3390/ijerph21091176
Cinzia Guarnaccia, Abdul Rahman Rasho, Benoit Testé, Sylvain Delouvée
(1) Background: This study investigates the influence of social networks on young adults, focusing on both positive and negative impacts. It considers problematic social networking site use (PSNSU), emotional intelligence, empathy, and the phenomenon of Fear of Missing Out (FoMO). (2) Methods: A comprehensive online survey was conducted with 442 participants aged 18 to 30 years that used various psychometric tools to assess emotional intelligence, empathy, internet and social media use, and FoMO. (3) Results: The study revealed that young adults display low competencies in emotional intelligence and empathy, with a tendency towards problematic internet and social media use. High FoMO scores were observed, correlating with negative internet use outcomes. Gender differences in these aspects were also explored. (4) Conclusions: The findings suggest a complex interaction between social network use, emotional skills, and FoMO that impacts young adults’ mental health and social behaviors. This study highlights the need for a nuanced understanding of these relationships and their implications for well-being and social interaction in the digital age.
(1) 背景:本研究调查了社交网络对年轻人的影响,重点关注其正面和负面影响。研究考虑了问题社交网站的使用(PSNSU)、情商、同理心和 "害怕错过"(FoMO)现象。(2) 方法:对 442 名 18 至 30 岁的参与者进行了一次全面的在线调查,使用各种心理测量工具来评估情商、移情能力、互联网和社交媒体的使用以及 FoMO。(3) 结果:研究显示,年轻人的情商和移情能力较低,并有使用问题互联网和社交媒体的倾向。FoMO 分数较高,与负面的互联网使用结果相关。研究还探讨了这些方面的性别差异。(4) 结论:研究结果表明,社交网络使用、情感技能和 FoMO 之间存在着复杂的互动关系,影响着青少年的心理健康和社交行为。本研究强调了对这些关系及其对数字时代的幸福感和社交互动的影响进行细致理解的必要性。
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引用次数: 0
Problematic Use of Smartphones and Social Media on Sleep Quality of High School Students in Mexico City 使用智能手机和社交媒体对墨西哥城高中生睡眠质量的影响
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-04 DOI: 10.3390/ijerph21091177
Cristopher Martín Olivares-Guido, Silvia Aracely Tafoya, Mónica Beatriz Aburto-Arciniega, Benjamín Guerrero-López, Claudia Diaz-Olavarrieta
Background: Smartphones, internet access, and social media represent a new form of problematic behavior and can affect how teens sleep. Methods: A cross-sectional design was employed to examine the prevalence and association of problematic internet use and problematic smartphone use with sleep quality in a non-probability sample of 190 high school students in Mexico. The internet-related experiences questionnaire (IREQ), the mobile-related experiences questionnaire (MREQ), and the Pittsburgh Sleep Quality Index (PSQI) were used. Results: The study revealed that 66% of participants exhibited some form of problematic internet use, primarily in the form of social media use; 68% had some form of problematic smartphone use, and 84% reported poor sleep quality. The PSQI score was most accurately predicted by problematic smartphone use (MREQ), followed by enrollment in the morning school shift, participation in sports, the father’s education level, and knowledge that “smartphone use disturbs sleep”, which together explained 23% of the variation in sleep quality. Conclusions: Excessive smartphone use may negatively affect sleep quality in adolescents. We recommended that interventions be implemented to educate adolescents about appropriate and healthy use of technology, in parallel with the promotion of preventive sleep habits.
背景介绍智能手机、互联网接入和社交媒体是一种新的问题行为,会影响青少年的睡眠。研究方法采用横断面设计,对墨西哥 190 名高中生进行非概率抽样调查,研究问题互联网和问题智能手机的使用率及其与睡眠质量的关联。研究采用了互联网相关体验问卷(IREQ)、手机相关体验问卷(MREQ)和匹兹堡睡眠质量指数(PSQI)。结果显示研究显示,66%的参与者表现出某种形式的互联网使用问题,主要表现为社交媒体使用问题;68%的参与者表现出某种形式的智能手机使用问题,84%的参与者报告睡眠质量不佳。有问题的智能手机使用(MREQ)对 PSQI 分数的预测最为准确,其次是上早班、参加体育运动、父亲的教育水平以及对 "使用智能手机会干扰睡眠 "的认识,这些因素加在一起解释了 23% 的睡眠质量差异。结论过度使用智能手机可能会对青少年的睡眠质量产生负面影响。我们建议在推广预防性睡眠习惯的同时,实施干预措施,教育青少年正确、健康地使用技术。
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引用次数: 0
Fetal Growth Following Electronic Cigarette Use in Pregnancy 孕期使用电子烟后的胎儿生长情况
3区 综合性期刊 Q1 Medicine Pub Date : 2024-09-04 DOI: 10.3390/ijerph21091179
Beth A. Bailey, Michelle Azar, Katherine Nadolski, Phoebe Dodge
Electronic cigarette (e-cig) use in pregnancy is common, but potential effects on fetal development are largely unknown. This study’s goal was to examine the association between e-cig exposure and fetal growth. Data were extracted from medical charts in this single-site retrospective study. The sample, excluding those with known tobacco, alcohol, illicit drug, opioid, and benzodiazepine use, contained women who used e-cigs throughout pregnancy and non-e-cig user controls. Fetal size measurements from second- and third-trimester ultrasounds and at birth were expressed as percentiles for gestational age. Following adjustment for confounding factors, in the second trimester, only femur length was significant, with an adjusted deficit of 11.5 percentile points for e-cig exposure compared to controls. By the third trimester, the femur length difference was 28.5 points, with the fetal weight difference also significant (17.2 points). At birth, all three size parameter differences between groups were significant. Significant size deficits were predicted by prenatal e-cig exposure, becoming larger and impacting more parameters with increasing gestation. While additional studies are warranted to confirm and expand upon these findings, this study adds to emerging data pointing to specific harms following e-cig exposure in pregnancy and suggests that e-cigs may not be a “safer” alternative to combustible cigarette smoking in pregnancy.
怀孕期间使用电子烟(e-cig)很常见,但其对胎儿发育的潜在影响在很大程度上还不为人所知。本研究的目的是探讨电子烟暴露与胎儿发育之间的关系。在这项单点回顾性研究中,我们从病历中提取了数据。样本中排除了已知使用烟草、酒精、违禁药物、阿片类药物和苯二氮卓类药物的妇女,包括在整个孕期使用电子烟的妇女和非电子烟使用者对照组。第二和第三次妊娠超声波检查和出生时的胎儿大小测量值以胎龄百分位数表示。在对混杂因素进行调整后,在怀孕的第二个三个月,只有股骨长度具有显著性,与对照组相比,接触电子烟的胎儿在调整后的百分位数上减少了 11.5 个百分点。到了第三个孕期,股骨长度的差异达到了 28.5 个百分点,胎儿体重的差异也很显著(17.2 个百分点)。出生时,各组之间的三个体型参数差异均显著。产前接触电子烟预示着显著的体型缺陷,随着妊娠期的增加,这种缺陷会变得更大,影响的参数也会更多。虽然还需要更多的研究来证实和扩展这些发现,但这项研究补充了新出现的数据,指出孕期接触电子烟会造成特定的危害,并表明电子烟可能不是孕期吸食可燃卷烟的 "更安全 "的替代品。
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International Journal of Environmental Research and Public Health
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