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Internet-Based Prevention of Re-Victimization for Youth with Care Experience (EMPOWER-YOUTH): Results of a Randomized Controlled Trial 基于互联网的 "有护理经验青少年再受害预防"(EMPOWER-YOUTH):随机对照试验结果
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091159
Birgit Wagner, Olivia Lucia Marie Emmerich, Betteke Maria van Noort
Traumatic experiences and maltreatment are highly prevalent among adolescents in foster or institutional care and have severe long-term effects on mental health. Childhood maltreatment increases the risk of revictimization. This study aimed to evaluate the efficacy of the internet-based prevention program EMPOWER YOUTH in reducing victimization experiences among youth with care experience. A total of 163 youth, that is, adolescents in foster or institutional care, adopted adolescents, or young care leavers aged 14 to 21 years (Mage= 17.68 years; SD = 2.11) were randomized to the six-module guided program or a wait-list control group. The primary endpoint was the decrease in victimization experiences at an 18-week follow-up. Secondary endpoints included risk perception, aggressive tendencies, empathy, prosocial behavior, depressiveness, post-traumatic stress symptoms, and loneliness. About half of the youth exhibited increased psychopathology. No significant interaction between time-point and group was found for victimization measures, though both groups saw a significant reduction over time (p = 0.012, ηp2 = 0.06; p = 0.017, ηp2 = 0.06). The intervention group showed a significant increase in perception of thrill-seeking and rebellious risks (p = 0.036, ηp2 = 0.04; p = 0.026, ηp2 = 0.05). While EMPOWER YOUTH effectively increased risk perception of thrill-seeking and rebellious behaviors, it should be considered an add-on to more intensive interventions for common mental health disorders in this vulnerable group, rather than a stand-alone online program.
创伤经历和虐待在寄养或机构照料的青少年中非常普遍,并对心理健康产生严重的长期影响。童年遭受虐待会增加再次受害的风险。本研究旨在评估基于互联网的预防项目 "EMPOWER YOUTH "在减少有被照顾经历的青少年受害经历方面的效果。共有163名青少年(即寄养或机构照料的青少年、被收养的青少年或脱离照料的青少年,年龄在14至21岁之间,平均年龄为17.68岁,标准差为2.11岁)被随机分配到六个模块的指导计划或等待名单对照组中。主要终点是在18周的随访中受害经历的减少。次要终点包括风险感知、攻击倾向、同理心、亲社会行为、抑郁、创伤后应激症状和孤独感。约有一半的青少年表现出更严重的心理病态。在受害程度方面,时间点和组别之间没有发现明显的交互作用,但两组的受害程度都随着时间的推移而明显下降(p = 0.012,ηp2 = 0.06;p = 0.017,ηp2 = 0.06)。干预组对寻求刺激和叛逆风险的感知明显增加(p = 0.036,ηp2 = 0.04;p = 0.026,ηp2 = 0.05)。虽然 "增强青少年能力 "项目能有效提高对寻求刺激和叛逆行为的风险认知,但它应被视为针对这一弱势群体常见心理健康障碍的强化干预措施的附加项目,而不是一个独立的在线项目。
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引用次数: 0
Physical and Psychological Symptomatology, Co-Parenting, and Emotion Socialization in High-Conflict Divorces: A Profile Analysis 高冲突离婚中的生理和心理症状、共同养育和情感社会化:概况分析
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091156
Inés Pellón-Elexpuru, Ana Martínez-Pampliega, Susana Cormenzana
Although the consequences of divorce and conflict have been extensively studied, most research has focused on children rather than ex-spouses, although variables such as parental health or co-parenting may have an influence on children’s development through processes such as emotion socialization. In addition, the relationship between these variables has never been considered in high-conflict divorces. Therefore, the present study aimed to analyze the impact of physical and psychological symptomatology and co-parenting on the emotion socialization patterns of parents experiencing high-conflict divorces. Furthermore, the moderating role of resilience was considered, as it has been highly studied as a coping mechanism in adverse situations but barely in divorce at the parental level. For this purpose, a Latent Profile Analysis was carried out with Mplus 8.10, using a sample of 239 parents from Family Visitation Centers. Results revealed, on the one hand, that parents with fewer physical and psychological symptoms sowed more emotion socialization behaviors than those with more symptomatology. On the other hand, in situations of high interparental conflict, the role of co-parenting and resilience seems less relevant than that of physical and psychological symptomatology when analyzing parental skills like emotion socialization.
虽然对离婚和冲突的后果进行了广泛的研究,但大多数研究的重点是子女而不是前配偶,尽管父母的健康或共同养育等变量可能会通过情感社会化等过程对子女的发展产生影响。此外,这些变量之间的关系在高冲突离婚中从未被考虑过。因此,本研究旨在分析生理和心理症状以及共同养育对高冲突离婚父母情绪社会化模式的影响。此外,本研究还考虑了抗逆力的调节作用,因为抗逆力作为一种在不利情况下的应对机制已被广泛研究,但在父母离婚的情况下却鲜有研究。为此,我们使用 Mplus 8.10 对家访中心的 239 位父母进行了潜在特征分析。结果显示,一方面,身体和心理症状较少的父母比症状较多的父母有更多的情感社会化行为。另一方面,在父母间冲突较多的情况下,分析父母的情感社会化等技能时,共同养育和复原力的作用似乎不如生理和心理症状的作用重要。
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引用次数: 0
A Follow up on the Continuum Theory of Eco-Anxiety: Analysis of the Climate Change Anxiety Scale Using Item Response Theory among French Speaking Population 生态焦虑连续理论的后续研究:利用项目反应理论分析法语人口的气候变化焦虑量表
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091158
Taha Hannachi, Sonya Yakimova, Alain Somat
The mental health impact of the environmental crisis, particularly eco-anxiety, is a growing research topic whose measurement still lacks consensus. This study aims to use item response theory (IRT) to gain a deeper understanding of the constructs measured by existing questionnaires. To conduct this review, we applied the graded response model with the help of the MIRT package in R on open-access data from the short French version of the Climate Change Anxiety Questionnaire, which measures cognitive–emotional impairment and functional impairment. The models tested in this study are the one, two, and three-factor models, and the bifactor model. After model selection, the psychometric properties of the selected model were tested. Our results suggest that the unidimensional model seems to be the most appropriate for measuring eco-anxiety. The item difficulty parameter extracted from the IRT enabled us to discuss the severity levels of the items comprising this tool. The Climate Change Anxiety Questionnaire appears to be more appropriate for measuring moderate to severe eco-anxiety. Avenues for improving this questionnaire and the measurement of eco-anxiety in general are then discussed.
环境危机对心理健康的影响,尤其是生态焦虑,是一个日益重要的研究课题,但其测量方法仍缺乏共识。本研究旨在利用项目反应理论(IRT)来深入了解现有问卷所测量的构念。为了进行这项回顾,我们在 R 中 MIRT 软件包的帮助下,在气候变化焦虑问卷法文简短版本的开放存取数据上应用了分级响应模型,该问卷用于测量认知情感障碍和功能障碍。本研究测试的模型包括单因素模型、双因素模型、三因素模型和双因素模型。模型选定后,对所选模型的心理测量特性进行了测试。结果表明,单维模型似乎最适合测量生态焦虑。从 IRT 中提取的项目难度参数使我们能够讨论构成该工具的项目的严重程度。气候变化焦虑问卷似乎更适合测量中度到重度生态焦虑。然后讨论了改进该问卷和生态焦虑测量的途径。
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引用次数: 0
The Reality of Healthcare Professionals in Leadership Positions at the Onset of the COVID-19 Pandemic COVID-19 大流行爆发时担任领导职务的医疗保健专业人员的现实情况
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091154
Nancy Shehadeh, Georgina Silva-Suarez, Emily Ptaszek, Farah Roman Velez
While pandemics have long been a topic of discussion in public health, COVID-19 placed healthcare leaders in a completely new and challenging situation. This qualitative study sought to understand the personal experiences of healthcare professionals in leadership roles at the beginning of the COVID-19 pandemic. Sixteen in-depth interviews were conducted and recorded via Zoom. Most participants were men (n = 8, 57.1%) and had a doctorate or master’s degree (n = 8, 57.1%). The themes of mental health, dynamic infrastructure, and transformative experience emerged from our participants’ narratives. Most respondents reported heightened stress during that time and shared the institutional and personal mechanisms they used to deal with the situation. They were proud of their profession and their work. They discussed the “dynamic infrastructure” they experienced at the time that helped them lead. Feeling overworked was a common experience for them. Most considered leading during COVID-19 a “transformative experience” that taught them valuable lessons. They also witnessed acts of heroism as their colleagues continued to work during difficult times, even though some succumbed to COVID-19. Despite all the challenges and uncertainties healthcare professionals in leadership positions faced at the onset of COVID-19, their resilience, dedication, and commitment to their profession prevailed. In conclusion, the firsthand experiences recounted by healthcare leaders in this study shed light on the multifaceted nature of leadership during a global health crisis. Their unwavering resilience, dedication, and commitment stand as a testament to the fortitude required in such demanding circumstances. As the COVID-19 pandemic continues to evolve, the insights gleaned from this research bear significant implications for informing future strategies and support systems aimed at bolstering healthcare leadership worldwide.
虽然大流行病长期以来一直是公共卫生领域讨论的话题,但 COVID-19 却将医疗保健领导者置于一个全新的、充满挑战的境地。这项定性研究旨在了解在 COVID-19 大流行初期担任领导职务的医疗保健专业人员的个人经历。研究人员通过 Zoom 进行了 16 次深度访谈,并进行了录音。大多数参与者为男性(8 人,占 57.1%),拥有博士或硕士学位(8 人,占 57.1%)。在参与者的叙述中,我们发现了心理健康、动态基础设施和转型经验等主题。大多数受访者表示在那段时间压力增大,并分享了他们用来应对这种情况的机构和个人机制。他们为自己的职业和工作感到自豪。他们讨论了当时所经历的 "充满活力的基础设施 "对他们领导工作的帮助。工作过度是他们的共同经历。大多数人认为在 COVID-19 期间的领导工作是一次 "变革性的经历",给他们上了宝贵的一课。他们还目睹了同事们在困难时期继续工作的英勇行为,尽管有些人死于 COVID-19。尽管在 COVID-19 爆发时,担任领导职务的医护人员面临着各种挑战和不确定性,但他们的韧性、奉献精神和对职业的承诺战胜了一切。总之,本研究中医疗保健领导人讲述的亲身经历揭示了全球健康危机中领导力的多面性。他们坚定不移的应变能力、奉献精神和承诺证明了在如此严苛的环境下所需的毅力。随着 COVID-19 大流行病的不断发展,本研究得出的见解对未来旨在加强全球医疗保健领导力的战略和支持系统具有重要意义。
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引用次数: 0
The Impacts of COVID-19 Lockdowns on Road Transport Air Pollution in London: A State-Space Modelling Approach COVID-19 封锁对伦敦道路交通空气污染的影响:状态空间建模方法
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-30 DOI: 10.3390/ijerph21091153
Hajar Hajmohammadi, Hamid Salehi
The emergence of the COVID-19 pandemic in 2020 led to the implementation of legal restrictions on individual activities, significantly impacting traffic and air pollution levels in urban areas. This study employs a state-space intervention method to investigate the effects of three major COVID-19 lockdowns in March 2020, November 2020, and January 2021 on London’s air quality. Data were collected from 20 monitoring stations across London (central, ultra-low emission zone, and greater London), with daily measurements of NOx, PM10, and PM2.5 for four years (January 2019–December 2022). Furthermore, the developed model was adjusted for seasonal effects, ambient temperature, and relative humidity. This study found significant reductions in the NOx levels during the first lockdown: 49% in central London, 33% in the ultra-low emission zone (ULEZ), and 37% in greater London. Although reductions in NOx were also observed during the second and third lockdowns, they were less than the first lockdown. In contrast, PM10 and PM2.5 increased by 12% and 1%, respectively, during the first lockdown, possibly due to higher residential energy consumption. However, during the second lockdown, PM10 and PM2.5 levels decreased by 11% and 13%, respectively, and remained unchanged during the third lockdown. These findings highlight the complex dynamics of urban air quality and underscore the need for targeted interventions to address specific pollution sources, particularly those related to road transport. The study provides valuable insights into the effectiveness of lockdown measures and informs future air quality management strategies.
2020 年 COVID-19 大流行的出现导致对个人活动实施法律限制,对城市地区的交通和空气污染水平产生了重大影响。本研究采用状态空间干预方法,调查了 2020 年 3 月、2020 年 11 月和 2021 年 1 月 COVID-19 的三次大规模封锁对伦敦空气质量的影响。数据收集自伦敦(市中心、超低排放区和大伦敦)的 20 个监测站,每天测量氮氧化物、PM10 和 PM2.5,为期四年(2019 年 1 月至 2022 年 12 月)。此外,开发的模型还根据季节效应、环境温度和相对湿度进行了调整。这项研究发现,在第一次封锁期间,氮氧化物水平明显下降:伦敦市中心减少了 49%,超低排放区(ULEZ)减少了 33%,大伦敦地区减少了 37%。虽然在第二次和第三次封锁期间也观察到了氮氧化物的减少,但减少幅度低于第一次封锁。相比之下,PM10 和 PM2.5 在第一次封锁期间分别增加了 12% 和 1%,这可能是由于住宅能耗较高所致。然而,在第二次封锁期间,PM10 和 PM2.5 水平分别下降了 11% 和 13%,在第三次封锁期间保持不变。这些发现凸显了城市空气质量的复杂动态,并强调有必要采取有针对性的干预措施来解决特定污染源,特别是与道路交通有关的污染源。这项研究为了解封锁措施的有效性提供了宝贵的见解,并为未来的空气质量管理战略提供了参考。
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引用次数: 0
The Worldwide Prevalence of Internet Addiction among Medical Students: A Systematic Review and Meta-Analysis 医学生网络成瘾的全球流行率:系统回顾与元分析
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-29 DOI: 10.3390/ijerph21091146
Zhandos Salpynov, Zhanar Kosherova, Antonio Sarría-Santamera, Yerbol Nurkatov, Arnur Gusmanov, Yuliya Semenova
Background: The internet helps us obtain necessary information, facilitates social communication, and provides access to entertainment content. The internet can also lead to the behavioral addictive condition termed internet addiction (IA) if used excessively. As active internet users, medical students are susceptible to IA, which is known to lead to depression and improper medical care delivery, poor academic performance, worse sleep quality, and undesirable financial issues. This systematic review and meta-analysis aimed to assess medical students’ pooled IA prevalence. Methods: The analysis included thirteen cross-sectional studies involving 4787 medical students. Cumulative, subgroup, and meta-regression meta-analyses were applied, using the random-effects model and the restricted maximum likelihood method. Results: The cumulative meta-analysis revealed a rise in the proportion of IA from 0.08 to 0.29, with minor fluctuations between 2015 and 2022. The IA prevalence in lower-middle-income countries was approximately three times higher than in high-income ones. Age and gender were not associated with IA among medical students. Conclusions: The worldwide prevalence of IA was 0.29, with a 95% CI between 0.19 and 0.41. Considering negative IA implications for medical students’ well-being, policymakers and all stakeholders should pay special attention to addressing IA within the medical student community.
背景:互联网帮助我们获取必要的信息,促进社会交流,提供娱乐内容。如果过度使用互联网,也会导致成瘾行为,即网络成瘾(IA)。作为活跃的互联网用户,医学生很容易受到网络成瘾的影响,众所周知,网络成瘾会导致抑郁、医疗服务不当、学习成绩差、睡眠质量下降以及不良的经济问题。本系统综述和荟萃分析旨在评估医学生的网络成瘾患病率。方法:分析包括 13 项横断面研究,涉及 4787 名医学生。使用随机效应模型和限制性最大似然法进行了累积、亚组和元回归荟萃分析。分析结果累积荟萃分析显示,IA比例从0.08上升至0.29,2015年至2022年期间略有波动。中低收入国家的肺结核发病率约为高收入国家的三倍。年龄和性别与医学生的IA无关。结论:IA的全球流行率为0.29,95% CI介于0.19和0.41之间。考虑到IA对医学生福祉的负面影响,政策制定者和所有利益相关者应特别关注解决医学生群体中的IA问题。
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引用次数: 0
The Impact of Positive and Adverse Experiences in Adolescence on Health and Wellbeing Outcomes in Early Adulthood 青春期的积极和消极经历对成年早期健康和幸福结果的影响
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-29 DOI: 10.3390/ijerph21091147
Lynn Kemp, Emma Elcombe, Stacy Blythe, Rebekah Grace, Kathy Donohoe, Robert Sege
This study evaluated the associations between positive and adverse experiences and environments in adolescence and health, education and employment outcomes in early adulthood. Data were extracted from the Longitudinal Studies of Australian Youth cohort that commenced in 2003. The items were conceptually mapped to Positive and Adverse Youth Experiences and environments (PYEs and AYEs) at 15, 16 and 17 years old and outcomes at 25 years old. The associations between PYEs, AYEs and general health, mental health, education and employment were examined, including testing whether PYEs mitigated the association between AYEs and outcomes. A higher number of AYEs was associated with poorer health, education, and employment outcomes. Conversely, a higher number of PYEs was correlated with positive outcomes. The participants with higher PYEs had significantly greater odds of better general and mental health outcomes, even after accounting for AYEs. This relationship was not observed for employment or education outcomes. Adolescence and the transition to adulthood are critical developmental stages. Reducing adverse experiences and environments and increasing positive ones during adolescence could enhance adult wellbeing.
这项研究评估了青少年时期积极和消极的经历和环境与成年早期的健康、教育和就业结果之间的关联。数据提取自 2003 年开始的澳大利亚青少年纵向研究队列。这些项目在概念上被映射为 15、16 和 17 岁时的积极和消极青少年经历和环境(PYEs 和 AYEs)以及 25 岁时的结果。我们研究了 "积极与不良青少年经历和环境 "与一般健康、心理健康、教育和就业之间的关联,包括检验 "积极与不良青少年经历和环境 "是否减轻了 "积极与不良青少年经历和环境 "与结果之间的关联。常年受教育人数越多,健康、教育和就业状况越差。相反,"常年机会 "越多,结果越好。即使考虑到 "常年受教育机会","常年受教育机会 "越多的参与者获得更好的一般健康和心理健康结果的几率也明显越大。而在就业或教育结果方面则没有观察到这种关系。青春期和向成年的过渡是关键的发展阶段。在青春期减少不利的经历和环境,增加积极的经历和环境,可以提高成年人的健康水平。
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引用次数: 0
Collisions and Perceptions of Cyberbullying: Comparison of Intergenerational Experiences 碰撞与对网络欺凌的看法:代际经验比较
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-29 DOI: 10.3390/ijerph21091148
Galina Soldatova, Svetlana Chigarkova, Elena Rasskazova
With regard to negative consequences, cyberbullying is recognized as one of the most traumatic types of cyber aggression. The aim is to study the specific features of adolescents and youth’s cyberbullying experience in the role of an aggressor, victim or bystander, as well as awareness on the part of parents of adolescents. A total of 3395 adolescents, youth and parents filled out specially designed questionnaires. Older adolescents turned out to be at higher risk of cyberbullying. In two-thirds of cases, cyberbullying is related to real-life incidents. Aggressors are motivated by domination and entertainment, primarily employing strategies of social exclusion, harassment and denigration. As victims of cyberbullying, younger adolescents turn to their parents and friends for social support, whereas older adolescents and young adults are more likely turn to their peers. In the role of a bystander, almost half of younger adolescents and about a third of older adolescents and young adults choose the prosocial strategy of protecting a victim. The parents often underestimate the experience of encountering cyberbullying or find it difficult to assess such experience. The identified risk groups and strategies and the lack of parents’ awareness are important to take into account when drawing up cyberbullying prevention programs.
就负面影响而言,网络欺凌被认为是最具创伤性的网络侵害类型之一。研究的目的是了解青少年作为施暴者、受害者或旁观者所经历的网络欺凌的具体特点,以及青少年父母对网络欺凌的认识。共有 3395 名青少年和家长填写了专门设计的调查问卷。结果显示,年龄较大的青少年遭受网络欺凌的风险更高。在三分之二的案例中,网络欺凌与现实生活中的事件有关。攻击者的动机是支配和娱乐,主要采用社会排斥、骚扰和诋毁等策略。作为网络欺凌的受害者,年龄较小的青少年会向父母和朋友寻求社会支持,而年龄较大的青少年和年轻人则更倾向于向同龄人求助。在扮演旁观者的角色时,近一半的青少年和约三分之一的青少年选择了保护受害者的亲社会策略。家长往往低估了遭遇网络欺凌的经历,或者难以评估这种经历。在制定网络欺凌预防计划时,必须考虑到已确定的风险群体和策略,以及家长缺乏认识的情况。
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引用次数: 0
What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences 感染艾滋病毒的女性对心脏健康和心血管风险的了解以及对干预措施的偏好
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-29 DOI: 10.3390/ijerph21091149
Lunthita M. Duthely, Sanjana Satish, Sapna A. Kedia, Lilliana Vilchez, Priscilla T. Valls, Michaela E. Larson, Carolina Cruzval O’Reilly, Vanessa Hurtado, Maria Camila Bernal, Karla Inestroza, Nicholas Fonseca, Tiffany R. Glynn, Mariano J. Kanamori, Claudia A. Martinez
Cardiovascular disease (CVD) is a significant health concern influenced by various determinants. Stigma and resilience have emerged as factors in CVD development and management. Women with HIV (WWH) have higher CVD rates than women without HIV. To improve cardiovascular health for WWH, a comprehensive understanding of how these factors interact, the understanding about individual awareness and willingness to engage in risk-reduction interventions are needed. Methods: As part of a study examining CVD risk among WWH aged >35 years old, 90-minute focus groups were conducted (May 2022) in the English language. Focus groups aimed to elicit participants’ CVD risk knowledge and potential prevention strategies. Transcripts underwent a qualitative analysis. Results: Nineteen WWH participated in three focus groups. Participants experienced the following: (a) enacted stigma related to their HIV diagnosis (e.g., family, church member, healthcare staff); (b) a recent event (e.g., hospitalization of self/family, death in family, chest pain) triggered both heart health-promoting lifestyle changes and suboptimal health behaviors (e.g., COVID-19 pandemic: unhealthy snacking). Participants wanted to obtain more knowledge (“on a mission”) about CVD risk. In total, 100% expressed willingness to take medication or embark on other lifestyle changes to prevent future CVD events. Although participants identified preventative heart health behaviors (e.g., eating healthy foods; exercising; limiting stress, substances, and smoking), misconceptions were also identified (e.g., “catching” heart disease). Conclusions: Understanding the interplay of the different factors related to heart health is needed both at the provider and the patient level to inform interventions that reduce CVD risk amongst racial/ethnic minoritized women with HIV, living in the Southern region of the US.
心血管疾病(CVD)是受各种决定因素影响的重大健康问题。污名化和复原力已成为心血管疾病发展和管理的因素。感染艾滋病毒的妇女(WWH)的心血管疾病发病率高于未感染艾滋病毒的妇女。为了改善女性艾滋病感染者的心血管健康,需要全面了解这些因素是如何相互作用的,了解个人对降低风险干预措施的认识和意愿。研究方法作为一项针对年龄大于 35 岁的女性艾滋病患者心血管疾病风险研究的一部分,我们用英语开展了 90 分钟的焦点小组讨论(2022 年 5 月)。焦点小组旨在了解参与者的心血管疾病风险知识和潜在的预防策略。对文字记录进行了定性分析。结果:19 位世界卫生组织官员参加了三个焦点小组。参与者有以下经历:(a) 与艾滋病诊断相关的污名化(如家人、教会成员、医护人员);(b) 最近发生的事件(如自己/家人住院、家人死亡、胸痛)引发了促进心脏健康的生活方式改变和次优健康行为(如 COVID-19 流行病:不健康的零食)。参与者希望获得更多有关心血管疾病风险的知识("使命")。100%的参与者表示愿意服用药物或改变其他生活方式,以预防未来的心血管疾病事件。尽管参与者指出了预防心脏健康的行为(如食用健康食品;锻炼;限制压力、物质和吸烟),但也发现了一些误解(如 "染上 "心脏病)。结论医疗服务提供者和患者都需要了解与心脏健康有关的不同因素之间的相互作用,以便采取干预措施,降低美国南部地区感染艾滋病毒的少数种族/族裔妇女患心血管疾病的风险。
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引用次数: 0
A Scoping Review of Non-Communicable Diseases among the Workforce as a Threat to Global Peace and Security in Low-Middle Income Countries 关于劳动力中的非传染性疾病对中低收入国家全球和平与安全的威胁的范围审查
3区 综合性期刊 Q1 Medicine Pub Date : 2024-08-29 DOI: 10.3390/ijerph21091143
Daniel Doh, Rumbidzai Dahwa, Andre M. N. Renzaho
Non-communicable diseases (NCDs) continue to pose a threat to public health. Although their impact on the workforce is widely recognized, there needs to be more understanding of how NCDs affect peace and security, particularly in low-middle-income countries. To address this, we conducted a scoping review and presented a narrative to explore how NCDs in the workforce threaten peace and security. Out of 570 papers screened, 34 articles, comprising 26 peer review and 8 grey literature, met the study criteria. Our findings reveal that while no study has drawn a direct relationship between NCDs in the workforce in LMICs and peace and security, several studies have demonstrated a relationship between NCDs and economic growth on one hand and economic growth and peace and security on the other. Therefore, using economic growth as a proximal factor, our findings show three pathways that link NCDs in the workforce to peace and security: (i) NCDs lead to low productivity and poor economic growth, which can threaten public peace and security; (ii) NCDs in the workforce can result in long-term care needs, which then puts pressure on public resources and have implications for public expenditure on peace and security; and (iii) household expenditures on caring for a family member with an NCD can destabilize families and create an unfavourable condition that threatens peace and security. This research highlights the dual threat of NCDs to health and security, as they impact human resources and community structures crucial for peace and security. The results underscore the importance of considering the workplace as a strategic setting for NCD prevention, which will have long-term implications for economic growth and peace and security.
非传染性疾病(NCDs)继续对公众健康构成威胁。尽管人们广泛认识到非传染性疾病对劳动力的影响,但仍需要更多地了解非传染性疾病如何影响和平与安全,尤其是在中低收入国家。为了解决这个问题,我们进行了一次范围界定审查,并提出了一份说明,以探讨劳动力中的非传染性疾病如何威胁和平与安全。在筛选出的 570 篇论文中,有 34 篇符合研究标准,其中包括 26 篇同行评审文章和 8 篇灰色文献。我们的研究结果表明,虽然没有研究得出低收入和中等收入国家劳动力中的非传染性疾病与和平与安全之间存在直接关系,但一些研究表明,一方面非传染性疾病与经济增长之间存在关系,另一方面经济增长与和平与安全之间也存在关系。因此,以经济增长为近因,我们的研究结果显示了劳动力中的非传染性疾病与和平与安全之间的三条联系途径:(i) 非传染性疾病导致生产率低下和经济增长乏力,从而威胁到公共和平与安全;(ii) 劳动力中的非传染性疾病会导致长期护理需求,从而对公共资源造成压力,并对和平与安全方面的公共支出产生影响;(iii) 照顾患有非传染性疾病的家庭成员的家庭支出会破坏家庭稳定,并造成威胁和平与安全的不利条件。这项研究强调了非传染性疾病对健康和安全的双重威胁,因为它们影响到对和平与安全至关重要的人力资源和社区结构。研究结果强调了将工作场所视为非传染性疾病预防战略环境的重要性,这将对经济增长以及和平与安全产生长期影响。
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International Journal of Environmental Research and Public Health
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