International Journal of Public Health最新文献_第2页

Developing Core Indicators for Evaluating Second Victim Programs: An International Consensus Approach. 制定评估第二受害者计划的核心指标：国际共识方法》。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-30 DOI: 10.3389/ijph.2024.1607428

Sofia Guerra-Paiva,Irene Carrillo,José Mira,Joana Fernandes,Reinhard Strametz,Eva Gil-Hernández,Paulo Sousa

ObjectivesTo establish a consensus for evaluating second victims (SV) support interventions to facilitate comparison over time and across different organizations.MethodsA three-phase qualitative study was conducted from June 2023 to March 2024. This consensus approach engaged members of the European Researchers Network Working on Second Victims. A nominal group technique and insights from a scoping review were used to create a questionnaire for Delphi Rounds. Indicators were rated 1-5, aiming for agreement if over 70% of participants rated an indicator as feasible and sensitive with scores above 4, followed by a consensus conference.ResultsFrom an initial set of 113 indicators, 59 were assessed online, with 35 advancing to the Delphi rounds. Two Delphi rounds were conducted, achieving response rates of over 60% and 80% respectively, resulting in consensus on 11 indicators for evaluating SV support programs. These indicators encompass awareness and activation, outcomes of SV support programs, as well as training offered by the institution.ConclusionThis study presents a scoreboard for designing and monitoring SV support programs, as well as measuring standardized outcomes in future research.

方法从 2023 年 6 月至 2024 年 3 月开展了一项分三个阶段的定性研究。这一共识方法吸引了欧洲第二受害者研究网络成员的参与。利用名义小组技术和范围界定审查的见解，为德尔菲回合编制了一份调查问卷。对指标进行 1-5 级评分，如果超过 70% 的参与者认为某项指标可行且敏感度高于 4 分，则达成一致意见，然后召开共识会议。结果在最初的 113 项指标中，有 59 项接受了在线评估，其中 35 项进入德尔菲轮。两轮德尔菲评估的回复率分别超过了 60% 和 80%，最终就 11 项 SV 支持项目评估指标达成了共识。这些指标包括认识和激活、SV 支持项目的成果以及机构提供的培训。结论本研究为设计和监测 SV 支持项目以及在未来研究中衡量标准化成果提供了一个记分牌。

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引用次数: 0

"The Razor's Edge of Timing:" A Phenomenological Analysis of Decision-Making Processes Surrounding Medical Aid in Dying. "时间的剃刀边缘："临终医疗援助决策过程的现象学分析。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-30 DOI: 10.3389/ijph.2024.1607435

Jennifer Currin-McCulloch,Nathan Gallo,Yixuan Wang,Kim Mooney

ObjectivesThe study aimed to explore how terminally ill individuals in the United States approach medical aid in dying (MAID), including personal, interpersonal and structural factors that influence their decision-making processes.MethodsThis embodied phenomenological study incorporated semi-structured (N = 9) interviews with seven terminally ill adults who received a prescription for MAID. Interviews occurred over Zoom between October 2021-January 2023 and was guided by Ashworth's framework for exploring phenomenological lifeworlds. Participants were invited to share perceptions of their lifeworlds in pursuit of MAID including values; embodied health, ability, and emotions; space and place in society; reflections on time/timing; and political and cultural discourse. Data analysis integrated Wertz's phenomenological psychological analysis methods.ResultsThe phenomenon of choosing MAID is an intricate juggling of lifeworlds between participants' embodied relationships, values, time and agency which lead to co-existing experiences of uncertainty and hard-won relief.ConclusionOur findings contribute cutting-edge knowledge of the decisional tensions and triumphs terminally ill individuals encounter as they approach MAID and highlight practical implications for health and mental health providers in preparing psychoeducational support for those seeking MAID.

本研究旨在探讨美国临终患者如何对待临终医疗救助（MAID），包括影响其决策过程的个人、人际和结构性因素。方法本体现现象学研究采用半结构化（N = 9）访谈的方式，采访了七名接受过临终医疗救助处方的临终成人。访谈时间为 2021 年 10 月至 2023 年 1 月，访谈以阿什沃斯的现象学生活世界探索框架为指导。访谈邀请参与者分享他们在追求 MAID 的过程中对自己生活世界的看法，包括价值观；体现的健康、能力和情感；社会中的空间和位置；对时间/时机的反思；以及政治和文化话语。结果选择MAID的现象是参与者的体现关系、价值观、时间和能动性之间错综复杂的生活世界的杂耍，这导致了不确定性和来之不易的解脱并存的体验。结论我们的研究结果为临终病人在接近MAID时遇到的决定性紧张和胜利提供了前沿知识，并强调了健康和心理健康提供者为寻求MAID的人准备心理教育支持的实际意义。

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引用次数: 0

Can Targeted Poverty Alleviation Program Reduce Depression? Evidence From China. 有针对性的扶贫项目能否减少抑郁症？来自中国的证据。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-30 DOI: 10.3389/ijph.2024.1607106

Ziying Yang,Chang Xiong,Manping Tang

ObjectivesThis study aimed to examine whether China's Targeted Poverty Alleviation (TPA) program mitigates depression and explores the mechanisms through which the TPA program affects individuals' depression.MethodsUsing the data from the China Family Panel Studies (CFPS) survey from 2012 to 2020, we employ a Difference-in-Difference model to analyze the effect of the TPA program on individuals' depression levels.ResultsOur findings indicate that the TPA program reduces depression scores by 0.116 points, accounting for 6.82% of the standard deviation of depression scores. Further analyses indicate that these effects are mediated through improvements in local medical conditions, reductions in household healthcare spending, increases in household entertainment expenditures, and greater likelihood of living in family.ConclusionThis study showed that the TPA program significantly mitigates individuals' depression levels. The possible channels include (1) improving local medical conditions, (2) cutting down household healthcare spending, (3) increasing household entertainment expenses, and (4) increasing the likelihood of living in family.

方法利用中国家庭面板研究（CFPS）2012-2020 年的调查数据，采用差分模型分析 TPA 项目对个人抑郁水平的影响。进一步的分析表明，这些影响是通过当地医疗条件的改善、家庭医疗保健支出的减少、家庭娱乐支出的增加以及与家人共同生活的可能性的提高而产生的。可能的渠道包括：（1）改善当地的医疗条件；（2）减少家庭医疗支出；（3）增加家庭娱乐支出；（4）增加与家人共同生活的可能性。

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引用次数: 0

Corrigendum: Critical Care Nurses' Perceptions of Abuse and Its Impact on Healthy Work Environments in Five European Countries: A Cross-Sectional Study. 更正：欧洲五国重症监护护士对虐待的看法及其对健康工作环境的影响：一项横断面研究。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-29 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1607849

Adriano Friganović, Jelena Slijepčević, Slađana Režić, Cristina Alfonso-Arias, Monika Borzuchowska, Anca Constantinescu-Dobra, Madalina-Alexandra Coțiu, Estel Curado-Santos, Beata Dobrowolska, Aleksandra AGutysz-Wojnicka, Maria Hadjibalassi, Mireia Llaurado-Serra, Adrian Sabou, Evanthia Georgiou

[This corrects the article DOI: 10.3389/ijph.2024.1607026.].

[此处更正了文章 DOI：10.3389/ijph.2024.1607026]。

引用次数: 0

Factors Associated With Cervical Cancer Screening Attendance in Hungary Based on the European Health Interview Survey. 基于欧洲健康访谈调查的匈牙利宫颈癌筛查出席率相关因素。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-29 DOI: 10.3389/ijph.2024.1607509

Jenifer Pataki,Gergő József Szőllősi,Attila Sárváry,Viktor Dombrádi

ObjectivesThis study assessed the change in cervical cancer screening attendance across 10 years and identified the associated factors.MethodsData from the European Health Interview Surveys in Hungary (2009, 2014, 2019) were analyzed with multivariate and multiple logistic regressions.ResultsThe analysis involved 4,850 participants, revealing a significant (p < 0.001) increase in screening attendance from 69% to 77% over 10 years. Factors significantly associated with higher attendance rates included a higher education level (tertiary level AOR = 2.51 [2.03-3.09]), being in a relationship (AOR = 1.59 [1.39-1.83]), the belief that one can do much for one's health (OR = 1.26 [1.05-1.52]), and the absence of chronic health problems (AOR = 1.56 [1.33-1.84]). Lower screening odds were significantly correlated with worse self-perceived health status (AOR = 0.65 [0.52-0.81]) and less frequent doctor (AOR = 0.64 [0.54-0.76]) and specialist visits (AOR = 0.46 [0.39-0.53]).ConclusionEnhancing cervical cancer screening rates requires tailored public health strategies, particularly targeting individuals with lower education and poor health perceptions. Public health initiatives and enhanced collaboration among healthcare professionals are required to further increase participation rates, particularly among the identified groups.

方法采用多元回归和多重逻辑回归分析匈牙利欧洲健康访谈调查（2009 年、2014 年和 2019 年）的数据。结果分析涉及 4850 名参与者，结果显示 10 年间宫颈癌筛查出席率从 69% 显著上升至 77%（p < 0.001）。与较高筛查率明显相关的因素包括：较高的教育水平（高等教育水平 AOR = 2.51 [2.03-3.09]）、恋爱关系（AOR = 1.59 [1.39-1.83]）、相信自己可以为健康做很多事情（OR = 1.26 [1.05-1.52]）以及没有慢性健康问题（AOR = 1.56 [1.33-1.84]）。筛查几率较低与自我感觉健康状况较差（AOR = 0.65 [0.52-0.81]）、看医生（AOR = 0.64 [0.54-0.76]）和看专科医生（AOR = 0.46 [0.39-0.53]）的频率较低明显相关。要进一步提高参与率，尤其是已确定群体的参与率，需要采取公共卫生措施并加强医疗保健专业人员之间的合作。

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引用次数: 0

Medical Assistance in Dying in Quebec: A Continuum Between Teams' Accountability and Interdisciplinary Support Groups' Assumption of Responsibility. 魁北克的临终医疗援助：团队问责制与跨学科支持小组责任承担之间的连续性。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-29 DOI: 10.3389/ijph.2024.1607407

Catherine Perron,Eric Racine,Marie-Eve Bouthillier

ObjectivesIn the province of Quebec, Canada, interdisciplinary support groups (ISGs) are mandated to support those who are involved in the clinical, administrative, legal and ethical aspects of medical assistance in dying (MAiD). This article presents the results of a mixed-method, multi-phase study carried out in 2021 on ISGs with the aim to describe current ISG practices, critically analyze them and make recommendations on promising practices for provincial implementation.MethodSemi-structured interviews (42) and focus groups (7) with coordinators of 24 ISGs were used to identify promising practices and confirm their utility with participants.ResultsWe have distributed the ISGs along what we coined an "ISG continuum." Between teams' accountability (decentralization) and ISGs' assumption of responsibility for MAiD requests (centralization), a middle ground approach, focused on the value of support, should be favored.ConclusionThe structuring of ISGs and their practices is intimately linked to their values. Harmonization of ISGs and their practices, while considering their specific values and contexts, can contribute to the equity and quality of services intended for those who request MAiD and those who support them.

目的在加拿大魁北克省，跨学科支持小组（ISGs）的任务是为参与临终医疗协助（MAiD）的临床、行政、法律和伦理方面的人员提供支持。本文介绍了 2021 年针对跨学科支持小组开展的一项多阶段混合方法研究的结果，目的是描述跨学科支持小组的现行做法，对其进行批判性分析，并就有前途的做法提出建议，以供各省实施。方法对 24 个跨学科支持小组的协调员进行了半结构式访谈（42 次），并开展了焦点小组（7 次），以确定有前途的做法，并向参与者确认这些做法的实用性。在小组负责制（权力下放）和综合服务小组对千年发展目标申请负责制（权力集中）之间，我们倾向于采用一种以支持价值为重点的中间方法。协调 ISG 及其做法，同时考虑到其具体的价值观和背景，有助于提高为申请千年发展目标评估的人和支持他们的人提供的服务的公平性和质量。

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引用次数: 0

Determinants of Mental Health Inequalities Among People With Selected Citizenships in Germany. 德国部分国籍人群心理健康不平等的决定因素。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-27 DOI: 10.3389/ijph.2024.1607267

Miriam Blume,Susanne Bartig,Lina Wollgast,Carmen Koschollek,Katja Kajikhina,Marleen Bug,Ulfert Hapke,Claudia Hövener

ObjectivesMental health is essential for overall health and is influenced by different social determinants. The aim of this paper was to examine which determinants are associated with mental health inequalities among people with selected citizenships in Germany.MethodsData were derived from the multilingual interview survey "German Health Update: Fokus (GEDA Fokus)" among adults with Croatian, Italian, Polish, Syrian, or Turkish citizenship (11/2021-05/2022). Poisson regressions were used to calculate prevalence ratios for symptoms of depression (PHQ-9) and anxiety disorder (GAD-7).ResultsSociodemographic (sex, income, age, household size) and psychosocial (social support and self-reported discrimination) determinants were associated with symptoms of depression and/or anxiety disorder. The prevalence of mental disorders varied most by self-reported discrimination.ConclusionOur findings suggest mental health inequalities among people with selected citizenships living in Germany. To reduce these, social inequities and everyday discrimination need to be addressed in structural prevention measures as well as in interventions on the communal level. Protective factors (e.g., social support) are also important to reduce mental health inequalities on the individual and community level.

目标心理健康对整体健康至关重要，并受到不同社会决定因素的影响。本文旨在研究在德国具有特定国籍的人群中，哪些决定因素与心理健康不平等有关：Fokus (GEDA Fokus) "多语种访谈调查中获得的数据，调查对象为拥有克罗地亚、意大利、波兰、叙利亚或土耳其国籍的成年人（11/2021-05/2022）。结果社会人口（性别、收入、年龄、家庭规模）和社会心理（社会支持和自我报告的歧视）决定因素与抑郁症状和/或焦虑症状相关。结论：我们的研究结果表明，在德国生活的特定国籍人群在心理健康方面存在不平等。为了减少这些现象，需要在结构性预防措施和社区干预措施中解决社会不平等和日常歧视问题。保护性因素（如社会支持）对于减少个人和社区层面的心理健康不平等现象也很重要。

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引用次数: 0

Hepatitis B Virus, Hepatitis C Virus, and Human Immunodeficiency Virus Infection Among Premarital Screening Individuals in Saudi Arabia. 沙特阿拉伯婚前筛查人群中的乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒感染情况。

IF 4.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-26 DOI: 10.3389/ijph.2024.1607809

Deemah S Alfadhli,Suha M Sulimani,Sahar M Fadl,Ibtihal M Bin Jumah,Abdullah F Alanazi,Abdulaziz S Alangari

ObjectivePremarital screening is one of the most important strategies for preventing infectious diseases such as hepatitis B virus, hepatitis C virus, and human immunodeficiency virus in populations. This study aims to explore the prevalence of these viruses and their association with potential demographic factors among individuals undergoing premarital screening in Saudi Arabia.MethodsA cross-sectional study design using the National Healthy Marriage Program electronic registry in the Saudi Ministry of Health. Patients were selected from the premarital screening tests for the three blood-borne viruses. Data were obtained from January to August 2021 among 114,740 individuals.ResultsHepatitis B virus infection showed the highest prevalence followed by hepatitis C and human immunodeficiency viruses. Among those who were infected, men had higher infectious disease prevalence than women. The central and western regions had the highest percentages of infection.ConclusionThe studied infections pose a continuous public health issue among premarital screening individuals in Saudi Arabia. This study identified important demographic risk factors for these diseases and highlighted the need for future strategies and long-term plans at the national level.

目的婚前筛查是在人群中预防乙型肝炎病毒、丙型肝炎病毒和人类免疫缺陷病毒等传染病的最重要策略之一。本研究旨在探讨沙特阿拉伯接受婚前筛查的人群中这些病毒的流行情况及其与潜在人口学因素之间的关联。方法采用横断面研究设计，使用沙特卫生部的国家健康婚姻计划电子登记册。患者从三种血液传播病毒的婚前筛查中选出。结果乙肝病毒感染率最高，其次是丙肝和人类免疫缺陷病毒。在感染者中，男性的感染率高于女性。结论所研究的感染在沙特阿拉伯婚前筛查人群中构成了一个持续的公共卫生问题。这项研究确定了这些疾病的重要人口风险因素，并强调了在国家层面制定未来战略和长期计划的必要性。

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引用次数: 0

Trends on Prevalence, All-Cause Mortality, and Survival Status of Dementia Patients in Rural China Based on Pooling Analysis. 基于汇集分析的中国农村痴呆症患者患病率、全因死亡率和生存状况的趋势。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-22 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606786

Kang Huo, Suhang Shang, Jin Wang, Chen Chen, Liangjun Dang, Ling Gao, Shan Wei, Lingxia Zeng, Qiumin Qu

Objectives: No study has reported secular trends in dementia prevalence, all-cause mortality, and survival status in rural China.

Methods: We established two cohorts (XRRCC1 and XRRCC2) in the same region of China, 17 years apart, to compare dementia prevalence, all-cause mortality, and survival status, and performed regression analysis to identify associated factors.

Results: Dementia prevalence was 3.49% in XRRCC1 and 4.25% in XRRCC2, with XRRCC2 showing a significantly higher prevalence (OR = 1.79, 95%CI: 1.2-2.65). All-cause mortality rates for dementia patients were 62.0% in XRRCC1 and 35.7% in XRRCC2. Mortality in the normal population of XRRCC2 decreased by 66% compared to XRRCC1, mainly due to improved survival rates in women with dementia. Dementia prevalence was positively associated with age >65, spouse-absent status, and stroke, and negatively associated with ≥6 years of education.

Conclusion: Dementia prevalence in rural China increased over 17 years, while mortality decreased. Major risk factors include aging, no spouse, and stroke, with higher education offering some protection.

研究目的方法：我们在中国同一地区建立了两个队列（XRRCC1 和 XRRCC2），相隔 17 年：我们在中国同一地区建立了两个队列（XRRCC1 和 XRRCC2），相隔 17 年，比较痴呆患病率、全因死亡率和生存状况，并进行回归分析以确定相关因素：XRRCC1和XRRCC2的痴呆患病率分别为3.49%和4.25%，其中XRRCC2的痴呆患病率明显更高（OR=1.79，95%CI：1.2-2.65）。痴呆症患者的全因死亡率在 XRRCC1 中为 62.0%，在 XRRCC2 中为 35.7%。与 XRRCC1 相比，XRRCC2 正常人群的死亡率降低了 66%，这主要是因为痴呆症女性患者的存活率提高了。痴呆症患病率与年龄大于 65 岁、无配偶和中风呈正相关，与受教育时间≥6 年呈负相关：结论：中国农村痴呆症患病率在 17 年间有所上升，而死亡率有所下降。主要风险因素包括高龄、无配偶和中风，而高学历则提供了一定的保护。

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引用次数: 0

A Structured Approach to Involve Stakeholders in Prioritising Topics for Systematic Reviews in Public Health. 让利益相关者参与公共卫生系统性审查主题优先排序的结构化方法。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Public Health

Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI: 10.3389/ijph.2024.1606642

Dyon Hoekstra, Margot Mütsch, Annegret Borchard, Christina Kien, Ursula Griebler, Erik Von Elm, Eva Rehfuess, Ansgar Gerhardus, Stefan K Lhachimi

Objectives: This study aimed to develop and apply a structured approach for prioritising topics for systematic reviews in public health, framed according to the readily applicable PICO format, which encourages the involvement of stakeholders' preferences in a transparent matter.

Methods: We developed a multi-stage process, consisting of a scoping and two Delphi stages with web-based surveys and invited public health stakeholders in Switzerland to participate: First, respondents specified topics for different public health domains, which were reformulated in a PICO format by content analysis. Second, respondents rated the topics using five stakeholder-refined assessment criteria. Overall rankings were calculated to assess differences between stakeholder groups and rating criteria.

Results: In total, 215 respondents suggested 728 topics altogether. The response rate in the two Delphi stages was 91.6% and 77.6%, respectively. Most top-rated review topics focused on the effectiveness of interventions providing education to different target groups, followed by interventions to increase access to specific healthcare services.

Conclusion: Our approach encourages involvement of stakeholders in identifying priorities for systematic reviews and highlights disparities between stakeholders and between individual criteria.

研究目的本研究旨在开发和应用一种结构化方法，根据易于应用的 PICO 格式确定公共卫生系统综述主题的优先次序，该方法鼓励以透明的方式参与利益相关者的偏好：我们开发了一个多阶段流程，包括一个范围界定阶段和两个德尔菲阶段，并通过网络调查邀请瑞士的公共卫生利益相关者参与：首先，受访者为不同的公共卫生领域指定主题，并通过内容分析以 PICO 格式重新制定主题。其次，受访者使用五个利益相关者定义的评估标准对主题进行评分。通过计算总排名来评估利益相关者群体和评分标准之间的差异：共有 215 位受访者提出了 728 个主题。两个德尔菲阶段的回复率分别为 91.6% 和 77.6%。最受好评的评审主题集中在为不同目标群体提供教育的干预措施的有效性上，其次是增加特定医疗保健服务可及性的干预措施：我们的方法鼓励利益相关者参与确定系统性综述的优先事项，并强调了利益相关者之间以及各个标准之间的差异。

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引用次数: 0