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How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data 出生后第一年的健康访视如何因家庭特征而异?行政数据纵向分析
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-17 DOI: 10.1093/pubmed/fdae259
C Bunting, A Clery, L McGrath-Lone, M Liu, S Kendall, H Bedford, F Cavallaro, E C Saloniki, K Harron, J Woodman
Background The health visiting service in UK promotes the health and wellbeing of families with young children and comprises a universal offer (three mandated contacts between birth and 12 months) and additional contacts based on need. We aimed to understand how the level of health visiting support received varies by family characteristics. Methods Using the Community Services Data Set linked to Hospital Episode Statistics, we identified 52 555 children in 10 local authorities with complete health visiting data for 12 months between April 2016 and March 2020. We analysed variation in health visiting contacts by deprivation, child ethnicity, maternal age, adversity and previous live births. Results 41 340/52 555 children (79%) received the universal service; 63% received ≥1 additional contact and 25% received ≥3 additional contacts. The likelihood of receiving ≥3 additional contacts was greatest for children whose mothers had a history of hospital admissions relating to mental health, violence, self-harm or substance misuse (adjusted relative risk = 1.55, 95% confidence interval 1.26–1.92). Conclusions Most families received health visiting support in addition to the universal service. Policymakers and commissioners should consider how health visiting services can be expanded or targeted more effectively to ensure all families receive the support they need.
背景 英国的健康访视服务旨在促进有幼儿家庭的健康和幸福,包括普遍提供的服务(出生至 12 个月期间的三次法定接触)和根据需要提供的额外接触。我们旨在了解不同家庭所接受的健康访视支持水平有何差异。方法 我们利用与 "医院事件统计 "相关联的 "社区服务数据集",在 2016 年 4 月至 2020 年 3 月期间的 12 个月中,在 10 个地方当局中确定了 52 555 名有完整健康访视数据的儿童。我们按贫困程度、儿童种族、母亲年龄、逆境和以往活产情况分析了健康访视接触的差异。结果 41 340/52 555 名儿童(79%)接受了普遍服务;63% 的儿童接受了≥1 次额外的接触,25% 的儿童接受了≥3 次额外的接触。母亲曾因精神健康、暴力、自残或药物滥用入院的儿童接受≥3次额外联系的可能性最大(调整后相对风险=1.55,95%置信区间为1.26-1.92)。结论 大多数家庭除了接受普遍服务外,还接受了健康访视支持。政策制定者和专员应考虑如何扩大健康访视服务或使其更有针对性,以确保所有家庭都能获得所需的支持。
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引用次数: 0
The correlates of environmental initiatives in sports organizations with climate change attitudes and subjective well-being 体育组织的环保举措与气候变化态度和主观幸福感的相关性
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-15 DOI: 10.1093/pubmed/fdae261
Christian Kraft, Christoph Bühren, Pamela Wicker
Background To recognize the interplay between climate change and public health, this study examines the impact of sports organizations’ environmental initiatives on members’ subjective well-being (SWB) and climate change attitudes (CCA). Drawing on the theoretical tenets of pro-social behavior, organizational initiatives aiming at protecting and improving the natural environment can be viewed as altruistic. This altruism can in turn increase SWB. Methods The analysis uses survey data from the 2022 Eurobarometer, including 27 European countries and 6311 members of different types of sports organizations. Seemingly unrelated regression models were employed to assess the associations of various environmental initiatives with members’ SWB and CCA. Results The total number of initiatives and specific initiatives, such as promoting green energy and waste reduction, are positively correlated with members’ CCA. However, there is no effect on SWB. Conclusion Organizational environmental initiatives may shape members’ attitudes towards climate change but do not seem to affect their SWB. This would suggest that environmental protection does not come at the expense of SWB. Thus, sports organizations represent a context to promote environmental protection along with public health.
研究背景 为认识气候变化与公众健康之间的相互作用,本研究探讨了体育组织的环保举措对成员主观幸福感(SWB)和气候变化态度(CCA)的影响。根据亲社会行为的理论原则,旨在保护和改善自然环境的组织举措可被视为利他主义。这种利他主义反过来又会增加 SWB。方法 本分析采用了 2022 年欧洲晴雨表的调查数据,包括 27 个欧洲国家和 6311 名不同类型体育组织的成员。采用看似无关的回归模型来评估各种环保举措与成员的 SWB 和 CCA 之间的关联。结果 举措总数和具体举措(如推广绿色能源和减少废物)与成员的 CCA 呈正相关。但是,对 SWB 没有影响。结论 组织的环保举措可能会影响成员对气候变化的态度,但似乎不会影响他们的 SWB。这表明,环境保护不会以牺牲 SWB 为代价。因此,体育组织是促进环境保护和公众健康的一个环境。
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引用次数: 0
‘Sleeping with the enemy’: a cross-sectional study on psychological and emotional violence among couples living in Portugal during the COVID-19 pandemic 与敌人共眠":关于 COVID-19 大流行期间葡萄牙夫妻间心理和情感暴力的横断面研究
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-14 DOI: 10.1093/pubmed/fdae258
Ana Aguiar, Daniel Santos Cordeiro, Rita Gaio, Sara Soares, Mariana Vieira, Marta Pinto, Raquel Duarte
Objective This study aimed to evaluate psychological and emotional violence in relation with sociodemographic characteristics and anxiety and depression symptoms during the COVID-19 pandemic in a sample of Portuguese residents. Methods A cross-sectional online study using snowball sampling collected data on demographics, socioeconomic factors, mental health (anxiety and depression symptoms) and couple psychological and emotional violence. The study spanned three months and included 519 individuals aged 18 or above in a relationship since January 2020 or earlier. Data analysis involved descriptive statistics, t-tests, chi-squared tests, logistic regression models (Odds-Ratio [OR] and 95% Confident Interval [CI]), and cluster analysis (K-medoids) using R software (significance threshold of 0.05). Results The sample was predominantly composed of women (78.8%) with an average age of 36.8 years and 79% holding higher education degrees. Two clusters emerged: Cluster 1 (n = 420) presented fewer psychological and emotional violence victims, while Cluster 2 (n = 99) presented more. Older age (OR = 1.026, 95%CI 1.000–1.052) and depression symptoms (OR = 1.163, 95%CI 1.080–1.252) increased the likelihood of psychological and emotional abuse. Men also had 2.87 times higher odds of being victims (95%CI 0.203–0.599). Conclusions The study underscores the need for comprehensive interventions and prevention measures to address psychological and emotional violence by acknowledging it as a public health concern and pushing for interdisciplinary methods.
目的 本研究旨在评估葡萄牙居民样本在 COVID-19 大流行期间心理和情感暴力与社会人口特征、焦虑和抑郁症状之间的关系。方法 采用滚雪球式抽样方法进行横断面在线研究,收集有关人口统计学、社会经济因素、心理健康(焦虑和抑郁症状)以及夫妻间心理和情感暴力的数据。研究时间跨度为三个月,包括 519 名年龄在 18 岁或 18 岁以上、自 2020 年 1 月或更早开始恋爱关系的人。数据分析包括描述性统计、t 检验、卡方检验、逻辑回归模型(Odds-Ratio [OR] 和 95% Confident Interval [CI])以及使用 R 软件的聚类分析(K-medoids)(显著性阈值为 0.05)。结果 样本主要由女性组成(78.8%),平均年龄为 36.8 岁,79% 拥有高等教育学历。出现了两个群组:群组 1(n = 420)中心理和情感暴力受害者较少,而群组 2(n = 99)中心理和情感暴力受害者较多。高龄(OR = 1.026,95%CI 1.000-1.052)和抑郁症状(OR = 1.163,95%CI 1.080-1.252)增加了心理和情感虐待的可能性。男性成为受害者的几率也高出 2.87 倍(95%CI 0.203-0.599)。结论 该研究强调了采取综合干预和预防措施解决心理和情感暴力问题的必要性,承认心理和情感暴力是一个公共卫生问题,并提倡采用跨学科方法。
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引用次数: 0
Association between neonatal mortality and births not weighed among 400 thousand institutional deliveries in 32 low- and middle-income countries 32 个中低收入国家 40 万例住院分娩中新生儿死亡率与未称重分娩之间的关系
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-14 DOI: 10.1093/pubmed/fdae249
Omar Karlsson, Caroline Benski, Mudit Kapoor, Rockli Kim, S V Subramanian
Background Low birthweight (LBW) children have a higher risk of neonatal mortality. All institutional deliveries, therefore, should be weighed to determine appropriate care. Mortality risk for newborns who are not weighed at birth (NWB) is unknown. Methods This paper used logit regression models to compare the odds of death for NWB neonates to that of other neonates using data on 401 712 institutional births collected in Demographic and Health Surveys from 32 low- and middle-income countries. Results In the pooled sample, 2.3% died in the neonatal period and 12% were NWB. NWB neonates had a high risk of mortality compared to normal birthweight children (Adjusted odds ratio [AOR] 5.8, 95% CI: 5.3, 6.5). The mortality risk associated with NWB was higher than for LBW. The neonatal mortality risk associated with NWB varied across countries from AOR of 2.1 (95% CI: 1.22, 3.8) in Afghanistan to 94 (95% CI: 22, 215) in Gabon. In the pooled sample, the 12% of children who were NWB accounted for 37% of all neonatal deaths. Conclusions The association between NWB and neonatal mortality may suggest a need to focus on the quality of institutions related to newborn care. However, further studies are needed to determine causality. A health emergency or death may also cause NWB.
背景 低出生体重儿的新生儿死亡风险较高。因此,所有住院分娩的婴儿都应称重,以确定适当的护理。出生时未称重(NWB)的新生儿的死亡风险尚不清楚。方法 本文利用 32 个中低收入国家人口与健康调查中收集的 401 712 例住院分娩数据,采用 logit 回归模型比较了未称重新生儿与其他新生儿的死亡几率。结果 在汇总样本中,2.3%的新生儿在新生儿期死亡,其中 12% 为非白血病新生儿。与正常出生体重儿相比,非正常出生体重新生儿的死亡风险较高(调整后赔率比 [AOR] 5.8,95% CI:5.3, 6.5)。与正常出生体重儿相比,非正常出生体重儿的死亡风险更高。与新生儿体重不足相关的新生儿死亡风险因国家而异,阿富汗的 AOR 为 2.1(95% CI:1.22, 3.8),加蓬为 94(95% CI:22, 215)。在汇总样本中,12% 的非战斗性脑损伤患儿占新生儿死亡总数的 37%。结论 非孕期婴儿与新生儿死亡率之间的关联可能表明,有必要关注与新生儿护理相关的机构的质量。然而,要确定因果关系,还需要进一步的研究。急诊或死亡也可能导致新生儿腹泻。
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引用次数: 0
Enhancing vitamin D levels in care homes: the role of healthy building design in preventing respiratory infections 提高护理院的维生素 D 水平:健康建筑设计在预防呼吸道感染中的作用
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-14 DOI: 10.1093/pubmed/fdae254
Andi Andre Pratama Putra
The recent article by Willcox et al. in the Journal of Public Health highlights the effectiveness of antiviral prophylaxis and high-dose vitamin D supplementation in reducing acute respiratory infections (ARIs) in care homes. This correspondence extends the discussion by emphasizing the critical role of healthy building design in enhancing vitamin D levels, which is vital for immune function and ARI prevention. Many care home residents suffer from vitamin D deficiency due to limited sunlight exposure. Incorporating architectural elements such as large windows, skylights, and outdoor spaces can significantly increase natural light exposure, thereby boosting vitamin D levels and potentially reducing ARI susceptibility. Despite the benefits of supplementation, addressing environmental factors through healthy building design offers a sustainable, long-term strategy that aligns with public health goals of preventive care and environmental sustainability. Prioritizing such design principles in care home planning and renovation can enhance residents’ health and resilience against infections like influenza and COVID-19.
Willcox 等人最近在《公共卫生杂志》上发表的文章强调了抗病毒预防和大剂量维生素 D 补充剂在减少护理院急性呼吸道感染 (ARI) 方面的有效性。这篇通讯扩展了这一讨论,强调了健康建筑设计在提高维生素 D 水平方面的关键作用,而维生素 D 对免疫功能和急性呼吸道感染的预防至关重要。由于日照时间有限,许多护理院居民都缺乏维生素 D。融入大窗户、天窗和户外空间等建筑元素可以显著增加自然光照射,从而提高维生素 D 水平,并有可能降低急性呼吸道感染的易感性。尽管补充维生素 D 有很多好处,但通过健康建筑设计来解决环境因素问题提供了一种可持续的长期策略,符合预防保健和环境可持续发展的公共卫生目标。在护理之家的规划和翻新中优先考虑此类设计原则,可以增强居住者的健康和抵御流感和 COVID-19 等感染的能力。
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引用次数: 0
FOMO clouds and vapor trails: the invisible toll of E-cigarettes on youth well-being. FOMO 云和蒸汽痕迹:电子烟对青少年健康的隐形伤害。
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-13 DOI: 10.1093/pubmed/fdae262
Rosalia Dewi Nawantara,Nur Eva,Laelatul Arofah,Dwi Sri Rahayu,M Akbar Husein Allsabah
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引用次数: 0
Correction to: Clicks, likes, and mental strikes: the health industry's response to social media challenges. 更正:点击、点赞和精神打击:健康产业对社交媒体挑战的回应。
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-13 DOI: 10.1093/pubmed/fdae264
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引用次数: 0
The urgency of regulation and public education on the health risks of E-cigarettes in Indonesia. 印度尼西亚就电子烟的健康风险进行监管和公众教育的紧迫性。
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-13 DOI: 10.1093/pubmed/fdae263
Haryanto,Ardi,Mala Mulia,Maulana Ikhsan,Erwin Gunawan
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引用次数: 0
Flourishing with food security: why mental health matters for Indonesia's food policy. 在粮食安全的基础上实现繁荣:为什么心理健康对印度尼西亚的粮食政策至关重要?
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-13 DOI: 10.1093/pubmed/fdae243
Rikas Saputra,Yenni Lidyawati
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引用次数: 0
Prospective associations of screen time at age 2 with specific behavioral subscales at age 3: a cohort study 2 岁时的屏幕时间与 3 岁时特定行为分量表的前瞻性关联:一项队列研究
IF 4.4 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-12 DOI: 10.1093/pubmed/fdae240
Ippei Takahashi, Taku Obara, Mami Ishikuro, Masatsugu Orui, Aoi Noda, Genki Shinoda, Fuji Nagami, Atsushi Hozawa, Tomoko Nishimura, Kenji J Tsuchiya, Shinichi Kuriyama
Background We aim to discover which, if any, of the subscales of internalizing and externalizing behavioral problems at age 3 are still associated with screen time (ST) at age 2 after adjusting for behavioral problems scores at age 2. Methods This study was conducted under the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. Information was gathered prospectively, with 7207 mother–child pairs included in the analysis. Children’s ST was categorized in hours a day at age 2 (<1, 1-<2, 2-<4, ≥4). We assessed children’s behavioral problems using the Child Behavior Checklist for Ages 1½–5 (CBCL) at ages 2 and 3. ‘Having behavioral problems’ was defined by them being within a clinical range for internalizing behaviors (withdrawn, somatic complaints, anxious/depressed and emotionally reactive) and externalizing behaviors (attention problems and aggressive behaviors) at age 3. Continuous scores on each of the behavioral problem scales at age 2 were used as covariates. Results Greater ST for children at age 2 was associated with specific subscales for emotionally reactive and aggressive behaviors at age 3. Conclusions This study found that ST is prospectively associated with some behavioral scales but not others.
背景 我们旨在发现,在调整 2 岁时的行为问题得分后,3 岁时的内化和外化行为问题的哪些分量表(如果有的话)仍与 2 岁时的屏幕时间(ST)相关。方法 本研究是在东北医学大型数据库项目出生和三代队列研究中进行的。研究采用前瞻性方法收集信息,共有 7207 对母子参与分析。儿童两岁时的ST以每天小时数分类(<1、1-<2、2-<4、≥4)。行为问题 "的定义是儿童在 3 岁时的内化行为(孤僻、躯体不适、焦虑/抑郁和情绪反应)和外化行为(注意力问题和攻击行为)处于临床范围之内。2 岁时各行为问题量表的连续得分被用作协变量。结果 2 岁时儿童的 ST 增加与 3 岁时情绪反应和攻击行为的特定分量表相关。结论 本研究发现,ST 与某些行为量表有前瞻性关联,但与其他行为量表无关。
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引用次数: 0
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Journal of Public Health
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