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Children's Physical Activity and Screen Time during COVID-19 Pandemic: A Qualitative Exploration of Parent Perceptions. COVID-19大流行期间儿童的身体活动和屏幕时间:对父母观念的定性探索
IF 0.5 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-05-01 DOI: 10.14485/hbpr.8.3.5
Amy A Eyler, Laurel Schmidt, Alan Beck, Amanda Gilbert, Maura Kepper, Stephanie Mazzucca

Objective: In this study, we explore parent perception of children's physical activity and screen time during COVID-19 stay-at-home orders.

Methods: We interviewed 16 parents of children ages 5-12 years in the St. Louis, Missouri region using snowball sampling. We sampled from rural, urban, and suburban areas. The interviews were recorded, transcribed, and analyzed using a priori and emergent codes.

Results: The transition to virtual school and work transformed daily activities. Physical education requirements varied, generally perceived as not contributing to overall physical activity. Parents perceived the amount of physical activity as the same or increased but reported an increase in screen time. The physical environment of the home, yard, and neighborhood emerged as a theme as did the social environment for physical activity.

Conclusions: COVID-19 stay-at-home orders created challenges for children's physical activity. Results can be used to inform more generalizable studies and serve as a basis for creating better parent resources to support their children's physical activity outside of ordinary school, sport, and community activity opportunities.

目的:在本研究中,我们探讨家长对COVID-19留守令期间儿童身体活动和屏幕时间的看法。方法:我们在密苏里州圣路易斯地区采用滚雪球抽样的方法采访了16位5-12岁儿童的父母。我们从农村、城市和郊区取样。访谈记录,转录和分析使用先验和紧急代码。结果:向虚拟学校和虚拟工作的过渡改变了日常活动。体育教育要求各不相同,通常被认为对整体体育活动没有贡献。家长们认为孩子的运动量没有变化,甚至有所增加,但屏幕时间却增加了。家庭、院子和社区的自然环境与体育活动的社会环境一样成为主题。结论:COVID-19的居家令给儿童的身体活动带来了挑战。研究结果可以用来为更广泛的研究提供信息,并作为创造更好的家长资源的基础,以支持他们的孩子在普通学校、体育和社区活动机会之外的体育活动。
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引用次数: 0
The Intersection of Education and Healthcare: Supporting Children with Chronic Health Conditions 教育与医疗保健的交集:支持患有慢性疾病的儿童
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.8
Arnold Olszewski, D. Scarborough, Gregory A. Szumlas
Objective: Chronic health conditions in childhood have been negatively associated with linguistic, academic, and occupational outcomes. Traditionally, categorical diagnostic approaches relying on exclusionary criteria are used in healthcare services. Methods: This literature review examines research from various fields to evaluate the effects of chronic illness in cognitive-linguistic development in children. We explore the implications for different conceptualizations of the term “chronic illness.” We compare categorical and non-categorical diagnostic approaches, specifically in relation to children’s academic performance. Results: We provide recommendations for bridging the gap between healthcare and education to provide children with chronic conditions the best chance of thriving medically and academically. Definitions of chronic illness that rely on inclusive criteria and acknowledge individual variability seem best suited for clinical practice and research. Conclusions: Effective supports for children with chronic illness require evidence-based treatment approaches that are tailored to the unique needs of each individual child. Educators, healthcare providers, families, and related service providers must have open lines of communication to serve children with chronic health conditions. Early identification and intervention is crucial.
目的:儿童时期的慢性健康状况与语言、学术和职业成就呈负相关。传统上,依赖于排除标准的分类诊断方法用于医疗保健服务。方法:本文献回顾了不同领域的研究,以评估慢性疾病对儿童认知语言发展的影响。我们探讨了“慢性疾病”一词的不同概念的含义。我们比较分类和非分类的诊断方法,特别是与儿童的学习成绩。结果:我们为弥合医疗保健和教育之间的差距提供建议,为患有慢性疾病的儿童提供在医学和学术上茁壮成长的最佳机会。依赖于包容性标准和承认个体差异的慢性病定义似乎最适合临床实践和研究。结论:为患有慢性疾病的儿童提供有效的支持,需要基于证据的治疗方法,根据每个儿童的独特需求量身定制。教育工作者、医疗保健提供者、家庭和相关服务提供者必须有开放的沟通渠道,为患有慢性疾病的儿童提供服务。早期识别和干预至关重要。
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引用次数: 1
School-level Factors and Consent Form Return Rate in a School-based Vision Program 校本视觉计划的校级因素与同意书回复率
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.5
H. Given, Amanda J. Neitzel, Ahmed F. Shakarchi, M. Collins
Objective: School-based vision programs provide care directly in schools. Parental consent is typically required for student participation. In this paper, we examine school-level factors associated with consent form return. Methods: We included 123 schools served by a vision program in Baltimore, Maryland between the 2016-17 and 2018-19 school years. Multiple linear regression modeling was used to examine the associations between consent return rate and school type (elementary, elementary/middle or middle school), school size, student attendance, student mobility, percent of students in special education, poverty (percent eligible for free and reduced-price lunch), teacher qualifications, parent response rate to annual school climate survey, vision screening failure rate, and year of vision program participation (cohort). Results: The final model explained 26.2% of variability in consent return rate. Overall consent return rate was 57.8% (range 9.4%-100%). School size (β = -2.419, p < .01) and cohort (βCohort2 = 11.988, p < .01) were significantly associated with consent rate. Whereas poverty (β = 0.225, p < .10) and mobility (β = -0.647, p < .10) were relevant, they did not reach statistical significance. Conclusions: School-level factors are significantly associated with consent form return rates. School-based vision programs should consider additional measures to increase consent form return, especially in larger schools and schools with high rates of student mobility.
目的:以学校为基础的视力项目直接在学校提供护理。学生参与通常需要家长的同意。在本文中,我们考察了学校层面的因素与同意书的返回。方法:在2016-17学年至2018-19学年期间,我们纳入了马里兰州巴尔的摩市一个视力项目服务的123所学校。使用多元线性回归模型来检验同意回复率与学校类型(小学、小学/中学或中学)、学校规模、学生出勤率、学生流动性、特殊教育学生百分比、贫困(有资格获得免费和减价午餐的百分比)、教师资格、家长对年度学校气候调查的反应率、视力筛查失败率和视力项目参与年份(队列)之间的关系。结果:最终模型解释了26.2%的同意回复率变异性。总体同意率为57.8%(范围9.4%-100%)。学校规模(β = -2.419, p < 0.01)和队列(β cohor2 = 11.988, p < 0.01)与同意率显著相关。贫困(β = 0.225, p < .10)和流动性(β = -0.647, p < .10)相关,但没有达到统计学意义。结论:学校因素与同意书回复率显著相关。以学校为基础的视力项目应考虑采取额外措施来增加同意书的返还,特别是在规模较大的学校和学生流动性高的学校。
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引用次数: 1
Predictors of on-task Behaviors: Evaluating Student-level Characteristics. 任务行为的预测因素:评估学生水平的特征。
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/hbpr.8.2.6
Natalie M Golaszewski, John B Bartholomew, Vanessa L Errisuriz, Elizabeth Korinek, Esbelle Jowers

Objective: In this study, we examined students' fitness, body mass index (BMI), and demographics as predictors of observed time on-task (TOT) behaviors as an indicator of behavioral inattention.

Methods: We collected demographics, fitness estimates, and BMI from 2020 fourth-graders (Mean age = 8.6 (SD = 0.5); 47% girls; 49% white) from 28 schools. We measured TOT through momentary time sampling observations. Three-level linear models were conducted to determine whether characteristics predicted differences in TOT. We tested interactions between characteristics and TOT.

Results: Older students exhibited greater percent of TOT (estimate = 2.34, SE = 1.02, df = 919, t = 2.30, p < .05). Additionally, boys spent less percent TOT (estimate = -3.59, SE = 1.03, df = 906, t = -3.49, p < .05). There were no differences by race/ethnicity, SES, BMI, fitness, or time of day and percent TOT. Furthermore, none of the interactions were statistically significant (p > .15).

Conclusions: Girls and older students spent more TOT. These findings are of interest to educators and psychologists working on the development of research-based guidelines aimed to support elementary students' engagement in the classroom.

目的:在本研究中,我们考察了学生的健康状况、体重指数(BMI)和人口统计数据作为观察到的任务上时间(TOT)行为的预测因子,并将其作为行为注意力不集中的指标。方法:我们收集了2020名四年级学生的人口统计数据、健康估计和BMI(平均年龄= 8.6 (SD = 0.5);47%的女孩;白人占49%),来自28所学校。我们通过瞬时采样观测来测量TOT。采用三水平线性模型来确定特征是否能预测TOT的差异。我们测试了特征与TOT之间的相互作用。结果:年龄较大的学生表现出更高的TOT百分比(估计值= 2.34,SE = 1.02, df = 919, t = 2.30, p < 0.05)。此外,男孩花费较少的TOT百分比(估计= -3.59,SE = 1.03, df = 906, t = -3.49, p < 0.05)。种族/民族、社会经济地位、身体质量指数、健康状况、一天中的时间和TOT百分比没有差异。此外,没有任何相互作用具有统计学意义(p > .15)。结论:女生和大龄学生的TOT花费更多。这些发现引起了教育工作者和心理学家的兴趣,他们致力于开发基于研究的指导方针,旨在支持小学生在课堂上的参与。
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引用次数: 0
Targeted Intervention Strategies to Promote HPV-associated Cancer Equity 有针对性的干预策略促进HPV相关癌症公平
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.1
H. Lee, Yan Luo, Jessica A. Neese, D. Lee, C. Daniel
Objectives: Human papillomavirus (HPV) is a set of viruses that affects both men and women and is transmitted through vaginal, anal, or oral sex. Higher HPV literacy, such as knowledge about the disease and how it can be prevented, increases the likelihood of HPV vaccine uptake, thereby preventing the spread of HIV. In this study, we investigated the level of HPV literacy and the associated factors with HPV literacy among adults in Minnesota. Methods: A cross-sectional survey was completed with 733 adults aged 18 years and older. Application of Andersen’s Behavioral Model of Health Services Use, along with the conduction of multiple regression analysis, helped examined the factors associated with HPV literacy. Results: The mean score of HPV literacy of participants was 6.05 (SD = 1.50) out of a total possible 8 points. This study indicated age and race/ethnicity disparities regarding HPV literacy. Education, health insurance coverage, and self-reported health status significantly predicted HPV literacy. Conclusion: Future efforts are needed to improve HPV literacy among those who have lower education levels and lack insurance coverage. Additionally, lower scores on specific HPV literacy items suggest that health education should target more specific knowledge aiming to improve general HPV literacy.
目的:人乳头瘤病毒(HPV)是一组影响男性和女性的病毒,通过阴道、肛门或口交传播。更高的HPV知识,如有关该疾病和如何预防的知识,增加了接种HPV疫苗的可能性,从而防止了艾滋病毒的传播。在这项研究中,我们调查了明尼苏达州成年人的HPV素养水平以及与HPV素养相关的因素。方法:对733名18岁及以上的成年人进行横断面调查。Andersen健康服务使用行为模型的应用,以及多元回归分析的进行,有助于检查与HPV素养相关的因素。结果:在总共可能的8分中,参与者的HPV素养平均得分为6.05(SD=1.50)。这项研究表明了年龄和种族/民族在HPV识字方面的差异。教育、健康保险覆盖率和自我报告的健康状况显著预测了HPV的识字率。结论:未来需要努力提高低教育水平和缺乏保险的人群的HPV知识。此外,特定HPV素养项目得分较低表明,健康教育应针对更具体的知识,旨在提高一般HPV素养。
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引用次数: 0
School Personnel’s Responses to School-based Vaping Prevention Program: A Qualitative Study 学校人员对校本电子烟预防计划的反应:一项定性研究
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.4
H. Dai, Athena K. Ramos, Niran Tamraker, M. Cheney, K. Samson, Brandon Grimm
Objective: In this qualitative study, we sought to assess 3 topics of interest: (1) current status of vaping and school-based prevention; (2) school personnel’s perceptions of vaping; and (3) challenges in implementing school-based vaping prevention programs. Methods: We conducted 5 focus groups using a semi-structured interview guide during October through December 2019. School personnel (eg, principals, teachers [N = 32]) from 30 middle and high schools were recruited across diverse regions in Nebraska. Results: Eight themes arose from the thematic analysis in 3 topic areas. School personnel attributed student vaping to easy access, low perception of harm, addiction, and proliferation of stealthy products for concealed use. Whereas schools showed strong support for addressing youth vaping on school grounds, few schools had adopted a comprehensive e-cigarette prevention and cessation program. The top challenges to current school-based vaping prevention programs include lack of time, knowledge, and coordinated efforts. Participants also recognized the significance of parental engagement in the prevention effort. Conclusions: There is a considerable variation in school policies and actions to address youth vaping. An evidence based youth vaping program that involves schools, parents, students, and communities needs to be developed and disseminated in school settings.
目的:在这项定性研究中,我们试图评估3个感兴趣的主题:(1)电子烟和学校预防的现状;(2) 学校工作人员对电子烟的看法;以及(3)在实施基于学校的电子烟预防方案方面面临的挑战。方法:我们在2019年10月至12月期间使用半结构化访谈指南进行了5个焦点小组。来自内布拉斯加州不同地区的30所中学和高中的学校人员(如校长、教师[N=32])被招募。结果:在3个主题领域的主题分析中产生了8个主题。学校工作人员将学生使用电子烟归因于易于获取、对伤害的感知度低、成瘾以及隐蔽使用的隐形产品的扩散。尽管学校大力支持解决青少年在校园内吸食电子烟的问题,但很少有学校采取全面的电子烟预防和戒烟计划。目前以学校为基础的电子烟预防计划面临的最大挑战包括缺乏时间、知识和协调努力。与会者还认识到父母参与预防工作的重要性。结论:解决青少年电子烟问题的学校政策和行动存在很大差异。需要制定一项涉及学校、家长、学生和社区的基于证据的青少年电子烟计划,并在学校环境中传播。
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引用次数: 1
Health Information-seeking through Personal Health Records among Women Susceptible to Breast Cancer 通过个人健康记录查找乳腺癌易感妇女的健康信息
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.3
Hyunmin Kim, Asos Mahmood, M. P. Powell
Objective: Health information-seeking is an essential component of health-related behavior and decision-making. Access to personal health records (PHRs), offered by healthcare providers, is an essential tool to access health information. However, little is known about predictive factors of use of PHRs as a medium of health information among women. In this study, we explored health information-seeking’s decision processes through PHRs among middle-aged and older women susceptible to developing breast cancer. Methods: We used data from the 2014 Health Information National Trends Survey in the United States and employed a 2-part Hurdle model. The study sample included 1159 women aged 40 to 75 years. Results: The Hurdle estimation found that health information-seeking through PHRs consists of 2 distinct decision processes: (1) the use of PHRs and (2) the frequency of use; different sets of factors are associated with each decision process. Women’s demographic characteristics were found to be the primary factors for PHR use. In contrast, socioeconomic factors, salience, self-efficacy, and general health status were more likely to be the main factors affecting the frequency of use. Conclusions: Based on the findings, providing greater access to PHRs to women, particularly those with health needs or concerns, should be considered by policymakers. Additionally, the issue of the digital divide in PHR use should be addressed.
目的:健康信息获取是健康相关行为和决策的重要组成部分。访问医疗保健提供者提供的个人健康记录(PHRs)是获取健康信息的重要工具。然而,人们对妇女使用医疗记录作为健康信息媒介的预测因素知之甚少。本研究探讨了中老年乳腺癌易感妇女的健康信息寻求决策过程。方法:采用2014年美国健康信息全国趋势调查数据,采用两部分障碍模型。研究样本包括1159名年龄在40到75岁之间的女性。结果:障碍估计发现,通过医疗卫生信息记录寻求健康信息包括2个不同的决策过程:(1)医疗卫生信息记录的使用和(2)使用频率;不同的因素集与每个决策过程相关联。妇女的人口特征被发现是PHR使用的主要因素。相比之下,社会经济因素、显著性、自我效能和一般健康状况更可能是影响使用频率的主要因素。结论:根据调查结果,决策者应考虑为妇女,特别是有保健需要或关切的妇女提供更多获得药品处方的机会。此外,应解决PHR使用中的数字鸿沟问题。
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引用次数: 0
A Pilot Study of a Comprehensive School Physical Activity Program in Elementary Schools: Be a Champion! 小学综合学校体育活动试点研究:争当冠军!
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/hbpr.8.2.2
Justin B Moore, R Glenn Weaver, Beverly J Levine, Camelia R Singletary, Russell L Carson, Michael W Beets, Darla M Castelli, Aaron Beighle, Russell R Pate

Objective: In the present study, we sought to determine if a comprehensive school physical activity program (CSPAP) delivered using the Be a Champion! (BAC) framework was effective in increasing moderate-to-vigorous physical activity (MVPA) and decreasing sedentary time in elementary school youth.

Methods: We implemented a CSPAP in 3 elementary schools to determine its effectiveness to youth behaviors compared to 2 control schools. Youth physical activity was assessed via accelerometry in spring 2015 and spring 2016 during school hours on school days. Implementation of the BAC components and youth behavior was assessed through direct observation from fall 2015 through winter 2016.

Results: In a multilevel, mixed model examining the effects of intervention, we found no statistically significant effect of the intervention on overall MVPA. However, a significant increase in MVPA was observed among girls (but not boys) in the intervention schools relative to controls. No differences in sedentary behaviors were observed by group.

Conclusion: CSPAP implementation may be effective in reducing sedentary time and increasing MVPA in girls, but not boys. Research is necessary to increase implementation dose and fidelity to best practices in physical activity promotion.

目的:在本研究中,我们试图确定综合学校体育活动计划(CSPAP)是否使用Be a Champion!(BAC)框架在增加小学青少年中~高强度体力活动(MVPA)和减少久坐时间方面是有效的。方法:我们在3所小学实施了CSPAP,以确定其对青少年行为的有效性,并与2所对照学校进行比较。在2015年春季和2016年春季的上课时间,通过加速度计评估青少年的身体活动。从2015年秋季到2016年冬季,通过直接观察评估BAC组成部分的实施情况和青少年行为。结果:在检验干预效果的多水平混合模型中,我们发现干预对总体MVPA没有统计学上显著的影响。然而,与对照组相比,在干预学校的女孩(而不是男孩)中观察到MVPA显著增加。各组的久坐行为没有差异。结论:CSPAP的实施可能对女孩减少久坐时间和增加MVPA有效,但对男孩无效。有必要进行研究,以加大实施力度,忠实于促进身体活动的最佳做法。
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引用次数: 2
Critical Evaluation of the Case for Pausing California's School-based Fitness Testing. 暂停加州学校体能测试案例的批判性评估。
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-03-01 DOI: 10.14485/HBPR.8.2.7
Amanda Woodworth, Margaret Schneider

Objective: We undertook a literature review to evaluate the evidence for an association among school-based fitness testing and bullying, weight-based teasing (WBT), and/or gender discrimination.

Methods: We searched the peer-reviewed literature using PubMed, ERIC and GOOGLE Scholar to identify articles related to school-based physical fitness testing (K-12) on the one hand and bullying, WBT, and/or gender discrimination on the other.

Results: We identified 12 studies on the impact of school-based physical fitness testing (PFT) on bullying and WBT. These studies do not support the assertion that PFT places students at elevated risk for bullying and/or WBT as compared to other school settings. There is a dearth of studies investigating an association between PFT and gender discrimination.

Conclusions: The concerns about PFT as a widespread cause of bullying and WBT are not supported by the evidence. It is likely that school climate is a stronger determinant overall of these negative student interactions and that more rigorous teacher training would ameliorate student concerns about fitness testing. Nevertheless, more rigorous research is warranted to determine with confidence that PFT does not elevate students' risks for bullying and WBT and to examine the risks for students with non-binary gender.

目的:我们进行了一项文献综述,以评估基于学校的体能测试与欺凌、体重戏弄(WBT)和/或性别歧视之间的关联。方法:我们使用PubMed、ERIC和GOOGLE Scholar检索同行评议文献,一方面确定与校本体能测试(K-12)有关的文章,另一方面确定与欺凌、WBT和/或性别歧视有关的文章。结果:我们选取了12项关于校本体质测试(PFT)对欺凌和WBT影响的研究。这些研究并不支持这样的说法,即与其他学校环境相比,PFT使学生面临更高的欺凌和/或WBT风险。调查PFT与性别歧视之间关系的研究很少。结论:关于PFT作为欺凌和WBT的普遍原因的担忧没有证据支持。学校氛围很可能是这些负面学生互动的一个更强的决定因素,更严格的教师培训将改善学生对健康测试的担忧。然而,有必要进行更严格的研究,以确定PFT不会增加学生遭受欺凌和WBT的风险,并检查非二元性别学生的风险。
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引用次数: 3
Five-year Survey of Personal Computer Work by the Staff of a Teacher Training University and Affiliated Schools 某师范院校及其附属学校教职员五年个人电脑使用情况调查
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2021-01-01 DOI: 10.14485/hbpr.8.5.1
S. Maki, Y. Sakakibara, N. Hisanaga
Objective: Occupational research relevant to visual display terminal (VDT) work is expanding on a global scale. To date, examination of possible occupational health-related issues has been insufficient. Methods: We conducted a longitudinal survey (2007-2011) at a teacher training university, investigating various kinds of problematic VDT work, revealing the relationships between occupational and environmental factors (work content, workplace, and working posture) and ocular and musculoskeletal symptoms. Results: Whereas symptoms varied somewhat for men and women who were VDT users, “stooping posture” and “work time (≥ 6 hours)” were the causes of symptoms of “eye fatigue” for both sexes. We identified numerous other sex-specific symptoms as well. Conclusions: These results contribute to improvement of teachers’ occupational and environmental health and offer direction for pre-work education.
目的:与视觉显示终端(VDT)工作相关的职业研究在全球范围内不断扩大。迄今为止,对可能与职业健康有关的问题的审查还不够充分。方法:我们在一所师范院校进行了纵向调查(2007-2011),调查了各种有问题的VDT工作,揭示了职业和环境因素(工作内容、工作场所和工作姿势)与眼和肌肉骨骼症状之间的关系。结果:尽管使用VDT的男性和女性的症状有所不同,但“弯腰姿势”和“工作时间(≥6小时)”是男女“眼睛疲劳”症状的原因。我们还发现了许多其他的性别特异性症状。结论:本研究结果有助于提高教师的职业健康和环境健康水平,为教师的职前教育提供指导。
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引用次数: 0
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Health Behavior and Policy Review
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