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Efficacy of traditional Thai massage as adjunctive therapy in patients with major depressive disorder. 传统泰式按摩对重度抑郁症患者的辅助治疗效果。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42625
Warangkana Chompoopan, Wichai Eungpinichpong, Suwanna Arunpongpaisal, Worawut Chompoopan

Background: Major depressive disorder (MDD) is the most common mental ailment. Moreover, it is one of the most incapacitating medical conditions. Although antidepressant medication has traditionally been the mainstay of treatment, adjunctive therapy may provide therapeutic advantages that reduce the severity of depression.

Methods: An experiment using randomization and control groups was undertaken. A total of forty-eight individuals diagnosed with severe depressive illness and undergoing antidepressant medication were selected and randomly assigned to either get traditional Thai massage (TTM) treatment, consisting of 90-minute sessions twice a week for eight weeks, or to be part of the control group, which continued with their regular daily activities. The main assessment tools used were the Hamilton Depression Rating Scale (HAM-D), the Clinical Global Impression-Severity (CGI-S), and the Khon Kaen University Depression Inventory 14 (KKU-DI-14). Secondary outcomes, such as blood pressure (BP) and quality of life measured by The EuroQol-5D-5L (EQ-5D-5L), were assessed both before and after the first therapy, as well as at the last session at the 8th week.

Results: The TTM group showed a statistically significant decrease in the HAM-D score within the eighth week of therapy compared to the control group (5.14 points, 95% confidence interval=2.92 to 7.37 points, P<0.001).

Conclusion: These findings suggest that combining TTM with antidepressant medication may effectively reduce depression scores and improve quality of life scores.

背景介绍重度抑郁症(MDD)是最常见的精神疾病。此外,它也是最令人丧失能力的病症之一。尽管抗抑郁药物一直是治疗的主要手段,但辅助疗法也可提供治疗优势,减轻抑郁症的严重程度:方法:采用随机分组和对照组的方法进行实验。实验共选取了 48 名被诊断患有严重抑郁症并正在接受抗抑郁药物治疗的患者,随机分配他们接受传统泰式按摩(TTM)治疗(每周两次,每次 90 分钟,为期八周),或者将他们作为对照组的一员,继续其常规的日常活动。使用的主要评估工具包括汉密尔顿抑郁量表(HAM-D)、临床总体印象-严重程度(CGI-S)和孔敬大学抑郁量表 14(KKU-DI-14)。在首次治疗前后以及第 8 周的最后一次治疗中,对血压(BP)和通过欧洲量表-5D-5L(EQ-5D-5L)测量的生活质量等次要结果进行了评估:结果:与对照组相比,TTM 组在治疗第 8 周内的 HAM-D 评分出现了统计学意义上的显著下降(5.14 分,95% 置信区间=2.92 到 7.37 分,PC):这些研究结果表明,将 TTM 与抗抑郁药物治疗相结合可有效降低抑郁评分并提高生活质量评分。
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引用次数: 0
Political prioritization for digital health and health equity through global health diplomacy. 通过全球卫生外交,在政治上优先考虑数字卫生和卫生公平。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.43067
Vijay Kumar Chattu, Sujatha Alla, Bawa Singh
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引用次数: 0
The association of dietary inflammatory index with sleep outcomes: A systematic review. 饮食炎症指数与睡眠结果的关系:系统综述。
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.42595
Mona Golmohammadi, Mehnoosh Samadi, Yahya Salimi, Seyed Mostafa Nachvak, Vahideh Ebrahimzadeh Attari

Background: Sleep is a vital physiological process that plays a crucial role in various aspects of human health and well-being. Regarding the important role of diet on the sleep quality, the present study aimed to assess the association of dietary inflammatory index (DII) with the sleep outcomes and also to provide the potential mechanisms of action.

Methods: PubMed, Web of Science and Scopus databases and Google Scholar search engine were systematically searched for relevant studies related to DII and sleep outcomes using appropriate search terms until February 2024.

Results: From the initial systematic search of databases, 197 studies were retrieved. However, only 14 of them met the criteria for evaluation. Out of these, eleven studies indicated a significant correlation between higher DII scores and poor overall sleep quality and/or short/long sleep duration or its subscales. On the contrary, four studies did not find any proof of this association.

Conclusion: This systematic review indicated that following an anti-inflammatory diet could potentially lead to an improvement in the sleep outcomes. Well-designed clinical trials in the future will be necessary to provide a better understanding and quantification of this association.

背景:睡眠是一个重要的生理过程,在人类健康和福祉的各个方面发挥着至关重要的作用。鉴于饮食对睡眠质量的重要作用,本研究旨在评估饮食炎症指数(DII)与睡眠结果的关系,并提供潜在的作用机制:方法:使用适当的检索词系统地检索了 PubMed、Web of Science 和 Scopus 数据库以及谷歌学术搜索引擎中与 DII 和睡眠结果相关的研究,检索期至 2024 年 2 月:通过对数据库的初步系统搜索,共检索到 197 项研究。然而,其中只有 14 项符合评估标准。其中,有 11 项研究表明,DII 分数越高,总体睡眠质量越差和/或睡眠时间短/长或其分量表之间存在显著相关性。相反,有四项研究没有发现这种关联的证据:本系统综述表明,采用抗炎饮食有可能改善睡眠质量。未来有必要进行设计良好的临床试验,以便更好地理解和量化这种关联。
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引用次数: 0
Corrigendum to: Prevalence and incidence of type 1 diabetes in the world: a systematic review and meta-analysis Mobasseri M, Shirmohammadi M, Amiri T, Vahed N, Hosseini Fard H, Ghojazadeh M. Health Promot Perspect. 2020 Mar 30;10(2):98-115. doi: 10.34172/hpp.2020.18. 更正:Mobasseri M, Shirmohammadi M, Amiri T, Vahed N, Hosseini Fard H, Ghojazadeh M. Health Promot Perspect.Doi: 10.34172/hpp.2020.18.
IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI: 10.34172/hpp.43143
Majid Mobasseri, Masoud Shirmohammadi, Tarlan Amiri, Nafiseh Vahed, Hossein Hosseini Fard, Morteza Ghojazadeh

[This corrects the article DOI: 10.34172/hpp.2020.18.].

[此处更正了文章 DOI:10.34172/hpp.2020.18]。
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引用次数: 0
Theory-based antecedents of breastfeeding among pregnant women in the United States 美国孕妇母乳喂养的理论基础
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42599
Manoj Sharma, Christopher Johansen, Miguel Fudolig, C. Dai, Sidath Kapukotuwa, Liliana Davalos, Laurencia Bonsu
Background: Breastfeeding provides several positive health benefits for the newborn child, yet breastfeeding rates remain low in the United States (US). Theory-based approaches have the potential to improve breastfeeding promotion interventions. Hence, the study examined the correlates of intention to breastfeed among US pregnant women based on the multi-theory model (MTM) of health behavior change. Methods: Using a cross-sectional design, a 36-item online survey was administered to a nationally representative sample of 315 pregnant women in the US. The instrument was psychometrically validated for face, content, and construct validity by a panel of six experts over two rounds. Further, construct validation was done by confirmatory factor analysis (CFA). Hierarchical regression modeling was employed to explain the intention to start breastfeeding and sustain exclusive breastfeeding for up to six months and with complementary foods for up to 24 months. Results: Internal consistency using Cronbach’s alpha was found to be acceptable. It was found that behavioral confidence and changes in the physical environment positively affected the initiation of breastfeeding (P<0.01; adjusted R2=0.478). All three constructs of MTM namely practice for change, emotional transformation, and changes in the social environment were significant predictors for the sustenance of breastfeeding at six months (P<0.01; adjusted R2=0.591) and at 24 months (P<0.01; adjusted R2=0.347). Conclusion: Based on the findings of this study it is essential for educators and healthcare providers to design MTM-based interventions to promote breastfeeding among pregnant women in the US.
背景:母乳喂养对新生儿的健康有多种积极的益处,但在美国,母乳喂养率仍然很低。基于理论的方法有可能改进母乳喂养推广干预措施。因此,本研究以健康行为改变的多理论模型(MTM)为基础,研究了美国孕妇母乳喂养意愿的相关因素。研究方法采用横断面设计,对美国 315 名具有全国代表性的孕妇样本进行了 36 个项目的在线调查。由六位专家组成的小组对该问卷进行了两轮心理测量,以验证其表面、内容和结构的有效性。此外,还通过确证因子分析(CFA)进行了结构验证。采用层次回归模型来解释开始母乳喂养和维持纯母乳喂养长达 6 个月以及使用辅食喂养长达 24 个月的意向。研究结果使用 Cronbach's alpha 计算的内部一致性是可以接受的。研究发现,行为信心和自然环境的变化对开始母乳喂养有积极影响(P<0.01;调整后的 R2=0.478)。母乳喂养管理的三个构念,即改变的实践、情感的转变和社会环境的变化,都能显著预测母乳喂养在 6 个月(P<0.01;调整后的 R2=0.591)和 24 个月(P<0.01;调整后的 R2=0.347)时的持续情况。结论根据这项研究的结果,教育工作者和医疗保健提供者有必要设计基于 MTM 的干预措施,以促进美国孕妇的母乳喂养。
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引用次数: 0
Psychosocial determinants of functional independence among older adults: A systematic review and meta-analysis 老年人功能独立性的社会心理决定因素:系统回顾与荟萃分析
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42354
Fataneh Goodarzi, Sahar Khoshravesh, E. Ayubi, Saeid Bashirian, Majid Barati
Background: In current years, the increase in older population has led to creating one of the main public health challenges, worldwide. Because of the special characteristics of older adults, this age group is exposed to possible problems, such as mental and physical disorders, that usually affect their functional independence. The study aimed to determine the psychosocial determinants (e.g., depression, social support, and self-efficacy) affecting functional independence among older population. Methods: Our search was conducted on three international databases (Web of Sciences, PubMed/Medline, and Scopus) for all the observational studies (cross-sectional, cohort or longitudinal designs) on the social and psychological determinants of functional independence among older adults. Papers published in English without limitation of time were reviewed from inception to 26 August 2023. The quality assessment tool was the Newcastle-Ottawa Scale (NOS). The I2 index was used to quantify the degree of heterogeneity among the studies. In the case of heterogeneity higher than 50%, the random effects model has been used for overall estimation of the effects; otherwise, the fixed effects model was used. The pooled associations were expressed as odds ratio (OR) and 95% confidence intervals (CIs). Stata version 14 software (StataCorp LP) was used for data analysis. The significance level was considered at 0.05. Results: In the initial search, 6978 articles were retrieved, and finally, considering the inclusion criteria, 46 articles were examined. Finally, 18 articles were eligible for meta-analysis. The findings indicated that among all the determinants affecting functional independence among older adults, depression could lead to a 76% increase in functional dependence. Conclusion: The findings provide a statistically significant relationship between psychosocial factors and functional independence. Depression was the strongest determinant of functional dependence among older adults.
背景:近年来,老年人口的增加已成为全球主要的公共卫生挑战之一。由于老年人的特殊性,这个年龄段的人可能会面临一些问题,如精神和身体失调,这些问题通常会影响他们的功能独立性。本研究旨在确定影响老年人群功能独立性的社会心理决定因素(如抑郁、社会支持和自我效能)。研究方法我们在三个国际数据库(Web of Sciences、PubMed/Medline 和 Scopus)中搜索了所有关于老年人功能独立性的社会和心理决定因素的观察性研究(横断面、队列或纵向设计)。对从开始到 2023 年 8 月 26 日发表的英文论文进行了审查,时间不限。质量评估工具为纽卡斯尔-渥太华量表(NOS)。I2 指数用于量化研究之间的异质性程度。如果异质性高于 50%,则采用随机效应模型进行总体效应估计;否则,采用固定效应模型。汇总的相关性以几率比(OR)和 95% 置信区间(CIs)表示。数据分析使用 Stata 14 版软件(StataCorp LP)。显著性水平为 0.05。结果在最初的检索中,共检索到 6978 篇文章,最后,考虑到纳入标准,对 46 篇文章进行了审查。最后,有 18 篇文章符合荟萃分析的条件。研究结果表明,在影响老年人功能独立性的所有决定因素中,抑郁症可导致功能依赖性增加 76%。结论研究结果表明,社会心理因素与功能独立性之间存在统计学意义上的显著关系。抑郁是老年人功能依赖的最强决定因素。
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引用次数: 0
Pandemic treaty as an instrument to strengthen global health security: Global health diplomacy at its crux 将大流行病条约作为加强全球卫生安全的工具:全球卫生外交的核心
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42744
Vijay Kumar Chattu, Rajani Mol, Bawa Singh, K. S. Reddy, Arian Hatefi
Background: The World Health Assembly (WHA), on 1st December 2021, unanimously agreed to launch a global process to draft and negotiate a convention, agreement, or other international instrument under the World Health Organization’s (WHO’s) constitution to strengthen pandemic prevention, preparedness, and response. We aimed to explore the role of global health diplomacy (GHD) in pandemic treaty negotiations by providing deep insight into the ongoing drafting process under the WHO leadership. Methods: We conducted a narrative review by searching Scopus, Web of Sciences, PubMed, MEDLINE, and Google Scholar search engine using the keywords "Pandemic Treaty," OR "International Health Regulations," OR "International conventions," OR "International treaties" in the context of recent COVID-19 pandemic. Besides, we included articles recommending the need for GHD, leadership and governance mechanisms for this international treaty drafting approved by the WHA. Results: Amid the COVID-19 pandemic, the concept of GHD bolstered the international system and remained high on the agendas of many national, regional and global platforms. As per Article 19 of the WHO constitution, the Assembly established an intergovernmental negotiating body (INB) to draft and negotiate this convention/ agreement to protect the world from disease outbreaks of pandemic potential. Since GHD has helped to strengthen international cooperation in health systems and address inequities in achieving health-related global targets, there is a great scope for the successful drafting of this pandemic treaty. Conclusion: The pandemic treaty is a defining moment in global health governance, particularly the pandemic governance reforms. However, the treaty’s purpose will only be served if the equity considerations are optimized, accountability mechanisms are established, and a sense of shared responsibility is embraced. While fulfilling treaty commitments might be complex and challenging, it provides an opportunity to rethink and build resilient systems for pandemic preparedness and response in the future.
背景:世界卫生大会(WHA)于2021年12月1日一致同意启动一个全球进程,根据世界卫生组织(WHO)章程起草和谈判一项公约、协定或其他国际文书,以加强大流行病的预防、准备和应对。我们旨在通过深入了解世卫组织领导下正在进行的起草过程,探讨全球卫生外交(GHD)在大流行病条约谈判中的作用。方法:我们使用 Scopus、Web of Sciences、PubMed、MEDLINE 和 Google Scholar 搜索引擎,以 "大流行病条约 "或 "国际卫生条例 "或 "国际公约 "或 "国际条约 "为关键词,结合最近的 COVID-19 大流行病进行了叙述性综述。此外,我们还收录了一些文章,这些文章建议有必要开展全球疾病防治工作,以及世界卫生大会批准的这一国际条约起草工作的领导和管理机制。结果:在 COVID-19 大流行的背景下,全球人类发展报告的概念得到了国际体系的支持,并在许多国家、地区和全球平台的议程中占据重要位置。根据《世卫组织组织法》第 19 条,世卫组织大会设立了一个政府间谈判机构(INB),负责起草和谈判这项公约/协定,以保护世界免受可能爆发的大流行病的危害。由于排雷行动有助于加强卫生系统的国际合作,解决在实现与卫生有关的全球目标方面存在的不公平现象,因此,成功起草这项大流行病条约大有可为。结论:大流行病条约是全球卫生治理,特别是大流行病治理改革的决定性时刻。然而,只有在优化公平性、建立问责机制和树立共同责任意识的情况下,条约的目的才能得以实现。虽然履行条约承诺可能是复杂和具有挑战性的,但它为重新思考和建立未来大流行病防备和应对的弹性系统提供了机会。
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引用次数: 0
Exploring the barriers to Pap smear test compliance: A qualitative study for improving cervical cancer screening in the primary health care 探索巴氏涂片检查达标的障碍:改善初级医疗保健中宫颈癌筛查的定性研究
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42485
Mansoore Shariati Sarcheshme, Mehrsadat Mahdizdeh, Hadi Tehrani, Mohammad Vahedian-Shahroodi
Background: Cervical cancer in Iran ranks as the fourth most frequent cancer among women. Pap smear (PS) is the best standard for detecting cervical cancer, but many people, even healthcare providers (HCPs), do not maintain it. HCPs play a critical role in promoting PS uptake. The purpose of the study was to explore barriers to cervical cancer PS screening compliance from the HCPs’ perspective. Methods: The present qualitative content analysis was conducted through semi-structured in-depth interviews. A total of 28 HCPs were interviewed between July and August 2020. A diverse sample of HCPs was selected using purposive sampling. Data analysis was based on the five steps proposed by Graneheim and Lundman. MAXQDA (2020) was used for data analyzing. Results: Ten key sub-categories were identified and organized into three categories: individual, environmental, and socio-cultural factors. The sub-categories included inadequate risk perception, inappropriate attitude, low commitment, emotional factors, low priority over health, requirements and consequences of the test, deficiencies of health centers, organizational factors, traditions and religious believes. Conclusion: HCPs face multiple barriers for PS. Exploring and decreasing barriers of PS in HCPs may increase compliance in them and their clients because they play an influential role in instructing and persuading women to take the PS. There is need to explore these barriers and identify possible interventions to change them. Insights from this study are useful for developing policies around national PS programs, too.
背景:在伊朗,宫颈癌是妇女中第四大高发癌症。子宫颈抹片检查(PS)是检测宫颈癌的最佳标准,但许多人,甚至是医疗保健提供者(HCPs),都没有坚持进行该检查。医护人员在促进宫颈涂片检查率方面起着至关重要的作用。本研究旨在从医护人员的角度探讨宫颈癌 PS 筛查依从性的障碍。研究方法:本研究通过半结构式深度访谈进行定性内容分析。在 2020 年 7 月至 8 月期间,共对 28 名保健医生进行了访谈。采用目的性抽样法选取了不同的 HCP 样本。数据分析以 Graneheim 和 Lundman 提出的五个步骤为基础。数据分析采用 MAXQDA(2020)。结果:确定了 10 个关键子类别,并将其分为三类:个人因素、环境因素和社会文化因素。这些子类别包括风险认知不足、态度不当、承诺度低、情感因素、健康优先级低、测试的要求和后果、医疗中心的缺陷、组织因素、传统和宗教信仰。结论保健医生在进行 PS 时面临多重障碍。探讨并减少保健医生在 PS 方面的障碍可能会提高他们及其客户的依从性,因为他们在指导和说服妇女进行 PS 方面发挥着重要作用。有必要探索这些障碍,并确定可能的干预措施来改变它们。这项研究的启示也有助于围绕国家 PS 计划制定政策。
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引用次数: 0
Digital health and health equity: How digital health can address healthcare disparities and improve access to quality care in Africa 数字健康与健康公平:数字健康如何解决非洲的医疗差距并改善优质医疗服务的获取
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42822
Ibraheem Olasunkanmi Qoseem, O. Okesanya, N. O. Olaleke, B. Ukoaka, Blessing Olawunmi Amisu, J. B. Ogaya, Don Eliseo Lucero-Prisno, III
The healthcare industry is constantly evolving to bridge the inequality gap and provide precision care to its diverse population. One of these approaches is the integration of digital health tools into healthcare delivery. Significant milestones such as reduced maternal mortality, rising and rapidly proliferating health tech start-ups, and the use of drones and smart devices for remote health service delivery, among others, have been reported. However, limited access to family planning, migration of health professionals, climate change, gender inequity, increased urbanization, and poor integration of private health firms into healthcare delivery rubrics continue to impair the attainment of universal health coverage and health equity. Health policy development for an integrated health system without stigma, addressing inequalities of all forms, should be implemented. Telehealth promotion, increased access to infrastructure, international collaborations, and investment in health interventions should be continuously advocated to upscale the current health landscape and achieve health equity.
医疗保健行业正在不断发展,以缩小不平等差距,为不同人群提供精准医疗服务。其中一种方法就是将数字医疗工具整合到医疗服务中。据报道,孕产妇死亡率降低、医疗科技初创企业不断增加并迅速扩散、使用无人机和智能设备提供远程医疗服务等等,都是重要的里程碑。然而,计划生育机会有限、卫生专业人员移民、气候变化、性别不平等、城市化加剧以及私营医疗公司在提供医疗服务方面整合不力等问题,继续阻碍着全民医保和卫生公平的实现。应制定卫生政策,建立一个没有污名化的综合卫生系统,解决各种形式的不平等问题。应继续倡导推广远程保健、增加利用基础设施的机会、开展国际合作以及投资保健干预措施,以改善目前的保健状况,实现保健公平。
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引用次数: 0
Primary health care and achieving universal health coverage: An emphasis on the crucial role of E-Health 初级保健和实现全民医保:强调电子保健的关键作用
IF 4.4 Q1 Social Sciences Pub Date : 2024-03-14 DOI: 10.34172/hpp.42933
H. Nadrian
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引用次数: 0
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Health Promotion Perspectives
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