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Pour une défense collective face à la fatigue pandémique: L’urgence de renforcer les facteurs protecteurs 集体防御大流行疲劳:迫切需要加强保护因素
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-06 DOI: 10.1177/17579759231223674
Mélissa Généreux, Gabriel Blouin-Genest, Elsa Landaverde, et Natalia Torres Orozco
Résumé:De nombreux articles publiés récemment ont laissé apparaître l’émergence d’un nouveau phénomène dans notre rapport avec la pandémie de COVID-19 : la fatigue pandémique. Ce phénomène suggère l’apparition d’une tendance générale de lassitude face aux mesures sanitaires et à l’état d’urgence devenu permanent. L’objectif de cet article est de replacer cet enjeu dans le contexte de la réalisation d’un projet de recherche portant sur les impacts psychosociaux durant la pandémie. Si relativement peu de recherches se sont intéressées à la fatigue pandémique, la réalité de ce phénomène a été mise en évidence dans le cadre d’un projet de recherche multi-annuelle effectuée durant la pandémie. En termes de méthode, notre équipe multidisciplinaire à l’Université de Sherbrooke a développé un protocole d’enquête permettant d’évaluer les effets de la pandémie de COVID-19 sur la santé mentale à travers des études transversales répétées. La dernière phase de l’enquête inclut un volet additionnel qui cherche à comprendre de quelle manière les conséquences de la pandémie peuvent s’appliquer à d’autres crises systémiques, notamment aux changements climatiques. Différentes vagues d'enquêtes nationales et internationales ont ainsi été réalisées (8 pays, taille minimale de l’échantillon 1000–1500 et échantillonnage par quota mis en oeuvre adapté à chaque pays et basé sur les données démographiques disponibles), et suivant l’évolution de la pandémie, nous avons introduit la notion de fatigue pandémique, ainsi que de fatigue climatique, afin de pouvoir mesurer l’impact de l’exposition prolongée à ces crises mondiales. Ces nouvelles données confirment nos résultats originaux : l’impact psychosocial de la pandémie est immense, en particulier en termes de fatigue pandémique, phénomène qui se retrouve à la fois au niveau comportemental et informationnel. Cette fatigue est un indicateur important à considérer afin d’améliorer notre capacité de réaction et d’adaptation à cette crise, mais également à celles futures.
摘要:最近发表的大量文章显示,在我们与 COVID-19 大流行的关系中出现了一种新现象:大流行疲劳。这一现象表明,面对卫生措施和已成为永久性的紧急状态,出现了一种普遍的疲劳趋势。本文的目的是将这一问题置于一个研究项目的背景下,研究大流行病对社会心理的影响。虽然对大流行病疲劳的研究相对较少,但在大流行病期间开展的一个多年度研究项目中,这一现象的现实性得到了强调。在研究方法上,我们舍布鲁克大学的多学科团队制定了一项调查方案,通过反复的横断面研究来评估 COVID-19 大流行对心理健康的影响。调查的最后阶段还包括一项附加内容,旨在了解大流行病的后果如何适用于气候变化等其他系统性危机。随着大流行病的发展,我们引入了大流行疲劳和气候疲劳的概念,以衡量长期暴露于这些全球性危机的影响。这些新数据证实了我们最初的发现:大流行病对社会心理的影响是巨大的,尤其是在大流行疲劳方面,这种现象可以在行为和信息层面上看到。为了提高我们应对和适应这次危机以及未来危机的能力,这种疲劳是一个需要考虑的重要指标。
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引用次数: 0
Decolonial framework for applying reflexivity and positionality in global health research 在全球健康研究中应用反身性和立场性的非殖民框架
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-03 DOI: 10.1177/17579759241238016
Thirusha Naidu, Gareth Gingell, Zareen Zaidi
Contemporary research practices link to colonial and imperialist knowledge creation and production and may promote harmful perspectives on marginalized and oppressed groups. We present a framework for a decolonial approach to research in global health and health promotion applicable across research settings. This framework is aimed at anticipating and alleviating potentially harmful practices inherent in dominant research methods. The framework focuses from a macro- and micro-level perspective on three critical dyads: ‘context’ and ‘accountability’; ‘researcher identity’ and ‘positionality’; and ‘procedural ethics’ and ‘ethics in practice’ considerations. We present guidance for how to consider reflexivity and positionality as they apply in this framework in global health and health promotion research practice.
当代的研究实践与殖民主义和帝国主义的知识创造和生产有关,可能会助长对边缘化群体和受压迫群体的有害观点。我们提出了一个适用于各种研究环境的全球健康和健康促进非殖民研究方法框架。该框架旨在预测和缓解主流研究方法中固有的潜在有害做法。该框架从宏观和微观的角度关注三个关键的二元组:背景 "和 "责任";"研究者身份 "和 "地位";以及 "程序伦理 "和 "实践伦理"。我们为如何在全球健康和健康促进研究实践中考虑该框架中的反身性和立场性提供了指导。
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引用次数: 0
A preliminary analysis of passport to practice: investigating development of core competencies in undergraduate health promotion students. 从护照到实践的初步分析:调查本科生健康促进核心能力的发展。
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-04-01 DOI: 10.1177/17579759241230065
Krysten Blackford, Malena Della Bona, Gemma Crawford

Background: Equipping tertiary health promotion students with skills and knowledge to contribute meaningfully to the health promotion workforce begins with enhancing their health promotion competence via well-designed curriculum. This includes a focus on work-integrated learning, global citizenship, professional identity and competency mapping in line with the International Union for Health Promotion and Education Core Competencies and Professional Standards for Health Promotion.

Methods: In this paper we report baseline results for the Passport to Practice project, a mixed-methods prospective cohort study to track undergraduate health promotion student progress across their degree, to evaluate a new approach for assessing student achievement of the Competencies and Standards developed by the International Union for Health Promotion and Education. Baseline data were collected from first-year students via document analysis of student reflection papers (n = 40); and an online survey (n = 29) to measure self-reported health promotion competence, development of global citizenship and professional identity, and PebblePad usability.

Results: Findings suggest the Passport to Practice initiative positively contributed to professional identity and health promotion competence. Students appreciated work-integrated learning opportunities that enabled them to plan for future activities to address gaps in their competence; and students excelled in the social responsibility dimension of global citizenship but lagged in the political voice category of the global civic engagement dimension.

Conclusion: Findings provide insights about strategies and concepts required to equip students with the skills and knowledge required for their role as health promotion practitioners to address complex public health challenges.

背景:让高等院校健康促进专业的学生掌握技能和知识,为健康促进工作队伍做出有意义的贡献,首先要通过精心设计的课程提高他们的健康促进能力。这包括根据国际健康促进与教育联盟的核心能力和健康促进专业标准,注重工作一体化学习、全球公民意识、专业认同和能力图谱:在本文中,我们报告了 "通往实践的护照 "项目的基线结果。该项目是一项混合方法的前瞻性队列研究,旨在跟踪健康促进专业本科学生在整个学位期间的进展情况,以评估学生是否达到国际健康促进与教育联盟制定的能力和标准的新方法。通过对学生反思论文(n = 40)的文档分析和在线调查(n = 29)收集一年级学生的基线数据,以衡量学生自我报告的健康促进能力、全球公民意识和职业认同感的发展情况以及 PebblePad 的可用性:结果:研究结果表明,"实践护照 "计划对学生的职业认同感和健康促进能力有积极的促进作用。学生们对与工作相结合的学习机会表示赞赏,这些机会使他们能够规划未来的活动,以弥补能力上的差距;学生们在全球公民意识的社会责任维度上表现出色,但在全球公民参与维度的政治声音类别上却落后了:研究结果提供了有关战略和概念的见解,这些战略和概念要求学生具备作为健康促进从业人员所需的技能和知识,以应对复杂的公共卫生挑战。
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引用次数: 0
Should organized sport characteristics be considered as a strategy for meeting physical activity guidelines in children? 是否应考虑将有组织体育运动的特点作为达到儿童体育活动指南要求的一种策略?
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-27 DOI: 10.1177/17579759241237525
Daniela Rodrigues, Aristides M Machado-Rodrigues, Augusta Gama, Maria-Raquel G Silva, Helena Nogueira, Cristina Padez

Background: A clearer understanding of the relationships between specific sport context with overall physical activity (PA) and sedentary time (ST) may contribute to the development of more accurate preventive strategies to increase children's engagement in PA.

Purpose: This study aimed to examine how different organized sports contributed to children's daily PA and ST.

Methods: PA was measured for seven days via accelerometers, in 410 children aged 6-10 years (49.8% boys). Of those, 332 (53.0% boys) were engaged in an organized sport and were further considered for statistical analyses. Parents reported children's sport participation (e.g. which sport, number of times per week, duration). The sports were classified into: indoor vs. outdoor; individuals vs. team; combat vs. individual aesthetic vs. racing vs. invasion. Children's height and weight were objectively collected. Multiple one-way analyses of covariance were used to examine the effects of sport characteristics on PA and ST. A linear regression, adjusted for children's sex, age, body mass index and father's educational level, determined the relationship between being involved in multiple PA and sedentary behaviours with Moderate to Vigorous PA (MVPA) levels.

Results: Although engaged in an organized sport, only 30% of the children achieved the PA recommendations. Sport (compared with active commute and active play) was the best contributor to daily MVPA. Outdoor sports (vs. indoor) contributed the most to vigorous PA (VPA) and MVPA. Team sports (vs. individual) were significantly associated with lower ST. Children in combat sports accumulated more VPA and MVPA, while those in racing sports showed a higher ST.

Conclusions: Sport participation alone does not guarantee children will reach the PA guidelines, and the type of sport can influence children's PA levels. Gender-stereotypes in sports may prevent girls from achieving their 60 minutes of MVPA daily.

背景:目的:本研究旨在探讨不同的有组织体育运动对儿童日常运动量和久坐时间的影响:通过加速度计对 410 名 6-10 岁儿童(49.8% 为男孩)进行了为期 7 天的 PA 测量。其中,332 名儿童(53.0% 的男孩)参加了有组织的体育运动,并被进一步考虑进行统计分析。家长报告了孩子参加体育运动的情况(如参加哪项运动、每周参加次数、持续时间)。运动项目分为:室内与室外;个人与团队;格斗与个人审美;竞速与入侵。儿童的身高和体重是客观收集的。采用多重单因素协方差分析来研究运动特征对 PA 和 ST 的影响。在对儿童的性别、年龄、体重指数和父亲的教育水平进行调整后,进行线性回归,以确定参与多种 PA 和久坐行为与中度至剧烈 PA(MVPA)水平之间的关系:结果:虽然参加了有组织的体育运动,但只有 30% 的儿童达到了 PA 建议水平。体育运动(与主动上下班和主动玩耍相比)对每日中、高强度活动量(MVPA)的贡献最大。户外运动(与室内运动相比)对剧烈运动(VPA)和 MVPA 的贡献最大。团队运动(与个人运动相比)与较低的 ST 有明显关联。参加格斗运动的儿童积累了更多的VPA和MVPA,而参加竞速运动的儿童则表现出更高的ST:结论:仅仅参加体育运动并不能保证儿童达到运动量指南的要求,体育运动的类型会影响儿童的运动量水平。体育运动中的性别陈规定型观念可能会阻碍女孩达到每天 60 分钟的 MVPA。
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引用次数: 0
Representaciones de masculinidades en las políticas públicas de salud en Chile. 智利公共卫生政策中的男性形象。
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-27 DOI: 10.1177/17579759241230061
Sebastián Saez, Margarita Bernales

Objetivo: comprender las representaciones de las masculinidades en las políticas públicas de salud en Chile.

Método: desde un diseño metodológico cualitativo, se realizó una revisión documental de programas y políticas del área de la salud sexual y reproductiva, salud mental, violencia y ciclo vital, incluyendo adicionalmente el análisis de 10 entrevistas realizadas a trabajadores de la salud, actores claves y expertos. Se realizó un análisis de contenido temático, utilizando software NVivo.

Resultados: los principales resultados constatan que la presencia masculina es menor que la femenina en las políticas públicas de salud, y que las representaciones de los varones suelen tener una perspectiva socio-comportamental donde se concibe que la masculinidad es perjudicial para la salud.

Conclusión: los hallazgos instan a incluir una mirada inclusiva de hombres y masculinidades, su contexto social y capacidad de cambio a fin de poder abordar vulnerabilidades y necesidades específicas de la salud de hombres en Chile.

方法:采用定性方法设计,对性健康和生殖健康、心理健康、暴力和生命周期领域的计划和政策进行了文献审查,包括对与卫生工作者、主要参与者和专家进行的 10 次访谈进行分析。结果:主要结果显示,男性在公共卫生政策中的地位低于女性,对男性的表述往往从社会行为的角度出发,认为男性气质不利于健康。结论:研究结果呼吁对男性和男性气质、其社会背景和变革能力采取包容的观点,以解决智利男性健康的具体脆弱性和需求。
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引用次数: 0
Health promotion at higher educational institutions a clarion call for action in India. 印度高等教育机构促进健康的行动号角。
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-26 DOI: 10.1177/17579759241232984
Rajiv Yeravdekar, Sanjay Zodpey

This article introduces the concept of a health-promoting university (HPU) in an Indian context. The importance of health promotion through a 'settings-based' approach that focuses on India's needs is outlined. We highlight the aims and objectives of a HPU and the mechanisms to evaluate its impact. We call for action by stakeholders to develop a HPU project consistent with public health issues, including health development and sustainability. Furthermore, this settings-based approach provides a template that can be replicated in other low- and middle-income countries.

本文介绍了印度健康促进大学(HPU)的概念。文章概述了通过 "基于环境 "的方法促进健康的重要性,这种方法关注印度的需求。我们强调了健康促进大学的宗旨和目标,以及评估其影响的机制。我们呼吁利益相关方采取行动,制定与公共卫生问题(包括卫生发展和可持续性)相一致的 HPU 项目。此外,这种基于环境的方法提供了一个模板,可在其他中低收入国家推广。
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引用次数: 0
Prévalence et facteurs associés à la co-consommation d'alcool et de tabac dans la commune de Natitingou, Bénin. 贝宁 Natitingou 镇烟酒共饮的流行率及相关因素。
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-23 DOI: 10.1177/17579759241232391
Koffi N'Tcha, David Houeto, N'koué Emmanuel Sambieni

Introduction: La consommation d'alcool et la consommation de tabac entraînent chacune des risques importants pour la santé. L'objectif de cette étude était d'étudier la prévalence de la co-consommation d'alcool et de tabac ainsi que les facteurs associés dans la commune de Natitingou en 2016.

Méthodes: Il s'agissait d'une étude transversale à caractère analytique. L'enquête s'est déroulée en octobre 2016 et a porté sur un échantillon de 270 sujets. Elle a été menée selon une technique de sondage aléatoire à plusieurs degrés. Les données collectées ont été analysées avec le logiciel R.

Résultats: Sur les 270 sujets interrogés, 72,2 % étaient des hommes. L'âge moyen était de 30,7 ± 9,2 ans. La prévalence de la co-consommation était de 33,7 % [IC95% : 28,1 %-39,7 %]). Les facteurs associés à la co-consommation d'alcool et de tabac étaient : le sexe masculin (ORa = 2,1 ; p = 0,023), la dipsomanie (ORa = 1,4 ; p = 0,032), le fait d'avoir des amis buveurs ou fumeurs (ORa = 2,8 ; p = 0,004), le fait de suivre les publicités des médias sur les boissons alcoolisées (ORa = 1,9 ; p = 0,029) et le faible coût /accessibilité des deux substances (ORa = 2,1 ; p = 0,011).

Conclusion: Cette étude a montré qu'il est important de dépasser la prévention centrée sur la personne qui consiste à sensibiliser et à prendre en charge pour adopter des mesures de prévention structurelle (notamment législatives).

导 言酒精消费和烟草消费都具有重大的健康风险。本研究旨在调查 Natitingou 镇 2016 年烟酒共饮的流行率及相关因素。方法:这是一项以分析为重点的横断面研究。调查于 2016 年 10 月进行,涉及 270 个样本。调查采用多阶段随机抽样技术。结果:在 270 名调查对象中,72.2% 为男性。平均年龄为 30.7 ± 9.2 岁。共同膳食的发生率为 33.7% [CI95%:28.1%-39.7%])。与同时酗酒和吸烟相关的因素有男性(ORa = 2.1;P = 0.023)、嗜酒(ORa = 1.4;P = 0.032)、有喝酒或吸烟的朋友(ORa = 2.8;P = 0.004)、关注酒精饮料的媒体广告(ORa = 1.9;P = 0.029)以及这两种物质的价格低廉/容易获得(ORa = 2.1;P = 0.011)。结论:本研究表明,除了以人为本的预防(包括提高认识和提供护理)之外,还必须采取结构性预防措施(尤其是立法)。
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引用次数: 0
Le comportement alimentaire des étudiants de l'Université de Yaoundé I, Cameroun : entre la littératie alimentaire, la littératie en santé et l'e-littératie alimentaire. 喀麦隆雅温得第一大学学生的饮食行为:食品扫盲、健康扫盲和食品电子扫盲之间的关系。
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-22 DOI: 10.1177/17579759231206379
André Wamba, Ange Maïn-Ndeiang Laoungang, Gustave Soh

Contexte: Il est connu que les maladies non transmissibles s'originent dans les habitudes et les choix alimentaires, et la littératie en santé est le meilleur déterminant de la santé d'un individu au 21e siècle. Or, cet aspect reste peu exploré en contexte camerounais. Dès lors, cette étude examine la relation entre la littératie en santé, la littératie alimentaire, la littératie alimentaire numérique et le comportement alimentaire des étudiants de l'Université de Yaoundé I.

Méthodes: Un total de 240 étudiants âgés de 18 à 48 ans (M = 21,97 ans, ET = 7,03), dont 149 (62,1 %) femmes, sélectionnés par commodité, ont rempli un questionnaire composite comprenant des échelles de mesure de la littératie en santé (Health Literacy Survey European Union Questionnaire Short Form), de la littératie alimentaire (Short Food Literacy Questionnaire), de la littératie alimentaire numérique (eHealth Literacy Scale) et du comportement alimentaire (General Dietary Behavior Inventory). Les données ont été analysées grâce au logiciel SPSS, v.20, en utilisant des tests de Mann-Whitney, de Kruskal-Wallis, de Spearman et des modèles linéaires généralisés.

Résultats: Les résultats ont montré que le comportement alimentaire n'est pas associé aux caractéristiques sociodémographiques des étudiants. L'analyse des modèles linéaires généralisés a démontré que le comportement alimentaire des étudiants est influencé par la littératie alimentaire (β = 1,503, p < 0,001), la littératie en santé (β = 1,191, p < 0,05) et la littératie alimentaire numérique (β = 1,263, p < 0,001). De même, prises ensemble, elles entrainent une variation de 6,929 sur le comportement alimentaire (χ²(3) = 63,070, β = 6,929, p < 0,001).

Conclusion: L'étude suggère que plus de recherches sur d'autres sous-groupes de population sont nécessaires afin de fournir des données pour des interventions en faveur d'une alimentation saine.

背景:众所周知,非传染性疾病源于饮食习惯和选择,而健康素养是 21 世纪个人健康的最佳决定因素。然而,在喀麦隆,这方面的研究仍然很少。因此,本研究探讨了雅温得第一大学学生的健康素养、食品素养、数字食品素养与饮食行为之间的关系。方法:为方便起见,共选取了 240 名年龄在 18-48 岁之间的学生(男 = 21.97 岁,女 = 7.03),其中包括 149 名女生(62.1%),他们填写了一份由健康素养(欧盟健康素养调查简表)、食品素养(食品素养简表)、数字食品素养(电子健康素养量表)和饮食行为(一般饮食行为量表)组成的综合问卷。数据使用 SPSS v.20 进行分析,分析方法包括 Mann-Whitney、Kruskal-Wallis、Spearman 和广义线性模型:结果表明,饮食行为与学生的社会人口特征无关。广义线性模型分析表明,学生的饮食行为受食物素养的影响(β = 1.503,p p p p 结论:该研究表明,需要对其他人口亚群进行更多研究,以便为健康饮食干预措施提供数据。
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引用次数: 0
Résumés 摘要
IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-06 DOI: 10.1177/17579759241234849
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引用次数: 0
Mental health help-seeking in Mexico. 在墨西哥寻求心理健康帮助。
IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-03-01 Epub Date: 2023-10-27 DOI: 10.1177/17579759231204357
Robin E Gearing, Kathryne B Brewer, Micki Washburn, Miao Yu, Pedro Isnardo de la Cruz, Adelaide Garcia Andres, Luis R Torres

Most people in need of mental health services in Mexico do not seek formal support or professional services to address their mental health needs. Understanding help-seeking behaviors is crucial to addressing underutilized mental health services and to leverage health promotion efforts. Data were collected as part of a larger research project on stigma and help-seeking for mental-health-related concerns in Mexico. A convenience sample of 469 adults residing in Mexico City participated in the study using an experimental vignette methodology assessing stigma toward individuals with mental health conditions, along with characteristics and demographic correlates of help-seeking. All survey measures were administered in Spanish. A structural regression was conducted for the outcome 'openness to professional help seeking for mental health problems' as a latent variable. Compared with males, females were more open to professional help seeking (b = 0.09, p = 0.038), as were people who endorsed higher spirituality (b = 0.01, p = 0.006); while people who experienced self-stigma were less open to professional help-seeking for mental health concerns (b = -0.15, p = 0.005). Self-stigma was a major driver of low service utilization. Contrary to previous studies, spirituality was a significant positive predictor of professional help-seeking. A more nuanced understanding of mental health help-seeking in Mexico can be useful for outreach efforts to increase service utilization both in Mexico and among Latinos in the United States (US). Given historical, geographic, and cultural ties with the US, it is important to understand mental health help-seeking in Mexico, which may relate directly to help-seeking behaviors in many US Latinos who have immigrated to the US. Directions for future research and practice implications are discussed, including a roadmap for health promotion activities.

墨西哥大多数需要心理健康服务的人没有寻求正式的支持或专业服务来满足他们的心理健康需求。了解寻求帮助的行为对于解决未充分利用的心理健康服务和利用健康促进工作至关重要。数据是作为一个更大的研究项目的一部分收集的,该项目涉及墨西哥与心理健康相关的污名和求助问题。居住在墨西哥城的469名成年人参与了这项研究,他们使用了一种实验性的小插曲方法来评估对有心理健康状况的人的污名,以及寻求帮助的特征和人口统计学相关性。所有调查措施均以西班牙语执行。对结果“对寻求心理健康问题专业帮助的开放性”作为一个潜在变量进行了结构回归。与男性相比,女性更愿意寻求专业帮助(b=0.09,p=0.038),支持更高灵性的人也是如此(b=0.01,p=0.006);而经历过自我污名的人则不太愿意寻求心理健康方面的专业帮助(b=-0.15,p=0.005)。自我污名是服务利用率低的主要驱动因素。与之前的研究相反,精神是寻求专业帮助的重要积极预测因素。对墨西哥寻求心理健康帮助有更细致的了解,有助于墨西哥和美国拉丁裔人提高服务利用率。考虑到与美国的历史、地理和文化联系,了解墨西哥的心理健康求助很重要,这可能与许多移民到美国的美国拉丁裔的求助行为直接相关。讨论了未来研究和实践的方向,包括健康促进活动的路线图。
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Global Health Promotion
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