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The efficacy and tendency of the gender digital divide and Smart Aging Policy in China. 中国性别数字鸿沟与智慧养老政策的功效与趋势。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-05 DOI: 10.1080/07399332.2024.2385326
Di Chen, Jingti Han, Yang Song

China is one of the most rapidly aging countries in the world, challenging the sustainable aging. The booming of digital technology is a double-edged sword. According to the Smart Aging Policies (SAPs), digital technology is supposed to be an effective way to address the challenges of the elder care system. However, the digital divide is causing additional problems. In this study, researchers aim to investigate whether the digital divide among older people could lead to gender-based discrepancies in elder care utilization, using data from the "China Elder Care Satisfaction Survey (CECSS)." Through logit regression analysis, in this study, researchers assessed the relationship between gender and digital elder care utilization, indicating the presence of a gender digital divide among older people. Our findings have important implications for facilitating minority groups to benefit more from SAPs and for advancing research on the gender digital divide among elders to promote sustainable aging.

中国是世界上老龄化速度最快的国家之一,对可持续老龄化提出了挑战。数字技术的蓬勃发展是一把双刃剑。根据智能老龄化政策(SAPs),数字技术本应是应对老年护理系统挑战的有效途径。然而,数字鸿沟却带来了更多的问题。在本研究中,研究人员利用 "中国老年护理满意度调查(CECSS)"的数据,旨在调查老年人中的数字鸿沟是否会导致老年护理利用中的性别差异。在本研究中,研究人员通过对数回归分析,评估了性别与数字养老利用率之间的关系,表明老年人中存在性别数字鸿沟。我们的研究结果对促进少数群体从 SAP 中更多受益,以及推进老年人性别数字鸿沟研究以促进可持续老龄化具有重要意义。
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引用次数: 0
The persistence of high rates of child marriage in Sub-Saharan Africa, the Middle East and North Africa, and Asia: A scoping review. 撒哈拉以南非洲、中东和北非以及亚洲童婚率居高不下:范围审查。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-08-01 DOI: 10.1080/07399332.2024.2385328
Chimaraoke Izugbara, Kirabo Suubi, Chryspin Afifu, Tijani Salami, Evelyne Opondo

While there is evidence that child marriage (CM) is reducing globally, rates in many contexts remain far too high. To understand the persistence of high rates of CM, we searched multiple databases for peer-reviewed, English language articles published between 2000 and 2023. High CM rates are continuing in circumstances of tenacious unequal gender norms, widespread poverty, limited schooling and economic prospects for girls, and weak awareness and enforcement of CM laws. Other contributing factors were opposition to women and girls' sexual, bodily, and reproductive rights; weak birth registration systems; a high proportion of women who married young in previous generations; early puberty; improved girls' agency; and the growing number of boys and young men who, having acquired locally prized masculinity resources, feel compelled to marry. We highlight the implications of the review findings for future research, policy and programmatic efforts aimed at addressing the persistence of CM.

虽然有证据表明童婚(CM)现象在全球范围内有所减少,但在许多情况下,童婚率仍然过高。为了了解童婚率居高不下的原因,我们在多个数据库中搜索了 2000 年至 2023 年间发表的经同行评审的英文文章。在性别不平等规范顽固不化、贫困现象普遍存在、女童受教育机会和经济前景有限、对切割女性生殖器官法律的认识和执行不力的情况下,切割女性生殖器官的高发生率仍在持续。其他诱因包括:反对妇女和女孩的性权利、身体权利和生殖权利;出生登记制度薄弱;上一代妇女早婚比例高;青春期过早;女孩能动性提高;以及越来越多的男孩和青年男子在获得了当地珍视的男性资源后,感到不得不结婚。我们强调了审查结果对未来研究、政策和计划工作的影响,这些工作旨在解决长期存在的女性外阴残割问题。
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引用次数: 0
Sensitivity to early and forced marriages: Scale development and validation. 对早婚和强迫婚姻的敏感性:量表开发与验证。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-29 DOI: 10.1080/07399332.2024.2385320
Fatma Başaran, Pınar Duru, Özlem Örsal

The purpose of this article is to report on developing an instrument to measure society's sensitivity to early and forced marriages. The theoretical structure of the scale was based on the Radical Feminist Theory, Broken Windows Theory, and Theory of Change. Data were obtained from 451 participants from Türkiye who were aged 18 and above. The criterion validity of the scale was tested using the Attitudes toward Girl Child Marriages Scale. The final version of the scale consisted of a total of 10 items under three sub-scales called "Social Sensitivity," "Health Sensitivity," and "Legal Sensitivity." Cronbach's alpha reliability coefficient of the scale was found 0.85.

本文旨在报告开发一种工具来衡量社会对早婚和强迫婚姻的敏感度的情况。量表的理论结构基于激进女权主义理论、破窗理论和变革理论。数据来自土耳其 451 名 18 岁及以上的参与者。量表的标准效度使用 "对女童婚姻的态度量表 "进行了检验。量表的最终版本包括 "社会敏感性"、"健康敏感性 "和 "法律敏感性 "三个子量表,共 10 个项目。量表的 Cronbach's alpha 信度系数为 0.85。
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引用次数: 0
The effect of Transcendental Meditation on self-esteem, self-efficacy, and gratitude, for increasing empowerment of female youth in Uganda. 超凡冥想对自尊、自我效能和感恩的影响,以增强乌干达女青年的能力。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-09 DOI: 10.1080/07399332.2024.2358789
Leslee Goldstein, Andra Marie Smith, Daniela Romagnoli, Elissa Katergi

This longitudinal study with female youth in the slums of Kampala, Uganda (n = 130), explored the impact of the Transcendental Meditation® (TM®) technique on self-esteem, the primary outcome measure, and self-efficacy, gratitude, hope, tiredness, and resilience as secondary outcomes. Quality-of-life behaviors were also assessed, including excessive alcohol use. After baseline testing participants learned TM over five consecutive days. Participants practiced TM at home for 20 min twice a day and attended two follow-up sessions. Post-testing occurred at five months. Significant improvements in self-esteem (p < .001), self-efficacy (p < .001), gratitude (p < .001), and tiredness (p = .05) were found. A decrease in excessive alcohol use was also observed (p = .02). At eight months a short answer questionnaire showed improved physical health, decreased stress and anxiety levels, and improved relationships in the family and community. Our findings have important implications for enhancing the well-being and empowerment of these vulnerable female youth.

这项纵向研究以乌干达坎帕拉贫民窟的女青年(n = 130)为对象,探讨了超觉静坐® (TM®) 技术对自尊(主要结果指标)以及自我效能、感恩、希望、疲惫和复原力(次要结果指标)的影响。此外,还对生活质量行为进行了评估,包括过度饮酒。基线测试后,参与者连续五天学习 TM。参与者在家练习 TM,每天两次,每次 20 分钟,并参加两次后续课程。五个月后进行了后测。结果发现,参与者的自尊心(p < .001)、自我效能感(p < .001)、感恩心(p < .001)和疲倦感(p = .05)均有明显改善。过度饮酒的情况也有所减少(p = .02)。八个月后的简答问卷调查显示,身体健康得到改善,压力和焦虑水平降低,家庭和社区关系得到改善。我们的研究结果对于提高这些弱势女青年的福利和能力具有重要意义。
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引用次数: 0
Midwife gender proclivity: Differential effects of expectant mothers' demographic factors in Zimbabwe. 助产士的性别倾向:津巴布韦孕妇人口因素的不同影响。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-08 DOI: 10.1080/07399332.2024.2373856
Paul Mukucha, Divaries Cosmas Jaravaza, Nomuhle Jaravaza

A survey of 300 expectant mothers, in their third trimester, was conducted in Bindura district of Zimbabwe. The causal study was done over a period of 6 months with the intention of determining the differential effects of various demographic factors of expectant mothers on midwife gender preferences. Data was collected using a short questionnaire on demographic factors and expectant mothers' preferences of male or female midwives. A binary logistics regression and odds ratios were used to analyse data. Our results revealed that specific demographics show preferences regarding the gender of midwives. Older women (aged 40 and above), who are married, having their first child, members of the African religion, and with less formal education, tend to prefer midwives of the same gender. Younger women (aged 18-39), those with prior pregnancy experience, Christians, and urban residents, generally were indifferent to midwife gender. Implications of the study were proffered.

津巴布韦宾杜拉地区对 300 名怀孕三个月的孕妇进行了调查。这项因果关系研究历时 6 个月,旨在确定准妈妈的各种人口因素对助产士性别偏好的不同影响。数据收集采用了一份简短的调查问卷,内容涉及人口统计因素和准妈妈对男助产士或女助产士的偏好。采用二元物流回归和几率比分析数据。我们的结果显示,特定的人口统计学因素显示了对助产士性别的偏好。年龄较大(40 岁及以上)的已婚妇女、生育第一个孩子的妇女、非洲宗教成员以及正规教育程度较低的妇女倾向于选择相同性别的助产士。年轻女性(18-39 岁)、有过怀孕经验的女性、基督教徒和城市居民一般对助产士的性别无动于衷。本研究提出了一些启示。
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引用次数: 0
Do users of skin-lightening products recognize their consequences? A socio-anthropological study on awareness of skin depigmentation consequences among female users in Burkina Faso. 美白产品的使用者是否认识到其后果?关于布基纳法索女性使用者对皮肤脱色后果认识的社会人类学研究。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-08 DOI: 10.1080/07399332.2024.2373849
Abdramane Berthé

Skin depigmentation's sociocultural and health impacts are widely studied. This socio-anthropological study in Bobo-Dioulasso, Burkina Faso, involving 46 women, explores their awareness of both positive and negative effects of skin-lightening products. Ethical standards guided the research, which included a literature review and in-depth interviews. Users recognize benefits like improved self-esteem and social status, alongside health risks like skin diseases and sun sensitivity. The decision to use these products reflects a thoughtful balance of personal, social, and economic benefits against potential health risks, indicating a nuanced understanding of skin depigmentation's impacts.

人们广泛研究了皮肤脱色对社会文化和健康的影响。这项在布基纳法索博博迪乌拉索进行的社会人类学研究涉及 46 名妇女,探讨了她们对美白产品正面和负面影响的认识。研究以道德标准为指导,包括文献综述和深入访谈。使用者在认识到提高自尊和社会地位等好处的同时,也认识到皮肤病和日光敏感等健康风险。使用这些产品的决定反映了在个人、社会和经济利益与潜在健康风险之间的深思熟虑的平衡,表明人们对皮肤脱色的影响有着细致入微的理解。
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引用次数: 0
Empowering women as enablers in public health: A quantitative-qualitative systematic review of the gender-transformative approach. 增强妇女在公共卫生领域的能力:对性别变革方法的定量-定性系统审查。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-07-08 DOI: 10.1080/07399332.2024.2371372
Yoorim Bang, Yanghee Kim, Aya Goto, Margaret Henning, Minah Kang

Women are expected to take on multiple roles as caregivers and health care providers, but they are still often perceived as victims or beneficiaries rather than enablers. We aimed to explore women's empowerment and gender equality in public health systems and identify proactive enablers that can be incorporated into projects. A systematic review of peer-reviewed literature as well as text analysis were conducted to examine changes in perceptions of women's roles in public health projects. The authors conducted a quantitative analysis of the collected article titles, which revealed a shift in research from identifying risk factors to exploring women's autonomy in health promotion. However, our qualitative review of the articles showed that previous gender-related projects used a gender-sensitive approach that perpetuated the view of women as victims or beneficiaries rather than enablers. The concept of proactive enablers in all aspects of project planning and implementation ensures that women's roles are fully recognized and valued.

人们期望妇女扮演照顾者和医疗服务提供者的多重角色,但她们仍常常被视为受害者或受益者,而不是推动者。我们旨在探讨公共卫生系统中的妇女赋权和性别平等问题,并找出可纳入项目的积极推动因素。我们对同行评议的文献进行了系统回顾,并进行了文本分析,以研究人们对妇女在公共卫生项目中的角色的看法的变化。作者对收集到的文章标题进行了定量分析,结果显示,研究已从识别风险因素转向探讨妇女在健康促进中的自主性。然而,我们对文章进行的定性分析显示,以往与性别相关的项目采用的是一种对性别问题有敏感认识的方法,这种方法延续了将妇女视为受害者或受益者而非推动者的观点。在项目规划和实施的各个方面,积极主动的推动者概念确保妇女的作用得到充分认可和重视。
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引用次数: 0
Evaluation of telemedicine for contraceptive counseling given to pregnant women during the COVID-19 pandemic: A randomized controlled trial. 对 COVID-19 大流行期间为孕妇提供避孕咨询的远程医疗进行评估:随机对照试验。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-28 DOI: 10.1080/07399332.2024.2371386
Rabia Saglam Aksut, Ozen Inam

In this study, we aimed to evaluate the impact of telemedicine for contraceptive counseling on knowledge levels and satisfaction with Family Planning Services. We collected data from 77 third-trimester pregnant women using a personal information form, Family Planning Knowledge Questionnaire, and the Satisfaction with Family Planning Services Scale and compared the data using chi-square test, Fisher's exact chi-square test, t-test for independent and dependent groups and Mann-Whitney U analysis. The experimental group participants (n = 37) received two informative video visits for contraceptive counseling, while the women in the control group (n = 40) received routine face-to-face Family Planning Services at their primary health care center. Participants in the experimental group showed a greater increase in knowledge levels and higher satisfaction with Family Planning Services than those in the control group (p < 0.05). In conclusion, we determined that telemedicine for contraceptive counseling is a promising option even beyond the pandemic.

本研究旨在评估远程医疗避孕咨询对知识水平和计划生育服务满意度的影响。我们使用个人信息表、计划生育知识问卷和计划生育服务满意度量表收集了 77 名第三孕期孕妇的数据,并使用卡方检验、费雪精确卡方检验、自变量和因变量 t 检验以及 Mann-Whitney U 分析对数据进行了比较。实验组参与者(37 人)接受了两次避孕咨询视频访问,而对照组妇女(40 人)则在其初级卫生保健中心接受了常规的面对面计划生育服务。与对照组相比,实验组参与者的知识水平提高幅度更大,对计划生育服务的满意度更高(p
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引用次数: 0
YouTube as a source of information on breast cancer-related lymphedema exercises: A content, quality, and reliability analysis. YouTube 作为乳腺癌相关淋巴水肿锻炼的信息来源:内容、质量和可靠性分析。
IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-27 DOI: 10.1080/07399332.2024.2368499
Didem Kandemir, Zeynep Temiz, Aylin Aydın Sayılan

This descriptive study aimed to determine the content, quality, and reliability of YouTube videos on breast cancer-related lymphedema exercises. A total of 127 videos were independently assessed, with 103 of them categorized as either informative or misleading content groups. The content (mean score: 4.07 ± 2.29) and quality (mean score: 3.15 ± 1.46) of videos concerning lymphedema exercises were moderate, while reliability (mean score: 2.27 ± 1.64) was low. Among the 103 videos categorized using the content checklist, Global Quality Scale, and DISCERN reliability instrument, 57.3% (n = 59) were informative, and 42.7% (n = 44) had misleading information. The mean scores of the content, quality, and reliability of the informative content videos were substantially higher than the misleading content videos, and of videos uploaded by universities/professional organizations/health care professionals/medical advertisements were higher than the videos uploaded by other sources. Through this study, the researchers have unveiled that the content and quality levels of YouTube videos in lymphedema exercises were moderate, and the reliability level was low.

这项描述性研究旨在确定 YouTube 上乳腺癌相关淋巴水肿锻炼视频的内容、质量和可靠性。共对 127 个视频进行了独立评估,其中 103 个视频被划分为信息内容组和误导内容组。淋巴水肿锻炼相关视频的内容(平均分:4.07 ± 2.29)和质量(平均分:3.15 ± 1.46)均为中等,而可靠性(平均分:2.27 ± 1.64)则较低。在使用内容核对表、总体质量量表和 DISCERN 可靠性工具对 103 个视频进行分类后发现,57.3%(n = 59)的视频具有信息性,42.7%(n = 44)的视频具有误导性。信息量大的视频在内容、质量和可靠性方面的平均得分都大大高于误导性内容的视频,而由大学/专业机构/医护人员/医疗广告上传的视频则高于其他来源上传的视频。通过这项研究,研究人员发现,YouTube 上淋巴水肿锻炼视频的内容和质量水平适中,可靠性水平较低。
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引用次数: 0
Relationship of increased fruit/vegetable intake with reduced consumption of sweets: Psychological mechanisms and associated weight loss in women within behavioral obesity treatments. 增加水果/蔬菜摄入量与减少甜食消费量之间的关系:行为肥胖症治疗中女性的心理机制和相关体重减轻。
IF 1.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-04 DOI: 10.1080/07399332.2024.2359555
James J Annesi, Jane K Jennings

Although an increase in fruit and vegetable (FV) consumption in adults might result in reductions in their intake of sweets, there has been minimal direct testing of this. Women participated in 6-month community-based obesity treatment conditions where either their psychological skills development (n = 66) or knowledge regarding healthful eating and exercise (n = 39) was emphasized. Improvements in FV and sweets intake, eating-related self-regulation, self-efficacy for controlled eating, and negative mood were significantly more pronounced in the psychological skills group participants. Together, participants' change in self-regulation, self-efficacy, and mood significantly mediated the relationship of their changes in FV and sweets. Within simple mediation analyses, participants' changes in self-efficacy and negative mood were significant mediators, and their treatment group membership moderated effects on sweets. We provided suggestions for future treatments based on the present findings.

虽然成人水果和蔬菜(FV)摄入量的增加可能会导致其甜食摄入量的减少,但这方面的直接测试却少之又少。妇女参加了为期 6 个月的社区肥胖症治疗,在治疗过程中,她们的心理技能发展(66 人)或健康饮食和运动知识(39 人)都得到了强调。心理技能组的参与者在脂肪和甜食摄入量、与饮食相关的自我调节能力、控制饮食的自我效能感和消极情绪方面的改善更为明显。参与者在自我调节、自我效能感和情绪方面的变化共同显著地调节了他们在食物总摄入量和甜食摄入量方面的变化关系。在简单的中介分析中,参与者自我效能感和消极情绪的变化是重要的中介因素,而他们的治疗小组成员身份则调节了对甜食的影响。我们根据目前的研究结果为未来的治疗提供了建议。
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引用次数: 0
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Health Care for Women International
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