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Journal of prevention (2022)最新文献

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Implementation Science's Role in Community Engagement for Substance Use Prevention. 实施科学在社区参与药物使用预防中的作用。
Pub Date : 2024-10-01 Epub Date: 2024-06-06 DOI: 10.1007/s10935-024-00788-w
Sarah Philbrick, Jacqueline Mungo

Until recently, the field of implementation science has provided limited insight and guidance on the use of community engagement and partnership to support implementation of evidence-based practices. Listing community engagement as a barrier to optimal implementation is often the extent of the discussion. An article recently published by Perry et al. (PS 24:61-76, 2023) details what community engagement can entail and documents how this engagement can shape opioid use prevention research. The article also describes benefits of engaging community partners in prevention interventions, particularly for opioid use disorder, and the feasibility of employing multiple levels of engagement to do so. The article concludes by emphasizing areas for future research including examining the role community engagement has on the success of prevention interventions and the impact on long-term intervention outcomes. To respond to the Perry et al. (PS 24:61-76, 2023) article, our team conducted a literature scan of recently published implementation science and community engagement manuscripts, which demonstrated a growing body of research on the subject. We summarize these findings by offering suggested approaches for integrating implementation science and community engagement for substance use prevention programs and suggestions for advancing this intersection.

直到最近,实施科学领域在利用社区参与和伙伴关系支持循证实践的实施方面提供的见解和指导还很有限。将社区参与列为最佳实施的障碍往往是讨论的范围。佩里等人最近发表的一篇文章(PS 24:61-76, 2023)详细介绍了社区参与的内容,并记录了这种参与如何影响阿片类药物使用预防研究。文章还介绍了让社区合作伙伴参与预防干预的益处,尤其是针对阿片类药物使用障碍的干预,以及采用多层次参与的可行性。文章最后强调了未来研究的领域,包括研究社区参与对预防干预成功的作用以及对长期干预结果的影响。为了回应佩里等人(PS 24:61-76, 2023)的文章,我们的团队对最近发表的实施科学和社区参与手稿进行了文献扫描,结果表明有关该主题的研究越来越多。我们对这些发现进行了总结,提出了将实施科学和社区参与整合到药物使用预防计划中的方法,以及促进这种交叉的建议。
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引用次数: 0
Quality of Life and Socioeconomic Status in Northwest of Iran: First Wave of the Persian Traffic Cohort Study. 伊朗西北部的生活质量和社会经济地位:波斯交通队列研究第一波。
Pub Date : 2024-10-01 Epub Date: 2024-06-25 DOI: 10.1007/s10935-024-00786-y
Elham Davtalab Esmaeili, Mina Golestani, Mirbahador Yazdani, Habibollah Pirnejad, Kavous Shahsavarinia, Sepideh Harzand-Jadidi, Mahdi Rezaei, Homayoun Sadeghi-Bazargani

This study aimed to evaluate the association between Quality of Life (QOL) and independent factors, emphasizing Socio Economic Status (SES) in northwestern Iran. A population-based cross-sectional study was performed within the Persian Traffic safety and health Cohort in 2020. Participants were chosen using stratified random sampling method. The majority of participants (69%) were aged between 30 and 65. Around half of the participants were males (54.44%). Most of the female respondents were categorized as very low and medium levels of SES Based on multiple linear regression analysis, the QOL among females was lower compared to males (β: - 0.92, 95% CI - 1.82 to - 0.22). There was a negative association between SES and QOL; individuals with low and very low levels of SES had a lower QOL than those with a medium level of SES (β: - 4.38, 95% CI - 5.9 to - 2.86) (β: - 2.65, 95% CI - 4.08 to - 1.22). The current study highlights that higher SES and educational levels are positively associated with higher QOL. Conversely, older age, females, and widowed individuals are linked with lower QOL.

本研究旨在评估伊朗西北部地区生活质量(QOL)与独立因素之间的关系,重点是社会经济地位(SES)。这项基于人口的横断面研究是在 2020 年波斯交通安全与健康队列中进行的。研究人员采用分层随机抽样法选出。大多数参与者(69%)的年龄在 30 岁至 65 岁之间。约一半的参与者为男性(54.44%)。根据多元线性回归分析,女性的 QOL 低于男性(β:- 0.92,95% CI - 1.82 至 - 0.22)。社会经济地位与 QOL 之间呈负相关;社会经济地位较低和非常低的个体的 QOL 低于社会经济地位中等的个体(β:- 4.38,95% CI - 5.9 至 - 2.86)(β:- 2.65,95% CI - 4.08 至 - 1.22)。本研究强调,较高的社会经济地位和教育水平与较高的 QOL 呈正相关。相反,年龄越大、女性和丧偶者的 QOL 越低。
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引用次数: 0
Containment Measures and Alcohol Consumption Among Drinking Higher Education Students Before and During the COVID-19 Pandemic: A Multilevel Analysis in 25 Countries. COVID-19 大流行之前和期间的遏制措施与饮酒高校学生的酒精消费:25个国家的多层次分析
Pub Date : 2024-09-26 DOI: 10.1007/s10935-024-00807-w
Robert Tholen, Koen Ponnet, Guido Van Hal, Sara de Bruyn, Veerle Buffel, Sarah Van de Velde, Piet Bracke, Philippe Bos, Yildiz Akvardar, Petra Arnold, Heide Busse, Andreas Chatzittofis, Stefanie Helmer, Fatemeh Rabiee-Khan, Vera Skalicka, Theoni Stathopoulou, Marie-Pierre Tavolacci, Claudia van der Heijde, Edwin Wouters

Hazardous alcohol use tends to be more prominent among higher education students. The COVID-19 pandemic severely altered student life, raising questions on its impact on students' alcohol use patterns. The current study examined cross-country variations in drinking behaviors (weekly drinking and binge drinking), and the extent to which these variations were associated with containment measures implemented during the first wave of the COVID-19 pandemic. Data were obtained from the COVID-19 International Student Well-being Study, covering students in 25 middle- and upper-high income countries. Data on government responses were retrieved from the Oxford COVID-19 Government Response Tracker. Multilevel multinomial logistic regression analyses were performed on weekly drinking (n = 44,212) and binge drinking (n = 32,785). Considerable cross-country variation existed for weekly drinking and binge drinking. In the majority of countries, a self-reported decrease in weekly drinking and a substantial self-reported decrease in binge drinking were observed. Closings of schools were associated with decreases in weekly drinking, while limitations on social gatherings were associated with increases in weekly drinking. The stringency index was associated with reporting decreased binge drinking. The study findings demonstrate a number of small yet significant associations between containment measures and changes in student drinking behaviors. Future studies are required to uncover why some students increased their alcohol consumption, particularly in countries with stricter limitations on social gatherings.

危害性饮酒在高校学生中往往更为突出。COVID-19 大流行严重改变了学生的生活,引发了关于其对学生饮酒模式影响的问题。本研究考察了饮酒行为(每周饮酒和酗酒)的跨国差异,以及这些差异与 COVID-19 大流行第一波期间实施的遏制措施的关联程度。数据来源于 COVID-19 国际学生福祉研究(COVID-19 International Student Well-being Study),涵盖了 25 个中高收入国家的学生。有关政府应对措施的数据来自牛津 COVID-19 政府应对措施追踪系统。对每周饮酒(n = 44,212 人)和酗酒(n = 32,785 人)进行了多层次多叉逻辑回归分析。在每周饮酒和酗酒方面,各国之间存在很大差异。在大多数国家,每周饮酒量的自我报告减少了,暴饮的自我报告大幅减少了。学校停课与每周饮酒量的减少有关,而对社交聚会的限制与每周饮酒量的增加有关。严格指数与暴饮减少有关。研究结果表明,遏制措施与学生饮酒行为的变化之间存在一些微小但重要的关联。未来的研究需要揭示一些学生饮酒量增加的原因,尤其是在对社交聚会有更严格限制的国家。
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引用次数: 0
Nudging Interventions on Stair Use: A Scoping Review. 对楼梯使用的引导干预:范围审查。
Pub Date : 2024-08-01 Epub Date: 2024-06-15 DOI: 10.1007/s10935-024-00790-2
Alexandros Tzikas, George Koulierakis, Konstantinos Athanasakis, Kyriakoula Merakou

Stair use is a physical activity that can be incorporated into the daily lifestyle of a majority of the population, resulting in several health benefits. Nudges are increasingly used in public health interventions to encourage healthy behaviours such as physical activity in a cost-effective manner. This scoping review aimed to investigate the effect and the characteristics of nudges used on interventions to promote stair use. We reviewed the relevant literature published in PubMed, Cochrane Library, Mendeley and Google Scholar, from January 2009 to May 2022. Eligibility criteria included original studies of any type of design, written in English, targeting healthy adults, reporting nudging interventions, using elevator or escalator as comparators and defining a baseline for comparisons. Initially, 118 publications were identified, and after applying exclusion criteria, 27 articles were included in the analysis. Results showed that most of the nudging interventions had significant positive effect on stair use in several settings. The evidence from this review suggests that incorporating nudges into public health interventions can effectively promote physical activity through increased stair usage. Emphasizing prevention measures in public health interventions may contribute to better health outcomes.

爬楼梯是一项可以融入大多数人日常生活习惯的体育活动,对健康有多种益处。在公共卫生干预中,越来越多地使用 "暗示 "来鼓励健康行为,如以具有成本效益的方式进行体育锻炼。本范围界定综述旨在调查在促进使用楼梯的干预措施中使用 "暗示 "的效果和特点。我们查阅了 2009 年 1 月至 2022 年 5 月期间发表在 PubMed、Cochrane 图书馆、Mendeley 和 Google Scholar 上的相关文献。资格标准包括任何类型的原创性研究,以英语撰写,以健康成年人为对象,报告了引导干预措施,使用电梯或自动扶梯作为比较对象,并定义了比较基线。初步确定了 118 篇出版物,在应用排除标准后,有 27 篇文章被纳入分析。结果表明,在多种情况下,大多数引导干预措施都对楼梯的使用产生了显著的积极影响。本综述的证据表明,在公共卫生干预措施中加入引导措施,可以通过增加楼梯使用率有效促进体育锻炼。在公共卫生干预中强调预防措施可能有助于取得更好的健康结果。
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引用次数: 0
Lifestyle-Related Risk Factors and Primary Prevention Strategies for Cardiovascular Diseases in a Middle-Income Country: A Scoping Review and Implication for Future Research. 一个中等收入国家与生活方式相关的心血管疾病危险因素和初级预防策略:范围综述及对未来研究的启示》。
Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.1007/s10935-024-00782-2
Pragashini Raman, Yoganishalini Sagadevan, Sornavalli Dhanapalan, Brandon J Fernandez, Sheng Yew Tan, Jamuna Rani Appalasamy, Amutha Ramadas

Cardiovascular diseases are the leading cause of death in middle-income countries such as Malaysia. There is a significant gap in knowledge between cardiovascular disease-related risk assessments and interventions in the Malaysian population. In this scoping review, we have determined the status of cardiovascular research in Malaysia by prioritising lifestyle-related risk assessments and interventions. We searched five electronic databases (Ovid MEDLINE, Cochrane Central Register of Controlled Trials, APA PsychINFO, Embase and Scopus) to identify relevant research articles that had been published. The Joanna Briggs Institute and the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews served as a guide for the scoping review. Study selection was made using the Covidence platform, screened, and extracted. Thirty-one studies were included in this review. Studies reviewed reported a significant positive association between physical inactivity, smoking, poor dietary patterns, working hours, clustering of lifestyle risk, and cardiovascular disease risk. Most interventions focused on physical activity and a multimodal lifestyle approach, significantly improving primary and secondary cardiovascular disease-related outcomes. The findings suggest improving lifestyle-related risk assessments and interventions to prevent cardiovascular diseases in this population. It is unclear if these outcomes can translate to higher effectiveness in preventing cardiovascular disease. Nevertheless, intervention using the multifaceted lifestyle approach can improve cardiovascular disease-related outcomes.

心血管疾病是马来西亚等中等收入国家的主要死因。在马来西亚人口中,与心血管疾病相关的风险评估和干预措施方面的知识存在巨大差距。在本范围综述中,我们通过优先考虑与生活方式相关的风险评估和干预措施,确定了马来西亚心血管研究的现状。我们检索了五个电子数据库(Ovid MEDLINE、Cochrane Central Register of Controlled Trials、APA PsychINFO、Embase 和 Scopus),以确定已发表的相关研究文章。乔安娜-布里格斯研究所(Joanna Briggs Institute)和用于范围界定综述的系统综述和荟萃分析扩展首选报告项目是范围界定综述的指南。使用 Covidence 平台对研究进行筛选和提取。本综述共纳入 31 项研究。综述的研究报告显示,缺乏运动、吸烟、不良饮食模式、工作时间、生活方式风险集群与心血管疾病风险之间存在明显的正相关。大多数干预措施都侧重于体育锻炼和多模式生活方式,大大改善了与心血管疾病相关的原发性和继发性结果。研究结果表明,应改进与生活方式相关的风险评估和干预措施,以预防该人群的心血管疾病。目前还不清楚这些结果能否转化为预防心血管疾病的更高成效。不过,采用多方面生活方式进行干预可以改善心血管疾病相关结果。
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引用次数: 0
Global Prevalence of Anxiety, Depression, and Stress Among Patients with Skin Diseases: A Systematic Review and Meta-analysis. 全球皮肤病患者的焦虑、抑郁和压力患病率:系统回顾与元分析》。
Pub Date : 2024-08-01 Epub Date: 2024-06-01 DOI: 10.1007/s10935-024-00784-0
Nader Salari, Pegah Heidarian, Amin Hosseinian-Far, Fateme Babajani, Masoud Mohammadi

The changes in human lifestyle over the past few decades have impacted the prevalence of skin diseases within different societies. Skin diseases may result in various physical and mental disorders. The most common mental disorders observed among the patients are stress, anxiety, and depression. This study aims to investigate the global prevalence of anxiety, depression, and stress in patients with skin diseases. In this Systematic Review and Meta-Analysis study, the PubMed, Scopus, Science Direct, Embase, Web of science, and Google Scholar repositories were searched without a lower time limit. Heterogeneity among the identified studies was examined using the I2 index, and accordingly random effects model was adopted for analysis. Data analysis was conducted within the Comprehensive Meta-Analysis software (v. 2). In total, 113 studies were included for the final analysis. The overall pooled prevalence of stress, depression, and anxiety in skin disease patients was found to be 39.4%, 27.2% and 28.8%, respectively. Among patients with psoriasis, acne, vitiligo or atopic dermatitis diseases, the highest number of patients suffering from stress was related to patients with acne (75.7%). The highest prevalence of depression, and anxiety was reported in patients with vitiligo (38.3%) and acne (36.5%), respectively. Considering the high prevalence of mental disorders among patients with skin diseases and recognising the impacts of mental health challenges on patients' well-being, the findings of this study provide valuable insights for identifying specific populations that require targeted interventions for the diagnosis, treatment, and prevention of mental illnesses. Accordingly, healthcare policymakers should incorporate psychological treatment and support measures as integral components of comprehensive care strategies for patients with skin diseases.

过去几十年来,人类生活方式的改变影响了皮肤病在不同社会中的流行。皮肤病可能导致各种生理和心理疾病。在患者中最常见的精神障碍是压力、焦虑和抑郁。本研究旨在调查焦虑、抑郁和压力在全球皮肤病患者中的流行情况。在这项系统综述和元分析研究中,我们对 PubMed、Scopus、Science Direct、Embase、Web of science 和 Google Scholar 等文献库进行了无时间下限的检索。使用 I2 指数检查了已确定研究之间的异质性,并相应地采用随机效应模型进行分析。数据分析在综合元分析软件(第 2 版)中进行。最终分析共纳入了 113 项研究。结果发现,在皮肤病患者中,压力、抑郁和焦虑的总患病率分别为 39.4%、27.2% 和 28.8%。在银屑病、痤疮、白癜风或特应性皮炎患者中,痤疮患者的压力最大(75.7%)。抑郁症和焦虑症的发病率最高的分别是白癜风患者(38.3%)和痤疮患者(36.5%)。考虑到精神障碍在皮肤病患者中的高发病率,并认识到精神健康挑战对患者福祉的影响,本研究的结果为确定需要在诊断、治疗和预防精神疾病方面采取针对性干预措施的特定人群提供了宝贵的见解。因此,医疗决策者应将心理治疗和支持措施作为皮肤病患者综合护理策略的组成部分。
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引用次数: 0
The Effectiveness of Preventative Interventions to Reduce Mental Health Problems in at-risk Children and Young People: A Systematic Review of Reviews. 减少高危儿童和青少年心理健康问题的预防性干预措施的有效性:系统性综述》。
Pub Date : 2024-08-01 Epub Date: 2024-06-17 DOI: 10.1007/s10935-024-00785-z
R McGovern, A Balogun-Katung, B Artis, B Bareham, L Spencer, H Alderson, E Brown, J Brown, R Lingam, P McArdle, J J Newham, A Wojciechowska, J Rankin, S Redgate, P Thomason, E Kaner

Mental health problems are the leading cause of childhood disability worldwide, resulting in poor outcomes for children and young people that persist into adulthood. It is essential that those young people most at risk of developing mental health problems receive effective preventative interventions. Whilst there have been a number of systematic reviews which have examined the effectiveness of secondary prevention interventions for specific groups of children and young people, or to address identified mental health concerns, no review has engaged with the breadth of this literature. We conducted a systematic review of systematic reviews to map this complex field of secondary preventative interventions and identify effective interventions to prevent mental health problems in children and adolescents aged 3-17 years. The review protocol was registered on PROSPERO. We searched five electronic databases from inception to February 2023. The certainty of the evidence was appraised using the AMSTAR 2. We included 49 unique systematic reviews each including between 2 and 249 (mean 34) unique studies; the majority of which were reviews which included only or mostly randomised controlled trials (70%). The reviews examined selective interventions (defined as interventions which are delivered to sub-group populations of young people at increased risk of mental health problems) (n = 22), indicated interventions (defined as interventions which target young people who are found to have pre-clinical symptoms) (n = 15) or a synthesis of both (n = 12). The certainty of the evidence in the reviews was rated as high, (n = 12) moderate (n = 5), low (n = 9) and critically low (n = 23). We found evidence to support both selective and indicated interventions in a range of populations and settings, with most of this evidence available for children and young people in their mid-years (6-10 years) and early adolescence (11-13 years). There was a large body of evidence suggesting that resilience enhancing, cognitive behaviour therapy-based and psychoeducational interventions for children who experience adversity, or those with subclinical externalising problems may offer promise. Early selective interventions for a subpopulation of children and young people who have experienced adversity which combines risk reduction and resilience enhancing approaches directed at children and their families may be effective at reducing mental health problems.

心理健康问题是全世界儿童残疾的主要原因,它给儿童和青少年带来的不良后果一直持续到成年。让那些最有可能出现心理健康问题的青少年接受有效的预防干预至关重要。虽然已经有一些系统性综述研究了针对特定儿童和青少年群体的二级预防干预措施的有效性,或针对已确定的心理健康问题的干预措施的有效性,但还没有任何综述涉及到这些文献的广度。我们对系统性综述进行了一次系统性回顾,以绘制二级预防干预这一复杂领域的地图,并确定预防 3-17 岁儿童和青少年心理健康问题的有效干预措施。综述方案已在 PROSPERO 上注册。我们检索了从开始到 2023 年 2 月的五个电子数据库。我们使用 AMSTAR 2 对证据的确定性进行了评估。我们共纳入了 49 篇独特的系统性综述,每篇综述包括 2 到 249 项(平均 34 项)独特的研究;其中大部分综述仅包括或主要包括随机对照试验(70%)。这些综述研究了选择性干预措施(定义为针对心理健康问题风险较高的青少年群体的干预措施)(22 项)、指示性干预措施(定义为针对发现有临床前症状的青少年的干预措施)(15 项)或两者的综合(12 项)。综述中证据的确定性被评为高(12 项)、中(5 项)、低(9 项)和极低(23 项)。我们发现有证据支持在一系列人群和环境中采取选择性和指示性干预措施,其中大部分证据适用于中年(6-10 岁)和青春期早期(11-13 岁)的儿童和青少年。大量证据表明,针对经历过逆境的儿童或存在亚临床外化问题的儿童,以认知行为疗法和心理教育为基础的增强复原力干预措施可能大有可为。对经历过逆境的儿童和青少年群体进行早期选择性干预,结合针对儿童及其家庭的降低风险和增强复原力的方法,可能会有效减少心理健康问题。
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引用次数: 0
Daily Activities in European Children and Adolescents During COVID-19 School Closure: A Longitudinal Study Exploring Physical Activity, Use of Screens, and Sleep Patterns. COVID-19 学校停课期间欧洲儿童和青少年的日常活动:探索体育活动、使用屏幕和睡眠模式的纵向研究。
Pub Date : 2024-06-01 Epub Date: 2024-04-02 DOI: 10.1007/s10935-024-00778-y
Mireia Orgilés, Elisa Delvecchio, Rita Francisco, Claudia Mazzeschi, Cristina Godinho, Marta Pedro, José P Espada, Alexandra Morales

This longitudinal study aimed to analyze the evolution of patterns of daily activities (physical activity time, screen usage time, and sleep hours) in European youth during school closure due to the COVID-19 health crisis. Participants were 624 caregivers of children and adolescents aged 3-18 from Italy, Spain, and Portugal. Evaluations were online, and four time-points were considered: retrospective measurement of daily activities before confinement (T1), and two (T2), five (T3), and eight (T4) weeks after starting the lockdown. Generally accepted international guidelines on physical activity time, screen usage time, and hours of sleep by age group were used to determine whether the pattern might increase the risk for ill health or not. To estimate the evolution of daily activities, generalized estimating equations (GEE) were used. The percentage of children who practiced less than 60 min of daily exercise increased significantly from before home confinement (47.8%) to T2 (86.4%); it slightly decreased at T3 (79.8%), and remained stable at T4 (76.1%). The percentage of children who made excessive use of screens (according to their age group) significantly increased from T1 to T2 and remained stable and high in the rest of the evaluations. The percentage of children who slept fewer or more hours than recommended for their age group remained stable between T1 and T4, although there was a significant increase at T3. In general, results found unhealthier behaviors as confinement was extended. Results are discussed in order to find strategies for promoting healthy daily activities for future pandemics.

这项纵向研究旨在分析 COVID-19 健康危机导致学校停课期间欧洲青少年日常活动模式(体育活动时间、屏幕使用时间和睡眠时间)的演变情况。参与者是来自意大利、西班牙和葡萄牙的 624 名 3-18 岁儿童和青少年的照顾者。评估是在线进行的,考虑了四个时间点:封闭前(T1)、封闭开始后两周(T2)、五周(T3)和八周(T4)的日常活动回顾性测量。我们采用了国际公认的各年龄组体育活动时间、屏幕使用时间和睡眠时间指南,以确定这种模式是否会增加健康不良的风险。为了估计日常活动的变化情况,我们使用了广义估计方程(GEE)。每天运动时间少于 60 分钟的儿童比例从家庭禁闭前(47.8%)到第二阶段(86.4%)显著增加;在第三阶段(79.8%)略有下降,在第四阶段(76.1%)保持稳定。过度使用屏幕的儿童比例(根据年龄组划分)从 T1 到 T2 显著增加,并在其余评估中保持稳定和较高水平。睡眠时间少于或多于其年龄组建议睡眠时间的儿童比例在 T1 至 T4 期 间保持稳定,但在 T3 期有显著增加。总的来说,结果发现随着禁闭时间的延长,孩子们的行为越来越不健康。讨论结果的目的是为未来的大流行病找到促进健康日常活动的策略。
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引用次数: 0
A Social Network Analysis of a Multi-sector Service System for Intimate Partner Violence in a Large US City. 美国大城市亲密伴侣暴力多部门服务系统的社会网络分析》(A Social Network Analysis of a Multi-sector Service System for Intimate Partner Violence in a Large US City)。
Pub Date : 2024-06-01 Epub Date: 2024-03-03 DOI: 10.1007/s10935-024-00774-2
Xi Wang, Meredith Matone, Stephanie M Garcia, Katherine S Kellom, Deanna Marshall, Azucena Ugarte, Marcella Nyachogo, Samia Bristow, Peter F Cronholm

About one in four women in the US report having experienced some form of intimate partner violence (IPV) during their lifetime and an estimated 15.5 million children live in families in which IPV occurred in the past year. Families of young children with IPV experiences often face complex needs and require well-coordinated efforts among service providers across social and health sectors. One promising partnership aims to support pregnant and parenting IPV survivors through coordination between IPV agencies and community-based maternal and early childhood home visiting programs. This study used social network analysis (SNA) to understand the interconnectedness of the system of IPV prevention and intervention for families with young children in a large US city. The SNA included 43 agencies serving this population across various service domains spanning IPV, legal, maternal and child health, and public benefit programs. An SNA survey collected data on four forms of collaboration between agencies, including formal administrative relationship, referral reciprocity, case consultation, and shared activities in community committees/organizing bodies. Density and centrality were the primary outcomes of interest. A community detection analysis was performed as a secondary analysis. The overall level of interconnectedness between the 43 responding agencies was low. Making referrals to each other was the most common form of collaboration, with a network density of 30%. IPV agencies had the highest average number of connections in the networks. There was a high level of variation in external collaborations among home visiting agencies, with several home visiting agencies having very few connections in the community but one home visiting program endorsing collaborative relationships with upwards of 38 partner agencies in the network. In serving families at risk for IPV, home visiting agencies were most likely to have referral relationships with mental health provider agencies and substance use disorder service agencies. A community detection analysis identified distinct communities within the network and demonstrated that certain agency types were more connected to one another while others were typically siloed within the network. Notably, the IPV and home visiting communities infrequently overlapped. Sensitivity analyses showed that survey participants' knowledge of their agencies' external collaborations varied by their work roles and agencies overall had low levels of consensus about their connectedness to one another. We identified a heterogeneous service system available to families of young children at-risk for or experiencing IPV. Overall inter-agency connectedness was low, with many siloed agencies and a lack of shared knowledge of community resources. Understanding current collaborations, silos, and centrality of agencies is an effective public health tool for allocating scarce resources across diverse service sectors to efficiently improve the

在美国,大约每四名妇女中就有一人报告说在其一生中曾遭受过某种形式的亲密伴侣暴力(IPV),估计有 1550 万儿童生活在去年发生过 IPV 的家庭中。有亲密伴侣暴力经历的幼儿家庭往往面临着复杂的需求,需要社会和卫生部门的服务提供者通力合作。一种前景广阔的合作伙伴关系旨在通过 IPV 机构与社区孕产妇和幼儿家访计划之间的协调,为 IPV 幸存者中的孕妇和为人父母者提供支持。本研究利用社会网络分析(SNA)来了解美国某大城市针对有幼儿家庭的 IPV 预防和干预系统的相互关联性。SNA 包括 43 个为该人群提供服务的机构,涉及 IPV、法律、母婴健康和公共福利计划等多个服务领域。SNA 调查收集了机构间四种合作形式的数据,包括正式行政关系、转介互惠、个案咨询以及在社区委员会/组织机构中的共同活动。密度和中心性是关注的主要结果。作为辅助分析,还进行了社区检测分析。43 个响应机构之间的总体相互关联度较低。相互转介是最常见的合作形式,网络密度为 30%。IPV 机构在网络中的平均联系数量最多。家访机构之间的外部合作差异很大,有几家家访机构在社区中的联系很少,但有一个家访项目认可与网络中多达 38 家以上的伙伴机构建立合作关系。在为有 IPV 风险的家庭提供服务时,家访机构最有可能与心理健康提供机构和药物使用障碍服务机构建立转介关系。社区检测分析确定了网络内不同的社区,并表明某些机构类型之间的联系更紧密,而其他机构类型在网络内通常是孤立的。值得注意的是,IPV 社区和家访社区很少重叠。敏感性分析表明,调查参与者对其机构外部合作的了解程度因其工作角色而异,总体而言,各机构对彼此联系的共识程度较低。我们发现,为面临 IPV 风险或遭受 IPV 的幼儿家庭提供的服务体系各不相同。机构间的整体联系程度较低,许多机构各自为政,缺乏对社区资源的共同了解。了解各机构当前的合作、孤岛和中心地位是一种有效的公共卫生工具,可用于在不同的服务部门之间分配稀缺资源,从而有效改善为遭受 IPV 的家庭提供服务的系统。
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引用次数: 0
Burnout Mediates the Association Between Workaholism and Substance Use: Findings from a French National Company. 工作倦怠对工作狂与药物使用之间的关联具有调节作用:一家法国国营公司的研究结果。
Pub Date : 2024-06-01 Epub Date: 2024-02-24 DOI: 10.1007/s10935-024-00770-6
Guillaume Airagnes, David Fisk, Rita El Haddad, Anne-Laurence le Faou, Frédéric Limosin

To examine the mediation effect of burnout on the association between workaholism and tobacco and alcohol use. A total of 2199 workers from the French national electricity company fulfilled an online questionnaire. Smoking status, alcohol use disorder based on the Alcohol Use Disorders Identification Test-Consumption and workaholism based on the Work Addiction Risk Test were used as binary variables. Burnout was assessed as a continuous variable with the Copenhagen Burn-Out Inventory. Mediation analyses tested the direct effect of the associations between workaholism and each substance use, as well as the indirect effect passing through burnout, while adjusting for sociodemographic factors (gender, age, occupational grade and marital life), work stress using the effort-reward imbalance and overcommitment. When testing the mediation effect of burnout on the relation between workaholism and smoking, there was a significant direct effect of workaholism on smoking (Estimated effect of 0.27 [95% CI 0.01; 0.54]) and a significant indirect effect passing through burnout (Estimated effect of 0.09 [95% CI 0.02; 0.15]). When testing the mediation effect of burnout on the relation between workaholism and alcohol use, the direct effect of workaholism on alcohol use was not significant (Estimated effect of 0.21 [95% CI - 0.01; 0.44]) while the indirect effect passing through burnout was significant (Estimated effect of 0.10 [95% CI 0.04; 0.17]). Information and prevention regarding substance use should be reinforced among workers exposed to workaholism, especially if their workaholism led to a high level of burnout. Preventing the emergence of burnout among workaholics might have some benefits on their tobacco and alcohol use.

研究职业倦怠对工作狂与吸烟和酗酒之间关系的调节作用。来自法国国家电力公司的 2199 名工人填写了一份在线问卷。吸烟状况、基于 "酒精使用障碍鉴定测试--消费 "的 "酒精使用障碍 "和基于 "工作成瘾风险测试 "的 "工作倦怠 "被作为二元变量。工作倦怠感则以哥本哈根工作倦怠感量表作为连续变量进行评估。中介分析检验了工作狂与每种药物使用之间关联的直接效应,以及通过职业倦怠产生的间接效应,同时调整了社会人口因素(性别、年龄、职业等级和婚姻生活)、工作压力(使用努力-回报不平衡和过度承诺)。在检验职业倦怠对工作狂与吸烟之间关系的中介效应时,工作狂对吸烟有显著的直接效应(估计效应为 0.27 [95% CI 0.01; 0.54]),通过职业倦怠有显著的间接效应(估计效应为 0.09 [95% CI 0.02; 0.15])。在测试职业倦怠对工作狂与饮酒之间关系的中介效应时,工作狂对饮酒的直接效应不显著(估计效应为 0.21 [95% CI - 0.01; 0.44]),而通过职业倦怠产生的间接效应显著(估计效应为 0.10 [95% CI 0.04; 0.17])。应加强对工作狂工人使用药物的宣传和预防,尤其是在工作狂导致高度职业倦怠的情况下。防止工作狂出现职业倦怠可能会对他们吸烟和酗酒产生一定的影响。
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Journal of prevention (2022)
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