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Sex Differences in the Association of Depression Symptoms and Cardiovascular Disease in Adults in the United States. 美国成年人抑郁症状与心血管疾病之间的性别差异。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-06-12 DOI: 10.1177/08901171241262249
Bhaskar Thakur, Chance Strenth, Elizabeth Mayfield Arnold, Frank David Schneider

Purpose: This study explores the relationship between depression and cardiovascular disease (CVD) in the US adult population, focusing on sex differences.

Design: Cross-sectional study.

Setting: National Health and Nutrition Examination Survey data (2013-2018).

Participants: A total of 14 699 community-dwelling adults (≥20 years).

Measure: The Patient Health Questionnaire (PHQ-9) depression screening tool assessed depressive symptoms. CVD events included heart failure, coronary heart disease, angina, heart attack, or stroke.

Analysis: Adjusted prevalence ratios were estimated using a Poisson regression model.

Results: The study finds a positive association between CVD incidents and both mild to moderate depressive symptoms (aPR:1.42, P = .002) and moderately severe to severe depression (aPR:1.72, P = .024). Overall, females exhibit a 47% lower likelihood of CVD incidents compared to males. However, in a subgroup analysis, increased depressive symptoms correlate with higher CVD incidents in females (aPRs range: 2.09 to 3.43, P < .001) compared to males (aPRs range: 1.45 to 1.77, P < .001).

Conclusion: Depression is associated with increased cardiovascular disease (CVD) risk. Females generally have a lower CVD risk than males, but more severe depressive symptoms elevate CVD risk in females. These findings emphasize the significance of considering sex differences. Further research is needed to understand the underlying mechanisms.

目的:本研究探讨美国成年人抑郁与心血管疾病(CVD)之间的关系,重点关注性别差异:设计:横断面研究:美国国家健康与营养调查数据(2013-2018 年):测量:患者健康问卷(PHQ-9)抑郁筛查工具评估抑郁症状。心血管疾病事件包括心力衰竭、冠心病、心绞痛、心脏病发作或中风:分析:使用泊松回归模型估算调整后的患病率:研究发现,心血管疾病事件与轻度至中度抑郁症状(aPR:1.42,P = .002)和中度至重度抑郁症状(aPR:1.72,P = .024)之间存在正相关。总体而言,女性发生心血管疾病的可能性比男性低 47%。然而,在一项亚组分析中,与男性(aPRs 范围:1.45 至 1.77,P < .001)相比,女性抑郁症状的增加与心血管疾病发病率的增加相关(aPRs 范围:2.09 至 3.43,P < .001):抑郁症与心血管疾病(CVD)风险增加有关。女性患心血管疾病的风险通常低于男性,但更严重的抑郁症状会增加女性患心血管疾病的风险。这些发现强调了考虑性别差异的重要性。要了解其潜在机制,还需要进一步的研究。
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引用次数: 0
Examining the Relationship Between E-Cigarette Status and Wearable Device Use on Physical Activity Levels in U.S. Adults. 研究电子烟状态和可穿戴设备的使用对美国成年人体育活动水平的影响。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-05-28 DOI: 10.1177/08901171241256712
Gillian Tiralla, Nauris Tamulevicius, Mary P Martinasek, Willie Leung

Purpose: The aim of this analysis is to investigate physical activity levels amongst e-cigarette users based on their wearable device use.

Design: Cross-sectional secondary data analysis using 2017 Behavioral Risk Factor Surveillance Survey (BRFSS).

Setting: Data from the 2017 BRFSS were used.

Sample: 5,562 U.S. adults (age 18+).

Measures: Self-reported physical activity related variables from U.S. adults (age 18+).

Analysis: Separate unadjusted and adjusted linear regression models were performed for each of the dependent variables using survey analysis.

Results: Non-users of wearable devices and e-cigarettes account for 96.6% (95%CI [95.7, 97.6]) of the sample, whereas users of wearable devices and e-cigarettes account for 3.3% (95%CI [1.2, 5.4]) of the sample. Those who use e-cigarettes participate in almost 50% less vigorous physical activity minutes per week than nonusers, 46 (95%CI [0.43, 91.57]) and 93 (95%CI [80.59, 106.34]) minutes respectively. Individuals who use e-cigarettes and use wearable devices were found to spend significantly more time in total physical activity per week in both the unadjusted and adjusted linear regressions, P = =0.01 and P = =0.04 respectively.

Conclusion: The use of e-cigarettes, wearable devices, or both technologies may influence the physical activity levels of its users. Additional research is needed to better understand the association between physical activity levels and the usage of these technologies.

目的:本分析旨在根据可穿戴设备的使用情况,调查电子烟用户的身体活动水平:利用 2017 年行为风险因素监测调查(BRFSS)进行横断面二级数据分析:使用2017年BRFSS的数据:5562名美国成年人(18岁以上):美国成年人(18 岁以上)自我报告的体育锻炼相关变量:分析:使用调查分析法对每个因变量分别建立未调整和调整线性回归模型:非可穿戴设备和电子烟使用者占样本的 96.6% (95%CI [95.7, 97.6]),而可穿戴设备和电子烟使用者占样本的 3.3% (95%CI [1.2, 5.4])。使用电子烟的人每周参加剧烈运动的分钟数比不使用电子烟的人少近 50%,分别为 46 分钟(95%CI [0.43, 91.57])和 93 分钟(95%CI [80.59, 106.34])。在未调整和调整后的线性回归中发现,使用电子烟和使用可穿戴设备的人每周总体力活动时间明显更长,分别为 P = =0.01 和 P = =0.04:电子烟、可穿戴设备或两种技术的使用可能会影响使用者的体育活动水平。要想更好地了解体育锻炼水平与使用这些技术之间的关系,还需要进行更多的研究。
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引用次数: 0
Hungry, Stressed, and Away From "Home": Predictors of Food Security and Perceived Stress Among International Students. 饥饿、压力和远离 "家":留学生食品安全和感知压力的预测因素。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-06-04 DOI: 10.1177/08901171241257092
Temitope Ibiyemi, Wasiuddin Najam, Wilna Oldewage-Theron

Purpose: Examine the predictors of food security and perceived stress among international students.

Design: Cross-sectional Design.

Settings: A public university in the Southwest United States.

Subjects: Sample size of Seventy-three participants (≥18 years).

Measures: Self-report measures of food insecurity and perceived stress. The U.S. Department of Agriculture (USDA) Adult Food Security Survey Module (AFSSM) to assess food security status, and the Perceived Stress Scale (PSS-10) questionnaire to evaluate stress levels.

Analysis: Logistic regression was performed to identify predictors of food security and perceived stress.

Results: Duration of stay in the U.S. was a predictor of food security status, while gender was a predictor of perceived stress. International students in the U.S. for less than a year had a lower chance of being food secure [OR (95% CI) = 0.22 (0.05 - 0.74)]. Female international students had a lower chance of experiencing low perceived stress [OR (95% CI) = 0.07 (0.00 - 0.51)].

Conclusion: In supporting international students, targeted nutrition and stress management interventions should be emphasized, particularly for females and those who recently moved to the U.S.

目的:研究留学生食品安全和感知压力的预测因素:设计:横断面设计:研究对象: 美国西南部的一所公立大学:样本量:73 名参与者(≥18 岁):食物不安全和感知压力的自我报告测量。美国农业部(USDA)成人食品安全调查模块(AFSSM)用于评估食品安全状况,感知压力量表(PSS-10)问卷用于评估压力水平:分析:进行逻辑回归以确定粮食安全和感知压力的预测因素:结果:留美时间是预测食品安全状况的一个因素,而性别则是预测感知压力的一个因素。留美时间少于一年的留学生获得食品安全的几率较低[OR (95% CI) = 0.22 (0.05 - 0.74)]。女性留学生感知压力较低的几率较低[OR (95% CI) = 0.07 (0.00 - 0.51)]:结论:在为留学生提供支持时,应强调有针对性的营养和压力管理干预措施,尤其是针对女性和新近移居美国的留学生。
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引用次数: 0
Reduced Health-Related Quality of Life Due to Mobile Phone Dependence in a Sample of Chinese College Students: The Mediating Role of Chronotype and Sleep Quality. 中国大学生因依赖手机而降低与健康相关的生活质量:时型和睡眠质量的中介作用
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-06-03 DOI: 10.1177/08901171241258375
Zhi-Qi Ying, Dan-Lin Li, Gang Liang, Zhi-Jian Yin, Yue-Zu Li, Rong Ma, Yu Qin, Ya-Jie Zheng, Pei Wang, Chen-Wei Pan

Purpose: Presenting a chain mediation model to investigate whether mobile phone dependence results in a reduction in health-related quality of life (HRQoL) among Chinese college students, through the mediating effect of chronotype and sleep quality.

Design and setting: A cross-sectional survey was conducted on students from a Chinese university using a validated structured questionnaire.

Sample: 2014 freshmen.

Measures: The study measured the students' level of mobile phone dependence using the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use. Chronotype and sleep quality were measured by the Chinese version of the Morningness-Eveningness Questionnaire (MEQ) and the Pittsburgh Sleep Quality Index (PSQI), respectively. HRQoL was evaluated using the five-level EuroQol five-dimensional questionnaire (EQ-5D-5L), including a descriptive system and a visual analog scale (VAS).

Analysis: Descriptive statistical analysis, correlation analysis, and mediation analysis.

Results: Mobile phone dependence had a significant negative effect on HRQoL as indicated by both the EQ-5D-5L index score and EQ-VAS score (P < .001 for both). Additionally, it was found to significantly predict chronotype (MEQ score) (β = -.546, P < .001) and sleep quality (PSQI score) (β = .163, P < .001). Chronotype negatively predict sleep quality (β = -.058, P < .001), and sleep quality was a significant negative predictor of HRQoL (EQ-5D-5L index score, β = -.008, P < .001; EQ-VAS score, β = -1.576, P < .001).

Conclusion: Mobile phone dependence negatively impacts students' HRQoL through chronotype and sleep quality, and there is a chain mediating effect. Students should consider making lifestyle changes to improve their HRQoL and promote health.

目的:提出一个链式中介模型,研究手机依赖是否会通过时型和睡眠质量的中介效应导致中国大学生健康相关生活质量(HRQoL)的下降:样本:2014 年大一新生:研究使用《青少年问题性手机使用自评问卷》测量学生的手机依赖程度。时间型和睡眠质量分别通过中文版晨起-清醒问卷(MEQ)和匹兹堡睡眠质量指数(PSQI)进行测量。HRQoL采用五级EuroQol五维问卷(EQ-5D-5L)进行评估,包括描述性系统和视觉模拟量表(VAS):分析:描述性统计分析、相关分析和中介分析:结果:从 EQ-5D-5L 指数得分和 EQ-VAS 分数来看,手机依赖对 HRQoL 有明显的负面影响(两者的 P < .001)。此外,研究还发现手机依赖对慢性型(MEQ 评分)(β = -.546,P < .001)和睡眠质量(PSQI 评分)(β = .163,P < .001)有明显的预测作用。时间型对睡眠质量有负向预测作用(β = -.058, P < .001),睡眠质量对 HRQoL 有显著负向预测作用(EQ-5D-5L 指数得分,β = -.008, P < .001; EQ-VAS 分数,β = -1.576, P < .001):结论:手机依赖通过时间型和睡眠质量对学生的 HRQoL 产生负面影响,并存在连锁中介效应。学生应考虑改变生活方式,以改善其 HRQoL,促进健康。
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引用次数: 0
School Poverty Level Moderates the Effectiveness of a Physical Activity Intervention. 学校贫困程度调节了体育锻炼干预措施的效果。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-06-08 DOI: 10.1177/08901171241257309
Zerleen S Quader, Sarah Sliwa, Regine Haardörfer, Shakira F Suglia, Julie A Gazmararian

Purpose: To explore whether school poverty level and funding modified the effectiveness of an evidence-based Comprehensive School Physical Activity Program called Health Empowers You! implemented in elementary schools in Georgia.

Design: Secondary data analysis of a multi-level, cluster-randomized controlled trial.

Setting: 40 elementary schools in Georgia in 2018-2019.

Subjects: 4th grade students in Georgia.

Measures: Intervention schools implemented the Health Empowers You! program to increase school-day physical activity. The outcome was average daily moderate-to-vigorous physical activity, school free-reduced price lunch (FRPL) percentage and per pupil expenditures were effect modifiers.

Analysis: Separate linear mixed regression models estimated the effect of the intervention on average daily moderate-to-vigorous physical activity, with interaction terms between intervention status and (1) school FRPL percentage or (2) per pupil expenditures.

Results: The effect of the intervention was significantly higher in schools with higher FRPL percentage (intervention*school % FRPL β (95% CI): .06 (.01, .12)), and was modestly, but not statistically significantly, higher in schools with lower per pupil expenditures.

Conclusion: Findings support the use of the Health Empowers You! intervention, which was effective in lower income schools, and may potentially reduce disparities in students' physical activity levels.

目的:探讨学校的贫困程度和资金是否会影响在佐治亚州小学实施的名为 "健康为你赋能!"的循证综合学校体育活动计划的有效性:对一项多层次、分组随机对照试验进行二次数据分析:2018-2019年佐治亚州40所小学.受试者:佐治亚州四年级学生.测量:佐治亚州四年级学生:佐治亚州四年级学生:干预学校实施 "健康为你赋能!"计划,以增加学生在校期间的体育活动量。结果为平均每天中强度体育活动量,学校免费减价午餐(FRPL)百分比和学生人均支出为影响修饰因子:单独的线性混合回归模型估算了干预措施对日均中强度体育活动的影响,干预措施与(1)学校免费减价午餐比例或(2)学生人均支出之间存在交互项:结果:在 FRPL 百分比较高的学校,干预效果明显较高(干预*学校 FRPL 百分比 β (95% CI): .06 (.01, .12)),在学生人均支出较低的学校,干预效果略高,但无统计学意义:研究结果支持使用 "健康给你力量!"干预措施,该措施在收入较低的学校很有效,并有可能减少学生体育活动水平的差异。
{"title":"School Poverty Level Moderates the Effectiveness of a Physical Activity Intervention.","authors":"Zerleen S Quader, Sarah Sliwa, Regine Haardörfer, Shakira F Suglia, Julie A Gazmararian","doi":"10.1177/08901171241257309","DOIUrl":"10.1177/08901171241257309","url":null,"abstract":"<p><strong>Purpose: </strong>To explore whether school poverty level and funding modified the effectiveness of an evidence-based Comprehensive School Physical Activity Program called <i>Health Empowers You!</i> implemented in elementary schools in Georgia.</p><p><strong>Design: </strong>Secondary data analysis of a multi-level, cluster-randomized controlled trial.</p><p><strong>Setting: </strong>40 elementary schools in Georgia in 2018-2019.</p><p><strong>Subjects: </strong>4<sup>th</sup> grade students in Georgia.</p><p><strong>Measures: </strong>Intervention schools implemented the <i>Health Empowers You!</i> program to increase school-day physical activity. The outcome was average daily moderate-to-vigorous physical activity, school free-reduced price lunch (FRPL) percentage and per pupil expenditures were effect modifiers.</p><p><strong>Analysis: </strong>Separate linear mixed regression models estimated the effect of the intervention on average daily moderate-to-vigorous physical activity, with interaction terms between intervention status and (1) school FRPL percentage or (2) per pupil expenditures.</p><p><strong>Results: </strong>The effect of the intervention was significantly higher in schools with higher FRPL percentage (intervention*school % FRPL β (95% CI): .06 (.01, .12)), and was modestly, but not statistically significantly, higher in schools with lower per pupil expenditures.</p><p><strong>Conclusion: </strong>Findings support the use of the <i>Health Empowers You!</i> intervention, which was effective in lower income schools, and may potentially reduce disparities in students' physical activity levels.</p>","PeriodicalId":7481,"journal":{"name":"American Journal of Health Promotion","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11469946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141287596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-Compassion, Resilience and Mental Health in Community Adults. 社区成年人的自我同情、复原力和心理健康。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-05-23 DOI: 10.1177/08901171241254930
Shu Ping Chuang, Jo Yung Wei Wu, Chien Shu Wang

Purpose: To investigate the associations among self-compassion, resilience and mental health of community residents.

Design: Cross-sectional study.

Setting: Voluntary survey of web-based, posters-based platform.

Participants: 453 community residents.

Methods: Participants living in Kaohsiung, Taiwan were recruited from posters, online advertisements based platforms and were assessed with the self-compassion scale (SCS), Connor-Davidson Resilience Scale (CD-RISC-25), Center for Epidemiological Studies Depression Scale (CES-D), The Satisfaction with Life Scale (SWLS) and The Positive Mental Health Scale (PMH-scale) measures during the period from March 1 to October 31, 2023.

Results: After adjusting for age, gender and education, stepwise regression analysis revealed that isolation, self-judgment, and control accounted for 14% of the variance in depressive symptoms (CES-D) (adjusted R2 = .149, P < .05). Over-identification, self-kindness and control accounted for 26% of the variance in satisfaction with life (SWLS) (adjusted R2 = .263, P < .001). Over-identification, self-kindness, isolation, control and personal competence and tenacity accounted for 37% of the variance in positive mental health (PMH-scale) (adjusted R2 = .375, P < .05).

Conclusions: Findings suggested that components of self-compassion and resilience may be important factors that promote positive mental health and provide potential interventions for professionals to increase the well-being of community residents.

目的:调查社区居民的自我同情、复原力和心理健康之间的关系:设计:横断面研究:参与者:453 名社区居民:453 名社区居民:在2023年3月1日至10月31日期间,通过海报、网络广告等平台招募居住在台湾高雄市的参与者,并使用自我同情量表(SCS)、康纳-戴维森复原力量表(CD-RISC-25)、流行病学研究中心抑郁量表(CES-D)、生活满意度量表(SWLS)和积极心理健康量表(PMH-scale)对其进行评估:在对年龄、性别和教育程度进行调整后,逐步回归分析表明,孤独、自我评判和控制占抑郁症状(CES-D)差异的 14%(调整后 R2 = .149,P < .05)。过度认同、自我亲切和控制占生活满意度(SWLS)差异的 26%(调整后 R2 = 0.263,P < 0.001)。在积极心理健康(PMH 量表)方面,过度认同、自我亲切、孤立、控制以及个人能力和坚韧占 37% 的变异(调整后 R2 = 0.375,P < 0.05):研究结果表明,自我同情和复原力可能是促进积极心理健康的重要因素,并为专业人员提供了潜在的干预措施,以提高社区居民的幸福感。
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引用次数: 0
Promoting Health and Wellbeing Through Non-Clinical Arts Programming: Multi-Stakeholder Perspectives From the Veterans Health Administration. 通过非临床艺术项目促进健康和福祉:来自退伍军人健康管理局的多方观点。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-06-13 DOI: 10.1177/08901171241261887
Ekaterina Anderson, Makayla Dones, Adena Cohen-Bearak, Anna Barker, Justeen Hyde, Barbara Bokhour

Purpose: While the value of art therapy is well-established and arts are increasingly leveraged to promote health and wellbeing more broadly, little is known about the impacts of non-clinical arts programs. In this preliminary investigation, we sought to fill this gap by exploring diverse stakeholders' perspectives on the impacts of non-clinical arts programming on Veterans receiving care at the Veterans Health Administration (VA).

Design: Semi-structured qualitative interviews with Veterans, VA staff, and community partners.

Setting: Interviewees were recruited from 7 VA medical centers that have recently implemented non-clinical arts programming to promote Veterans' health and wellbeing, some of them in partnership with community organizations.

Participants: 33 individuals were interviewed, including 9 Veterans, 14 VA staff, and 10 community partners involved in non-clinical arts program implementation.

Method: Interview transcripts were analyzed using iterative rounds of qualitative content analysis.

Results: The following impacts on Veterans were described: (1) mental health improvements, (2) renewed sense of purpose; (3) increased social connectedness, (4) improved self-esteem, and (5) self-driven engagement in art activities.

Conclusion: Non-clinical arts programming was perceived by diverse stakeholders to offer important benefits for Veterans' health and well-being. Offering non-clinical arts programming inside and outside healthcare facilities' walls is a promising direction for the field of public health undergoing a shift towards holistic approaches to improving individual and population health outcomes.

目的:虽然艺术治疗的价值已得到公认,艺术也越来越多地被用来促进更广泛的健康和福祉,但人们对非临床艺术项目的影响却知之甚少。在这项初步调查中,我们试图通过探讨不同利益相关者对在退伍军人健康管理局(VA)接受治疗的退伍军人非临床艺术项目影响的看法来填补这一空白:设计:对退伍军人、退伍军人医疗管理局工作人员和社区合作伙伴进行半结构化定性访谈:受访者来自 7 个退伍军人医疗中心,这些中心最近实施了非临床艺术计划,以促进退伍军人的健康和福祉,其中一些中心与社区组织合作:33 人接受了访谈,其中包括 9 名退伍军人、14 名退伍军人事务部工作人员和 10 名参与非临床艺术项目实施的社区合作伙伴:方法:采用多轮定性内容分析对访谈记录进行分析:对退伍军人的影响如下:(1)心理健康得到改善;(2)目标感得到更新;(3)社会联系得到加强;(4)自尊心得到提高;(5)自我驱动参与艺术活动:结论:不同的利益相关者都认为非临床艺术计划能为退伍军人的健康和福祉带来重要益处。在医疗机构围墙内外提供非临床艺术课程是公共卫生领域的一个很有前途的方向,因为公共卫生领域正在向综合方法转变,以改善个人和群体的健康状况。
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引用次数: 0
Fifty Observations About the Health Promotion Discipline: Ambitions, Polemics and Inspiration (Part Two). 关于健康促进学科的五十个观察:雄心、论点和灵感(第二部分)。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI: 10.1177/08901171241274887
Paul E Terry

In part one of this editorial covering fifty observations about the history and evolution of the health promotion discipline I shared twenty five observations relating to societal trends, definitional nuances and seminal studies and resources that have contributed to the trajectory of the field. In this, part two of the editorial, I list an additional twenty five observations focused on polemics and controversies and on the importance of effective teaching, research and writing. I reflect on the different approaches used by public sector and private sector health promotion experts respectively. I also share inspirational quotes that I consider closely aligned with the vision and mission of our profession.

在这篇社论的第一部分,我就健康促进学科的历史和演变提出了五十条看法,其中二十五条看法涉及社会趋势、定义的细微差别、开创性研究和资源,这些都对该领域的发展轨迹做出了贡献。在这篇社论的第二部分,我列出了另外 25 条意见,重点是论战和争议以及有效教学、研究和写作的重要性。我对公共部门和私营部门的健康促进专家分别采用的不同方法进行了反思。我还分享了我认为与我们专业的愿景和使命密切相关的励志名言。
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引用次数: 0
The Relationships Among Chronic Pain Subtypes, Motor Function, and Physical Activity in Community-Dwelling Japanese Older Adults: A Cross-Sectional Study. 居住在社区的日本老年人慢性疼痛亚型、运动功能和体育活动之间的关系:一项横断面研究
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-05-24 DOI: 10.1177/08901171241253387
Cen Chen, Takafumi Saito, Lefei Wang, Tsubasa Yokote, Harukaze Yatsugi, Xin Liu, Hiro Kishimoto

Purpose: We investigated the relationships among motor function, physical activity, and the characteristics of chronic pain (the number of pain sites, pain intensity, and pain-type).

Design: Cross-sectional study.

Setting: An ongoing community-based prospective study conducted in Itoshima, Japan.

Subjects: Community-dwelling Japanese aged 65-75 years (n = 805; 401 men, 404 women).

Measures: Chronic pain subtypes were examined in terms of the number of pain sites, pain intensity, and pain type. Motor function was evaluated by handgrip strength, walking speed, and the 5 Times Stand-up and Sit Test (FTSST). Locomotive activity, non-locomotive activity, and sedentary time were evaluated by a tri-axial accelerometer as physical-activity parameters.

Analysis: Multiple regression model adjusting for age, sex, education level, employment status, subjective economic status, body mass index, cognitive function, comorbidity, current tobacco use, current alcohol consumption, and regular exercise.

Results: In a multivariate analysis, the subjects' walking speed was negatively associated with multisite, moderate-to-severe, and neuropathic-like pain. The FTSST was positively associated with single-site, moderate-to-severe, and neuropathic-like pain. There was no significant association between handgrip strength and any chronic pain subtypes. Locomotive activity was negatively related to multisite, moderate-to-severe, and neuropathic-like pain, but there was no clear association between the amount of non-locomotive activity, sedentary time, and chronic pain subtypes.

Conclusion: Severe chronic pain was associated with decreased locomotion-related motor function and physical activity.

目的:我们研究了运动功能、体力活动和慢性疼痛特征(疼痛部位数量、疼痛强度和疼痛类型)之间的关系:设计:横断面研究:背景:在日本丝岛进行的一项持续性社区前瞻性研究:研究对象:居住在社区的 65-75 岁日本人(n = 805;男性 401 人,女性 404 人):从疼痛部位的数量、疼痛强度和疼痛类型等方面对慢性疼痛亚型进行了研究。运动功能通过手握力、行走速度和五次站立和坐下测试(FTSST)进行评估。运动活动、非运动活动和久坐时间由三轴加速度计作为体力活动参数进行评估:分析:多元回归模型,调整年龄、性别、教育程度、就业状况、主观经济状况、体重指数、认知功能、合并症、目前吸烟情况、目前饮酒情况和经常锻炼情况:在多变量分析中,受试者的步行速度与多部位疼痛、中重度疼痛和神经病理性疼痛呈负相关。FTSST与单部位疼痛、中重度疼痛和神经病理性疼痛呈正相关。手握力与任何慢性疼痛亚型之间均无明显关联。运动活动与多部位疼痛、中重度疼痛和神经病理性疼痛呈负相关,但非运动活动量、久坐时间与慢性疼痛亚型之间没有明显关联:结论:严重慢性疼痛与运动相关的运动功能和体力活动减少有关。
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引用次数: 0
Aligning Employee Health and Diversity, Equity, and Inclusion Initiatives in the Workplace: A Call for Synchronization. 将员工健康与工作场所的多样性、公平性和包容性倡议结合起来:呼吁同步。
IF 2.5 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-11-01 Epub Date: 2024-02-27 DOI: 10.1177/08901171241233398
Monica L Wang, Olivia Poulin, Hannah McKinney

Reports of burnout and poor mental health are at all-time highs among working U.S. adults.  Simultaneously, failure to promote diversity, equity, and inclusion (DEI) is among the top characteristics of an unhealthy work culture and has contributed to high rates of employee attrition. Though many organizations across multiple sectors have made pledges to prioritize employee health and invest in DEI in recent years, few have explicitly addressed these two issues as interconnected. The link between the workplace as a determinant of mental and physical health is well-established. Several studies demonstrate that experiencing discrimination in the workplace is associated with detrimental physical and mental health outcomes. Additionally, the way work is structured directly and indirectly contributes to employee health inequities. In this commentary, we make the connection between employee health and organizational DEI and propose guiding principles to synchronize DEI and employee health initiatives in the workplace. These include: investing in DEI as a cornerstone for developing a healthy workforce for all; recognizing differences in employee experiences, needs, and their connection to health; prioritizing systemic approaches to promote employee health and organizational DEI. Embedding employee health and DEI efforts into broader organizational strategy is a crucial step towards fostering equitable practices that promote inclusive work environments andpositive employee well-being.

美国在职成年人的职业倦怠和心理健康状况不佳的报告创下历史新高。 与此同时,未能促进多元化、公平和包容(DEI)也是不健康工作文化的首要特征之一,并导致员工流失率居高不下。尽管近年来许多跨行业的组织都承诺将员工健康放在首位并投资于多元化、公平和包容(DEI),但很少有组织明确将这两个问题视为相互关联的问题。工作场所是身心健康的决定因素,两者之间的联系已得到充分证实。多项研究表明,在工作场所遭受歧视与不利的身心健康结果有关。此外,工作结构直接或间接地造成了员工健康的不平等。在这篇评论中,我们将员工健康与组织的 DEI 联系起来,并提出了在工作场所同步实施 DEI 和员工健康计划的指导原则。这些原则包括:投资于可持续发展倡议,将其作为发展全民健康劳动力的基石;认识到员工经历、需求及其与健康之间联系的差异;优先采用系统性方法促进员工健康和组织可持续发展倡议。将员工健康和可持续发展教育工作纳入更广泛的组织战略,是促进公平实践的关键一步,可促进包容性的工作环境和积极的员工福利。
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American Journal of Health Promotion
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