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Effect of Oral Health and Toothbrushing Performance on Halitosis among People with Intellectual Disabilities 口腔健康及刷牙习惯对智力障碍者口臭的影响
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.6
Sung-Min Son, Byung-O Ahn
Background: Halitosis is considered unpleasant in social settings, including among family members and close friends. The level of halitosis acts as a negative factor in personal relationships and social activities and causes psychological and emotional problems such as discouragement by affecting isolation, and a sense of pride. We aimed to analyze the factors affecting halitosis, focusing on oral health and toothbrushing performance of people with intellectual disabilities. Methods: Study participants were 20 people with intellectual disabilities residing in a residential care facility. We assessed halitosis level using a 6-point Likert scale. We assessed oral pain using the Wong-Baker Faces Pain Rating Scale. Debris and calculus level was assessed with the simplified oral hygiene index. The assessment of toothbrushing performance level performed using the Korean version of the Modified Barthel Index; performance time was measured with a stopwatch. Results: There was a statistically significant correlation between the level of halitosis and calculus (+), and toothbrushing performance level (−). As a result of casual relationship analysis, toothbrushing performance (−) was the only effect factor influencing halitosis level. Conclusions: To manage the halitosis level of people with intellectual disabilities, education and training for toothbrushing performance, as well as comprehensive assessment of performance are needed. Also, active interventions and approaches should be used to teach and maintain performance as a habit.
背景:在社交场合,包括家庭成员和亲密朋友之间,口臭被认为是令人不快的。口臭的程度是人际关系和社会活动中的一个消极因素,并造成心理和情感问题,如影响孤立感和自豪感而产生的沮丧感。我们的目的是分析影响口臭的因素,重点关注智力障碍人群的口腔健康和刷牙表现。方法:研究对象为20名居住在养老院的智障人士。我们使用6分李克特量表评估口臭水平。我们使用Wong-Baker面部疼痛评定量表评估口腔疼痛。采用简化口腔卫生指数评价口腔碎片和牙石水平。使用韩国版修正Barthel指数对刷牙性能水平进行评估;用秒表测量表演时间。结果:口腔口臭、牙石水平(+)与刷牙表现水平(-)有统计学意义相关。因果关系分析结果显示,刷牙性能(−)是影响口臭程度的唯一影响因素。结论:对智障人群的口臭水平进行管理,需要对其刷牙行为进行教育培训,并对其进行综合评价。此外,应该采用积极的干预和方法来教授和保持表演作为一种习惯。
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引用次数: 0
Collaborative Improvement Mechanism of Preschool Children's Music Appreciation Ability and Mental Health Level 学龄前儿童音乐欣赏能力与心理健康水平的协同提升机制
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.9
Yanan Wang, Fei Yang, Yinghan Wang
Objectives: Our aim was to explore the collaborative improvement of children's music appreciation ability and mental health level, so as to promote the application of music education in preschool children's mental health education activities. Methods: We first established a mathematical model for the degree of order and degree of collaboration of the complex system for the collaborative improvement of preschool children's music appreciation ability and mental health level; and then, based on the evolutionary game theory, we analyzed the choices of strategy in the 2 subsystems‐music appreciation ability cultivation and mental health improvement‐in the process of collaborative cultivation; finally, we investigated the preschool children's music appreciation ability and mental health level before and after the implementation of the collaborative improvement mechanism, and conducted regression analysis and correlation analysis on preschool children's music appreciation ability and mental health level. Results: We found that with the improvement of music appreciation ability, the mental health level of preschool children also improved. After the implementation of the collaborative improvement mechanism, all indicators of the music appreciation ability and mental health level of the preschool children were higher than those before the implementation of the mechanism. Conclusions: There is a positive correlation between preschool children's music appreciation ability and their mental health level, and the collaborative improvement mechanism proposed is effective.
目的:探讨幼儿音乐欣赏能力与心理健康水平的协同提高,促进音乐教育在学前儿童心理健康教育活动中的应用。方法:首先建立了协同提高学龄前儿童音乐欣赏能力和心理健康水平的复杂系统的有序度和协作度的数学模型;然后,基于进化博弈论,分析了协同培养过程中音乐鉴赏能力培养和心理健康改善两个子系统的策略选择;最后,对实施协同提升机制前后学龄前儿童音乐欣赏能力和心理健康水平进行调查,并对学龄前儿童音乐欣赏能力和心理健康水平进行回归分析和相关分析。结果:我们发现随着音乐欣赏能力的提高,学龄前儿童的心理健康水平也随之提高。协同提升机制实施后,学龄前儿童音乐欣赏能力和心理健康水平的各项指标均高于机制实施前。结论:学龄前儿童音乐欣赏能力与心理健康水平呈正相关,提出的协同提升机制是有效的。
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引用次数: 0
Changes In the Activation of Supra-hyoid Muscles and Heart Rate of College Students During Food Intake According to Watching Mukbang 从看《吃早饭》看大学生进食过程中舌骨上肌活动和心率的变化
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.18
Byung-OAhn snm, Sung-Min Son, Hyeong-Min Kim
Objectives: Watching mukbang contributes to changes in eating habits and related behaviors. In this study, we aimed to analyze the changes in supra-hyoid muscles′ activation and heart rate of college students according to watching mukbang. Methods: The study participants were 30 college students. During the watching of mukbang, water, and yogurt were allowed to be consumed, and then the changes in suprahyoid muscles′ activation and heart rate were analyzed. Surface EMG of VatalStim Plus was used to measure the supra-hyoid muscles′ activation and the average, maximum, and minimum values were measured. An Apple Watch measured heart rate and average heart rate was determined. Results: Through watching mukbang, the average and maximum values of the supra-hyoid muscles′ activation showed a statistically significant increase in the case of both food intakes. Conclusions: During food intake, watching mukbang induces changes in the supra-hyoid muscles′ activation. Therefore, the changes in food intake should be considered according to the increase in the supra-hyoid muscles′ activation due to the influence of watching mukbang. Follow-up studies to verify effects on eating behavior and intake should be conducted.
目的:看吃bang有助于改变饮食习惯和相关行为。在本研究中,我们的目的是分析在观看mukbang的大学生舌骨上肌的激活和心率的变化。方法:研究对象为30名大学生。在观看mukbang的过程中,允许饮用水和酸奶,然后分析舌骨上肌的激活和心率的变化。使用VatalStim Plus表面肌电图测量舌骨上肌的激活,并测量平均值、最大值和最小值。用苹果手表测量心率,并确定平均心率。结果:通过观察吃bang,两种食物摄入情况下舌骨上肌激活的平均值和最大值均有统计学意义的增加。结论:在摄食过程中,观看mukbang会引起舌骨上肌激活的变化。因此,应根据观看mukbang的影响而增加舌骨上肌的激活来考虑食物摄入量的变化。应该进行后续研究,以验证对饮食行为和摄入量的影响。
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引用次数: 0
Does Gender Inequality Lead to Increased Burnout in Female Healthcare Workers in Saudi Arabia? Linking Managerial Role and Internal Relationship with Reduced Burnout 性别不平等是否导致沙特阿拉伯女性医护人员职业倦怠增加?管理角色、内部关系与职业倦怠的关联
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.4
Muhammad Awais Bhatti
Objectives: To evaluate the impact of gender inequality (GIQ) on burnout (BR) among female healthcare workers in Saudi Arabia by incorporating the moderation effect of managerial role (MR) and internal relationship (IR). Methods: Survey-based research was conducted through non-probability sampling and a sample of 112 participants was utilized for analysis. Using AMOS, data were analyzed using confirmatory factor analysis and structural equation modeling. Results: The findings showed that a positive and significant relationship existed between GIQ and BR in female healthcare workers in Saudi Arabia. Similarly, the moderating impact of MR and IR was found to be significant. However, while the MR strengthened the positive association between GIQ and BR, the IR suppressed the positive association between the two. Conclusion: The study provides implications for managers, healthcare workers, and policymakers to put greater efforts into reducing GIQ for an improved work environment and reduced burnout for female healthcare workers.
目的:通过纳入管理角色(MR)和内部关系(IR)的调节作用,评估性别不平等(GIQ)对沙特阿拉伯女性医护人员职业倦怠(BR)的影响。方法:采用非概率抽样的方法进行调查研究,抽样112人进行分析。采用AMOS对数据进行验证性因子分析和结构方程模型分析。结果:研究结果表明,沙特阿拉伯女性卫生保健工作者的智力与BR存在显著正相关关系。同样,MR和IR的调节作用被发现是显著的。然而,MR强化了GIQ和BR之间的正相关关系,IR抑制了两者之间的正相关关系。结论:本研究为管理者、卫生保健工作者和政策制定者加大努力降低GIQ以改善女性卫生保健工作者的工作环境和减少职业倦怠提供了启示。
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引用次数: 0
Willingness to Co-receive COVID-19 and Influenza Vaccines among Outpatients 门诊患者联合接种COVID-19和流感疫苗的意愿
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.8
Krissy Moehling Geffel, Mary Patricia Nowalk, Theresa M. Sax, Louise Taylor, Karen Clarke, Michael Susick, G.K. Balasubramani, Richard K. Zimmerman
Objectives: This study was designed to examine future willingness to co-receive COVID-19 and influenza vaccines and factors associated with that willingness among outpatients with acute respiratory illness (ARI). Methods: Outpatients ≥15 years with respiratory symptoms for ≤10 days were surveyed about vaccination behaviors and intentions. We used multinomial logistic regression to assess associations between demographic, behavioral and health-related variables and willingness to co-receive future COVID-19 and influenza vaccines. Results: Among 856 patients, 41% had received ≥1 COVID-19 vaccines plus booster and 42% had received seasonal influenza vaccine; 47% reported willingness to co-receive COVID-19 and influenza vaccines with 25% unsure and 28% unwilling. Higher educational attainment (OR=1.80, p=.009), receipt of ≥1 COVID-19 vaccines (OR=4.29, p<.001), greater 5-year influenza vaccine uptake (annually OR=8.54, p<.001; sometimes OR=5.38, p<.001) and lower likelihood of testing COVID-19 positive (OR=0.68, p=.033) were significantly associated with willingness to co-receive compared to those decidedly opposed. Conclusions: Prior vaccination behavior predicted willingness to co-receive future COVID-19 and influenza vaccines. Efforts to encourage co-receipt are more likely to succeed among routine vaccine recipients. Vaccination promotion efforts for those hesitant or unwilling to co-receive these vaccines may need to focus on improving uptake of each vaccine individually.
目的:本研究旨在调查急性呼吸道疾病(ARI)门诊患者未来联合接种COVID-19和流感疫苗的意愿以及与此意愿相关的因素。方法:对年龄≥15岁且呼吸道症状持续≤10天的门诊患者进行疫苗接种行为和意向调查。我们使用多项逻辑回归来评估人口统计学、行为和健康相关变量与共同接受未来COVID-19和流感疫苗的意愿之间的关联。结果:856例患者中,41%接种了≥1种COVID-19疫苗加强化疫苗,42%接种了季节性流感疫苗;47%的人表示愿意同时接种COVID-19和流感疫苗,25%的人不确定,28%的人不愿意。较高的受教育程度(OR=1.80, p= 0.009)、接种≥1支COVID-19疫苗(OR=4.29, p= 0.001)、较高的5年流感疫苗接种率(OR= 8.54, p= 0.001;有时OR=5.38, p= 0.001)和较低的COVID-19检测阳性的可能性(OR=0.68, p= 0.033)与坚决反对的患者相比,与共同接受意愿显著相关。结论:既往疫苗接种行为可预测未来联合接种COVID-19和流感疫苗的意愿。鼓励共同接种的努力更有可能在常规疫苗接受者中取得成功。对于那些犹豫不决或不愿共同接种这些疫苗的人,疫苗接种促进工作可能需要侧重于提高每种疫苗的吸收率。
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引用次数: 0
Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior 疫情防控过程中医务人员失眠症患病率:健康行为视角
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.7
Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong
Objectives: In this study, we investigated the sleep status of medical personnel in selected regions of China during the pandemic years of 2020 to 2022; we also considered their health behavior (HB). Methods: We used a random sampling method to select medical personnel for data collection in Shandong Province and its surrounding areas. For assessment instruments we used the General Situation Questionnaire, Pittsburgh Sleep Quality Index Inventory (PSQI), Self-Assessment Scale for Anxiety (SAS), and Self-Assessment Scale for Depression (SDS). Results: A total of 621 medical personnel participated, with a mean PSQI score of 11.37±3.79. The overall detection rate of insomnia was 88.73%, with 16.79% indicating severe insomnia. The primary sleep disorder among medical staff was daytime dysfunction, followed by difficulty falling asleep, poor sleep quality, and sleep efficiency. Various factors including age, education, position/title, abnormal menstruation, working age, income, night shift, and work intensity significantly influenced sleep quality. Advanced age, higher education, higher position/title, abnormal menstruation, working night shift, and higher work intensity emerged as risk factors; having longer working years was protective. Income was a compound factor affecting sleep. Conclusion: Increasing attention to the sleep situation of medical personnel is crucial, as these factors may impact their HB.
目的:在本研究中,我们调查了2020 - 2022年大流行年间中国选定地区医务人员的睡眠状况;我们也考虑他们的健康行为(HB)。方法:采用随机抽样的方法,在山东省及周边地区抽取医务人员进行数据采集。评估工具采用一般情况问卷、匹兹堡睡眠质量指数量表(PSQI)、焦虑自评量表(SAS)和抑郁自评量表(SDS)。结果:共有621名医务人员参与,PSQI平均得分为11.37±3.79。总体失眠症检出率为88.73%,重度失眠症检出率为16.79%。医务人员的主要睡眠障碍是白天功能障碍,其次是入睡困难、睡眠质量差和睡眠效率低。年龄、学历、职位/职称、月经异常、工作年龄、收入、夜班、工作强度等因素对睡眠质量有显著影响。高龄、高学历、高职位/职称、月经异常、上夜班、工作强度高是危险因素;较长的工作年限是有保护作用的。收入是影响睡眠的复合因素。结论:提高对医务人员睡眠状况的关注至关重要,因为这些因素可能影响他们的HB。
{"title":"Prevalence of Insomnia among Medical Staff during the Epidemic Prevention and Control: A Perspective on Health Behavior","authors":"Jinhua Sun, Xiaoqing Wang, Liman Jian, Bo Dong","doi":"10.5993/ajhb.47.4.7","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.7","url":null,"abstract":"Objectives: In this study, we investigated the sleep status of medical personnel in selected regions of China during the pandemic years of 2020 to 2022; we also considered their health behavior (HB). Methods: We used a random sampling method to select medical personnel for data collection in Shandong Province and its surrounding areas. For assessment instruments we used the General Situation Questionnaire, Pittsburgh Sleep Quality Index Inventory (PSQI), Self-Assessment Scale for Anxiety (SAS), and Self-Assessment Scale for Depression (SDS). Results: A total of 621 medical personnel participated, with a mean PSQI score of 11.37±3.79. The overall detection rate of insomnia was 88.73%, with 16.79% indicating severe insomnia. The primary sleep disorder among medical staff was daytime dysfunction, followed by difficulty falling asleep, poor sleep quality, and sleep efficiency. Various factors including age, education, position/title, abnormal menstruation, working age, income, night shift, and work intensity significantly influenced sleep quality. Advanced age, higher education, higher position/title, abnormal menstruation, working night shift, and higher work intensity emerged as risk factors; having longer working years was protective. Income was a compound factor affecting sleep. Conclusion: Increasing attention to the sleep situation of medical personnel is crucial, as these factors may impact their HB.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136241733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Cluster Nursing Methods Following Laparoscopic Partial Nephrectomy 腹腔镜肾部分切除术后集群式护理方法的作用
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.3
Li Zou, Weihong Wang, Qiaoping Wang, Lanlan Zhang, Yichao Hu, Haofen Xie, Zejun Yan
Objective : Laparoscopic partial nephrectomy has become an important treatment method for patients with limited renal tumors; however, its most common complication is postoperative bleeding and, until now, little has been known about the use of enhanced recovery after surgery following the use of laparoscopic partial nephrectomy for kidney tumors in China. In the present study, we assessed the efficacy of cluster nursing methods in the recovery of patients after laparoscopic partial nephrectomy. Methods: We included 96 patients were in the study and separated them into an observation group and a control group. The control group received traditional oral and written education as well as routine care; the observation group received the cluster nursing methods of a dissociate hemorrhage risk classification and position plan, performed by doctors and nurses, respectively. We used the Kolcaba General Comfort Questionnaire (GCQ), Digital Pain Scoring, and Hamilton Anxiety Scale to evaluate the patients′ conditions. Results: We compared the durations of absolute bedrest, Kolcaba GCQ scores, flank pain scores, psychological anxiety scores and hospitalization indicators between the 2 groups; the differences were statistically significant (p<.05). No bleeding or lower extremity venous thrombosis occurred in either of the 2 groups. Conclusions: Position management and diversified health education may enhance post-surgery recovery, shorten the hospitalization time, and improve inpatient comfort.
目的:腹腔镜肾部分切除术已成为局限性肾肿瘤患者的重要治疗方法;然而,其最常见的并发症是术后出血,到目前为止,中国对腹腔镜肾部分切除术治疗肾肿瘤后提高术后恢复的作用知之甚少。在本研究中,我们评估了集群护理方法在腹腔镜肾部分切除术后患者康复中的效果。方法:选取96例患者作为研究对象,将其分为观察组和对照组。对照组在常规护理的基础上进行传统的口头和书面教育;观察组采用分离性出血风险分级及体位计划的聚类护理方法,分别由医生和护士实施。我们使用Kolcaba一般舒适问卷(GCQ)、数字疼痛评分和汉密尔顿焦虑量表来评估患者的病情。结果:比较两组患者的绝对卧床时间、Kolcaba GCQ评分、侧腹疼痛评分、心理焦虑评分及住院指标;差异有统计学意义(p< 0.05)。两组患者均未发生出血及下肢静脉血栓形成。结论:体位管理和多元化健康教育可促进术后康复,缩短住院时间,提高住院舒适度。
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引用次数: 0
Post-COVID-19 Total and Domain-specific Sedentary Behaviors in Saudi Adults covid -19后沙特成年人的总体和特定领域久坐行为
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.12
Abdullah B. Alansare
Objectives: Although previous research reported prevalence of sedentary behavior (SB) during the COVID-19 pandemic, the prevalence of SB in the post-COVID-19 era remains unexplored. Prevalence, patterns, and determinants of post-COVID-19 total SB, and domain-specific SB in Saudi adults was examined. Methods: Participants (N=1,255; 55% females; 50% aged 20 to 29 years old) completed a Web-based survey (December 2, 2022 ‐ January 25, 2023). The Arabic version of the Sedentary Behavior Questionnaire estimated SBs (hours/day) during weekdays and weekend days. Respondents self-reported personal, anthropometric, and socioeconomical variables. Wilcoxon signed-rank tests assessed patterns of total and domain-specific SB and Kruskal-Wallis tests evaluated its determinants. Results: Most participants (54.7%) spent excessive time (≥8 hours/day) in total SB especially during weekdays (p<.001). Leisure-time SB was higher compared to other domain-specific SB (p<.001). Occupational-time SB was higher on weekdays while leisure-time SB was higher during weekends days (p<.001). No statistically significant differences were found for transportational-time SB. Age and occupation were the main determinants of SB (p<.005) while other correlates had more complex associations. Conclusions: Current efforts to reduce SB and suggest that Saudi policymakers, physicians, and researchers target not only daily total SB, but also domain-specific SB, especially in the post-COVID-19 era.
目的:虽然之前的研究报道了COVID-19大流行期间久坐行为(SB)的流行情况,但对后COVID-19时代SB的流行情况仍未进行研究。研究了沙特成人covid -19后总SB和特异性SB的患病率、模式和决定因素。方法:参与者(N=1,255;55%的女性;50%(20 - 29岁)完成了一项基于网络的调查(2022年12月2日至2023年1月25日)。阿拉伯语版的久坐行为问卷估计了工作日和周末的SBs(小时/天)。受访者自我报告了个人、人体测量和社会经济变量。Wilcoxon符号秩检验评估了总体和领域特异性SB的模式,Kruskal-Wallis检验评估了其决定因素。结果:大多数参与者(54.7%)在SB总时间(≥8小时/天)过多,特别是在工作日(p<.001)。与其他特定领域相比,休闲时间的SB更高(p<.001)。职业时间人格特征在工作日较高,业余时间人格特征在周末较高(p < 0.01)。在运输时间SB方面没有发现统计学上的显著差异。年龄和职业是SB的主要决定因素(p< 0.005),而其他相关因素具有更复杂的关联。结论:目前减少SB的努力表明,沙特的政策制定者、医生和研究人员不仅要针对每日总SB,而且要针对特定领域SB,特别是在后covid -19时代。
{"title":"Post-COVID-19 Total and Domain-specific Sedentary Behaviors in Saudi Adults","authors":"Abdullah B. Alansare","doi":"10.5993/ajhb.47.4.12","DOIUrl":"https://doi.org/10.5993/ajhb.47.4.12","url":null,"abstract":"Objectives: Although previous research reported prevalence of sedentary behavior (SB) during the COVID-19 pandemic, the prevalence of SB in the post-COVID-19 era remains unexplored. Prevalence, patterns, and determinants of post-COVID-19 total SB, and domain-specific SB in Saudi adults was examined. Methods: Participants (N=1,255; 55% females; 50% aged 20 to 29 years old) completed a Web-based survey (December 2, 2022 ‐ January 25, 2023). The Arabic version of the Sedentary Behavior Questionnaire estimated SBs (hours/day) during weekdays and weekend days. Respondents self-reported personal, anthropometric, and socioeconomical variables. Wilcoxon signed-rank tests assessed patterns of total and domain-specific SB and Kruskal-Wallis tests evaluated its determinants. Results: Most participants (54.7%) spent excessive time (≥8 hours/day) in total SB especially during weekdays (p<.001). Leisure-time SB was higher compared to other domain-specific SB (p<.001). Occupational-time SB was higher on weekdays while leisure-time SB was higher during weekends days (p<.001). No statistically significant differences were found for transportational-time SB. Age and occupation were the main determinants of SB (p<.005) while other correlates had more complex associations. Conclusions: Current efforts to reduce SB and suggest that Saudi policymakers, physicians, and researchers target not only daily total SB, but also domain-specific SB, especially in the post-COVID-19 era.","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136242608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health Needs Assessment: Comparison of Applications of All-in-One AI Platform during the COVID-19 Pandemic between Mainland China and Hong Kong 健康需求评估:新冠肺炎疫情期间内地与香港一体化AI平台应用比较
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.13
Chuhan Miao, Yan Bo, Jingyu Xu, Yuqian Wu, Jiayue Shen, Jun Fan, Yingli Wang, Wang Tin Li
Objectives: The COVID-19 pandemic has been a public health hazard since 2020. Preventive measures taken in mainland China and Hong Kong to control the spread of COVID-19, including quarantine, could potentially affect people's physical and mental health. Methods: We used a snowball sampling method to investigate the experience of people in mainland China and Hong Kong using AI chatbots during the COVID-19 pandemic to obtain information on mental health related to COVID-19, the current situation, and the multi-dimensional experience of using AI chatbots. The people who participated in the survey were residents aged 18-75 in the 2 areas. Results: The effective response rate of the questionnaire was 98%. Concerning demographics, 91.1% of the target group were 18-55 years old. The most important sources of information for the respondents were WeChat and Web pages. There was no difference between Hong Kong and mainland China in terms of access to COVID-19-related mental health information (☓ 2 =0.59, p=.444), and no difference shown in access to information by gender (☓ 2 =0.01, p=.942). There was no difference in age group (☓ 2 =2.97, p=.594) and was not related to whether respondents were in the provincial capital city area (☓ 2 =0.62, p=.429). Age groups “<18 years old” and “56-65 years old” were related to giving a higher (4 or 5) score to AI text questions answering chatbot (p=.030), and there is a positive relationship between the satisfactory of AI text question answering chatbot and that of AI voice question answering chatbot (R 2 =0.8074, p=.038). Conclusion: There is no significant difference in the use of all-in-one AI platforms in mainland China and Hong Kong, and both have large market potential in the field of AI services for mental health. This platform is suitable for people of all ages in both regions. The results of this study provide forward-looking guidance for our team to develop robots based on an all-in-one AI platform.
自2020年以来,COVID-19大流行一直是一种公共卫生危害。中国大陆和香港为控制COVID-19传播而采取的预防措施,包括隔离,可能会影响人们的身心健康。方法:采用滚雪球抽样的方法,调查中国大陆和香港地区人群在2019冠状病毒病大流行期间使用AI聊天机器人的体验,获取与COVID-19相关的心理健康信息、现状以及使用AI聊天机器人的多维体验。参与调查的人是这两个地区18-75岁的居民。结果:问卷有效回复率为98%。人口统计方面,91.1%的目标人群年龄在18-55岁之间。对于受访者来说,最重要的信息来源是微信和网页。香港与中国大陆在获取covid -19相关心理健康信息方面无差异( 2 =0.59, p=.444),性别在获取信息方面无差异( 2 =0.01, p=.942)。年龄组间无差异(χ 2 =2.97, p=.594),与是否在省会城市地区无关(χ 2 =0.62, p=.429)。“18岁”和“56-65岁”年龄组对AI文本问答聊天机器人的评分较高(4分或5分)(p= 0.030), AI文本问答聊天机器人的满意度与AI语音问答聊天机器人的满意度呈正相关关系(r2 =0.8074, p= 0.038)。结论:中国内地与香港地区对一体式人工智能平台的使用情况无显著差异,两地在人工智能心理健康服务领域均有较大的市场潜力。这个平台适合两个地区所有年龄段的人。本研究结果为我们团队基于一体化AI平台开发机器人提供了前瞻性指导。
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引用次数: 0
The Effect of the SystemCHANGETM Intervention on Systems Thinking in a Randomized Controlled Trial of Adult Kidney Transplant Recipients: A Secondary Data Analysis 在一项成人肾移植受者随机对照试验中,SystemCHANGETM干预对系统思维的影响:二次数据分析
4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2023-08-30 DOI: 10.5993/ajhb.47.4.16
Angela M. Andrews, Cynthia L. Russell, Steven Chesnut
Objective: The SystemCHANGE™ intervention is an approach that harnesses patients′ recurring personal systems of established routines of daily living, environments, and important others as reliable ′personalized system solutions′ to support habitual medication-taking and improve medication adherence. In a secondary data analysis, we (1) analyzed the association between the longitudinal trajectories of systems thinking and medication adherence, and (2) examined the extent that demographic characteristics and the SystemCHANGE™ intervention influenced these trajectories. Methods: Participants were ≥ 18 years of age who had received a kidney‐only transplant, self‐administered at least one prescribed immunosuppressive medication twice daily, had a functioning kidney transplant, were not in the hospital, and had no diagnosis that would immediately shorten the lifespan. We conducted a single‐blinded (participants), 2‐arm randomized controlled trial (RCT). An intervention group received the 6-month SystemCHANGETM intervention, and the attention-control group received the 6-month education intervention. Systems thinking was measured using the Systems Thinking Scale (adapted for patients). Results: The parallel process growth curve model with time-invariant predictors suggested that participants with higher levels of systems thinking at baseline demonstrated greater gains in systems thinking over time (r=0.407). White participants exhibited greater baseline levels of systems thinking than African-American participants (d=0.76). Participants assigned to the SystemCHANGE™ group maintained their medication adherence rates over time, whereas control counterparts demonstrated significantly different, declining trajectories of medication adherence (d=−0.41). Conclusion: We found shared co-variance between systems thinking and medication adherence and the SystemCHANGE™ intervention. The SystemCHANGE™ intervention was efficacious in improving and sustaining medication adherence in adult kidney transplant recipients.
SystemCHANGE™干预是一种利用患者反复出现的日常生活、环境和重要其他人的既定个人系统作为可靠的“个性化系统解决方案”来支持习惯性服药和提高药物依从性的方法。在二次数据分析中,我们(1)分析了系统思维的纵向轨迹与药物依从性之间的关联,(2)检验了人口统计学特征和SystemCHANGE™干预对这些轨迹的影响程度。方法:参与者年龄≥18岁,接受过肾移植,每天至少两次自行服用一种处方免疫抑制药物,有功能正常的肾移植,不在医院,没有立即缩短寿命的诊断。我们进行了一项单盲(参与者)、2组随机对照试验(RCT)。干预组接受为期6个月的SystemCHANGETM干预,注意控制组接受为期6个月的教育干预。采用系统思维量表(适用于患者)测量系统思维。结果:具有时不变预测因子的平行过程增长曲线模型表明,在基线时系统思维水平较高的参与者随着时间的推移显示出更大的系统思维增益(r=0.407)。白人参与者比非裔美国人参与者表现出更高的系统思维基线水平(d=0.76)。分配到SystemCHANGE™组的参与者在一段时间内保持了他们的药物依从率,而对照组的参与者则表现出显著不同的药物依从性下降轨迹(d= - 0.41)。结论:我们发现系统思维、药物依从性和SystemCHANGE™干预之间存在共同的协方差。SystemCHANGE™干预在改善和维持成人肾移植受者的药物依从性方面是有效的。
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American journal of health behavior
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