Objectives: We investigated the impact of traumatic spinal cord injury (TSCI) on daily living activities and motor function of TSCI patients. Methods: A total of 88 TSCI patients were randomly divided into Group A (N=44) and Group B (N=44). Group A received rehabilitation treatment 7 days after the stabilization of vital signs, and Group B received rehabilitation treatment 30 days after hospitalization. Results: The compliance rate of Group A (93.18%) was higher than that of Group B (72.73%) (χ 2 =6.510, p<.05); The scores of American Spinal Injury Association (ASIA) and Activities of Daily Living (ADL) in Group A were higher than those in Group B. The self-rating score of anxiety and depression was lower than that of Group B (p<.05). Conclusion: For the rehabilitation treatment of TSCI patients, it is better to choose the intervention after the vital signs are stable to improve patients' ability for daily living activities and motor function.
{"title":"Effects of Rehabilitation Therapy at Different Intervention Times on Daily Living Activity and Motor Function in Patients with Traumatic Spinal Cord Injury.","authors":"Deng Yang, Hanming Wang, Yafeng Xue, Sen Bai, Yuanyuan Zhou, Yunxin Duan, Yue Zhao, Kefu Sha, Chunhu Yu, Huan Wang, Yanping Peng, Ying Wang, Shuyan Qie","doi":"10.5993/AJHB.47.3.4","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.4","url":null,"abstract":"<p><p><b>Objectives:</b> We investigated the impact of traumatic spinal cord injury (TSCI) on daily living activities and motor function of TSCI patients. <b>Methods:</b> A total of 88 TSCI patients were randomly divided into Group A (N=44) and Group B (N=44). Group A received rehabilitation treatment 7 days after the stabilization of vital signs, and Group B received rehabilitation treatment 30 days after hospitalization. <b>Results:</b> The compliance rate of Group A (93.18%) was higher than that of Group B (72.73%) (<i><sup>χ</sup></i> 2 =6.510, p<.05); The scores of American Spinal Injury Association (ASIA) and Activities of Daily Living (ADL) in Group A were higher than those in Group B. The self-rating score of anxiety and depression was lower than that of Group B (p<.05). <b>Conclusion:</b> For the rehabilitation treatment of TSCI patients, it is better to choose the intervention after the vital signs are stable to improve patients' ability for daily living activities and motor function.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"471-478"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531831","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}
Objectives: In this study, we examined the impact of digital globalization on health behavior among students in Chinese schools, particularly in relation to the fight against COVID-19. Despite China's well-established system and positive health behavior towards the pandemic, students' health behavior is lacking. The study focuses on the role of ideological and political education in addressing this issue. Methods: Data were collected from Chinese schools with the help of a survey questionnaire by using area cluster sampling. Data analysis was carried out by employing Smart PLS. Results: We found that digital globalization has a positive effect on health behavior. Digital globalization also has a positive effect on global knowledge about COVID-19 and ideological and political education leading to health behavior. Conclusion: We identified that the influential role of digital globalization can change health behavior. Digital globalization led to global knowledge about the COVID-19 and further caused an influence health behavior among schools that led to improved health behavior of students. The outcomes of the study have valuable importance for the management of schools to decrease the effect of COVID-19 by developing positive health behavior.
{"title":"Impact of Digital Globalization on Health Behavior Through Integration of Ideological and Political Education in Schools Leading to the Spirit for Fighting Against (COVID)-19.","authors":"Guangping Yang, Ming Xu, Jiayuan Li","doi":"10.5993/AJHB.47.3.14","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.14","url":null,"abstract":"<p><p><b>Objectives:</b> In this study, we examined the impact of digital globalization on health behavior among students in Chinese schools, particularly in relation to the fight against COVID-19. Despite China's well-established system and positive health behavior towards the pandemic, students' health behavior is lacking. The study focuses on the role of ideological and political education in addressing this issue. <b>Methods:</b> Data were collected from Chinese schools with the help of a survey questionnaire by using area cluster sampling. Data analysis was carried out by employing Smart PLS. <b>Results:</b> We found that digital globalization has a positive effect on health behavior. Digital globalization also has a positive effect on global knowledge about COVID-19 and ideological and political education leading to health behavior. <b>Conclusion:</b> We identified that the influential role of digital globalization can change health behavior. Digital globalization led to global knowledge about the COVID-19 and further caused an influence health behavior among schools that led to improved health behavior of students. The outcomes of the study have valuable importance for the management of schools to decrease the effect of COVID-19 by developing positive health behavior.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"567-578"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531830","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}
HongMei Li, GuiQing Wang, PengFei Chen, ChunMei Ren, JunMei Wang
Objectives: The aim of this study was to investigate the effectiveness of narrative therapy in reducing work pressure and improving health behavior among clinical and anesthesia frontline nurses. Methods: We used convenience sampling to select clinical and anesthesiology department nurses from hospitals between May 2019 and May 2021. We used a nursing knowledge-attitude-behavior questionnaire to assess the status of nurses and assess the effectiveness of the narrative therapy intervention. We analyzed our data using SPSS and Smart PLS. Results: We found statistically significant differences in scores on the Competence Scale (NCS) and the Nursing Caring Characters Assessment Tool (NCCAT) (p<.05). The average scores of items in each dimension of clinical and anesthesiology department narrative nursing knowledge and behavior were: knowledge score (3.67±0.52), attitude score (5.48±0.62), and behavior score (4.74±0.77). Conclusion: The ADDIE-based narrative nursing training program improved nurses' narrative nursing ability and humanistic care quality, reducing work pressure and promoting health behavior. These findings highlight the importance of narrative therapy in clinical practice for frontline nurses.
{"title":"The Effectiveness of Narrative Therapy in Reducing Work Pressure and Improving Health Behavior Among Anesthesia Clinical Frontline Nurses.","authors":"HongMei Li, GuiQing Wang, PengFei Chen, ChunMei Ren, JunMei Wang","doi":"10.5993/AJHB.47.3.20","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.20","url":null,"abstract":"<p><p><b>Objectives:</b> The aim of this study was to investigate the effectiveness of narrative therapy in reducing work pressure and improving health behavior among clinical and anesthesia frontline nurses. <b>Methods:</b> We used convenience sampling to select clinical and anesthesiology department nurses from hospitals between May 2019 and May 2021. We used a nursing knowledge-attitude-behavior questionnaire to assess the status of nurses and assess the effectiveness of the narrative therapy intervention. We analyzed our data using SPSS and Smart PLS. <b>Results:</b> We found statistically significant differences in scores on the Competence Scale (NCS) and the Nursing Caring Characters Assessment Tool (NCCAT) (p<.05). The average scores of items in each dimension of clinical and anesthesiology department narrative nursing knowledge and behavior were: knowledge score (3.67±0.52), attitude score (5.48±0.62), and behavior score (4.74±0.77). <b>Conclusion:</b> The ADDIE-based narrative nursing training program improved nurses' narrative nursing ability and humanistic care quality, reducing work pressure and promoting health behavior. These findings highlight the importance of narrative therapy in clinical practice for frontline nurses.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"628-641"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159065","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}
Areum Han, Hee-Jung Seo, Yun-Jung Lee, Junhyoung Kim, Heeyong Choi, Yu-Sik Kim, Se-Hyuk Park
Objectives: The emergence of COVID-19 and its consequences has led to fears, worries, discomfort, depression, and anxiety for human beings worldwide. In this study, we examined the relationships among COVID-19 stress, leisure constraints, and happiness of Korean adults. Methods: We employed on-line convenience sampling to recruit participants. The sample consisted of Korean adults. A total of 600 surveys were distributed, we retained 293 responses for analysis. Results: COVID-19 stress subcomponents significantly impacted on individual happiness. Our findings align with research focusing on positive correlates between perceived COVID-19 stress and leisure constraints subcomponents. We also found that as COVID-19 stress decreased, perceived happiness increased. Conclusions: Future research is proposed to explore the mechanism of how leisure constraints influence the engagement of physical activities and strategies of leisure constraints negotiation to gain the benefits of happiness in the pandemic crisis. Managerial implications and future research are discussed from the perspectives of constraint negotiation and happiness.
{"title":"Exploring the Relationships Among (COVID)-19 Stress, Leisure Constraints, and Happiness for Adults During the (COVID)-19 Pandemic in Korea.","authors":"Areum Han, Hee-Jung Seo, Yun-Jung Lee, Junhyoung Kim, Heeyong Choi, Yu-Sik Kim, Se-Hyuk Park","doi":"10.5993/AJHB.47.3.13","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.13","url":null,"abstract":"<p><p><b>Objectives:</b> The emergence of COVID-19 and its consequences has led to fears, worries, discomfort, depression, and anxiety for human beings worldwide. In this study, we examined the relationships among COVID-19 stress, leisure constraints, and happiness of Korean adults. <b>Methods:</b> We employed on-line convenience sampling to recruit participants. The sample consisted of Korean adults. A total of 600 surveys were distributed, we retained 293 responses for analysis. <b>Results:</b> COVID-19 stress subcomponents significantly impacted on individual happiness. Our findings align with research focusing on positive correlates between perceived COVID-19 stress and leisure constraints subcomponents. We also found that as COVID-19 stress decreased, perceived happiness increased. <b>Conclusions:</b> Future research is proposed to explore the mechanism of how leisure constraints influence the engagement of physical activities and strategies of leisure constraints negotiation to gain the benefits of happiness in the pandemic crisis. Managerial implications and future research are discussed from the perspectives of constraint negotiation and happiness.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"558-566"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10159067","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}
Alexandria W Mackey, Penny A Ralston, Iris Young-Clark, Catherine C Coccia
Objectives: Obesity rates continue to rise in underserved adolescents. Obesity is linked to poor mental health outcomes. The purpose of this narrative review is to examine existing literature on life satisfaction and obesity-related emerging health behaviors (sugar-sweetened beverage consumption, sleeping patterns, and screen time) in underserved adolescents. Methods: We conducted a review of articles published in English between January 1995 and November 2021 to develop a narrative summary. Results: In general, few studies have been conducted investigating life satisfaction and the emerging behaviors of sugar-sweetened beverage consumption, sleeping patterns, and screen time use with adolescents, especially underserved adolescents. In the studies reviewed, we noted links between lower life satisfaction and more than once-a-day sugar consumption, including sugar-sweetened beverages, lower life satisfaction and lower sleep duration, and life satisfaction and screen-time, with both positive and negative relationships shown. Conclusions: Given the limitations in the number of studies, recommendations are provided for future research.
{"title":"Life Satisfaction and Emerging Health Behaviors in Underserved Adolescents: A Narrative Review.","authors":"Alexandria W Mackey, Penny A Ralston, Iris Young-Clark, Catherine C Coccia","doi":"10.5993/AJHB.47.3.5","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.5","url":null,"abstract":"<p><p><b>Objectives:</b> Obesity rates continue to rise in underserved adolescents. Obesity is linked to poor mental health outcomes. The purpose of this narrative review is to examine existing literature on life satisfaction and obesity-related emerging health behaviors (sugar-sweetened beverage consumption, sleeping patterns, and screen time) in underserved adolescents. <b>Methods:</b> We conducted a review of articles published in English between January 1995 and November 2021 to develop a narrative summary. <b>Results:</b> In general, few studies have been conducted investigating life satisfaction and the emerging behaviors of sugar-sweetened beverage consumption, sleeping patterns, and screen time use with adolescents, especially underserved adolescents. In the studies reviewed, we noted links between lower life satisfaction and more than once-a-day sugar consumption, including sugar-sweetened beverages, lower life satisfaction and lower sleep duration, and life satisfaction and screen-time, with both positive and negative relationships shown. <b>Conclusions:</b> Given the limitations in the number of studies, recommendations are provided for future research.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"479-488"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513569","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}
Yian Huang, Linmin Sun, Jian Guo, Cao Zhang, Jianhong Xu
Objectives: The objective of this research was to test the application of peri-anesthesia nursing management (anesthesia preparation room, operating room, recovery room, post anesthesia visit, and anesthesia general management) on hospital services. Methods: We used a quantitative research design to collect data from 311 nurses, with structural equation modeling used for data analysis. Results: The application of the peri- anesthesia nursing management mode of the five-sphere integrated plan impacted hospital services for patients. Conclusion: The practice of the five-sphere integrated mode not only highlighted the professional characteristics of anesthesia nursing, but also ensured the quality of medical treatment of patients during peri-anesthesia, and provided new ideas and references for nursing management of other specialties.
{"title":"Exploration and Application of the Peri-anesthesia Nursing Management Mode of the Five-Sphere Integrated Plan.","authors":"Yian Huang, Linmin Sun, Jian Guo, Cao Zhang, Jianhong Xu","doi":"10.5993/AJHB.47.3.6","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.6","url":null,"abstract":"<p><p><b>Objectives:</b> The objective of this research was to test the application of peri-anesthesia nursing management (anesthesia preparation room, operating room, recovery room, post anesthesia visit, and anesthesia general management) on hospital services. <b>Methods:</b> We used a quantitative research design to collect data from 311 nurses, with structural equation modeling used for data analysis. <b>Results:</b> The application of the peri- anesthesia nursing management mode of the five-sphere integrated plan impacted hospital services for patients. <b>Conclusion:</b> The practice of the five-sphere integrated mode not only highlighted the professional characteristics of anesthesia nursing, but also ensured the quality of medical treatment of patients during peri-anesthesia, and provided new ideas and references for nursing management of other specialties.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"489-497"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513570","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}
Objectives: Healthcare expenditures in western countries have been rising for many years. This leads many countries to develop and test new reimbursement systems. A systematic review about monetary incentives in group settings indicated that a sole focus on monetary aspects does not necessarily result in better care at lower costs. Hence, this systematic review aims to describe the effects of non- monetary incentives in physician groups. Methods: We searched the databases MEDLINE (PubMed), The Cochrane Library, CINAHL, PsycINFO, EconLit, and ISI Web of Science. Grey literature search, reference lists, and authors' personal collection provided additional sources. Results: Overall, we included 36 studies. We identified 4 categories of interventions related to non-monetary incentives. In particular, the category of decision support achieved promising results. However, design features vary among different decision support systems. To enable effective design, we provide an overview of the features applied by the studies included. Conclusions: Not every type of non-monetary incentive has a positive impact on quality of care in physician group settings. Thus, creating awareness among decision-makers regarding this matter and extending research on this topic can contribute to preventing implementation of ineffective incentives, and consequently, allocate resources towards tools that add value.
目的:西方国家的医疗保健支出多年来一直在上升。这导致许多国家开发和试验新的报销制度。一项关于群体环境中的金钱激励的系统审查表明,仅仅关注金钱方面并不一定会以较低的成本带来更好的护理。因此,本系统综述旨在描述非金钱激励在医生群体中的作用。方法:检索MEDLINE (PubMed)、Cochrane Library、CINAHL、PsycINFO、EconLit、ISI Web of Science等数据库。灰色文献检索,参考文献列表和作者个人收藏提供了额外的来源。结果:总的来说,我们纳入了36项研究。我们确定了4类与非货币激励相关的干预措施。特别是,决策支持类别取得了可喜的成果。然而,不同的决策支持系统的设计特征各不相同。为了实现有效的设计,我们概述了所包括的研究所应用的特征。结论:并不是每一种非金钱激励都对医生群体的护理质量有积极的影响。因此,提高决策者对这一问题的认识和扩大对这一主题的研究可以有助于防止实施无效的激励措施,从而将资源分配给增加价值的工具。
{"title":"Effects of Non-monetary Incentives in Physician Groups-A Systematic Review.","authors":"Ann-Kathrin Heider, Harald Mang","doi":"10.5993/AJHB.47.3.3","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.3","url":null,"abstract":"<p><p><b>Objectives:</b> Healthcare expenditures in western countries have been rising for many years. This leads many countries to develop and test new reimbursement systems. A systematic review about monetary incentives in group settings indicated that a sole focus on monetary aspects does not necessarily result in better care at lower costs. Hence, this systematic review aims to describe the effects of non- monetary incentives in physician groups. <b>Methods:</b> We searched the databases MEDLINE (PubMed), The Cochrane Library, CINAHL, PsycINFO, EconLit, and ISI Web of Science. Grey literature search, reference lists, and authors' personal collection provided additional sources. <b>Results:</b> Overall, we included 36 studies. We identified 4 categories of interventions related to non-monetary incentives. In particular, the category of decision support achieved promising results. However, design features vary among different decision support systems. To enable effective design, we provide an overview of the features applied by the studies included. <b>Conclusions:</b> Not every type of non-monetary incentive has a positive impact on quality of care in physician group settings. Thus, creating awareness among decision-makers regarding this matter and extending research on this topic can contribute to preventing implementation of ineffective incentives, and consequently, allocate resources towards tools that add value.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"458-470"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10513574","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}
Objectives: In this study, we investigate the relationships among personal well-being, self-esteem, supervisor support, life satisfaction, and happiness in a sample of nurses. In this study, we also investigate the mediating role of life satisfaction. Methods: Present research was quantitative in nature and the research design was cross-sectional. Data were collected from a convenience sample of nurses working in hospitals by using a self-administered survey. We used partial least square-structural equation modeling (PLS-SEM) for the assessment of statistical significance of the proposed model. Results: We found a statistically significant and positive relationship between personal well-being, life satisfaction, and happiness. Similarly, self-esteem and supervisor support positively affected life satisfaction. Conclusion: Our research adds to the present literature on the factors that affect happiness among nurses. The study also adds to the current literature on PLS-SEM in terms of the assessment of mediation and direct relationships. Our findings are helpful for decision-makers in the health sector in developing happiness and life satisfaction among nurses. These results are also valuable for academicians for their future studies.
{"title":"Exploring the Factors Creating Happiness with Nursing Staff: The Mediating Effect of Life Satisfaction.","authors":"Haiyun Lin, Yue Tao, Huihui Hu, Haizhen Lin","doi":"10.5993/AJHB.47.3.8","DOIUrl":"10.5993/AJHB.47.3.8","url":null,"abstract":"<p><p><b>Objectives:</b> In this study, we investigate the relationships among personal well-being, self-esteem, supervisor support, life satisfaction, and happiness in a sample of nurses. In this study, we also investigate the mediating role of life satisfaction. <b>Methods:</b> Present research was quantitative in nature and the research design was cross-sectional. Data were collected from a convenience sample of nurses working in hospitals by using a self-administered survey. We used partial least square-structural equation modeling (PLS-SEM) for the assessment of statistical significance of the proposed model. <b>Results:</b> We found a statistically significant and positive relationship between personal well-being, life satisfaction, and happiness. Similarly, self-esteem and supervisor support positively affected life satisfaction. <b>Conclusion:</b> Our research adds to the present literature on the factors that affect happiness among nurses. The study also adds to the current literature on PLS-SEM in terms of the assessment of mediation and direct relationships. Our findings are helpful for decision-makers in the health sector in developing happiness and life satisfaction among nurses. These results are also valuable for academicians for their future studies.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"510-519"},"PeriodicalIF":2.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531829","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}
Shawn A Thomas, Kristen D Clements-Nolle, Karla D Wagner, Stanley Omaye, Minggen Lu, Wei Yang
Objectives: Nonmedical use of prescription opioids (NMUPO) is a pressing public health concern and affects sexual minority youth (SMY) at greater rates than heterosexual youth. We investigated whether protective environmental factors-(1) Human Rights Campaign's state equality index (SEI) and (2) supportive school environments for LGBTQ youth, influenced NMUPO among SMY and non-SMY students. Methods: We combined data from the 2017-2019 Youth Risk Behavior Survey, 2016-2018 School Health Profiles, state-level socio-demographic and SEI data across 24 states (N=156,149). Generalized linear mixed models examined associations between (1) SEI and (2) supportive school environments for LGBTQ youth, with NMUPO, accounting for clustering at the school-and state-level. Results: Before adjustment, we found that youth in states with higher SEI were significantly less likely to engage in NMUPO compared to students in states with lower SEI, a relationship that became non-significant after adjustment. After adjusting for individual-and state-level indicators, SMY in states with supportive school environments for LGBTQ youth were less likely to engage in NMUPO. Conclusions: Supportive school environments for LGBTQ youth may play an important role in the health of SMY. Establishing more inclusive policies and supportive environments within schools may reduce NMUPO among SMY.
{"title":"Protective Environmental Factors and Opioid Use Among Sexual Minority Youth.","authors":"Shawn A Thomas, Kristen D Clements-Nolle, Karla D Wagner, Stanley Omaye, Minggen Lu, Wei Yang","doi":"10.5993/AJHB.47.3.19","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.19","url":null,"abstract":"<p><p><b>Objectives:</b> Nonmedical use of prescription opioids (NMUPO) is a pressing public health concern and affects sexual minority youth (SMY) at greater rates than heterosexual youth. We investigated whether protective environmental factors-(1) Human Rights Campaign's state equality index (SEI) and (2) supportive school environments for LGBTQ youth, influenced NMUPO among SMY and non-SMY students. <b>Methods:</b> We combined data from the 2017-2019 Youth Risk Behavior Survey, 2016-2018 School Health Profiles, state-level socio-demographic and SEI data across 24 states (N=156,149). Generalized linear mixed models examined associations between (1) SEI and (2) supportive school environments for LGBTQ youth, with NMUPO, accounting for clustering at the school-and state-level. <b>Results:</b> Before adjustment, we found that youth in states with higher SEI were significantly less likely to engage in NMUPO compared to students in states with lower SEI, a relationship that became non-significant after adjustment. After adjusting for individual-and state-level indicators, SMY in states with supportive school environments for LGBTQ youth were less likely to engage in NMUPO. <b>Conclusions:</b> Supportive school environments for LGBTQ youth may play an important role in the health of SMY. Establishing more inclusive policies and supportive environments within schools may reduce NMUPO among SMY.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"618-627"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531824","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}
Objectives: Since the outbreak of COVID-19, Internet use has become more frequent as the reaction to quarantine and social distancing have continued, which has had a significant impact on mental health. The aim of this study was to examine the relationship between Internet use and mental health during the COVID-19 pandemic. Methods: We obtained data from the 2020 China Family Panel Study (CFPS), a nationwide typical longitudinal follow-up social survey that began in 2010 and is implemented every 2 years. We assessed Internet use by whether or not people used a mobile device or a computer to access the Internet. We measured the mental health of individuals using values for the depression variable, which was collected through the Center for Epidemiologic Studies Depression Scale (CES-D). Statistical analysis involved independent sample t-tests and multiple linear regression analysis. Results: Internet use was significantly associated with a decrease in depression scores; the length of Internet use was significantly associated with an increase in depression scores. The relationship between various Internet functions and depression scores differed significantly, with gaming and social functions being significantly associated with a decrease in depression scores; shopping and learning functions were not significantly associated with depression scores. For youth, play functioning was significantly associated with a decrease in depression scores, while shopping functioning was significantly associated with an increase in depression scores; for the middle-aged group, social functioning was significantly associated with a decrease in depression scores; and for the elderly, social and shopping functioning were significantly associated with a decrease in depression scores.Conclusion: Public mental health can be promoted through the use of the Internet during the COVID-19 pandemic. Different groups should make reasonable use of Internet functions but control the length of time spent using them.
{"title":"The Relationship Between Internet Use and Mental Health Among Chinese Residents During the (COVID)-19 Pandemic: A Cross-Sectional Study.","authors":"Zheng Fu, Nanfu Hu, Di Gao","doi":"10.5993/AJHB.47.3.10","DOIUrl":"https://doi.org/10.5993/AJHB.47.3.10","url":null,"abstract":"<p><p><b>Objectives:</b> Since the outbreak of COVID-19, Internet use has become more frequent as the reaction to quarantine and social distancing have continued, which has had a significant impact on mental health. The aim of this study was to examine the relationship between Internet use and mental health during the COVID-19 pandemic. <b>Methods:</b> We obtained data from the 2020 China Family Panel Study (CFPS), a nationwide typical longitudinal follow-up social survey that began in 2010 and is implemented every 2 years. We assessed Internet use by whether or not people used a mobile device or a computer to access the Internet. We measured the mental health of individuals using values for the depression variable, which was collected through the Center for Epidemiologic Studies Depression Scale (CES-D). Statistical analysis involved independent sample t-tests and multiple linear regression analysis. <b>Results:</b> Internet use was significantly associated with a decrease in depression scores; the length of Internet use was significantly associated with an increase in depression scores. The relationship between various Internet functions and depression scores differed significantly, with gaming and social functions being significantly associated with a decrease in depression scores; shopping and learning functions were not significantly associated with depression scores. For youth, play functioning was significantly associated with a decrease in depression scores, while shopping functioning was significantly associated with an increase in depression scores; for the middle-aged group, social functioning was significantly associated with a decrease in depression scores; and for the elderly, social and shopping functioning were significantly associated with a decrease in depression scores.<b>Conclusion:</b> Public mental health can be promoted through the use of the Internet during the COVID-19 pandemic. Different groups should make reasonable use of Internet functions but control the length of time spent using them.</p>","PeriodicalId":7699,"journal":{"name":"American journal of health behavior","volume":"47 3","pages":"533-538"},"PeriodicalIF":2.3,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10531827","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}