BMC Public Health最新文献

Environmental awareness serves as an intrinsic motivator for individuals' engagement in environmental protection behaviors, and social media platforms can foster such awareness. Drawing on the 2018 China General Social Survey data (CGSS 2018), this study employs non-parametric and semi-parametric approaches within the framework of marginal treatment effect (MTE) to examine the influence of WeChat usage on the environmental awareness of Chinese residents. The findings unveil significant heterogeneity in the impact of frequent WeChat usage on individuals' levels of environmental awareness. Through estimation of the average treatment effect, treatment group average treatment effect, and non-treatment group average treatment effect, the study reveals that WeChat exerts a stronger positive influence on the environmental awareness of residents with a high propensity for using the platform, while it has no discernible effect on the environmental awareness of residents with a low inclination to engage with WeChat. The growth of environmental knowledge facilitated by WeChat plays a crucial role in shaping environmental awareness. Furthermore, this research underscores the influence of real-life social network structures on information exchange within the WeChat platform in China. This observation suggests that WeChat transcends its role as a mere information transmission tool and becomes intricately woven into the social network fabric of its users, thus mirroring certain characteristics of information dissemination within offline social networks. These insights imply that targeted strategies can be devised to bolster residents' environmental awareness by capitalizing on the interconnectedness of real-life social networks and leveraging the information exchange potential of WeChat. By doing so, it is possible to enhance environmental protection endeavors and encourage more sustainable behaviors among individuals.

Background: Stressful large-scale events, such as the COVID-19 pandemic and natural disasters, impact birthing individuals' postpartum experiences and their mental health. Resultant changes in government assistance, housing, and employment may further exacerbate these impacts, with differences experienced by varying income levels and races. This study aimed to examine maternal depression and anxiety in postpartum individuals by income and race during a stressful large-scale event, and the mediating role of government assistance, housing, and employment.

Methods: An explanatory sequential mixed methods study was conducted (QUANT + QUAL). For aim 1 (quantitative), birthing individuals who delivered during peak pandemic (June 2020 - September 2021) completed questionnaires related to their perinatal experiences and mental health. Macrosystem factors (government assistance, housing, and employment changes) were assessed using the Psychosocial Recommended Measures. The Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder-7 (GAD7) assessed depression and anxiety, respectively. Serial linear regression models assessed the relationship between race and income with mental health and macrosystem factors. For aim 2 (qualitative), 40 individuals from the quantitative study balanced by income (low vs. high income) and race (Black vs. White) completed one-on-one semi-structured interviews which were analyzed using thematic analysis.

Results: Amongst 1582 birthing individuals, Black individuals had a significantly higher EPDS score compared to White counterparts. Not receiving government assistance, unstable housing, and experiencing various employment changes were all related to worse mental health during stressful large-scale events. In semi-structured interviews, low-income individuals discussed that government assistance helped alleviate a financial and mental burden. Low- and high-income individuals reported varying job changes that impacted their mental health (low-income: job loss, high-income: increased hours).

Conclusions: This research spotlights the negative impact of large-scale events most affected both Black and low-income individuals' postpartum mental health, and the role of government assistance, stable housing, and secure employment in helping to alleviate these disparities between income levels.

Background: The COVID-19 pandemic and the associated measures have had a significant impact on millions of individuals and families worldwide. Although cross-sectional studies have demonstrated the considerable burden placed on families during the pandemic, trends over different phases of the pandemic including later stages and using population-based samples is scarce.

Objective: In this study, we aimed to assess trends in family functioning across four population-based surveys between December 2020 and March 2023 using a repeated cross-sectional design. The surveys were conducted using a similar sampling strategy and measures. We included individuals residing in a household with at least one minor below the age of 16.

Results: The most notable changes across surveys over time were related to quality of life. While 54.3% of respondents reported a decline in quality of life during the winter of 20/21 compared to pre-pandemic levels, this was observed in only 22.6% of participants during the spring of 23. The proportion of respondents who indicated a deterioration in their relations with their children also decreased during the pandemic. While 9.9% of respondents reported a deterioration in their relationship with their children during the winter of 20/21 in comparison to the initial phase of the pandemic, this was reported by only 5.2% in the spring 23. The relationship with one's partner and health status exhibited minimal fluctuations. Mental health problems were associated with a decline in quality of life, health status and relationships with children and partners compared to pre-pandemic levels at all time points. Moreover, lower income levels were associated with poorer relationship quality with the partner in the most recent wave.

Conclusions: Our findings demonstrate significant improvements in family functioning since the onset of the pandemic, indicating that individuals and families in our sample were generally adapting well. However, a subgroup of the population still reports suboptimal family functioning compared to before the pandemic. Psychosocial care and social policy support for families are needed.

Background: In contemporary society, physical appearance significantly influences individuals' social interactions and career achievements. Although some studies suggest that physical exercise may positively impact physical appearance, most rely on subjective self-assessment data. In contrast, third-party evaluations are widely regarded as more objective and reliable. Thus, this study aims to explore the effects of physical exercise on physical appearance, as assessed by third-party evaluations, and to examine its heterogeneity.

Methods: This study utilized third-party physical appearance evaluation data from 25,460 respondents in the 2018 China Family Panel Studies (CFPS) and assessed the impact of physical exercise on physical appearance using multiple linear regression and instrumental variable analysis. Furthermore, the heterogeneity in the effects of physical exercise was investigated using subgroup regression and quantile regression analyses.

Results: The findings indicate that physical exercise substantially enhances physical appearance, with its effects varying significantly across different populations. Specifically, women, urban residents, and those with lower appearance scores experience more pronounced enhancement from physical exercise compared to men, rural residents, and those with higher scores. Additionally, the effect of age on the impact of physical exercise on appearance exhibits an inverted U-shaped relationship. Middle-aged adults (40-59 years) experience the most significant improvements, while benefits are lower for adolescents (10-20 years), young adults (20-39 years), and older adults (60-80 years).

Conclusions: This study systematically reveals the positive impact of physical exercise on physical appearance, demonstrating that regular exercise can significantly enhance individual appearance scores. This finding contributes to a broader understanding of the multifaceted benefits of physical exercise.

Background: 24-hour movement behaviors integrating physical activity (PA), sedentary behavior (SB), and sleep are important components influencing adults' health. Canadian 24-hour movement guidelines for adults were launched in 2020. However, there is little evidence on the prevalence and correlates of guideline compliance and its associations with health outcomes among Chinese adults. The purposes of this study were to investigate the prevalence and correlates of meeting 24-hour movement guidelines and examine its association with physical fitness and depressive symptoms among Chinese adults.

Methods: A total of 7059 adults (45.73 ± 14.56 years, age range: 20-79 years, 52% female) were recruited by stratified cluster random sampling from health surveillance of Hubei, China, between 25-Jul and 19-Nov 2020 during the COVID-19 pandemic. Participants completed a self-reported questionnaire including movement behaviors (PA, SB, and sleep), depressive symptoms, and demographic information. In addition, eight objectively measured physical fitness tests (body mass index, waist-hip ratio, body fat percentage, vital capacity, handgrip strength, flexibility, balance, and choice reaction time) were conducted. SPSS 28.0 was used to perform Generalized Linear Mixed Models analysis to examine the correlates of movement guidelines and its association with fitness and depressive symptoms.

Results: 25.54% of participants met all three movement guidelines, while 48.62% met only two, 23.10% met one, and 2.75% met none. Participants who were older adults (OR = 2.24; P = .017), unmarried (OR = 0.21; P < .001), and living near PA facilities (OR = 1.58; P = .017) were more likely to meet all three movement guidelines. Meeting more movement recommendations was associated with less likelihood of depressive symptoms (OR = 0.41; P < .001), while no significant associations were observed between meeting 24-hour movement guidelines and physical fitness indicators (P > .05).

Conclusions: The findings of this study indicate the need to promote adherence to all movement guidelines among Chinese adults. Future promoting strategies to meet movement guidelines should emphasize the demographic differences of the targeting population, especially age, marital status, and accessibility of PA facilities. Future interventions should be applied to affirm the effects of compliance with overall 24-hour movement guidelines to mitigate depressive symptoms among adults.

Background: Children with a raised BMI are a major public health challenge in the world that can cause serious consequences for children's physical and mental health. Child health care nurses' responsibility is to promote health and prevent ill-health in children, but because being overweight is stigmatized CHC-nurses find it difficult to talk to the parents about concerns over the children's weight, in fear of losing their trust.

Aim: The purpose of this study was to describe parents' experiences of when CHC-nurses introduce a conversation related to their child being overweight.

Method: This study was conducted via semi-structured interviews with nine parents and the data was analyzed using qualitative content analysis.

Results: The result showed that being overweight in childhood is a sensitive topic, and this is presented as four categories A hard time coping, A desire to protect the Children, Changes of Parental Perspective and Trust - a mediating factor. This is a sensitive topic for the parents, who have a hard time accepting the situation and place the blame on themselves, and the nurse's approach and relationship with the parents is of great importance for the outcome of the conversation.

Conclusions: Parents seem to have another perspective on health and weight than the healthcare providers, and both parents and CHC-nurses might benefit from an increased understanding of one another's view. Parents need to gain knowledge about how healthcare providers assess children's growth, and the CHC-nurses need to be aware about how to be responsive to the parents and allow them time to process the information. The focus should be on healthy lifestyle choices regardless of weight.

Background: Digitalization and population aging have had a profound impact on the development of undertakings for the aged, which brings challenges as well as opportunities for elder care system. This study examines the impact of the digital economy on the high-quality development (HQD) of undertakings for the aged in China.

Methods: Based on the panel data of 31 provinces in mainland China from 2013 to 2021, this study explores the influence mechanism of the HQD of undertakings for the aged driven by the digital economy and its spatial spillover effects. The benchmark regression model is used to investigate the impact of the development level of the digital economy on the HQD of undertakings for the aged. The mediation effect model is used to explore the indirect effects of the digital economy on the HQD of undertakings for the aged through the influence of the intermediary variable. The spatial panel model is then used to analyze the spatial spillover effect of the digital economy on the HQD of undertakings for the aged.

Results: The digital economy has a positive effect (coefficient = 0.1530, P-value < 0.01) on the local HQD of undertakings for the aged and a negative effect (coefficient = - 0.1012, P-value < 0.01) on the level of the HQD of undertakings for the aged in neighboring areas after controlling for other variables. The mediation effect of the proportion of the tertiary industry in GDP accounts for 6.6% of the total effect of the digital economy on the HQD of undertakings for the aged.

Conclusions: The digital economy can significantly promote the HQD of undertakings for the aged by transforming the development of the tertiary industry. The improvement in the digital economy has a significant spatial spillover effect. This research enriches the existing body of literature by suggesting effective ways to enhance the HQD of undertakings for the aged through the digital economy and the tertiary industry.

Background: The increasing number of young adults seeking cheaper and easily accessible orthodontic treatment from unlicensed practitioners in Malaysia poses significant risks to patients. Therefore, it is essential to evaluate their motivations and awareness regarding such practices. The objective of our study was to assess the knowledge, awareness, and perceptions of non-dentists offering orthodontic treatment among the Malaysian young adult population.

Methods: This was a cross-sectional study. An online self-administered questionnaire was distributed to Malaysian citizens aged 18-37 years. The questionnaire consisted of 11 questions that investigated their awareness of non-dentists offering orthodontic treatment, the harmful effects of braces fitted by non-dentists, and potential strategies to mitigate this phenomenon.

Results: The study was completed by 426 participants, predominantly Malay, with a mean age of 22.9 years. A total of 76.1% reported awareness of braces fixed by non-dentists, primarily through social media platforms such as Instagram and Facebook. Lower cost emerged as the predominant motive (83.6%) for opting for non-dentist orthodontic treatment, followed by no waiting list (48.8%). Notably, the majority of participants acknowledged the illegality (70%) and potential harm (77%) associated with non-dentists providing orthodontic treatment. Legal enforcement (53.1%) was identified as the preferred method for mitigating this practice. Occupation significantly influenced knowledge of illegal orthodontic treatment (p < 0.05), however no significant association was found for gender and level of education (p > 0.05).

Conclusion: The survey revealed that young adults are aware of and informed about non-dentists offering orthodontic treatment. While they identified cost as the primary reason for seeking such services, they also recognized legislation and public awareness through campaigns and social media as effective strategies to address this issue. Additionally, significant differences in legal awareness were observed among different occupational levels.

Introduction: Housing remains a strategic social determinant of health. In Sub-Saharan Africa, most urban dwellers live in slums with attendant health implications. This study assessed the housing conditions of the slums of Enugu metropolis and the public health implications.

Methods: This is a community-based cross-sectional study of 459 slum residents of the Enugu metropolis. Ethical clearance was obtained from the UNTH, Health Research Ethics Committee (HREC). Data was collected using a pretested semi-structured interviewer-administered questionnaire and an observational checklist. Data was analysed using IBM SPSS version 23. Data were summarised using mean and standard deviation, frequency and proportion as appropriate and presented in tables and figures. The chi-square test was used for association at p-value ≤ 0.05 significance.

Results: The mean age (SD) of the respondents was 32.93(12.34) years. A higher proportion (N = 180, 39.2%) were 18-27years, females (N = 282, 61.4%), married (N = 297, 64.7%), attained secondary education (N = 273, 59.5%), Igbo (N = 453, 98.7%), and self-employed (N = 327, 71.2%). They demonstrated good knowledge of standard housing specifications (N = 231, 50.3%) and the effects of housing conditions on health (N = 297, 64.7%). Also, most lived in a one-room apartment (N = 201, 43.8%) and cooked in a separate kitchen (N = 150, 32.7%) with a gas cooker as the major source of heat supply for cooking (N = 249, 54.2%). Sixty-three (13.7%) of the respondents didn't have access to suitable toilet facilities. A higher proportion, (N = 171, 37.3%) used pipe-borne water, and electricity as the major source of light (N = 447, 97.4%). The most prevailing health condition was malaria/fever (N = 258, 97.4%). Despite having pests and rodents-infested dwellings, only (N = 156, 34.0%) had insecticides in the house. Equally, (N = 132, 28.8%) of them lived with broken floors.

Conclusions: Despite good knowledge of the public health implications of poor housing, most dwellings remained substandard and unhealthful with associated prevalent health conditions.

Recommendation: There is a need for a health campaign against the poor living conditions in the slums.