bluuebunny/crossref_metadata_2025 huggingface dataset:
Frailty as a Predictor of Adverse Outcomes among Spanish Community-Dwelling Older Adults
Authors: Doñate-Martínez Ascensión , Alhambra-Borrás Tamara , Durá-Ferrandis Estrella
Published: October 2022

Spain is one of the European countries with the oldest populations. The prevalence of frailty among Spanish older people ranges from 8.4 to 29.4% and currently, is one of the most relevant public health challenges. The Tilburg Frailty indicator (TFI) has been widely used in the community and in healthcare settings for assessing frailty. The objective of this study is to evaluate the predictive performance of the TFI for several adverse outcomes among Spanish community-dwelling older adults. The predictive performance was tested through linear regression analyses and receiver operating characteristics (ROC) curves. A total of 552 Spanish older adults composed the study sample. Participants were assessed at baseline and after 6 months. Main results showed that frailty was strongly and significantly correlated with disability, physical health, mental health and falls efficacy. The TFI score predicted most of these adverse outcomes. The ROC analyses confirmed the acceptable predictive performance of the total frailty. This study provides new evidence confirming that the TFI is a valid tool to predict several adverse outcomes in Spanish older adults, which may allow professionals to plan and activate health and social care resources to support frail patients’ needs.
Comparison of Emotion Recognition in Young People, Healthy Older Adults, and Patients with Mild Cognitive Impairment
Authors: Barbieri Giulia Francesca , Real Elena , Lopez Jessica , García-Justicia José Manuel , Satorres Encarnación , Meléndez Juan C.
Published: October 2022

Background: The basic discrete emotions, namely, happiness, disgust, anger, fear, surprise, and sadness, are present across different cultures and societies. Facial emotion recognition is crucial in social interactions, but normal and pathological aging seem to affect this ability. The present research aims to identify the differences in the capacity for recognition of the six basic discrete emotions between young and older healthy controls (HOC) and mildly cognitively impaired patients (MCI). Method: The sample (N = 107) consisted of 47 young adults, 27 healthy older adults, and 33 MCI patients. Several neuropsychological scales were administered to assess the cognitive state of the participants, followed by the emotional labeling task on the Ekman 60 Faces test. Results: The MANOVA analysis was significant and revealed the presence of differences in the emotion recognition abilities of the groups. Compared to HOC, the MCI group obtained a significantly lower number of hits on fear, anger, disgust, sadness, and surprise. The happiness emotion recognition rate did not differ significantly among the three groups. Surprisingly, young people and HOC did not show significant differences. Conclusions: Our results demonstrated that MCI was associated with facial emotion recognition impairment, whereas normal aging did not seem to affect this ability.
Antibacterial Effect and Possible Mechanism of Salicylic Acid Microcapsules against Escherichia coli and Staphylococcus aureus
Authors: Song Xiaoqiu , Li Rui , Zhang Qian , He Shoukui , Wang Yifei
Published: October 2022

Microcapsules serve as a feasible formulation to load phenolic substances such as salicylic acid, a natural and safe antimicrobial agent. However, the antibacterial efficacy of salicylic acid microcapsules (SAMs) remains to be elucidated. Here, salicylic acid/β-cyclodextrin inclusion microcapsules were subjected to systematic antibacterial assays and preliminary antibacterial mechanism tests using Escherichia coli and Staphylococcus aureus as target organisms. It was found that the core-shell rhomboid-shaped SAMs had a smooth surface. SAMs exhibited a minimum inhibitory concentration (MIC) and a minimum bactericidal concentration (MBC) of 4 mg/mL against both bacteria. In the growth inhibition assay, 1/4 × MIC, 1/2 × MIC, and 1 × MIC of SAMs effectively retarded bacterial growth, and this effect was more prominent with the rise in the level of SAMs. Practically, SAMs possessed a rapid bactericidal effect at the 1 × MIC level with a reduction of more than 99.9% bacterial population within 10 min. A pronounced sterilization activity against E. coli and S. aureus was also observed when SAMs were embedded into hand sanitizers as antimicrobial agents. Moreover, exposure of both bacteria to SAMs resulted in the leakage of intracellular alkaline phosphatases and macromolecular substances (nucleic acids and proteins), which indicated the disruption of bacterial cell walls and cell membranes. In conclusion, SAMs were able to inactivate E. coli and S. aureus both in vitro and in situ, highlighting the promising utilization of this formulation for antimicrobial purposes in the area of food safety and public health.
Evidence-Based Conceptual Collection of Methods for Spatial Epidemiology and Analysis to Enhance Cancer Surveillance and Public Health
Authors: Sifaki-Pistolla Dimitra , Chatzea Vasiliki Eirini , Frouzi Elpiniki , Mechili Enkeleint A. , Pistolla Georgia , Nikiforidis George , Georgoulias Vassilis , Lionis Christos , Tzanakis Nikos
Published: October 2022

(1) Background: Although spatial statistics are often used by cancer epidemiologists, there is not yet an established collection of methods to serve their needs. We aimed to develop an evidence-based cancer-oriented conceptual collection of methods for spatial analysis; (2) Methods: A triangulation of approaches was used; literature review, consensus meetings (expert panel), and testing the selected methods on “training” databases. The literature review was conducted in three databases. This approach guided the development of a collection of methods that was subsequently commented on by the expert panel and tested on “training data” of cancer cases obtained from the Cancer Registry of Crete based on three epidemiological scenarios: (a) low prevalence cancers, (b) high prevalence cancers, (c) cancer and risk factors; (3) Results: The final spatial epidemiology conceptual collection of methods covered: data preparation/testing randomness, data protection, mapping/visualizing, geographic correlation studies, clustering/surveillance, integration of cancer data with socio-economic, clinical and environmental factors. Some of the tests/techniques included in the conceptual collection of methods were: buffer and proximity analysis, exploratory spatial analysis and others. All suggested that statistical models were found to fit well (R2 = 0.72–0.96) in “training data”; Conclusions: The proposed conceptual collection of methods provides public health professionals with a useful methodological framework along with recommendations for assessing diverse research questions of global health.
Public Health Decision Making in the Case of the Use of a Nuclear Weapon
Authors: Długosz-Lisiecka Magdalena
Published: October 2022

The current geopolitical situation and the war on Ukraine’s territory generate questions about the possible use of a nuclear weapon and create the need to refresh emergency protective plans for the population. Ensuring the protection of public health is a national responsibility, but the problem is of international size and global scale. Radiological or nuclear disasters need suitable decision making at the right time, which determine large effective radiation protection activities to ensure public health is protected, reduce fatalities, radiation disease, and other effects. In this study, a simulation of a single nuclear weapon detonation with an explosion yield of 0.3 and 1 Mt was applied for a hypothetical location, to indicate the required decision making and the need to trigger protocols for the protection of the population. The simulated explosion was located in a city center, in a European country, for the estimation of the size of the effects of the explosion and its consequences for public health. Based on the simulation results and knowledge obtained from historical nuclear events, practical suggestions, discussion, a review of the recommendations was conducted, exacerbated by the time constraints of a public health emergency. Making science-based decisions should encompass clear procedures with specific activities triggered immediately based on confirmed information, acquired from active or/and passive warning systems and radiometric specific analysis provided by authorized laboratories. This study has the potential to support the preparedness of decision makers in the event of a disaster or crisis-related emergency for population health management and summarizes the strengths and weaknesses of the current ability to respond.
Factors Related to Perceived Stigma in Parents of Children and Adolescents in Outpatient Mental Healthcare
Authors: Drent Halewijn M. , van den Hoofdakker Barbara , Buitelaar Jan K. , Hoekstra Pieter J. , Dietrich Andrea
Published: October 2022

Little is known about factors contributing to perceived stigma in parents of children and adolescents with behavioral and emotional problems in outpatient mental healthcare. We aimed to identify the most relevant factors related to perceived parental stigma using least absolute shrinkage and selection operator (LASSO) regression including a broad range of factors across six domains: (1) child characteristics, (2) characteristics of the primary parent, (3) parenting and family characteristics, (4) treatment-related characteristics, (5) sociodemographic characteristics, and (6) social–environmental characteristics. We adapted the Parents’ Perceived Stigma of Service Seeking scale to measure perceived public stigma and affiliate stigma in 312 parents (87.8% mothers) during the first treatment year after referral to an outpatient child and adolescent clinic. We found that the six domains, including 45 individual factors, explained 34.0% of perceived public stigma and 19.7% of affiliate stigma. Child and social–environmental characteristics (social relations) explained the most deviance in public stigma, followed by parental factors. The strongest factors were more severe problems of the child (especially callous–unemotional traits and internalizing problems), mental healthcare use of the parent, and lower perceived parenting competence. The only relevant factor for affiliate stigma was lower perceived parenting competence. Our study points to the multifactorial nature of perceived stigma and supports that parents’ perceived public stigma is susceptible to social influences, while affiliate stigma relates to parents’ self-evaluation. Increasing parents’ perceived parenting competence may help mitigate perceived stigma. Future studies should explore how stigma relates to treatment outcomes.
Relationship between Metal Exposures, Dietary Macronutrient Intake, and Blood Glucose Levels of Informal Electronic Waste Recyclers in Ghana
Authors: Dawud Fayizatu , Takyi Sylvia Akpene , Arko-Mensah John , Basu Niladri , Egbi Godfred , Ofori-Attah Ebenezer , Bawuah Serwaa Akoto , Fobil Julius N.
Published: October 2022

While metal exposures are generally high among informal electronic waste (e-waste) recyclers, the joint effect of metals and dietary macronutrients on their metabolic health is unknown. Therefore, we investigated the relationship between metal exposures, dietary macronutrients intake, and blood glucose levels of e-waste recyclers at Agbogbloshie using dietary information (48-h recall survey), blood metals (Pb & Cd), and HbA1C levels of 151 participants (100 e-waste recyclers and 51 controls from the Accra, Ghana) in March 2017. A linear regression model was used to estimate the joint relationship between metal exposures, dietary macronutrient intake, and blood glucose levels. Except for dietary proteins, both groups had macronutrient deficiencies. Diabetes prevalence was significantly higher among controls. Saturated fat, OMEGA-3, and cholesterol intake were associated with significant increases in blood glucose levels of recyclers. In a joint model, while 1 mg of cholesterol consumed was associated with a 0.7% increase in blood glucose, 1 g/L of Pb was found to significantly increase blood glucose levels by 0.9% among recyclers. Although the dietary consumption of cholesterol and fat was not high, it is still possible that exposure to Pb and Cd may still increase the risk of diabetes among both e-waste recyclers and the general population.
Factors Determining the Occurrence of Frailty Syndrome in Hospitalized Older Patients
Authors: Kozicka Izabela , Guligowska Agnieszka , Chrobak-Bień Joanna , Czyżewska Katarzyna , Doroba Natalia , Ignaczak Anna , Machała Anna , Spałka Ewelina , Kostka Tomasz , Borowiak Ewa
Published: October 2022

Frailty syndrome (FS) is a condition characterized by a decline in reserves, observed with aging. The most important consequences of the frailty syndrome include disability, hospitalization, fractures, institutionalization, and early mortality. The aim of this study was to identify the most important risk factors for FS in a group of older hospitalized patients in Poland. A total of one hundred and forty-one (78 women, 63 men) elderly patients from the Departments of Internal Medicine of the Medical University of Lodz (Poland) were recruited for this study. Frailty Instrument of the Survey of Health, Aging and Retirement in Europe (SHARE-FI), handgrip strength (HGS), depressive symptoms using the Geriatric Depression Scale (GDS), and functional ability (FA) using the Instrumental Activities of Daily Living (IADL) were assessed. According to SHARE-FI score, participants were divided into control group, frail, and pre-frail patients. Out of all 141 tested patients, FS was confirmed in 55 patients, and pre-frailty was observed in 52 patients. The occurrence of FS in the group of studied patients was related to age (p < 0.001), widowhood (p < 0.001), comorbidities (p < 0.001), heart diseases (p = 0.04), more medications taken (p < 0.001), lower FA (p < 0.001), weaker HGS, and depression (p < 0.001). The strongest positive correlations were between Share-FI score and the number of diseases (rS = 0.31), GDS (rS = 0.32), while negative correlations with IADL (rS = −0.47) and HGS (rS = −0.35). The study shows that FS is associated with age, comorbidities, number of medications taken, and widowhood. The present study has also demonstrated that FA, depression, and especially HGS are essential determinants of FS of elderly hospitalized people.
Influence of Using Food Delivery Applications on Adult Saudi Female Dietary Habits and Preferences during COVID-19 Lockdown Restrictions: Attitude Survey
Authors: Algheshairy Reham M. , Alhomaid Raghad M. , Almujaydil Mona S. , Alharbi Hend F. , Alsanei Woroud A.
Published: October 2022

Food delivery applications (FDAs) shined during COVID-19 global lockdown restrictions. Consequently, lifestyle changes imposed a greater use of these applications over this period. These changes may strongly influence the nutritional health of individuals, particularly adult Saudi females. A cross-sectional study was performed to examine the influence of using FDAs during COVID-19 lockdown restrictions on attitude behaviours, including dietary habits and preferences among Saudi adult females. Participants voluntarily submitted their answers to a questionnaire administered via the Google Survey platform. Results illustrated that most Saudi female users of FDAs were aged between 18–24 years with 64.9%, 91.5% being single and 37% ordering food online within one to two days a month. There was a significant association between the influence of using FDAs during COVID-19 lockdown restrictions and age, education, and average days of ordering food online (p ˂ 0.05). Another important factor is that higher education was associated with more frequent use of the FDAs, there were direct relationships between education level and using FDAs, 58% of the participants were educated as undergraduate or postgraduate. Although lifestyle changes increased the use of FDAs during COVID-19 global lockdown restrictions, these changes may negatively affect individuals’ dietary habits and preferences, particularly adult Saudi females. These findings can aid in promoting healthy diet management globally and in Saudi Arabia unless the governments lead to significant beneficial changes toward improving food delivery applications.
Creating a Healthy Life for the Elderly through Participation in Self-Media: A Study on the Demands of the Elderly in Self-Media
Authors: Liang Yo-Wen , Wang Jeng , Yu Shu-Ping , Lin Jin-Kwan , Chung Allan
Published: October 2022

In recent years, with the trends in digital media and a shift in the sources of information, self-media has gradually become a unique new type of media with considerable potential. Numerous related studies have also indicated that participating in self-media positively impacts the elderly, especially in self-media regarding healthcare and welfare. However, research has seldom explored the demands and services for elderly participation in self-media. In this study, the research targets were 55–75 years of age, in good health, with a monthly disposable income of more than TWD 30,000 (N = 180). The research methods had two aims: (1) to analyze the current well-known self-media and websites related to healthcare; and (2) via the Kano Model questionnaire, to survey and explore the demand for self-media among the elderly. The results summarize and describe the preferred layout, content items, interaction methods, and information display of self-media content for the elderly. We anticipate designing a self-media website platform that meets the demands of the elderly and that continues to develop into social media platforms and audio-visual content in the future.
Contextualized Measurement Scale Adaptation: A 4-Step Tutorial for Health Psychology Research
Authors: Ambuehl Benjamin , Inauen Jennifer
Published: October 2022

Health psychology research is inherently context specific: Different health behaviors are executed by different target groups (e.g., gender, age) in different social structures, cultures, and environments. This asks for the adaptation of research instruments to enhance specificity. For example, when using measurement scales in new contexts, translation and psychometric validation of the instruments are necessary but not sufficient if the validity of the psychological concept behind a measurement scale has not been researched. In this study, we build on existing guidelines of translation as well as psychometric validation and present four steps on how to adapt measurement scales to a new context: Step 1 asks whether the psychological concept is found in the new context. Step 2 asks whether the measurement scale and its items are understood in the new context. Step 3 asks whether a measurement scale is valid and reliable. Step 4 asks how the items of the measurement scale perform individually. Following these four steps, measurement scales are carefully translated, adapted, and validated and can therefore be transferred to very different contexts.
Challenges and Opportunities in Aligning Conservation with Development in China’s National Parks: A Narrative Literature Review
Authors: Rule Andrew , Dill Sarah-Eve , Sun Gordy , Chen Aidan , Khawaja Senan , Li Ingrid , Zhang Vincent , Rozelle Scott
Published: October 2022

As part of its effort to balance economic development with environmental objectives, China has established a new national park system, with the first five locations formally established in 2021. However, as the new parks all host or are proximate to human populations, aligning the socioeconomic needs and aspirations of local communities with conservation aims is critical for the long-term success of the parks. In this narrative review, the authors identify the ecological priorities and socioeconomic stakeholders of each of the five national parks; explore the tensions and synergies between these priorities and stakeholders; and synthesize the policy recommendations most frequently cited in the literature. A total of 119 studies were reviewed. Aligning traditional livelihoods with conservation, limiting road construction, promoting education and environmental awareness, and supporting the development of a sustainable tourism industry are identified as important steps to balance conservation with economic development in the new national parks.
Control and Supervision Requirements for Floating Hybrid Generator Systems
Authors: García Emilio , Correcher Antonio , Quiles Eduardo , Tamarit Fernando , Morant Francisco
Published: October 2022

This work presents a series of devices that generate renewable energy from the marine environment which, in recent years, have aroused increasing interest. In particular, the main types of floating wind generators and marine current turbines are described. Over time, some of these floating generators have evolved in various hybrid modalities, integrating different generation devices into the same system, wind turbines, marine current turbines, wave energy converters, etc., with the objective of multiplying their generation capacity and optimizing the investment made in the floating system. However, this hybridization offers, in some cases, an opportunity to address the problem of controlling the structural stability of the system. Such stability enhancement has been considered a major challenge since the early days of floating wind turbine design. With this objective, in this work, a specific solution is proposed, consisting of a floating hybrid system composed of a wind generation subsystem and a generation subsystem with two marine current turbines. This proposal allows the development of an integrated control system which deals simultaneously with the structural stability of the system and the optimization of the generation capacity. Additionally, other requirements are also highlighted relating to the achievement of economic viability objectives, considering the reliability and availability of the system in the particularly aggressive marine environment, where maintenance operations are especially costly. In this sense, a model of intelligent integration of the tasks of supervision, diagnosis, and predictive maintenance is proposed.
Evaluating the Effects of Denmark’s New Tobacco Control Act on Young People’s Use of Nicotine Products: A Study Protocol of the §SMOKE Study
Authors: Klitgaard Marie Borring , Jarlstrup Nanna Schneekloth , Lund Lisbeth , Brink Anne-Line , Knudsen Astrid , Christensen Anne Illemann , Bast Lotus Sofie
Published: October 2022

(1) Background: In December 2020, a broad majority of political parties in Denmark agreed on a new tobacco control act. In addition, price increases on tobacco in 2020 and 2022 became part of the Danish Finance Act. This study protocol describes the study “§SMOKE–A Study of Tobacco, Behavior, and Regulations” designed to monitor and evaluate the implementation and effect of the new strengthened tobacco control acts. The overall aim is to monitor tobacco use among young people before, during, and after implementation of the new tobacco control legislation, including an increased price on tobacco, a ban on point-of-sale tobacco displays, and plain packaging. Subgoals are to monitor overall use of nicotine products, attitudes, and norms. (2) Methods: This study is designed as a five-year impact evaluation with repeated cross-sectional survey data collections. The baseline survey was conducted before implementing an increased price on tobacco, the first step in the new legislation, initiated 1 April 2020. Study participants (n = 37,500) were a random sample of individuals living in Denmark aged 15 to 29 years. (3) Conclusions: This study examines the impact of the new strengthened tobacco control legislation in Denmark from 2020 to 2025. The findings of this study are relevant to other countries facing implementation of similar measures to explore intended and unintended consequences of the legislation and help to identify how the legislation could be further improved.
An Adaptive Motivation Approach to Understanding the ‘How’ and ‘Why’ of Wellbeing
Authors: Rusk Reuben D.
Published: October 2022

A new model provides insight into the ‘how’ and ‘why’ of wellbeing to better understand the ‘what’. Informed by evolutionary psychology and neuroscience, it proposes that systems for adaptive motivation underpin experiential and reflective wellbeing. The model proposes that the brain learns to predict situations, and errors arise between the predictions and experience. These prediction errors drive emotional experience, learning, motivation, decision-making, and the formation of wellbeing-relevant memories. The model differentiates four layers of wellbeing: objective, experiential, reflective, and narrative, which relate to the model in different ways. Constituents of wellbeing, human motives, and specific emotions integrate into the model. A simple computational implementation of the model reproduced several established wellbeing phenomena, including: the greater frequency of pleasant to unpleasant emotions, the stronger emotional salience of unpleasant emotions, hedonic adaptation to changes in circumstances, heritable influences on wellbeing, and affective forecasting errors. It highlights the importance of individual differences, and implies that high wellbeing will correlate with the experience of infrequent, routine, and predictable avoidance cues and frequent, varied, and novel approach cues. The model suggests that wellbeing arises directly from a system for adaptive motivation. This system functions like a mental dashboard that calls attention to situational changes and motivates the kinds of behaviours that gave humans a relative advantage in their ancestral environment. The model offers a set of fundamental principles and processes that may underlie diverse conceptualisations of wellbeing.
Concentration, Distribution and Biomagnification of Novel Brominated Flame Retardant in Grassland Food Chain and Sheep from Inner Mongolia, China
Authors: Chen Wenming , Bu Te , Li Tianwei , Bao Junsong , Wang Ying , Hu Jicheng , Jin Jun
Published: October 2022

Novel brominated flame retardants (NBFRs) have been of great concern in the past few years due to their ubiquity in the environment and potential bioconcentration characteristics. This study takes Xilingol grassland in Inner Mongolia as the research area to analyze the pollution characteristics of NBFRs (pTBX, HBB, PBT, PBBz, and PBEB) in the grassland food chain. pTBX was more likely to be biomagnified in the food chain of amphibians, reptiles, and birds, whereas PBT and HBB were more likely to be biomagnified in the food chain of mammals. This may be because these animals have different diets and metabolic patterns. According to the concentration distribution of NBFRs in sheep organs and tissues, PBT, HBB, and PBBz easy bioaccumulated in sheep. The biomagnification effect of sheep adipose tissue and internal organs on NBFRs was inconsistent, so the biomagnification of chemicals in organisms cannot be determined only by the biomagnification of adipose tissue.
Cultivated Land Transfer, Management Scale, and Cultivated Land Green Utilization Efficiency in China: Based on Intermediary and Threshold Models
Authors: Zhou Min , Zhang Hua , Ke Nan
Published: October 2022

Cultivated land utilization around the world is accompanied by the cultivated land fragmentation, which is a significant agricultural feature of countries with economies in transition. Thereby, governments of the PRC have successively promulgated a series of relevant policies to promote the cultivated land transfer (CLT) and stimulate the transformation of cultivated land utilization to be both green and efficient. In the context of large-scale CLT and the implementation of a rural revitalization strategy for China, it is of great significance to explore the effect of CLT on cultivated land green utilization efficiency (CLGUE). In this work, 30 provinces of China were selected as the objects of investigation; the super-efficiency SBM model was used to evaluate CLGUE; the mediation effect model and threshold regression model were used to gain a more comprehensive understanding of the CLT’s influence on CLGUE. According to the results of this study, the following conclusions were drawn. First of all, the CLGUE in China as a whole showed an upward trend improvement from 2005 to 2019. Due to the different natural and economic conditions, the CLGUE trends showed significant spatial disparities at both the grain functional areas level and provincial level. Secondly, the CLT could promote CLGUE directly, and the mediation regression results demonstrated that CLT was able to enhance CLGUE indirectly through the mediator of cultivated land management scale. Thirdly, the threshold effect test confirmed the existence of a single threshold, indicating that when the level of CLT gradually crossed the threshold, the promotion effects of CLT on CLGUE would slow down. Lastly, the heterogeneity analysis indicated that the promotion effects of CLT on CLGUE in different geographical location areas and grain functional areas were positive, and that there were significant differences in regression coefficients.
Item Response Theory Analysis of the Dark Factor of Personality Scale for College Students in China
Authors: Wang Xinyi , Zhang Shiyi , Xin Tao
Published: October 2022

The Dark Factor of Personality (D) describes the common core of dark traits and is a stable indicator for socially aversive behaviors. This study investigated the psychometric properties of the Chinese version of the Dark Factor of Personality Scale for college students using item response theory (IRT). A total of 762 students—251 males and 511 females (M = 19.99, SD = 1.30)—were recruited. Item response theory methods were utilized to evaluate the properties of the scale. Four items with poor item properties were excluded, obtaining a final 28-item scale (D28-C) that included highly discriminative items showing high measurement precision in various levels of the D factor. Furthermore, a test of differential item functioning (DIF) by gender was conducted. The result indicated that the scale as a whole could be seen as gender invariant. Lastly, according to the detailed information provided by IRT and the content of items, a reliable short form of the D28-C comprising 15 items was obtained. The study enriched the existing knowledge of the dark factor of personality in the Chinese background and made some revisions to the corresponding scale to make it a more reliable tool for measurement in China. In addition, the shortened version of the scale based on item information and content helps to improve the efficiency of the measurement.
COVID-19-Related Health Literacy of School Leaders in Hong Kong: A Cross-Sectional Study
Authors: Lau Sam S. S. , Shum Eric N. Y. , Man Jackie O. T. , Cheung Ethan T. H. , Amoah Padmore Adusei , Leung Angela Y. M. , Dadaczynski Kevin , Okan Orkan
Published: October 2022

To date, we know little about COVID-19-related health literacy among school leaders, particularly in East Asia. The present study aimed to assess the level of COVID-19-related health literacy and associated factors (vaccine hesitancy, self-endangering behaviour, and work satisfaction) among school leaders in Hong Kong. A cross-sectional study of 259 school leaders was carried out during the COVID-19 pandemic between April 2021 and February 2022. COVID-19-related health literacy using HLS-COVID-Q22, three subscales of self-endangering work behaviour scales (i.e., “extensification of work”, “intensification of work” and “quality reduction”), and two dimensions of Burnout Assessment Tool (BAT) (i.e., psychosomatic complaints and exhaustion) were used. The study employed independent sample t-test, ANOVA, and multilinear regression models. The findings show that more than half (53.7%) of school leaders had insufficient health literacy. Participants with insufficient health literacy scored significantly higher in the following factors: exhaustion related to work situation (p = 0.029), psychosomatic complaints (p < 0.001), attitude about vaccination (i.e., less agree with vaccination) (p < 0.001), level of informing on COVID-19 related information (i.e., felt less informed) (p < 0.001), and level of confusion about COVID-19-related information (i.e., felt more confused) (p < 0.001). In a linear regression model predicting attitude about coronavirus vaccination, age (β, −0.188, 95% CI, −0.024, −0.005, p = 0.002) and health literacy (β, −0.395, 95% CI, −0.716, −0.361, p < 0.001) were the negative predictors, F(5, 214) = 11.859, p < 0.001. For the linear regression model adjusted for sex and age for predicting health literacy, the model was insignificant. Despite being a highly educated group, this study reveals that one in two Hong Kong school leaders have insufficient health literacy. Inadequate health literacy was strongly associated with a negative attitude about vaccination, low information, and confusion about COVID-19-related information. Additionally, insufficient health literacy was associated with the two secondary symptoms of burnouts. The study highlights an urgent need to develop intervention programmes to promote the COVID-19-specific as well as overall health literacy of the school leaders.
Association of Longitudinal Nutrient Patterns with Body Composition in Black Middle-Aged South African Women: A Five-Year Follow-Up Study
Authors: Makura-Kankwende Caroline B. T. , Gradidge Philippe J. , Crowther Nigel J. , Ratshikombo Tshifhiwa , Goedecke Julia H. , Micklesfield Lisa K. , Norris Shane A. , Chikowore Tinashe
Published: October 2022

This study aimed to evaluate the association of longitudinal nutrient patterns with body composition in a cohort of 132 black South African middle-aged women over five years. Nutrient patterns were identified using principal component analysis at baseline and follow-up 5 years later. Associations between nutrient patterns and repeated body composition measures were evaluated using generalized estimating equations, before and after adjusting for baseline education and repeated measures of age, socio-economic status, physical activity and employment. The animal-driven nutrient pattern was associated with increases in repeated measures of visceral adipose tissue (VAT) (β coefficient, 5.79 [95% CI, 0.01–11.57] cm2), fat mass index (FMI) (0.47 [0.01–0.93] kg·m−2) and lean mass index (LMI) (0.50 [0.18–1.17] kg·m−2) (p < 0.05) after adjustment. Vitamin C, sugar, and potassium-driven nutrient pattern was associated with higher FMI (0.50 [0.12–0.88] kg·m−2) and LMI (0.58 [0.07–1.10] kg·m−2) before and after adjustment (p < 0.05). These findings suggest that dietary interventions to curb obesity in black middle-aged South African women should focus on attenuation of nutrient patterns centred on added sugar, animal fat and animal protein.
Consumers’ Opinions towards Public Health Effects of Online Games: An Empirical Study Based on Social Media Comments in China
Authors: Shu Tao , Wang Zhiyi , Jia Huading , Zhao Wenjin , Zhou Jixian , Peng Tao
Published: October 2022

Online game products have fueled the boom in China’s digital economy. Meanwhile, its public health concerns have sparked discussion among consumers on social media. However, past research has seldom studied the public health topics caused by online games from the perspective of consumer opinions. This paper attempts to identify consumers’ opinions on the health impact of online game products through non-structured text and large-size social media comments. Thus, we designed a natural language processing (NLP) framework based on machine learning, which consists of topic mining, multi-label classification, and sentimental analysis. The hierarchical clustering method-based topic mining procedure determines the compatibility of this study and previous research. Every three topics are identified in “Personal Health Effects” and “Social Health Effects”, respectively. Then, the multi-label classification model’s results show that 61.62% of 327,505 comments have opinions about the health effects of online games. Topics “Adolescent Education” and “Commercial Morality” occupy the top two places of consumer attention. More than 31% of comments support two or more topics, and the “Adolescent Education” and “Commercial Morality” combination also have the highest co-occurrence. Finally, consumers expressed different emotional preferences for different topics, with an average of 63% of comments expressing negative emotions related to the health attributes of online games. In general, Chinese consumers are most concerned with adolescent education issues and hold the strongest negative emotion towards the commercial morality problems of enterprises. The significance of research results is that it reminds online game-related enterprises to pay attention to the potential harm to public health while bringing about additional profits through online game products. Furthermore, negative consumer emotions may cause damage to brand image, business reputation, and the sustainable development of the enterprises themselves. It also provides the government supervision departments with an advanced analysis method reference for more effective administration to protect public health and promote the development of the digital economy.
Favourable Short- to Mid-Term Outcome after PDA-Stenting in Duct-Dependent Pulmonary Circulation
Authors: Wespi Regina , Callegari Alessia , Quandt Daniel , Logoteta Jana , von Rhein Michael , Kretschmar Oliver , Knirsch Walter
Published: October 2022

Background. Stenting of patent ductus arteriosus (PDA) is a minimally invasive catheter-based temporary palliative procedure that is an alternative to a surgical shunt in neonates with duct-dependent pulmonary perfusion. Methods. An observational, single-centre, cross-sectional study of patients with duct-dependent pulmonary perfusion undergoing PDA-stenting as a stage I procedure and an analysis of short- to mid-term follow-up until a subsequent surgical procedure (stage II), with a focus on the interstage course. Results. Twenty-six patients were treated with PDA-stenting at a median (IQR) age of 7 (4–10) days; 10/26 patients (38.5%) (6/10 single pulmonary perfusion) were intended for later univentricular palliation, 16/26 patients (61.5%) (13/16 single pulmonary perfusion) for biventricular repair. PDA diameter was 2.7 (1.8–3.2) mm, stent diameter 3.5 (3.5–4.0) mm. Immediate procedural success was 88.5%. The procedure was aborted, switching to immediate surgery after stent embolisation, malposition or pulmonary coarctation in three patients (each n = 1). During mid-term follow-up, one patient needed an additional surgical shunt due to severe cyanosis, while five patients underwent successful catheter re-intervention 27 (17–30) days after PDA-stenting due to pulmonary hypo- (n = 4) or hyperperfusion (n = 1). Interstage mortality was 8.6% (2/23), both in-hospital and non-procedure-related. LPA grew significantly (p = 0.06) between PDA-stenting and last follow-up prior to subsequent surgical procedure (p = 0.06). RPA Z-scores remained similar (p = 0.22). The subsequent surgical procedure was performed at a median age of 106 (76.5–125) days. Conclusions. PDA-stenting is a feasible, safe treatment option, with the need for interdisciplinary decision-making beforehand and surgical backup afterwards. It allows adequate body and pulmonary vessel growth for subsequent surgical procedures. Factors determining the individual patient’s course should be identified in larger prospective studies.
The Role of Staff-Assessed Care Quality in the Relationship between Job Demands and Stress in Human Service Work: The Example of Dentistry
Authors: Karatuna Işıl , Owen Mikaela , Westerlund Hugo , Berthelsen Hanne
Published: October 2022

The aim of this study was to investigate staff-assessed care quality at the clinic as a predictor of stress and as a moderator between job demands (quantitative demands and role conflict) and stress among dental professionals as an example of human service workers. Cross-sectional questionnaire data from 1012 dental professionals (i.e., dentists, dental hygienists and dental nurses) working at 99 clinics were analysed by confirmatory factor analysis and a two-level hierarchical linear model. Stress, quantitative demands and role conflict were measured by the Swedish standard version of COPSOQ III and care quality was measured by three proprietary items. The results showed that staff-assessed care quality at the clinic was of importance for the individual workers’ experiences of stress. Furthermore, the staff’s joint assessment of the care quality at the clinic mitigated the negative effect of role conflict on stress among dental nurses. These results indicate that a high level of staff-assessed care quality at the clinic can contribute to reduced stress in dental professionals.
Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal
Authors: Lallo Carlo , Pasqualini Marta , Tomassini Cecilia
Published: October 2022

Italian Long-Term Care is considered largely inadequate, and the recent COVID-19 pandemic has dramatically exposed its limitations. Public Home Care Services in particular were revealed as under-financed and unable to cover the potential demand for care from the older population. But does the type of municipality and its geographic location play a role in creating or mitigating unmet demand? This is the first study addressing this research question in Italy. Our hypothesis is that older people’s care preferences and care possibilities may vary between small, medium and metropolitan areas, as will the organisation, funding and availability of services, and the combination will influence (unmet) demand for public home care services. In this paper, using nationally representative survey data collected by the Italian National Statistical Institute in 2003 and 2016, we investigate changes and differences in the use of public and private home care services among people aged 75 or older in Italy by size of the municipality. Our results reveal inequalities in service use between Northern and Southern areas of the country and in particular between metropolitan areas, medium and small municipalities. Such differences reinforce post-pandemic calls for new investment and changes in the design of the Italian Long-Term Care system.
Trends in Precarious Employment in Sweden 1992–2017: A Social Determinant of Health
Authors: Bodin Theo , Matilla-Santander Nuria , Selander Jenny , Gustavsson Per , Hemmingsson Tomas , Johansson Gun , Jonsson Johanna , Kjellberg Katarina , Kreshpaj Bertina , Orellana Cecilia , Wadensjö Eskil , Albin Maria
Published: October 2022

The aim of this study was to identify trends in precarious employment in the Swedish workforce from 1992 to 2017. This is a repeated cross-sectional study, analyzing the total working population aged 16–75 in Sweden at five-year intervals. We used version 2.0 of the Swedish Register-based Operationalization of Precarious Employment, covering the following dimensions: employment insecurity, income inadequacy, lack of rights and protection. The proportion in precarious employment increased from 9.7 to 12% between 1992 and 2017, a relative increase of 24%. The prevalence was higher among those of lower age, of low education, and immigrants. Differences between sexes converged, and there were slightly more precarious men than women in 2017. The relative increase was most pronounced among men, especially those with low educational attainment and of European origin. The increasing proportion of precarious employees is a clear challenge to the tripartite Nordic model, which requires sufficient trade-union bargaining power.
Local Governments Spending on Promoting Physical Activity during 2015–2020: Financial Data and the Opinion of Residents in Poland
Authors: Sobczyk Karolina , Grajek Mateusz , Rozmiarek Mateusz , Sas-Nowosielski Krzysztof
Published: October 2022

Introduction: The COVID-19 pandemic has significantly affected local governments involved in sports and recreation in designated areas. The unprecedented scale of the spread of the disease has led to increased research in the area of the disease, considering various correlations. However, little has been written about the impact of the pandemic on local government spending on recreation and sports services in Poland. Objective: The purpose of the article is to assess the level of local government involvement in the implementation of sports and recreation in Poland compared to other European Union countries, as well as changes in this level in connection with the emergence of the COVID-19 pandemic in the opinion of respondents. Methodology: In the study, the data regarding expenditures of local government units on recreational and sporting services collected in the Statistical Office of the European Union (EURO-STAT) for 2015–2020 were used. The survey portion was conducted among 1600 respondents who provided answers on a 5-item scale that addressed local government involvement in promoting physical activity among residents during COVID-19. Results and conclusion: Local government spending on recreational and sporting services in Poland between 2015 and 2019 increased by about 38%, from EUR 1524.7 million in 2015 to EUR 2103.5 million in 2019. This spending in 2019 was about 40% higher than the average for European Union countries. In contrast, in 2020 it amounted to more than EUR 1886 million and was more than 10% lower compared to the previous year (2019)—the pre-pandemic period. Despite the obstacles caused by the COVID-19 pandemic and budgetary constraints, cities in Poland took several measures in 2020 to maintain the current pace of development and strived to maintain the status of modern, green, and open, betting on balanced development also in aspects related to sports or culture. It was shown that the opinion of respondents mostly coincided with the existing financial state—in voivodeships where there had been a decrease in spending related to sports and recreation compared to the pre-pandemic period, residents are worse at assessing the activities of local governments related to promoting physical activity.
Cross-Regional Research in Demographic Impact on Safety Consciousness and Safety Citizenship Behavior of Construction Workers: A Comparative Study between Mainland China and Hong Kong
Authors: Meng Xiangcheng , Chan Alan H. S.
Published: October 2022

The construction industry has rapidly developed with continuous prosperity in Hong Kong and Mainland China, although accidents still occur with unacceptable frequency and severity. For promoting the safety issue of workers in construction industry, safety citizenship behavior (SCB) and safety consciousness (SC) were considered two influential constructs and further studied with integration of sociodemographic theories by scholars. However, no study has compared the SC and SCB of construction workers in terms of the demographic influence between Mainland China and Hong Kong. To fill this research gap, this study investigated the territorial difference between these two regions by conducting a cross-sectional questionnaire survey with recruitment of 253 Mainland construction workers and 256 Hong Kong construction workers. Significant similarities and differences of SC and SCB performance were revealed in terms of the workers with different genders, education levels, weekly working hours, and ages. This study provides insights into the comparison of demographic influence on SC and SCB of construction workers between Hong Kong and Mainland China, which is unique as it can yield useful managerial knowledge relevant to the personal safety of targeted groups of construction workers with particular demographic characteristics in both regions and contribute the implementation of safety interventions in line with the specific distinction in the territorial aspect.