bluuebunny/crossref_metadata_2025 huggingface dataset:
Contextual Factors Influencing Self-Management of Adolescents and Youth Living with HIV: A Cross-Sectional Survey in Lesotho
Authors: Nagenda Mapaseka , Crowley Talitha
Published: December 2022

Background: HIV treatment outcomes of adolescents and youth living with HIV (AYLWH) are lagging. One way to improve outcomes is through supporting AYLWH to acquire self-management skills. Although self-management is associated with improved health outcomes, condition-specific, individual/family, and social/environmental contextual factors influence self-management. We aimed to describe factors influencing the self-management of AYLWH in Lesotho. Methods: A cross-sectional survey design was used. AYLWH (n = 183) aged 15–24 were conveniently sampled from two HIV treatment sites in Lesotho. Participants completed self-report questionnaires in English or Sesotho. Results: Participants (89.1% female) had high HIV self-management scores (mean 92.7%, SD 5.3%) that corresponded with treatment outcomes (98.9% adherent and 100% viral load < 1000 copies/mL). This might be attributed to condition-specific factors, including once-daily doses (100%) and longer duration of treatment (81.4% on ART for more than 10 years). Participants were older (median age 22), and the majority (61.7%) had stable living conditions. Individual strengths were associated with higher self-management scores (p < 0.01) and mental health problems with lower self-management scores (p < 0.05). Most (97.9%) were satisfied with their health care services. Conclusions: Uncomplicated treatment regimens, longer duration of treatment, stable living conditions, individual strengths, good mental health, and satisfaction with healthcare services have a positive influence on self-management.
Evaluation of Resources and Environment Carrying Capacity Based on Support Pressure Coupling Mechanism: A Case Study of the Yangtze River Economic Belt
Authors: Zhan Cheng , Guo Mingjing , Cheng Jinhua , Peng Hongxia
Published: December 2022

Resource and environmental carrying capacity (RECC) is an important basis for achieving sustainable urban development, and analysis of the relationship between regional resources and human activities is of great significance for sustainable regional development. Taking the Yangtze River Economic Belt (YREB) as the study area, this study establishes a framework for analyzing RECC based on the resource and environmental support capacity (RES) and the pressure on the resource and environment (REP), calculates the RES and REP of 110 cities in the YREB from 2009 to 2018, and analyzes the main constraints on RECC. The results show that (1) there are inter-regional imbalances in RECC within the study area, with cities that are more economically developed or at a higher administrative level usually having more severe problems with RECC. (2) The RES and REP indices of cities in the YREB show an overall increasing trend, but the relative growth rates of the RES and REP indices of cities at different levels differ. (3) The built-up area, green space in built-up areas, total gas supply, and length of sewage pipes are hindering factors for most cities to improve their RES. This study contributes to a comprehensive understanding of the current situation and changing trends of RECC in the YREB and can provide a reference for decision-making on sustainable development of the region’s large river basin.
Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees
Authors: Wu Zhen , Tian Huiyi , Xu Dongjian , Chen Jiaying , Hu Yaqi , Wang Xiaohe , Zhou Siyu
Published: December 2022

Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, β = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals.
Chronic Home Radon Exposure Is Associated with Higher Inflammatory Biomarker Concentrations in Children and Adolescents
Authors: Taylor Brittany K. , Smith OgheneTejiri V. , Miller Gregory E.
Published: December 2022

Children are particularly vulnerable to the deleterious impacts of toxic environmental exposures, though the effects of some rather ubiquitous toxins have yet to be characterized in youths. One such toxin, radon gas, is known to accumulate to hazardous levels in homes, and has been linked with the incidence of lung cancer in aging adults. However, the degree to which chronic home radon exposure may impact risk for health problems earlier in life is unknown. Herein, we explored the degree to which chronic home radon exposure relates to biomarkers of low-grade inflammation in 68 youths ages 6- to 14 years old residing in an area of the United States prone to high home radon concentrations. Parents completed a home radon test kit, and youths provided a saliva sample to assess concentrations of five biomarkers. Using a multiple regression approach, we found that greater radon exposure was specifically associated with higher levels of C-reactive protein (β = 0.31, p = 0.007) and interleukin-1β (β = 0.33, p = 0.016). The data suggested specificity in associations between chronic home radon exposure and different biomarkers of inflammatory activity and highlight a pathway which may confer risk for future mental and physical health maladies.
Association between Family Support, Stress, and Sleep Quality among College Students during the COVID-19 Online Learning Period
Authors: Xian Xiaobing , Zhang Yu , Bai Aiting , Zhai Xingpeng , Hu Hong , Zhang Jiao , Ye Mengliang
Published: December 2022

(1) Background: During the past 3 years, the COVID-19 pandemic has severely affected the normal school schedule of college students, jeopardizing their mental health, sleep quality, and interpersonal relationships. However, previous studies have focused on the dimension of social support received, and few studies have measured in depth the association of support received from family on adolescents’ physical and mental health. Therefore, this study explored the associations between family support received by Chinese college students during COVID-19 pandemic online classes, stress and sleep quality, and the mediating role of stress. (2) Methods: A cross-sectional study conducted at Chongqing Medical University recruited 712 college students through a university-wide incidental random sample using the Questionnaire Star platform. Statistical description and correlation analysis was conducted using SPSS 25.0, and structural equation modeling was constructed using AMOS 22.0 to test for mediating effects; (3) Results: The family support score of college students during the COVID-19 pandemic online course was 19.41 ± 4.62. Correlation analysis showed that sleep quality was negatively correlated with family support (r = −0.224, p < 0.01), positively correlated with stress (r = 0.324, p < 0.01), and family support was negatively correlated with stress (r = −0.159, p < 0.01). The results of structural equation modeling showed that stress partially mediated the relationship between family support and sleep quality among college students (indirect effect = −0.150, p < 0.01, SE = 0.013,95% CI = [−0.208, −0.064]). The model R2 was 36.4%. (4) Conclusions: Schools should consider implementing sleep education, and stress relief curriculum measures to improve the quality of students’ sleep, and should focus on the role that family plays during online classes. This will help students overcome the negative emotional effects of stress in the COVID-19 pandemic and improve their learning efficiency and physical and mental health.
Women’s Empowerment, Food Security, and Nutrition Transition in Africa
Authors: Lufuke Mosses , Bai Yunli , Fan Shenggen , Tian Xu
Published: December 2022

Despite mounting recognition of the essential role of women’s empowerment in household dietary and nutrition changes, the diversity of culture across African countries presents ambiguity as to whether its impact is experienced homogeneously across the continent. This article presents a systematic review of whether women’s empowerment changes household dietary patterns, contributes to nutrition improvement, and consequently affects diet-related health outcomes in Africa. We find that whilst more research needs to be conducted, particularly with improved methodologies that can establish cause–effect relationships, there is consensus among the literature on the link between women’s empowerment and some domains of food security and dietary improvement. Meanwhile, studies on women’s empowerment and the additional demand pressure on some food categories are quite limited. This exacerbates the challenge of setting production plans that aim to address the continent’s question of food.
Perception of Medical Humanities among Polish Medical Students: Qualitative Analysis
Authors: Makowska Marta , Szczepek Agnieszka J. , Nowosad Inetta , Weissbrot-Koziarska Anna , Dec-Pietrowska Joanna
Published: December 2022

Medical humanities (MH) courses are a critical element of the medical curriculum influencing the establishment of a physician in the medical profession. However, the opinion about MH among medical students remains unknown. Interviews from seven focus groups were analysed. The students attended one of three Polish medical schools in Gdansk, Krakow, and Warsaw and were recruited to the discussion focused on the impact of drug manufacturers’ presence at medical universities on socialization in the medical profession. Thematic analysis was conducted using the theoretical framework of social constructivism. The students’ opinions about the MH classes arose during the analysis. In six groups, students thought that MH courses would be helpful in their future medical practice. However, in four groups, different opinion was expressed that MH courses were unnecessary or even “a waste of time”. Factors discouraging students from the MH classes included poorly taught courses (monotonous, uninteresting, unrelated to medical practice, taught by unsuitable lecturers). Secondly, students thought that the time investment in the MH was too extensive. Furthermore, curriculum problems were identified, reflecting the incompatibility between the content of MH courses and teaching semesters. Lastly, some students stated that participation in MH courses should be elective and based on individual interests. Addressing problems recognized in this work could improve the training of future Polish physicians.
Randomized Controlled Evaluation of a Group-Based Training for Parents of Adolescents with Gaming Disorder or Social Network Use Disorder
Authors: Brandhorst Isabel , Lahres Patrizia , Hanke Sara , Batra Anil , Renner Tobias , Barth Gottfried , Lindenberg Katajun , Vonderlin Eva , Petersen Kay
Published: December 2022

Background: Internet Use Disorder (IUD), Gaming Disorder (GD), and Social Network Use Disorder (SNUD) are common phenomena among adolescents and young adults. Negative consequences of such disorders can be observed in the individuals themselves and in the family system. Although parents can influence their children in many ways, they are rarely considered in interventions. The present study examines the effectiveness of a group-based training for parents of adolescents with IUD, GD, or SNUD. Methods: A total of 76 parents of adolescents (12 to 20 years) were randomly assigned to the intervention group (IG) or the waiting list control group. Parents in the IG participated over eight weeks in six sessions of training (topics: psychoeducation, parenting behaviour, parent-child relationships, parent-child communication, and stress and relaxation). Questionnaires on adolescent symptomatology, parent-child relationships, and parental burden were collected before and after the intervention/waiting period. Results: The training reduced the IUD symptomatology of adolescents from the parents’ perspective. GD symptomatology improved for at-risk users, though not for pathological users. Some aspects of the parent-child relationships improved in the mothers’ judgment. Parental stress was already low before the training. Conclusions: The presented parent group training can be used to improve IUD symptomatology in adolescents and is effective in the context of early intervention for at-risk computer gamers.
Validating the Well-Being of Older People (WOOP) Instrument in China
Authors: Liu Runhua , Mao Zhuxin , Yang Zhihao
Published: December 2022

Generic health-related quality of life (HRQoL) measures have been used for estimating utility value, which is then used for calculating quality-adjusted life years (QALYs). HRQoL measures may not capture many of the relevant and important non-health aspects of quality of life. The well-being of older people (WOOP) instrument was first developed in the Netherlands. This study aimed to validate this new instrument among older people in China. WOOP was first translated into simplified Chinese (for use in Mainland China) by two experienced translators. From July to August 2022, a cross-sectional study was conducted on a convenience sample of 500 older people in Southwestern China. Older people who provided consent reported their demographic information and completed the simplified Chinese version of the WOOP instrument using a pencil and paper. The feasibility of WOOP was determined by the percentage of missing responses. Then, using the data without any missing responses, we examined the item response distributions, pairwise Spearman correlations, underlying factors, and known-group validity of WOOP. Among the nine items of WOOP, three had more than 10% missing responses. The response distributions of the nine items were overall good without signs of ceiling and floor effects. The correlations among the WOOP items were low. A two-factor exploratory factor analysis model suggested that the WOOP items can be categorized into either internal or external well-being items. Good known-group validity results were found. Some WOOP items may not be easily understood by a small proportion of rural residents. However, other results have suggested WOOP to be a valid instrument for measuring the well-being of the elderly in China. The availability of WOOP enables the measurement of well-being-related utility.
Summary of Year-One Effort of the RCMI Consortium to Enhance Research Capacity and Diversity with Data Science
Authors: Awad Christopher S. , Deng Youping , Kwagyan John , Roche-Lima Abiel , Tchounwou Paul B. , Wang Qingguo , Idris Muhammed Y.
Published: December 2022

Despite being disproportionately impacted by health disparities, Black, Hispanic, Indigenous, and other underrepresented populations account for a significant minority of graduates in biomedical data science-related disciplines. Given their commitment to educating underrepresented students and trainees, minority serving institutions (MSIs) can play a significant role in enhancing diversity in the biomedical data science workforce. Little has been published about the reach, curricular breadth, and best practices for delivering these data science training programs. The purpose of this paper is to summarize six Research Centers in Minority Institutions (RCMIs) awarded funding from the National Institute of Minority Health Disparities (NIMHD) to develop new data science training programs. A cross-sectional survey was conducted to better understand the demographics of learners served, curricular topics covered, methods of instruction and assessment, challenges, and recommendations by program directors. Programs demonstrated overall success in reach and curricular diversity, serving a broad range of students and faculty, while also covering a broad range of topics. The main challenges highlighted were a lack of resources and infrastructure and teaching learners with varying levels of experience and knowledge. Further investments in MSIs are needed to sustain training efforts and develop pathways for diversifying the biomedical data science workforce.
Anti-Obesity Effect of Chitoglucan in High-Fat-Induced Obesity Mice
Authors: Park Hyun-Jung , Lee SunYoung , Ye Minsook , Han Bong Hee , Shim Hyun Soo , Jang Daehyuk , Shim Insop
Published: December 2022

Background: Chitoglucan (CG) is a bioactive component obtained from Flammulina velutipes Sing, an edible mushroom, which is known to have an anti-obesity effect. However, its biological and hormonal activities in alleviating obesity through regulation of adipocyte-derived proteins have not been examined yet. Purpose: The present study aimed to investigate the anti-obesity effects of chitoglucan and its hormonal mechanisms in high-fat diet (HFD)-induced mice. Methods: The mice were fed either a normal diet (Normal group) or a high fat diet (HFD group) over 6 weeks. The HFD fed mice were administered with saline (HFD group), adipex (HFD + adipex group), chitoglucan 50, 150, or 300 mg/kg/day for 3 weeks (HFD + CG groups). The food consumption, body weight, fat contents, and the levels of serum leptin and resistin were assessed after treatment of chitoglucan. Results: the HFD produced a marked increase in body and fat weights after 6 weeks of feeding compared with the Normal group. Administration of chitoglucan for 3 weeks tended to reduce body weight and significantly decreased parametrical adipose tissues in HFD groups. The level of serum leptin in the HFD group was markedly higher than that in the Normal group, whereas the level of leptin in the chitoglucan treated groups was significantly decreased in comparison with the HFD group. In addition, the level of serum resistin in high-fat diet group tended to be more increased than Normal group. However, the serum resistin level was significantly reduced in HF diet groups after treatment with chitoglucan (50 mg/kg or 150 mg/kg). Conclusion: Collectively, these data suggest that chitoglucan from the Flammulina velutipes may be useful in the treatment of high diet-induced obesity and metabolic syndrome.
People’s Values and Preferences about Meat Consumption in View of the Potential Environmental Impacts of Meat: A Mixed-methods Systematic Review
Authors: Valli Claudia , Maraj Małgorzata , Prokop-Dorner Anna , Kaloteraki Chrysoula , Steiner Corinna , Rabassa Montserrat , Solà Ivan , Zajac Joanna , Johnston Bradley C. , Guyatt Gordon H. , Bala Malgorzata M. , Alonso-Coello Pablo
Published: December 2022

Background: Health is not the only aspect people consider when choosing to consume meat; environmental concerns about the impact of meat (production and distribution) can influence people’s meat choices. Methods: We conducted a mixed-methods systematic review, searched six databases from inception to June 2020, and synthesised our findings into narrative forms. We integrated the evidence from quantitative and qualitative data sets into joint displays and assessed the confidence in the evidence for each review finding following the GRADE-CERQual approach. Results: Of the 23,531 initial records, we included 70 studies: 56 quantitative, 12 qualitative, and 2 mixed-methods studies. We identified four main themes: (1) reasons for eating meat; (2) reasons for avoiding meat; (3) willingness to change meat consumption; and (4) willingness to pay more for environmentally friendly meat. The overall confidence was low for the reasons for eating and/or buying meat, for avoiding meat, and for willingness to change meat consumption, and was moderate for willingness to pay more for environmentally friendly meat. Conclusions: Regardless of people’s general beliefs about meat and its impact on the environment, most people may be unwilling to change their meat consumption. Future research should address the current limitations of the research evidence to assess whether people are willing to make a change when properly informed.
Construction of Ecological Security Pattern and Identification of Ecological Restoration Zones in the City of Changchun, China
Authors: Xu Jia , Xu Dawei , Qu Chen
Published: December 2022

Identification of crucial regions in need of ecological conservation and restoration based on ecological security patterns is of utmost importance for ecological restoration across national land space with regard to China’s promotion of ecological civilization. Using Changchun, the capital of northeast China, as an illustration, the study chooses ecological sources based on the importance of ecosystem services, builds an ecological security pattern using circuit theory, and organizes critical regions for ecological conservation and restoration. The findings reveal that the 20 ecological sources chosen based on ecosystem services are more concentrated on the eastern side of the city, whereas the western side of the city has a smaller overall area; 41 ecological corridors show a network distribution, among which the southeast is relatively densely distributed; 31 ecological pinch points and 15 ecological barrier points are also identified. Prioritized restoration zones, prioritized protection zones, key conservation zones, and general conservation zones were the four different types of ecological restoration regions identified by the study. Each district’s prioritized restoration zones in the main metropolitan area are larger than the others; Gongzhuling’s priority protection zones are the largest, and Yushu’s natural substrate is the best. According to the grading, targeted solutions are suggested, offering helpful advice for the improvement of ecological patterns and ecological restoration of the aforementioned national areas.
Risk Perception of COVID-19 as a Cause of Minority Ethnic Community Tourism Practitioners’ Willingness to Change Livelihood Strategies: A Case Study in Gansu Based on Cognitive-Experiential Self-Theory
Authors: Liang Wangbing , Li Zhao , Bao Yinggang , Xia Bing
Published: December 2022

This study based on the cognitive-experiential self-theory, with risk attitude as the mediator and livelihood capacity as the moderator, explores the mechanism of the effect of risk perception of COVID-19 on minority ethnic community tourism practitioners’ willingness to change livelihood strategies. Taking 423 tourism practitioners from five minority ethnic tourism communities as the objects of investigation in Gansu Province, China. This paper empirically tests the theoretical model by using Amos and SPSS. The results indicated the following: Risk perception of COVID-19 has a significant positive impact on the willingness of minority ethnic community tourism practitioners to change their livelihood strategies. Risk attitude partially mediated the relationship between risk perception of COVID-19 and willingness to change livelihood strategies. Livelihood capacity negatively moderated the relationship between risk perception of COVID-19 and willingness of minority ethnic community tourism practitioners to change their livelihood strategies. Livelihood capacity also negatively moderated the mediation effect of the relationship between risk perception of COVID-19 and willingness to change livelihood strategies. Based on the research conclusions, it provides theoretical guidance and practical enlightenment for minority ethnic community tourism practitioners on how to improve the stability and sustainability of their livelihoods through the adjustment and transformation of livelihood strategies in the post-epidemic era.
Impact of Menopausal Symptoms on Work: Findings from Women in the Health and Employment after Fifty (HEAF) Study
Authors: D’Angelo Stefania , Bevilacqua Gregorio , Hammond Julia , Zaballa Elena , Dennison Elaine M. , Walker-Bone Karen
Published: December 2022

Women make up a growing proportion of the workforce and therefore many women experience menopause while in paid employment. We explored the prevalence of menopausal symptoms, the relationship between symptoms and coping with work and the risk factors associated with struggling at work during the menopause. The Health and Employment After Fifty (HEAF) community-based cohort of people aged 50–64 years was incepted 2013–2014 to study health and work. In 2019, female participants were asked to complete a questionnaire about their menopausal symptoms, and effect of those symptoms on their ability to cope at work. 409 women were eligible for inclusion. The commonest symptoms were vasomotor (91.7%); trouble sleeping (68.2%); psychological (63.6%) and urinary (49.1%). The prevalence of reporting symptoms was similar no matter which type of occupation women were performing at the time. Around one-third of women reported moderate/severe difficulties coping at work because of menopausal symptoms. Risk factors for difficulties coping at work included: financial deprivation, poorer self-rated health, depression, and adverse psychosocial occupational factors but not physical demands. More awareness is needed amongst employers in all sectors but women with financial difficulties and those with jobs in which they feel insecure, unappreciated, or dissatisfied are at greatest risk.
A Multicenter Study about the Population Treated in the Respiratory Triage Stations Deployed by the Red Cross during the COVID-19 Pandemic
Authors: Ponce-Blandón José Antonio , Romero-Castillo Rocío , Rodríguez-Leal Leyre , González-Hervías Raquel , Velarde-García Juan Francisco , Álvarez-Embarba Beatriz
Published: December 2022

Background: Care demand exceeded the availability of human and material resources during the COVID-19 pandemic, which is the reason why triage was fundamental. The objective is to know the clinical and sociodemographic factors of confirmed or suspected COVID-19 cases in triage stations from different Ecuadorian provinces. Method: A multicenter study with a retrospective and descriptive design. The patients included were those who accessed the Respiratory Triage stations deployed by the Ecuadorian Red Cross in eight Ecuadorian provinces during March and April 2021. Triage allows for selecting patients that need urgent treatment and favors efficacy of health resources. Results: The study population consisted of a total of 21,120 patients, of which 43.1% were men and 56.9% were women, with an age range between 0 and 98 years old. Severity of COVID-19 behaved differently according to gender, with mild symptoms predominating in women and severe or critical symptoms in men. Higher incidence of critical cases was observed in patients over 65 years old. It was observed that overweight predominated in critical, severe, and moderate cases, while the body mass index of patients with mild symptoms was within the normal range. Conclusions: The Ecuadorian Red Cross units identified some suspected COVID-19 cases, facilitating their follow-up and isolation. Fever was the most significant early finding.
Interactive Video-Based Passive Drinking and Forced Drinking Education to Reduce Intention to Drink in Adolescents: A Pre-Post Intervention Study
Authors: Chau Siu Long , Wu Yongda , Wang Man Ping , Ho Sai Yin
Published: December 2022

Passive and forced drinking harm was prevalent but less recognized in Chinese adolescents. We educated adolescents on such harm to reduce their intention to drink. Students (n = 1244) from seven secondary schools in Hong Kong participated in a video-based health talk on passive and forced drinking harm. Paired t-test was used to assess their change in knowledge of passive and forced drinking, and health and social harm of drinking after, the health talk. McNemar’s chi-squared test and adjusted multivariable logistic regression (AOR) were used to assess their change in intention to drink and intention to quit. Students were less likely to drink (OR 0.29, 95% CI 0.19–0.42) and more likely to quit drinking (OR 3.50, 1.10–14.6) after the health talk. Increased knowledge of passive drinking was associated with less intention to drink (AOR 0.93, 0.90–0.97), increased knowledge of health harm (adjusted b 0.06, 0.05–0.08), and social harm of drinking (adjusted b 0.12, 0.10–0.16). Similar associations were observed in forced drinking (intention to drink: AOR 0.87, 0.79–0.96; health harm: adjusted b 0.16, 0.12–0.19; social harm: adjusted b 0.36, 0.28–0.43). We showed preliminary evidence that the health talk on passive and forced drinking reduced the intention to drink in adolescents.
Exploring People’s Perception of COVID-19 Risk: A Case Study of Greater Jakarta, Indonesia
Authors: Pelupessy Dicky C. , Jibiki Yasuhito , Sasaki Daisuke
Published: December 2022

This study aims to understand people’s perceptions of COVID-19 risk in Greater Jakarta, Indonesia. In response to the COVID-19 pandemic, the Indonesian government enacted a health protocol campaign and highlighted the community as an important unit of protocol compliance. We hypothesized that people’s perception of the likelihood of being infected with COVID-19 is associated with health protocol compliance at the community level and their perception of community resilience. As the number of infected persons drastically increased, the “family cluster” also became a significant issue in the pandemic response, especially in Indonesia. In this study, we explored both community and family aspects that influence people’s perceptions. We conducted an online survey in March 2021 with 370 respondents residing in the Greater Jakarta area. The respondents were classified into four age groups (20s, 30s, 40s, and 50-and-over), with gender-balanced samples allocated to each group. We used a questionnaire to measure the perception of COVID-19 risk along with the Conjoint Community Resiliency Assessment Measure (CCRAM). Multiple regression analysis revealed that family factors have a much larger influence on the individual perception of the likelihood of contracting COVID-19 than community factors. The results suggest that the link between family-level efforts against COVID-19 and individual-level perceptions cannot be separated in response to the pandemic.
Effect of Personality Type on the Occurrence of Temporomandibular Disorders—A Cross-Sectional Study
Authors: Mitrowska-Guźmińska Magdalena , Gębska Magdalena , Jonko Kinga , Dalewski Bartosz , Pałka Łukasz , Chęć Magdalena , Sobolewska Ewa
Published: December 2022

Background: Personality traits are one of the major factors influencing the behavior and functioning of an individual, and they play a crucial role in the development of psychosomatic disorders and diseases. This paper aimed to evaluate the importance of personality traits in temporomandibular disorder (TMDs) development using the NEO-FFI Personality Inventory by Paul Costa and Robert McCrae (the Five-Factor Model of Personality, known as the Big Five). Moreover, the relationship between personality type and the intensity of dysfunctional changes in the stomatognathic system was assessed using the NEO-FFI Personality Inventory by Paul Costa and Robert McCrae (the Five-Factor Model of Personality, known as the Big Five). Material and Methods: The study included a group of 75 adult participants (aged 19–52) with TMD diagnosed according to DC/TMD criteria and a control group of 75 participants without symptoms of dysfunction. The study consisted of a questionnaire and clinical study; the questionnaire included the NEO-FFI psychological questionnaire and a self-authored one. The clinical part consisted of extra- and intraoral dental examinations. Results: Participants who clenched their teeth showed a greater degree of conscientiousness than those who did not exhibit this symptom (p = 0.048). Presence of headaches was correlated with greater severity of neuroticism (p = 0.001). Moreover, participants with enamel cracks showed a lower intensity of extraversion (p = 0.039), and those with worn hard dental tissues showed a higher intensity of neuroticism (p = 0.03), a lower intensity of conscientiousness (p = 0.01), and a lower intensity of extroversion (p = 0.046). Acoustic symptoms during mandibular movements were found to be linked with a higher level of neuroticism (p = 0.020), a lower level of extraversion (p = 0.035), and a lower level of conscientiousness, whereas pain upon mandibular movements were linked to a lower level of conscientiousness (p = 0.025). Participants with pain upon palpation of the masticatory muscles showed a lower level of conscientiousness (p = 0.01) compared to those without pain symptoms. Episodes of mandibular blockage or problems with its adduction depend on the intensity of conscientiousness (p = 0.007). Moreover, people from the study group with high levels of neuroticism showed lower protrusion values (p = 0.016). Conclusion: The intensity of individual personality traits was found to be associated with some TMDs in comparison to healthy controls.
Examining Vaccine Sentiment on Twitter and Local Vaccine Deployment during the COVID-19 Pandemic
Authors: Martinez Lourdes S. , Savage Matthew W. , Jones Elisabeth , Mikita Elizabeth , Yadav Varun , Tsou Ming-Hsiang
Published: December 2022

Understanding local public attitudes toward receiving vaccines is vital to successful vaccine campaigns. Social media platforms may help uncover vaccine sentiments during infectious disease outbreaks at the local level, and whether offline local events support vaccine-promotion efforts. Communication Infrastructure Theory (CIT) served as a guiding framework for this case study of the San Diego region examining local public sentiment toward vaccines expressed on Twitter during the COVID-19 pandemic. We performed a sentiment analysis (including positivity and subjectivity) of 187,349 tweets gathered from May 2020 to March 2021, and examined how sentiment corresponded with local vaccine deployment. The months of November and December (52.9%) 2020 saw a majority of tweets expressing positive sentiment and coincided with announcements of offline local events signaling San Diego’s imminent deployment of COVID-19 vaccines. Across all months, tweets remained mostly objective (never falling below 63%). In terms of CIT, considering multiple levels of the Story Telling Network in online spaces, and examining sentiment about vaccines on Twitter may help scholars to explore the Communication Action Context, as well as cultivate positive community attitudes to improve the Field of Health Action regarding vaccines. Real-time analysis of local tweets during development and deployment of new vaccines may help monitor local public responses and guide promotion of immunizations in communities.
Influencing Factors and Group Differences of Urban Consumers’ Willingness to Pay for Low-Carbon Agricultural Products in China
Authors: Geng Ning , Liu Zengjin , Han Xibing , Zhang Xiaoyu
Published: December 2022

Developing low-carbon agriculture has become a development goal for low-carbon economies in various countries, and consumers’ awareness and willingness to pay (WTP) for low-carbon agricultural products is an important link in achieving the sustainable development of low-carbon agriculture. The theory of planned behavior is a widely used framework to explain consumers’ food choices. Considering the intrinsic norms of consumers, their perceptions of low-carbon agricultural products, and shifts in consumer behavior, our study adds the influence of environmental awareness and consumer preferences to the theoretical framework of analysis. We choose the contingent valuing method (CVM) and use 532 consumer questionnaires in Shanghai to validate Chinese urban consumers’ WTP for low-carbon products and its influencing factors. The findings show that Chinese urban consumers have a high overall awareness of low-carbon agricultural products and, after strengthening the conceptual information of consumers, most consumers agree that low-carbon vegetables are more conducive to ecological environment protection, quality, and safety guarantees than conventional vegetables. The existing analysis showed that some variables such as bid price, behavioral attitudes, subjective norms, and consumption preferences significantly influenced consumers’ willingness to pay for low-carbon leafy greens, while the effect of the environmental awareness variable was not significant. Further research found that consumers’ WTP for low-carbon leafy greens showed significant group differences across income, gender, age, and education. Therefore, to promote the consumption of low-carbon agricultural products in China, we should attach importance to the publicity and guidance of low-carbon vegetables and strengthen the certification of low-carbon vegetable products. This study can provide policy reference for reasonably regulating and subdividing China’s low-carbon agricultural products market.
Detection of the Frail Elderly at Risk of Postoperative Sepsis
Authors: Sarría-Santamera Antonio , Yessimova Dinara , Viderman Dmitriy , Polo-deSantos Mar , Glushkova Natalya , Semenova Yuliya
Published: December 2022

With the increase in the elderly population, surgery in aged patients is seeing an exponential increase. In this population, sepsis is a major concern for perioperative care, especially in older and frail patients. We aim to investigate the incidence of sepsis in elderly patients receiving diverse types of surgical procedures and explore the predictive capacity of the Hospital Frailty Risk Score (HFRS) to identify patients at high risk of incidence of postoperative sepsis. This study relies on information from the Spanish Minimum Basic Data Set, including data from nearly 300 hospitals in Spain. We extracted records of 254,836 patients aged 76 years and older who underwent a series of surgical interventions within three consecutive years (2016–2018). The HFRS and Elixhauser comorbidity index were computed to determine the independent effect on the incidence of sepsis. Overall, the incidence of postoperative sepsis was 2645 (1.04%). The higher risk of sepsis was in major stomach, esophageal, and duodenal (7.62%), followed by major intestinal procedures (5.65%). Frail patients are at high risk of sepsis. HFRS demonstrated a high predictive capacity to identify patients with a risk of postoperative sepsis and can be a valid instrument for risk stratification and vigilant perioperative monitoring for the early identification of patients at high risk of sepsis.
Internet Use on Closing Intention–Behavior Gap in Green Consumption—A Mediation and Moderation Theoretical Model
Authors: Wang Xintian , Wang Zhangchi , Li Yan
Published: December 2022

The rapid development of the Internet as an information medium has provided new opportunities for promoting green consumption. Therefore, a study on the theoretical mechanism is helpful to make better use of the Internet media to promote green consumption and close consumers’ green consumption intention–behavior gap. In this study, data from 419 valid questionnaires were collected and analyzed through PLS-SEM within the framework of the theory of planned behavior. The results show that there are two pathways of Internet media promoting green consumption, namely the moderating effect and the mediating effect. First, through the moderating effect, Internet use can promote the conversion of intention to behavior and perceived behavioral control to behavior, thus closing the intention–behavior gap. Second, through the mediating effect, Internet use promotes green consumption behavior through the mediator of personal perceived environmental threats. The research indicates that the potential of Internet information media should be fully explored in promoting green consumption, disseminating environmental knowledge, reporting environmental issues, and guiding the transformation of individual green consumption intention into behavior.
Subjective Outcome Evaluation of Instructional Videos in Leadership Education
Authors: Li Xiang , Shek Daniel T. L. , Wong Tingyin , Yu Lu
Published: December 2022

The aims of this study were to examine the psychometric properties of two subjective outcome evaluation tools measuring students’ perceptions of 24 instructional videos and to understand the profiles of students’ perceptions of the videos. Online teaching and learning played an important role when school lockdown measures were imposed during the COVID-19 pandemic. To facilitate online teaching in a college-level leadership education subject, we developed and piloted 24 instructional videos, including 15 animated videos and 9 case-based videos, in the 2021/22 academic year. To understand students’ perceptions of the videos, we developed two subjective outcome evaluation scales (one for the animated videos and another for the case-based videos) to assess the subjective perceptions of 1308 students. Results showed that the developed tools possessed good psychometric properties, including factorial, convergent and discriminant validity. The findings of this study also revealed the students had positive attitudes towards the developed videos, including positive perceptions of the videos’ design and the benefits gained from watching them. The present study suggests teachers can meaningfully use the 24 instructional videos in the context of leadership education in higher education.
A Study on the Path of Narrative Renewal of Traditional Villages: A Case of Shawan Ancient Town, Guangdong, China
Authors: Wang Zhongwei , Zhuang Qianda , Ma Yue , Li Pengnan
Published: December 2022

Traditional villages are a valuable for their historical and cultural heritage, and have long been the focus of academic research regarding their protection and renewal methods in the face of increasing urbanization. In the village renewal model, the continuation and regeneration of cultural context is the core issue. This paper aims to construct the updated narrative text of Shawan Ancient Town on the basis of narrative rules and methods, while also exploring how to generate the conservation and renewal strategies based on the narrative text. Drawing on the concepts and methods of narratology and based on the cultural background and current conditions of Shawan Ancient Town’s architectural heritage, this paper takes “narrative in terms of theme, clue, path, and material” as the basic framework to construct the narrative text in the context of traditional village renewal. Then four aspects, such as “base combing, interface integration, patch symbiosis, and debris collection”, are used to update the methods of the spatial situation of individual places. Additionally, multiple construction forms are explained, generating a historic, interesting, and experiential strategy for the protection and renewal of ancient towns. This study demonstrates logical thinking from the construction of narrative text to the generation of renewal strategies from a narrative perspective while deepening the typical research on the traditional village narrative renewal mode. It is advantageous to build a protection mechanism for historical and cultural villages, and explore a path to protect, inherit, and promote the cultural heritage of villages based on China’s current situation.
Perceptions of Caring Behaviors among Patients and Nurses
Authors: Alikari Victoria , Gerogianni Georgia , Fradelos Evangelos C. , Kelesi Martha , Kaba Evridiki , Zyga Sofia
Published: December 2022

The concept of caring is fundamental to nursing practice. The aim of this study was to investigate patients’ and nurses’ caring behaviors and the possible differences between the two groups. In this descriptive and comparative study, 310 patients and 329 nurses from six general hospitals from Greece completed the Caring Behaviors Inventory-16. The mean score of Caring Behaviors Inventory-16 for patients was 78.94 (±17.85) and for nurses 80.27 (±9.36). The items “Demonstrating professional knowledge and skills” (Mean: 5.45 ± 3.62) and “Treating my information confidentially” (Mean: 5.34 ± 1.06) were the most important caring behaviors while the items “Including me in planning care” (Mean: 4.36 ± 1.56), and “Treating me as an individual” (Mean: 4.55 ± 1.46) were the least important caring behaviors for patients. For nurses, the most important caring behavior was “Treating patients” information confidentially” (Mean: 5.43 ± 0.94) and the least important was “Returning to the patient voluntarily” (Mean: 4.57 ± 3.68). Significant differences were observed in items: “Attentively listening to me/the patient” (t = −2.05, p = 0.04), “Treating me/the patient as an individual” (t = −7.82, p = 0.00), “Being empathetic or identifying with me/the patient” (t = −2.80, p = 0.00), and “Responding quickly when I/the patient call (t = −2.01, p = 0.04). Respect, privacy, and dignity were the most important caring behaviors for nurses while for patients they were knowledge, skills, and safety.
Psychometric Assessment of an Online Self-Test Measuring Risky Eating Behavior, Depression, Social Anxiety, and Self-Injury in Mexican Adolescents
Authors: Gómez-Peresmitré Gilda , Platas-Acevedo Romana Silvia , León-Hernández Rodrigo , Pineda-García Gisela , Guzmán-Saldaña Rebeca
Published: December 2022

The objective of this study was to evaluate the validity and reliability of OTESSED, an online test for the self-detection and prevention of risk factors for eating disorders and related problems, such as depression, social anxiety, and self-injury, in samples of male and female adolescents. Participants formed a non-probability sample of N = 577 high school students. The mean ages of boys and girls were the same (Mage = 15.61; SD = 0.73). Among the main results, scales of depression, self-injury, social anxiety, and risky eating behavior (REB) with construct validity (CFA) were obtained. The first two showed the same structure (two factors per sex), with an appropriate reliability omega value (0.92), and a similar percentage of explained variance (≥50). The REB scale presented two factors for boys and three for girls, with an appropriate omega value (0.88) and explained variance percentage (0.56). The instrument validation process was completed, meeting the discriminant validity criterion for each scale of the OTESSED.