bluuebunny/crossref_metadata_2025 huggingface dataset:
Parental Autonomy Support and Mental Health among Chinese Adolescents and Emerging Adults: The Mediating Role of Self-Esteem
Authors: Ma Chunhua , Ma Yongfeng , Wang Youpeng
Published: October 2022

Guided by the dual-factor model and self-determination theory, this study explored the relationship between parental autonomy support and mental health (i.e., life satisfaction and emotional problems) in adolescents and emerging adults, with a focus on the mediating role of self-esteem. We conducted two studies among independent samples in China, including 1617 adolescents aged 10 to 17 years (Mage =12.79, SD = 1.63; 50.7% girls; Study 1) and 1274 emerging adults aged 17 to 26 years (Mage = 20.31, SD = 1.63; 56.6% women; Study 2). All participants completed a set of self-reported questionnaires. The results of both studies validated our hypothesis; specifically, parental autonomy support was positively associated with life satisfaction, but negatively associated with emotional problems (emotional symptoms in Study 1 and depressive symptoms in Study 2). Meanwhile, self-esteem partially mediated the positive relationship between parental autonomy support and life satisfaction (R2 = 0.33 in Study 1; R2 = 0.38 in Study 2), and partially mediated the negative relationship between parental autonomy support and emotional problems (R2 = 0.16 in Study 1; R2 = 0.42 in Study 2). In summary, this suggests that the common antecedents of positive and negative indicators of mental health addressed in this study are prevalent in adolescents and emerging adults. These findings have important implications for preventive and interventional efforts aimed at mental health problems in both demographics.
Mental Health and Well-Being among Children of Public Safety Personnel in Canada
Authors: Stelnicki Andrea M. , Jamshidi Laleh , Taillieu Tamara L. , Carleton R. Nicholas , Afifi Tracie O.
Published: October 2022

Public safety personnel (PSP) often experience stress due to their occupational demands that affect the family environment (e.g., work-family conflict, marital breakdown, disruption to home routines, and holidays). A substantial base of research has focused on the impact of PSP work on the marital relationship, but fewer studies have focused specifically on children’s functioning within PSP families. The current study investigated mental health, well-being, and functioning among children of PSP in Canada, as reported by PSP. Data were collected between 2016 and 2017 as part of a large pan-Canadian study of PSP. Participants (n = 2092; 72.5% women) were PSP parents who responded to questions about their 4- to 17-year-old children. Overall, a substantial proportion of PSP parents reported their children have at least some difficulties with sadness (15.4%), worries and fear (22.0%), disobedience or anger (22.0%), attention (21.0%), and friendships (11.4%). Firefighters reported the fewest problems among their children compared to other PSP groups. Almost 40% of participants indicated that their child’s problems were related to their work as a PSP. The results highlight the need to find ways to identify children that are struggling and provide support to those families. Organizations and PSP leadership should develop and prioritize efforts to support families of PSP members, with the likely outcome of enhancing PSP member well-being.
Risky Early Family Environment and Genetic Associations with Adult Metabolic Dysregulation
Authors: Huizar Yazmine P. , Cundiff Jenny M. , Schmidt Adam T. , Cribbet Matthew R.
Published: October 2022

Growing up in a family environment characterized by neglectful parenting, overt conflict, and unsupportive relationships is associated with poor health in adulthood. A risky early family environment may also be associated with obesity in adulthood, likely through the activation of the HPA axis. Likewise, the GABAergic (gamma-aminobutyric acid) T>C single nucleotide polymorphism in the 1519 nucleotide position of the GABAAα6 receptor subunit gene has been associated with a predisposition to a higher body mass index and a larger waist circumference. Participants (n = 213, Mage = 30.13 years, SD = 10.85; 57.7% men) from the Pittsburgh Cold Study 3 completed a demographic questionnaire, the Risky Families Questionnaire (RFQ) and had their height, weight, and waist circumference measured during a physical exam. Participant DNA was recovered from buccal swabs and genotyped for the various allelic types of the SNP according to published protocols. In secondary data analyses, we tested the hypothesis that early family environment and GABRA6 would be positively associated with body mass index and waist circumference. We also examined diurnal cortisol as a mechanism linking both early risky family environment and GABRA6 to metabolic outcomes. The findings provide evidence that a risky early family environment may exert more influence than genetic predisposition when determining the indices of metabolic health in adulthood.
Does Aerobic Exercise Facilitate Vaping and Smoking Cessation: A Systematic Review of Randomized Controlled Trials with Meta-Analysis
Authors: Darabseh Mohammad Z. , Selfe James , Morse Christopher I. , Aburub Aseel , Degens Hans
Published: October 2022

Cigarette smokers try to quit using several strategies including electronic cigarette use (vaping). An alternative, easy and cheap method is exercise. However, little is known about the efficacy of aerobic exercise (AE) to augment smoking and vaping cessation. This study aimed to systematically review and discuss the reported effects of AE on long-term vaping and smoking cessation in randomized control trials (RCTs). RCTs were searched on different databases. The outcome measures included long-term vaping or smoking cessation and maximal or peak oxygen uptake (VO2max/peak) after vaping- or smoking cessation. Meta-analysis was conducted to examine the effects of AE on long-term vaping and smoking cessation, and the effects of AE on VO2max/peak. Cochrane Risk of Bias tool 2 was used to assess trials quality. Thirteen trials were included (5 high, 2 moderate and 6 low quality). Although two high quality trials revealed that 3 vigorous supervised AE sessions a week for 12 to 15 weeks increased the number of long-term successful quitters, the meta-analysis including the other trials showed that AE did not significantly increase success rate of long-term quitters. However, VO2max/peak was improved at the end of treatment. There were no trials on AE and vaping cessation. No evidence was found that AE promotes long-term smoking cessation. Nevertheless, AE improved VO2max and/or VO2peak in quitters.
Perspectives on the Therapeutic Effects of Pelvic Floor Electrical Stimulation: A Systematic Review
Authors: Sarmento Ana Lúcia Carneiro , Sá Bruno Silva , Vasconcelos Andreanne Gomes , Arcanjo Daniel Dias Rufino , Durazzo Alessandra , Lucarini Massimo , Leite José Roberto de Souza de Almeida , Sousa Hugo Alves , Kückelhaus Selma Aparecida Souza
Published: October 2022

Pelvic, perineal, and nervous lesions, which derive principally from pregnancy and childbirth, may lead to pelvic floor dysfunctions, such as organ prolapses and lesions in the nerves and muscles due to muscle expansion and physiology. It is estimated that 70% of women affected by this clinical picture have symptoms that do not respond to the classical treatments with antimuscarinic and anticholinergic drugs. Therefore, resorting to efficient alternatives and less invasive methods is necessary to assist this public health problem that predominantly affects the female population, which is more susceptible to the risk factors. This study aimed to perform an updated and comprehensive literature review focused on the effects of pelvic floor electrical stimulation, considering new perspectives such as a correlation between electric current and site of intervention and other molecular aspects, different from the present reviews that predominantly evaluate urodynamic aspects. For that purpose, PubMed and ScienceDirect databases were used to perform the search, and the Methodi ordinatio method was applied. With well-researched therapeutic effects, electrical stimulation induced promising results in histological, nervous, and molecular evaluations and spinal processes, which showed beneficial results and revealed new perspectives on ways to evoke responses in the lower urinary tract in a non-invasive way. Thus, it is possible to conclude that this type of intervention may be a non-invasive alternative to treat pelvic and perineal dysfunctions.
Helping Women Suffering from Drug Addiction: Needs, Barriers, and Challenges
Authors: Motyka Marek A. , Al-Imam Ahmed , Haligowska Aneta , Michalak Michał
Published: October 2022

Statistical data on the use of various psychoactive substances indicate a narrowing of previous differences in substance use between men and women. Data from studies conducted among women suffering from drug addiction are increasingly published, with the authors highlighting the specific needs of this group and the difficulties that women with addiction problems encounter. The current study aimed to identify the barriers and needs of this audience, both when seeking help and during treatment. The method used in the study was secondary content analysis. To identify publications describing the barriers and needs of women suffering from drug addiction, we searched the PubMed database to find publications that met the adopted research objective. We set the data search period to the last ten years to examine the timeliness of the issue under study. The search yielded 199 research reports. Twenty-three articles describing 21 studies were included in the final analysis. The selected publications dealt with the difficulties and challenges faced by women with addiction problems. Barriers to accessing treatment for this group, the needs, and the challenges of helping women suffering from addiction were identified. Results showed that the barriers are mainly stigma but also deficits in the therapeutic offerings for this group. The primary need was identified as the introduction of appropriate drug policies, and the challenges, unfortunately, are the still-reported gender inequalities. To improve the situation of women, regular attention to these issues and the need to include them in national health strategies is essential.
Remote Interventions to Support Students’ Psychological Well-Being during the COVID-19 Pandemic: A Narrative Review of Recent Approaches
Authors: Rutkowska Anna
Published: October 2022

The COVID-19 pandemic has negatively affected students’ mental health, and it is important to implement mental health management strategies. The purpose of this study was to present current findings on the implementation of remote mental health interventions in students during the pandemic. The PubMed and Web of Science electronic databases were searched and, from a total of 174 articles, 106 records were excluded according to the inclusion criteria and 23 were assessed as full texts. After the full-text screening, 12 studies were included in the review. The included publications were randomized clinical trials focused on remote mental support interventions among students from 10 countries, representing both genders, and were in the average age range of 17–55 years with an overall number of 892 participants. The included studies covered the effectiveness of strictly psychotherapeutic programs, such as cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), as well as other techniques such as mindfulness, laughter therapy, the brain wave modulation technique (BWM-T), and physical activity-based interventions. This narrative review provides an overview of studies with a wide range of types of remote mental health support interventions. Each of the forms of intervention analyzed in this review resulted in positive changes in students’ mental health, which indicates hope for widespread help via various forms of intervention implemented remotely.
Successful Practices in Performing and Maintaining Physical Activity in Adults with Type 2 Diabetes Mellitus: A Qualitative Study
Authors: Vilafranca Cartagena Mireia , Arreciado Marañón Antonia , Artigues-Barbera Eva , Tort-Nasarre Glòria
Published: October 2022

Physical activity has proven to be greatly beneficial in patients with DM2. However, few adhere to physical activity recommendations and are motivated to engage in regular physical activity and the numerous interventions conducted to change their habits tend to be unsuccessful in the long term. The objective in this research is to study patients who adhere to physical activity in order to guide patients who have not succeeded in making this change, assisted by the successful tools in the context of community nursing. A qualitative descriptive study was conducted. The sample included 10 patients with type 2 diabetes mellitus who adhered to physical activity in Catalonia, Spain, having been selected using intentional sampling. We recorded semi-structured interviews with the participants and conducted a thematic analysis. Five categories were identified and grouped into two themes: (1) Integrate physical activity as a lifestyle (meaning of DM2 and physical activity, adaptation to change and strategies on a day-to-day basis, physical activity) and (2) Find support to change physical activity (company and personal motivational strategies). In conclusion, a good adherence to physical activity was achieved thanks to motivation maintained over time related to autonomous motivation and the psychological and physiological benefits that physical activity provides patients, external support and encouragement, and the allocation of time to adhere without making great lifestyle changes.
Online Exercise Training Program for Brazilian Older Adults: Effects on Physical Fitness and Health-Related Variables of a Feasibility Study in Times of COVID-19
Authors: da Silva Wagner Albo , Martins Valéria Feijó , Haas Aline Nogueira , Gonçalves Andréa Kruger
Published: October 2022

The COVID-19 pandemic brought negative consequences such as social isolation and limited access to health services, especially for older adults. The objective was to evaluate effects of an online exercise training program and physical fitness and health-related variables on Brazilian older adults during the COVID-19 pandemic and secondarily to assess the feasibility and application of an online program. A study was developed with twenty older adults who participated in a 9-month online exercise program. The physical fitness, depressive symptoms, concern about falling, and quality of life were assessed pre- and post-intervention. One-way repeated measures ANOVA and effect size was used. The feasibility was proven by the adherence to the program, in addition to the absence of identification of adverse effects. The results showed that physical fitness was improved (upper limb strength) or maintained (lower limb strength, lower and upper limb flexibility, cardiorespiratory fitness), as well as for most of the health-related variables (depressive symptoms, concern about falling, and quality of life domains). The study was developed in the first COVID-19 lockdown in Brazil, but positive and important results were obtained. This research supports the feasibility of the online exercise training program and provides a basis for an online exercise program for older adults.
Improved Oxygen Uptake Efficiency Parameters Are Not Correlated with VO2peak or Running Economy and Are Not Affected by Omega-3 Fatty Acid Supplementation in Endurance Runners
Authors: Jost Zbigniew , Tomczyk Maja , Chroboczek Maciej , Calder Philip C. , Laskowski Radosław
Published: October 2022

Peak oxygen uptake (VO2peak) is one of the most reliable parameters of exercise capacity; however, maximum effort is required to achieve this. Therefore, alternative, and repeatable submaximal parameters, such as running economy (RE), are needed. Thus, we evaluated the suitability of oxygen uptake efficiency (OUE), oxygen uptake efficiency plateau (OUEP) and oxygen uptake efficiency at the ventilatory anaerobic threshold (OUE@VAT) as alternatives for VO2peak and RE. Moreover, we evaluated how these parameters are affected by endurance training and supplementation with omega-3 fatty acids. A total of 26 amateur male runners completed a 12-week endurance program combined with omega-3 fatty acid supplementation or medium-chain triglycerides as a placebo. Before and after the intervention, the participants were subjected to a treadmill test to determine VO2peak, RE, OUE, OUEP and OUE@VAT. Blood was collected at the same timepoints to determine eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in erythrocytes. OUE correlated moderately or weakly with VO2peak (R2 = 0.338, p = 0.002) and (R2 = 0.226, p = 0.014) before and after the intervention, respectively. There was a weak or no correlation between OUEP, OUE@VAT, VO2peak and RE despite steeper OUE, increased OUEP and OUE@VAT values in all participants. OUE parameters cannot be treated as alternative parameters for VO2peak or RE and did not show changes following supplementation with omega-3 fatty acids in male amateur endurance runners.
Knowledge, Attitudes and Practices Related to Medication, Antibiotics, and Vaccination among Public Service Population: National Survey Conducted in France
Authors: Lvovschi Virginie-Eve , Carrouel Florence , du Sartz de Vigneulles Benjamin , Lamure Michel , Motyka Geneviève , Fraticelli Laurie , Dussart Claude
Published: October 2022

Medication, antibiotics, and immunization are three major and cost-effective medical interventions but their use is balanced. Knowledge, attitudes and practices (KAP) are a cornerstone. This retrospective study aims at analyzing KAP related to these concerns among the public service population in order to establish the basis for the implementation of selective preventive actions. From a cross-sectional anonymous online questionnaire-based survey among the insurees of a French mutual organization (Union Prévention Santé pour la Fonction publique, UROPS), 33 questions related to medication, antibiotics and vaccination were extracted to evaluate KAP. New variables were constituted: levels of knowledge, antibiotic misuse, proactive behavior and vaccinophobia. Multiple correspondence analysis was performed to identify respondents’ homogenous groups. In addition, bivariate statistical comparisons were provided and logistic regressions were carried out to identify determinants of these new variables. Public service population (workers and retired) were highly exposed to polymedication (8.7% vs. 24.4%, p < 0.0001), hypnotics overtake (24.3% vs. 18.4%, p < 0.0001), and misuse antibiotics (33.2% vs. 22.6%, p < 0.0001) despite good levels of knowledge. Proportions of vaccinophobia was low (0.8% vs. 1.7%, p < 0.0001). However, workers have different KAP than retired, without shared determinants in the 3 health domains studied. Respondents were proactive (85.8% vs. 81.6%, p < 0.0001), used multiple sources of trustworthy information and seems to be ready for the delegation of health tasks. Thus, preventive actions related to antibiotics and polymedication should be a priority in vaccination education for mutual organizations such as UROPS. Studying their insurees longitudinally could be interesting to highlight the impact of selective prevention on behaviors, through trusted health professionals (general practitioners, pharmacists…).
Resting-State Functional Connectivity Impairment in Patients with Major Depressive Episode
Authors: Stoyanov Drozdstoy , Khorev Vladimir , Paunova Rositsa , Kandilarova Sevdalina , Simeonova Denitsa , Badarin Artem , Hramov Alexander , Kurkin Semen
Published: October 2022

Aim: This study aims to develop new approaches to characterize brain networks to potentially contribute to a better understanding of mechanisms involved in depression. Method and subjects: We recruited 90 subjects: 49 healthy controls (HC) and 41 patients with a major depressive episode (MDE). All subjects underwent clinical evaluation and functional resting-state MRI. The data were processed investigating functional connectivity network measures across the two groups using Brain Connectivity Toolbox. The statistical inferences were developed at a functional network level, using a false discovery rate method. Linear discriminant analysis was used to differentiate between the two groups. Results and discussion: Significant differences in functional connectivity (FC) between depressed patients vs. healthy controls was demonstrated, with brain regions including the lingual gyrus, cerebellum, midcingulate cortex and thalamus more prominent in healthy subjects as compared to depression where the orbitofrontal cortex emerged as a key node. Linear discriminant analysis demonstrated that full-connectivity matrices were the most precise in differentiating between depression vs. health subjects. Conclusion: The study provides supportive evidence for impaired functional connectivity networks in MDE patients.
Implementation of the Texas Community-Engaged Statewide Consortium for the Prevention of COVID-19
Authors: Thompson Erika L. , Beech Bettina M. , Ferrer Robert L. , McNeil Lorna H. , Opusunju Jasmine J. , Seguin-Fowler Rebecca A. , Spence Emily E. , Torres-Hostos Luis , Amos Christopher I. , Desai Palak , Vishwanatha Jamboor K.
Published: October 2022

The Community Engagement Alliance (CEAL) Against COVID-19 Disparities aims to conduct community-engaged research and outreach. This paper describes the Texas CEAL Consortium’s activities in the first year and evaluates progress. The Texas CEAL Consortium comprised seven projects. To evaluate the Texas CEAL Consortium’s progress, we used components of the RE-AIM Framework. Evaluation included estimating the number of people reached for data collection and education activities (reach), individual project goals and progress (effectiveness), partnerships established and partner engagement (adoption), and outreach and education activities (implementation). During the one-year period, focus groups were conducted with 172 people and surveys with 2107 people across Texas. Partners represented various types of organizations, including 11 non-profit organizations, 4 academic institutions, 3 civic groups, 3 government agencies, 2 grassroots organizations, 2 faith-based organizations, 1 clinic, and 4 that were of other types. The main facets of implementation consisted of education activities and the development of trainings. Key recommendations for future consortiums relate to funding and research logistics and the value of strong community partnerships. The lessons learned in this first year of rapid deployment inform ongoing work by the Texas CEAL Consortium and future community-engaged projects.
Work, Health, and the Ongoing Pursuit of Health Equity
Authors: Ahonen Emily Q. , Winkler Megan R. , Hajat Anjum
Published: October 2022

The many facets of work, including employment relationships and attendant employment quality, the day-to-day conditions experienced in any given job, and the evolution of one’s working circumstances over time can support or detract from health, and combine in myriad ways to impact worker well-being [...]
Promoting Effective Self-Management of the Gluten-Free Diet: Children’s and Adolescents’ Self-Generated Do’s and Don’ts
Authors: Meyer Sonya
Published: October 2022

Celiac disease (CD) is a chronic health condition treated by managing a lifelong, strict, and demanding gluten-free diet. Managing the diet entails effective use of self-management skills. This study aimed to explore self-generated procedures children and adolescents with CD in Israel perform when participating in food-related activities considering their self-management skills and health requirements. Participants included children and adolescents with CD, aged 8 to 18 years, that had been diagnosed more than 6 months prior to the study. Parents completed a demographic questionnaire and reported their child’s constancy in adherence to the diet. Children and adolescents were asked to share the things they do themselves to prepare for participating in the various activities. Responses were qualitatively analyzed, and common themes were identified and categorized using directed analysis. Participants were 126 children and adolescents (Mage = 12.33 yr, SD = 2.85), 67.5% of whom had been diagnosed more than 3 yr prior to the study. Based on parents’ reports, almost all (97.6%) participants “always adhered” to the diet. A total of 10 categories were defined from the qualitative responses describing 125 do and don’t actions used by the children and adolescents to self-manage their diet. The do and don’t actions encompass cognitive planning far beyond the mere act of avoiding gluten. These actions can serve as an initial database of suggested strategies to support acquiring independent self-management. Understanding the cognitive complexity of routinely carrying out the diet while actively participating in everyday activities can assist health professionals in building support and intervention programs, promoting effective self-management, and facilitating optimal adherence to the diet.
Longitudinal Association of Physical Activity, Mastery and Psychological Distress in Mid-Aged Adults over 9-Years
Authors: Novic Adam , Seib Charrlotte , Burton Nicola
Published: October 2022

Psychological distress is highly prevalent and associated with significant adverse health outcomes and economic burden. Mastery and physical activity are potential resources to reduce distress and promote wellbeing; however, previous research has not examined their potential interactive relationship over time. The purpose of this study was to explore associations between mastery, physical activity, and distress in mid-aged adults over nine years. Data from a longitudinal mail survey study including the Kessler 6, Pearlin Mastery Scale, and items assessing time spent in physical activity were examined in a sample of 4404 adults aged 40 to 54 years at baseline. Group-Based Trajectory Models identified two distinct trajectories of psychological distress (elevated and low). Generalized Estimating Equations were used to assess mastery and physical activity, adjusting for sociodemographic and health variables, as predictors for the probability of distress group membership. The odds of elevated distress over time were significantly reduced in people with higher mastery (OR = 0.13; 95% 0.11–0.15) and doing at least 150 min/week of physical activity (OR = 0.81; 95% 0.68–0.96). There was no significant interaction between mastery and physical activity. Mastery and physical activity may be important resources to mitigate distress and further research is needed to evaluate interventions promoting these resources and the impact on mid-aged adults experiencing psychological distress.
Measuring the Demand Connectedness among China’s Regional Carbon Markets
Authors: Guo Li-Yang , Feng Chao
Published: October 2022

After years of emission trading in segmented pilots, China operates a unified market in the power system and plans to involve more industries in the coming future. The aim of this study is to detect the commonalities of transaction behaviors across China’s regional carbon pilots, so as to provide an empirical basis for a future multi-sectoral expansion of national trading. Based on a dataset of daily trading volume in seven regional markets during 2014–2021, the empirical results from connectedness measures show that the total demand connectedness ranges from 10% to 24%, indicating the existence of interactions among China’s regional markets. This not-so-wide range of fluctuation usually shows a trend of rising first and then falling within each year, during which the upward trend is basically related to the accounting, verification and compliance of allowances. After these time nodes, the total connectedness declines. In addition, the directional connectedness could help clarify the specific roles that regional markets play in the variations of total demand connectedness when facing the shocks of these time nodes. Meanwhile, the frequency decomposition reveals that a longer-term component of more than 10 days dominates the connectedness. Based on these findings, some policy implications are provided alongside.
Identification and Improvement of Hazard Scenarios in Non-Motorized Transportation Using Multiple Deep Learning and Street View Images
Authors: Wang Yiwen , Liu Di , Luo Jiameng
Published: October 2022

In the prioritized vehicle traffic environment, motorized transportation has been obtaining more spatial and economic resources, posing potential threats to the travel quality and life safety of non-motorized transportation participants. It is becoming urgent to improve the safety situation of non-motorized transportation participants. Most previous studies have focused on the psychological aspects of pedestrians and cyclists exposed to the actual road environment rather than quantifying the objective safety hazards, which has led to a non-rigorous evaluation of their basic safety situation. An integrated processing approach is proposed to comprehensively and objectively evaluate the overall safety level of non-motorized transportation participants on each road segment. Our main contributions include (1) the universal approach is established to automatically identify hazard scenarios related to non-motorized transportation and their direct causing factors from street view images based on multiple deep learning models; (2) a seed points spreading algorithm is designed to convert semantic images into target detection results with detail contour, which breaks the functional limitation of these two types of methods to a certain extent; (3) The safety situation of non-motorized transportation on various road sections in Gulou District, Nanjing, China has been evaluated and based on this, a series of suggestions have been put forward to guide the better adaptation among multiple transportation participants.
Clean Household Energy Consumption and Residents’ Well-Being: Empirical Analysis and Mechanism Test
Authors: Ren Pengyu , Liu Xiaoyi , Li Fanghua , Zang Dungang
Published: October 2022

Improving well-being is a critical problem for worldwide social progress. Research on well-being effects of clean household energy consumption is of great significance for the realization of United Nation’s Sustainable Development Goals (SDGs). Due to the multifaceted role of clean household energy in enhancing well-being as a sustainable development goal, it has attracted extensive academic attention and research but still needs to be further refined through new perspectives. This paper uses data from the 2018 China Health and Retirement Longitudinal Study to conduct an empirical analysis of clean household energy consumption and residents’ well-being using an ordered probit model, the instrumental variables method, a conditional mixed process (CMP) method, and a mechanism analysis model. The results show that (1) household clean energy consumption contributes to residents’ well-being, and the results remained significant after selecting “Do you have an electric Bicycle?” as an instrumental variable to address the endogeneity question. (2) According to heterogeneity research, women’s wellbeing is impacted by clean energy consumption in the household more than men’s. Only in rural locations can clean household energy consumption significantly boost well-being; urban and suburban areas are unaffected. (3) In the mechanism analysis, health condition and depression played a mediating role on the impact of clean household energy consumption on well-being, and social contact played a moderating role on the impact of clean household energy consumption on well-being. The findings and policy recommendations in this paper are suggestive of how we can improve the well-being of residents in low- and middle-income countries and provide reference values for research in related fields around the world.
The Association between Body Mass Index and Muscular Fitness in Chinese College Freshmen
Authors: Sun Feng , He Qiang , Sun Xiaohan , Wang Jianxin
Published: October 2022

(1) Background: The present study aimed to investigate the association between body mass index (BMI) and muscular fitness in Chinese college freshmen. (2) Methods: A total of 6425 college freshmen in mainland China were recruited. BMI was classified as underweight (<18.5 kg/m2), normal weight (18.5~23.9 kg/m2), overweight (24~27.9 kg/m2), and obese (≥28 kg/m2), according to the Working Group on Obesity in China. Health-related physical fitness components including cardiorespiratory fitness, lower body explosive power, upper body muscular endurance, abdominal muscular endurance, flexibility, and vital capacity were assessed. Physical fitness index and muscular fitness index were calculated, respectively, as the sum score of the standardized values (z-score) of the corresponding components. Three regression models were used to evaluate the potential associations: a linear regression model, a polynomial regression model, and a restricted cubic spline regression model. Adjust R square was used to compare among models. (3) Results: Significant differences were observed among different BMI categories in nearly all physical fitness components as well as physical fitness z-score and muscular fitness z-score (p < 0.001), regardless of gender. Significant linear associations were found between BMI and physical fitness z-score as well as muscular fitness z-score among total, male, and female groups (p < 0.05). However, the restricted cubic spline regression model showed a better fitting effect (adjust R2 was 7.9%, 11.2%, and 4.8% in total, male, and female for physical fitness and 7.7%, 15.7%, and 4.0%, for muscular fitness, respectively), compared with the linear and polynomial regression models, presented by a higher adjusted R2. Restricted cubic splines analysis showed that BMI value and physical fitness z-score showed a non-linear relationship with an approximate inverted U curve in all groups, while an approximate reversed J-shaped association was observed between BMI and muscular fitness z-score in all groups. (4) Conclusions: The present study showed a nonlinear negative relationship between BMI and physical fitness with underweight and overweight/obese college freshmen having poorer physical fitness and muscular fitness than their normal BMI peers, which may provide useful evidence to the development of public health recommendations and encourage the health management of young adults. Future studies should further explore the relationship between BMI and muscular fitness with multi-centered large sample size studies.
Mental Health and Quality of Life among Dental Students during COVID-19 Pandemic: A Cross-Sectional Study
Authors: Milošević Marković Maja , Latas Milan B. , Milovanović Srđan , Poznanović Sanja Totić , Lazarević Miloš M. , Karišik Milica Jakšić , Đorđević Jana , Mandinić Zoran , Jovanović Svetlana
Published: October 2022

Students are particularly vulnerable from the mental health aspect, which was especially recognized during the COVID-19 pandemic. This study aimed to reveal the impact of COVID-19 on quality of life (QoL) and mental health among dental students. The study was conducted on a sample of 797 students (207 male and 592 female) with an average age of 21.7 ± 2.4, from the School of Dental Medicine, University of Belgrade. The measurements used in the study were the Demographic and Academic Questionnaire, Questionnaire about exposure to COVID-19, COVID-19-Impact on QoL Questionnaire (COV19-QoL), Generalized Anxiety Disorder 7-item (GAD-7) scale, and Patient Health Questionnaire (PHQ-9). The mean total score for COV19-QoL was 2.9 ± 0.9, while the diagnostic criteria of GAD-7 and depression met 19.9% and 31.4% of students, respectively. There was a positive and strong correlation between QoL, anxiety, and depression. During COVID-19, predictors for lower perceptions of QoL were female gender and death of close relatives (p = 0.049, p = 0.005, respectively). At the same time, predictors for GAD were female gender, living in dormitories, and death of close relatives (p = 0.019, p = 0.011, p = 0.028, respectively), while for depression they were year of study, living with parents, and death of close relatives due to COVID-19 (p = 0.012, p = 0.008, p = 0.029, respectively). The study showed that students’ QoL and mental health during the pandemic were at high risk.
Empirical Dietary Patterns Associated with Food Insecurity in U.S. Cancer Survivors: NHANES 1999–2018
Authors: Maino Vieytes Christian A. , Zhu Ruoqing , Gany Francesca , Burton-Obanla Amirah , Arthur Anna E.
Published: October 2022

(1) Background: Food insecurity (FI) is a public health and sociodemographic phenomenon that besets many cancer survivors in the United States. FI in cancer survivors may arise as a consequence of financial toxicity stemming from treatment costs, physical impairment, labor force egress, or a combination of those factors. To our knowledge, an understanding of the dietary intake practices of this population has not been delineated but is imperative for addressing the needs of this vulnerable population; (2) Methods: Using data from NHANES, 1999–2018, we characterized major dietary patterns in the food insecure cancer survivor population using: i. penalized logistic regression (logit) and ii. principal components analysis (PCA). We validated these patterns by examining the association of those patterns with food insecurity in the cancer population; (3) Results: Four dietary patterns were extracted with penalized logit and two with PCA. In the pattern validation phase, we found several patterns exhibited strong associations with FI. The FI, SNAP, and Household Size patterns (all extracted with penalized logit) harbored the strongest associations and there was evidence of stronger associations in those moderately removed from a cancer diagnosis (≥2 and <6 years since diagnosis); (4) Conclusions: FI may play an influential role on the dietary intake patterns of cancer survivors in the U.S. The results highlight the relevance of FI screening and monitoring for cancer survivors.
Serious Injury in Metropolitan and Regional Victoria: Exploring Travel to Treatment and Utilisation of Post-Discharge Health Services by Injury Type
Authors: Keeves Jemma , Gabbe Belinda , Arnup Sarah , Ekegren Christina , Beck Ben
Published: October 2022

This study aimed to describe regional variations in service use and distance travelled to post-discharge health services in the first three years following hospital discharge for people with transport-related orthopaedic, brain, and spinal cord injuries. Using linked data from the Victorian State Trauma Registry (VSTR) and Transport Accident Commission (TAC), we identified 1597 people who had sustained transport-related orthopaedic, brain, or spinal cord injuries between 2006 and 2016 that met the study inclusion criteria. The adjusted odds of GP service use for regional participants were 76% higher than for metropolitan participants in the orthopaedic and traumatic brain injury (TBI) groups. People with spinal cord injury (SCI) living in regional areas had 72% lower adjusted odds of accessing mental health, 76% lower adjusted odds of accessing OT services, and 82% lower adjusted odds of accessing physical therapies compared with people living in major cities. People with a TBI living in regional areas on average travelled significantly further to access all post-discharge health services compared with people with TBI in major cities. For visits to medical services, the median trip distance for regional participants was 76.61 km (95%CI: 16.01–132.21) for orthopaedic injuries, 104.05 km (95% CI: 51.55–182.78) for TBI, and 68.70 km (95%CI: 8.34–139.84) for SCI. Disparities in service use and distance travelled to health services exist between metropolitan Melbourne and regional Victoria following serious injury.
Biomass Smoke Exposure and Atopy among Young Children in the Western Highlands of Guatemala: A Prospective Cohort Study
Authors: Lu Wenxin , Wang Laura Ann , Mann Jennifer , Jenny Alisa , Romero Carolina , Kuster Andrea , Canuz Eduardo , Pillarisetti Ajay , Smith Kirk R. , Balmes John , Thompson Lisa
Published: October 2022

Women and children in rural regions of low-income countries are exposed to high levels of household air pollution (HAP) as they traditionally tend to household chores such as cooking with biomass fuels. Early life exposure to air pollution is associated with aeroallergen sensitization and developing allergic diseases at older ages. This prospective cohort study assigned HAP-reducing chimney stoves to 557 households in rural Guatemala at different ages of the study children. The children’s air pollution exposure was measured using personal CO diffusion tubes. Allergic outcomes at 4–5 years old were assessed using skin prick tests and International Study of Asthma and Allergies in Childhood (ISAAC)-based questionnaires. Children assigned to improved stoves before 6 months old had the lowest HAP exposure compared to the other groups. Longer exposure to the unimproved stoves was associated with higher risks of maternal-reported allergic asthma (OR = 2.42, 95% CI: 1.11–5.48) and rhinitis symptoms (OR = 2.01, 95% CI: 1.13–3.58). No significant association was found for sensitization to common allergens such as dust mites and cockroaches based on skin prick tests. Reducing HAP by improving biomass burning conditions might be beneficial in preventing allergic diseases among children in rural low-income populations.
How Cumulative Statistics Can Mislead: The Temporal Dynamism of Sex Disparities in COVID-19 Mortality in New York State
Authors: Danielsen Ann Caroline , Boulicault Marion , Gompers Annika , Rushovich Tamara , Lee Katharine M. N. , Richardson Sarah S.
Published: October 2022

Overall, men have died from COVID-19 at slightly higher rates than women. But cumulative estimates of mortality by sex may be misleading. We analyze New York State COVID-19 mortality by sex between March 2020 and August 2021, demonstrating that 72.7% of the total difference in the number of COVID-19 deaths between women and men was accrued in the first seven weeks of the pandemic. Thus, while the initial surge in COVID-19 mortality was characterized by stark sex disparities, this article shows that disparities were greatly attenuated in subsequent phases of the pandemic. Investigating changes over time could help illuminate how contextual factors contributed to the development of apparent sex disparities in COVID-19 outcomes.
Sensitivity Analysis of Biome-BGC for Gross Primary Production of a Rubber Plantation Ecosystem: A Case Study of Hainan Island, China
Authors: Liu Junyi , Wu Zhixiang , Yang Siqi , Yang Chuan
Published: October 2022

Accurate monitoring of forest carbon flux and its long-term response to meteorological factors is important. To accomplish this task, the model parameters need to be optimized with respect to in situ observations. In the present study, the extended Fourier amplitude sensitivity test (eFAST) method was used to optimize the sensitive ecophysiological parameters of the Biome BioGeochemical Cycles model. The model simulation was integrated from 2010 to 2020. The results showed that using the eFAST method quantitatively improved the model output. For instance, the R2 increased from 0.53 to 0.72. Moreover, the root-mean-square error was reduced from 1.62 to 1.14 gC·m−2·d−1. In addition, it was reported that the carbon flux outputs of the model were highly sensitive to various parameters, such as the canopy average specific leaf area and canopy light extinction coefficient. Moreover, long-term meteorological factor analysis showed that rainfall dominated the trend of gross primary production (GPP) of the study area, while extreme temperatures restricted the GPP. In conclusion, the eFAST method can be used in future studies. Furthermore, eFAST could be applied to other biomes in response to different climatic conditions.
Application of a Caries Treatment Difficulty Assessment System in Dental Caries Management
Authors: Wei Yu , Wang Jingqian , Dai Dongyue , Wang Haohao , Zhang Min , Zhang Zhigang , Zhou Xuedong , He Libang , Cheng Lei
Published: October 2022

Dental caries is one of the most common chronic diseases caused by progressive bacteria, affecting all age groups. Today, restorative fillings are widely used for dental caries treatment, but the restorative treatment has a high failure rate. Meanwhile, many researchers have discovered the differences of caries risk among populations by using the caries risk assessment and put forward a new standpoint that caries should be treated individually. Therefore, our research group established a Dental Caries Treatment Difficulty Assessment system in a previous study. This time, we combined the caries risk assessment with the caries treatment difficulty assessment, then used Python to design a Dental Caries Management Software. The purpose of this case report is to present a case applying this software in dental caries management and other data collected in Chengdu, China, with this software on the assessment of caries treatment difficulty. Patients with personalized assessment and management can achieve good treatment results, including reducing the risk and treatment difficulty of dental caries. At the same time, other cases show that the software has good application potential in individual management and group information collection. These cases indicate that the software enables dentists to carry out both the risk assessments and the treatment difficulty assessment of patients, and it has the potential as a tool for epidemiological investigation. It also enables dentists and patients to have a basic understanding of the dental health status of patients and create personalized dental caries treatment, so as to achieve the goal of controlling the progression of dental caries and rebuilding the structure and restoring the function of teeth.
The Effect of Educational Expectations on Children’s Cognition and Depression
Authors: Liu Meimei , Zhang Tao , Tang Ning , Zhou Feng , Tian Yong
Published: October 2022

Cognitive and psychological conditions in childhood will have an important impact on adult life. There is relatively little literature on the impact of educational expectations on children’s cognition and psychological health from the perspective of urban and rural differences. Based on the cohort data of the CFPS from 2012 and 2016, this study screened a total of 994 children aged 10–15 to study the effects of parents’ educational expectations and children’s educational expectations on children’s cognition and depression. The results show that both parents’ educational expectations and children’s educational expectations have a positive impact on children’s cognition. Parents’ educational expectations and children’s educational expectations have negative effects on children’s depression. When parents’ educational expectations are greater than their children’s educational expectations, educational expectations have a negative impact on children’s cognition and a positive impact on children’s depression. In both urban and rural samples, parents’ educational expectations and children’s educational expectations have a positive impact on children’s cognition and a negative impact on children’s depression. However, the impact of educational expectations on children’s cognition and depression was greater in rural areas than in urban areas. When parents’ educational expectations are greater than their children’s educational expectations, educational expectations in urban areas have no effect on children’s cognition.