bluuebunny/crossref_metadata_2025_split huggingface dataset:
The women in situation of gaslighting – risk identification in the work environment
Authors: Dimitrova D 
Published: October 2021

Abstract

Background
As a contemporary form of “workplace harassment' (WH) is reported gaslighting. Preston Ni, defines it as ‘A form of constant manipulation and brainwashing…' The phenomenon is presented as mainly affecting the woman in the workplace. The aim of the study is to determine and identify the risk of subjecting a woman in the workplace in Bulgaria to this form of psychological pressure gaslighting, in favor of building a risk reduction program cause.

Methods
Empirical sociological research (ESR) among working women for period of 10 years in Sofia (around 2 million citizens), Bulgaria. An anonymous survey of 2,000 working women between the ages of 30 and 65 was conducted. The questionnaire of the respondents with only more than 5 years of work experience are included.

Results
Of the surveyed 25% are between 30-40 years, about 47% are 41-50 years, about 25% are 51-60 years and about 3% are 61-65 years. The result of the study indicates that mostly women between 41 and 50 years are subjected to psychological pressure by a man at work (about 45%), about 15% - are 51-60 years, only about 5% of women 31-40 years, and less 2% over 61. All of them are described as introverted. Mostly women with a high level of education have remained mentally resistant to gaslighting - about 35% of respondents, and less than 5% of them have shown higher creativity against the background of psychological pressure. In almost 1/3 of those subjected to prolonged mental harassment, were diagnosed for the first time, including: Hashimoto's thyroiditis (5%); arterial hypertension (about 10%); ischemic disease (about 15%). Half of them are presented with depression.

Conclusions
Gaslighting is a hidden psychological violence against a female person based on hate speech and demonstration of power. Gaslighting is defined as a real risk among women, mostly of the introverted type. Emotional plasticity based on knowledge and smart has a positive effect in situation of gaslighting.

Key messages
Gaslighting can lead to lack of confidence, clinical depression, distress and related physical illnesses. Early risk detection provides advantages for early reduction and optimization of the corporate culture of the department and the institution and in favor of building a risk reduction program.
Burnout among health care workers during COVID-19 pandemic: prevalence and risk factors
Authors: Maamri H , Ben Ayed H , Ben Hmida M , Baklouti M , Ktata N , Yaich S , Feki H , Damak J 
Published: October 2021

Abstract

Introduction
During COVID-19 pandemic, health-care workers (HCW) have been exposed to multiple psychosocial stressors. Although the problem of burnout, which overlaps with the symptoms of depression, remains urgent, few studies have addressed it comprehensively. The objective of this study was to determine the prevalence and the factors associated with burnout among HCW.

Methodes
We conducted a cross-sectional study on March-April 2021 using a self-administered questionnaire distributed to HCW who were involved in COVID-19 management patients. The 22-item Maslach burnout inventory was performed to measure the prevalence of burnout defined as follows: high score of emotional exhaustion (≥27) plus high score of depersonalization (≥13) or low score of personal accomplishment (≤31).

Results
Overall, 250 HCW were included in this study. The sex ratio was 0.17. Their median age was 34 years (interqurtile range (IQR) = [30-40 years]). The average number of work experience was 11.1±3.4 years. There were 46 cases (18.4%) with a chronic disease. Among the study population, 131 HCW (51.4%) were infected with covid-19. The overall burnout prevalence was 45.6%. Female gender (Odds ratio (OR)=4.3; p &lt; 0.001) and unmarried status (OR = 3.3; p &lt; 0.001) were statistically associated with burnout. Participants in the burnout group had statistically higher number of working hours per day (≥6 hours) (OR = 3.2; p = 0.003), of night shifts per week (4±1 vs 3±1; p = 0.04), but lower number of working experience years (7±0.6 vs 12±1; p = 0.017). History of chronic diseases (OR = 1.8;p=0.021), witnessing a COVID-19 death while working (OR = 3.1; p &lt; 0.001) and suffering from sleep deprivation (OR = 1.9; p = 0.034) were statistically more frequent in the burnout group of HCW.

Conclusions
The findings of this study indicated that the burnout syndrome was highly prevalent among HCW. More psychological support should be provided for this population in order to provide a high-quality of care for patients.

Key messages
Highly prevalent of burnout syndrome. Psychological support should be provided.
Digital screening tool (Health Catch-UP!) to promote multi-disease screening in migrants
Authors: Hargreaves S , Carter J , Knights F , Deal A , Goldsmith L , Crawshaw AF , Hayward S , Zenner D , Wurie F , Hall R 
Published: October 2021

Abstract

Background
The ECDC has called for innovative strategies to deliver multi-disease screening (TB, LTBI, HIV, hepatitis B/C, Chagas, Strongyloidiasis and schistosomiasis) and catch-up vaccination (MMR, DTP) to adult migrants within the primary care context. We did a UK i qualitative study to explore current practice and seek views on a novel integrated digital tool to support delivery of screening recommendations for migrants https://emishealth.vids.io/videos/a49ad1bb1a18e4c72c/health-catch-up-with-requested-edits-mp4).

Methods
Phase 1 was conducted via telephone with clinical primary care practitioners (PCPs) (phase 1) and informed data collection and analysis for phase 2 with administrative staff. Data were analysed iteratively, informed by thematic analysis (Ethics no.20/HRA/1674).

Results
64 participants were recruited in Phase 1 (25 general practitioners [GPs], 15 nurses, 7 healthcare assistants, 1 pharmacist); Phase 2 comprised administrative staff (11 Practice-Managers, 5 receptionists). There was lack of consistency in delivery of screening and vaccination. Most GP practices adopted a practice-specific approach, or had no system in place; screening only for HIV and hepatitis B/C. Barriers to screening were perceived lack of knowledge/training and limited financial resources. Facilitators included having an infectious disease/migrant-health champion, incentivisation, and clear protocols. Participants responded positively to the integrated Health Catch-UP! tool, confirming that it would increase screening and vaccination, reduce missed opportunities for preventative healthcare, and raise awareness of migrant health.

Conclusions
Infectious disease screening and catch-up vaccination is not currently delivered well in primary care in high-migrant receiving European countries. Innovative digital tools like Health Catch-UP! could aid clinical decision-making and facilitating improved health outcomes for migrants. Further work is needed to evaluate this intervention.

Key messages
Infectious disease screening and catch-up vaccination is not currently delivered well in primary care in high-migrant receiving European countries. Innovative digital tools could aid clinical decision-making and facilitating improved health outcomes for migrants.
Assessment of the Relationship between Religious Officials' Vaccine Acceptance and Health Literacy
Authors: Caliskan Pala S , Ocal EE , Arslan Torba T , Ay A , Onsuz MF , Metintas S 
Published: October 2021

Abstract

Background
Vaccination, which is the most effective protective measure from infectious diseases, has not been able to achieve the desired success in recent years.Religious officials, who have an important effect on the community, can play an important role for the vaccine acceptance. The study was aimed to assesment of vaccine acceptance and health literacy(HL) among religious officials.

Methods
This cross-sectional study, 72%(n = 328) of the religious officials in the city were reached. The questionnaire consisted of sociodemographic characteristics, Vaccine Acceptance Instrument (VAI) and Chew Health Literacy Scale(CHLS) which was developed by Sarathchandra et al. The instrument,which language validity and reliability were made by the researchers, consisted of 16 items and one dimension. The Cronbach alpha coefficient was 0.841. The cut off score the scale was determined by ROC analysis according to the variable of getting vaccinated. Those who scored above 54 points were determined as those who accepted the vaccine. It is accepted that HL decreases as the score on the CHLS increases.

Results
The mean age(SD) study group was 41.9(9.2), and the 76.8% were male. The vaccine acceptance frequency of religious officials was 58.8%. The CHLS score was lower in those who accepted the vaccine(p = 0.001). The HL level of 43.9% was below the mean score. 33.8% of the study group reported that they were advising the community about vaccination. According to multiple logistic regression analysis, vaccine acceptance was 2.16(OR;95% CI,1.15-4.08) higher in males, 3.01(1.73-5.25) higher who had information, 6.14 times(1.57-23.94) higher who had their children vaccinated, and 0.8 times(0.74-0.91) lower with who had low HL.

Conclusions
Vaccine acceptance among religious officials was found to be insufficient. The frequency of vaccination acceptance was higher in male, those who had high knowledge about the vaccine, those who had their children vaccinated, and those with high HL.

Key messages
Increasing the acceptance of vaccines among religious officials is an important issue as it affects the community. It would be beneficial to increase their knowledge level on this issue. Health literacy is important in increasing the acceptance of vaccines among religious officials as it affects the community.
Exploring children breakfast habits using Zoom8-questionnaire: Results from the I-MOVE Study
Authors: Scrimaglia S , Esposito F , Sanmarchi F , Marini S , Masini A , Melis A , Sacchetti R , Dallolio L 
Published: October 2021

Abstract

Background
Scientific evidence widely argues that consuming breakfast daily is considered a good habit which positively affects health and academic performance, especially in children. In order to be adequate, according to national requirements, breakfast should include a portion of milk or yogurt and one grain based product, providing about 15-20% of the daily recommended energy intake. The aim of this study was to analyse breakfast habits in a convenience sample of primary school children inside the Imola Active Breaks Study.

Methods
A cross-sectional study was conducted in a sample of children, aged 6-10, recruited in a primary school of Imola (Emilia Romagna region, Italy). The Zoom8 self-reported questionnaire, which investigates dietary habits and lifestyle aspects were administered to parents to explore the children's breakfast habits.

Results
A total of 155 children were recruited in November 2019. Breakfast was consumed daily by 117 children (75%), 4-6 times/week by 12 (7%), 2-4 times/week by 4 (3%), and 22 (14%) did not answer. Concerning dairy products' consumption: 50 (32%) children reported milk or yogurt, 47 (30%) milk, 6 (4%) yogurt, 9 (6%) neither of them and 43 (28%) gave no answer. Mostly all the children consumed at least one of these products: biscuits, cakes, croissants, industrial snacks or cereals. 108 children (70%) recognised that the consumption of a dairy and a carbohydrate product represent an adequate breakfast.

Conclusions
The findings suggested that the majority of children consumed one grain based product for breakfast, but most of them were high in sugar and fat content (industrial snacks and croissants). Still not every child had breakfast daily nor had a portion of a dairy product. Measurements should be taken to avoid skipping breakfast and to promote a more balanced breakfast. It would be advisable to analyse in detail the frequency of consumption of each food group and their energy intake.

Key messages
Breakfast consumption positively affects children’s health and academic performance. Health Promotion should stimulate daily consumption of breakfast and improve its quality and energy intake.
Health behavior in adolescents from different ethnic groups in the Municipality of Plovdiv, Bulgaria
Authors: Petrova G , Merdzhanova E , Lalova V , Angelova P , Raycheva R , Boyadjiev N 
Published: October 2021

Abstract

Background
The health behavior of modern adolescents is manifested by reduced motor activity. The aim of the present study is to analyze the attitude of adolescents to sports outside of school, as a preventive measure to limit their motor inactivity.

Methods
About 185 adolescents (11-15 years old) from three different ethnic groups in the period of May 2019 - July 2019, have been studied. Also have been developed and used specifically for this purpose an author's questionnaire for students, which contains open, closed, and mixed questions. For the statistical processing, we have used the data analysis software IBM SPSS Statistics v. 25.

Results
Approximately 2/3 of the surveyed boys from the three ethnic groups play sports outside of school. The girls playing sports out of school are mainly of Bulgarian ethnicity 52.27% and in less than Turkish 28.57% and Roma 23.08%. As the most common reason for not playing sports outside of school, the teenagers point out that there is no one to take them and to pick them up after training, especially for girls of Roma 45.45% and Turkish origin 33.33%. Although the distributions of values across children who have a computer or other electronic device (electronic game, smart phone) and who play sports outside of school are not equally likely (Related-Samples McNemar Change Test = 72.01, p = 0.000), the difference between proportions are not that high - 100% (n = 106) own device/s and play sports vs 93.7% (n = 74) own device/s and do not play sports. The distributions of values across children who play sports outside of school and the place where they spend the most time in front of a computer are not equally likely (Related-Samples McNemar Change Test = 47.71, p = 0.000).

Conclusions
Modern adolescents spend most of their time in front of digital devices, which is a prerequisite for reducing their physical activity.

Key messages
Encouraging sports outside of school is a factor for increasing physical activity in adolescents. The promotion of health in the family forms healthy behavior in adolescents of different ethnicities. Acknowledgments: This study was supported by Medical University of Plovdiv, Bulgaria, Project HO-12/2019.
A rapid review of factors influencing food decisions among economically disadvantaged families
Authors: Ravikumar D , Spyreli E , Woodside J , McKinley M , Kelly C 
Published: October 2021

Abstract

Introduction
The importance of external and household family food environments in establishing healthy eating habits during childhood is well reported. Deprived areas are at a nutritional disadvantage due to the high prevalence of fast food outlets and convenience stores. Little is known about the impact of food environments on food-related behaviours of low-income families. This rapid review aimed to synthesise available qualitative evidence on parental perspectives of environmental factors that influence food planning, purchasing and processing among economically disadvantaged families with children.

Methods
This review included qualitative and mixed-methods studies published after 2000 from Europe, North America and Oceania. Search strategies included seven concepts: family, food, perceptions, influences, environment, socio-economic status and study type. Thematic synthesis was employed.

Results
Fourteen articles from the USA, Australia and the UK remained following screening by two reviewers. All parents had a desire to provide healthy food for their children, but they were impeded by child food preferences and beliefs about food behaviours and nutrition. In the external environment, food outlets/availability, cost and marketing influenced food choices amongst parents. Social determinants had a dominant negative influence on food decisions, including hectic daily schedules and time constraints and most importantly limited finances. Social support and support from nutrition programmes and cooking interventions had a positive influence on family food decisions.

Conclusions
This synthesis of qualitative evidence highlights the challenges and opportunities that low-income parents face to feed their families. Improvements in parental food choices and feeding behaviours can only be improved if inequities in health, such as access to affordable healthy food, are addressed.

Key messages
This review concluded that income, time constraints, food cost and limited food availability/outlets can have a negative effect on family food decisions. Social supports such as cooking programmes play a positive role in ensuring healthy food options for families.
Health and economic impact of a food substitution in the Portuguese diet: methodology overview
Authors: Morgado JN , Sousa Guerreiro C , Peixoto J , Monteiro Pires S 
Published: October 2021

Abstract

The Portuguese Food Based Dietary Guidelines (FBDG), namely Food Wheel Guide, as well as the National Food, Nutrition and Physical Activity Survey 2015-2016, advise the Portuguese population to substitute animal protein for vegetable protein. At the same time, 10,1% of the Portuguese families suffered from food insecurity issues, mainly due to lack of financial resources. This study will be the first to investigate the possibilities of associating the health impacts of different risks and benefits through a Risk-Benefit Assessment (RBA) with different methodologies that estimate the economic sustainability of substituting unprocessed red meat by legumes produced in Portugal, e.g. beans and chickpeas in the Portuguese population. An overview of the current Portuguese diet as well as a literature review of the RBA methodology was performed, with specific reference to substitution studies, as means of promoting healthy and sustainable diets. For a socio-economic analysis, relevant literature of specific authorities (FAO, EFSA, ECDC), and published studies (Public Health and Environment institutes), was evaluated and the different methodologies, such as the Willingness To Pay (WTP), behavioral economics and a cost analysis were compared amongst them as to their advantages and disadvantages. From the literature review it can be concluded that not only income or food prices are the only factors that explain food choices. However, if healthier diets are proved to be unaffordable for many people's households, especially the Portuguese families, then nutrient adequate consumption dietary patterns will not improve, even in their lowest prices form, with nutrition education and behavioral change. This way, associating a RBA with a cost analysis is a valuable approach to evaluate the health impact in relation to the cost of substituting red meat for legumes in a household, giving estimates that support policies that promote nutritious foods for all.

Key messages
Advocate for the substitution of red meat for legumes in the Portuguese population, expected to be both more environmentally-friendly and healthier. Investigate the costs (affordability) of this substitution in the Portuguese households while advocating for healthier foods: methodological overview.
The development of a quality-assured action model for municipal health promotion
Authors: Tollmann P , Dieterich S , Kuchler M , Leimann J , Mielenbrink V , Terhorst S , Quilling E 
Published: October 2021

Abstract

Background
The creation of health-promoting living environments is a key strategy in order to minimise health inequalities, which have been increasing recently. Health promotion in municipalities offers many approaches in this context and is gaining importance on an international level. To structure the process of municipal health promotion, the aim of this research was to create a basis for action and to define requirements in the process.

Methods
A systematic literature research on models, approaches and tasks for health promotion in municipal settings was conducted in five databases such as Web of Science and EBSCOhost, and was supplemented by a manual search. All hits were filtered using inclusion and exclusion criteria. The design and presentation of the results were prepared based on the method of the Integrative Review.

Results
262 publications were screened, sixteen of which were considered for analysis. On this basis, an action model for municipal health promotion was developed. It consists of four phases: Network Planning and Modification, Municipal Profiling, Municipal Strategy Development, Implementation and Evaluation. Other important identified aspects during the process are participation, project and network management, communication, evaluation and quality assurance.

Conclusions
The action model structures tasks and requirements in the process of municipal health promotion. The evidence also shows the importance of central coordination in municipal health promotion, which can be structured by the action model. The created model provides a new framework for a quality-assured and sustainable process and for a central coordinated municipal health promotion.

Key messages
Municipal health promotion should increasingly be established. Thereby, the adherence to a systematic, quality-assured process is important.
Occupational risk perception in Health Education and Research: Better knowledge, better prevention
Authors: Madaleno P , Sousa-Uva A 
Published: October 2021

Abstract

Background
Workers of Biologic Sciences and Health, in the exercise of their occupational activities, are exposed to several occupational hazards.

Objective
To identify the occupational hazards and risks of occupational and “work-related” diseases in a Public Health Education and Research Institution located in Lisbon (Portugal).

Methods
Descriptive study carried out by applying a structured questionnaire to collect information regarding the perception of exposure to occupational hazards, risk perception (cognitive and emotional) and sociodemographic and occupational variables.

Results
95% of workers report exposure to at least one occupational hazard. Exposure to risk factors related to the activity or ergonomic (74%) was reported by all professional categories and work areas. Exposure to physical hazards were perceived by 60% of workers and mainly in laboratory work (78%). Exposure to microbiological agents (51%) and chemical substances (49%) is perceived mainly by professionals who work in the laboratory with 81% and 82%, respectively. Psychosocial risk (33%), mainly career progression, were reported by 84.6% of professionals at general services and by 79% in teaching. However, workers have difficulty perceiving occupational risk, since only 15% of participants considered the probability of having an occupational accident to be high, 15% of acquiring an acute illness and 25% a chronic disease. About 45% of workers were not concerned with the severity and implications of the accident or illness in their lives. Differences were identified in the characterization of risk perception considering the work area and antiquity time in the institution.

Conclusions
Understanding workers occupational risk perception is an indispensable condition for an effective occupational risk management. Only in this way is it possible to define health surveillance protocols and planning effective preventive and health-promoting measures at work on an individual and or collective level.

Key messages
Occupational risk perception evaluation is essential to define health surveillance protocols and planning effective preventive and health-promoting interventions at work. More studies about hazards and risk perception in Health Education and Research is necessary to the definition of adequate preventive policies to improve the protection of their workers’ health.