bluuebunny/crossref_metadata_2025_split huggingface dataset:
How can healthcare professionals assist in improving mothers’ health?
Authors: Bord S , Inchi L , Paldi Y , Baruch R , Stolerman E , Schwartz Shpiro M , Ronen S , Eisenberg L , Yaari M 
Published: October 2024

Abstract

Background
Mothers’ health is crucial as it significantly impacts the overall health of their children and families. The first year of motherhood can be especially difficult and can lead to a considerable decline in mental health and well-being. However, studies have shown that these challenges persist throughout early childhood. This study examined the association between mothers’ self-compassion, social support, and self-care behaviors and their physical and mental well-being.

Methods
In August 2023, a survey was conducted among 521 Israeli mothers (437 Jewish and 84 Arab mothers) of children aged three and under. Linear regression models were used to assess the factors that predict the mothers’ physical and mental health. These models explained 11% of the variance in the mothers’ physical health and 39% of the variance in their mental health.

Results
Respondents’ ages ranged from 19 to 48, with a mean age of 31.5 years. Reported physical health was relatively high (n = 442, M = 78.36, SD = 21 on a scale of 0-100). However, the reported mental health was lower (n = 401, M = 65.88, SD = 20.28 on a scale of 0-100). Reported Physical health was found to be higher for Jewish mothers, younger mothers, and mothers with higher income levels. Further, higher social support and higher self-compassion levels were associated with better perceived physical health (Adj R2=0.11, P &lt; 0.001). Mental health was higher for Jewish mothers, younger mothers, and full-time employed mothers. Further, higher social support, self-compassion, and reported self-care were associated with better perceived mental health (Adj R2=0.39, P &lt; 0.001).

Conclusions
Health practitioners who work with mothers of young children should take a proactive approach to helping them establish a nurturing environment, practice self-compassion, and engage in self-care activities.

Key messages
• Encouraging self-compassion and self-care in postpartum mothers is crucial, as it is essential to prioritize the mother’s health alongside her baby.
• Low socioeconomic background and Ethnicity are risk factors for lower physical and mental health after childbirth. Reducing health disparities and targeting these vulnerable populations is crucial.
Barriers and facilitators to remote healthcare services use: perspectives of women and providers
Authors: Khazen M , Yakov G Y 
Published: October 2024

Abstract

Background
The remote health services (RHS) proliferation raises concerns regarding relatively low use among minorities. Arab women in Israel belong to a minority that experiences health disparities, stigmatization, social and economic marginalization. This study aimed to identify barriers and facilitating means to RHS use relevant to Arab women in Israel from the perspective of women, primary care physicians (PCPs), and nurses.

Methods
Semi-structured interviews were conducted with 25 Arab women, 18 PCPs, and 4 nurses from different parts in Israel between December 2023-March 2024. We used a positive deviance approach by interviewing 14 women who succeeded in using RHS and 11 who did not. Interviews were audiotaped, transcribed, and thematically analyzed using Atlas qualitative analysis software.

Findings
The data distilled three main barriers to RHS use: sociocultural- importance of close relations with PCPs, privacy concerns of revealing the body or conversing with unfamiliar physicians, strict supervision by the family (Bedouin society); logistical-limited internet access and infrastructure, personal- unawareness to RHS, digital literacy, normative conceptions of limited quality of care and believing that only some health conditions are suitable for RHS. Facilitating means to RHS use: gender roles-women’s role as family health caretakers, mothers maintaining work-family balance and younger women generation feeling responsible for the older generation RHS adoption, accessibility- wider access to care due to limited transportation.

Conclusions
It is important to identify facilitating conditions (e.g., training opportunities, social, technological support), cultured elements (gender roles, limited mobility), and trust to adopting RHS by minority populations. The study provide data for developing requirements to ensure more equitable access to RHS to Arab women including addressing privacy concerns, guidelines for RHS-related information dissemination, and for RHS providers.

Key messages
• The findings help develop approaches and means to improve RHS use for Arab women from diverse backgrounds by identifying barriers associated with access, culture, and normative conceptions.
• Developing RHS systems into routine care must ensure equitable use across social groups and address economic, logistical, and sociocultural barriers and guidelines for RHS information dissemination.
Identity in the context of physical activity and smoking: A scoping review among adults aged 45+
Authors: Penfornis K M , van Vliet MHM , von Haeseler E F , Gebhardt W A , Meijer E 
Published: October 2024

Abstract

Background
Identity (i.e., self-perceptions of oneself) plays an important role in health behaviors such as physical activity (PA) and smoking. This review offers a comprehensive synthesis and comparison of how PA- and smoking-related identity is associated with PA and smoking behavior in adults aged 45+. It further synthesizes and compares identity terminology and measurement tools used to capture identity concerning smoking cessation and PA among adults aged 45+. Where applicable, the role of personal, PA-, and smoking-related characteristics were considered.

Methods
A thorough search across 11 databases, updated in May 2023, yielded 5801 unique publications. Ensuing careful screening procedures, 45 peer-reviewed empirical studies were systematically reviewed. Experts in the field contributed to validate and structure the narrative.

Results
The review reveals a complex, enduring connection between identity and behavior in both PA and smoking domains, encompassing processes like identity formation, maintenance, change, and loss. In essence, identities linked to PA and abstaining from smoking emerged as pivotal for promoting active lifestyles and successful smoking cessation. Many parallels but also distinctions emerged within this association, alongside variations in the terminology and measurement tools pertaining to identity. Factors such as gender, age, and behavioral history emerged as influential in shaping identities related to smoking and PA.

Conclusions
Despite variances, findings suggest that the relationship between identity and behavior, including associated processes, may not fundamentally differ between health-promoting and health-compromising behaviors. There is however need for more unified identity definitions and measurement tools. We propose avenues for future research, including exploring causality between identity and behavior to facilitate the development of identity-related smoking cessation and PA-promotion interventions.

Key messages
• Identities associated with physical activity and refraining from smoking are associated with a physically active lifestyle and successful smoking cessation.
• Despite differences, the relationship between identity and behavior may not fundamentally vary between health-promoting and health-compromising behaviors.
Developing mental wellbeing promotion practices in Finnish primary schools: The CONSENSUS project
Authors: Nordmyr J , Tuomela S , Forsman A K 
Published: October 2024

Abstract

Issue/problem
Schools constitute a key arena for promoting mental wellbeing among children and adolescents, and the Finnish welfare state has many beneficial structures in place for promoting mental wellbeing in schools. However, as mental health problems are prevalent, the need to advance this work is vital, ideally applying a holistic approach focusing on school-family interaction.

Description of the problem
The Finnish CONSENSUS project (2021-2025) focuses on the development of new practices and collaboration models in mental wellbeing promotion, targeting pupils in 13 primary schools in the Ostrobothnia region. The project answers question such as: What focal areas are prioritized by stakeholders in the development of mental wellbeing promotion in schools? How do participatory principles contribute to the development process and related outcomes?

Results
In 2024, a synthesis of previous project results (interviews, focus groups and longitudinal survey data collected among pupils, school personnel, school health care services and parents) was generated. The synthesis encompasses 20 possible priority areas to focus on in the development of mental well-being promotion actions, which are ranked by stakeholder representatives utilizing Delphi methods. Some pinpointed priority areas are implemented and evaluated in collaboration with self-selected schools during the academic year 2024-2025.

Lessons
Results highlight priorities in the development of mental wellbeing promotion in Finnish primary schools and describe focal areas being piloted, also illustrating opportunities and challenges when implementing participatory principles in action research projects.

Key messages
• Project results highlight prioritized areas in the development of mental wellbeing promotion in Finnish schools, as well as new initiatives currently being piloted.
• The project approach emphasising participatory principles provides lessons for other initiatives focusing on mental wellbeing promotion development in schools.
Pediatric Allergy Management at ULSNE: Insights into Public Health Implications
Authors: Salvador S , Ferreira R , Rosa I 
Published: October 2024

Abstract

Introduction
Pediatric allergies present a complex challenge to public health systems, affecting both policy-making and clinical management. This study explores the management trends and challenges of pediatric allergies at the Unidade Local de Saúde do Nordeste (ULSNE) in Portugal, emphasizing its implications for refining healthcare practices over a seven-year period.

Methods
A retrospective review of medical records was performed, from children aged 0 to 18 who presented with allergic reactions at ULSNE’s emergency services between 2017 and 2023. The analysis concentrated on demographics, allergen types, reaction severity, and the management strategies deployed.

Results
The analysis revealed a wide range of allergens, from food to insect stings, with medication being the most prevalent triggers. Significant findings include observing severe allergic reactions across all age groups, highlighting the need for acute emergency interventions. The data underscores a critical demand for early diagnosis and tailored-made management plans to efficiently handle the diverse severity of allergic reactions observed.

Conclusions
This study demonstrates the complexity of managing pediatric allergies within ULSNE’s public health framework. Standardized, evidence-based management methods should be adopted to strengthen emergency response capabilities, as shown by the frequency of severe responses and the prevalence of various allergens. As an outcome, our results support a comprehensive, interdisciplinary strategy that includes medical personnel, educational institutions, and family involvement to create a supportive community that is supportive of both immediate care and long-term preventive measures. Subsequent efforts should give precedence to educational programs designed to increase consciousness and encourage preventive measures in community environments.

Key messages
• A rapid response is essential for healthcare systems to have fast, effective strategies ready for children’s severe allergic reactions.
• Emphasizes a collective approach involving healthcare workers, schools, and families to prevent and manage children’s allergies, enhancing safety and awareness.
Surfing a culturally-relevant physical activity: a new wave for health promotion
Authors: Sentell T , Thompson M , Phillips M , Schmid S , Look M , Saiki K , Rodericks R , Hoo C Soo , Weldon R , Pirkle C 
Published: October 2024

Abstract

Background
Surfing originated with Native Hawaiians prior to Western contact. It has since gained worldwide popularity, with an estimated 50 million surfers globally, and recently became an official Olympic sport. Associations have been reported between surfing and mental and physical health outcomes, greater community cohesion, and stronger intra-family relationships. Despite this evidence, surfing is deeply understudied in the context of health promotion.

Purpose
Surfing was analyzed from a mixed methods perspective to explore factors associated with lifetime participation and current engagement, including gender, race/ethnicity, chronic disease, social context, meaning, and average time of participation.

Methods
Hawai’i adult residents (n = 1066) completed an online or phone questionnaire. Modified Poisson regression models were fit for lifetime engagement and having a self-reported chronic disease, adjusting for primary race/ethnicity, age, gender, and education.

Results
Over their lifetime, 42% of respondents (50% men and 37% women) had participated in surfing. Engagement was highest during youth and young adulthood, and decreased with age, yet trends varied notably by race/ethnicity, gender, and generation. Lifetime surfing engagement was significantly related to lower likelihood of diabetes (aPR:0.72; 95%CI:0.56-0.92;p=0.009). Individuals who regularly participated in surfing typically did so with friends (78%) or family (61%); average surfing session duration was 209 minutes. Qualitative results revealed the relevance of surfing across levels of influence for health and wellbeing from physical fitness to community, culture, history and spirituality.

Conclusions
This work provides insights on the health promotion opportunities of surfing across the life-course and populations, including disease prevention and management. This study has implications for planning and policy locally and globally to achieve optimal community and planetary health.

Key messages
• Surfing is not only a sport for elite athletes, but also an activity that can support community and individual health and wellbeing in many populations over the lifespan.
• Promotion of surfing and public ocean access can support multidimensional influences for wellbeing and should be a focus of cross sector collaborations for optimal community and planetary health.
Promoting active ageing: The positive impact of older people’s participation in Urban Gardens
Authors: Fernández Salido N , Gallego Valadés A , Serra Castells C , Garcés Ferrer J 
Published: October 2024

Abstract

Background
The socio-health and economic consequences of the progressive population ageing constitute a global challenge for public health, which is committed to the promotion of active and healthy ageing as a strategy to mitigate these consequences. The European project U-GARDEN has evaluated from a comprehensive and innovative approach the impact of urban gardens on the promotion of active ageing through the participation of older people in urban agriculture.

Methods
A qualitative methodology was designed and implemented in order to analyse the information provided by people over 65 years of age, who actively participated in urban gardens, from a personal and subjective perspective through semi-structured in-depth interviews. The benefits obtained from participation in urban gardens were analysed, considering the different dimensions that make up the paradigm of active ageing: physical, psychological, economic, health, behavioural and personal impact. A total of 20 interviews were used to reach the saturation point.

Results
Qualitative analysis showed multiple benefits of active and healthy aging. Participants reported increased physical activity and psychosocial improvements such as higher personal satisfaction, reduced stress, and enhanced self-esteem, strengthening community connections and fostering a sense of belonging. Economically, they reported savings on food costs and increased food security. Overall, respondents noted improvements in general health and quality of life, highlighting urban gardening as valuable for well-being and social-economic integration.

Conclusions
The findings reported in the framework of the U-GARDEN project support the importance of implementing innovative strategies that encourage participation in urban gardens as a tool to improve the overall wellbeing and health of older people, effectively addressing some of the main challenges of ageing such as loneliness unwanted frailty and disability.

Key messages
• The U-GARDEN project is an example of good practice in the use of urban gardens as a platform for promoting active and healthy ageing.
• The promotion of green spaces through the establishment of urban gardens should be considered by health and political authorities for their ability to promote the general well-being of society.
Factors associated with use of active transport in users of HEVS Program of Ministry of Sports
Authors: Castro Ramírez C , Mendoza D , Triana-Reina H R , Gálvez A , Ruiz N , Leandro R , Díaz del Castillo A , Saenz N , Serrato J , Sánchez Revilla J 
Published: October 2024

Abstract

Background
Sedentary behavior and physical inactivity are associated with an increased risk of chronic disease and mortality. Studies have shown the benefits of active transport to reduce NCDs. In Colombia, studies have been developed to determine the factors associated with the use of active transport, in cities such as Bogota but not nationally, therefore, this study seeks to determine the factors associated with the use of active transport in users of the National Program of Habits and Healthy Lifestyle (HEVS) led by the Ministry of Sport of Colombia in partnership with municipal sports and departmental.

Methods
The research presented a quantitative approach on a retrospective basis. The population consisted of 75,086 users of the HEVS program in 2019, over 18 years old (average = 44.04 and D.E. = 15.75 years old) of which 87.7% were women. For the statistical analysis a forward logistic regression model was carried out, with the dependent variable: active transport use (0 = no active transport use and 1 = active transport use).

Results
41.6% of 75086 participants reported using active transport, corresponding to 31,211. Regular users, who attend physical activity programs 3 times a week, report a higher probability of using active transport OR = 1.38 (95% CI 1.31 to 1.45), compared to those who attend less than 3 times a week. Being female represents a greater probability of using active transport compared to men, OR = 1.39 (95% CI 1.32 to 1.47), those who add salt to food are also more likely to use active transport than those who do not add, OR = 2.04 (95% CI 1.92 to 2.26) and in terms of physical activity, those who meet the minimum recommendations in minutes a week use active transport more likely than those who do not comply, OR = 1.49 (95% CI 1.4 to 1.6).

Conclusions
Using active transport is associated with greater compliance with weekly physical activity recommendations. Women are more likely to use active transport just like people who add salt to food.

Key messages
• In order to reduce NCDs in the Colombian population, walking or cycling is proposed because it is associated with a greater probability of compliance with weekly physical activity recommendations.
• Formulating public policies in Colombia that encourage the use of active transport would contribute to meeting weekly physical activity requirements.
Visualizing patterns of factors influencing school health promotion implementation
Authors: Sterr K , Butscher F , Blaschke S 
Published: October 2024

Abstract

Background
The school setting offers a special opportunity for health-promotion (HP) interventions, as children spend 1/3 of their daily time there. Yet, implementing HP remains challenging due to the complexity of schools and unique contextual factors influencing implementation. While common influencing factors have been described, the aim of this study is to explore how influencing factors co-occur within and vary across schools, forming potential patterns of barriers and facilitators.

Methods
As part of a school HP program involving 258 institutions across Germany, nine schools were selected using maximum heterogeneity sampling for in-depth interviews on influencing factors by employing the Consolidated Framework for Implementation Research (CFIR). The interviews were transcribed verbatim and analyzed deductively using the CFIR as category system. Identified influencing factors were quantified [-5; +5] whether being a major barrier (-5) or a major facilitator (+5). To visualize potential patterns, a matrix heat map (MHM) displaying all influencing factors across all schools was created.

Preliminary results
Influencing factors in almost all CFIR categories were identified and all schools reported factors as barriers, such as parental engagement or (in)sufficient time. From the MHM, patterns of influencing factors, co-occurring within and differing across schools, emerged. For instance, some schools found the physical environment to be a barrier, while others considered it a facilitator, often in conjunction with financing as another facilitator.

Conclusions
Qualitative analysis and visualization of results with a MHM served as a way to navigate the complexity of the school setting and to highlight patterns of factors influencing implementation. Understanding these patterns can enhance tailoring implementation strategies, thereby improve implementation of school HP interventions and, ultimately, foster child health outcomes.

Key messages
• Influencing factors for school HP implementation manifest in varied patterns of barriers and facilitators across schools, which has implications for tailoring implementation strategies.
• Using qualitative analysis guided by the CFIR and a MHM for visualization can aid in navigating the complexity of schools.