bluuebunny/crossref_metadata_2025_split huggingface dataset:
Arts and Mental health
Authors: Lindert J 
Published: October 2024

Abstract
Art includes performing arts, visual arts, literature, culture, and online/digital products. Its interventions are multimodal, combining a variety of activities, such as evoking emotions, emotional and cognitive stimulation, and imagination. Depending on the type of art, they may also involve social interaction, physical activity and communication. There is a large body of research suggesting that art engagement can enhance different dimensions of mental well-being (eudaimonic well-being, life satisfaction, evaluative well - and positive emotions). Some or all of these benefits have been found in individuals who participate in art activities. Based on these findings, art on prescription has been used in some European countries, including the United Kingdom, and Scandinavian countries. Art on prescription is mostly delivered in partnership with art organizations. The aim of this talk is give an overview on art on prescription in different countries in Europe and enhance understanding of the mechanism for whom art on prescription is a promising intervention in the field of mental health. Building on the mapping and review of reviews challenges of art interventions will be discussed such as study design or evaluating effectiveness and identifying population groups for whom art interventions work best.
Exploring the Relationship Between Health Literacy and Alcohol Consumption Patterns in Tuscany
Authors: Zanobini P , Parsa N , Bonaccorsi G , Minardi V , Possenti V , Masocco M , Garofalo G , Mereu G , Cecconi R , Lorini C 
Published: October 2024

Abstract

Introduction
Alcohol consumption is a prevalent aspect of social and cultural life worldwide. However, high and binge consumption has become a significant public health concern. Inadequate health literacy (HL) may contribute to poor awareness and/or knowledge regarding the risks of alcohol-related behaviors. However, to date, only a few studies have examined the relationship between HL and different types of alcohol consumption. This study aimed to investigate the relationship between HL, other sociodemographic determinants, and their influence on high and binge consumption among the general population aged 18-69 in Tuscany.

Methods
The study analyzed data from 2017 to 2022 from a Tuscan population subsample in the Italian Behavioral Risk Factor Surveillance System PASSI. HL was assessed using the Italian version of the six-item European Health Literacy Survey Questionnaire (HLS-EU-Q6).

Results
Among the 12,953 interviewees, binge drinking was reported by 8.3%, while high consumption by 3.6% of the entire sample. In the multivariate logistic regression, participants aged between 50 and 69 years with problematic or inadequate HL levels had an increased adjusted odds ratio for high alcohol consumption. Instead, females, individuals older than 34 years, and those of foreign nationality had a reduced odds ratio for binge drinking. Low HL was a predictor of high alcohol consumption but not of binge drinking.

Discussion
As expected, young males are more likely to engage in binge drinking, while older individuals are more likely to have high consumption. In a challenging period for healthcare system sustainability, it is mandatory to use economic resources efficiently and target the right population with tailored interventions: given that HL impacts on high consumption, research and policy should focus HL interventions specifically on high alcohol consumers. Conversely, educational campaigns aimed at increasing HL in binge drinkers risk to have a lesser impact.

Key messages
• Health literacy does not influence binge drinking.
• Inadequate levels of health literacy predict high alcohol consumption.
Living with Dementia: exploring the challenges and needs of informal Dementia caregivers in Portugal
Authors: Lopes H , Hermenegildo C 
Published: October 2024

Abstract

Background
Dementia profoundly impacts not only those diagnosed but also their informal caregivers. The Nova Center for Global Health at NOVA-IMS, in collaboration with the Alzheimer Portugal Association, embarked on a comprehensive study to explore the various aspects of daily life that affect informal caregivers of people with dementia in Portugal. Understanding these impacts is important for developing targeted interventions that address the caregivers’ needs effectively, particularly given the current lack of research on informal dementia caregivers.

Methods
The study utilized a crafted survey developed through initial scripting on key topics identified by informal caregivers and validated by experts on dementia. This phase was followed by a series of in-depth interviews with professionals in neurology, psychology, and social work, as well as with the caregivers themselves. The final survey was distributed among members of the Alzheimer Portugal Association and other volunteers, resulting in 305 valid responses.

Results
Preliminary findings reveal significant emotional, physical, and financial challenges faced by caregivers, underlining the diverse needs across 14 key areas of their lives. The study highlights specific areas where support is lacking, providing a grounded basis for developing more effective support mechanisms.

Conclusions
The ‘Living with Dementia’ project underscores the complex reality faced by informal caregivers. It calls for innovative, practical solutions that can alleviate the burden on these caregivers and improve their quality of life. By addressing the specific needs identified through this research, policy-makers and support organizations can better tailor their interventions to help those at the front lines of caregiving in dementia.

Key messages
• Informal caregivers of people with dementia face challenges that necessitate a comprehensive understanding to tailor effective support systems.
• Interventions are needed that address the emotional, physical, and financial hardships caregivers face, improving their overall well-being and capacity to care.
Health and well-being during the pandemic: views and support needs of older adults who lived alone
Authors: Besselink D , Schaap F , Geleen SJG , van der Lucht F , Sealy M J , Jager-Wittenaar H , Finnema E J 
Published: October 2024

Abstract

Background
Physical and social distancing measures during the COVID-19 pandemic had the potential to jeopardize health and well-being of older adults. Especially older adults who lived alone faced challenges due to restrictive COVID-19 measures. In this study, we explored views and support needs to maintain health and well-being of older adults living in a single household during the COVID-19 pandemic.

Methods
We employed an interpretative phenomenological analysis, including twenty semi-structured interviews with older adults (≥65 years old) living in single households during the pandemic. Interviews were conducted between June and September 2021, audio-recorded and lasted approximately one hour. Data analysis was guided by the heuristic framework of Smith et al. Trustworthiness of the study was enhanced through bracketing and multiple interdisciplinary moments of revision of the data analysis.

Results
The views and support needs of participants to maintain health and well-being during the pandemic were captured in three overarching themes: ‘A lingering search for connectedness’, ‘Dealing with a discouraging situation to stay well’, and ‘Leaning on lessons learned during life’. Important resources that enabled participants to maintain health and well-being were: experiences of social connectedness, acceptance of the situation, and (re)gaining a sense of control. Participants described how they leaned on lessons learned from life-experiences when facing situations that challenged their health and well-being.

Conclusions
Our study points out that views and support needs of older adults to maintain health and well-being during the pandemic were diverse and rooted in various coping mechanisms. During future situations similar to the pandemic, public health policies should include strategies to promote social connectedness among older adults who live alone, to prevent adverse health outcomes.

Key messages
• Experiences of social connectedness, acceptance, and (re)gaining a sense of control were coping mechanisms that enabled older adults to maintain health and well-being during the COVID-19 pandemic.
• Public health policies should include strategies to promote social connectedness among older adults who live alone, to prevent adverse health outcomes during future pandemics.
Caffeine intake, chronotype, and student sleep quality at Polytechnic of Leiria
Authors: Dias S S , Leal M , Capitão I , Gomes J , Ferreira M 
Published: October 2024

Abstract

Introduction
Higher education students ingest very high doses of caffeine, on average twice the recommended safe dose. This excessive consumption can become problematic, ultimately affecting sleep quality and, consequently, academic performance. The aim of this work is to describe caffeine consumption, sleep quality and to characterize the chronotype and academic performance of students at Polytechnic of Leiria.

Methods
An online self-completion questionnaire was developed, consisting of several instruments: The Caffeine Consumption Questionnaire; Horne and Ostberg morningness-eveningness Questionnaire; Pittsburgh Sleep Quality Index (PSQI), to describe caffeine consumption, characterize chronotype and assess sleep quality, respectively. The mean, standard deviation, minimum and maximum values were calculated for the quantitative variables. Absolute and relative frequencies were calculated for the qualitative variables. Parametric tests were used to compare groups; when this was not possible, non-parametric tests were used. P &lt; 0.05 was considered statistically significant.

Results
Of the 261 students (mean age: 23.26 ± 6.60 years), 64.2% had poor sleep quality and 45.3% reported an afternoon chronotype. It was found that men consumed more coffee and energy drinks than women, although women consumed more caffeine-containing food products. The average academic score was 14.56 ± 1.61. There was a statistically significant association (p &lt; 0.01) between the afternoon chronotype and poor sleep quality and between the consumption of coffee and chocolate drinks and poor sleep quality.

Conclusions
Students at Polytechnic of Leiria tend to have poor sleep quality and an intermediate chronotype. Those with an afternoon chronotype or who drink coffee and chocolate drinks have poor sleep quality.

Key messages
• Accurately assessing the situation is essential for crafting suitable solutions.
• Higher students should adjust their coffee consumption to achieve better sleep quality.
Factors influencing emigration decisions among Bulgarian health professionals
Authors: Georgieva I 
Published: October 2024

Abstract

Background
Migration patterns of health professionals are influenced by a variety of factors, including personal, economic, social, political, and cultural ones. This study aims to investigate the factors that influence the emigration decisions of both Bulgarian health professionals who have been abroad and those without such experience.

Methods
A cross-sectional study was conducted in 2022 using an online questionnaire among 447 health workers in Bulgaria. The influence of factors on health professionals’ decision to migrate was measured on a 4-point scale (from “no influence” to “very strong influence”). The factors were grouped into three levels - macro (country and health system), meso (health facility) and micro (individual). Mann-Whitney U test was used to examine differences between the two groups of health professionals at a 0.05 significance level.

Results
At macro level, a higher standard of living in the destination country was the primary factor influencing the emigration decisions of the individuals who have been abroad (n = 109), with a mean value of 3.62 (p &lt; 0.001). Conversely, the opportunity to work in a better-organized health system was the predominant motivator for those without such experience (3.36, p &lt; 0.035). At meso level, remuneration received (3.70, p &lt; 0.001) was the most significant driver for the individuals with a migration background, while better working conditions (3.31, p &lt; 0.006) had the strongest influence for the other group. At micro level, both groups agreed on the importance of enhanced recognition of the medical profession abroad (3.69 vs. 3.49, p &lt; 0.013) as a key determinant.

Conclusions
On the whole, health professionals with no migration experience exhibited lower mean values for the observed factors. Furthermore, economic drivers appeared to be more significant for respondents with a migration background, while the other group attached greater importance to the motives related to the health system and the profession.

Key messages
• Health workers migrate for a variety of reasons with economic motives playing a pivotal role in shaping migration decisions.
• Recognizing the motives that predominantly impact migration attitudes is a crucial step in the development of appropriate retention policies.
Working conditions in OOH-PC centres in Romania: an interview study with healthcare professionals
Authors: Ciotlăuș S , Ungureanu I M , Oprescu F 
Published: October 2024

Abstract

Considering the amplifying primary care workforce shortage, the existing knowledge gaps in out-of-hours primary care delivery (OOH-PC) in Romania, as well as the extreme county-to-county variation in the number of functioning OOH-PC centers across the country, from 0 to 32, we set out to document health workers’ perspectives on existing challenges in after hours primary care. Using a qualitative study design, we conducted semi-structured interviews with a purposive sample of 20 healthcare professionals (HCPs): family doctors and nurses providing clinical services in urban and rural OOH-PC centres, family doctors with coordinating and administrative roles, representatives of professional associations and health authorities, as well as emergency doctors and paediatricians. We examined interview transcripts employing thematic analysis. The data collected and analysed revealed several challenges in the provision of care, including physician shortages, increasing workload, low payments, and an organisational model that lacks coordination with other levels of care and services. The analysis of the interview data identified five key themes related to adverse working conditions in OOH-PC: working hours and shift length, increasing workload and patient influx, obstacles to achieving work-life balance, inconveniences related to OOH centre premises (rest space, security), and insufficient financial compensation for after-hours health service provision. Working conditions in OOH-PC centers in Romania constitute a drawback to after hours primary care service provision. Health workers shortage and extreme variation in the number of functioning centres across the country suggest inconsistencies in the governance of OOH-PC. Improving working conditions to recruit and retain health professionals in OOH-PC, combined with targeted policies to optimise organisation and coordination of OOH-PC with other levels of care are as timely as ever to ensure equitable services to the population.

Key messages
• Current working conditions in OOH-PC Romania impact negatively the health workforce and lead to uneven access for the population.
• Improvements in working conditions, service integration, and organisation model are timely for the alleviation of OOH-PC provision.
Factors associated with perception of harassment in interns, trainees and residents of Veracruz
Authors: Villegas Dominguez J , Suárez Hernández N , Teczon Castellanos C O , Andrade Martínez M , Ruiz Garcia F , Duarte Cruz V , Viñas Dozal J C , Sosa Gonzalez Y R 
Published: October 2024

Abstract

Background
Harassment among resident physicians remains prevalent, with reports of abuse at 20% in Mexico, potentially creating a hostile learning environment that does not foster comprehensive learning for students.

Objectives
To determine the factors associated with harassment among interns, medical interns, and residents in Veracruz.

Methods
This is a prospective cross-sectional study, including interns, social service interns, and residents in the state of Veracruz, excluding those diagnosed with oppositional defiant disorder or mythomania. Workplace harassment was assessed using the Cisneros scale (Cronbach’s alpha 0.98), in addition to perceptions of workplace, psychological, and sexual harassment. Within the statistical analysis, the association was determined using chi-square test, odds ratio, and 95% confidence interval (OR/CI95%).

Results
A total of 81 participants were included, with a perception of workplace harassment in 42% and sexual harassment in 51.9%; the Cisneros scale shows 2.5% of subjects free from any harassment behavior. Female gender showed association with workplace harassment (0.7/0.01-0.2); meanwhile, attending a public university (OR: 0.22 / CI: 0.07-0.6) and being a pregraduate intern (OR:2.6/CI:1.03-6.6) were associated with perception of psychological harassment. Furthermore, being female (OR:9.28/CI:3.3-25.4), bisexual (OR:11.8/CI:1.4-97.8), a pregraduate intern (OR:3.44/CI:1.32-8.97), an R1 resident (OR:0.09/CI:0.01-0.79), and being affiliated with Veracruz (OR:2.6/CI:1.05-6.58) or Xalapa (OR:0.1-CI:0.05-0.7) were identified with association for experiencing sexual harassment (p &lt; 0.05).

Conclusions
Gender and level of education are the main factors associated with harassment, while the type of university of origin plays an important role in psychological harassment, warranting further study of these interactions while considering the limitations of this research.

Key messages
• The results of this research show that the roles of violence within hospital medical education are still maintained despite the social evolution with respect to gender roles and equality.
• It is necessary to promote the culture of denunciation and offer courses to eliminate abuse and promote equality and respect among hospital staff.
The influence of education on antenatal care and nutrition of newborns in Croatia
Authors: Maric-Bajs M , Puljak A , Bajs D 
Published: October 2024

Abstract

Background
Previous studies indicate differences in the nutrition of newborns. Great efforts are invests in public health education of expectant mothers in order to improve the health of their offspring.

Methods
An analytical study of data on the influence of social factors and the level of education of mothers on the nutrition of newborns, habits of pregnant women and antenatal care in the City of Zagreb was conduct in 2022. The paper shows analytical results expressed in percentages of the prevalence and 95% confidence interval (CI).

Results
The survey covered 6,358 women giving birth in the City of Zagreb in 2022. Most mothers fed their newborns in the hospital with breast milk (48.6%) or a combination of breast milk and artificial nutrition (45.8%), and only 1.4% with artificial nutrition. The share of mothers who fed their newborns exclusively with breast milk is slightly higher among highly educated women (52.4%). The majority of women had their newborn’s first feeding within one hour (81.4%), also more often in highly educated women. The first breastfeeding is most often ten (10.1%) or 15 minutes after birth (8.2%). Only 1.1% of pregnant women smoked during pregnancy, of which the largest share was women with a high school diploma (62.1%). With the increase in education, the share of women with 5 or less antenatal checks decreases (completed college 3.3%, higher school 4.6%, secondary school 6.6%, primary school 12.7%). The largest share of pregnant women who had their first antenatal examination only after 10 weeks of pregnancy is among women with a high school diploma (11.3%).

Conclusions
The education of pregnant women influenced their adoption of positive lifestyle habits, the need for timely and regular antenatal care and the benefits of feeding newborns with breast milk. Additional education through public health campaigns aimed at pregnant women and future parents as well as breastfeeding support groups need to be continuously implement.

Key messages
• The education of pregnant women influenced their adoption of positive lifestyle habits, the need for timely and regular antenatal care and the benefits of feeding newborns with breast milk.
• Additional education through public health campaigns aimed at pregnant women and future parents as well as breastfeeding support groups need to be continuously implement.
It must not be dangerous to talk about it! Parents views of communication with schoolnurses on weight
Authors: Skantze C , Almqvist-Tangen G , Nyholm M , Karlsson S 
Published: October 2024

Abstract

Background
The study aimed to describe parents’ experiences of communication with school nurses concerning the growth data and weight development of their children aged 8 and 10 years old in Sweden.

Methods
The design was descriptive and qualitative. 15 women and 3 men in south Sweden were included, with children who had performed health visits in the School Health Service (SHS). Data were collected through in - person semi structured interviews. Qualitative content analysis was used.

Results
The results illustrated the health visit’s purpose as unclear with need for improved dialogue and lacking feedback from the SHS. “To be able to get guidelines of what is the normal growth and what is a normal deviation and maybe a bit more about diet and lifestyle and movement.” The need for an improved channel for receiving information from SHS, and access to their child’s growth data. “Couldn’t they have a school nurse site or information page, where you get information about your child from the day they enroll in school until they leave.” Parents experienced a lack of a child-centered perspective, described the child’s context as not in focus, and desired collaboration. “I think that it is very important that children feel good in their bodies, and that is a really important task for health care.”

Conclusions
(a) Initiating a discussion regarding the preventive health work of school nurses and the main assignment of SHS. (b) Development of a child-centered perspective towards parents and children with focus on the child’s entire social context. (c) Implementation of evidence-based methods for communicating growth data and weight development between SHS and parents.

Key messages
• An increased dialogue between parents and SHS was requested, with a reachable way of communication via a digital platform.
• A holistic view of the child, with positive professional attitudes seem essential to meet the needs of the child.