bluuebunny/crossref_metadata_2025_split huggingface dataset:
Girls play basketball too? A study of the mechanisms of traditional social gender consciousness on female participation in contact leisure sports
Authors: He Yushan , Su Guibin , Wang Lujuan , Qian Haonan 
Published: October 2024

BackgroundWith the development of women’s sports, the mechanism of barriers to women’s leisure sports participation has attracted extensive attention from the academic community. Despite its significant impact, there are few empirical studies on intra-personal barriers. Consequently, a structural equation model was established to examine the relationships between traditional social gender awareness, gender bias, gender stereotypes, and barriers to participation in leisure sports.MethodsIn this study, a total of 508 questionnaires were collected and analyzed using AMOS 24.0 software for structural equation modeling. After model testing, the relationships between the variables were examined.ResultsThe results of the statistical analyses indicated that traditional gender awareness could serve as an antecedent variable for barriers to participation in leisure sports, and that gender stereotypes mediated the relationship between traditional gender awareness and barriers to participation in leisure sports. The study also concluded that gender bias could not mediate the relationship between traditional gender awareness and participation barriers in leisure sports, but gender bias and gender stereotypes could act as chain mediators in the process of the influence of traditional gender awareness on barriers to contact leisure sports.DiscussionThis study emphasizes the need for women to break down the traditional social gender awareness, gender bias, gender stereotypes, and other intra-personal barriers when engaging in leisure sport participation. According to this study, the promotion of sustained and healthy development of women’s sport requires the breaking down of traditional social gender awareness education and the creation of more gender-inclusive sports policies and environments. The significance of the study is that by proposing and confirming the internal participation barriers to women’s participation in contact leisure sports, it will lead to the ideological liberation of women’s gender perspectives, so that they can break down the participation barriers to contact leisure sports, participate in sports activities, and enjoy the right to play sports on an equal footing.
Environment-related health risks, knowledge and awareness among people in precarious milieus: secondary data analysis from the German “Environmental Awareness Study”
Authors: Duda Annabell , Reifegerste Doreen 
Published: October 2024

IntroductionPrecarious milieus more frequently suffer from environmental risks and show lower environmental awareness and behavior than other milieus in the German population. This study investigates the factors that influence environmental awareness in precarious milieus and the roles of environmental knowledge and the perception of environment-related health burdens.MethodsA quantitative secondary data analysis of the German Environmental Awareness Study 2018 (N = 2017) was used to analyze the perception of environmental health burdens, environmental knowledge, and environmental awareness between precarious milieus (n = 190) and seven other milieus. One-way analysis of variance (ANOVA) and Bonferroni post hoc tests were used for this purpose. More in-depth analyses of the precarious milieus were carried out using multiple regression analyses.ResultsThere were significant differences in the perceptions of environmental health burdens affected by rail-traffic noise and neighborhood noise. Furthermore, environmental knowledge in precarious milieus was significantly lower than in five out of the seven other milieus (all p &lt; 0.001) and was significantly associated with environmental cognition and gender. Precarious milieus had higher environmental affect than established milieus but less than that of critical-creative milieus and young idealists (all p &lt; 0.001). Environmental cognition and environmental behavior were significantly associated with environmental affect. Environmental cognition was significantly higher in precarious milieus than in established milieus and among young pragmatists but was lower than in critical-creative milieus and among young idealists (all p &lt; 0.001). Environmental affect, environmental knowledge, and gender were significantly associated with environmental cognition. In precarious milieus, environmental behavior was significantly lower than in traditional milieus and critical-creative milieus and among young idealists (all p &lt; 0.001) and was significantly associated with environmental affect.ConclusionThe differences in the perception of environmental health burdens, environmental knowledge, and environmental awareness among precarious milieus indicate that there is a need for specific education and support structures for these population groups. Further research is needed to determine what other factors within the precarious milieus influence environmental knowledge and awareness, as well as the skills needed to understand environmental information, which are included in the framework of environmental (health) literacy.
Knowledge, attitudes, and support needs of obstetric and gynecological nurses and midwives toward perinatal mental health disorders screening in Central China: a multicenter cross-sectional survey
Authors: Zhu Luyang , Pan Xinlong , Chen Chunli , Chen Jianfei , Pan Yuanrui , Chen Xiaoli , Zou Zhijie , Li Chengqiu 
Published: October 2024

BackgroundThe perinatal period is a time of increased vulnerability regarding maternal mental health status. Although guidelines and policies have been published for perinatal mental health disorders (PMHDs) screening in China, the knowledge, attitudes, and support needs of nurses and midwives toward implementing mental health screening programs during pregnancy remain unclear. Thus, this study aimed to investigate the knowledge of PMHDs, attitudes and support needs related to implementing mental health screening during pregnancy among obstetrics and gynecology (OB/GYN) nurses and midwives in the central region of China while identifying the related influencing factors.MethodsA cross-sectional survey was conducted in 14 cities in Hubei, China, using convenience sampling from July to October 2023. The Chinese version of the Perinatal Mental Health Knowledge Questionnaire, the Chinese version of the Perinatal Mental Health Attitudes Scale, and the Health Care Facilities Support Needs Scale were used to investigate the PMHDs knowledge, attitudes, and support needs of OB/GYN nurses and midwives, respectively. Data were analyzed using SPSS version 27.0. Descriptive and inferential statistics were performed, with a p-value of &lt;0.05 considered statistically significant.ResultsThe average scores for knowledge, attitudes, and support needs were 6.09 ± 1.99 (total score: 13), 47.67 ± 8.80 (total score: 80), and 29.35 ± 4.66 (total score: 35), respectively. After adjusting for years of nursing experience and years of obstetrics and gynecology nursing experience, the multivariate logistic regression analysis indicated that having mental health-related education or work experience [adjusted OR (aOR) = 1.43, p = 0.01], being midwives (aOR = 1.78, p &lt; 0.001), and working in specialist maternity hospitals (aOR = 1.55, p &lt; 0.001) were significantly associated with higher knowledge scores; having mental health related education or work experience (aOR = 1.59, p = 0.014) and working in specialist maternity hospitals (aOR = 1.42, p &lt; 0.01) were significantly associated with higher support needs scores.ConclusionOB/GYN nurses and midwives demonstrated insufficient knowledge and moderate attitudes toward PMHDs screening, and have great support need for PMHDs screening. To address these issues, medical organizations and relevant government sectors should enhance training for nurses and midwives on PMHDs and provide professional support to promote routine maternal mental health screening programs and improve perinatal mental health outcomes.
Prevalence of injury and utilization of personal protective equipment among building construction workers and associated factors in Bale and West Arsi Zones, southeast Ethiopia 2022
Authors: Aliyi Ahmednur Adem , Hashim Mohammed Abdela , Abdurebi Muhammed Jemal 
Published: October 2024

IntroductionThe building construction industry is well known for being one of the most dangerous industries worldwide. Statistics show it is one of the most dangerous occupations in the world. The aim of this study is to assess the prevalence of injury, personal protective equipment usage among building construction workers, and associated factors in Southeast Ethiopia.MethodsInstitutional-based cross-sectional study was done among 406 selected construction workers in Southeast Ethiopia. Study participants were selected randomly. Data were collected by using a structured questionnaire. Descriptive statistics was used to summarize study variables. Binary logistic regression was utilized to investigate factors associated with injury among study participants. Accordingly, adjusted odds ratio along its 95% confidence interval were calculated and a p value of &lt;0.05 was used to declare statistical significance. Generalized linear models were utilized to investigate factors associated with the use of personal protective equipment. Accordingly, an adjusted odds ratio with a 95% confidence interval was determined and a p value of &lt;0.05 was used as a level to declare a significant statistical association.Result and discussionIn this research 406 building construction workers were interviewed and 393 participants gave complete responses, yielding a 96.8% response rate. Of all participants included in this study, 27 (6.8%) drink alcohol and 26 (6.6%) chew khats. Uses of personal protective equipment among study participants was 133 (33.3%, with a 95% confidence interval of 28.3% to 37.7%). Of 393 participants in this study, 213 (54.2%) of them sustained at least one building work-related injury in the last year. The commonest type of injury that occurred among this population was abrasion 43.3% followed by muscular pain (13%). Not having orientation about personal protective equipment, without safety training, didn’t use personal protective equipment, and rural residence were factors significantly associated with injury among building construction workers. Residence, age, monthly income, service year, orientation about personal protective equipment, safety training, and start using personal protective equipment immediately after the job offers were significantly associated with the uses of personal protective equipment by participants of this study. In general, this study has identified a relatively high prevalence of injury and low use of personal protective equipment in the study subjects and associated factors.
Education and socioeconomic status as predictors of refugee mental health: insights from a study of Jordan-based Syrian refugee sample
Authors: Atrooz Fatin , Khabour Omar F. , Almomani Fidaa , Aljararwah Sally , Alfurjani Batool H. , Salim Samina 
Published: October 2024

BackgroundThe Syrian civil war is considered as the greatest humanitarian crisis in modern history, which has resulted in a major refugee crisis. A significant concern is the high prevalence of mental disorders such as depression, anxiety, and post-traumatic stress disorder (PTSD) among Syrian refugees. While the focus of most refugee mental health research has been pre-migration trauma, post-migration challenges and stressors, which can also be significant determinants of mental health, are often ignored. The purpose of this study was to assess mental health of Syrian refugees as compared to local Jordanians, and to examine sociodemographic factors and perceived stressors that are associated with mental distress among participants.MethodsThis was a cross sectional study conducted in northern region of Jordan among Syrian refugee and Jordanian adults. We used the validated Arabic version of Afghan Symptoms Checklist (ASC) to assess mental distress among participants.ResultsA total of 929 subjects (43% Syrian refugees, 56% females) participated in this study. Disparities in education, monthly income, and health insurance were significant between Syrian refugees and Jordanians, p &lt; 0.001. The mean score in ASC was significantly higher among Syrian refugees, particularly among refugee females (mean ASC score ± standard deviation: Syrian refugee females: 58.22 ± 1.13; Syrian refugee males: 45.31 ± 1.28; Jordanian females: 51.06 ± 0.91; Jordanian males: 46.45 ± 1.08, p = 0.002). Multivariable linear regression showed that the estimated difference in the mean of ASC score between males and females is 7.42 (p &lt; 0.001), and the estimated mean difference between Syrian refugees and Jordanians is 2.76 (p = 0.019). Interestingly, the estimated mean of ASC scores for individuals with high education level is decreased by 4.18 as compared to individuals with lower education level (high school or less), p &lt; 0.001.ConclusionEducation level was highly predictable of mental distress of Syrian refugees, particularly female refugees. Enhancing higher educational opportunities is proposed for improving socioeconomic status of refugees which might serve as a buffering strategy for mental distress among this vulnerable population.
Validity and reliability of the Polish version of the Pregnancy Mobility Index (PMI-PL)
Authors: Antosiak-Cyrak Katarzyna , Ratajczak Joanna , Lewandowska Magdalena , Wochna Krystian , Sobczak Katarzyna , Domaszewska Katarzyna , Rąglewska Patrycja , Urbański Piotr , Czerniak Urszula , Demuth Anna 
Published: October 2024

IntroductionMobility, defined as active, controlled, multi-joint flexibility used in movement, is limited in pregnant women due to problems with low back pain (LBP) and pelvic girdle pain (PGP). The Pregnancy Mobility Index (PMI) is a tool for assessing mobility in relation to LBP/PGP. The lack of a Polish version of the PMI test prompted a transcultural adaptation to the Polish conditions. The aim of the study was to evaluate the measurement properties of the Polish adaptation of the Pregnancy Mobility Index.MethodsThe study involved 121 pregnant women aged 18–44. The translation process was in accordance with the transcultural adaptation design. Reliability was assessed by intraclass correlation coefficient (ICC). Construct validity between the Polish version of the PMI (PMI-PL) and the Physical Activity Pregnancy Questionnaire (PPAQ-PL) was assessed by Spearman’s rank correlation coefficient.ResultsThe transcultural adaptation of the PMI test into Polish was satisfactory, with high internal consistency (Cronbach’s alpha = 0.97–0.98, ICC = 0.989). Statistically significant inverse proportional correlations were found for total PA, total PA (light and above), light PA, moderate PA, and vigorous PA in the construct validity analysis between PMI-PL and PPAQ-PL.DiscussionThe Polish version of the PMI is a reliable instrument. The introduction of a questionnaire with a classification system will make it easier for health professionals to monitor the health status of pregnant women and encourage them to engage in physical activity appropriate for their current level of mobility.
The relationship between stress, anxiety and eating behavior among Chinese students: a cross-sectional study
Authors: Chai Yulin , Fu Guoqi , Liu Yanxu , Song Qi , Xue Cailing , Luo Sheng 
Published: October 2024

BackgroundThe expansion of higher education and the growing number of college students have led to increased awareness of mental health issues such as stress, anxiety, and eating disorders. In China, the educational system and cultural expectations contribute to the stress experienced by college students. This study aims to clarify the role of anxiety as a mediator in the relationship between stress and eating behaviors among Chinese college students.MethodsThis study utilized data from the 2021 Psychology and Behavior Investigation of Chinese Residents, which included 1,672 college students under the age of 25. The analysis methods comprised descriptive statistics, t-tests, Pearson correlation analyses, and mediation effect analysis.ResultsThe findings indicate that Chinese college students experience high levels of stress, with long-term stress slightly exceeding short-term stress. Both types of stress were positively correlated with increased anxiety and the adoption of unhealthy eating behaviors. Anxiety was identified as a significant mediator, accounting for 28.3% of the relationship between long-term stress and eating behavior (95% CI = 0.058–0.183). The mediation effect of short-term stress on eating behavior through anxiety was also significant, explaining 61.4% of the total effect (95% CI = 0.185–0.327).ConclusionThe study underscores the importance of stress management and mental health services for college students. It recommends a comprehensive approach to reducing external pressures, managing anxiety, and promoting healthy eating behaviors among college students. Suggestions include expanding employment opportunities, providing career guidance, enhancing campus and societal support for holistic development, strengthening mental health services, leveraging artificial intelligence technologies, educating on healthy lifestyles, and implementing targeted health promotion programs.
Factors associated with therapy non-completion for children with problematic sexual behaviors
Authors: Pitre Camille , Daignault Isabelle , Chouinard Thivierge Stéphanie , Tourigny Marc 
Published: October 2024

IntroductionChildren with problematic sexual behaviors (PSBs) can benefit, along with their parents or caregivers, from specialized therapeutic services to limit the manifestation of these behaviors. However, for some families, mobilization for therapy represents a significant challenge since a considerable proportion do not complete the therapy intended for them. The present study aims to identify the factors associated with therapy completion, thus allowing a deeper understanding of how to support children and more broadly families to complete their therapeutic process.MethodologyThe sample consists of 67 caregiver-child dyads referred to a specialized Center offering PSBs-focused cognitive behavioral therapy, actively involving the caregiver. Standardized questionnaires were administered to children and their caregiver before and after the therapy.ResultsWhile non-completers represent 31% of our sample, they present very similar profiles to completers in terms of socio-demographic characteristics, behavior problems and symptoms. However, they appear to differ regarding living situations and coping mechanisms. Results show that children who complete therapy are more likely to live in a placement situation, compared to non-completers. Children who completed therapy also report using more coping strategies that aim toward getting social support and less distancing coping strategies than non-completers. Non completers also reported feeling less maternal support compared to completers.DiscussionResults underline the importance of implementing mobilization efforts for families with children with PSBs, along with a focus on developing efficient coping mechanisms.
Satisfaction analysis of 5G remote ultrasound robot for diagnostics based on a structural equation model
Authors: Han Zhi-Li , Lei Yu-Meng , Yu Jing , Lei Bing-Song , Ye Hua-Rong , Zhang Ge 
Published: October 2024

ObjectivesWith the increasing application of 5G remote ultrasound robots in healthcare, robust methods are in critical demand to assess participant satisfaction and identify its influencing factors. At present, there is limited empirical research on multi-parametric and multidimensional satisfaction evaluation of participants with 5G remote ultrasound robot examination. Previous studies have demonstrated that structural equation modeling (SEM) effectively integrates various statistical techniques to examine the relationships among multiple variables. Therefore, this study aimed to evaluate the satisfaction of participants with 5G remote ultrasound robot examination and its influencing factors using SEM.MethodsBetween April and June 2022, 213 participants from Wuhan Automobile Manufacturing Company underwent remote ultrasound examinations using the MGIUS-R3 remote ultrasound robot system. After these examinations, the participants evaluated the performance of the 5G remote ultrasound robot based on their personal experiences and emotional responses. They completed a satisfaction survey using a self-developed questionnaire, which included 19 items across five dimensions: examination efficiency, examination perception, communication perception, value perception, and examination willingness. A SEM was established to assess the satisfaction of participants with the 5G remote ultrasound robot examinations and the influencing factors.ResultsA total of 201 valid questionnaires were collected. The overall satisfaction of participants with the 5G remote ultrasound robot examination was 45.43 ± 11.60, with 169 participants (84%) expressing satisfaction. In the path hypothesis relationship test, the dimensions of examination efficiency, examination perception, communication perception, and value perception had positive effects on satisfaction, with standardized path coefficients of 0.168, 0.170, 0.175, and 0.191. Satisfaction had a direct positive effect on examination willingness, with a standardized path coefficient of 0.260. Significant differences were observed across different educational levels in the dimensions of examination perception, communication perception, value perception, and examination willingness. Participants with different body mass indices also showed significant differences in examination perception; all p-values were less than 0.05.ConclusionIn this study, value perception was identified as the most significant factor influencing satisfaction. It could be improved by enhancing participants’ understanding of the accuracy and safety of 5G remote ultrasound robot examinations. This enhances satisfaction and the willingness to undergo examinations. Such improvements not only facilitate the widespread adoption of this technology but also promote the development of telemedicine services.