bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adaptation of an existing intervention to improve mental health literacy in educators
Authors: Tullius J M , Geboers BJM , Reijneveld S A , de Winter A F 
Published: October 2023

Abstract

Mental health problems are increasingly prevalent among adolescents. Improving mental health literacy (MHL) within the school context has been identified as a useful prevention strategy. Recently, interventions have been developed aimed to improve the MHL of educators, who have a key role in identifying signals of mental health problems and promoting help-seeking in adolescents. To implement such existing interventions in another context and assess their effectiveness, it is necessary to first adapt them in a systematic way. Therefore, we systematically adapted an existing intervention targeting MHL of secondary school educators in the Netherlands following the Intervention Mapping (IM) Adapt principles. We followed the six-step procedure of IM Adapt in an iterative process. As part of that, we 1) performed a needs assessment with adolescents and educators, 2) identified a suitable existing intervention (i.e., ‘LEARN': a suitable existing English-language intervention that aligned with the formulated goals and determinants (mentalhealthliteracy.org)), 3) consulted mental health and educational experts for adaptation planning, and 4) translated, shortened, and adapted it to fit the needs of the Dutch context. This resulted in a 6-module digital online training that upholds the fidelity of the original intervention. Finally, we made plans for 5) further implementation and 6) (preliminary) evaluation of the intervention to improve Dutch secondary school educators’ MHL. Following the principles of IM Adapt, we systematically adapted an existing comprehensive MHL training for Dutch secondary school educators, which has the potential to promote mental health help-seeking of adolescents in schools and support early identification of mental health problems and illness. Future research is needed to evaluate its feasibility and effectiveness.

Key messages
• For implementation of existing interventions in another context and assess their effectiveness, it is necessary to first adapt them in a systematic way.
• We systematically adapted an existing MHL training for Dutch secondary school educators, which has the potential to promote mental health help-seeking of adolescents in schools.
Relationships between problematic ICT use, anxiety, psychological, and behavioral aspects
Authors: Méndez-López F , Dominguez-Gárcía M , León-Herrera S , Mártinez-Pecharroman M M , Samper-Pardo M , Aguilar-Latorre A 
Published: October 2023

Abstract

Background
Anxiety is a substantial and developing health issue with significant consequences for psychosocial functioning and quality of life. The onset and severity of mental health problems have been linked to a number of biological, psychological, and behavioral factors.

Purpose
The aim of this study is to investigate the relationship between the degree of anxiety, problematic information and communications technology (ICT) use, and certain related personal characteristics and adult health behavior. It also investigates the impact of personal characteristics in the moderating role of the association between problematic ICT use and anxiety.

Patients and Methods
Descriptive, bivariate, multivariate, and moderation analyzes of data from 391 participants of 35-74 years old in primary healthcare centers located in Aragón, in northern Spain were performed between July 2021 and July 2022. The primary outcome was the severity of anxious symptoms as continuous variable (GAD-7).

Results
Low self-esteem (β = −0.120; p= 0.012), low self-efficacy (β = −0.092; p=0.004), and high problematic use of ICT (β = 0.169; p = 0.001), are predictors of having more severe anxious symptoms. Moderation analyzes were significant in the effect of self-efficacy (b = −0.040, p = 0.001) and resilience (b = −0.024, p = 0.033) on the relationship between problematic ICT use and anxiety.

Conclusions
The problematic use of ICT and personal factors are related to anxious symptomatology. Adults with low resilience and self-efficacy have worse severity of anxiety associated with the problematic use of ICTs. These findings allow for a new approach to preventive identification and early care measures among people at risk and their families.

Key messages
• Abuse of information and communication technologies happens at all ages and in a wide range of cultural situations, and it is a growing health issue.
• Knowing the psychological factors that lead to this harmful use of ICTs should be essential for early detection and intervention among those at risk and their families.
Psychosocial work factors and sickness absence among young Danish workers with a disease history
Authors: Sørensen J K , Jensen J , Rugulies R , Madsen IEH 
Published: October 2023

Abstract

Background
Young workers with a disease history may be more sensitive to adverse work environment, which could lead to increased rates of sickness absence (SA). This study investigates the association between psychosocial work factors and SA among young Danish workers with a history of somatic or mental disorders (N = 39,772).

Methods
We included young workers (aged 15-30) with a history of hospital-diagnosed somatic or mental disorders before labor market entry (between 2010 and 2018). SA spells of any length (≥1 day) were measured in registers and psychosocial work factors were estimated on the occupational level using job exposure matrices. We separately estimated adjusted rate ratios (RR) and 95% confidence intervals (95% CI) for women and men using Poisson regressions.

Results
Among women, employment in occupations with high quantitative demands, low decision authority, high job strain, high emotional demands, or high work-related physical violence was associated with higher rates of SA. Employment in occupations with high vs. low emotional demands showed the strongest association with a RR of 1.56 (95% CI: 1.48-1.65). Among men, employment in occupations with low decision authority showed the strongest association (1.40 [1.32-1.48]). In contrast, employment in occupations with high quantitative demands or high job strain was associated with lower rates of SA.

Conclusions
In a large nationwide sample of young workers with a history of somatic or mental disorders, we found several psychosocial work factors associated with SA at the job group level. Associations were overall similar to previously published results on all young workers. The results indicate that young workers with a history of somatic or mental disorders may not be more sensitive to adverse working conditions concerning the risk of SA and that preventive interventions, toward reducing SA, may have a similar impact regardless of disease history.

Key messages
• Several psychosocial working conditions were associated at the job group level with sickness absence in a nationwide sample of young workers with a disease history.
• Associations were similar to previous results indicating that young workers with a disease history may not be more sensitive to adverse working conditions compared to the overall workforce.
Adverse childhood experiences and age-trajectories of depressive symptoms in older adults from China
Authors: Ren X , Hu B , Demakakos P 
Published: October 2023

Abstract

Background
Adverse childhood experiences (ACEs) have profound lifelong consequences. Less is known about their impact on outcomes in late life, such as psychological distress in older adults. Moreover, there is a paucity of evidence on associations of ACEs with age-trajectories in depressive symptoms, especially with distinct patterns of trajectories. We investigated associations between ACEs and trajectories of depressive symptoms at mid-to-older ages in a Chinese population sample.

Methods
We used the longitudinal data from the China Health and Retirement Longitudinal Survey (13846 participants ≥45y). Depressive symptoms were measured by CES-D10 (Centre for Epidemiologic Studies Depression Scale) at four waves (2011-18). A range of ACEs (&lt;17y) were retrospectively reported by participants. Growth Mixture Models were used to identify distinct age-trajectories of depressive symptoms and their associations with ACEs.

Results
We identified two trajectory groups: (1) persistent high (men 14%; women 19.2%) and (2) low/normal levels of depressive symptoms. Several ACE measures were associated with increased risk of having persistent high levels of depressive symptoms (mid-to-older ages) after adjusting for other ACEs, sex, childhood SES (financial status, parental education, occupation), adult SES (education, financial status, urban/rural residence), health behaviors and limitations in daily activities. For example, adjusted OR was 1.35 (95% CI:1.17,1.55) for physical abuse (28.2%), 1.38(1.19,1.59) for domestic violence (24.3%), 1.48(1.23,1.78) for parental drinking, drug or mental health problems (9.4%), 1.59(1.38,1.84) for those had a bedridden parent (18.7%).

Conclusions
ACEs have a long lasting effect on trajectories of depressive symptoms in older adults, independent of childhood SES and adult factors, highlighting the need to act early to reduce the long lasting impact on mental health in later life.

Key messages
• Adverse childhood experiences are associated with persistent high levels of depressive symptoms from mid-to-older ages.
• Associations are independent of childhood SES and adult factors.
Disparities in Quality of Life Among European Cancer Survivors Aged 50 and Over
Authors: Li P , Myrskylä M 
Published: October 2023

Abstract

Background
This study aims to investigate regional disparities of quality of life (QoL) among older cancer survivors across European countries.

Methods
This is a longitudinal study based on the Survey of Health, Ageing and Retirement in Europe (SHARE) project. European-level, regional and national QoL among cancer survivors were investigated using mixed-effect regression models based on demographic and health-related factors.

Findings
The prevalence of low QoL vary from 12.4 (Denmark) to 84.9 (Greece) for women and from 10.4 (Denmark) to 74.6 (Greece) for men. Cancer survivors had higher risks of low QoL (prevalence ratio (PR) = 1.59, 95% confidence interval (CI) = 1.47 - 1.71) than general population. Numbers of mobility limitations has the largest effects on QoL (NL mobility =1: PR = 1.54, 95% CI = 1.45 -1.64; NL mobility ≥ 2: PR = 2.59, 95% CI = 2.47 - 2.73), followed by several other factors (e.g., age, gender, BMI, civil status, employment status, education level and geographical region). Most of the effects kept stable or decreased slightly after subjects survived more than 5 years.

Conclusions
Significant disparities of QoL were observed across Europe. Cancer survivors face a substantially increased risk of decreased QoL comparing to general population. Several factors were identified as risk factors for lower QoL.

Key messages
• QoL in general population show significant disparities across Europe.
• Further steps should focus on improving QoL of cancer survivors simultaneously across European countries.
Factors influencing access to water, sanitation, and hygiene among crisis-affected populations
Authors: Noh J W , Lee L L , Kim K B , Heo M H 
Published: October 2023

Abstract

Background
The Central African Republic is suffering a long and complex humanitarian crisis. Population access to water, sanitation, and hygiene (WASH) services remain a challenge in the context of protracted conflicts. However, research on access to WASH in this population is limited. The purpose of the study was to investigate factors associated with access to WASH among crisis-affected populations in the Central African Republic.

Methods
This study analyzed 11,723 crisis-affected households from the 2020 Central African Republic Multi-Cluster Needs Assessment survey data. This survey was conducted between June to August 2020 by the Racial and Ethnic Approaches to Community Health (REACH) Initiative and geographically covered all sub-prefectures of the country.Sampling weighted multivariable binary logistic regression analysis was performed.

Results
Internally displaced persons (IDPs) were more likely to affect their access to WASH than their host families.Movement restricted due to COVID-19, household members with difficulties in self-care (e.g., washing, dressing), education level, and monthly household income were significantly associated with access to WASH.

Discussion
This study suggests that certain factors place the crisis-affected populations in the Central Africa Republic a thigh risk for access to WASH, especially among IDPs. The findings in this study can inform public health professionals to develop support and education programs and shape health care policies. In addition, the results highlight the importance of access to safely managed WASH services during infectious disease outbreaks, including the current COVID-19 pandemic

Key messages
• The findings in this study can inform public health professionals to develop support and education programs and shape health care policies.
• The results highlight the importance of access to safely managed WASH services during infectious disease outbreaks, including the current COVID-19 pandemic.
“Sweden have changed me”: a qualitative study exploring sexual health needs of young male migrants
Authors: Tewelde McDonald J , Ekström A M , Salazar M 
Published: October 2023

Abstract

Background
With increasingly numbers of migrants arriving in Europe, migration has become a worldwide public health challenge. Although evidence show that poor sexual health is associated with migration and that young migrants often experience sexual and mental health needs, most studies have overwhelmingly focused on women, and have shown gaps of sexual health needs of young migrant men. Thus, the aim of this study was to explore sexual health needs of young Syrian, Afghan and Eritrean men and how the fulfillment (or not) of these needs is related to their mental health. In addition, we also explored the factors that restricted and/or facilitated the fulfillment of their sexual health needs.

Methods
An explorative qualitative study was carried out in Region Stockholm, using 32 in-depth interviews with young migrant men. Analysis of the data was performed by using constructivist grounded theory.

Preliminary results
Our analysis showed that our informants’ sexual health needs and mental health challenges followed a process of individual change as they adapted to the Swedish society. The core category represented this process of change: “On my way, but not there yet”. It contains four sub-categories: “being on the move: the migration journey”, “newly arrived: contrasting old and new values and learning new concepts”, “navigating relationships, love and sex, and “the respectful man. We identified six key factors that influenced their sexual health: Attending school/ receiving sex education, support to adapt, experiencing enjoyable relationships, conservative parents, exposure to stigma/discrimination and negative image/narrative of young male migrants.

Conclusions
This study highlights that sexual health needs and mental health challenges changes over time. The findings also illustrate the importance of understanding the factors influencing this process of change.

Key messages
• Young migrant men’s sexual and mental health needs evolve alongside their individual process of change.
• Factors influencing this process were exposure to sex education in schools, receiving support to adapt to their new environment, family relations and perceived discrimination.
Change over time in migrantś self-assessed unmet health care need in Finland
Authors: Kuusio H , Lija E , Aalto A M , García-Velázquez R 
Published: October 2023

Abstract

Background
Previous studies have shown that people of foreign background (PFB) often experience barriers in accessing and utilizing medical care services. This study examines the potential change in unmet health care need among PFB living in Finland in two time points: 2018 and 2022. Furthermore, we study the potential factors (age, sex, education, treason for migration and country of origin) associated with the unmet health care need.

Methods
We used two nationally representative cross-sectional data sets: the Survey on well-being among foreign-born population (FinMonik, n = 6836; response rate 53.1%) in 2018-2019 and the National survey on health, well-being and service use among foreign-born population (MoniSuomi, n = 7838; response rate 44.1%) in 2022-2023. The analyses were limited to those aged 20-64-years. Our indicator for unmet health care need was based on the question: “Do you feel that you have adequately received primary care services during the past 12 months?''

Results
Unmet health care need among PFB has increased significantly between the years 2018 and 2022 (p = 0.005). The prevalence of unmet health care need among PFB was 24.9% in 2018 and 33.7% in 2022. Preliminary results show that younger age, those who moved to Finland from Middle East and Africa, refugees and Ingrains Finns reported more frequently unmet health care need.

Conclusions
The increase of unmet health care need among PFB is alarming. More studies are needed to investigate the reasons behind the high rates of unmet health care need.

Key messages
• Unmet health care need is an indicator of problems in access to care.
• Actions are needed to improve access to care among the migrant population in Finland.
Vaccine adherence to vaccination schedule among male HIV-positive patients: a single-center study
Authors: Ragusa P , Orofino G , Guastavigna M , Ianniello A , Remani E , Lo Moro G , Greco G D , Calleri G , Siliquini R , Bert F 
Published: October 2023

Abstract

Background
The study centre collaborated with the public health service to recover the vaccinations missed during the COVID-19 pandemic. Vaccinations against pneumococcus (PCV/PPV), human papillomavirus (HPV9) and herpes zoster (HZric) have been offered to people living with HIV/AIDS (PLWHA) in care at the clinic. This study aims to estimate vaccine adherence in men with HIV/AIDS to the proposed vaccination schedule.

Materials and Methods
In this retrospective observational study, data were extracted from the regional platform of vaccinations, including 941 males LWHA in care in 2022. Chi-squared tests were performed to assess differences in adherence according to the risk of transmission and nationality.

Results
The mean age was 52.97 years (SD = 13.1). Italian patients were 88.6%. Regarding the risk of HIV transmission, 828 (88%) men who have sex with men (MSM) and 113 (12%) heterosexual men (ETX) were included. About anti-SARS-CoV-2 (COV), 884 patients (93.94%) completed the primary cycle, 793 (84.27%) received the 3rd dose, 335 (35.6%) the 4th dose, 120 (12.75%) the 5th dose. The complete vaccination course was carried out by 488 patients (51.86%) for PCP/PPV, 487 (51.75%) for MenACWY, 485 (51.54%) for MenB, 277 (29.44%) for anti-Haemophilus Influenzae, 303 (32.2%) for HPV9, 286 (30.39%) for HZric and 427 (45.38%) for anti-Tetanus and Diphtheria. The adherence to the 3rd and 4th doses of COV, HPV9 and HZ2 vaccines was higher for MSM than ETX (p &lt; 0.05). Italian patients had higher adherence to the 4th dose of the COV and MENACWY vaccines than the foreigners (p &lt; 0.05).

Conclusions
Overall, adherence to the vaccination programme was low, except for the COV vaccine. This study provides an overview of vaccination coverage. It lays the groundwork for a more in-depth analysis to identify determinants of vaccine adherence among PLWHA, which will be further investigated by the studies of the INF-ACT project, aiming to assess all determinants of vaccine hesitancy.

Key messages
• Monitoring adherence to the vaccination schedule is crucial in order to detect critical issues early and take intervention.
• The finding of low vaccination adherence in our study alerts us to the possible risks of low vaccination coverage, particularly in a fragile population such as people living with HIV/AIDS.
Challenging the Immigrant Health Burden Myth: A Comorbidity Analysis in Navarra, Spain - APNA Study
Authors: Guillen Grima F , Guillen-Aguinaga S , Guillen-Aguinaga L , Alas-Brun R , Brugos-Larumbe A , Aguinaga-Ontoso I 
Published: October 2023

Abstract

Background
Anti-immigrant arguments often claim that immigrants burden healthcare systems due to increased health problems and healthcare utilization. This study challenges this assumption by comparing the health status of immigrants and native inhabitants using the Charlson comorbidity index, aiming to demonstrate that immigrants are healthier and will use fewer healthcare services.

Methods
The APNA cohort study includes all inhabitants of Navarra, Spain, with a population of 661,023. A cross-sectional observational study was conducted on 503,392 adults. The Charlson Index was computed as a comorbidity measure. The Mann-Whitney U test compared the index between immigrants and native Spaniards, and quantile regression examined the relationship between immigrant status and Charlson Index, adjusting for age, sex, and socioeconomic status.

Results
Of the population, 18.4% were born abroad. The average Charlson index was higher in Spaniards (1.55, SD = 1.89) than in immigrants (0.45, SD = 0.93; U-Mann-Whitney p &lt; 0.001). The quantile regression showed that, after adjustment, the Charlson Index was higher in Spaniards than in immigrants by -0.071 (95%CI 0.066-0.077).

Conclusions
This study contradicts the myth that immigrants burden healthcare systems. Immigrants in Navarra, Spain, are healthier and have lower comorbidity indexes than native inhabitants. Public health policies should consider these findings to promote evidence-based approaches and challenge misconceptions about immigrants’ healthcare utilization. Immigrants in Navarra, Spain, are healthier than native inhabitants, debunking the myth that they burden healthcare systems. Public health policies should consider these findings for evidence-based approaches and challenge misconceptions about immigrants’ healthcare utilization.

Key messages
• Immigrants in Navarra, Spain, are healthier than native inhabitants, debunking the myth that they burden healthcare systems.
• Public health policies should consider these findings for evidence-based approaches and challenge misconceptions about immigrants’ healthcare utilization.