bluuebunny/crossref_metadata_2025_split huggingface dataset:
Attributable risk of suicide for populations in Australia
Authors: Bandara Piumee , Page Andrew , Reifels Lennart , Krysinska Karolina , Andriessen Karl , Schlichthorst Marisa , Flego Anna , Le Long Khanh-Dao , Mihalopoulos Cathrine , Pirkis Jane 
Published: January 2024

ObjectiveEach year approximately 3,000 Australians die by suicide. We estimated the population attributable risk for identified target populations to provide evidence on how much of the overall burden of suicide in the Australian population is experienced by each of them.MethodsWe identified 17 demographic and clinical target populations at risk of suicide and calculated the population attributable fraction (PAF) using a single or pooled suicide risk and the proportional representation of each target population within Australia.ResultsLarge PAF estimates were found for men (52%, 95% confidence interval (CI) 51%–53%), people bereaved by suicide (35%, 95% CI 14%–64%), people with a mental health or behavioural condition (33%, 95%CI 17%–48%), people with a chronic physical condition (27%, 95%CI 18%–35%), adults aged 25–64 years (13%, 95%CI 12%–14%), LGB populations (9%, 95%CI 6%–13%), offenders (9%, 95%CI 8%–10%), and people employed in blue collar occupations (8%, 95%CI 4%–12%).LimitationsThe PAF is limited by assumptions, namely, that risk factors are independent, and that the relationship between risk factors and outcomes are unidirectional and constant through time.Conclusions and implications for public healthConsiderable reductions in the overall suicide rate in Australia may occur if risk factors are addressed in identified populations with large PAF estimates. These estimates should be considered as an adjunct to other important inputs into suicide prevention policy priorities.
The longitudinal impact of reinforcement sensitivity on internet addiction among college students: the mediating role of self-control
Authors: Xue Jinfeng , Li Ziyi , Zhang Wei , Li Wendi , Liu Li , Zhang Zhiyou 
Published: January 2024

IntroductionAs the rapid expanding of internet technology, it is necessary to pay attention to the factors that predict Internet addiction. This study aimed to investigate the longitudinal impact of reinforcement sensitivity on internet addiction among college students and the mediating role of self-control.MethodsThe study involves two follow-up assessments with a 5-month interval. 383 college students’ reinforcement sensitivity, self-control, and internet addiction were measured at two-time points.Results①The revised Behavioral Approach System (r-BAS) at Time Point 1 (T1) could predict both T1 and Time Point 2 (T2) internet addiction through the complete mediation of T1 self-control. ②The revised Behavioral Inhibition System (r-BIS) at T1, along with the Fight/Flight/Freeze System (FFFS), can predict T1 and T2 internet addiction through the partial mediation of T1 self-control.ConclusionReinforcement sensitivity can predict current and future internet addiction, with self-control playing a mediating role. This study provides longitudinal experimental evidence for the revised Reinforcement Sensitivity Theory (r-RST), further revealing the underlying mechanisms through which reinforcement sensitivity influences internet addiction. Additionally, it has implications for clinical intervention.
Exploring relationship satisfaction in mothers of children with disabilities: the predictive role of interparental conflicts and moderating role of dyadic coping
Authors: Vrankić Pavon Marijana , Wagner Jakab Ana , Löw Ajana 
Published: January 2024

BackgroundParenting responsibilities, while a source of happiness, often lead to considerable stress for parents of children with disabilities. While most parents try to cope with these challenges together, some level of interparental conflict is almost inevitable. Frequently assuming primary responsibility for children with disabilities, mothers can be substantially impacted by interparental conflict with their partners and the resulting stress. However, implementing dyadic coping strategies in managing stressful situations serves as a buffer against adverse effects, while also enhancing relationship satisfaction.ObjectiveThis study aimed to explore the relationship between interparental conflicts, dyadic coping, and relationship satisfaction among 232 mothers of children with disabilities in Croatia who were in an intimate relationship and shared a household with their partners, regardless of marital status.MethodsWe analysed a non-probabilistic sample of women in Croatia who reported being in an intimate relationship, sharing a household with a partner (whether married or simply cohabitating) and being a mother to a child with a diagnosed developmental disability. Participants completed questionnaires online in March of 2021 (sociodemographic variables, the Parent Problem Checklist, the Dyadic Coping Inventory and the Marriage Quality Index).ResultsResults of hierarchical multiple regression show that mothers’ perceptions of how they help their partner cope with stress do not predict how satisfied they are in a relationship; instead, relationship satisfaction depends on their perceptions of how their partner helps them and how they cope with stress as a team. Furthermore, moderation analysis revealed the effect of interparental conflicts were entirely mitigated by high supportive and low negative dyadic coping of the partner. When mothers felt adequately supported by their partner, the negative impact of stress caused by interparental conflicts did not spill over into their relationship.ConclusionOur results suggest that by recognizing the importance of psychological support and couples therapy in strengthening dyadic coping, government and non-profit initiatives can effectively empower parents of children with disabilities, fostering healthier and more resilient family dynamics that promotes the well-being of parents and their children.
The effects of neighborhood socioeconomic status on ADL/IADL among Chinese older adults-neighborhood environments as mediators
Authors: Tan Xiaoshuang , Zhang Hong , Ren Xiaohui 
Published: January 2024

BackgroundThere have been few consistencies in the effects and pathways of neighborhood socioeconomic status (SES) on functional limitations. This study aimed to investigate whether neighborhood socioeconomic status influences ADL/IADL in older residents in China through the neighborhood built environment and social environment.MethodsActivities of daily living/IADL were assessed in a sample of 5,887 Chinese individuals aged 60 or older, utilizing data obtained from the 2011 China Health and Retirement Longitudinal Study (CHARLS 2011). Neighborhood SES was measured by the neighborhood per-capita net income. Neighborhood built environment was measured by the security resources, motion resources, living resources, service resources for older adults, and medical resources of neighborhood. Neighborhood social environment was measured by the organizations, unemployment subsidies, minimum living allowance, subsidies to persons older than 65, and pensions to persons older than 80 of the neighborhood. The two-level logistical regression model and multilevel structural equation model (MSEM) were used.ResultsThe rate of ADL/IADL loss among Chinese older adults aged 60 and above in 2011 were 32.17 and 36.87%, respectively. Neighborhood SES was significantly associated with ADL/IADL in older adults. Compared with the respondents living in communities with lower SES, those living in communities with higher SES possessed better ADL (β = −0.33, p &lt; 0.05) and IADL (β = −0.36, p &lt; 0.05) status. The path of neighborhood socioeconomic status on ADL was completely mediated by the neighborhood built environment (β = −0.110, p &lt; 0.05) and neighborhood social environment (β = −0.091, p &lt; 0.05). Additionally, the effect of neighborhood socioeconomic status on IADL was fully mediated by the neighborhood built environment (β = −0.082, p &lt; 0.05) and neighborhood social environment (β = −0.077, p &lt; 0.05).ConclusionNeighborhood SES was significantly correlated with ADL/IADL through the neighborhood environment. Improving the ADL/IADL status of older adults residing in low socioeconomic neighborhoods requires enhancing the built and social environment by provisioning additional neighborhood resources.
Dispensing of antibiotics for tuberculosis patients using standardized patient approach at community pharmacies: results from a cross-sectional study in Pakistan
Authors: Gillani Ali Hassan , Arshad Hafsa , Mujtaba Hasan , Umer Muhammad Farooq , Xu Sen , Ji Wenjing , Bashir Kamran , Chang Jie , Yang Caijun , Fang Yu 
Published: January 2024

BackgroundPakistan is among top countries for antibiotic consumption around the globe and patients often receive antibiotics directly from community pharmacies. Thus, our aim was to assess the drug dispensing practices of pharmacies for presumed and confirmed tuberculosis by using standardized patients’ method in Pakistan.MethodsIn this cross-sectional study, we adopted two standardized patient cases in pharmacies of three cities of Punjab. The first case involved a presumed tuberculosis patient presenting with 2–3 weeks of cough and fever (Case-1), and the second case involved a confirmed tuberculosis patient carrying microbiologically confirmed tuberculosis results (Case-2). The ideal management for Cases-1 and Case-2 is referral of standardized patients to a healthcare provider without dispensing antibiotics or steroids, or both. The differences in antibiotic use, steroid use, and the number of medicines dispensed in referred and non-referred patients between Case-1 and Case-2 were analyzed using descriptive statistics.ResultsBetween April 1, 2020, and July 31, 2020, standardized patients completed 575 out of 598 interactions among community pharmacies in Lahore, Rawalpindi, and Sialkot. We recorded ideal management in 115 (37.7%) of the 305 Case-1 interactions and 130 (48.1%) of the 270 Case-2 interactions. Antibiotic dispensing was higher in Case-1, with 71 out of 305 instances (23.3%), than in Case-2 interactions, with 27 out of 270 instances (10.0%). Anti-tuberculosis drugs were dispensed to 1 patient in Case-1 (0.3%) and to 19 patients (7.0%) in Case-2.ConclusionSlightly more than one-third of pharmacies in Punjab, Pakistan, ideally managed patients with presumed tuberculosis, but almost half of them ideally managed cases of confirmed tuberculosis. The presence of confirmed diagnosis slightly changes the behavior in the correct management of patients.
An active break program (ACTIVA-MENTE) at elementary schools in Chile: study protocol for a pilot cluster randomized controlled trial
Authors: Reyes-Amigo Tomás , Ibarra-Mora Jessica , Aguilar-Farías Nicolás , Gómez-Álvarez Nicolás , Carrasco-Beltrán Hernaldo , Zapata-Lamana Rafael , Hurtado-Almonácid Juan , Páez-Herrera Jacqueline , Yañez-Sepulveda Rodrigo , Cortés Guillermo , Rolle-Cáceres Grissel , Bezerra Andréa 
Published: January 2024

BackgroundPhysical inactivity is prevalent in childhood. Schools can be an ideal context to promote the regular practice of physical activity since children spend there a large part of the day. In this sense, an emerging and current trend is active breaks at school. This article presents a study protocol that seeks to assess the feasibility and effectiveness of an intervention with active breaks (ACTIVA-MENTE program) in a school context on physical activity, on-task classroom behavior, and the physical activity enjoyment in schoolchildren.MethodsThe protocol includes children aged 10 to 11 years. Two groups will be randomized (intervention and control groups). The intervention group will use the active break program, ACTIVA-MENTE, which consists of the application of a 4-min, 30-s video with moderate to vigorous-intensity physical activity. These breaks will be taken 6 times a day in the classes for 6 weeks. The total physical activity will be measured with accelerometers (Actigraph wGT3X-BT), the on-task behavior through the Direct Behavior Rating Scale and the level of enjoyment through the Physical Activity Enjoyment Scale.DiscussionPrevious research reported that active breaks have positive results in physical activity levels. This study will be one of the few to design active breaks through videos without depending on the presence of a physical education teacher and it can also provide new findings on the effectiveness of an active break’s structure (e.g., types of exercises and intensity) on the indicated outcomes.Expected resultsIt is expected that the ACTIVA-MENTE program can be a suitable program for school settings, potentially increasing physical activity levels, and the commitment to the task, as well as be a pleasant moment for the students.Clinical trial registrationClinicaltrials.gov, identifier NCT05403996.
Continuity of care in suicide prevention: current status and future directions
Authors: Arnon Shay , Shahar Golan , Brunstein Klomek Anat 
Published: January 2024

IntroductionContinuity of Care (CoC) is central to suicide prevention. The present study aims to review contemporary definitions, operationalization in research, and key components of CoC in the prevention of suicide.MethodsThe present study is a narrative review. A thorough search of available literature on CoC and suicidality was conducted. Studies published between 1995 and 2021 were reviewed and selected based on relevance to CoC and suicidality. Selected research was subsequently summarized to outline definitions of CoC, its operationalization in research, and key components for suicide prevention.ResultsThe definition, measurement, and operationalization of CoC in suicide prevention varies tremendously, derailing clinical practice. Key elements of CoC identified across the literature include (1) CoC across multiple levels of care, (2) the role of primary care providers and case managers in CoC of suicidal patients, (3) the importance of follow up contact with suicidal patients post-treatment, and (4) the role of national and institutional guidelines for CoC of suicidal patients. Limitations: There is a dearth of randomized controlled trials and insufficient evidence on specific populations.ConclusionCoC refers to a wide, complex concept that must be broken down into specific categories that can provide more nuanced guidance of research and clinical implications.
Managing the unknown or the art of preventing SARS-CoV-2 infection in workplaces in a context of evolving science, precarious employment, and communication barriers. A qualitative situational analysis in Quebec and Ontario
Authors: Côté Daniel , MacEachen Ellen , Huynh Ai-Thuy , León Amelia , Laberge Marie , Meyer Samantha , Majowicz Shannon , Amoako Joyceline , Jahangir Yamin , Dubé Jessica 
Published: January 2024

IntroductionThe issue of communications in the public space, and in particular, in the workplace, became critical in the early stages of the SARS-CoV-2 pandemic and was exacerbated by the stress of the drastic transformation of the organization of work, the speed with which new information was being made available, and the constant fear of being infected or developing a more severe or even fatal form of the disease. Although effective communication is the key to fighting a pandemic, some business sectors were more vulnerable and affected than others, and the individuals in particular socio-demographic and economic categories were proportionately more affected by the number of infections and hospitalizations, and by the number of deaths. Therefore, the aim of this article is to present data related to issues faced by essential workers interacting with the public and their employers to mitigate the contagion of SARS-CoV-2 (COVID-19) at work.MethodsFollowing the constructivist paradigm, an interpretative qualitative design was used to conduct one-on-one interviews with precarious/low-wage, public-contact workers (N= 40), managers (N= 16), and key informants (N= 16) on topics related to their work environments in the context of COVID-19 prevention.ResultsThis article has highlighted some aspects of communication in the workplace essential to preventing COVID-19 outbreaks (e.g., access to information in a context of fast-changing instructions, language proficiency, transparency and confidentiality in the workplace, access to clear guidelines). The impact of poor pre-pandemic working relations on crisis management in the workplace also emerged.DiscussionThis study reminds us of the need to develop targeted, tailored messages that, while not providing all the answers, maintain dialog and transparency in workplaces.
The quality of sleep: evaluation among university students
Authors: Angelillo Silvia , Sansone Vincenza , Paduano Giovanna , Lateano Ludovica , Di Giuseppe Gabriella , Nobile Carmelo Giuseppe Angelo 
Published: January 2024

IntroductionThis study explored the quality of sleep among university students in the South of Italy during the Covid-19 pandemic.MethodsA cross-sectional study was conducted between March 2022 and January 2023 and involved students over the age of 18, who were invited to complete a self-administered questionnaire using an online application.ResultsOverall, 88% of men and 94.5% of women had Pittsburgh Sleep Quality Index (PSQI) scores of ≥5 and a mean PSQI score of 9.2 ± 3. Students with severe or extremely depression score, with sever or extremely stress score, male and who did not had Covid-19 infection were more likely to have a PSQI global score. Moreover, 62.6% of the students declared a reduction in social relations and 72.3% an increase in the use of social media during the pandemic period. The majority of respondents reported an extremely severe level of depression (68.1%), anxiety (84.4%) and stress (71.9%).ConclusionThis finding indicate that a relevant percentage of students are poor sleepers with a higher overall PSQI score with depression and stress and underline the role the implementation of public health interventions to promote healthy life styles and in particular focus on the duration of long night sleep.
The impact of additional visual tasks in physical exercise on balance ability among 9–10-year-old children: the mediating effect of visual acuity
Authors: Yin Rongbin , Zhu Guiming , Liu Anqi , Wang Miyu , Li Liangtao , Dai Shengting 
Published: January 2024

PurposeThis study aimed to explore the effects of additional visual tasks in physical exercise on the vision and balance ability of children, and to verify whether children’s vision mediated the influence of physical exercise on their balance ability.MethodsThe study randomly selected 86 students aged 9–10 years old from a school in Suzhou city, dividing them into an experimental group (n = 43) and a control group (n = 43). The experimental group participated in physical exercise with additional visual tasks, while the control group engaged in routine physical exercise. The experiment lasted for 16 weeks, with kinetic visual acuity (KVA), uncorrected distance visual acuity (UDVA), static balance, and dynamic balance measured before and after the experiment.ResultsThe results showed that after the experiment, the experimental group had significantly improved kinetic visual acuity (KVA), uncorrected distance visual acuity (UDVA), static balance, and dynamic balance. In contrast, the control group had significantly decreased kinetic visual acuity, no significant improvement in uncorrected distance visual acuity, and no significant difference in dynamic balance and static balance. In the experimental group, there was a moderate positive correlation between kinetic visual acuity and uncorrected distance visual acuity, and a moderate positive correlation between uncorrected distance visual acuity and both static and dynamic balance. The study also found that uncorrected distance visual acuity partially mediated the effect of additional visual tasks during physical exercise on static and dynamic balance among children.ConclusionIn conclusion, adding visual tasks to physical exercise had a positive effect on improving children’s vision and balance ability. Kinetic visual acuity and uncorrected distance visual acuity were positively correlated, and uncorrected distance visual acuity was positively correlated with both static and dynamic balance. Uncorrected distance visual acuity partially mediated the effect of physical exercise on children’s balance ability.
A mixed-methods study protocol on factors contributing to suicide clusters among Native American youth in a northern plains reservation
Authors: Brockie Teresa , Kahn-John Michelle , Mata Lopez Laura , Bell Eleesha , Brockie Truth , Brockie Terry , Decker Ellie , Glass Nancy , Has Eagle Hannah , Helgeson Kenneth , Main Nona J. , Kazemi Mina , Perez-Monteau Reyna , Myrick Alicia , Nelson Katie E. , Ricker Adriann , Rider Tammy , Roberts Teeah , Wilson Deborah H. , Yazzie Karen , Perrin Nancy 
Published: January 2024

IntroductionSuicide and suicide clusters within Native American Reservation communities are devastating to the entire community and increase individuals’ risk for suicide over the lifespan. The objective of this paper is to describe the Indigenous community-based participatory research protocol implemented in partnership with the Fort Belknap Indian Community in Montana, United States. The study protocol was developed to understand suicide risk and protective factors, and community-derived solutions, in a reservation community with history of a suicide cluster and high rates of youth suicide.MethodsIn this mixed-methods study, qualitative data from youth, adults, and service providers and quantitative data from 200 adolescents and young adults (aged 14–24 years) were collected in Fort Belknap, Montana from May – December of 2022. Qualitative data were collected first via in-depth interviews and focus groups. Survey questions included validated and pre-tested measures of factors youth experience across socio-ecological levels. Thematic analysis was applied to the qualitative data; and logistic regression models were used to examine relationships within the quantitative data.DiscussionThis study will add a multi-dimensional perspective to our current understanding of (1) risk and protective factors for suicide, community-derived postvention solutions, and insights on community assets, and (2) the current health and psychosocial status of youth in the Fort Belknap community. This study may serve as an exemplar of co-created, culturally safe solutions designed to address mental health resource gaps. Next steps include development of a suicide crisis response tool kit and a culturally aligned postvention intervention that will enhance individual, family, and community survivance.