bluuebunny/crossref_metadata_2025_split huggingface dataset:
Self-esteem associated with the use of social networks in university students
Authors: Villegas Dominguez JE , Muñoz Bautista BL , Gonzalez David EA , Vazquez Garate R , Uscanga Alcantara S , Pavan Gallardo JJ , Reyes Hernandez C , Cruz Garduza AJ , Marquez Celedonio FG 
Published: October 2022

Abstract

Introduction
Currently, the consequences of social networks on the self-esteem of users have been demonstrated in dissemination sources, and can generate problems in their mental and physical health.

Objective
To determine the association between self-esteem and addiction to social networks in university students.

Methods
A cross-sectional, prospective study was carried out between January and April 2022, including male and female university students, aged between 18 and 26 years, excluding participants with already diagnosed psychological disorder, such as depression, anxiety and body dysmorphia. A survey was applied through Google Forms, including the Rosenberg self-esteem scale and the social network addiction test (Cronbach’s alpha 0.91). SPSS v22 software was used for data analysis, X2 test with Odds Ratio (OR) and 95% confidence interval (95%CI), assigning statistical significance with p &lt; 0.05.

Results
A total of 407 students were included, with moderate social network addiction in 57.4% and severe in 8.1%, with low self-esteem in 22.1% and moderate in 50.6%. Values of p &lt; 0.05 were obtained for low self-esteem (OR/95%CI) when the most used social network is WhatsApp (0.5/0.2-0.8) and Instagram (1.8/108-3.2), as well as when having a number of followers between 1501-2000 (0.2/0.1-0.7) and 2501-3000 (10.8/1.1-106). Regarding network addiction, studying a humanities degree showed OR of 12(1.6-88.1). The rest of social networks such as Facebook, tik-tok, twitter, youtube, among others, showed values of p &gt; 0.05 for both addiction to social networks and low self-esteem.

Conclusions
Instagram is identified as a social network that facilitates the presence of low self-esteem in its users, while addiction to social networks is not associated with self-esteem. The number of followers is an associated factor for low self-esteem, and may be preventive or risky according to their total.

Key messages
• We must propose the legislation of social networks, requesting the guarantee of studies for the algorithms that compose them in order to avoid harm to users from them.
• Work with students to have mental health and emotional intelligence should be one of the aspects to be covered by universities, as part of the comprehensive care for students.
Health services gaps experienced by non-standard workers in Ontario, Canada: Policy implications
Authors: Gunn V , O'Campo P , Buhariwala P , Muntaner C , Lewchuk W , Baron S , Bodin T 
Published: October 2022

Abstract

Background
While the Canadian universal health system provides access to basic services, key health benefits are employer dependent. Given that non-standard workers (NSWs) only rarely have access to such benefits they have increased vulnerability to the many insecurities derived from their precarious employment, as clearly seen during the pandemic. The growing problem of non-standard work and workers’ heightened risk for health status deterioration, followed by a possible accentuation of health inequities, is a population health concern. This study summarizes several health services gaps experienced by NSWs and discusses policy implications and possible solutions.

Methods
From January to July 2021, we conducted semi-structured interviews with a purposive sample of 40 NSWs in Ontario, Canada, part of a larger mixed-methods six-country study, including three European countries. The target population consisted of workers aged 25 to 55 who, at the time of the survey, were in non-standard employment or lost their job due to the COVID-19 pandemic.

Results
Our findings highlight complex physical and mental health problems and an overall high burden of disease facing NSWs during the pandemic as linked to a combination of constant stress and worry arising from their employment insecurity, the limited and inconsistent income available to cover their basic needs, and the inadequate and unsafe working conditions they are afraid to challenge. Despite their increased health needs, given that specialized health services are not available to them for free they face financial barriers in accessing much needed health services that could help improve their health status and as a result, delay seeking care or avoid it altogether.

Conclusions
Sustainable multi sectorial policy solutions are needed including the adoption of relevant labour market legislation and increases in social and health expenditures along with re-adjustments in the ways in which health services are delivered.

Key messages
• During the pandemic non-standard workers in Ontario, Canada experienced complex health problems and, despite increased health needs, encountered barriers in accessing specialized health services.
• The growing problem of non-standard work and workers’ heightened risk for health status deterioration, followed by a possible accentuation of health inequities, is a population health concern.
Linking health system inputs, processes and outputs to identify medical deserts in Serbia
Authors: Mandić-Rajčević S , Šantrić-Milićević M 
Published: October 2022

Abstract

Background
Medical deserts (regions where the population does not have adequate access to health care) indicate the failure of the health system to achieve the goals of improving the health of the population. Identifying medical deserts (MD) is far from simple. The aim of this study is to describe the approach to identification of medical deserts in Serbia using indicators for the health system inputs, processes and outputs.

Methods
We investigated the basic healthcare-related medical deserts using the indicators of primary health care centers’ inputs (accessibility: annual number of patients per physician), processes (performance: annual workload of patient visits per physician) and outputs (unmet needs: percentage of patients unable to access health services) in all 25 Serbian districts in 2020, using data of the Health Statistical Yearbook of the Republic of Serbia and the National Patient Satisfaction Survey of the Institute of Public Health. We developed a Multiple Criteria Scoring System (MCSS) incorporating the weighting and scoring of accessibility and performance for four types of physicians (general practitioners, pre-school pediatricians, youth pediatricians, and gynecologists) and five dimensions of unmet needs (financial reasons, waiting times, lack of personal time, long-distance and COVID-19). MCSS final scores 0 (none) - 100% (MDs on all indicators) are assessed using the regulatory norms.

Results
MDs partially overlap by different criteria: accessibility, 4-10 districts; performance, three districts; unmet needs: 2-5 districts. Top five medical deserts identified according to the MCSS are Mačvanski, Šumadijski, Moravički, Srednjebanatski, and Podunavski district.

Conclusions
Serbia has at least one MD per administrative region according to the objective normative indicators and patients’ subjective experiences. The study findings can be used to inform district stakeholders on how to use health workforce policy and planning to address medical deserts.

Key messages
• MCSS indicates potential medical deserts in 20% of all districts in the Republic of Serbia.
• Evidence on poor health workforce accessibility and performance in light of the patient unmet healthcare needs could be used to inform stakeholders on medical deserts in the country.
Associations of dietetic care and pregnancy outcomes in women with gestational diabetes
Authors: van der pligt P , Absalom G , Zinga J , Margerison C , Abbott G , O'Reilly S 
Published: October 2022

Abstract

Background
Gestational diabetes mellitus (GDM) is a significant, global public health problem. Subsequent strain on healthcare systems is widespread and multidisciplinary care may be inadequate. We assessed current nutrition management of GDM in a large, metropolitan maternity hospital in Melbourne, Australia and associations between the model of dietetic care and maternal and neonatal health outcomes.

Methods
Hospital medical record data from The Women’s Hospital, Melbourne for women with GDM (n = 1,185) (July 2105-May 2017) was retrospectively analysed. Adjusted linear and logistic regression were used to assess associations between the number of dietitian consultations and maternal and neonatal health outcomes.

Results
Half of all women received two consultations with a dietitian. Nineteen percent of women received three or more consultations and of these women, almost twice as many were managed by medical nutrition therapy (MNT) and pharmacotherapy (66%) compared with MNT alone (34%). Odds of maternal complications increased with number of consultations (p = 0.008). Lower odds of infant admission to the Neonatal Intensive Care Unit were observed among women receiving one (OR = 0.38 [95% CI: 0.18, 0.78], p = 0.008), two (OR = 0.37 [95% CI: 15 0.19, 0.71], p = 0.003), or three+ dietitian consultations (OR = 0.43 [95% CI: 0.21, 0.88], p = 0.020), compared to no consultations.

Conclusions
The optimal schedule of dietitian consultations for women with GDM in Australia is unclear. Alternative delivery of nutrition education for women with GDM such as telehealth and utilisation of technology may assist in relieving public health and healthcare system pressures and ensure optimal pregnancy outcomes.

Key messages
• Delivering medical nutrition therapy through individual consultations does not deliver a linear benefit to women with GDM and their offspring.
• Alternative delivery modes are needed to optimise outcomes for healthcare services and their patients.
Collaboration and health promotion for the health care system – evaluation of the WOL healthcare
Authors: Schorlemmer J , Jung B , Zeller C 
Published: October 2022

Abstract

Background
Health care and social services are industries with special challenges: Constant emotional demands, the shortage of skilled workers is noticeable (in Germany) and special organizational stresses, not only since the Corona pandemic. This study evaluates the Working out Loud (WOL) program for healthcare, which aims to create a learning culture for interdisciplinary collaboration and network-oriented learning and increases growth-oriented thinking at organizational level.

Methods
The sample consists of 51 participants. From 16 persons data could be analyzed in the pre-post-design of the 10-week intervention accompanied by individual coaching. All respondents work in the health care system in Germany. Dependent variables were collected with validated scales for psychological safety, psychological flexibility, cooperative learning, emotional energy, engagement and voice behavior.

Results
Effects of moderate strength were shown for all variables: psychological safety (Mt1= 4.86, Mt2 = 5.45 t(15) =-1.86, p =.083, d = 0.46), psychological flexibility (Mt1= 3.57, Mt2 = 3.82 t(15) = -2.12, p = .051, d = 0.53), cooperative learning (Mt1= 4.63, Mt2 = 4.81 t(15) = -2.18, p =. 045, d = 0.54), emotional energy (Mt1= 2.70, Mt2 = 2.75 t(15) = -0.82, p = .423, d = 0.20), engagement (Mt1= 2.87, Mt2 = 3.05 t(15) = -1.65, p = .119, d = 0.41)and voice behavior (Mt1= 3.84, Mt2 = 4.05 t(15) = -1.64, p = .120, d = 0.41). Correlations are shown for psychological safety with emotional energy (r = .426, p = .012) and job satisfaction (r = .612, p = .000).

Conclusions
The 10-week WOL Healthcare program can strengthen employees in the important area of health promotion and care. The program serves as behavioral prevention and, by empowering individuals, brings about job crafting structural prevention in the workplace. The intervention follows a bottom-up principle, it is an approach for health promotion in the healthcare sector, that can strengthen patient's safety.

Key messages
• Evidence for the effectiveness of a health promotion intervention for health care workers.
• Organizational learning promotes workers health.
Nutrition Literacy of Overweight/Obese and Non-Overweight/Obese Turkish Women and Affecting Factors
Authors: Kozan Çıkırıkçı EH , Esin MN 
Published: October 2022

Abstract

Background
Nutrition literacy is having the skills and abilities required to prepare food, make healthy food preferences, and understand its effects on health, environment, and economy. Inadequate nutrition literacy can lead to an unhealthy diet, overweight, or obesity. Along with inadequate nutrition literacy, gender is also a risk factor for obesity. In this regard, it is seen that women’s level of nutrition literacy has an important role in gaining healthy eating habits and preventing chronic diseases related to nutrition such as obesity. This study aims to determine the level of nutrition literacy of adult Turkish women and the factors affecting.

Methods
In this comparative descriptive research, 239 women were selected into 2 groups by their BMI, from Public Education Centers in Istanbul, Turkey, by using simple random sampling method. Data were collected using Introductory Characteristics Form and Adult Nutrition Literacy Assessment Tool. For statistical analysis, Pearson Chi-Square, Mann Whitney U and logistic regression were used.

Results
In the study, adequate numerical literacy and food label reading rates in overweight/obese women were found lower (p = 0.000) than non-overweight/obese women. It was found that the number of main meals increases the nutrition literacy level of non-overweight/obese women 2.628 times (p = 0.012). In the overweight/obese group, it was found that number of children (p = 0.040), waist circumference (p = 0.048), snack amount (p = 0.022) and Youtube usage (p = 0.041) increase nutrition literacy levels.

Conclusions
The nutrition literacy of both groups was found to be high. However it is highly affected by YouTube usage which provides a new perspective in terms of public health practices and policies. It is recommended for public health professionals to:
• use social media platforms and provide evidence-based information
• monitor the height, weight and BMI of individuals in the risk group
• organize interventions to strengthen nutritional literacy

Key messages
• Adequate numerical literacy and food label reading sub-dimension mean scores of overweight/obese women was lower than the non-overweight/obese women.
• Spending time on Youtube increases the nutrition literacy levels in overweight/obese women by 91,116 times which points to the relationship between nutritional literacy and social media use.
Tools for assessing implementation of health promotion standards in hospital/health service settings
Authors: Katsaros K , Groene O 
Published: October 2022

Abstract

The International Network of Health Promoting Hospitals and Health Services (HPH) was initiated by the World Health Organization as a settings approach toward reorienting health services. Over 600 members from 30 countries promote the integration of health promotion into the hospital/ health service setting. The International HPH Network developed the 2020 Standards for Health Promoting Hospitals and Health Services, representing years of experience and expertise reflected in 5 standards, 18 substandards, and 85 standard statements. Complementary self-assessment tools were developed to operationalize the standards and to identify concrete measurable elements against which each standard can be measured. The aim of the tools is to assist hospitals and health services in transforming the setting into a health promoting one. The standards are comprehensive and address topics to encourage the complete refocusing of an organization’s strategy and to stimulate a process of continuous internal improvement. Standards address management, patient-centered care, occupational health, health literate organizations, environmental sustainability, and target groups such as the elderly and children and adolescents. Excel and pdf tools may be utilized by institutions to measure and track progress in implementing each of the standards. The tools state measurable elements for each standard that were identified by an expert panel of HPH members and external subject experts to be directly observable and applicable across various regional and institutional contexts. As part of internal and external assessment processes, standards can be rated on a scale from 1 (not implemented) to 10 (fully implemented). The tools store data and generate graphs that allow organizations to assess their level of performance, identify areas for improvement, and devise data-driven action plans.

Key messages
• Progress towards transforming the setting must be tracked and included in an organization’s continuous internal improvement processes.
• The transformation of the hospitals/health service setting into a health promoting environment results in better health outcomes for patients, families, the community, and the environment.
Co-construct, implement and evaluate an intervention to prevent a sedentary lifestyle in children
Authors: Laujac S , Cholley-Gomez M , Franceschi J , Rozand A , Pallier L , Basson JC , Vuillemin A , Duché P , Delpierre C , Carayol M 
Published: October 2022

Abstract

Background
In children a sedentary lifestyle is associated with the development of chronic diseases, as well as unfavorable body composition and physical condition, lower levels of self-esteem, sociability, and school results. In Europe 39,8% of children (6-9 years) spend on average more than 2h/day in front of a screen, and 14,6% over 3h/day. In this context, designing and testing effective interventions to decrease sedentary behavior in children is a major public health research gap. The CIPRES intervention aims to reduce sedentary time in school-age children (7-10 years).

Methods
The CIPRES intervention is co-constructed with key local actors, by using a socio-ecological approach, and theory-based on the transcontextual model. The intervention is evaluated by a cluster-randomized controlled study currently ongoing. The target population is made up of 1000 children from 13 primary schools (in years 4-5) from southeast of France with different levels of social deprivation. Main outcomes are assessed by accelerometer and questionnaires before (T0) and after a six-week intervention (T1) and include sedentary behavior, physical activity (PA) and variables of the transcontextual model.

Results
Preliminary data were available in 152 children (53 intervention and 99 control). There was no significant difference across the time in sedentary time between intervention and control group (p = 0.11; η2=0,017); however, moderate-to-vigorous physical activity (MVPA) tended to be better in intervention vs control (p = 0.06; η2=0,023). In the intervention group, sedentary time and MVPA were significantly better across the time (p = 0.028 and p = 0.011, respectively) for children having a father with a university diploma as compared to children having a father with a lower education level.

Conclusions
Preliminary results on a small group of subjects (n = 152) are encouraging and suggest a positive impact of the intervention on children. More results will be available by summer 2022.

Key messages
• Based on the socio-ecological model, the CIPRES intervention aims to prevent sedentary in school-aged children.
• Preliminary data suggests a favorable impact of the intervention on physical activity.
Moveluencer - movement promotion in the context of covid 19
Authors: Tuttner S , Holler P , Amort F 
Published: October 2022

Abstract

In times of a pandemic, regular physical activity is recommended as protection against the additional stressors caused by a significantly changed daily routine and, above all, severe restrictions in social life. Within this context, promoting active mobility is a meaningful approach to improving the health of the population. The project ‘MOVEluencer’ is a physical activity promotion project following a multidimensional and participatory approach. It has been running since July 2021 in six small rural communities in Styria, a province of Austria (average: 2262 residents). These communities were selected based on inequality factors related to health and physical activity. The promotion of active mobility is at the heart of the project. The main target groups include children and adolescents, their parents, as well as older adults. The aim of the analysis phase was to identify infrastructural resources that are favorable to a physically active lifestyle through a photo contest. A total of 268 photos were sent in by 67 people (43% female). In spring 2022, ‘movement events’ were implemented to raise awareness in terms of active mobility among the population. These events were supplemented by the offer of fitness tests and approximately 265 persons (age: 10 to 84 years) participated. As a follow-on activity, 4 to 5 ‘walking buddies’ will be trained in each community and they will subsequently offer regular walking meetings. In the 3rd project phase, specific physical activity programs will be developed and implemented together with the target groups of the project. Aspects for the sustainable anchoring of physical activity promotion are considered in each project phase. It has been shown that awareness of the health benefits of active mobility in rural areas is rather low. Therefore, improving lifestyle and infrastructural conditions as well as measures to promote physical literacy are important.

Key messages
• Awarenes among the population regarding the health benefits of active mobility is low in rural areas.
• Social media campaigns to promote physical activity are successful in all age groups.
Hand Hygiene: do we know the WHO 5 moments?
Authors: Baca Hidalgo J , Pérez Dionisio M , Salguero Cano V , Díaz Campanón J , Gutiérrez Linares S , Padilla Matas R 
Published: October 2022

Abstract

Background
The proliferation of multi-resistant bacteria to antibiotics is one of the main global health problems of the 21st century. The World Health Organization (WHO) has listed antibiotic resistance as one of the top ten public health threats facing humanity. The hands become the main vehicle for transmission by contact of the microorganisms that cause healthcare-associated infections (HAIs). Its control provides a main point in patient safety. Hand Hygiene (HH) is a good practice consolidated in the technical guides of good practices for patient safety, being essential due to its easy use, low cost and effectiveness in preventing the cross-transmission of microorganisms. Our objective is to analyze the knowledge of healthcare professionals in reference to HH according to the WHO’s indications.

Methods
Descriptive study through cross-sectional surveys based on the HH Knowledge Questionnaire for healthcare professionals translated by the Health Ministry, Social Policies and Equality of Spain and validated by the WHO, carried out voluntarily and anonymously between September 2021 and March 2022, prior and after training sessions in HH.

Results
There were total of 558 surveys (questionnaires) with 57% correct answers in the questionnaires before training and 62.9% after the trainning. The highest percentage of correct answers, both before and after the trainning, correspond to the HH technique and the wrong ones are related to the 4th Moment and 3rd Moment of the WHO HH.

Conclusions/ recommendations
Despite being immersed in a pandemic where adherence to the correct technique of HH has been revealed, the need for healthcare professionals to carry out continuous training regarding HH and Health-care associated infection (HAI) is unquestionable.

Key messages
• Hand Hygiene is a crucial good practice to control Health-care associated infection.
• Continuous trainning improves compliance in Hand Hygiene.