International Journal of Environmental Research and Public Health

14 pages, 1257 KiB

Open AccessArticle

The Reciprocal Effects of Prosociality, Peer Support and Psychological Well-Being in Adolescence: A Four-Wave Longitudinal Study

by Gaetana Affuso, Nicola Picone, Grazia De Angelis, Mirella Dragone, Concetta Esposito, Maddalena Pannone, Anna Zannone and Dario Bacchini

Int. J. Environ. Res. Public Health 2024, 21(12), 1630; https://doi.org/10.3390/ijerph21121630 (registering DOI) - 7 Dec 2024

Abstract

The aim of this study was to analyze the reciprocal effects between prosociality, peer support and psychological well-being using a four-wave longitudinal study and a within-person analytical approach (random intercept cross-lagged panel model, RI-CLPM). A sample of 587 adolescents (males = 308; M [...] Read more.

The aim of this study was to analyze the reciprocal effects between prosociality, peer support and psychological well-being using a four-wave longitudinal study and a within-person analytical approach (random intercept cross-lagged panel model, RI-CLPM). A sample of 587 adolescents (males = 308; M_age = 14.23, SD = 0.58) enrolled in the first year of high school (9th grade) were recruited and followed over four years from 2016 (Time 1 [T1]) to 2019 (Time 4 [T4]). Once a year, they filled in a questionnaire measuring prosociality, peer support, and psychological well-being. The results from the RI-CLPM revealed that, at the between-person level, prosociality, peer support and psychological well-being were all positively associated. Conversely, at the within-person level and at all survey points, only psychological well-being positively predicted prosociality one year later. Specifically, we found that adolescents with higher levels of psychological well-being were more likely to show a tendency for prosocial behaviors over time. Promoting interventions aimed at enhancing psychological well-being may make adolescents more likely to engage in positive behaviors, such as prosocial ones, in a variety of contexts, thereby creating favorable social environments. Full article

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12 pages, 287 KiB

Open AccessArticle

Social Media Influencers, Health Literacy, and Food Literacy: A Correlational Study Among Adolescents

by Lies Sercu

Int. J. Environ. Res. Public Health 2024, 21(12), 1629; https://doi.org/10.3390/ijerph21121629 - 6 Dec 2024

Abstract

Social media influencers (SMIs) have emerged as a significant alternative source of health-related information for adolescents, apart from their parents, doctors, and schools. It is yet to be determined whether adolescents’ use of social media influencers leads to a deterioration or an improvement [...] Read more.

Social media influencers (SMIs) have emerged as a significant alternative source of health-related information for adolescents, apart from their parents, doctors, and schools. It is yet to be determined whether adolescents’ use of social media influencers leads to a deterioration or an improvement of their overall health literacy and food literacy. This study (N = 509), for one thing, investigated adolescents’ health literacy (using the MOHLAA-Q), food literacy (using the SFLQ), and use of social media influencers as sources of information on healthy lifestyles (mapped through self-report questions). For another, it studied whether correlations appear to exist between SMI use, health literacy, and food literacy. The results show that the more frequently adolescents use SMIs as sources of information, the better their health literacy and food literacy are. Consequently, health promotors, such as schools and healthcare professionals, should use the channels adolescents use to enhance their critical health and food literacy, and ultimately their health. Full article

15 pages, 304 KiB

Open AccessArticle

Promoting Maternal Health in the Postpartum Period to Advance Birth Equity

by Ariella Levisohn, Laurie Nsiah-Jefferson, Colette Dieujuste and Lisa Heelan-Fancher

Int. J. Environ. Res. Public Health 2024, 21(12), 1628; https://doi.org/10.3390/ijerph21121628 - 6 Dec 2024

Abstract

Black birthing people experience lower rates of postpartum follow-up care. The objective of this study was to examine factors associated with postpartum follow-up care and explore suggestions for improving the quality and experience of care during the postpartum period. A survey was conducted [...] Read more.

Black birthing people experience lower rates of postpartum follow-up care. The objective of this study was to examine factors associated with postpartum follow-up care and explore suggestions for improving the quality and experience of care during the postpartum period. A survey was conducted among Black birthing people in the Boston area who had delivered an infant within two years of the study. Our survey comprised the Jackson, Hogue, Phillips Contextualized Stress Measure (JHPCSM), the Power as Knowing Participation in Change Tool (PKPCT), and demographic questions. One hundred and twenty-one self-identified Black birthing people completed the survey. One-third of participants did not attend their postpartum appointment. Those with public insurance, an educational level of less than a college degree, or were working outside the home were significantly less likely to have a postpartum follow-up visit. Participants who attended postpartum visits had higher scores on the JHPCSM (lower stress) and PKPCT. Inability to take time off from work, COVID-19 concerns, and lack of childcare were the most frequently reported barriers to attending appointments. There is a need for better institutional and policy support for Black parents in the postpartum period. Full article

(This article belongs to the Special Issue Sexual, Reproductive and Maternal Health)

2 pages, 202 KiB

Open AccessCorrection

Correction: Diniz et al. The Interaction between Education and Sex with Alcohol Consumption during the COVID-19 Pandemic: A Cross-Sectional Analysis of Two Brazilian Cities. Int. J. Environ. Res. Public Health 2024, 21, 804

by Amanda Popolino Diniz, Raquel de Deus Mendonça, George Luiz Lins Machado-Coelho and Adriana Lúcia Meireles

Int. J. Environ. Res. Public Health 2024, 21(12), 1627; https://doi.org/10.3390/ijerph21121627 - 6 Dec 2024

Abstract

There was an error in the original publication [...] Full article

12 pages, 734 KiB

Open AccessArticle

Transforming Chronic Pain Care Through Telemedicine: An Italian Perspective

by Francesco Amato, Maria Carmela Monaco and Silvia Ceniti

Int. J. Environ. Res. Public Health 2024, 21(12), 1626; https://doi.org/10.3390/ijerph21121626 - 5 Dec 2024

Abstract

Chronic pain (CP) is a complex and debilitating condition that significantly impairs quality of life and imposes a high burden on healthcare systems. This study aims to evaluate the impact of telemedicine on chronic pain management in cancer survivors with complex CP. Our [...] Read more.

Chronic pain (CP) is a complex and debilitating condition that significantly impairs quality of life and imposes a high burden on healthcare systems. This study aims to evaluate the impact of telemedicine on chronic pain management in cancer survivors with complex CP. Our multicenter retrospective investigation of cancer survivors with complex CP included 100 patients (median age 65 years, 62% female). Pain, disability, and self-perceived health status were assessed using the Numeric Rating Scale (NRS), Brief Pain Inventory (BPI), Oswestry Disability Index (ODI), and the EuroQolfive-dimension five-level (EQ-5D-5L) questionnaire. The most common diagnoses were neuropathic pain (54%) and complex chronic pain (32%). Significant clinical improvements were observed after six months of telemedicine intervention (all p < 0.001). NRS scores improved by more than four points in 77% of patients, BPI Worst Pain Scores decreased by four points in 52% and by five points in 28% of patients. All patients’ disability levels improved from severe (median ODI score of 52) to moderate (median ODI score of 30). Self-perceived health status improved from 40 to 60 on the EQ-5D-5L scale. Telemedicine interventions significantly reduced pain intensity, decreased disability levels, and enhanced quality of life in chronic pain patients. These findings underscore the transformative potential of telemedicine in chronic pain management and support its broader integration into medical practice. Full article

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13 pages, 1678 KiB

Open AccessArticle

Consumption of Meat in Brazil: A Perspective on Social Inequalities and Food and Nutrition Security

by Samantha Marques Vasconcelos Bonfim, Marhya Júlia Silva Leite, Isabela Gonçalves Camusso, Dirce Maria Lobo Marchioni and Aline Martins Carvalho

Int. J. Environ. Res. Public Health 2024, 21(12), 1625; https://doi.org/10.3390/ijerph21121625 - 5 Dec 2024

Abstract

The EAT–Lancet “Planetary Health Diet” (PHD) proposes dietary recommendations to address health and environmental concerns, including reducing meat consumption. However, in Brazil, where meat holds cultural significance, the feasibility of these recommendations is questionable. This study aimed to examine meat consumption across the [...] Read more.

The EAT–Lancet “Planetary Health Diet” (PHD) proposes dietary recommendations to address health and environmental concerns, including reducing meat consumption. However, in Brazil, where meat holds cultural significance, the feasibility of these recommendations is questionable. This study aimed to examine meat consumption across the five Brazilian regions through the lens of the PHD, considering regionalisms and social inequalities. Using data from the 2017–2018 Household Budget Survey (POF), we estimated meat consumption. A multiple logistic regression analysis was employed to assess the association between excessive meat consumption and sociodemographic factors, such as region of the country, sex, per capita income profile, and level of Food and Nutrition Security (FNS). Our results reveal that meat consumption exceeds recommendations in all Brazilian regions. To effectively promote healthier and more sustainable diets, public health interventions must consider regional disparities and the cultural significance of meat. Policies should prioritize food justice and address the underlying social and economic factors that drive meat consumption. Full article

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12 pages, 13245 KiB

Open AccessArticle

Forest-Going as a Risk Factor for Confirmed Malaria in Champasak Province, Lao PDR: A Case-Control Study

by Sarah Gallalee, Emily Dantzer, Francois Rerolle, Keobouphaphone Chindavongsa, Khampheng Phongluxa, Wattana Lasichanh, Jennifer L. Smith, Roly Gosling, Andrew Lover, Bouasy Hongvanthong and Adam Bennett

Int. J. Environ. Res. Public Health 2024, 21(12), 1624; https://doi.org/10.3390/ijerph21121624 - 4 Dec 2024

Abstract

Lao People’s Democratic Republic (Lao PDR) has made significant progress in reducing malaria in recent years. In the Greater Mekong Subregion, forest-going is often a risk factor contributing to continuing malaria transmission. This study assessed forest-going and other potential risk factors for malaria [...] Read more.

Lao People’s Democratic Republic (Lao PDR) has made significant progress in reducing malaria in recent years. In the Greater Mekong Subregion, forest-going is often a risk factor contributing to continuing malaria transmission. This study assessed forest-going and other potential risk factors for malaria cases in Champasak Province, Lao PDR. Routine passive surveillance data from August 2017 to December 2018 were extracted from health facilities in three districts for a case-control study; at the time of presentation, all fever cases were asked to report any recent forest travel. Multivariable logistic regression was used to assess the relationship between forest-going and malaria infection while controlling for other covariates. Of 2933 fever cases with data available on forest-sleeping and malaria diagnosis from 25 health facilities, 244 (8%) tested positive (cases), and 2689 (92%) tested negative (controls). Compared with spending 0–2 nights in the forest, spending 3–7 nights in the forest was associated with 9.7 times the odds of having a malaria infection (95% CI: 4.67–20.31, p < 0.001) when adjusting for gender, occupation, and season. Forest-going, especially longer trips, is associated with increased risk for confirmed symptomatic malaria in southern Lao PDR, and appropriate and targeted intervention efforts are needed to protect this high-risk population. Full article

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16 pages, 1216 KiB

Open AccessArticle

A Qualitative Study to Describe the Nature and Scope of Street Medicine Programs in the United States

by Teresa Medellin, Leticia R. Moczygemba and Whitney Thurman

Int. J. Environ. Res. Public Health 2024, 21(12), 1623; https://doi.org/10.3390/ijerph21121623 - 4 Dec 2024

Abstract

Street medicine is a health delivery model designed to provide direct patient care to people experiencing unsheltered homelessness where they are physically located, whether that be on the streets or in encampments. The model has developed in response to the barriers people experiencing [...] Read more.

Street medicine is a health delivery model designed to provide direct patient care to people experiencing unsheltered homelessness where they are physically located, whether that be on the streets or in encampments. The model has developed in response to the barriers people experiencing homelessness (PEH) encounter when accessing care through traditional points of access such as primary care clinics. Street medicine programs are rapidly emerging across the United States (U.S.) in response to the health needs and challenges associated with care access and coordination for unsheltered homeless individuals. Although street medicine is a rapidly growing field, existing street medicine programs have rarely been studied collectively, limiting our understanding of the nature, scope, and range of street medicine programs in the U.S. This study examined 13 programs from across the U.S. to develop a broad characterization of street medicine programs. Results from interviews with representatives from each of the 13 programs show that there is a high degree of variability among the structure, operations, and scope of care of street medicine programs. However, consistent among street medicine programs is the adoption of a patient-centered approach to care and the use of harm-reduction principles. Street medicine programs are also highly engaged with community partners and affiliate organizations that work in their local and regional areas. Because street medicine programs often serve as a bridge between formal healthcare entities and PEH, street medicine offers a strategy for reconnecting individuals to vital healthcare services. Full article

(This article belongs to the Section Health Care Sciences)

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16 pages, 1748 KiB

Open AccessArticle

Neuropsychological Effects of the Lockdown Due to the COVID-19 Pandemic on Patients with Alzheimer’s Disease and Their Caregivers: The “ACQUA” (Alzheimer–COVID QUArantine Questionnaire) Study

by Alessandro Trebbastoni, Roberta Margiotta, Fabrizia D’Antonio, Sonia Barbetti, Marco Canevelli, Sofia Diana, Antonella Di Vita, Letizia Imbriano, Micaela Sepe Monti, Giuseppina Talarico, Cecilia Guariglia and Giuseppe Bruno

Int. J. Environ. Res. Public Health 2024, 21(12), 1622; https://doi.org/10.3390/ijerph21121622 - 4 Dec 2024

Abstract

Background: The lockdown due to the COVID-19 pandemic, imposed in many countries in 2021, led to social isolation and the interruption of many activities that were useful in stimulating cognition. The impact of these changes has been particularly severe in older subjects with [...] Read more.

Background: The lockdown due to the COVID-19 pandemic, imposed in many countries in 2021, led to social isolation and the interruption of many activities that were useful in stimulating cognition. The impact of these changes has been particularly severe in older subjects with cognitive impairment. Methods: The present study aimed to investigate the effects of lockdown on Alzheimer’s disease patients (in cognition, behavior, and autonomy) and on their caregivers (in emotions, burden, and quality of life). We created a questionnaire and performed an extensive semi-structured telephone interview with each caregiver. The main outcomes were (1) changes in cognitive and behavioral symptoms and autonomy levels in the patients and (2) effects on caregivers’ emotions, burden, and quality of life. Results: The lockdown severely impaired patients’ cognition and independence and worsened behavioral and psychological symptoms of dementia. These effects contributed to increasing caregivers’ burden and stress levels, with a significant perceived deterioration in quality of life among caregivers with higher education levels (p = 0.047). Conclusions: This study might contribute to our understanding of the impact of lockdown on Alzheimer’s disease patients and their caregivers, to guide future public health interventions aimed at preventing and/or reducing the consequences of similar extraordinary events in frail subjects. Full article

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26 pages, 1954 KiB

Open AccessSystematic Review

Biological Hazards and Indicators Found in Products of Animal Origin in Cambodia from 2000 to 2022: A Systematic Review

by Shwe Phue San, Rortana Chea, Delia Grace, Kristina Roesel, Sothyra Tum, Stephen Young, Tumnoon Charaslertrangsi, Nazanin Zand, Shetty Seetharama Thombathu, Ra Thorng, Leab Kong, Kuok Fidero and Linda Nicolaides

Int. J. Environ. Res. Public Health 2024, 21(12), 1621; https://doi.org/10.3390/ijerph21121621 - 3 Dec 2024

Abstract

Biological hazards in products of animal origin pose a significant threat to human health. In Cambodia, there are few comprehensive data and information on the causes of foodborne diseases or risks. To date, there has been no known published study similar to this [...] Read more.

Biological hazards in products of animal origin pose a significant threat to human health. In Cambodia, there are few comprehensive data and information on the causes of foodborne diseases or risks. To date, there has been no known published study similar to this review. This systematic review is aimed to investigate the prevalence of biological hazards and their indicators in products of animal origin from 2000 to 2022. The main objective of this study was also to contribute to strengthening Cambodia’s food control system. This review followed the established “Preferred Reporting Items for Systematic Reviews and Meta-Analyses” (PRISMA) guidelines. In total, 46 studies were retained for complete review. Most studies (n = 40) had been conducted by or with external researchers, reflecting the under-resourcing of the National Food Control System in terms of surveillance; areas outside the capital were relatively understudied, reflecting evidence found in Ethiopia and Burkina Faso. Five categories of hazards were reported with the highest number of studies on fish parasites. Marketed fish, often originating from different countries, had a higher mean value of parasite prevalence (58.85%) than wild-caught fish (16.46%). Viral pathogens in bat meat presented a potential spillover risk. Many potentially important hazards had not yet been studied or reported (e.g., Norovirus, Shigella, toxin-producing Escherichia coli, and Vibrio cholerae). The findings of our review highlighted significant urgencies for national competent authorities to enhance food hygiene practices along the production chain, tackle import control, and enforce the implementation of a traceability system, alongside more research collaboration with neighboring countries and key trading partners. It is crucial to conduct more extensive research on food safety risk analysis, focusing on the identification and understanding of various biological hazards and their associated risk factors in food. Full article

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15 pages, 721 KiB

Open AccessReview

Anxiety and Depression Disorders in Undergraduate Medical Students During the COVID-19 Pandemic: An Integrative Literature Review

by Ana Luisa Varrone Sartorao and Carlos Izaias Sartorao-Filho

Int. J. Environ. Res. Public Health 2024, 21(12), 1620; https://doi.org/10.3390/ijerph21121620 - 3 Dec 2024

Abstract

Introduction: The COVID-19 pandemic has triggered several challenges on the front of mental health. Undergraduate medical students face considerable stress in their academic routines. Thus, there is a need to explore the implications for the mental health of undergraduate medical students during the [...] Read more.

Introduction: The COVID-19 pandemic has triggered several challenges on the front of mental health. Undergraduate medical students face considerable stress in their academic routines. Thus, there is a need to explore the implications for the mental health of undergraduate medical students during the COVID-19 pandemic. Objective: To review the global literature about anxiety and depressive disorders in undergraduate medical students during the COVID-19 pandemic. Method: We developed an integrative literature review on the occurrence of anxiety and depressive symptoms in undergraduate medical students during the COVID-19 pandemic. We included the manuscripts that used the PHQ-9 and/or GAD-7 questionnaires. We excluded systematic reviews, narrative reviews, integrative reviews, meta-analyses, and qualitative analytical studies. We assessed the results on the occurrence of anxiety and depression and the severity of symptoms in medical students during the COVID-19 pandemic using quantitative studies applying the GAD-7 questionnaire for anxiety or the PHQ-9 for depression. Results: We reviewed 85 selected studies, and the results showed a significant prevalence of moderate and severe symptoms of anxiety and depression, with 28.2% of participants presenting scores of ≥10 on the GAD-7 and 38.9% on the PHQ-9. Statistical analyses using simple and multiple regression tests revealed associations between higher rates of anxiety symptoms among students from developing countries and data collected after the lockdown period in 2020 during the pandemic lockdown. In addition, female students were at risk of depressive disorders. We emphasize as a limitation that the diagnosis of depression and anxiety requires a detailed clinical evaluation, which is not focused on in this actual study. Conclusions: Our findings highlight the need for specific interventions to support the mental health of undergraduate medical students, especially female students from developing countries, during a pandemic crisis. Full article

(This article belongs to the Special Issue Advances in Mental Health and Well-Being at the Workplace)

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15 pages, 643 KiB

Open AccessArticle

Gender, Mental Health Stigma, and Help-Seeking in Arabic- and Swahili-Speaking Communities in Australia

by Shameran Slewa-Younan, Renu Narchal, Ruth Das, Klimentina Krstanoska-Blazeska, Ilse Blignault, Bingqin Li, Nicola Reavley and Andre Renzaho

Int. J. Environ. Res. Public Health 2024, 21(12), 1619; https://doi.org/10.3390/ijerph21121619 - 3 Dec 2024

Abstract

Australia is an ethnically diverse nation with large numbers of migrants and refugees entering the country yearly. Despite research demonstrating that individuals from culturally and linguistically diverse (CaLD) communities experience an elevated risk of developing a mental illness, mental health services uptake is [...] Read more.

Australia is an ethnically diverse nation with large numbers of migrants and refugees entering the country yearly. Despite research demonstrating that individuals from culturally and linguistically diverse (CaLD) communities experience an elevated risk of developing a mental illness, mental health services uptake is consistently low. To improve the mental health outcomes of these CaLD individuals in Australia, there is an urgent need to understand barriers to treatment, such as stigma. Research has noted that gender may play a role in mental health stigma and help-seeking. Using a qualitative approach as part of the Embrace Multicultural Mental Health Project, the aim of this study was to explore gender perspectives in mental health stigma and help-seeking among Arabic-speaking and Swahili-speaking individuals in Sydney. A total of five focus group discussions and 18 interviews were undertaken online using Zoom, digitally recorded, transcribed, and thematically analysed. Three major themes were identified. The first theme related to stigma and the fears regarding mental illness being discovered by others. The second theme related to the different approaches to confronting stigma. The last theme related to the various issues considered when identifying sources of help. Our findings suggest that a nuanced approach using the ‘what matters most’ framework can explain how men and women within each community may experience stigma and emphasise different aspects of help-seeking. These findings can help to guide clinical practitioners in delivering gender-specific and culturally sensitive and effective treatment sessions with these CaLD individuals, in addition to offering directions for stigma-reduction initiatives. Full article

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9 pages, 255 KiB

Open AccessBrief Report

Perceptions of the Harm of Cigarettes, Mental Health, and Quality of Life Among Transgender Adults Who Smoke Menthol Cigarettes: Results from Wave 5 of the Population Assessment for Tobacco and Health (PATH) Study

by Nichelle Brown, Heesung Shin and Sabrina L. Smiley

Int. J. Environ. Res. Public Health 2024, 21(12), 1618; https://doi.org/10.3390/ijerph21121618 - 3 Dec 2024

Abstract

Sexual and gender minority (SGM) individuals in the United States are at greater risk for combustible tobacco use and mental health problems compared to heterosexual and cisgender individuals. National data comparing associations of menthol cigarette use and mental health among transgender and cisgender [...] Read more.

Sexual and gender minority (SGM) individuals in the United States are at greater risk for combustible tobacco use and mental health problems compared to heterosexual and cisgender individuals. National data comparing associations of menthol cigarette use and mental health among transgender and cisgender individuals in the United States are lacking. The goals of the current study were to (1) characterize transgender and cisgender individuals who smoke menthol cigarettes, and (2) investigate cross-sectional associations between gender identity, harm perceptions of cigarettes, mental health experiences, and quality of life. Data were drawn from Wave 5 of the Population Assessment of Tobacco and Health (PATH) Study (2018–2019). A total of 3989 cisgender (mean [SD] age, 40.47 [0.32] years) and transgender (mean [SD] age, 38.36 [0.09] years) participants who reported current (past 30-day) menthol cigarette use were included in the analysis. Comparing transgender to cisgender groups, significant differences were found in associations between harm perceptions of cigarettes (adjusted odds ratio [AOR] 0.07; 95% CI: 0.02–0.28) and reported depression (AOR 4.57; 95% CI: 1.36–15.33). Collectively, these findings provide evidence that transgender adults who smoke menthol cigarettes are less likely than cisgender adults who smoke menthol cigarettes to perceive smoking as harmful to health and more likely to report recent experiences of depression. Full article

(This article belongs to the Section Behavioral and Mental Health)

22 pages, 415 KiB

Open AccessReview

Temporal Stages of Burnout: How to Design Prevention?

by Céline Leclercq and Isabelle Hansez

Int. J. Environ. Res. Public Health 2024, 21(12), 1617; https://doi.org/10.3390/ijerph21121617 - 3 Dec 2024

Abstract

Burnout, a major concern defined most commonly in the literature with a symptoms-based classification, can also be described as a temporal process with various stages experienced by workers, each composed of unique characteristics and challenges. This intricate process of burnout emphasizes pivotal moments, [...] Read more.

Burnout, a major concern defined most commonly in the literature with a symptoms-based classification, can also be described as a temporal process with various stages experienced by workers, each composed of unique characteristics and challenges. This intricate process of burnout emphasizes pivotal moments, such as engagement and enthusiasm with a high job ideal (Stage 0), weakening of the ideal (Stage 1), protective withdrawal (Stage 2) and confirmed burnout (Stage 3). Through an opinion review, the objective of this article is to examine which prevention level, and more specifically which prevention actions, can be developed at each stage of this temporal process of burnout. The review criteria allow for the integration of both individual- and organization-focused interventions, ranging from early organizational-level strategies (primary prevention) to clinical consultations addressing the erosion of professional ideals (secondary prevention), as well as psychoeducational sessions aimed at promoting worker well-being. In conclusion, the article underscores the need for a holistic approach, combining organization-focused interventions with individual-focused interventions. Through a comprehensive review, this research provides insights into evidence-based practices, identifies gaps in current research, and offers guidance for future interventions for better support of workers facing burnout. Full article

(This article belongs to the Special Issue Promoting Health and Safety in the Workplace)

12 pages, 474 KiB

Open AccessArticle

Facilitators and Barriers to Implementing a Community Suicide Database and Prevention Program in Diverse Tribal Communities

by Meredith Stifter, Novalene Goklish, Charity Watchman, Kristin Mitchell, Jennifer Duncan, Michelle Miller, Mary HorseChief, Christopher G. Kemp, Mary Cwik and Emily E. Haroz

Int. J. Environ. Res. Public Health 2024, 21(12), 1616; https://doi.org/10.3390/ijerph21121616 - 3 Dec 2024

Abstract

Suicide is the second leading cause of death for American Indian youth, far surpassing the rates of suicide experienced by other races. The White Mountain Apache Tribe has made significant impacts on suicide risk by implementing a robust suicide prevention program which includes [...] Read more.

Suicide is the second leading cause of death for American Indian youth, far surpassing the rates of suicide experienced by other races. The White Mountain Apache Tribe has made significant impacts on suicide risk by implementing a robust suicide prevention program which includes a community-led database and case management follow-ups. Due to the success of the program in preventing suicides, the White Mountain Apache team has worked with other tribal communities to adapt the program. We wanted to understand the factors that are most important to implementing and sustaining this model and how these factors compare with existing implementation science frameworks. We employed an adapted nominal group technique to compile facilitators and barriers to implementation of the suicide prevention model across settings with five partner teams. Two researchers independently coded the resulting list of facilitators and barriers using the Consolidated Framework for Implementation Research (version 1.0) codebook. The final list of cross-site prioritized facilitators and barriers included 41 factors. Some factors did not match easily with the framework’s constructs. The White Mountain Apache suicide prevention team noted that seven of the top prioritized factors are considerations they most try to emphasize to new communities working in suicide prevention. The factors fall into two key themes: staffing and tribal engagement. This finding affirms their focus when they conduct suicide prevention trainings with new communities and provides an opportunity for more structure and in-depth training in those two areas. Several factors could not be easily coded to the framework, especially around the sociocultural characteristics of suicide prevention work in Native communities. This contributes to the larger discussion in implementation science concerning the ways in which Indigenous approaches to public health differ from Western models. Full article

(This article belongs to the Special Issue First Nation, Indigenous and Aboriginal Perspectives of Health Promotion and Wellbeing)

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42 pages, 3923 KiB

Open AccessReview

Environmental Exposure to Per- and Polyfluorylalkyl Substances (PFASs) and Reproductive Outcomes in the General Population: A Systematic Review of Epidemiological Studies

by Alex Haimbaugh, Danielle N. Meyer, Mackenzie L. Connell, Jessica Blount-Pacheco, Dienye Tolofari, Gabrielle Gonzalez, Dayita Banerjee, John Norton, Carol J. Miller and Tracie R. Baker

Int. J. Environ. Res. Public Health 2024, 21(12), 1615; https://doi.org/10.3390/ijerph21121615 - 2 Dec 2024

Abstract

This Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) systematic review synthesized effects of background levels of per- and polyfluorylalkyl substance (PFAS) levels on reproductive health outcomes in the general public: fertility, preterm birth, miscarriage, ovarian health, menstruation, menopause, sperm health, and [...] Read more.

This Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) systematic review synthesized effects of background levels of per- and polyfluorylalkyl substance (PFAS) levels on reproductive health outcomes in the general public: fertility, preterm birth, miscarriage, ovarian health, menstruation, menopause, sperm health, and in utero fetal growth. The inclusion criteria included original research (or primary) studies, human subjects, and investigation of outcomes of interest following non-occupational exposures. It drew from four databases (Web of Science, PubMed, Embase and Health and Environmental Research Online (HERO)) using a standardized search string for all studies published between 1 January 2017 and 13 April 2022. Risk of bias was assessed by two independent reviewers. Data were extracted and reviewed by multiple reviewers. Each study was summarized under its outcome in terms of methodology and results and placed in context, with recommendations for future research. Of 1712 records identified, 30 were eligible, with a total of 27,901 participants (33 datasets, as three studies included multiple outcomes). There was no effect of background levels of PFAS on fertility. There were weakly to moderately increased odds of preterm birth with higher perfluorooctane sulfonic acid (PFOS) levels; the same for miscarriage with perfluorooctanoic acid (PFOA) levels. There was limited yet suggestive evidence for a link between PFAS and early menopause and primary ovarian insufficiency; menstrual cycle characteristics were inconsistent. PFAS moderately increased odds of PCOS- and endometriosis-related infertility, respectively. Sperm motility and DNA health were moderately impaired by multiple PFAS. Fetal growth findings were inconsistent. This review may be used to inform forthcoming drinking water standards and policy initiatives regarding PFAS compounds and drinking water. Future reviews would benefit from more recent studies. Larger studies in these areas are warranted. Future studies should plan large cohorts and open access data availability to capture small effects and serve the public. Funding: Great Lakes Water Authority (Detroit, MI), the Erb Family Foundation through Healthy Urban Waters at Wayne State University (Detroit, MI), and Wayne State University CLEAR Superfund Research (NIH P42ES030991). Full article

(This article belongs to the Section Environmental Health)

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14 pages, 486 KiB

Open AccessReview

Women’s Empowerment and Health: A Narrative Review

by Marina Couva, Michael A. Talias, Miranda Christou and Elpidoforos S. Soteriades

Int. J. Environ. Res. Public Health 2024, 21(12), 1614; https://doi.org/10.3390/ijerph21121614 - 2 Dec 2024

Abstract

Empowerment, the process by which a person is enabled to increase control over decisions concerning their life, is a multidimensional construct that has been extensively discussed by various disciplines for more than four decades. Several empowerment models have been presented, based on different [...] Read more.

Empowerment, the process by which a person is enabled to increase control over decisions concerning their life, is a multidimensional construct that has been extensively discussed by various disciplines for more than four decades. Several empowerment models have been presented, based on different approaches. This paper proposes a four-step model, based on individual and contextual awareness and advancement. Disparate factors may positively or negatively affect empowerment, including gender, race, culture, education, financial autonomy, socioeconomic status, family, neighborhood, religion, social cohesion, civic society, and political context. Empowerment has been extensively discussed in parallel with health promotion, since it is expected to positively affect health, both on the level of the individual and community, as well as in the context of the patient–healthcare professional relationship. Considering the position of women in patriarchal societies, where women may experience feelings of powerlessness, their social position and more importantly health may be adversely affected. Gender biases that were developed due to the marginalized position of women in different societies, coupled with paternalistic approaches of healthcare professionals, may significantly contribute to higher comorbidity, albeit longer life expectancy for women. Empowerment can therefore be a powerful tool for achieving equity in health and improving women’s well-being. Full article

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13 pages, 2400 KiB

Open AccessArticle

Development of an eHealth Intervention Prototype to Prevent Health Risk Behaviors Among Hispanic Adolescents: A User-Centered Formative Study

by Yannine Estrada, Alyssa Lozano, Padideh Lovan, Devina J. Boga, Lara Martinuzzi, Jennifer Chavez, Maria I. Tapia, Guillermo Prado and Victoria Behar-Zusman

Int. J. Environ. Res. Public Health 2024, 21(12), 1613; https://doi.org/10.3390/ijerph21121613 - 1 Dec 2024

Abstract

Health risk behaviors continue to disproportionately affect Hispanic youth. Despite the existence of successful family and school-based interventions, there is a need for developing and testing individually-based preventive interventions that are easily accessed and widely disseminated. Therefore, this study aimed to develop a [...] Read more.

Health risk behaviors continue to disproportionately affect Hispanic youth. Despite the existence of successful family and school-based interventions, there is a need for developing and testing individually-based preventive interventions that are easily accessed and widely disseminated. Therefore, this study aimed to develop a prototype (proof of concept) for an individual-level mobile application (app), informed by Hispanic parents and adolescents, to prevent/reduce drug use and sexual risk behaviors among Hispanic youth. An iterative user-centered approach was used to inform the development of the app prototype via focus groups with 66 participants (n = 46 adolescents, n = 20 parents). A coding team analyzed data from the focus groups and identified major themes. The coding team summarized interview data into sub-categories that yielded five intervention modules for Hispanic adolescents, three more than originally proposed (i.e., drug use and sexual risk behaviors): (1) effective communication, (2) depression, (3) sexual health, (4) drug use, and (5) mindfulness. A mobile application for health risk behaviors can be used as an additional preventive tool to decrease the existing behavioral health disparities among Hispanic youth. Incorporating a user-centered approach to inform development is important for including the needs and voices of this population. Full article

(This article belongs to the Special Issue Digital Innovations for Health Promotion)

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15 pages, 619 KiB

Open AccessArticle

Sargassum Inundations and the Risk of Hypertension Disorders Among Pregnant Women Living in the French Caribbean Island of Martinique

by Rishika Banydeen, Mickael Rejaudry Lacavalerie, Loic Savoyen, Alice Monthieux, Mehdi Jean-Laurent, Jonathan Florentin, Fatima Radouani, Hossein Mehdaoui, Dabor Resiere and Remi Neviere

Int. J. Environ. Res. Public Health 2024, 21(12), 1612; https://doi.org/10.3390/ijerph21121612 - 1 Dec 2024

Abstract

Since 2011, Caribbean territories have experienced massive and repeated sargassum seaweed inundations. Once on shore, sargassum degradation through anaerobic metabolism elicits the release of many noxious molecules, including hydrogen sulfide (H₂S) and ammonia (NH₃). H₂S has been [...] Read more.

Since 2011, Caribbean territories have experienced massive and repeated sargassum seaweed inundations. Once on shore, sargassum degradation through anaerobic metabolism elicits the release of many noxious molecules, including hydrogen sulfide (H₂S) and ammonia (NH₃). H₂S has been long recognized as a malodorous and highly toxic gas, while chronic exposure has not been extensively explored. Our objective was to assess whether pregnant women exposed to sargassum emissions would be more prone to developing hypertensive disorders compared to unexposed women. We conducted a retrospective study including 3020 pregnant women at the Obstetrics Department of the University Hospital of Martinique between 25 January 2016 and 31 July 2020. Exposure was defined as a distance of less than 2 km between the residence/workplace of the women and the sargassum strandings. Multivariate regression retained age, body mass index, sickle cell disease, primipaternity, gestational diabetes and sargassum emissions exposure as independent predictors of hypertensive events in pregnant women. Jointly with previous studies from our group, this study highlights the deleterious effects of sargassum emissions on human health in individuals chronically exposed to low to moderate H₂S concentrations. Full article

(This article belongs to the Section Environmental Health)

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International Journal of Environmental Research and Public Health

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