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Health and Well-Being in Diverse Populations

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health-Related Quality of Life and Well-Being".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 23875

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Special Issue Editors

Dr. Rebecca Y. M. Cheung

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Guest Editor

School of Psychology and Clinical Language Sciences, University of Reading, Reading RG6 6ES, UK
Interests: mindfulness; emotion regulation; family process; mental health; social emotional learning
Special Issues, Collections and Topics in MDPI journals

Dr. Catherine M. Capio

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Guest Editor

Faculty of Education and Human Development, The Education University of Hong Kong, Hong Kong, China
Interests: physical activity; movement behaviors; implementation science; disability

Special Issue Information

Dear Colleagues,

The notions of health and well-being are vitally important across a range of developmental periods. This Special Issue calls for papers from scholars that examine and consider the risk and protective factors of physical or mental health in the setting of diverse populations. We encourage a wide range of submissions (e.g., theoretical, empirical) on this topic; systematic reviews, meta-analyses, and empirical studies involving implementation science, measurement (e.g., scale development and validation), or a longitudinal approach are particularly welcome. Submissions might focus on or relate to the following recommended topics; however, this list is by no means exhaustive:

Mental health
Physical health
Minority mental health
Diversity
Psychological well-being
Physical well-being
Emotional well-being
Social well-being
Physical activity
Emotion regulation
Social emotional competence
Depression
Anxiety
Correlates of mental and physical health
Distress

We look forward to receiving your contributions.

Dr. Rebecca Y.M. Cheung
Dr. Catherine M. Capio
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

Mental health
Physical health
Well-being
Diversity
Developmental periods

Published Papers (14 papers)

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10 pages, 678 KiB

Open AccessArticle

Do Bloggers Have Better Mental Health? The Social, Cognitive, and Psychological Benefits of Blogging in Emerging Adulthood

by Imge Tekniker and Rebecca Y. M. Cheung

Int. J. Environ. Res. Public Health 2023, 20(8), 5493; https://doi.org/10.3390/ijerph20085493 - 13 Apr 2023

Viewed by 1684

Abstract

Background: The purpose of this study was to investigate the longitudinal processes by which blogging-related disclosure is linked to mental health. It was hypothesized that blogging had both social and cognitive benefits, including greater perceived social support and fewer memory slips, which were then associated with better mental health. Methods: A total of 194 emerging adults were recruited three times at approximately three months apart. Participants filled out a self-report about their blogging activities and perceived benefits, social support, memory, and mental health at each time point. Results: Path analysis indicated that perceived blogging-related benefits, needs, and traits mediated the relation between frequency of blogging and social support and memory slips, respectively. Moreover, social support marginally predicted greater mental health, whereas memory slips predicted poorer mental health, after controlling for baseline mental health, age, and gender. Conclusions: This study established the longitudinal associations between blogging and its benefits that may be vital for emerging adults’ mental health. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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11 pages, 1011 KiB

Open AccessArticle

A Pilot Study of the Effects of Individualized Home Dual Task Training by Mobile Health Technology in People with Dementia

by Eduardo Villamil-Cabello, Mercedes Meneses-Domínguez, Ángela Fernández-Rodríguez, Patricia Ontoria-Álvarez, Alfonso Jiménez-Gutiérrez and Miguel Fernández-del-Olmo

Int. J. Environ. Res. Public Health 2023, 20(8), 5464; https://doi.org/10.3390/ijerph20085464 - 11 Apr 2023

Viewed by 1686

Abstract

The objective of this pilot study was to evaluate the effects of dual-task training implemented by mobile health technology on performance on motor and dual-task tests in subjects with dementia. Nineteen subjects with a medical diagnosis of dementia were assigned to an experimental group (EG, n = 12) or control group (CG, n = 7). The EG participated in 24 sessions (3/week) of a homebase dual-task exercises program, in addition to their ongoing cognitive and physiotherapy treatment. The training program was implemented individually in the patient’s home by caregivers or relatives through electronic devices controlled by a mobile application. Before (Pre) and after (Post) the program, performance on motor and motor/cognitive (dual-task) tests were evaluated. Motor evaluation included gait at preferred and maximal speed, the Up and Go, and the Handgrip Strength test. Dual-task tests included gait with subtraction 3 s from 100 and naming animals (verbal fluency). The CG only performed the evaluations in addition to their cognitive and physiotherapy treatment. The statistical analysis (ANOVA Group*Test) showed a statically significant improvement for both dual-task tests in the EG after the training program, while the CG showed an impairment in the verbal fluency test. Conclusion: the implementation of a home exercise program carried out with mobile technology in people with dementia is feasible and positively affects their performance on dual tasks. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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11 pages, 359 KiB

Open AccessArticle

Life Satisfaction and Self-Esteem in Older Adults Engaging in Formal Volunteering: A Cross-Sectional Study in Taiwan

by Jo-Tzu Chu and Malcolm Koo

Int. J. Environ. Res. Public Health 2023, 20(6), 4934; https://doi.org/10.3390/ijerph20064934 - 10 Mar 2023

Cited by 2 | Viewed by 1501

Abstract

Previous research has reported an association between life satisfaction, self-esteem, and volunteering. However, it is unclear whether self-esteem is associated with life satisfaction in older adults who are already engaged in volunteering. Therefore, the present study aimed to investigate the association between life satisfaction and self-esteem in older adults who were formally volunteering at a non-governmental organization in Taiwan. A cross-sectional study was conducted on 186 formal volunteers aged ≥ 65 years who were recruited from the Keelung chapter of the Buddhist Compassion Relief Tzu Chi Foundation in Taiwan. A hierarchical stepwise linear regression was used to examine the association between scores on the Satisfaction With Life Scale (SWLS) with the Rosenberg Self-Esteem Scale (RSES) and the Hedonic and Eudaimonic Motives for Activities-Revised (HEMA-R) scale. The results showed that SWLS was significantly associated with RSES score (standardized beta (std. β) = 0.199, p = 0.003), the eudaimonic subscale score of the HEMA-R (std. β = 0.353, p < 0.001), a vegetarian diet (std. β = 0.143, p = 0.027), and volunteering for five days or more a week (std. β = 0.161, p = 0.011). In conclusion, improving self-esteem and promoting eudaimonic motives in older adults who are formally volunteering could be effective strategies for enhancing their levels of life satisfaction. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

15 pages, 833 KiB

Open AccessArticle

Internet Use and the Happiness of Rural Residents: The Role of Education and Health

by Yan Mei and Nuoyan Lin

Int. J. Environ. Res. Public Health 2023, 20(4), 3540; https://doi.org/10.3390/ijerph20043540 - 17 Feb 2023

Cited by 1 | Viewed by 1414

Abstract

The rapid development of the Internet in China in recent years has greatly penetrated into all aspects of people’s lives and production. In rural areas of China, little is known from previous studies about the relationship between the Internet and happiness. Based on data from the China Family Panel Studies (CFPS) collected in 2016 and 2018, this study investigates the impact of the Internet use on the happiness of rural residents and its mechanism. The results show that, first, the fixed-effects model indicates that the Internet significantly increases the happiness of rural residents. Second, the multiple mediating effects analysis shows that Internet use can improve rural residents’ happiness by promoting the household education human capital. To be more specific, excessive Internet use leads to lower levels of household health human capital. However, a lower level of health does not necessarily bring about a lower level of happiness. In this paper, the mediating effects of household education human capital and household health human capital are 17.8% and 9.5%, respectively. Third, the heterogeneity analysis found that there was a significant positive correlation between Internet use and rural residents’ happiness in western regions of China, while it is insignificant in the eastern and central regions; for households with a huge labor force, Internet use dramatically improves their happiness by enhancing their household education human capital. Education and health have different roles to play in terms of the happiness of rural residents. Therefore, this suggests that the physical and psychological health of rural residents should be taken into account when the Internet strategies to improve general well-being are under development. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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12 pages, 1283 KiB

Open AccessArticle

Effects of Single-Task, Dual-Task and Analogy Training during Gait Rehabilitation of Older Adults at Risk of Falling: A Randomized Controlled Trial

by Toby C. T. Mak, Catherine M. Capio and Thomson W. L. Wong

Int. J. Environ. Res. Public Health 2023, 20(1), 315; https://doi.org/10.3390/ijerph20010315 - 25 Dec 2022

Cited by 4 | Viewed by 1821

Abstract

It has been suggested that implicit motor learning via dual-task or analogy training during gait rehabilitation may yield better outcomes in older adults by reducing the propensity for the conscious processing of movements (movement-specific reinvestment). The current study investigated the immediate effects of single-task, dual-task, and analogy training on reinvestment propensity and fall-related rehabilitation outcomes among older adults at risk of falling. Seventy-one older adults were randomly allocated to the single-task (ST), dual-task (DT), or analogy (AG) training conditions and received 12 training sessions. We assessed the reinvestment propensity, functional gait and balance, functional mobility, balance ability, single-task and dual-task walking abilities, and fear of falling at baseline (before training) and immediately after training. Our findings revealed a lack of training effect on reinvestment propensity for all groups. However, all groups displayed significant improvements in functional gait and balance (p < 0.001), functional mobility (p = 0.02), and balance ability (p = 0.01) after training. AG appeared to be superior to DT and ST, as it was the only condition that resulted in significant improvements in both single-task and dual-task walking abilities (p < 0.001). Implementing movement analogies could be a feasible and useful gait rehabilitation strategy for fall prevention and wellbeing promotion among older adults. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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12 pages, 687 KiB

Open AccessArticle

Validating the Well-Being of Older People (WOOP) Instrument in China

by Runhua Liu, Zhuxin Mao and Zhihao Yang

Int. J. Environ. Res. Public Health 2023, 20(1), 277; https://doi.org/10.3390/ijerph20010277 - 24 Dec 2022

Cited by 1 | Viewed by 1321

Abstract

Generic health-related quality of life (HRQoL) measures have been used for estimating utility value, which is then used for calculating quality-adjusted life years (QALYs). HRQoL measures may not capture many of the relevant and important non-health aspects of quality of life. The well-being of older people (WOOP) instrument was first developed in the Netherlands. This study aimed to validate this new instrument among older people in China. WOOP was first translated into simplified Chinese (for use in Mainland China) by two experienced translators. From July to August 2022, a cross-sectional study was conducted on a convenience sample of 500 older people in Southwestern China. Older people who provided consent reported their demographic information and completed the simplified Chinese version of the WOOP instrument using a pencil and paper. The feasibility of WOOP was determined by the percentage of missing responses. Then, using the data without any missing responses, we examined the item response distributions, pairwise Spearman correlations, underlying factors, and known-group validity of WOOP. Among the nine items of WOOP, three had more than 10% missing responses. The response distributions of the nine items were overall good without signs of ceiling and floor effects. The correlations among the WOOP items were low. A two-factor exploratory factor analysis model suggested that the WOOP items can be categorized into either internal or external well-being items. Good known-group validity results were found. Some WOOP items may not be easily understood by a small proportion of rural residents. However, other results have suggested WOOP to be a valid instrument for measuring the well-being of the elderly in China. The availability of WOOP enables the measurement of well-being-related utility. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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10 pages, 489 KiB

Open AccessArticle

Impact of Vitiligo on Life Quality of Patients: Assessment of Currently Available Tools

by Ting-Ting Yang, Chien-Hung Lee and Cheng-Che E. Lan

Int. J. Environ. Res. Public Health 2022, 19(22), 14943; https://doi.org/10.3390/ijerph192214943 - 13 Nov 2022

Cited by 2 | Viewed by 1733

Abstract

Background: How different tools for evaluating health-related quality of life (QoL) reflect the burden of vitiligo has rarely been compared. In this study, we aim to evaluate the impact of vitiligo on QoL using currently available tools. Methods: A single-center, cross-sectional study of vitiligo patients was performed. QoL was evaluated using the dermatology life quality index (DLQI), short form-36 (SF-36), and willingness to pay (WTP). As the original DLQI cutoff score (>10) indicating aginificantly impated QoL was found to underestimate QoL, receiver operating characteristic (ROC) curve was use to determine a new cutoff point discriminating vitiligo patients with positive mental stress (SF-36 mental health ≤ 52). Results: Of the 143 patients enrolled, 24.5% were identified having significant mental stress by SF-36 mental health domain score ≤ 52 while there were only 13.3% patients with significantly hampered QoL indicated by DLQI >10. Using ROC analysis, DLQI ≥ 7 was found to be a more appropriate DLQI cutoff value for identifying mental stress in vitiligo patients. Additionally, the median WTP for treating vitiligo was comparable to other inflammatory skin diseases. Conclusions: There exist discrepancies in the outcomes identifying significant disease burden of vitiligo using DLQI and SF-36, making the current DLQI cutoff score (>10) for identifying significantly affected QoL inappropriate for these patients. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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11 pages, 654 KiB

Open AccessArticle

Differences According to Sex in the Relationship between Social Participation and Well-Being: A Network Analysis

by Di Zhao, Guopeng Li, Miao Zhou, Qing Wang, Yiming Gao, Xiangyu Zhao, Xinting Zhang and Ping Li

Int. J. Environ. Res. Public Health 2022, 19(20), 13135; https://doi.org/10.3390/ijerph192013135 - 12 Oct 2022

Cited by 2 | Viewed by 1636

Abstract

This study aimed to explore the effects of different types of social participation on the components of well-being, as well as the differences according to sex in the relationship between social participation and well-being. This was a cross-sectional community study. Well-being was measured using the positive emotion, engagement, relationships, meaning, and accomplishment (PERMA) profile. Social participation included activities of daily life, sports and entertainment activities, and social service activities. The independent association between each type of social participation and the components of well-being was examined by using a network analysis in both males and females. Of all 1276 participants surveyed, 60% were females. The results of the network analysis showed that positive emotion–housework (0.263), positive emotion–games (0.102), engagement–housework (0.107), engagement–work (0.054), and meaning–socializing (0.085) had unique connections in males; the average predictability in the network was 0.417. For females, positive emotion–physical activity (0.102), engagement–associations or societies (0.071), relationships–physical (0.090), relationships–socializing (0.092), and relationships–volunteering activities (0.133) had significant connections; the average predictability in the network was 0.358. Different types of social participation may have different effects on the components of well-being. Furthermore, differences according to sex in the relationship between social participation and well-being should be considered when formulating interventions to improve well-being. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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12 pages, 789 KiB

Open AccessArticle

Intersectionality Impacts Survivorship: Identity-Informed Recommendations to Improve the Quality of Life of African American Breast Cancer Survivors in Health Promotion Programming

by Rose Hennessy Garza, Michelle Y. Williams, Shana O. Ntiri, Michelle DeCoux Hampton and Alice F. Yan

Int. J. Environ. Res. Public Health 2022, 19(19), 12807; https://doi.org/10.3390/ijerph191912807 - 06 Oct 2022

Cited by 4 | Viewed by 1980

Abstract

(1) Background: African American women breast cancer survivors face unique experiences that impact their quality of life as they transition beyond treatments. Experiences may be complicated by living at the intersection of systemically oppressed identities, including gender, race, social class, and cancer-related disability. Using the Black Feminist Thought (BFT) framework and the PEN-3 cultural model, this qualitative study sought to: (a) understand African American women breast cancer survivors’ lived experiences; (b) examine how the multiple intersecting factors of race, gender, social class/socioeconomic status, and cancer-related disability impact their quality of life; and (c) inform future health promotion programming that is culturally relevant to AAWBCS to improve their quality of life. (2) Methods: Seven focus groups were conducted with 30 African American breast cancer survivors in a Midwestern metropolitan region. Focus groups were audiotaped and transcribed verbatim. Framework analyses were conducted to identify themes with NVivo qualitative analysis software. (3) Results: Four themes emerged: (a) caregiving roles provide both support and challenges for survivors, (b) the “strong Black woman” is inherent in survivor experiences, (c) intersectionality impacts survivorship, and (d) African American women resist oppression through culturally specific supports and advocacy. (4) Conclusions: The intervention point of entry should be at the peer support group level and centered on family and provide community-based support and services. Future research should move upstream to address social determinants of health, including racism, sexism, and ableism; there is a critical need to discuss how structural racism affects health care and develop interventions to address racial discrimination and racial bias in health care. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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14 pages, 993 KiB

Open AccessArticle

Life Satisfaction in Young Adults—The Moderating Role of Parental Support

by Shirley Ben-Shlomo, Noga Levin-Keini and Einat Ofir-Barash

Int. J. Environ. Res. Public Health 2022, 19(19), 12513; https://doi.org/10.3390/ijerph191912513 - 30 Sep 2022

Cited by 5 | Viewed by 1685

Abstract

The transition to adulthood in Western societies, termed emerging adulthood (EA), holds new challenges for family relationships across and within generations. Drawing on Self Determination Theory and Bowens’ Family systems theory, this study examines the combined contribution of personal resources and relationships with parents and friends to satisfaction with life among young Israeli adults. It also examines the possible change in parental support that occurs with increasing age. A convenience sample (n = 572) of young Jewish Israeli adults (18–29 years) completed structured questionnaires. Using regression analysis, we modelled the associations between personal and support variables to life satisfaction as well as the interactions between age and parental support. The findings reveal that young women reported receiving more parental support than young men. Commitment to values and beliefs and greater support from friends make a positive contribution to life satisfaction. High parental support impairs life satisfaction as age increases. The study extends Bowens’ theory to understand the developmental stage of young adulthood and emphasize on the practical level that therapists need to familiarize themselves with the protective variables at this stage of life and the changing role of parental support. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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16 pages, 330 KiB

Open AccessArticle

Social Integration and Residence Intention of Foreigners in Western China: Evidence from Xi’an

by Xiaoxian Guo, Qian Zhang, Yaxin Cheng and Jing’en Song

Int. J. Environ. Res. Public Health 2022, 19(17), 10519; https://doi.org/10.3390/ijerph191710519 - 24 Aug 2022

Cited by 3 | Viewed by 1405

Abstract

Since “Belt and Road Initiative” (BRI) of 2014, the number of foreigners in China has increased rapidly and China has become an importing country for immigrants, a change ongoing since the beginning of the 21st century. To respond to the rapidly increasing number of foreigners in China, the government frequently revised the immigration policies and issued new regulations for foreigners. However, scholars understand very little about how the foreigners perceive their integration into Chinese society or decide to pursue long-term residency or lawful permanent resident status. While some pioneering studies touch on this, with samples from the coastal megacities, no empirical evidence has been collected from smaller, inner cities. Three new findings about the foreigners in Xi’an, a major city in western China, fill this literature gap. First, the level of subjective social integration is largely influenced by the local networks. Second, the level of objective social integration depends largely on local and hometown networks. Third, the intention to obtain long-term and permanent residency in China is more evident in those foreigners who come from countries covered by the BRI and who consider China to be a better place to live than their home country. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

10 pages, 394 KiB

Open AccessArticle

Construct Validity of the Attitudes towards Maghrebis in Education Scale (AMES)

by Miguel Ángel Albalá Genol, Edgardo Etchezahar, Juan Ignacio Guido and Joaquín Ungaretti

Int. J. Environ. Res. Public Health 2022, 19(12), 7303; https://doi.org/10.3390/ijerph19127303 - 14 Jun 2022

Cited by 1 | Viewed by 1700

Abstract

The current article describes the validation of the Attitudes towards Maghrebis in Education (AMES) scale in the Spanish context and examines the relation with other psychosocial variables. A Spanish sample of 807 participants aged between 18 and 80 years old completed the AMES. The analyses were performed using CFA, mainly considering the statistical indices of CFI, RMSEA and Pearson’s correlation. The external validity of the scale was tested using measures, such as social dominance orientation (SDO), empathic concern, warmth, competence and contact with Maghrebis. The results indicated that the AMES showed an adequate fit to the data. The AMES was found to be negatively correlated with SDO, whereas it was correlated positively with the rest of the variables. The results demonstrate that the AMES can be used as a reliable measure to evaluate attitudes towards Maghrebi migrants in education in Spain. The implications of the psychosocial variables studied are discussed as possible factors to consider for promoting more intercultural socio-educational environments. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

13 pages, 837 KiB

Open AccessArticle

Relation between Noise Pollution and Life Satisfaction Based on the 2019 Chinese Social Survey

by Dongliang Yang, Xiangheng Liu, Zhichao Ren and Mingna Li

Int. J. Environ. Res. Public Health 2022, 19(12), 7015; https://doi.org/10.3390/ijerph19127015 - 08 Jun 2022

Cited by 2 | Viewed by 1793

Abstract

Noise pollution is a leading cause of decreasing well-being of residents in both developed and developing countries. Improving residents’ well-being measured by life satisfaction is a key goal of government policy. Individuals with high life satisfaction usually have positive emotions, life orientation, and codes of conduct, which are positive and beneficial for individuals, families, and society as a whole. In order to supplement relevant research and provide policy suggestions for individuals, government, and societies, this study explores the relationship between noise pollution and the life satisfaction of Chinese residents. Based on data from 4869 observations from the Chinese Social Survey in 2019, the effect of noise pollution on life satisfaction is estimated by using ordinary least squares and propensity score matching methods. The results show that noise pollution has a significant negative effect on Chinese life satisfaction. Moreover, the effect is heterogeneous depending on individuals’ education levels and ages. Finally, residents’ living environment satisfaction is shown to be the potential mechanism by which noise pollution affects life satisfaction. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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24 pages, 814 KiB

Open AccessSystematic Review

Attentional Focus Strategies to Improve Motor Performance in Older Adults: A Systematic Review

by Ting Ting Chen, Toby C. T. Mak, Shamay S. M. Ng and Thomson W. L. Wong

Int. J. Environ. Res. Public Health 2023, 20(5), 4047; https://doi.org/10.3390/ijerph20054047 - 24 Feb 2023

Cited by 2 | Viewed by 1423

Abstract

Previous literature shows the beneficial effects of an external focus of attention on various sports skills in young adults. The objective of this systematic review is to evaluate the effects of external and internal focus of attention on motor performance in healthy older adults. The literature search was conducted in five electronic databases (PsycINFO, PubMed, SPORTDiscus, Scopus, and Web of Science). Eighteen studies that met the inclusion criteria were evaluated. Most of the motor tasks targeting older adults were related to postural control and gait. Over 60% of the included studies reported that the effect of an external focus was superior to that of an internal focus on motor performance in older adults. An external focus generally results in better motor performance than an internal focus among healthy older adults. However, the advantage of an external focus on locomotion may not be as significant as those illustrated in previous attentional focus studies. A challenging cognitive task may allow more automatic motor control than an external focus. Practitioners might provide clear instruction cues guiding performers to divert their attention away from their body and towards the movement effect for better performance, particularly in balancing tasks. Full article

(This article belongs to the Special Issue Health and Well-Being in Diverse Populations)

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