Health-related Behaviors Research Articles

Exploring organizational aspects that promote health-related preventive behavior: using the example of work-related SARS-CoV-2 infection control measures in Germany, August 2020 to November 2021.

During the communicable coronavirus disease (COVID-19) pandemic, organizational infection control measures (oICMs) were introduced in the workplace. The employees' positive attitudes and active participation are relevant for full effectiveness regarding disease prevention. Therefore, we explore changes in employees' attitudes toward oICM at work from August-October 2020 (T0) over January 2021 (T1) to October-November 2021 (T2). We further investigate the role an organization can play in supporting health-related preventive behavior. We considered repeated cross-sectional and longitudinal panel survey data from 5,554 employees of a global supplier of technology and services in Germany. A total of 16 items constitute the attitude scores toward oICM (5-point Likert scale). Via mixed-effect model, aspects associated with employees' attitudes toward oICM were explored. Via 'extreme-group' approach, we compared the 20% of participants with the largest changes into less favorable to the 20% with the largest changes into more favorable attitudes toward oICM over time. The overall positive attitudes toward work-related oICM were more favorable at T1 (mean ± SD: 4.2 ± 0.6, median (IQR): 4.3 (0.8), n = 2,515) compared to T0 (4.1 ± 0.6, 4.1 (0.8), n = 2,417) but less favorable at T2 (3.9 ± 0.7, 4.0 (0.9), n = 2,062). Among others, feeling well-informed about possible work-related risks of infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), perceived psychosocial demands through work environment aspects, and perceived management's commitment to safety and health were associated with long-term positive attitudes toward oICM. Individuals developing more favorable attitudes toward oICM reported feeling well-informed about possible work-related SARS-CoV-2 infection risks and improved COVID-19-specific resilience over time. Individuals developing less favorable attitudes toward oICM reported decreased perceptions of COVID-19-associated risks. oICMs in the workplace were perceived appropriate even after COVID-19 vaccines were widely available although the perceived affective risks about SARS-CoV-2 decreased. Taken together, our findings highlight how organizations can support employees in adopting health-related preventive behavior. Among others, we found that feeling well-informed about possible work-related health risks was positively associated with long-term favorable attitudes toward work-related oICM. We expect that the results contribute to the development of interventions to prepare and adapt to future global public health concerns.

Behavioral patterns in elderly single-person households

The global rise in the aging population and the increase in older adults living alone have raised concerns about health-related behaviors, particularly sedentary lifestyles and reduced daily activities. These behaviors are linked to higher risks of physical and cognitive conditions. While many global studies have explored these patterns, research within the Chilean context remains limited. This work presents a analysis of behavioral patterns in elderly individuals living alone in Chile, offering valuable insights into this population. Using clustering techniques, we identified two distinct activity patterns among the participants. The first pattern is characterized by a gradual increase in activity during the day, peaking around midday and followed by a decline, likely associated with meal preparation and rest. The second pattern demonstrates a more dynamic lifestyle, with a rapid surge in activity after waking and sustained levels throughout the day, suggesting a potentially healthier approach to aging. These findings align with previous studies indicating high levels of sedentary behavior in older adults, reinforcing the need for interventions tailored to diversify daily routines and promote physical activity. This study is the first to explore these patterns in the Chilean context, contributing to a more comprehensive understanding of elderly care and informing future strategies for improving the well-being of older adults living alone.

Evaluating The Potential Of A Digital Oral Health Intervention To Enhance Knowledge, Attitudes, And Practices Related To Oral Health Among Urban Population- A Cross Sectional Study

Introduction: maintaining good oral health and avoiding avoidable dental diseases require optimal oral health behaviors. The purpose of this study was to assess how well a digital oral health intervention changed oral healthrelated knowledge, attitudes, and behaviors. Materials and method: two research involving 200 healthy people were carried out. Before and after the know your oqtm intervention was finished, demographic information and oral health-related knowledge, attitudes, and practices (kaps) were gathered. There were 19 multiple-choice questions on the kaps questionnaire. Feedback and comprehension were also gathered. Result: the two investigations were completed by 100 (50%) female participants and 100 (50%) male individuals. Five out of seven knowledge questions and two out of five attitude questions in both studies shown significant changes before and after the intervention, with participants' attitudes and knowledge regarding oral health improving. Four of the seven practice questions in the second study showed substantial changes before and after the intervention, whereas only one practice altered in the first study. In all cases, the intervention received generally positive response and was highly comprehensible. Conclusion: a digital oral health intervention was successful in increasing knowledge, changing attitudes and self-reported practices with regards to oral health in a diverse sample of the urban population.

Co-designing and pilot testing a digital game to improve vaccine attitudes and misinformation resistance in Ghana

ABSTRACT Misinformation related to vaccines has been shown to potentially negatively impact public perceptions and intentions to vaccinate in many contexts including COVID-19 vaccination in Ghana. Psychological inoculation – where recipients are warned about the misleading techniques used in misinformation – is a potential intervention which could preemptively boost public resistance against misinformation. Cranky Uncle Vaccine is an interactive, digital game that applies inoculation, offering a scalable tool building public resilience against vaccine misinformation and promoting positive health-related behaviors. In this study, we document the process of developing and testing a West African version of Cranky Uncle Vaccine, with co-design workshops and a pilot test conducted in urban and peri-urban areas of the Greater Accra region of Ghana with 829 young people who had access to mobile and computer devices. The average age was 21.8 and participants were highly educated (median education level “Some/all university”) with slightly more females (51.2%) than males (48.4%). Pilot participants filled out surveys before and after playing the game, measuring vaccine attitudes (pre-game M = 3.4, post-game M = 3.6), intent to get vaccinated (pre-game M = 3.5, post-game M = 3.6), and discernment between vaccine facts and fallacies (pre-game AUC = 0.72, post-game AUC = 0.75). We observed a significant improvement in attitudes toward vaccines, with players demonstrating increased likelihood to get vaccinated after completing the game. Among players who indicated that they were unlikely to get vaccinated in the pre-game survey (N = 52, or 6.3% of participants), just over half of these participants (53%) switched to likely to get vaccinated after playing the game. Perceived reliability of vaccine facts remained the same, while perceived reliability of vaccine fallacies significantly decreased, indicating improved ability to spot misleading arguments about vaccines. These results demonstrate the effectiveness of a digital game in building public resilience against vaccine misinformation as well as improving vaccine attitudes and intent to get vaccinated.

Investigating the Status of Social Support in Type 2 Diabetes Patients in Southeast Iran

Abstract Objective: Social support plays a crucial role in modifying health-related behaviors aimed at controlling chronic diseases, such as type 2 diabetes. This research investigates the social support status of patients with type 2 diabetes in Kerman, Iran. Materials and Methods: This cross-sectional study utilized a descriptive-analytical approach and investigated 184 patients referred to the diabetes clinic. The participants were selected through systematic sampling, and data were collected using a questionnaire. Descriptive statistics, including frequency, mean, and standard deviation, were calculated. Multivariate linear regression was employed to analyze the data, which were entered into the Statistical Package for the Social Sciences version 16 statistical software. Results: The findings indicate that social support was most prominent in the area of nutrition, whereas it was least prominent in the area of exercise. Gender was found to have a statistically significant relationship with both nutritional status and drug consumption dimensions, as women demonstrated lower average scores in these areas compared to men. Moreover, gender and education were observed to impact the dimension of general care. However, none of the demographic characteristics analyzed showed a statistically significant relationship with exercise and physical activity. Conclusion: It is crucial to give ample attention to supporting and empowering patients’ families and social groups. Furthermore, adding psychological dimensions to social support could be beneficial. These findings underscore the importance of tailored interventions that target specific areas of support, such as exercise and general care, and take into account the differences between men and women.

Age- and Sex-Specific Differences in Lyme Disease Health-Related Behaviors, Ontario, Canada, 2015-2022.

We investigated differences in risk factors and preventive behaviors by age and sex among persons with reported Lyme disease in Ontario, Canada, during 2015-2022. Incidence rates peaked among children 5-9 and adults 50-79 years of age. Median age was higher for female than male case-patients (54 vs. 51 years). Male case-patients reported more activity in wooded and tall grass areas than did female case-patients; fewer male case-patients reported sharing living space with outdoor-exposed companion animals. As age increased, more case-patients reported activity in blacklegged tick habitats, exposure to ticks, and wearing adequate clothing, but fewer reported sharing living space with outdoor-exposed companion animals. Adoption of preventive behaviors was relatively low and did not differ by sex. Male case-patients, children 5-9 years of age and their parents or caregivers, and adults >59 years of age represent populations that would benefit from tailored public health messaging on Lyme disease prevention.

Predictors of health preventive behavior among university students in the post-COVID-19 era in Wuhan via TikTok journeying

TikTok has become increasingly popular among young people in China and there is growing number of young people who start to pay great attention to their health through this platform. Wuhan is a significant location for this study, since it was the initial epicenter of COVID-19. However, little is known about the extent to which university students in Wuhan, China, rely on TikTok for health-related information and how this affects their preventive health actions in the post-COVID-19 era. Therefore, it is crucial to look into the direct effects of TikTok users’ search for health information and their actions to protect their health, as well as the mediating functions of e-health literacy and COVID-19 risk perception. The impact of TikTok as a social media platform on the health-related behaviors of university students was examined using the Media Dependency Theory which explains how media use can have significant effects on individuals’ attitudes, beliefs, and behaviors. 426 questionnaires were gathered by cluster sampling from a sample of Wuhan university students. Mplus8 was used to perform structural equation modelling, which looked at the relationships between these variables. The results showed a positive correlation between users’ TikTok health information seeking and their health preventive behavior (β = 0.303, p < 0.001). Furthermore, it was discovered that this relationship is mediated by e-health literacy and COVID-19 risk perception in series (β =0.029, p<0.001). The findings demonstrate how TikTok functions as a platform that supports university students’ efforts to protect their health. The results also imply that students’ post-COVID-19 preventive measures for health in search of health information on TikTok are significantly influenced by their e-health literacy as well as their perception of COVID-19 danger. By obtaining more accurate health-related information, university students are equipped with more health skills and have correct attitude towards the disease. In summary, these results advance the knowledge of how TikTok, a social media platform, affects the health-related behaviors of university students.

Exploration of the relationship between general health-related problems and subclinical coronary artery disease: a cross-sectional study in a general population

ObjectiveTo explore associations between general health-related problems and subclinical coronary artery disease (CAD), determined by CT coronary calcium score (CT-CCS), in a general population.DesignA cross-sectional design.SettingThis study was performed in...

Development and psychometric properties of the Health Anxiety Behavior Inventory (HABI)

Abstract Background: Mainstream cognitive behavioural theory stipulates that clinically significant health anxiety persists over time at least partially due to negatively reinforced health-related behaviours, but there exists no broad and psychometrically valid measure of such behaviours. Aims: To draft and evaluate a new self-report scale – the Health Anxiety Behavior Inventory (HABI) – for the measurement of negatively reinforced health anxiety behaviours. Method: We drafted the HABI from a pool of 20 candidate items administered in a clinical trial at screening, and before and after cognitive behaviour therapy (n=204). A psychometric evaluation focused on factor structure, internal consistency, convergent and discriminant validity, test–retest reliability, and sensitivity to change. Results: Based on factor analysis, the HABI was completed as a 12-item instrument with a four-dimensional factor structure corresponding to the following scales: (i) bodily preoccupation and checking, (ii) information- and reassurance-seeking, (iii) prevention and planning, and (iv) overt avoidance. Factor inter-correlations were modest. The internal consistency (α=.73–.87) and 2-week test–retest reliability (r=.75–.90) of the scales was adequate. The bodily preoccupation and checking, and information- and reassurance-seeking scales were most strongly correlated with the cognitive and emotional components of health anxiety (r=0.41, 0.48), and to a lower extent correlated to depressive symptoms and disability. Change scores in all HABI scales correlated with improvement in the cognitive and emotional components of health anxiety during cognitive behaviour therapy. Conclusions: The HABI appears to reliably measure negatively reinforced behaviours commonly seen in clinically significant health anxiety, and might be clinically useful in the treatment of health anxiety.

Influence of Online Work Viral Anxiety Mediates the Relationship between Intolerance of Uncertainty and Personal Injunctive Norms on Adherence to Physical Distancing among Bank Support Provider

This study investigates the role of viral anxiety as a mediator between personal injunctive norms, intolerance of uncertainty, and adherence to physical distancing among bank support staff in Pakistan. The research addresses a critical gap in understanding how psychological factors, exacerbated by the COVID-19 pandemic, influence employee behaviour in high-stress environments, particularly in the rapidly digitizing banking sector. Using a quantitative approach, data were collected from 150 bank support employees through a structured questionnaire. The findings reveal that viral anxiety significantly mediates the relationship between personal injunctive norms and physical distancing, indicating that anxiety about virus exposure is a key driver of compliance with safety protocols. However, the direct effects of personal injunctive norms and intolerance of uncertainty on physical distancing were not significant when viral anxiety was accounted for, suggesting that anxiety overshadows other psychological factors in influencing behaviour. These results highlight the need for organizations to address viral anxiety through targeted interventions to ensure employee well-being and adherence to health guidelines in the workplace. The study contributes to the theoretical understanding of health-related behaviours in organizational settings and offers practical implications for managing employee anxiety in the context of public health crises.

Modelling the Non-linear Associations between Age and Health: Implications for Care

Abstract Background Ageing is a complex biological process that weakens the body's defences against various health problems and diseases. This decline is not uniform or linear; rather, it varies significantly among individuals. Understanding the non-linear progression of ageing is crucial for identifying critical periods where intervention might be most beneficial. This study aimed to explore nonlinearities in the association between age and health outcomes. Methods Using generalised additive models, we analysed data from the 2020 wave of the United States Health and Retirement Study. This modelling approach allows for the detailed examination of nonlinearities in health outcomes across different ages. Our sample consisted of adults aged over 50 (n = 1338; mean = 68; range = 50 – 95). We assessed seven health outcomes (heart conditions, diabetes, cholesterol, blood pressure, fatigue, back pain, and headaches) and seven protective behaviours (prostate exams, mammograms, cholesterol screenings, pap smears, flu vaccinations, dental check-ups, and smoking patterns) reflecting various aspects of health status and behaviour. Results The analysis indicated a significant and pronounced non-linear relationship between age and certain health outcomes, namely headaches, blood pressure, diabetes, and heart conditions. Additionally, ageing was non-linearly associated with specific health behaviours, including the uptake of prostate exams, mammograms, flu vaccinations, and smoking prevalence. Notably, distinct patterns emerged concerning health behaviours in relation to age-specific screening policies. Conclusion The findings of this study reveal that the probability of developing health problems or engaging in health protective behaviours do not increase/decrease linearly in direct proportion to age. Rather, the probability curve exhibits fluctuations, presenting periods of heightened odds interspersed with phases of relative stability. Such non-linearity may be partially attributed to policy decisions but could also reflect a complex interplay of factors such as weakened immune systems, access to healthcare, personal health beliefs, and the evolving perception of risk as one grows older.

Eruption and caries status of first permanent molars in children aged 6–7 years in Shijingshan District, Beijing, China

BackgroundDental caries is still a major disease that affect the oral health of people in China. First permanent molars (FPMs) are the most caries-susceptible teeth among school-aged children. The aim of this study was to investigate the eruption and caries status of first permanent molars in children aged 6–7 years in Shijingshan District, Beijing, China, to provide information for oral health promotion.Methods The study was a cross-sectional survey conducted in 6-7-year-old first grade children from public elementary schools in Shijingshan District, Beijing. Participants were invited to receive a clinical oral examination. The eruption status and caries experience of FPMs were recorded. Questionnaires assessing children’s sociodemographic information and oral health-related behaviors were completed by the children’s parents or guardians.ResultsA total of 3,176 children, including 1,644 boys (51.8%) and 1,532 girls (48.2%) were included in the oral examination and questionnaire. Eruption status of FPMs was as follows: 37.5% fully erupted, 28.3% partially erupted, 34.2% not erupted. Girls had more erupted FPMs than boys (70.1% VS 61.8%, P < 0.001). The prevalence of dental caries in FPMs was 5.5% (174/3,176) in studied children. The mean decayed missing filled teeth score of FPMs was 0.11 and the mean decayed missing filled surface score of FPMs was 0.19. Binary Logistic regression analysis demonstrated that girls had more tooth decay than boys and father’s educational background also associated with the caries experience of the studied children (P < 0.05).ConclusionsAround two-thirds of FPMs were fully erupted or partially erupted among children aged 6–7 years old in Shijingshan District, Beijing. Approximately 5% of the newly erupted FPM established dental caries. Effective intervention should be applied in this age group for oral health promotion.

Impact of self-perceived oral health and socio-economic factors on oral health-related behavior in Estonian adults.

To identify which socioeconomic factors are affecting oral health-related behavior and to provide suggestions for improving the population's oral health. Materials and methods: The survey includes population groups from age 35 and older from all 15 Estonian counties and major cities (n = 2,376). The study is based on data from a nationwide Estonian Adult Oral Health Survey questionnaire. In addition to analyzing eight aspects of oral health-related behavior and self-perceived oral health variables, the survey also includes participants' socio-economic and demographic characteristics. The study utilizes frequency tables (including cumulative distributions), means, correlations, and regression analysis as its methods. The mean number of beneficial behaviors reported by the participant was 4.2 (SD 1.6). The value of the oral health-related behavior index (OHBI, the number of reported behaviors from the eight) is initially determined by the optimal timing between meals, abstinence from smoking, and the choice of drinking water or refraining from any intake between meals. Participants with higher OHBI tended to rate their self-perceived oral health better. Adherence to beneficial dental health-related behavior in Estonian adults is primarily influenced by gender, educational level, type of settlement, and household income level. In order to significantly improve oral health and related behaviors, it is imperative to integrate dental services into universal health coverage and deliver ongoing oral health education for adults.

Quality of life and health behaviors of patients diagnosed with cardiovascular disease

Background: Cardiovascular diseases are the leading cause of death, both in Poland and worldwide, significantly impacting patients' quality of life. Health behaviors, whether positive or negative, play a crucial role in influencing the incidence of cardiovascular diseases. This study aims to analyze the correlation between health behaviors and the quality of life among patients with cardiovascular diseases. Materials and Methods: The study was conducted among 120 patients (116 eligible) at the Independent Public Provincial Hospital in Poland. Standardized tools including the Health-Related Behavior Inventory (HBI) questionnaire developed by Zygfryd Juczyński, the WHOQOL-BREF Questionnaire, and an original questionnaire with metric data were employed for diagnostic survey. Statistical analysis was performed using the Statistica 10.0 program, with a significance level set at p ≤ 0.05. Results: The respondents' average HBI score was 5.09, while the average overall quality of life score was 3.42, and the average overall health score in the study group was 3.07. Statistically significant correlations were observed between health practices and the assessment of general health, the general index of health behaviors and the level of quality of life in the physical domain, as well as positive mental attitude and quality of life in the psychological domain. Lower quality of life and poorer health status among patients with cardiovascular diseases were associated with increased preventive behaviors and intensified health practices. Conclusions: Despite having a good quality of life on average, individuals with cardiovascular diseases demonstrated moderate health behavior scores. The coexistence of lower quality of life and poorer health status with intensified preventive activities and health behaviors suggests a need for support in mental functioning, as well as adequate education and motivation regarding diet and eating habits. Moreover, it's essential to utilize appropriate techniques to motivate patients to adopt healthier behaviors.

Lifestyle and risk factors associated with elevated prostate-specific antigen levels in rural men: implications for health counseling.

The use of prostate-specific antigen (PSA) for early detection of prostate cancer (PCa) is common but controversial. In rural areas, PSA is widely used for screening because it is convenient and early-stage PCa often shows no symptoms. Studies suggest that PSA levels are linked to factors like unhealthy lifestyles, obesity, lack of exercise, inflammation, and aging. Proper use and interpretation of PSA are crucial for healthcare providers, especially in primary care settings. This study aims to explore the prevalence and factors linked to higher PSA levels in rural men. We conducted a community-based cross-sectional study from March to December 2023 in the western coastal region of Taiwan. Men aged 40-75 years participated, completing a lifestyle questionnaire and providing blood samples for cardiometabolic biomarkers and PSA levels. PSA levels of ≥ 4.0 ng/mL were considered elevated. We used propensity score matching (PSM) and genetic matching (GM) for analysis, followed by regression analysis. In total, 3347 male adults with a mean age of 56.3 years (SD=11.8, range 40-75), and without cancer-related diseases, were enrolled. Findings indicated that 3.9% (n=130) of men aged 40-75 years had a PSA ≥ 4 ng/mL. and many of them did not adopt health-related behaviors, including inadequate servings of vegetables, water intake, and engaging in regular exercise. Furthermore, more than half of the participants had high blood pressure, and over one-quarter exhibited a higher waist-hip ratio and cardiometabolic diseases. After employing propensity score matching (PSM) and genetic matching (GM) with respect to age and education, the multivariate logistic regression model indicated that less water intake (p<0.01), higher waist-hip ratio (> 0.95) (p<0.05), and being diagnosed with cardiometabolic diseases (p<0.05) were significantly associated with a higher serum PSA level. This study revealed that inadequate water intake and obesity related diseases are significant risk factors associated with elevated PSA levels among male adults living in rural areas. It is important for frontline healthcare providers to carefully interpret the meaning of a high PSA level. Additionally, launching a longitudinal study is necessary to further investigate its relation to PCa.

The aim and impact of communication in dental health promotion campaigns

(1) Background: This study delved into a current topic in dental medical practice to analyse the role and impact in communication of messages within health promotion campaigns. (2) Methods: This study analyses the patients' opinions about the role and importance of using an effective communication style in health promotion campaigns. The main aspects aims to analyse based on patients' opinions, the consistency of messages in health promotion campaigns, the repetitive nature of these messages, the adaptation of communication methods according to the target group's background and the importance of collaboration between state bodies and those organizing health promotion campaigns. (3) Results: The results of this study once again emphasize the close connection between the efficiency of health promotion campaigns, the way campaigns are coordinate and the messages for the target population. Most patients are aware about an effective communication in health promotion campaigns, believing that may influence the recipients' decision to adopt a healthy lifestyle concerning oral health. Regarding the effectiveness of health promotion campaigns for oral health, the study’s results reveal a significant lower positive impact among rural patients compared to urban ones. This indicates the need of change in how information is communicated to the population and to increase the level of health education. (4) Conclusions: In conclusion, the data obtained provides valuable and profound insights into how patients perceive the importance and role of communication in health promotion campaigns. The understanding of their perceptions and requirements forms the basis for developing and implementing efficient health communication and strategies, ultimately leading to improved community health and well-being. By personalizing and adapting the messages and communication methods, health promotion campaigns can become much more effective with a greater impact on health-related behaviours and attitudes.

The impact of the behavior and lifestyle of physical and mental workers on their depressive symptoms

Objective: To analyze the depressive symptoms of physical and mental workers and the impact of their behavior and lifestyle on their depressive symptoms. Methods: In August 2022, a cross-sectional study design was adopted to select 553 workers as research subjects using cluster sampling. General demographic information, health-related behaviors and lifestyles were collected, and their depressive symptoms were evaluated using the Chinese version of the Patient Health Questionnaire 9 (PHQ-9). The differences in general demographic information, health-related behaviors and lifestyles between physical and mental workers were analyzed, and logistic regression was used to analyze the influencing factors of depressive symptoms in occupational populations. Results: Among the 553 subjects, 317 were physical workers (57.32%) and 236 were mental workers (42.68%). Statistically significant differences were observed between the two groups in terms of education level, monthly income, smoking rate, regular physical exercise rate and appropriate sleep time rate (P<0.05). The score and the detection rate of depression symptoms among physical workers were (9.67±2.75) points and 20.82% (66/317), respectively, which were higher than those of mental workers [(8.34±2.18) points, 12.71% (30/236) ] (t=6.13, χ(2)=6.20, P<0.05). The results of logistic regression analysis showed that smoking, regular physical exercise, appropriate sleep time and mental work were influencing factors of depressive symptoms among the occupational population (OR=1.592, 95%CI: 1.316-1.825; OR=0.659, 95%CI: 0.416-0.830; OR=0.502, 95%CI: 0.257-0.717; OR=0.839, 95%CI: 0.522-0.967; P<0.05) . Conclusion: The depressive symptoms of physical workers are more serious than those of mental workers. Low education level, not frequently participating in physical exercise, smoking and sleep disorder are potential risk factors that affect the depressive symptoms of the occupational population.

A Cross-Sectional Study Investigating Associations between Personality Traits, Glycemic Control, and BMI in Persons with Diabetes: Lolland-Falster Health Study, Denmark.

There is a growing focus on person-centered care, emphasizing the importance of respecting inter-individual differences and implementing individualized treatment initiatives. Prior research has established an association between personality traits, body mass index, and health-related behaviors. The aim of this study was to explore the potential of personality trait assessments in identifying individuals at risk of glycemic dysregulation and increasing BMI. This cross-sectional study used a dataset comprising 140 participants with diabetes who completed the Big Five personality trait questionnaire from the Lolland-Falster Health Study. Logistic regression was used to investigate associations between personality traits, glycemic control, and BMI ≥ 25. No significant associations between personality traits and glycemic control were found. There was a significant association between agreeableness and lower odds of BMI ≥ 25 in the unadjusted analysis (OR 0.54 (0.34-0.86)), which persisted after adjusting for sex, age, and education (OR 0.54 (0.33-0.89)). No significant association between glycemic control and personality traits was observed in this small sample study. However, higher levels of agreeableness were associated with a lower likelihood of having a BMI of ≥25. This preliminary study suggests that integrating personality assessments could help identify individuals at risk of increasing BMI. These findings highlight the potential of using personality traits to guide targeted interventions, offering a direction for future research.

Association of Physical Activity and Psychological Distress in Adolescents

Background: Adolescence is a critical period for the development of health-related behaviors and the onset of psychological distress, including anxiety, depression, and stress. Physical activity has been associated with improved mental health, but its specific relationship with psychological distress in adolescents remains unclear.Objective: To evaluate the association between physical activity levels and psychological distress (stress, anxiety, and depression) in adolescents.Methods: A cross-sectional study was conducted on 109 adolescents aged 14-19 years from the University of Lahore and Beacon House School System, Valencia Campus, Lahore. Participants were recruited through non-probability convenience sampling. Psychological distress was assessed using the DASS-21, and physical activity levels were measured with the PAQ-A. Data were analyzed using Spearman’s rank correlation and Chi-square tests via SPSS version 23.Results: Significant but weak negative correlations were found between physical activity and stress (Spearman’s rho = -0.236, p = 0.013) and depression (Spearman’s rho = -0.219, p = 0.022). The association with anxiety was not significant (p = 0.075).Conclusion: Higher physical activity levels were associated with lower stress and depression among adolescents, suggesting potential mental health benefits of regular exercise.

Prevalence estimates for COVID-19-related health behaviors based on the cheating detection triangular model

BackgroundSurvey studies in medical and health sciences predominantly apply a conventional direct questioning (DQ) format to gather private and highly personal information. If the topic under investigation is sensitive or even stigmatizing, such as COVID-19-related health behaviors and adherence to non-pharmaceutical interventions in general, DQ surveys can lead to nonresponse and untruthful answers due to the influence of social desirability bias (SDB). These effects seriously threaten the validity of the results obtained, potentially leading to distorted prevalence estimates for behaviors for which the prevalence in the population is unknown. While this issue cannot be completely avoided, indirect questioning techniques (IQTs) offer a means to mitigate the harmful influence of SDB by guaranteeing the confidentiality of individual responses. The present study aims at assessing the validity of a recently proposed IQT, the Cheating Detection Triangular Model (CDTRM), in estimating the prevalence of COVID-19-related health behaviors while accounting for cheaters who disregard the instructions.MethodsIn an online survey of 1,714 participants in Taiwan, we obtained CDTRM prevalence estimates via an Expectation-Maximization algorithm for three COVID-19-related health behaviors with different levels of sensitivity. The CDTRM estimates were compared to DQ estimates and to available official statistics provided by the Taiwan Centers for Disease Control. Additionally, the CDTRM allowed us to estimate the share of cheaters who disregarded the instructions and adjust the prevalence estimates for the COVID-19-related health behaviors accordingly.ResultsFor a behavior with low sensitivity, CDTRM and DQ estimates were expectedly comparable and in line with official statistics. However, for behaviors with medium and high sensitivity, CDTRM estimates were higher and thus presumably more valid than DQ estimates. Analogously, the estimated cheating rate increased with higher sensitivity of the behavior under study.ConclusionsOur findings strongly support the assumption that the CDTRM successfully controlled for the validity-threatening influence of SDB in a survey on three COVID-19-related health behaviors. Consequently, the CDTRM appears to be a promising technique to increase estimation validity compared to conventional DQ for health-related behaviors, and sensitive attributes in general, for which a strong influence of SDB is to be expected.