Related Health Risks Research Articles

Analysis of Some Physicochemical Properties and Dietary Risks Assessment of Pesticide Residues of Local Honey in Adamawa State, Nigeria

Pesticide residues bioaccumulation in the plants and during foraging in search of nectar by bees can caused health-related risks in human. This study investigated honey's physicochemical properties and dietary risk assessments of pesticide residues. This study's pesticide residues were determined using HPLC (LC 1200 series Agilent Tech). The mean values obtained for physicochemical parameters were: pH 3.52±0.02 -5.12±0.05; free acidity 6.50±0.07 -15.08±0.15 meq/kg; electrical conductivity 0.14±0.05 -0.55±0.03 mS/cm; moisture content 15.10±0.05-18.60±0.10% and ash content 0.03±0.01-0.36±0.02%. All the physicochemical parameters analyzed fall within the limits of international standards. The pesticide residues with the highest mean concentration in the honey samples were metachlor in sample HS3 (0.269±0.05 mg/kg) and atrazine (0.266±0.05 mg/kg) in HG3. Both aldrin, heptachlor and Permethrin were found below the EU MRL. EDIs for pesticide residues for adults and children were evaluated and compared with their acceptable daily intake (ADIs) value for each pesticide residue. Metachlor (4.48E-06 mg/kg/bw) and atrazine (4.43E-06 mg/kg/bw) were observed to have the highest EDIs for adults in samples HS3 and HG3 respectively. Similarly, atrazine (1.77E-05 mg/kg/bw) and metachlor (1.79E-05 mg/kg/bw) were observed to have highest EDI for children. All the EDIs evaluated for pesticide residues fall below acceptable daily intake (ADI). The target hazard quotient (THQ) and health index (HI) for pesticide residues in all the samples were < 1, this suggests no risks associated with the level of pesticide residues risks, thus having less danger to human health through its consumption.

When fear is a factor: consumer behavior changes during the pandemic

This paper focuses on the current topic of consumer behavior changes influenced by the COVID-19 pandemic. The purpose of the research was to explore how the factor of fear affected consumers and analyze their response to shopping habits. Design/methodology of the research was based on a survey conducted on a sample of 252 consumers in Slovak republic. Findings in the study map the individual changes in consumer behavior that occurred during the pandemic with special focus on changes related to panic buying. Up to 82% of consumers reported an increase in amount of goods they bought in 2020, however, this form of panic buying significantly decreased in later years of the pandemic. Results show that male consumers were less likely to experience panic buying, however, they men expressed concerns about the negative impacts of the pandemic on the state's economy to a greater extent than women. The majority of consumers were concerned by health threats and related risks, but it was discovered that they feared more for others than themselves which resulted in an increased tendency to prefer unaccompanied shopping. Practical implications of this research provide guidelines for businesses that need to adjust their strategies according to the new reality in the post-pandemic era. Findings can also provide foundation for further risk management measures that companies need to consider should a similar situation arise again in the future to be better prepared and to design a flexible response. This contribution was supported by the project No. 1/0134/22, “Changes in consumer behavior due to the COVID-19 pandemic with intent to predict its development”.

Prevalence and influencing factors of malocclusion in adolescents in Shanghai, China

BackgroundThe main purpose of the study was to investigate the prevalence and related risk factors of malocclusion in permanent dentition among adolescents in Shanghai, and provide basic data for government’s preventive strategies and intervention plans.Methods1799 adolescents aged 11–15 years old from 18 middle schools in 6 districts of Shanghai were recruited to investigate oral health status and related risk factors using cluster random sampling method in 2021. Malocclusion and caries were examined by on-site inspection. The investigation criteria referred to Bjoerk and the recommendation of the WHO. The malocclusion inspection items included molars relationship, canine relationship, overbite, overjet, midline displacement, anterior crossbite, posterior crossbite, scissors bite, crowding and spacing. The subjects were asked to fill in a questionnaire including parents’ education level, oral health behaviors and dietary habits. The chi-square test and logistic regression analysis were used to analyze the relationship between malocclusion and risk factors.Results1799 adolescents were included in the study and the prevalence of malocclusion in adolescents in Shanghai was 83.5%, and the proportion of molar relationship class I, class II, and class III was 48.9%, 14.7%, and 19.0%, respectively. The most common occlusal characteristic of malocclusion was anterior crowding, followed by midline irregularities and deep overbite, with prevalence rates of 44.8%, 39.0% and 38.6%, respectively. The prevalence rate of adolescents with caries was 34.3%. Those who had dental caries and preferred soft food were more likely to have abnormal occlusal characteristics (p < 0.05).ConclusionThe prevalence of malocclusion in adolescents in Shanghai is high, so it is of great significance to strengthen oral health education, allocate proper preventive strategies and carry out the early correction if necessary.

Symptom profiles and their risk factors in patients with post-COVID-19 condition: a Dutch longitudinal cohort study.

To improve research and care for patients with post-COVID-19 condition more insight into different subtypes of post-COVID-19 condition and their risk factors is urgently needed. We aimed to identify risk factors of post-COVID-19 condition in general and for specific symptom profiles. This study is based on data collected within the Lifelines Coronavirus disease 2019 (COVID-19)cohort (N = 76 503). Mean pre- and post-SARS-CoV-2 infection symptom scores were compared to classify post-COVID-19 condition. Latent Profile Analysis was used to identify symptom profiles. Logistic and multinomial regression analyses were used to examine the association between demographic, lifestyle and health-related risk factors and post-COVID-19 condition, and symptom profiles, respectively. Of the 3465 participants having had COVID-19, 18.5% (n = 642) classified for post-COVID-19 condition. Four symptom profiles were identified: muscle pain, fatigue, cardiorespiratory and ageusia/anosmia. Female sex was a risk factor for the muscle pain and fatigue profiles. Being overweight or obese increased risk for all profiles, except the fatigue profile. Having a chronic disease increased the risk for all profiles except the ageusia/anosmia profile, with the cardiorespiratory profile being only significant in case of multimorbidity. Being unvaccinated increased risk of the ageusia/anosmia profile. Findings from this study suggest that Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)may trigger different pathophysiological mechanisms that may result in different subtypes of post-COVID-19 condition. These subtypes have shared and unique risk factors. Further characterization of symptom profiles and quantification of the individual and societal impact of specific symptom profiles are pressing challenges for future research.

In Vitro high-throughput toxicological assessment of E-cigarette flavors on human bronchial epithelial cells and the potential involvement of TRPA1 in cinnamon flavor-induced toxicity

Electronic cigarettes (ECs) are considered a less hazardous alternative to tobacco smoking but are not harmless. Growing concerns about the safety profiles of flavors in e-liquids underpin the need for this study. Here, we screened 53 nicotine-free flavored e-liquids (across 15 flavor categories) across a 3-point concentration range (0.25%, 0.5%, and 1% v/v) in a high-throughput fashion in human bronchial epithelial (HBEC-3KT) submerged cell cultures to identify ‘toxic hits’ using in vitro endpoint assays comprising cell count, cell viability, and lactate dehydrogenase (LDH). We observed significant, dose-dependent adverse effects only with cinnamon, vanilla tobacco, and hazelnut e-liquids compared to media-only and PG/VG vehicle controls. Hence, we further analyzed these three flavors for their effects on HBEC-3KT proliferation, mitochondrial health, and oxidative stress. A significant decrease in cell proliferation after 36 h was observed for each e-liquid toxic hit compared to media-only and PG/VG controls. Hazelnut (at all concentrations) and vanilla tobacco (1%) increased cytoplasmic reactive oxygen species generation compared to media-only and PG/VG controls. Conversely, all three flavors at 0.5% and 1% significantly decreased mitochondrial membrane potential compared to PG/VG and media-only controls. Chemical analysis revealed that all three flavors contained volatile organic compounds. We hypothesized that the cytotoxicity of cinnamon might be mediated via TRPA1; however, TRPA1 antagonist AP-18 (10 μM) did not mitigate these effects, and cinnamon significantly increased TRPA1 transcript levels. Therefore, pathways mediating cinnamon’s cytotoxicity warrant further investigations. This study could inform public health authorities on the relative health risks assessment following exposure to EC flavor ingredients.

Health Conditions in Older Adults Suspected of Being Maltreated: A 20-Year Real-World Study.

Older adult maltreatment (OAM) is a global problem that has attracted increasing attention due to the ageing population and its severe impact on victim health. Thus, this study aims to analyse the prevalence of certain health conditions in people ≥ 60 years old whom physicians from a local healthcare unit suspected to be victims of maltreatment. The specific objectives are to determine the prevalence rates of health-related risk factors, traumatic injuries and intoxications, mental disorders, and physical disorders. We conducted a real-world, retrospective, observational, and cross-sectional study based on secondary data analyses of electronic health records and healthcare registers of patients at the Local Healthcare Unit of Matosinhos (2001-2021). Information was obtained based on codes from the International Classification of Diseases, codes from the International Classification of Primary Care, and clinical notes (according to previously defined keywords). We identified 3092 suspected victims of OAM, representing 4.5% of the total population analysed. This prevalence is lower than the known rates. We also found that some health risk factors, traumatic injuries and intoxications, mental health disorders, and physical disorders presented higher rates in the suspected victims than among the total population. In this age group, we cannot assume that these health problems are only related to a possible current victimisation process; they could also be associated with adverse childhood experiences or intimate partner violence, among other forms of violence, all of which can lead to cumulative effects on the victim's health. This evidence increases healthcare providers' responsibility in detecting and reporting all cases of suspected maltreatment.

Heterocyclic aromatic amines in meat: Formation mechanisms, toxicological implications, occurrence, risk evaluation, and analytical methods

Heterocyclic aromatic amines (HAAs) are detrimental substances can develop during the high-temperature cooking of protein-rich foods, such as meat. They are potent mutagens and carcinogens linked to an increased risk of various cancers. HAAs have complex structures with nitrogen-containing aromatic rings and are formed through chemical reactions between amino acids, creatin(in)e, and sugars during cooking. The formation of HAAs is influenced by various factors, such as food type, cooking temperature, time, cooking method, and technique. HAAs exert their toxicity through mechanisms like DNA adduct formation, oxidative stress, and inflammation. The research on HAAs is important for public health and food safety, leading to risk assessment and management strategies. It has also led to innovative approaches for reducing HAAs formation during cooking and minimizing related health risks. Understanding HAAs' chemistry and formation is crucial for developing effective ways to prevent their occurrence and protect human health. The current review presents an overview about HAAs, their formation pathways, and the factors influencing their formation. Additionally, it reviews their adverse health effects, occurrence, and the analytical methods used for measuring them.

BTEX in Ambient Air of Zarand, the Industrial City in Southeast of Iran: Concentration, Spatio-temporal Variation and Health Risk Assessment.

The existence of several industries in Zarand, a city in Southeastern Iran, caused challenges for the residents about air pollutants and associated health effects. In the present study, the concentration of benzene, toluene, ethylbenzene, and xylene (BTEX), spatio-temporal distribution and related health risks were evaluated. Passive samplers were used to collect 30 samples in the over the hot and cold periods in 2020. The ordinary Kriging method was used to predict the spatio-temporal distribution of BTEXs. Also, the Monte Carlo simulation was used to evaluate the related carcinogenic and non-carcinogenic risks of BTEX for adults. The ranking of mean concentration of overall toluene, xylene, ethylbenzene, and benzene followed as 82.49 ± 26.86, 30.91 ± 14.04, 4.75 ± 3.28, and 0.91 ± 0.18µg/m3, respectively. The mean value of lifetime carcinogenic risk (LTCR) for residents related to benzene was 7.52 × 10- 6, indicating a negligible carcinogenic risk for them. Furthermore, the ranking of non-carcinogenic risk calculated through hazard quotient (HQ) for investigated BTEX compounds followed as xylene > benzene > toluene > ethylbenzene over the hot period and xylene > toluene > ethylbenzene over the cold period which all points had HQ < 1. Additionally, according to the findings of the sensitivity analysis, the concentration of benzene was the main contributor in increasing the carcinogenic risk. According to our results, it can be stated that the existence of several industries in the study area could not possibly occur the significant carcinogenic and non-carcinogenic risks to the adults residents in the study period. Human studies are recommended to determine definite results.

Cost-based Underinsurance After the Affordable Care Act

Abstract: The Affordable Care Act has significantly reduced the number of uninsured individuals in the U.S., yet millions of insured Americans lack adequate coverage or face substantial health-related financial risks. In this study, we conduct an analysis of a nationally representative sample to generate up-to-date evidence on the association between insurance types and demographic factors and the probability of cost-related underinsurance among continuously insured, lower-income adults in the U.S. We extend the previously established definition of underinsurance by including a measure of subjective financial burden. Our estimates suggest that 33.2% of lower-income individuals in our sample were underinsured, with a fourth of them meeting two or three criteria. We also find that Medicaid beneficiaries were significantly less likely than others to experience underinsurance. Our findings provide evidence that underinsurance is a major concern, and expansion of coverage alone may not suffice to protect individuals from financial risks and cost barriers to health care use.

An Overview of Impact of Agrochemicals on Human Health and Natural Environment

Agrochemicals exposure periods and levels, types of agrochemicals used and various environmental condition of the areas are factors for acute and chronic poisoning on human health and environment. Although agrochemicals are the result of modern technology that depends on inorganic fertilizers and pesticides, their continuous use against agricultural pest and disease vectors poses serious threats upon both human health and environment. Overuse of these chemicals have severe effects on human and environment that may lead to immediate and long-term effects. In developing countries, it is very difficult to find out the impact on the environment due to lack of awareness, training, and adequate knowledge for using agrochemicals. Investigating farmer’s awareness of agrochemicals residues and their behaviors regarding application is important in order to reduce human factors that negatively affect environmental safety. This review focuses on a summary of both national and international studies regarding the impact of pesticide and chemical fertilizer residues on nature, both human and environment. The review has revealed the hazardous effects like cancer, neural disorders, and other health related problems and environmental risks associated with agrochemicals exposure.

Review of the global evolution of regulations on single-use plastics and lessons drawn for Canada.

Plastic pollution is a global problem and many countries are strengthening their regulations to mitigate the related environmental degradation and health risks and to support the development and deployment of circular economy for various types of plastics. As Canada also develops its strategy for regulating single-use plastic as one element of the plastic pollution, aligned federal and provincial policies are essential. This study presents an analysis of existing and emerging policies to provide guidance on Canada's future regulations. Qualitative and quantitative data regarding plastic regulations were gathered from similar countries including Australia, the United Kingdom, the European Union, the United States and relevant scientific articles. Analysis was also conducted of current Canadian regulations that both impact and guide the path for plastic regulation, international examples provided guidance for future Canadian regulations. The analysis found that there is a need for public education on the gravity of plastic pollution to gain their support; for establishing pioneering provinces or cities in plastic regulations to learn from and provide other cities with support; and to start with banning items with available alternatives, to be followed by phasing out other items that are more difficult to replace. The study also showed potential areas of improvement in impact data. The need for reliable regulatory performance data against a baseline scenario; consistency in methodology; and proper scoping to reduce the risk of displacement or exclusivity in policy were identified.

Factors Influencing Suicidal Ideation in Korean Youth: A Secondary Data Study Using Longitudinal Data from the Korean Youth Panel Survey.

Suicide is one of the most serious social problems in Korea. We examined suicidal ideation factors among Korean youth. For risk factor identification, data from the 2008 and 2018 Korean Youth Panel Survey were analyzed (n =6,568) using univariate multiple logistic regression analysis. Negative life events, feelings of hopelessness, early-life adversity, alcohol consumption, smoking, counseling experience, perceived stress, and current health status were independent variables, whereas suicidal ideation was the dependent variable. Proximal (negative life events and feelings of hopelessness), distal (early-life adversities significantly influenced suicidal ideation), and health-related (alcohol consumption, counseling experience, perceived stress, and current health status) factors significantly influenced suicidal ideation among Korean youth. Mental health professionals must include distal risk factors, along with the common proximal and health-related risk factors, to provide targeted interventions.

Trace elements in crayfish from China: Tissue concentrations, spatial distribution and health risk assessment

The rising consumption of crayfish may lead to the accumulation of essential and toxic trace elements, but relative health risk via crayfish ingestion is still unclear. In this study, we investigated the concentrations and health risks of eight trace elements in crayfish from five different provinces in China, including arsenic (As), cadmium (Cd), cobalt (Co), copper (Cu), mercury (Hg), nickel (Ni), lead (Pb) and selenium (Se). The results showed that trace element levels in crayfish abdominal muscle samples were below limits set by the Chinese food safety standard, whereas 87.9% (51/58) of hepatopancreas samples exceeded the limits. Trace elements in hepatopancreas were generally more abundant than in abdominal muscle (P < 0.001). The highest target hazard quotient (THQ) of As, Cd and Cu in hepatopancreas were 4.589, 1.268 and 1.380, respectively. The probabilistic risk assessment showed that the 95th percentile of THQ value for As in hepatopancreas was 3.240. These findings implied that consuming crayfish hepatopancreas may have a non-carcinogenic health risk. Thus, protective measures should be carried out to reduce trace elements pollution in crayfish cultivating regions.

Social and racial inequalities in diabetes and cancer in the United States.

Cancer and diabetes are among the leading causes of morbidity and mortality worldwide. Several studies have reported diabetes as a risk factor for developing cancer, a relationship that may be explained by associated factors shared with both diseases such as age, sex, body weight, smoking, and alcohol consumption. Social factors referred to as social determinants of health (SDOH) were shown to be associated with the risk of developing cancer and diabetes. Despite that diabetes and social factors were identified as significant determinants of cancer, no studies examined their combined effect on the risk of developing cancer. In this study, we aim at filling this gap in the literature by triangulating the association between diabetes, indices of SDOH, and the risk of developing cancer. We have conducted a quantitative study using data from the Behavioral Risk Factor Surveillance System (BRFSS), whereby information was collected nationally from residents in the United States (US) with respect to their health-related risk behaviors, chronic health conditions, and the use of preventive services. Data analysis using weighted regressions was conducted on 389,158 study participants. Our findings indicated that diabetes is a risk factor that increases the likelihood of cancer by 13% (OR 1.13; 95%CI: 1.05-1.21). People of White race had higher odds for cancer compared to African Americans (OR 0.44; 95%CI: 0.39-0.49), Asians (OR 0.27; 95%CI: 0.20-0.38), and other races (OR 0.56; 95%CI: 0.46-0.69). The indices of SDOH that were positively associated with having cancer encompassed unemployment (OR 1.78; 95%CI: 1.59-1.99), retirement (OR 1.54; 95%CI: 1.43-1.67), higher income levels with ORs ranging between 1.16-1.38, college education (OR 1.10; 95%CI: 1.02-1.18), college graduates (OR 1.31; 95%CI: 1.21-1.40), and healthcare coverage (OR 1.44; 95%CI: 1.22-1.71). On the other hand, the indices of SDOH that were protective against having cancer were comprised of renting a home (OR 0.86; 95%CI: 0.79-0.93) and never married (OR 0.73; 95%CI: 0.65-0.81). This study offers a novel social dimension for the association between diabetes and cancer that could guide setting strategies for addressing social inequities in disease prevention and access to healthcare.

Momentary associations between sedentary bouts, cognitive load and mood in daily life: An ambulatory assessment study

ObjectivesEmpirical evidence points to sedentary behavior as a ubiquitous health-related risk factor. Given the increasing number of mental disorders, a growing body of studies now focuses on the relationship between sedentary behavior and mental health. However, momentary interactions between sedentary bouts, mood, and type of cognitive load in daily life are highly understudied. MethodsTo investigate whether sedentary bouts influence mood, we conducted an Ambulatory Assessment study in the everyday life of 103 university students over 5 days. We continuously measured sedentary behavior via accelerometers and assessed mood and type of cognitive load up to six times each day on smartphone diaries. We employed multilevel modeling to analyze the within-person effects of sedentary behavior, and cognitive load on mood. ResultsSedentary bouts (20-min intervals prior to each e-diary assessment) negatively influenced energetic arousal (p < 0.001) and valence (p = 0.023). Cognitive load (mentally active vs. mentally passive) influenced negatively energetic arousal (p < 0.001) and positively calmness (p = 0.031). Exploratory interaction analyses revealed significant differences between cognitive load and bouts of SB (interrupted vs. uninterrupted). ConclusionsThe negative association between sedentary behavior and two of three mood dimensions (i.e., valence and energetic arousal) suggests sedentary behavior is an important risk factor for mental health among healthy young adults. Additionally, the cognitive load, specifically the distinction between mentally active and mentally passive activities, is an important factor in shaping momentary mood. We strongly recommend reducing prolonged SB and recognizing the potential benefits of engaging in mentally active activities.

Per- and polyfluoroalkyl substances in ambient fine particulate matter in the Pearl River Delta, China: Levels, distribution and health implications

Per- and polyfluoroalkyl substances (PFAS) have attracted worldwide attention as one of persistent organic pollutants; however, there is limited knowledge about the exposure concentrations of PFAS-contained ambient particulate matter and the related health risks. This study investigated the abundance and distribution of 32 PFAS in fine particulate matter (PM2.5) collected from 93 primary or secondary schools across the Pearl River Delta region (PRD), China. These chemicals comprise four PFAS categories which includes perfluoroalkyl carboxylic acids (PFCAs), perfluoroalkyl sulfonic acids (PFSAs), perfluoroalkyl acid (PFAA) precursors and PFAS alternatives. In general, concentrations of target PFAS ranged from 11.52 to 419.72 pg/m3 (median: 57.29 pg/m3) across sites. By categories, concentrations of PFSAs (median: 26.05 pg/m3) were the dominant PFAS categories, followed by PFCAs (14.25 pg/m3), PFAS alternatives (2.75 pg/m3) and PFAA precursors (1.10 pg/m3). By individual PFAS, PFOS and PFOA were the dominant PFAS, which average concentration were 24.18 pg/m3 and 6.05 pg/m3, respectively. Seasonal variation showed that the concentrations of PFCAs and PFSAs were higher in winter than in summer, whereas opposite seasonal trends were observed in PFAA precursors and PFAS alternatives. Estimated daily intake (EDI) and hazard quotient (HQ) were used to assess human inhalation-based exposure risks to PFAS. Although the health risks of PFAS via inhalation were insignificant (HQ far less than one), sufficient attention should be levied to ascertain the human exposure risks through inhalation, given that exposure to PFAS through air inhalation is a long term and cumulative process.

Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico.

Social determinants of health contribute to health disparities and inequities. We conducted a community forum on the topic of isolation with the objectives of (1) identifying and prioritizing key health-related issues needing attention in isolated communities in Puerto Rico; (2) developing strategies in terms of Policies, Programs, and Practices to address the community priorities we identified. We used the triangulation method for qualitative data, integrating the Colorado State University's Tri-ethnic Center Model and the Delphi Technique for a better understanding of community health needs and priorities. The five community health-related priorities identified in the community forum were: (1) access to health services (physical and mental); (2) older adults; (3) access to basic services; (4) preparedness for future disasters/emergencies; and (5) COVID-19 and access to vaccination. The Alliance Leaders and Advisory Boards understand that we will work with the priorities of preparedness for future natural disasters/emergencies and COVID-19 and access to vaccination. Fifteen strategies were developed for these priorities and were grouped into five areas that require more attention in order to reduce health disparities. Isolated communities in Puerto Rico present an intersectionality of factors that affect a wide range of health-related risks and outcomes.

Determination of Community-Based Health Microinsurance Premiums Based on Health Costs

Low-income households are faced with the financial risk of paying large medical bills when a member of the household falls ill. This health-related risk can affect household welfare because meeting medical expenses has the potential to reduce income capacity. Community-based health insurance is seen as one mechanism for vulnerable low- and middle-income households to overcome barriers and to improve access to health care and financial protection. This research was conducted to determine the calculation of community-based health microinsurance premiums based on health costs and determine the average willingness to pay insurance premiums. The determination of the premium is calculated based on the pure premium and other costs. Data obtained based on surveys and data provided by health facilities. Based on the results of the research, the pure individual premium is IDR 92,297.12 per year. The total individual premium calculated based on pure premium and other costs is IDR 275,256.80 per year. If the premium is paid monthly, a premium of IDR 22,938.07 per month will be obtained. Then the average value is obtained WTP or willingness to pay IDR 38,368.42 per month. The average value of the willingness to pay is greater than the total monthly health micro insurance premium that has been determined.

Interrogating the pill: Rising distrust and the reshaping of health risk perceptions in the social media age

Since its introduction in 1960, the combined oral contraceptive pill has become the dominant reversible contraceptive technology for controlling female fertility in spite of early and ongoing ethical, critical medical, and societal disapproval. Over the last decade, prescription rates among young women in Western Europe have declined alongside the rise of social media use. This article investigates the mechanisms underlying this change in contraceptive choices and the role played by social media in this trend. Via exploratory online observation and an in-depth interview study with 19 informants in Germany and Denmark, we find social media consolidates the social construction of hazards associated with the contraceptive pill by reshaping young women's risk perception from questions around drug reliability and safety to those of individual physical, mental, and social well-being. We shed light on how social media contributes to the delegitimation of health professionals such as gynaecologists and general practitioners and adds to wider debates on the erosion of medical authority and the attendant rise of peer influencers. We condense our findings into a framework for health-related attitude formation and decision-making in the social media age, which elucidates how social media amplifies and reshapes societal discourses regarding health-related technologies, choices, and risks.

DEVELOPMENT OF AN INTERVENTION TO PROMOTE SELF-CARE: NEEDS ASSESSMENT

The global societal challenges reveal decreased ability of people to maintain health and well-being when faced with prolonged stress conditions. Increases in anxiety, depression, and burnout are reported worldwide. The recent research indicates self-care as a useful resource to promote health and well-being and strengthen psychological resilience. The importance and attainability of self-care strategies are the characteristics that may indicate the necessity for self-care behaviour changes by identifying an internal conflict between the two. However, little is known about the determinants of self-care practicing according one’s needs. The study aimed to explore the experts’ perspectives on self-care needs among clinically healthy adults. The risks caused by inadequate self-care practices and the determinants of self-care behaviour change were identified. The interviews with 12 experts in arts therapies and/or health psychology were conducted. The qualitative content analysis was used to process the data. Psychological, health-related, and social risks were the categories of risks identified. The determinants of self-care behaviour change were categorized as knowledge, self-efficacy, attitude, perceived cues to action, planning, awareness, social support, and motivation. The identified items will contribute to evidence-based development of the intervention to promote self-care.