Paternal Education Level Research Articles

Neurodevelopmental Effects of Propranolol Treatment During Infancy in Infantile Hemangioma Patients

Introduction and Aim: Propranolol is an effective treatment option for infantile hemangiomas, but there is still insufficient information about neurodevelopmental side effects of propranolol. In our study, the neurodevelopmental levels of infantile hemangioma patients receiving propranolol treatment were examined using the Bayley-III test. Method: In our single-center, cross-sectional study, patients were recruited between 1 January 2020 and 31 December 2023. In total, 40 children (n1) diagnosed with hemangioma who received propranolol treatment and 31 children (n2) who were only under observation were included. A control group of 31 healthy children (n3) matched for age and gender was also included. The demographic, clinical, perinatal, and postnatal characteristics of the total 102 children were recorded from their medical records. Neurodevelopmental levels were assessed with the Bayley-III test. The significance level was set at (p < 0.05). Results: The Bayley-III test composite and percentile scores were used to evaluate the neurodevelopmental levels. Significant differences in motor functions were found between the treated and untreated groups compared to the healthy control group (p = 0.006 and p = 0.006). However, no significant differences were found in cognitive, language, and social-emotional skills. Cognitive, language, and motor functions were associated with maternal education level, and additionally, cognitive functions were also associated with paternal education level. Conclusions: Propranolol has a relatively safer side effect profile, and therefore, it has been described as a safe agent. In our study, no significant effect of propranolol on neurodevelopment was observed. The difference in motor skills shown was mainly between the healthy control group (n3) and the treated and untreated group (n1 and n2), which led to the conclusion that the relevant difference could be due to factors other than propranolol itself.

Secondary School Students’ Disaster Preparedness Perception: A Mixed Method Approach

The aim of this study was to examine the disaster preparedness perceptions and opinions of Secondary School Students who experienced the most recent major earthquake in Elazığ and Kahramanmaraş in Türkiye. The study population consisted of Secondary School Students in Elazığ and Kahramanmaraş during the 2022-2023 academic year. The sample included 548 participants in the quantitative part selected through non-probabilistic convenient sampling and 40 participants in the qualitative part selected using a criterion sampling method. In this study, a convergent parallel design, a mixed research method, was employed. The "Disaster Preparedness Scale" was used to collect quantitative data. The reliability of the scale was assessed using the Cronbach’s Alpha, which was found to be .82. Qualitative data were collected through a semi-structured interview form developed by the researchers. The results indicated that the disaster preparedness perceptions of the participants were at a moderate level. There was no significant difference in the disaster preparedness perceptions among participants based on gender, while significant differences were identified based on city (in favor of students in Elazığ), grade, maternal education level, and paternal education level. Qualitative findings suggested that participants perceived the misinformation in the media after disasters as a significant problem. They also mentioned preparing disaster kits as a precaution after disasters, receiving fire and earthquake-related training at their schools, but feeling that these trainings did not contribute significantly to their preparedness. Participants emphasized the need for disaster awareness education and call for realistic and effective training exercises.

Peer Victimization Among a Clinical Sample of Turkish Youth With Autism Spectrum Disorder

ABSTRACTYoung subjects with developmental disabilities are vulnerable and may experience frequent peer victimization. Quantifying the risk and associated factors and consequences of peer victimization among this vulnerable population would have clinical and public health implications. In this descriptive cross‐sectional study, we aimed to investigate peer victimization and relationships with psychiatric comorbidity and sociodemographic/socioeconomic variables in a clinical sample of young subjects with ASD without ID in a nonwestern country. The Revised Olweus Bully/Victim Questionnaire and a semistructured diagnostic instrument were used to investigate victimization experiences and psychiatric disorders, respectively. The majority of the subjects (68.8%) experienced victimization (verbal, relational or physical) by their peers. Only 45% (18/40) of the victims' parents were aware of their child's victimization status. Frequency of generalized anxiety disorder and self‐reported anxiety scores were higher in those with more severe victimization. A binary logistic regression analysis for victimization yielded significant associations for having a single parent, a higher maternal educational level, a lower paternal educational level and higher depression scores. Psychiatric evaluation of young subjects with ASD should include questioning about bullying experiences. Because parents may not be aware of bullying experience, disclosing bullying experience only depending on the parental report may cause an underreport of bullying among young subjects with ASD.

Family strategies for managing childhood cancer: Using traditional and complementary medicine in Southern Egypt.

The use of traditional and complementary medicine (T&CM) is common in children with cancer globally. We aimed to assess the prevalence, types, reasons, perceived effectiveness, and disclosure rate of T&CM use among children with cancer in Southern Egypt. We also investigated whether T&CM use contributed to delays in initial presentation and treatment. A cross-sectional design was utilized. Data were collected via an interviewer-administered questionnaire. Eligible children and their caregivers at the South Egypt Cancer Institute were invited to participate. Eighty-six children completed the study (response rate=86%). T&CM use was reported by 52 (60.5%) patients, with six (11.5%) experienced delayed presentation. The reasons for T&CM use were complementary for 37 (71%) and alternative for 15 (29%) of the participants. The types of T&CM used included herbal (63%), nutritional (33%), witchcraft (29%), and religious (19%) therapies. Approximately 48% of users employed multiple T&CM types. Family members recommended T&CM for 60% of the users. Most patients (65%) perceived T&CM as effective, with 71% initiating its use during the early phases of treatment. Almost all participants (98%) reported that healthcare providers did not inquire about T&CM use. T&CM usage was more prevalent among wealthier families (p=.023). There was no significant relationship between T&CM use and patient gender, diagnosis, residence, or paternal educational level. The significant utilization of T&CM among children with cancer highlights the need for healthcare providers to engage in open and early discussions with families regarding T&CM use.

Active school travel in China: Unveiling multifaceted influences for sustainable mobility

This study examines multifaceted factors influencing active school travel (AST) in China, utilizing the social ecological model as an analytical framework. Leveraging data from the China Family Panel Survey (CFPS) spanning 2014–2018 and encompassing 5,522 individuals aged 5 to 18, binary logistic regression models were employed. A stark decline in AST prevalence among students was observed over this period. Factors influencing AST behavior were identified: a dense road network, lower distance from school, and moderate temperatures promoted AST, while higher family income, access to private vehicles, and smaller households deterred participation. Maternal education and belonging to the “Gen Y” demographic also impacted AST engagement, along with paternal education level. Notably, AST was more prevalent among boys, rural students, and older students. Subgroup analyses highlighted differing influencing factors between adolescents and children. This study provides a holistic understanding of AST behavior, vital for effective intervention strategies promoting sustainable mobility.

Epidemiology of and risk factors associated with third-generation cephalosporin-resistant Escherichia coli carriage in children: A comparison between regions in Taiwan

BackgroundThe increasing prevalence of antimicrobial-resistant Escherichia coli (E. coli) in the community is a global public health challenge. This study investigated the prevalence of third-generation cephalosporin-resistant (3GCR) E. coli fecal carriage in children, identified associated risk factors, and determined antimicrobial resistance patterns of E. coli across three regions of Taiwan. MethodsStool samples from children aged 0–18 years were collected in southern, northern, and eastern Taiwan from community or outpatient clinics between July 2022 and May 2023. E. coli colonies were selected and examined for antimicrobial susceptibility and multilocus sequence typing. Participant demographic data and potential risk factors for carrying resistant E. coli were surveyed using a questionnaire. ResultsOf the 246 children surveyed, 59.3% carried multidrug-resistant (MDR) E. coli, and 37.4% carried 3GCR E. coli. The prevalence of 3GCR E. coli carriage was highest in southern Taiwan (42.7%), followed by northern Taiwan (35.5%) and eastern Taiwan (28.4%). The study identified several risk factors which may be associated with the fecal carriage of 3GCR E. coli, such as having lower paternal education levels, being overweight or obese, having a nonvegetarian diet, and consuming eggs, with variations observed across regions. ConclusionThis study documented elevated fecal carriage rates of 3GCR and MDR E. coli across regions of Taiwan. The study also identified numerous demographic and environmental factors that require implementing comprehensive strategies to address this public health challenge.

Fruit and vegetable consumption among children in Saudi Arabia: Predictors and associations with dietary intake.

Data exploring factors related to the consumption of fruits and vegetables (F&V) among children in Saudi Arabia are lacking. The present study aimed to evaluate F&V consumption among Saudi children. Predictors of F&V intake and associations with dietary intake were also explored. Cross-sectional data of 424 Saudi children (6-12 years) were collected from their mothers using an online survey. Phone interviews were conducted with mothers and children to provide data on dietary intake of children. Most children included in the study (92.2%, n = 391) consumed less than five servings of F&V per day. Region of residency (B = -0.14, SE = 0.06, 95% confidence interval [CI] = -0.25 to -0.02, p = 0.019), paternal education level (B = 0.52, SE = 0.14, 95% CI = 0.24-0.79, p < 0.001) and family monthly income (B = 0.15, SE = 0.07, 95% CI = 0.01-0.29, p = 0.034) predicted the intake of F&V. Food neophobia and food pickiness also predicted the intake of F&V (B = -0.16, SE = 0.06, 95% CI = -0.27 to -0.05, p = 0.005 and B = -0.24, SE = 0.06, 95% CI = -0.36 to -0.12, p < 0.001, respectively). Children's intake of F&V positively predicted the intake of fibre, potassium, phosphorus, magnesium, iodine and vitamin C. Limited intake of F&V was observed among Saudi children. F&V consumption was found to be associated with a number of sociodemographic factors, including region of residency, paternal education level and family income, as well as children's food neophobia and pickiness. Children's intake of F&V predicted higher intake of fibre, potassium, phosphorus, magnesium, iodine and vitamin C, suggesting that F&V consumption may contribute to improved intake of key nutrients in children.

IBD Diagnosis Delay and Its Predictors in Jordan: A Retrospective Study

Aim: Delayed diagnosis of inflammatory bowel disease (IBD) may lead to increased treatment costs and surgical risks. This study aims to describe the extent of IBD diagnosis delay in Jordan. Methods: Our study included 110 IBD patients, utilizing interviews and medical records from Jordan University Hospital. Data covered sociodemographic characteristics, health history, time from symptom onset to diagnosis, time from the first consultation to diagnosis, number of physicians consulted before diagnosis, and IBD-related surgical history. Results: The median time from symptom onset to IBD diagnosis was 9 months. Median diagnosis times for Crohn's disease (CD) and ulcerative colitis (UC) were 11 and 9 months, respectively. Regression analysis revealed that longer diagnosis delays were associated with higher paternal education levels. Lower maternal education levels (high school or less) and a household income between 1200 and 2000 Jordanian dinars correlated with consulting more physicians before diagnosis. Conclusions: Early aggressive treatment is essential for IBD, as delayed diagnosis negatively impacts patient outcomes. Further research is needed to identify factors contributing to diagnosis delay. Our findings suggest that parental education and income levels influence diagnosis delays, highlighting the importance of targeted awareness campaigns for specific population groups and general practitioners to mitigate delays.

Overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia: A comparative cross-sectional study.

Adolescent overweight and obesity are growing public health concerns in developing nations like Ethiopia. They are closely linked to an increased risk of non-communicable diseases, a deterioration in health-related quality of life, subpar academic performance, and a decline in social and emotional well-being. There is, however, little research in this field. Thus, this study aimed to assess overweight and obesity and associated factors among public and private secondary school adolescent students in Harar city, Eastern Ethiopia. A school-based comparative cross-sectional study was conducted among 781 secondary school adolescents in Harar city from February to March 2022. Multi-stage sampling was used to identify 781 study participants (586 in public and 195 in private schools). Anthropometric measures and self-administered structured questionnaires were used to obtain the data. Bivariate and multivariate logistic regression were used to determine the association between independent variables and overweight and obesity. Statistical significance was declared at P < .05. The overall magnitude of overweight and obesity was 9.3% [95% confidence interval (CI) = 7.2-11.4%] with 16.2% in private schools. Being female [adjusted odd ratio (AOR) = 2.04, 95% CI: 1.17-3.55], late adolescent age [AOR = 0.53, 95% CI: 0.31-0.90], bigger family size [AOR = 0.55, 95% CI: 0.31-0.97], high paternal education level [AOR = 2.03, 95% CI: 1.08-3.81], eating meat [AOR = 3.41, 95% CI: 1.27-9.17] and not consuming breakfast daily [AOR = 2.13, 95% CI: 1.24-3.67] were factors associated with overweight and obesity among all secondary school adolescents. A high maternal educational level, not eating breakfast and dinner daily in private secondary school adolescents and having a feminine gender, eating eggs, and not walking or riding a bicycle for at least 10 minutes continuously in public secondary school adolescents were factors associated with overweight and obesity. The extent of overweight and obesity was notably higher in the study area. Communities and educational institutions should work together to promote healthy lifestyle choices among adolescents, with a special emphasis on girls and students enrolled in private schools.

Parental reactions to child negative emotions and child behavioral adjustment: The moderating role of child inhibitory control

According to the heuristic model of emotion socialization by Eisenberg et al., parental reactions to children’s negative emotions (RCNE) have an important role in this socialization process; however, its effects on children’s social-emotional outcomes may be moderated by the children’s temperament. This longitudinal study verified this proposition by testing maternal and paternal RCNE as predictors of preschoolers’ behavioral adjustment and child inhibitory control as a moderator of these associations. Mothers and fathers of 113 Chinese children (Mage = 57.41 months, SD = 7.16 months) reported on their RCNE and child inhibitory control at Time 1 (T1) and reported on child behavioral adjustment (i.e., externalizing problems, internalizing problems, and prosocial behaviors) both at T1 and 6 months later (Time 2, T2). Multiple linear regression analyses showed that after controlling for child behavioral adjustment at T1, child age, and paternal education level, (a) paternal supportive reactions negatively predicted child externalizing problems and positively predicted child prosocial behaviors, and (b) the associations between parental RCNE and child behavioral adjustment were moderated by child inhibitory control. Specifically, only for children low on inhibitory control, paternal supportive reactions negatively predicted child externalizing problems, and maternal supportive reactions positively predicted child prosocial behaviors.

Effect of maternal vaccination on infant morbidity in Bangladesh

BackgroundRisk factors of infant mortality in Africa and south Asian countries have been broadly discussed. However, infant morbidity is largely underestimated. We analyzed the data from a randomized vaccine trial in Bangladesh to identify and assess the effect of risk factors on infant morbidity.MethodsPregnant women were randomly assigned to receive either inactivated influenza vaccine or pneumococcal polysaccharide vaccine and the infants were randomly assigned to receive 7-valent pneumococcal conjugate vaccine or Hib conjugate vaccine at week 6, 10 and 14. The data were collected from August 2004 through December 2005. Each pair of infant and mother were followed for 24 weeks after birth with weekly visits. Generalized estimating equations (GEE) for repeated measurements and Poisson regression models were used to identify the risk factors and evaluate their effect on the longitudinal incidence and total number of episodes of respiratory illness with fever (RIF), diarrhea disease, ear problem and pneumonia.ResultsA total of 340 pregnant women were randomized with mean age of 25 years. The baseline mother and infant characteristics were similar between two treatment groups. Exclusive breastfeeding and higher paternal education level were common factors associated with lower infant morbidity of RIF (adjusted OR = 0.40 and 0.94 with p < 0.01 and p = 0.02, respectively), diarrhea disease (adjusted OR = 0.39 and 0.95 with p < 0.01 and p = 0.04, respectively), and ear problem (adjusted OR = 0.20 and 0.76 with p < 0.01 and p < 0.01, respectively). Maternal influenza vaccine significantly reduced the incidence of RIF (adjusted OR = 0.54; p < 0.01) but not diarrhea disease or ear problem (p > 0.05). Female infants had lower incidence of diarrhea disease (adjusted OR = 0.67; p = 0.01) and ear problem (adjusted OR = 0.12; p = 0.01).ConclusionsMaternal influenza vaccination, exclusive breastfeeding, female children, and higher paternal education level significantly reduced the infant morbidity within the 24 weeks after birth in Bangladesh.

The association between marital satisfaction and coparenting quality: A meta-analysis.

Coparenting refers to the way parents or caregivers relate to each other as parents. Marital satisfaction (MS) is the subjective evaluation of the overall quality of one's relationship, including the extent to which needs, expectations, and desires are met. The coparenting relationship is distinct from, yet intimately connected to, the marital relationship. The objective of this study was to summarize and analyze current evidence regarding the association between MS and coparenting quality (CQ). Meta-analyses of 108 published and unpublished articles were conducted to evaluate the association between MS and CQ. In the meta-analysis of samples including both mothers and fathers, a medium association was found between MS and CQ, r = .41; 95% CI [.37, .44]; Q(88) = 1253.42. Separate meta-analyses of samples including only mothers and only fathers and an analog analysis of variance examining the moderating effect of parent gender found larger effects for mothers (r = .48) than fathers (r = .42). Maternal age, paternal education level, relationship length, and number of children were also significant moderators, with larger effects being found with families with more advanced maternal age, lower paternal education, longer relationships, and more children. The country, person reporting on CQ, and measure of CQ were also found to be statistically significant moderators. This research has implications that may inform the work of parent and family support services and contribute to positive family functioning. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Correlation Between Life Satisfaction and Symptoms of ADHD in Dental Students: The Mediation of Resilience.

This study explores the correlation between life satisfaction and ADHD symptoms. It also discusses whether resilience mediates the correlation between ADHD symptoms and life satisfaction. We surveyed 297 dental students. A total of 291 completed a self-report scale consisting of the Adult ADHD Self-Report Scale, Wender Utah Rating Scale, Life Satisfaction Scale, and Conner-Davidson Resilience Scale. The study used hierarchical linear regression analysis, resampling, and asymptotic strategies for data processing. The ADHD screening results of the self-report scale were positive for 6.87% of the students. This positive rate differed among participants of diverse ages and varying paternal education levels. ADHD symptoms were negatively correlated with life satisfaction and resilience. Life satisfaction was observably positively associated with resilience. Resilience serves as a mediating role between life satisfaction and the two symptoms of ADHD. Resilience intervention programs can enhance the life satisfaction of dental students, especially those with positive ADHD symptoms screening.

Adolescent alcohol and cannabis use and early adulthood educational attainment in the 1986 Northern Finland birth cohort study

BackgroundHeavy alcohol and cannabis use during adolescence have been previously described as risk factors not only for morbidity in adulthood, but also social problems including adversities in educational attainment. Attempts to consider overlapping risk factors and confounders for these associations are needed.MethodsUsing weighted multivariable models, we examined prospective associations between age at first drink (AFD), age at first intoxication (AFI), frequency of alcohol intoxication, as well as self-reported alcohol tolerance (i.e., number of drinks needed for the subjective experience of intoxication), and lifetime cannabis use at age 15/16 years with subsequent educational attainment obtained from comprehensive registers until age 33 in the Northern Finland Birth Cohort 1986 (6,564 individuals, 49.1% male). Confounding variables including sex, family structure (intact vs. non-intact), maternal and paternal education level, behavioural/emotional problems in school at age 7/8 years, having a history of illicit substance use in adolescence, having any psychiatric diagnosis before age 16, and parental psychiatric diagnoses, were adjusted for.ResultsIn this large birth cohort study with a 17-year follow-up, younger age at first intoxication, higher frequency of alcohol intoxication, and high self-reported alcohol tolerance at age 15/16 years were associated with poorer educational outcomes by the age of 33 years. These associations were evident regardless of potential confounders, including parental education and childhood behavioural/emotional problems. The association between adolescent cannabis use and educational attainment in adulthood was no longer statistically significant after adjusting for confounders including frequency of alcohol intoxication at age 15/16.ConclusionsAssessments of age of first alcohol intoxication, high self-reported alcohol tolerance and frequency of intoxication during adolescence should be included when implementing screening strategies aimed at identifying adolescents at risk for subsequent social problems.

The Identification of the Perceptions of Final-Year Midwifery Students on The Profession of Midwifery

Background: Thoughts and perceptions of midwifery students, who are the midwives of the future, about&#x0D; the profession of midwifery are quite important.&#x0D; &#x0D; Objective: This study aims to identify the perceptions of final-year midwifery students on the profession of&#x0D; midwifery.&#x0D; &#x0D; Methods: This analytical cross-sectional study was conducted from December 2021 to January 2022 The&#x0D; population was final-year undergraduate midwifery students enrolled in 11 public universities selected by lot in Turkey, whilst the sample comprised final-year midwifery students selected from this population (n=330). The data were collected online using a Personal Information Form and the Midwifery Vocational Perception Scale. In the analysis of the data, descriptive statistics, the Mann-Whitney U test, and the Kruskal-Wallis H test were used.&#x0D; &#x0D; Results: The participants had a mean age of 22.06±2.02 years. Of all participants, 93.3% stated that they&#x0D; viewed the profession of midwifery positively. Moreover, the mean Midwifery Vocational Perception Scale&#x0D; score of the participants was 75.58±5.14, and the Cronbach’s alpha coefficient of the scale was calculated as .89. There was no statistically significant difference in the mean Midwifery Vocational Perception Scale scores of the participants based on their age, marital status, family type, economic status, employment status, maternal education level and employment status, paternal education level and employment status (p&gt;.05), Midwifery Vocational Perception Scale scores of those who viewed the profession positively (76.03±4.58) were statistically higher than those who thought negatively (69.18±7.85) (p

The association between maternal social support levels during pregnancy and child development at three years of age: the Japan Environment and Children's Study.

Social relationships are essential in maintaining the physical and mental health of mothers and their children. However, there is limited evidence on how social support provided to the mother during pregnancy could impact child development. Herein, we examined whether maternal social support levels during pregnancy was associated with the risk of developmental delay in 3-year-old children. Overall, 68,442 mother-child pairs completed questionnaires on maternal social support during pregnancy and development delay in 3-year-old children. The maternal social support level was evaluated using four items. The risk of development delay was evaluated using the Japanese version of the Ages and Stages Questionnaire-3 (ASQ-3) with five domains of communication, gross motor, fine motor, problem-solving, and personal-social. Odds ratios (OR) and 95% confidence intervals (CI) were calculated using logistic regression according to the quintiles of maternal social support levels after adjusting for potential confounding factors. Social support during pregnancy was associated with a lower risk of development delay at 3 years of age. Beneficial effects were detected in all domains of the ASQ-3 (p for trend <0.001). Multivariable ORs (95% CIs) for the highest versus lowest quartiles of maternal social support level were 0.57 (0.50-0.65) for communication, 0.49 (0.43-0.55) for gross motor delay, 0.58 (0.53-0.64) for fine motor delay, 0.56 (0.51-0.62) for problem-solving delay, and 0.52 (0.45-0.60) for personal social delay. The associations remained unchanged when stratified by maternal education level, paternal education level, living with children, household income, and postpartum depression. Maternal social support during pregnancy was inversely associated with the risk of developmental delay at 3 years of age.

Identification of sexual myths of university students in health-related departments and affecting factors.

The research aimed to determine the attitudes of students studying in health-related departments toward sexual myths and the factors affecting them. The study is descriptive research involving 287 students enrolled in health-related departments. The data were collected using a "Descriptive Information Form" and the "Sexual Myths Scale (SMS)" and analyzed using the SPSS 22.0 software package. The SPSS 22.0 package program was used to evaluate the data. In statistical analysis, Spearman correlation analysis was employed to determine the relationship between continuous variables and the SMS score, and the statistical significance level was accepted as p<0.05. The total score was found to be 53.57±17.54 (min: 28.00 to max: 140.00), reflecting a moderate level. There was a statistically significant difference between the total score of SMS according to gender, family type, maternal employment status, and paternal education level (p<0.05). It was also determined that male students, students whose mothers were unemployed, who lived in extended families, and whose fathers had low education had lower SMS scores. Despite students studying in health-related departments and receiving relevant courses, their level of sexual myths remains at a moderate level, indicating the presence of knowledge gaps and misconceptions in the subject matter. Therefore, it is crucial to implement comprehensive education and counseling services on reproductive and sexual health for all university students.

Prevalence and factors associated with hypertension among adolescents in Sudan: a cross-sectional school-based study

ObjectivesThere is an increasing rate of elevated blood pressure, or hypertension, in children and adolescents worldwide, including Sub-Saharan Africa (SSA). Only a few data on adolescent hypertension in SSA, including...

Validating a measure for eco-anxiety in Portuguese young adults and exploring its associations with environmental action

BackgroundWorsening environmental conditions may amplify people’s emotional responses to an environmental crisis (eco-anxiety). In Portugal, young people seem to be especially concerned about climate change. However, this phenomenon needs to be interpreted using accurate instruments. Thus, this study aimed to validate the Portuguese version of the Hogg Eco-Anxiety Scale (HEAS) in young adults and examine the associations among eco-anxiety, sociodemographic characteristics, and pro-environmental behaviours.MethodsA survey was administered to 623 Portuguese university students aged between 18 and 25 years. The survey included our Portuguese translation of the HEAS (obtained through a back-translation and pretesting process), a sociodemographic assessment, and questions related to pro-environmental behaviours. Confirmatory factor analysis was conducted to assess the construct validity of the Portuguese version of the HEAS, and global fit indices were used to assess whether the original four-dimensional structure of the scale was reproduced. The reliability of the Portuguese version of the HEAS was evaluated by Cronbach’s alpha and the intraclass correlation coefficient. Measurement invariance examined sex differences in scale interpretation. Linear regressions were used to detect whether sociodemographic variables predict eco-anxiety and whether eco-anxiety predicts pro-environmental behaviours.ResultsThe factorial structure of the original scale was replicated in the Portuguese version of the HEAS, showing good internal consistency, reliability over time and strict invariance between men and women. A higher paternal education level predicted greater eco-anxiety in children. Two dimensions of eco-anxiety—namely, rumination and anxiety about personal impacts on the environment—predicted higher engagement in pro-environmental behaviours.ConclusionsThe translated scale is an appropriate tool to measure eco-anxiety in the Portuguese context and should be used to collect evidence to drive environmental and health policies. An individual’s education level should be considered a determinant of their emotional response to environmental conditions. Importantly, eco-anxiety can act as a protective emotional response to preserving the planet.

Surviving the Immediate Aftermath of a Disaster: A Preliminary Investigation of Adolescents' Acute Stress Reactions and Mental Health Needs after the 2023 Turkey Earthquakes.

On 6 February, southeastern Turkey and parts of Syria were struck by two powerful earthquakes, one measuring a magnitude of 7.8 and the other, nine hours later, at a magnitude of 7.5. These earthquakes have been recorded as some of the deadliest natural disasters worldwide since the 2010 Haiti earthquake, impacting around 14 million people in Turkey. For trauma survivors, the stressors associated with an event can lead to the development of acute stress disorder (ASD) or other psychiatric disorders. Trauma experiences during adolescence can impact development and affect adolescents differently than adults. Although ASD in adults has been addressed in several studies, there is much less information available about how younger populations respond to acute stress. The aim of our study was to assess the occurrence of ASD among individuals seeking help at the Şanlıurfa Mehmet Akif İnan Research and Training Hospital Child and Adolescent Outpatient Clinic following the 2023 Turkey Earthquakes and the factors associated with acute stress reactions. A child and adolescent psychiatry specialist conducted psychiatric interviews with the adolescents, and the individuals were also asked to complete 'The National Stressful Events Survey Acute Stress Disorder Short Scale' (NSESSS) to evaluate acute stress symptoms. ASD diagnoses were established according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria. Results showed that 81.6% of the participants (n = 49) were diagnosed with ASD, and drug treatment was initiated in 61.7% of the cases (n = 37). It was determined that ASD rates did not differ according to gender, and patients without physical injury had higher acute stress symptom scores (p > 0.05). According to the logistic regression models, paternal educational levels and adolescents' own requests for psychiatric assistance were predictors of acute stress disorder (OR 10.1, β = 2.31, p = 0.006 and OR 16.9, 95 β = 2.83, p = 0.001, respectively). Our findings revealed striking results in demonstrating the need for careful evaluation of adolescents without physical injury in terms of acute stress disorder and the need to pay close attention to the psychiatric complaints of adolescents willing to seek mental health assistance. Moreover, our study suggests that the proportion of adolescents experiencing acute stress symptoms after earthquakes might be higher than previously reported. Estimation of the incidence rate and symptoms of psychiatric distress in the short-term period following a disaster is important for establishing disaster epidemiology and implementing efficient relief efforts in the early stages. The outcomes of this study have the potential to yield novel insights into the realms of disaster mental health and emergency response policies, as well as their pragmatic implementations.