Well-being Of People Research Articles

How do we understand the value of drug checking as a component of harm reduction services? A qualitative exploration of client and provider perspectives

BackgroundMortality related to opioid overdose in the U.S. has risen sharply in the past decade. In California, opioid overdose death rates more than tripled from 2018 to 2021, and deaths from synthetic opioids such as fentanyl increased more than seven times in those three years alone. Heightened attention to this crisis has attracted funding and programming opportunities for prevention and harm reduction interventions. Drug checking services offer people who use drugs the opportunity to test the chemical content of their own supply, but are not widely used in North America. We report on qualitative data from providers and clients of harm reduction and drug checking services, to explore how these services are used, experienced, and considered.MethodsWe conducted in-depth semi-structured key informant interviews across two samples of drug checking stakeholders: “clients” (individuals who use drugs and receive harm reduction services) and “providers” (subject matter experts and those providing clinical and harm reduction services to people who use drugs). Provider interviews were conducted via Zoom from June-November, 2022. Client interviews were conducted in person in San Francisco over a one-week period in November 2022. Data were analyzed following the tenets of thematic analysis.ResultsWe found that the value of drug checking includes but extends well beyond overdose prevention. Participants discussed ways that drug checking can fill a regulatory vacuum, serve as a tool of informal market regulation at the community level, and empower public health surveillance systems and clinical response. We present our findings within three key themes: (1) the role of drug checking in overdose prevention; (2) benefits to the overall agency, health, and wellbeing of people who use drugs; and (3) impacts of drug checking services at the community and systems levels.ConclusionThis study contributes to growing evidence of the effectiveness of drug checking services in mitigating risks associated with substance use, including overdose, through enabling people who use and sell drugs to test their own supply. It further contributes to discussions around the utility of drug checking and harm reduction, in order to inform legislation and funding allocation.

Perancangan Sistem Emergency Call untuk Pengendara Bermotor Berbasis Mobile

The progress of land transportation, especially motorized vehicles, has a great influence on people's welfare. Currently motorized vehicles have a large contribution to the development of transportation in Indonesia. The increasing number of vehicles always results in problems such as flat tires, running out of petrol or breaking down and the number of these incidents always increases. When problems occur on the highway, drivers always have difficulty finding locations and information about relevant places in order to ask for help with the problems they are facing. This research aims to enable motorized vehicle users to have an Android-based mobile application that is useful for providing location information and related parties to speed up the rescue process. The application that will be developed has a emergency call feature for users to service providers or relevant locations according to the driver's problem. Not only that, this system is also a business platform for those who want to join the merchant feature in it. In this mobile application study, the author will utilize the Google Maps API so that he can search and recommend the nearest place for motorists to seek help. This research was carried out from the analysis, design, implementation, to testing stages.

Theatre, disability and wellbeing: addressing best practice and creative outcomes across disabled and non-disabled communities through an Interpretative Phenomenological Analysis

ABSTRACT Background In the context of ongoing underrepresentation of disabled people and shifts in the theatre industry, this article examines the significance of personal disability understandings and how these are interpreted in relation to the wellbeing of disabled people in theatre. Methods The findings presented are part of an Interpretative Phenomenological Analysis; an interdisciplinary study detailing experiences of theatre practice and disability among professional actors and directors in theatres that are funded by Arts Council England. Results One of the six emergent themes from interviews, Navigating Inexperience of Disability in Theatre, assists in considering disability understandings and aspects of actors’ wellbeing in this article. It details interpersonal and emotional competencies required of disabled people in day-to-day practice; these relate to confidence, risk, empathy, compromise, value, and contribution. Conclusions Routes to building accessibility in theatre are proposed as a shared and personal endeavour; value is placed on learning from disability as crucial in preserving wellbeing, creativity, and effective arts practices across disabled and non-disabled communities.

Virtue Ethics and Person-Place Relationships

ABSTRACT Indigenous knowledge and work in social science demonstrates the importance for well-being of people’s relationships with places, but western moral theorists have said little on this topic. This paper argues that there is a neo-Aristotelian virtue associated with forming a relationship with a place or places; that is, human beings can form relationships with places that affect their perceptions, emotions, desires and actions, and such dispositions, when properly developed, increase the chance that people will flourish. As well as discussing the virtue, the paper considers related vices and briefly outlines implications of this virtue for dispossession, pro-environmental action, and education.

Caracterización psicosocial de personas con enfermedad de Parkinson (EP) con enfoque de Derechos en Salud

This psychosocial characterization study proposes the integration of the variable of knowledge of PD patients' rights with aspects related to physical health, physical activity, emotional state, and health care in a sample of 61 people with PD. The psychosocial approach addresses complementary variables to the clinical diagnosis of PD, such as socioeconomic, educational, cultural, and family variables. The rights-based approach is consistent about the effects on these different areas of life and seeks to ensure that health care is comprehensive and contributes to people's well-being, beyond the treatment of symptoms. The instrument used to obtain the data corresponds to a Likert scale designed, piloted, evaluated, and applied to the data analyzed quantitatively and qualitatively. The results show low levels of knowledge of PD patients' rights. The analysis reports a significant correlation between physical health and emotional states (rho=0.421, p<.001 CI95% [0.60, -0.18]), and a significant correlation between physical activity and knowledge of rights (rho=0.347, p<.001, CI95% [0.55, - 0.10]). People with prepaid medicine have higher scores in physical health (M= 85.6, SD= 13.5) and emotional states (M= 16.1, SD= 5.1).

Efficacy of the iJobs Web-Based Psychoeducational Intervention to Improve Job Search Behavior and Promote Mental Health Among Unemployed People: Protocol for a Waitlist Randomized Controlled Trial.

Unemployment affects millions of people worldwide and, beyond its economic impact, has severe implications for people's well-being and mental health. Different programs have been developed in response to this phenomenon, but to date, job-search interventions have proved to be most effective, especially the JOBS II program. The JOBS II program proved not only to be effective for re-employment but also has a positive impact on beneficiaries' mental health (ie, reduces anxiety or depression). However, by now, this evidence-based program has been delivered only on site in the various countries where it was implemented. In the digital era, web-based alternatives to such programs are highly needed because they have the advantages of scalability and cost-effectiveness. In this context, we aim to investigate the efficacy of iJobs, the web-based adaptation of the JOBS II program, on job-search intensity and effort, the quality of job-search behaviors, and job-search self-efficacy. Further, 1 month after the intervention, we will also assess the employment status and the satisfaction with the job (if applicable). This study will also investigate the effect of iJobs on well-being and mental health (ie, anxiety and depression). This study is a 2-arm randomized controlled trial. The 2 independent groups (intervention vs waiting list control group) will be crossed with 3 measurement times (ie, baseline, the postintervention time point, and 1-month follow-up). The design will be a 2 (intervention vs control) × 3 (baseline, the postintervention time point, and 1-month follow-up) factorial design. iJobs is a 2-week intervention consisting of 6 modules: an introductive module and 5 modules adapted from the original JOBS II program to the web-based setting and Romanian population. The web-based intervention also has a human component, as beneficiaries receive personalized written feedback after each module on the platform from a team of psychologists involved in the project. The enrollment of study participants started in June 2023 and is expected to end in May 2024. The data collection is expected to be completed by July 2024. The results are expected to be submitted for publication in the summer of 2024. This study is the first large-scale randomized controlled trial aiming to test the efficacy of a web-based adaptation of the JOBS II program. If our results support the efficacy of iJobs, they will offer the premise for it to become an evidence-based, accessible alternative for unemployed people in Romania and might be implemented in other countries. ClinicalTrials.gov NCT05962554; https://clinicaltrials.gov/study/NCT05962554. PRR1-10.2196/55374.

‘It was a whole other world’: the impact of residential outdoor trips on nature connectedness and wellbeing in young people

ABSTRACT In England, after the 2021 COVID-19 lockdowns, funded residential outdoor experiences were offered to young people from a range of socioeconomic backgrounds, with the aim of supporting their wellbeing, connection to nature, and confidence in working with peers. This study evaluated the impact of outdoor residentials (2–5 days) via a mixed methods design, with 132 young people aged 6–18. Results indicated that the residential experiences led to short-term increases in nature connectedness, confidence in making friends, feeling more aligned with nature, and recognising the importance of looking after nature. No significant differences were found for wellbeing, happiness, confidence in working as a group or confidence in trying new things. An inductive thematic analysis revealed that participants valued their experiences; they gained a greater sense of self, developed an enhanced understanding of the outdoors, and appreciated the contrast the natural environment gave them to explore new opportunities. Implications suggest that the pathways to nature connectedness are useful for curriculum design for young people’s outdoor residential experiences, however, post-residential activities are needed to sustain positive changes over time.

Older people's experiences of participation in mindfulness-based intervention programmes: A qualitative systematic review.

This systematic review aimed to synthesise the qualitative evidence of mindfulness-based interventions and focused on the perceptions and experience of older people. A literature search was conducted using electronic databases including CINAHL, EMBASE, EMCare, and MEDLINE. The inclusion criteria for the review were an original study that includes qualitative data on experience and perceptions of mindfulness interventions, a study population involving older people aged 60 years and above, and articles published in English. Eleven articles are included in this review. Four major descriptive themes were generated from the data synthesis: benefits on physical health, improved psychosocial well-being, development of new perspectives, and motivators and challenges of mindfulness practice. Mindfulness practice provided health benefits for pain management, promoting sleep quality, psychosocial well-being, and development of positive strategies such as a new way of coping in negative situations, acceptance, and a sense of freedom. Health benefits and positive reinforcement were reported as motivators, whereas time commitment and an easily distracted mind were barriers to continued mindfulness practice. In addition to the descriptive themes, two analytical themes were derived: inner peace and well-being through mindfulness and development of acceptance-based coping. The positive outcomes indicated in this review suggest that mindfulness-based interventions could be an effective therapeutic tool for the well-being of older people.

Психологическое благополучие в пожилом и старческом возрасте: эффекты академического хорового пения

<p style="text-align: justify;">Aim. The purpose of this study was to investigate the level of psychological well-being of elderly and senile people who regularly engage in academic choral singing, and to identify factors related to this. Methods. A qualitative analysis was carried out to analyze the statements of the participants of two Moscow academic choirs of elderly people about the influence of choral singing on their physical and mental well-being. A quantitative comparison was made between the two groups of participants - choir members (46 people 57-91 years old; M=73,6±7,8), and a control group of people of the same age, but not involved in singing (56 people 52-82 years old; M=67,1± 6,8) - in terms of psychological and life well-being were conducted. The following measures were used: 1) the Russian version of the С. Ryff psychological well-being questionnaire, 2) a questionnaire regarding the socio-demographic information and the satisfaction with basic life circumstances, 3) a questionnaire (only for choristers) regarding the characteristics of musical and vocal-choral activity and their impact on the well-being of respondents. Results. The detailed statements of the choristers testify to the positive impact of choral singing on their physical and psychological well-being. The level of psychological well-being of elderly and senile people is largely determined by the well-being of important life circumstances. Engagement of elderly people in the academic choral singing has a significant effect in terms of increasing the psychological well-being of participants only if the level of well-being of the main life circumstances is high. The duration of engagement in the choir singing negatively correlates with the level of psychological well-being of the participants.</p>

The relationship between justice system non-involvement and the social and emotional wellbeing of young Aboriginal and Torres Strait Islander people

Aboriginal and Torres Strait Islander young people are highly overrepresented within the Australian justice system. Despite an increase in research and policies, it is still unclear which interventions, programs and policies are most effective. The aim of the current study was to investigate the relationship between the Social and Emotional Wellbeing (SEWB) of Aboriginal young people and justice system non-involvement from a strengths-based perspective. The sample consisted of 725 Aboriginal adolescents aged 10–15 years who completed The Next Generation Project’s Youth Well-Being Study survey. Logistic regression was conducted to assess the SEWB factors associated with justice system non-involvement. It was found that self-rated good health, positive scores on the Prosocial Scale of the Strengths and Difficulties Questionnaire and younger age were significant predictors of justice system non-involvement. Policies and programs focusing on systems level approaches to support wellbeing in young Aboriginal people are likely to be beneficial.

Public libraries to promote public health and wellbeing: a cross-sectional study of community-dwelling adults

BackgroundLibraries in the UK have evolved from traditional book-lending institutions into dynamic community hubs, This study aims to explore the potential of libraries to act as community hubs to promote mental and physical health and wellbeing of community-dwelling adults, drawing on insights from both library users and library staff in England.DesignA mixed-method, cross-sectional study using online survey and interviews with community-dwelling adults and library staff.MethodsWe collected data using a 14-item electronic survey and interviews with library users and staff to gauge perceptions. Descriptive statistics and thematic analysis were used to identify key trends and emergent themes.ResultsWe included 605 respondents from the survey and interviewed 12 library users and staff. Libraries remain popular and are considered a ‘safe place by members of the community, regardless of their frequency of service usage irrespective of whether they are frequent users of services. However, a lack of awareness among library users about community-facing services could act as a hurdle to improving community health and wellbeing. Targeted engagement with residents is needed to increase awareness of libraries’ services, including community interventions to help tackle loneliness and inequalities in digital and health literacy. Library staff often did not feel involved in important decision-making. Various barriers, drivers and practical recommendations were identified to leverage libraries as hubs to promote community health and wellbeing.ConclusionLibraries already offer a variety of resources that directly or indirectly support the health and wellbeing of community-dwelling adults and young people. However, public awareness of these services is limited. As we navigate post-pandemic recovery, libraries can serve as platforms for community engagement, fostering resilience, mental health support and reducing social isolation. Recognising libraries’ untapped potential can lead to healthier communities and improved wellbeing.

Hazardous Elements in Road Dust from Petrol Stations in Rzeszów (Podkarpackie, Poland): Toxicological Assessment Using Field Portable X-ray Fluorescence (FP-XRF) as ‘White Analytical Technique’

AbstractSamples of road dust (RD) from petrol stations (n = 20) located in Rzeszów (Podkarpackie, Poland) were analysed to find potential markers of traffic-related pollution. The level (μg/g) of: Mo, U, As, Hg, Th, Pb, Ni, Cu, Cr, Be, Sr, Zr, Zn, Mn and Fe were measured using field portable X-ray spectroscopy (FP-XRF) as a direct, rapid and ‘white analytical technique’. Our research demonstrated for the first time the utility of using FP-XRF for environmental toxicological assessment of RD from petrol stations. The qualitative and quantitative composition of the dust samples tested provides valuable research material for creating and updating regulations and finding pollution hotspots such as petrol stations. It was possible to find potential markers of traffic-related pollution (e.g., Zr and Fe forms of disk brakes or brake pads). Certain elements of the study give ambiguous signals related to fuel distribution and road traffic. They can come from various sources of environmental contamination. The adoption of evidence-based policies to minimise pollution, conserve the environment, and protect the well-being of people living or working near gas stations is anticipated to be aided by these findings for policymakers, regulatory authorities, and stakeholders. Incorporating toxicological risk assessment framework, this study pioneers the investigation of human exposure to hazardous elements in RD, an in-depth evaluation of both carcinogenic and non-carcinogenic health risks associated with such exposure including lifetime average daily dose. Our findings contribute novel insights into the environmental toxicology of urban areas, emphasising the need for tailored interventions to mitigate these risks.

Efficacy of the Flo App in Improving Health Literacy, Menstrual and General Health, and Well-Being in Women: Pilot Randomized Controlled Trial.

Reproductive health literacy and menstrual health awareness play a crucial role in ensuring the health and well-being of women and people who menstruate. Further, awareness of one's own menstrual cycle patterns and associated symptoms can help individuals identify and manage conditions of the menstrual cycle such as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). Digital health products, and specifically menstrual health apps, have the potential to effect positive change due to their scalability and ease of access. The primary aim of this study was to measure the efficacy of a menstrual and reproductive health app, Flo, in improving health literacy and health and well-being outcomes in menstruating individuals with and without PMS and PMDD. Further, we explored the possibility that the use of the Flo app could positively influence feelings around reproductive health management and communication about health, menstrual cycle stigma, unplanned pregnancies, quality of life, work productivity, absenteeism, and body image. We conducted 2 pilot, 3-month, unblinded, 2-armed, remote randomized controlled trials on the effects of using the Flo app in a sample of US-based (1) individuals who track their cycles (n=321) or (2) individuals who track their cycles and are affected by PMS or PMDD (n=117). The findings revealed significant improvements at the end of the study period compared to baseline for our primary outcomes of health literacy (cycle tracking: D̄=1.11; t311=5.73, P<.001; PMS or PMDD: D̄=1.20; t115=3.76, P<.001) and menstrual health awareness (D̄=3.97; t311=7.71, P<.001), health and well-being (D̄=3.44; t311=5.94, P<.001), and PMS or PMDD symptoms burden (D̄=-7.08; t115=-5.44, P<.001). Improvements were also observed for our secondary outcomes of feelings of control and management over health (D̄=1.01; t311=5.08, P<.001), communication about health (D̄=0.93; t311=2.41, P=.002), menstrual cycle stigma (D̄=-0.61; t311=-2.73, P=.007), and fear of unplanned pregnancies (D̄=-0.22; t311=-2.11, P=.04) for those who track their cycles, as well as absenteeism from work and education due to PMS or PMDD (D̄=-1.67; t144=-2.49, P=.01). These pilot randomized controlled trials demonstrate that the use of the Flo app improves menstrual health literacy and awareness, general health and well-being, and PMS or PMDD symptom burden. Considering the widespread use and affordability of the Flo app, these findings show promise for filling important gaps in current health care provisioning such as improving menstrual knowledge and health. OSF Registries osf.io/pcgw7; https://osf.io/pcgw7 ; OSF Registries osf.io/ry8vq; https://osf.io/ry8vq.

The well-being equation: How inner fulfilment drives the impact of older persons on the Ghanaian society.

Understanding and managing the complex processes of ageing is a critical function of gerontological nursing, especially when it comes to older people's well-being and their contributions to society. Globally, older persons contribute in many ways to families and communities. However, the relationship between older person's overall well-being and their propensity to contribute to society remains an important gap in research. The study examined the association between well-being and the impact of older persons on Ghanaian society. A secondary analysis of longitudinal survey data of the 2014/15 Study on Global Ageing and Adult Health (SAGE Wave 2) conducted by the World Health Organization was used. The multilevel logistic regression technique was used to examine four dimensions of well-being and their associations with high social contribution among older persons. The output was reported as odds ratios (OR). The results show that older persons who had high physical and psychological well-being were more likely to contribute to society (OR = 1.25, 95% CI = 0.93, 1.68), (OR = 1.75, 95% CI = 1.32, 2.33). However, those with high levels of emotional and spiritual well-being were less likely to make social contributions (OR = 0.66, 95% CI = 0.49, 0.88), (OR = 0.88, 95% CI = 0.66, 1.18). This study shows a positive association between well-being and older persons' societal impact. Good mental and physical health encourage societal involvement among older persons, while high emotional and spiritual well-being may lead to less societal contribution. These findings are important for nursing policies promoting social contribution and well-being among older persons 60 years and over in Ghana.

Political Socialization and Its Impact on Psychological Resilience and PTSD among Individuals Engaged with Israeli Occupation Forces on Mount Sabih

IntroductionThis research investigates the complex dynamics of political socialization, psychological resilience, and posttraumatic stress disorder (PTSD) among Palestinians who confronted Israeli military occupation forces on Sabih Mountain in Beita in Palestine. MethodsThis study utilized a descriptive correlational methodology with a sample size of 141 participants. Relevant data were collected using survey questionnaires and analyzed using appropriate statistical techniques. ResultsThis study revealed a positive correlation between political socialization and psychological resilience in the Palestinian population. Higher exposure to political socialization leads to increased resilience but is inversely correlated with the likelihood of severe PTSD. Those with greater resilience are less susceptible, while those lacking resilience are more susceptible. A greater degree of political socialization reduces the likelihood of experiencing PTSD-related consequences. DiscussionThis study emphasizes the significance of political socialization in fostering psychological resilience and attenuating PTSD in Palestinians who are facing Israeli occupation forces. Age, detention by Zionist forces, and family size significantly impact resilience levels. Age is the most influential variable, with retention positively influencing resilience. Family size, income, and disability also affect resilience levels. These findings help in understanding the complex dynamics of political socialization, psychological resilience, and PTSD among Palestinians, enabling targeted interventions and support mechanisms to enhance resilience and mitigate the impact of psychological disorders. ConclusionThis research highlights the connection between political socialization, psychological resilience, and PTSD in the Palestinian population, who faced PTSD during the Israeli occupation. It is crucial for stakeholders to support initiatives focused on political socialization, as it nurtures psychological resilience and mitigates PTSD susceptibility. By collaborating with governmental bodies and nongovernmental institutions, transformative and collaborative efforts can be initiated, providing unwavering support and safeguarding the psychological well-being of the Palestinian people amidst the arduous adversities they face.

The relationship between time perspective, subjective well-being and personal resource capacity in late age

Introduction. Realisation of resources, access to education, and preservation of well-being of elderly people are topical issues for research and social practice since effective structuring of educational environment and methods of social support need empirically confirmed data on psychological characteristics and resources of a person in elderly age. The study of the relationship of time perspective with well-being personal resource capacity makes it possible to assess the implications of the educational environment’s influence on these characteristics. The aim of the article is to identify the nature of the conjunction of a person’s time perspective with factors of subjective well-being and components of personal resource capacity. Materials and methods. The empirical study involved 528 respondents (387 women, 152 men) aged from 45 to 75, with the average age of the participants being 58 years. A set of eleven psychodiagnostic techniques was implemented, united into three blocks: diagnostic techniques for time perspective, subjective well-being, lifeconscious and regulatory components of personal resource capacity. The methods of descriptive statistics and correlation analysis were used for data processing. Results. The peculiarities of conjugation of time perspective with the explored components of personal resource capacity were empirically established: subjective well-being (59 correlations with coefficients – 0.230 &lt; r &lt; 0.496), regulatory aspect (42 correlations with coefficients – 0.325 &lt; r &lt; 0.450), and life-conscious aspect (43 correlations with coefficients – 0.573 &lt; r &lt; 0.415). “Favourable” and “unfavourable” types of time orientation in the late age were defined. Their positive and negative influence on subjective well-being indicators, as well as on life-conscious and regulatory components of personal resource capacity, was specified. Conclusion. The obtained results made it possible to define the methods of managing time perspective by maintaining and developing its “favourable” types – orientation at the future, positive past, and hedonistic present, and reducing the negative influence of “unfavourable” types – orientation at the negative past and fatalistic present.

ANALISIS PELAYANAN BPJS DI INDONESIA DALAM MENINGKATKAN KESEJAHTERAAN MASYARAKAT DENGAN PENDEKATAN PROBLEM TREE ANALYSIS

This research aims to identify problems in BPJS services in Indonesia in improving community welfare using a problem tree analysis approach. The problem tree analysis method is used in this research to identify the root of problems in BPJS services, to provide a clearer picture, more appropriate solutions, good treatment priorities, as well as a structured evaluation and improvement process for BPJS services in the future. The research results revealed several main problems in BPJS services, such as low service quality, lack of service management, employee discriminatory behavior, and limited facilities and infrastructure. These problems violate the principles of good governance, such as the supremacy of law, effectiveness, efficiency, equality, accountability, and transparency. This condition makes it difficult for people to access quality and timely health services and can have a serious impact on people's health and welfare. This research suggests the need to increase supervision, optimize coordination, train employees, distribute facilities and infrastructure, and implement a reward and punishment system to improve the quality of BPJS services. With planned improvement efforts, it is hoped that BPJS Health services can provide optimal benefits for the health and welfare of the Indonesian people as a whole. Keywords: Service, BPJS, Good Governance, Problem Tree Analysis

Sexual Orientation, Health, and Well-Being in Spanish People.

Although several studies have found disparities in health outcomes between heterosexual and lesbian, gay, and bisexual (LGB)-identifying individuals, few studies have focused on subjective well-being and protective factors for health and well-being. The purpose of this work is twofold: (1) to examine the relevance of sexual orientation to health and well-being in women and men; (2) to identify protective and risk factors for psychological distress, self-rated health, and well-being for gay men, lesbian women, bisexual women and men, and heterosexual women and men. The sample consisted of 908 women and 586 men from the general Spanish population aged 16-64, half of whom identified themselves as LGB and half as heterosexual. All were assessed using eight questionnaires and inventories. The results showed that differences varied depending on the health indicator considered. In general, bisexuals had the poorest health, with lower self-rated health and lower self-esteem. In all groups, self-esteem was a protective factor against psychological distress and was associated with better health and well-being. To a lesser extent, social support served as a protective factor against psychological distress and was associated with greater well-being in all groups. It is concluded that although sexual orientation is relevant to the health and well-being of individuals, there are differences among sexual minorities, with bisexuals having lower self-esteem than homosexuals.

Satisfaction with Elderly in Multigenerational Family Living in Kuala Lumpur

Malaysia is a blend of multiracial ethnic societies in addition to communities where there are families who have married across races and traditions. As such, within the family living in the city of Kuala Lumpur, the different races and religions necessitate multigenerational relationships. Also, the lifestyles in a city and the rural areas are different in Malaysia. Those who live in rural areas own a house with land where their relatives are within their surroundings, giving a sense of well-being. In contrast, those living in the city would rent or buy a family-size house that is designed for only one family generation. Correspondingly, the aim of this research is to focus on the well-being of multigenerational families living in the city of Kuala Lumpur and their lifestyles in landed property or high-rise housing. The research’s objective is to identify the level of satisfaction with the facilities housing multigenerational living in Kuala Lumpur. The findings that are discussed in this research focus on the level of people's satisfaction and well-being with multigenerational living in a city where the surrounding has fewer facilities for senior citizens. A new generation living in the city needs to develop a social family who are living together, comprising parents, adults and children, whereby relationships are more intimate. This research has shown the impact of the situation of multigenerational living in Kuala Lumpur housing area where the house design is not suitable for multigenerational families living together because some people need privacy in their lives.

The effect of forest-environment construction on the physical activity among Chinese adults

Abstract Background&amp;#xD;The Chinese government attaches great importance to the construction of the National Forest City (NFC), aiming at creating a pleasant living environment beneficial for people's health and well-being. This study aimed to estimate the effect of the NFC policy on the frequency of physical activity (PA) for people in mainland China.&amp;#xD;Methods &amp;#xD;Using the nationally representative data from the China Family Panel Studies in 2010 and its follow-up in 2018, 17704 participants aged 18 and older were analyzed in our study. We employed the two-way fixed estimator in the difference in difference setting to analyze the PA of the adults in the cohort with different development levels of the forest-environment construction measured by the number of NFCs, and explore the relative differences before and after the construction of NFC. Subgroup analysis of age group, gender and living areas and a series of robustness tests were further conducted.&amp;#xD;Results &amp;#xD;The mean age of 17704 participants in 2010 was (45.03±13.67) years old, 51.74% of which were female and 48.26% were male. DID results showed that after the construction of NFC, the frequency of PA increased by 1.35 (β=1.35, 95% CI:0.73 to 1.98) per week compared to those in provinces without NFC. And the improving effect of the forest-environment construction on PA frequency was intensified in middle-aged and older adults aged 45 and above (β=2.03, 95% CI:1.09 to 2.96), males(β=1.26, 95% CI:0.39 to 2.12) and females (β=1.49, 95% CI:0.58 to 2.40) and those living in urban areas (β=1.29, 95% CI:0.57 to 2.00).&amp;#xD;Conclusions&amp;#xD;Our findings showed that the forest-environment construction under the NFC strategy has a positive role in the PA of older adults, indicating the health-promoting effects of the national environmental strategy. Considering the heterogeneity, it is essential to promote the benefits of green exercise for young and rural adults.