Physical Health Characteristics Research Articles

Trends in weight gain recorded in English primary care before and during the Coronavirus-19 pandemic: An observational cohort study using the OpenSAFELY platform.

Obesity and rapid weight gain are established risk factors for noncommunicable diseases and have emerged as independent risk factors for severe disease following Coronavirus Disease 2019 (COVID-19) infection. Restrictions imposed to reduce COVID-19 transmission resulted in profound societal changes that impacted many health behaviours, including physical activity and nutrition, associated with rate of weight gain. We investigated which clinical and sociodemographic characteristics were associated with rapid weight gain and the greatest acceleration in rate of weight gain during the pandemic among adults registered with an English National Health Service (NHS) general practitioner (GP) during the COVID-19 pandemic. With the approval of NHS England, we used the OpenSAFELY platform inside TPP to conduct an observational cohort study of routinely collected electronic healthcare records. We investigated changes in body mass index (BMI) values recorded in English primary care between March 2015 and March 2022. We extracted data on 17,742,365 adults aged 18 to 90 years old (50.1% female, 76.1% white British) registered with an English primary care practice. We estimated individual rates of weight gain before (δ-prepandemic) and during (δ-pandemic) the pandemic and identified individuals with rapid weight gain (>0.5 kg/m2/year) in each period. We also estimated the change in rate of weight gain between the prepandemic and pandemic period (δ-change = δ-pandemic-δ-prepandemic) and defined extreme accelerators as the 10% of individuals with the greatest increase in their rate of weight gain (δ-change ≥1.84 kg/m2/year) between these periods. We estimated associations with these outcomes using multivariable logistic regression adjusted for age, sex, index of multiple deprivation (IMD), and ethnicity. P-values were generated in regression models. The median BMI of our study population was 27.8 kg/m2, interquartile range (IQR) [24.3, 32.1] in 2019 (March 2019 to February 2020) and 28.0 kg/m2, IQR [24.4, 32.6] in 2021. Rapid pandemic weight gain was associated with sex, age, and IMD. Male sex (male versus female: adjusted odds ratio (aOR) 0.76, 95% confidence interval (95% CI) [0.76, 0.76], p < 0.001), older age (e.g., 50 to 59 years versus 18 to 29 years: aOR 0.60, 95% CI [0.60, 0.61], p < 0.001]); and living in less deprived areas (least-deprived-IMD-quintile versus most-deprived: aOR 0.77, 95% CI [0.77, 0.78] p < 0.001) reduced the odds of rapid weight gain. Compared to white British individuals, all other ethnicities had lower odds of rapid pandemic weight gain (e.g., Indian versus white British: aOR 0.69, 95% CI [0.68, 0.70], p < 0.001). Long-term conditions (LTCs) increased the odds, with mental health conditions having the greatest effect (e.g., depression (aOR 1.18, 95% CI [1.17, 1.18], p < 0.001)). Similar characteristics increased odds of extreme acceleration in the rate of weight gain between the prepandemic and pandemic periods. However, changes in healthcare activity during the pandemic may have introduced new bias to the data. We found female sex, younger age, deprivation, white British ethnicity, and mental health conditions were associated with rapid pandemic weight gain and extreme acceleration in rate of weight gain between the prepandemic and pandemic periods. Our findings highlight the need to incorporate sociodemographic, physical, and mental health characteristics when formulating research, policies, and interventions targeting BMI in the period of post pandemic service restoration and in future pandemic planning.

European Autism GEnomics Registry (EAGER): protocol for a multicentre cohort study and registry

IntroductionAutism is a common neurodevelopmental condition with a complex genetic aetiology that includes contributions from monogenic and polygenic factors. Many autistic people have unmet healthcare needs that could be served...

Physical and Mental Health Characteristics of Hospitalized COVID-19 Patients with and without Type 2 Diabetes Mellitus in Turkey.

The aim of this study was to assess the rates of depression, anxiety, and stress and quality of sleeping among COVID-19 patients with and without type 2 diabetes mellitus (T2DM). A case and control design has been employed, involving patients affected by COVID-19 infection (884 with T2DM vs. 884 controls without T2DM) and hospitalized in Istanbul (Turkey) from January to December 2021. A multivariate stepwise regression approach was used to test the associations between sociodemographic, metabolic, serum markers, mental health scores, and T2DM/COVID-19 patients' clinical presentation. A statistically significant difference between T2DM and non-T2DM was found with respect to age, gender, BMI (body mass index), smoking, physical exercise, and physical comorbidities as well as levels of depression, anxiety, stress, and sleeping disorders (0.0003 ≤ all p = 0.025). With regard to serum biomarkers, vitamin D and ferritin were identified as useful parameters of reduction of glycated hemoglobin as well as COVID-19 infection among T2DM patients. This study detected that 25% of patients with COVID-19 and T2DM experienced mental distress, with sleeping disturbances and lifestyle changes markedly impacting their clinical outcome alongside metabolic and serum parameters.

Techniques for designing inclusive buildings using the example of theater architecture

In the article, the author examines the use of the concept of "healing architecture" in order to organize inclusive spaces in such facilities, such as cultural and entertainment institutions, as well as methods used in the design of inclusive theaters designed for people with physical or psychological disabilities, the main techniques used to create a comfortable environment in such projects. The main object of this research is inclusive theater spaces. The main purpose of the study is to explore the possibility of organizing inclusive theaters using the methods of the "Healing Architecture" concept used in the organization of medical and rehabilitation institutions. In the course of the work, the method of analyzing research on the topic and existing projects was used, as well as theoretical analysis, identification and consideration of the main techniques for designing inclusive spaces and the possibility of their use in the design process of inclusive theaters. The novelty of this study lies in the consideration of the concept of healing architecture, from the side of using its techniques in the design of cultural and entertainment institutions, such as inclusive theaters. As a result of the research, the main methods of organizing space used to create a "healthy" environment in medical buildings were considered, as well as their benefits in organizing inclusive theatrical institutions designed for multi-group visitors, projects designed for people with physical and psychological health characteristics were selected and studied, and the basic techniques of organizing space in the buildings selected for analysis. The result of the study was a number of proposals for the organization of the theater space, taking into account the concepts of inclusive and rehabilitation architecture, for groups of people with increased needs.

DENTAL PATIENT-REPORTED OUTCOMES IN GERIATRIC DENTISTRY : A call for clinical translation

As the proportion of older adults in the world population increases, there is an increasing need to provide adequate dental care for this very heterogeneous group of individuals. The relationship between oral and systemic health, the impact of medication on oral health, and the influence of accessibility to dental care and other social and environmental factors shape the provision of dental care for older adults more than in children, younger, and middle-aged adults.However, while dental care for older adults is shaped by these factors and is often different from the care for other adults, what matters to older dental patients does not differ from what matters to dental patients in general. The four dimensions of oral health-related quality of life (OHRQoL)–Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact–capture dental patients’ suffering from oral disorders. OHRQoL questionnaires can be used to assess this impact and to achieve results that are compatible with adults in general. More than in other age groups, cognitive impairments or dementia limit the usefulness of questionnaires or interviews for oral health impact assessment. In these situations, family members or caregivers can assess the patient's oral health impact, and oral health care providers need to rely more on physical oral health characteristics for clinical decision-making than in other dental patients. While the tools to measure oral health impact change, the targets for dental care stay the same. Prevention and reduction of functional, painful, aesthetical, and broader psychosocial impact related to oral disorders are the central tasks for geriatric dentistry as they are for dentistry in general.The aim of the manuscript is to highlight the importance of patient-reported outcome measures in geriatric dentistry, addressing challenges and opportunities for their application.

Prevalence and factors associated with general anxiety symptoms severity among older adults registered with the Primary Healthcare Corporation during the COVID-19 pandemic: A cross-sectional study.

Primary care-based studies examining the prevalence of anxiety symptoms severity and associated factors among older adults during the COVID-19 pandemic are scarce. The study aims to determine the prevalence of general anxiety symptoms severity and associated sociodemographic and physical health characteristics, including SARS-CoV-2 infection history, among older adults in primary care in Qatar during the COVID-19 pandemic. A cross-sectional study was conducted using a random sample of older adults aged 60 years and above (n = 337) from all primary health care centers (n = 28) of Qatar's Primary Health Care Corporation. Participants were interviewed via telephone by family physicians between June and August 2020. General anxiety symptoms severity was assessed using the Generalized Anxiety Disorder 7-item Scale (GAD-7). Descriptive statistics and ordinal regression were used to analyse the data. The mean age of participants was 65 years (ranging from 60 to 89 years), standard deviation = 4.8. About 49.0% and 32.0% of participants were females and of Qatari nationality, respectively. The prevalence of minimal, mild, moderate, and severe general anxiety symptoms was 82.5%, 13.9%, 3.0%, and 0.6%, respectively. Around 33.5%, 63.5%, and 3.0% of participants had unknown, negative, or positive SARS-CoV-2 infection histories, respectively. Females had greater odds of higher levels of anxiety symptoms severity (odds ratio (OR) 2.34; 95% confidence interval (CI) 1.22, 4.50; p = 0.011). As compared to participants with unknown SARS-CoV-2 infection status, those with a negative and positive SARS-CoV-2 infection history had increased odds of higher levels of general anxiety symptoms severity by 2.48 (95% CI 1.17, 5.24; p = 0.017) and 7.21 (95% CI 1.67, 31.25; p = 0.008), respectively. Age, marital status, living arrangements, nationality, and the number of medical conditions had no statistically significant associations with general anxiety symptoms severity. Most older adults experience minimal to mild anxiety symptoms during the COVID-19 pandemic. Female gender and confirmed or suspected SARS-CoV-2 infection history are independent predictors of more severe anxiety symptoms among older adults.

Social determinants of anxiety and mood disorders in a nationally-representative sample - Results from the Saudi National Mental Health Survey (SNMHS).

Social determinants of health (SDH) influence and modify the risk for mental health disorders. To our knowledge, no study has explored SDH in the context of mental health in Saudi Arabia (SA) using population-based data. This study investigated the association between several SDH and anxiety and mood disorders in SA. We utilized data from the nationally-representative Saudi National Mental Health Survey (SNMHS) conducted in 2014 to 2016. This study examined associations between personal-level, socioeconomic, physical health, and family environment characteristics and anxiety and mood disorders. Participants were classified as having anxiety-only disorders, mood-only disorders, or comorbidity of both disorders. Multinomial logistic regression models were employed to examine the associations between SDH and anxiety and/or mood disorders, comparing them to participants who had not experienced these disorders. A total of 4,004 participants were included in this analysis; the lifetime prevalence of disorders was: anxiety only (18%), mood only (3.8%), and comorbidity of both (5.3%). Regression models indicated that females, young adults (26-35 years), individuals with a higher level of education, and those who were separated or widowed had higher odds of experiencing anxiety and/or mood disorders. Furthermore, there was a significant and direct association between having physical chronic conditions and all three categories of anxiety and mood disorders. Experiencing Adverse Childhood Events (ACEs) was also associated with a significant risk of developing anxiety and/or mood disorders, with the highest risk associated with physical or sexual abuse, followed by violence and neglect. This study underscores the correlation between several personal-level, socioeconomic, and environmental SDH and anxiety and mood disorders in SA. These findings provide a foundation for future analyses examining the intricate interplay between upstream and downstream SDH in SA. Such research can enhance local scientific knowledge, aid in planning for social services, and inform policy decisions and treatment strategies.

Sociodemographic, mental health, and physical health factors associated with participation within re-contactable mental health cohorts: an investigation of the GLAD Study

BackgroundThe Genetic Links to Anxiety and Depression (GLAD) Study is a large cohort of individuals with lifetime anxiety and/or depression, designed to facilitate re-contact of participants for mental health research. At the start of the pandemic, participants from three cohorts, including the GLAD Study, were invited to join the COVID-19 Psychiatry and Neurological Genetics (COPING) study to monitor mental and neurological health. However, previous research suggests that participation in longitudinal studies follows a systematic, rather than random, process, which can ultimately bias results. Therefore, this study assessed participation biases following the re-contact of GLAD Study participants.MethodsIn April 2020, all current GLAD Study participants (N = 36,770) were invited to the COPING study. Using logistic regression, we investigated whether sociodemographic, mental, and physical health characteristics were associated with participation in the COPING baseline survey (aim one). Subsequently, we used a zero-inflated negative binomial regression to examine whether these factors were also related to participation in the COPING follow-up surveys (aim two).ResultsFor aim one, older age, female gender identity, non-binary or self-defined gender identities, having one or more physical health disorders, and providing a saliva kit for the GLAD Study were associated with an increased odds of completing the COPING baseline survey. In contrast, lower educational attainment, Asian or Asian British ethnic identity, Black or Black British ethnic identity, higher alcohol consumption at the GLAD sign-up survey, and current or ex-smoking were associated with a reduced odds. For aim two, older age, female gender, and saliva kit provision were associated with greater COPING follow-up survey completion. Lower educational attainment, higher alcohol consumption at the GLAD Study sign-up, ex-smoking, and self-reported attention deficit hyperactivity disorder had negative relationships.ConclusionsParticipation biases surrounding sociodemographic and physical health characteristics were particularly evident when re-contacting the GLAD Study volunteers. Factors associated with participation may vary depending on study design. Researchers should examine the barriers and mechanisms underlying participation bias in order to combat these issues and address recruitment biases in future studies.

Mapping prescription drug monitoring program data to self-report measures of non-medical prescription opioid use in community pharmacy settings

BackgroundCommunity pharmacists are well-positioned to identify patients engaged in non-medical prescription opioid use (NMPOU) through Prescription Drug Monitoring Program (PDMP) databases. Integrating patient-reported outcomes with PDMP data may improve the interpretability of PDMP information to support clinical decision-making. ObjectiveThis study linked patient-reported clinical measures of substance use with PDMP data to examine relationships between average daily opioid dose in morphine milligram equivalents (MME) and visits to multiple pharmacies/prescribers with self-reported NMPOU. MethodsData from a cross-sectional health assessment given to patients aged ≥18 years filling opioid prescriptions were linked to PDMP records. NMPOU in the past three months was assessed on a continuous scale (range 0–39) using an adapted version of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). PDMP measures included average daily MME and number of distinct pharmacies/prescribers visited in the past 180 days. Univariable and multivariable zero-inflated negative binomial models estimated associations between PDMP measures and any NMPOU and severity of use. ResultsThe sample included 1421 participants. In multivariable models adjusted for sociodemographic, mental health, and physical health characteristics, any NMPOU was associated with higher average daily MME (adjusted OR = 1.22, 95% CI = 1.05–1.39) and number of distinct prescribers visited (adjusted OR = 1.15, 95% CI = 1.01–1.30). Higher average daily MME (adjusted mean ratio (MR) = 1.12, 95% CI = 1.08–1.15), number of distinct pharmacies visited (adjusted MR = 1.11, 95% CI = 1.04–1.18), and number of distinct prescribers visited (adjusted MR = 1.07, 95% CI = 1.02–1.11) were associated with increased NMPOU severity. ConclusionsWe observed significant, positive associations between average daily MME and visits to multiple pharmacies/prescribers with any NMPOU and severity of use. This study demonstrates self-report clinical measures of substance use can be cross-walked to PDMP data and translated into clinically interpretable information.

Association of maternal physical and mental health characteristics with the hazard of having any medical condition or disability in Australian children: A 15-year birth cohort study

Any long-term medical condition or disability among children is a significant health issue. This study measured the incidence rate of any medical condition or disability among children from a nationally representative birth cohort, then used the random effect parametric survival regression model to assess whether the hazard of any medical condition or disability in children is associated with maternal physical and mental health characteristics (obesity, general health status, having a medical condition, stressful life events or mental illness). The study followed up 5019 children from the Longitudinal Study of Australian Children, assessing their time-to-event data from birth (2004) to 14 or 15 years of age (2018). The hazard rate of any medical condition or disability was 26.11 per 1000 person-years for all the children and 29.29 for the males—a noticeable gender difference. It was the highest (hazard rate: 62.90) among the children when their mothers had a medical condition, while the hazard rate was 22.40 per 1000 person-years among the children whose mothers had no medical conditions. The parametric panel regression results also suggested that the children of mothers with a medical condition during the 15-year study period were more likely to have a medical condition or disability (hazard ratio [HR]: 2.61, 95% confidence interval [CI]: 2.24–3.02) compared to the children of mothers with none. Similar trends were observed among children of mothers who had fair or poor general health (HR: 1.48, 95% CI: 1.15–1.91), obesity (HR: 1.40, 95% CI: 1.18–1.66) or experienced stressful life events (HR: 1.23, 95% CI: 1.06–1.43) over time compared to those whose mothers did not. These findings suggest that additional healthcare interventions targeting mothers with medical conditions, obesity, poor general health, or mental illness would help minimise the risk of medical conditions and disabilities among children.

Influência da sobrecarga, estresse e sintomas depressivos na saúde de idosos cuidadores: estudo longitudinal

Abstract Objective to analyze the effect of burden, stress, and depressive symptoms on the health characteristics of older adult caregivers of older adults. Method A quantitative and longitudinal study was conducted with 127 older adult caregivers to analyze the effect of burden, stress, and depressive symptoms on their health characteristics. The variables assessed included health characterization, burden, depressive symptoms, and stress. A linear regression model and Poisson test were employed, with a significance level set at 5%. Results The findings revealed that an increase of one point in the burden scale score was associated with a 0.030 increase in the number of diseases (p=0.020) and an increased risk of chronic pain (p=0.005). Similarly, a one-point increase in the stress scale score was associated with a 0.058 increase in the number of diseases (p=0.001), as well as an increased risk of a poor subjective health assessment (p=&lt;0.001) and chronic pain (p=&lt;0.001). Furthermore, an increase in the score on the depressive symptoms scale was associated with an increase in the number of diseases (p=&lt;0.001), risk of falls (p=0.009), poor subjective health assessment (p=&lt;0.001), and chronic pain (p=&lt;0.001). Conclusions and implications for practice The worsening estimate in the scores of psychological variables poses a risk to the deterioration of caregivers’ physical health characteristics. The findings underscore the need for the development of public policies aimed at improving the quality of life for older adult caregivers.

Accelerometer-measured physical activity and sedentary behavior in nonagenarians: Associations with self-reported physical activity, anthropometric, sociodemographic, health and cognitive characteristics.

Research on device-based physical activity in the oldest-old adults is scarce. We examined accelerometer-measured physical activity and sedentary behavior in nonagenarians. We also investigated how the accelerometer characteristics associate with nonagenarians' self-reported physical activity, anthropometric, sociodemographic, health and cognitive characteristics. Nonagenarians from a population-based cohort study (N = 38, mean age 91.2) used accelerometers during the waking hours for seven days. They also participated in a health survey and cognitive telephone interview. The Wald test and Pearson and polyserial correlations were used to analyze the data. The participants' average day consisted of 2931 steps, 11 minutes of moderate-to-vigorous physical activity and 13.6 hours of sedentary time. Physical activity bouts less than 3 minutes per day and sedentary time bouts of 20-60 minutes per day were the most common. No sex differences were found. Many accelerometer-measured and self-reported physical activity characteristics correlated positively (correlations ≥0.34, p-values <0.05). The low levels of many accelerometer-measured physical activity characteristics associated with low education (correlations ≥0.25, p-values <0.05), dizziness (correlations ≤-0.42, p-values <0.01) and fear of falling (correlations ≤-0.45, p-values <0.01). Fear of falling was also associated with accelerometer-measured sedentary behavior characteristics (correlations -0.42 or ≥0.43). Nonagenarians were mostly sedentary and low in physical activity, but individual variability existed. Accelerometer-measured and self-reported physical activity had a good consistency. Education, dizziness and fear of falling were consistently related to accelerometer-measured characteristics in nonagenarians.

Impact of Worksite Wellness Programs on Health-Related Outcomes in White Collar Workers-A Narrative Review

Worksite wellness programs are often implemented to increase work productivity and improve the health in employees however there is very little evidence on how effective these programs are. This review of literature aims to investigate the impact Worksite Wellness Programs have on the physiological and psychological health-related outcomes in white-collar workers. Electronic databases including PubMed Web of Science and CINAHL were screened. Publications between 2010 and 2020 were included. A total of nine studies were reviewed. Six out of nine studies showed positive improvements in physical health characteristics like BMI fat mass waist circumference occupational sitting time and step counts. Four out of nine studies showed significant differences in psychological outcomes like quality of life emotional exhaustion ruminative depression and other stress-related symptoms. No significant changes were found in job satisfaction performance and cognitive function. The study yielded mixed results regarding the impact of wellness programs on health outcomes. There exists strong evidence demonstrating the impact of Worksite wellness programs on major physiological outcomes such as BMI step counts waist circumference sitting time waist-to-hip ratio and blood pressure. Significant reductions in major psychological outcomes such as anxiety and depression were reported.

STRESS CONDITIONS OF PRESCHOOL CHILDREN WITH MENTAL DISORDER

The article deals with the problem of stressful conditions of preschool children with mental retardation, having emotional, physical, social, intellectual, linguistic and other health characteristics, as well as their social adaptation to society, which is currently extremely relevant. The corresponding pedagogical conditions for the development of certain mental processes and qualities that are very difficult to form at later age stages are analyzed. The practical experience of educating preschool children, which require special methodological approaches and the creation of a whole range of additional conditions, is summarized. Therefore, this article discusses the stressful conditions of preschool children with mental retardation and the principles of development of young children. Particular attention is paid to the modern life of preschool children who are constantly faced with stress. The article is devoted to the peculiarities of psychological and pedagogical assistance to preschool children with mental retardation. As a result of the study, the experience of developing and implementing an early intervention program for children with multiple developmental disorders is recommended.

Practice and Reflection on Integrated Education for Disabled Students in Law Majors

Disabled students who majoring in law in colleges and universities have objectively different physical and mental health characteristics and development status from disabled students studying in other majors. The integrated education of disabled students majoring in law must integrate professional literacy cultivation and basic personality quality education throughout, not only achieving integration in teaching management, but also helping them integrate into society in the future.

NEIGHBORHOOD PREDICTORS OF MENTAL HEALTH OF OLDER AMERICANS: EVIDENCE FROM A 5-YEAR LONGITUDINAL STUDY

Abstract With increasing dependence on other people in old age, environmental resources become an important asset for older adults to experience healthy aging. Data on the longitudinal relationship between neighborhood and mental health in late life is scanty. This study utilized hierarchical multiple regression model analysis to investigate whether and which neighborhood factors predicted depression and anxiety among older Americans followed up for over five years within the same neighborhood. Two waves of data containing a cohort of 1,731 older adults from the NSHAP project were used. Outcome measures were depression and anxiety. Predictors were four neighborhood factors: Social cohesion (NSC), social ties (NSC), neighborhood problems (NP), and perceived neighborhood danger (PND). We adjusted for demographic and physical health characteristics. The mean age of the respondents was 71.4 ± 6.5 years and were mostly females (55.5%). Lower NSC and a higher PND significantly predicted depression. However, the model only explained 2.8% of the variance in depression. In the covariate-adjusted model, none of the neighborhood factors predicted depression, but the model significantly improved to 32.5%. NP was the only significant predictor of anxiety in the final model and explained 27.8% of the variance in anxiety. Covariates, which are primary determinants of mental health disparity, have a much larger role to play. This study sheds some light on the complexity of the relationship between neighborhood and mental health in older adults. Future policy development and interventions should target improving both physical and social environments to enhancing the mental wellbeing of older adults.

Non-cognitive factors associated with driving cessation among older adults: An integrative review

Exploring the factors that affect driving cessation is crucial, because sustained mobility plays an important role in successful aging. This study aimed to collect evidence on the non-cognitive factors associated with driving cessation among older adults. The method used in this study was an integrated review of published research on the factors affecting driving cessation. A comprehensive search was performed using electronic databases including PubMed, Web of Science, Scopus, CINHAL, ProQuest, EBSCO, and Google Scholar. The results revealed six main categories (physical health, psychological health, interpersonal influence, transportation support, policies, and sociodemographic characteristics) and 24 subcategories for driving cessation. Given the potentially serious consequences of driving cessation in the older adult population, exploring the predictors of driving cessation can be used to design interventions for optimizing drivers’ health, rehabilitating the functional limitations that affect driving ability, creating a safer driving environment, and optimizing vehicles to meet the needs of older drivers.

Research on the Influence of International Communication of Chinese Literature on Teenagers' Physical and Mental Health in the Digital Humanistic Environment.

Research Background. With the enhancement of China's international influence, China has stepped into the international ecological environment in the fields of economy, politics, culture, art, and so on, accompanied by the spread of China's culture and literature. China's 5000-year-old cultural history and artistic characteristics are integrated into the ecological field of the international environment. Research Purpose. The international spread of Chinese literature also has a certain impact on the physical and mental health of teenagers. This paper studies and discusses the impact of international communication of Chinese literature on teenagers' physical and mental health in the digital humanistic environment. Under the development environment of Digital Humanities in China, the impact of Chinese literature on the healthy psychology of teenagers, the impact content, and the characteristics of each were evaluated. Through the comparison of physical and mental health growth of adolescents in different ages, the characteristics of physical and mental health of adolescents are explored. The coupling degree of physical and mental health of adolescents in different development environments is compared and analyzed. Research Results. Through the research, it is found that with the development of Digital Humanities, the spread of Chinese literature with internationalization has a positive impact on the physical and mental health and psychological quality construction of teenagers and plays a promoting role in promoting mental health, increasing personal quality, and improving teenagers' correct values. The various ideological and moral qualities of Chinese literature can play a greater role in helping and growing up the physical and mental health education of young people in the new era and are also the literary value of promoting the quality education of the next generation of young people in the world.

Health and the Urban Environment: A Bibliometric Mapping of Knowledge Structure and Trends

The literature on the urban environment and physical and psychological health has steadily increased over the last decade. This paper aims to offer a better understanding of the state of the literature on assessing the urban environment and mental health by mapping the field of research through a scoping review and illuminating emerging trends and future research using bibliometric analysis. Uniquely, this study drew 495 articles from four distinct journal databases (PubMed, Scopus, Web of Science, and ProQuest), whereas traditional bibliometric analyses draw from a single source. The results show trends of a consistent increase in research on the topic over the last decade. Research published on this topic is fragmented with a consistent but isolated focus on physical health, mental health, and environmental characteristics. Overall, most attention has been given to assessing the impacts of urban environments on physical activity and general health, while less research has focused on mental health assessments and urban environments. This study concludes by highlighting gaps and making recommendations for future research in the field. Prominent gaps are related to using interdisciplinary and scalable approaches to understanding the relationship between urban environments and mental health.

Physical and mental health characteristics related to trust in and intention to receive COVID-19 vaccination: results from a Korean community-based longitudinal study.

The aim of this study was to explore factors affecting attitudes toward coronavirus disease 2019 (COVID-19) vaccination, including socio-demographic characteristics and mental health status during the pandemic. This study analyzed responses from 1,768 participants who were originally included in a community cohort study and responded to 3 online surveys related to COVID-19 (March 2020 to March 2021). The k-means method was used to cluster trust in and intention to receive COVID-19 vaccination. Baseline (2013-2018) socio-demographic characteristics, physical health status, and depressive symptoms were analyzed as exposure variables, and current mental health status was included in the analyses. Almost half of all participants were classified into the moderate trust and high intention cluster (n=838, 47.4%); those with high trust and high intention accounted only for 16.9%. They tended to be older, had high-income levels, and engaged in regular physical activity at baseline (p<0.05), and their sleep quality and psychological resilience were relatively high compared to other groups. Our results suggest that more efforts are required to enhance the perceived need for and trust in COVID-19 vaccination.