Targeted Intervention Measures Research Articles

An Examination of the Decision of Microentrepreneurs to Remain in Urban Flood-prone Areas in Marikina City, Metro Manila (NCR), Philippines

Despite the impact of urban flooding on businesses, the choice of microentrepreneurs continuing to stay in flood hazard areas runs counterintuitive to the principles of profitability and sustainability albeit both are the most vulnerable aspects of the business sectors. Existing literature has provided substantial knowledge on the factors affecting an entrepreneur’s choice of operating location but does not go deeper into why entrepreneurs decide to remain and operate in frequently flooded urban areas. A multi-stage cluster sampling technique was used in this study to establish an adequate representation of microentrepreneurs in flood-prone areas of Marikina City in Metro Manila, Philippines, using various statistical tools to evaluate decision factors. The research revealed that component factors such as economic considerations, the microentrepreneur’s socio-spatial relations, and experiences and perception of resilience influence the decision to remain in urban flood-prone areas. Moreover, specific sub-factors under each component factor were identified, which can be grouped into ‘pre-existing’ and ‘learned’ categories, introducing a new location decision model attuned to the dynamics that exists between microentrepreneurs and a natural disaster such as urban flooding. The findings of the study may guide policymakers and urban planners in designing targeted intervention measures that translate to more micro enterprise-responsive disaster risk reduction and management plans. Moreover, by treating microenterprises as separate from the traditional occupations, communities might appreciate the crafting of local land use plans which would successfully improve the overall resilience of this sector in urban flood-prone areas.

Development and validation of a novel nomogram for predicting mechanical ventilation after cervical spinal cord injury

ObjectiveThis study aimed to investigate the risk factors relating to the need for mechanical ventilation (MV)in isolated cervical spinal cord injury (cSCI) patients and to construct a nomogram prediction model. DesignRetrospective analysis study. ParticipantsA total of 5784 patients (N=5784) who had a cSCI were admitted to the National Spinal Cord Injury Model System database (NSCID) between 2006 and 2021. SettingNSCID observation data was initially collected during rehabilitation hospitalization. InterventionsNot applicable. Main Outcome Measure(s)A univariate and multivariate logistic regression analysis was used to identify the independent factors affecting the use of MV in cSCI patients, these independent influencing factors were used to develop a nomogram prediction model. The area under the receivers operating characteristic curve (AUROC), calibration curve and decision curve analysis (DCA) were employed to evaluate the efficiency and the clinical application value of the model respectively. ResultsIn a series of 5784 included patients, 926 cases (16.0%) were admitted to spinal cord model system inpatient rehabilitation with the need of MV. Logistic regression analysis demonstrated that associated injury, American Spinal Cord Injury Association (ASIA) impairment scale (AIS), the sum of unilateral optimal motor scores for each muscle segment of upper extremities (sUEM) and neurological level of injury (NLI) were independent predictors of the use of MV (p<0.05). The prediction nomogram of MV usage in cSCI patients was established based on the above independent predictors. The AUROC of the training set, internal verification set and external verification set were 0.871 (0.857-0.886), 0.867 (0.843-0.891) and 0.850 (0.824-0.875) respectively. The calibration curve and DCA results showed that the model had a good calibration and clinical practicability. ConclusionThe nomograph prediction model based on sUEM, NLI, associated injury and AIS can accurately and effectively predict the risk of MV in cSCI patients, to help clinicians screen high-risk patients and formulate targeted intervention measures.

Exploring the decision-making experience of elderly diabetes patients regarding their health-seeking behaviour: a descriptive qualitative study

BackgroundDiabetes has emerged as a critical global public health issue. The burden of diabetes is escalating in developing countries, including China. For individuals with diabetes, making informed and rational decisions...

The Mediating Role of Emotion Regulation Strategies between Symptoms of Attention Deficit Hyperactivity Disorder and Anxiety-Depression Problems in Children

The purpose of this study was to investigate the mediating role of emotion regulation strategies of ADHD and anxiety-depression problems in children. Using a cross-sectional research design, this study collected a sample of children with ADHD and assessed their ADHD symptoms, anxiety-depression status, and emotion regulation strategies utilizing standardized tools. The data analysis results showed that emotion regulation strategies played a significant mediating role between ADHD symptoms and anxiety-depression problems, indicating that emotion regulation ability in children with ADHD may be an important factor affecting their anxiety and depression. This study not only provides a new perspective for understanding the emotional and behavioral problems of children with ADHD but also offers empirical evidence for developing targeted intervention measures. In the future, training in emotion regulation strategies is expected to become an important part of interventions for children with ADHD.

Relationship matters: Using machine learning methods to predict the mental health severity of Chinese college freshmen during the pandemic period

BackgroundPandemics act as stressors and may lead to frequent mental health disorders. College student, especially freshmen, are particularly susceptible to experiencing intense mental stress reactions during a pandemic. We aimed to identify stable and intervenable variables including academic, relationship and economic factors, and focused on their impact on mental health severity during the pandemic period. MethodsWe innovatively combined diverse machine learning methods, including XGBoost, SHAP, and K-means clustering, to predict the mental health severity of college freshmen. A total of 3281 college freshmen participated in the research. Discriminant analyses were performed on groups of participants with depression (PHQ-9), anxiety (GAD-7). All characteristic variables were selected based on their importance and interventionability. Further analyses were conducted with selected features to determine the optimal variable combination. ResultsXGBoost analysis revealed that relationship factors exhibited the highest predictive capacity for mental health severity among college freshmen (SHAPFamily Relationship = 0.373; SHAPPeer Support = 0.236). The impact of academic factors on college freshmen's mental health severity depended on their intricate interplay with relationship factors, resulting in complex interactive effects. These effects were heterogeneous among different subgroups. ConclusionsThe proposed machine learning approach utilizing XGBoost, SHAP and K-means clustering methods provides a valuable tool to gain insights into the relative contributions of academic, relationship and economic factors to Chinese college freshmen's mental health severity during the COVID-19 pandemic. The result guide the development of targeted intervention measures tailored to meet specific requirements within each subgroup.

Spatial distribution and clustering of contagious caprine pleuropneumonia in goats of Amhara region, Ethiopia

A cross-sectional study with a multistage cluster sampling technique was undertaken from January to July 2019 in Amhara region to identify spatial clusters and distributions of contagious caprine pleuropneumonia (CCPP) hotspots. In the study, a total of 2080 goats from 258 flocks across 60 villages in 12 districts were tested for CCPP serostatus using Competitive Enzyme-Linked Immunosorbent Assay (C-ELISA). Villages were taken as an aggregate unit to detect spatial distribution and clustering. Spatial autocorrelation, interpolation, and spatial scan statistics analyses were employed to analyze the spatial patterns and clusters of CCPP serostatus. The overall seroprevalence of CCPP at the animal level was 5.1 % (95 % CI: 3.8–6.6). The spatial distribution of CCPP seropositivity was non-random at the village level (Moran's I: 0.400791, P-value <0.01). Two statistically significant spatial clusters of CCPP seropositive were found: one in West Gojjam and the other encompassing parts of North Wollo, Oromiya Liyu zone, and South Wollo zones. The CCPP seropositivity showed spatial variation across the Amhara region. High CCPP seropositive spots were found in the southwestern and northeastern parts of the Amhara region. Generally, the findings of this study provide valuable insights in developing disease control strategies, prioritizing target intervention areas and measures, and designating CCPP disease-free zones. Applying movement restrictions and vaccinating goats will be important intervention measures to prevent and control CCPP in the region.

Career adaptability and correlating factors among secondary vocational nursing students in China.

Career adaptability significantly affects college students' career happiness in the future, and it is essential to make a detailed evaluation of its correlation for making a targeted intervention plan. However, the applicability of occupational adaptability to secondary vocational nursing students is still an unexplored field in academic research. This study aimed to investigate the current situation of career adaptability and its influencing factors on secondary vocational nursing students in medical schools. A total of 1,414 secondary vocational nursing students from three secondary colleges and universities in Southwest China from July 2022 to September 2022 were selected for the survey. A questionnaire was used to assess secondary vocational nursing students' sociodemographic, Career Adaptability, Psychological Control Sources, and the Meaning in Life. Statistical analyses were performed using Pearson's correlation analysis, t-test, analysis of variance and multiple. Secondary vocational nursing students scored (51.03 ± 9.64) for the meaning in life, (81.46 ± 25.39) for psychological control sources, and (94.12 ± 15.55) for career adaptability. Career resilience was significantly and positively correlated with the opportunity and internal control factors of psychological control sources (r = 0.091, -0.488, p < 0.01); and career adaptability was significantly and positively correlated with the sense of seeking meaning and possessing meaning factors of sense of meaning in life (r = 0.725, 0.734, p < 0.01); Multiple linear regression analysis revealed that academic performance, mother's educational level, search for meaning, sense of meaningfulness, opportunities, and internal control entered the regression equation (p < 0.05), explaining 64% of the total variance. The overall career adaptability of secondary vocational nursing students is at a moderately high level, with significant individual differences closely correlated with locus of control, meaning in life, and career adaptability. Nursing educators can provide targeted intervention measures based on influencing factors to promote the development of secondary vocational nursing students' career adaptability, enabling them to better adapt to future clinical work.

Current situation and influencing factors of oral frailty for community-dwelling older adults in the northeastern border areas of China: A cross-sectional study

ObjectivesUnique lifestyle and cultural factors in China may lead to distinct patterns of risk factors for oral frailty among older adults, especially in regions inhabited by northeastern border minority groups. MethodsFrom July to November 2023, a convenience sampling method was employed to select older adults from three communities in Yanji City as the subjects. Data were collected by a set of questionnaires. ResultsA total of 478 older adults were included, revealing a prevalence rate of 71.6 % for oral frailty. Factors influencing were found to include age, ethnicity, gender, income, number of chronic diseases, body mass index, drinking, physical frailty, sleep disorders, and attitudes towards aging (p < 0.05). ConclusionsThere is a higher prevalence of oral frailty. It is crucial to prioritize the oral health issues of older adults with high-risk factors and implement targeted intervention measures to reduce and control the occurrence and progression of oral frailty.

The epidemiology of employee injuries in a monitoring sentinel unit of a coastal area in China:A nine-year retrospective analysis of clinical data

The epidemiology of injury among subgroups of minors, older adults, students, and athletes has previously been investigated; however, studies investigating employee-related injuries are limited. We aimed to retrospectively analyze the epidemiological characteristics and dynamic change trends of injury among employees over a nine-year period in a coastal area in China to provide a reference for formulating injury prevention and control measures among employees. All 14,168 employee injury cases registered in a hospital injury monitoring system were analyzed from January 2013 to December 2021. The male-to-female sex ratio of the employee injury cases was 3.52:1. The floating-to-registered residence population ratio was 2.05:1. March, May, July, and September–October were peak months for employee injuries. Within the day, the injury cases of employees reached five peaks at 0800, 1000, 1500, 1800, and 2000 h. The highest five causes of injury were falling, blunt injuries, motor vehicle accidents, sharps injuries, and non-motor vehicle accidents. The highest five injury types were fracture; concussion or contusion of the brain; injury from a sharp instrument, bite, or open wound; contusion or abrasion; and sprain or strain. The main locations of the injuries were roads and streets, industrial and building sites, and homes. Vulnerable body regions included the upper limbs, lower limbs, head, trunk, and multiple regions. The independent predictors of all outcomes were census register classification; age; injury causes, locations and types; vulnerable body regions; and injury severity; on multivariate logistic regression analysis (P < 0.05). The average durations of missed work in the different injury outcome groups due to injuries among employees were 50.21, 42.57, 44.57, and 38.20 days, respectively. The average number of missed work days due to injuries was 49.77 days, with an increasing annual trend (F = 79.872, P < 0.01). The average hospitalization cost for employee injuries was ¥16250.37, with a decreasing annual trend (F = 4.621, P < 0.01). The average length of hospitalization was 15.22 days, with a decreasing annual trend (F = 76.657, P < 0.01), and the average number of days of missed work due to injuries was 49.77 days, with an increasing annual trend (F = 79.872, P < 0.01). The correlation coefficients showed a significant positive correlation between the average length of hospitalization and average hospitalization expenses, with an increasing trend from 2014 to 2021 (P < 0.05). Most employee injuries occurred in the male and floating populations. Targeted intervention measures should be implemented according to the epidemiological characteristics of injuries in relation to different populations, sexes, and ages to prevent and control injuries.

Association Between Socioeconomic Inequalities in Pain and All-Cause Mortality in the China Health and Retirement Longitudinal Study: Longitudinal Cohort Study.

Few studies focus on the equality of pain, and the relationship between pain and death is inconclusive. Investigating the distribution of pain and potential mortality risks is crucial for ameliorating painful conditions and devising targeted intervention measures. Our study aimed to investigate the association between inequalities in pain and all-cause mortality in China. Longitudinal cohort data from waves 1 and 2 of the China Health and Retirement Longitudinal Study (2011-2013) were used in this study. Pain was self-reported at baseline, and death information was obtained from the 2013 follow-up survey. The concentration index and its decomposition were used to explain the inequality of pain, and the association between pain and death was analyzed with a Cox proportional risk model. A total of 16,747 participants were included, with an average age of 59.57 (SD 9.82) years. The prevalence of pain was 32.54% (8196/16,747). Among participants with pain, the main pain type was moderate pain (1973/5426, 36.36%), and the common pain locations were the waist (3232/16,747, 19.3%), legs (2476/16,747, 14.78%) and head (2250/16,747, 13.44%). We found that the prevalence of pain was concentrated in participants with low economic status (concentration index -0.066, 95% CI -0.078 to -0.054). Educational level (36.49%), location (36.87%), and economic status (25.05%) contributed significantly to the inequality of pain. In addition, Cox regression showed that pain was associated with an increased risk of all-cause mortality (hazard ratio 1.30, 95% CI 1.06-1.61). The prevalence of pain in Chinese adults is concentrated among participants with low economic status, and pain increases the risk of all-cause death. Our results highlight the importance of socioeconomic factors in reducing deaths due to pain inequalities by implementing targeted interventions.

Subgroups of relational job characteristics and their differences in turnover intention and subjective well-being among nurses: a latent profile analysis

ObjectiveRelational job characteristics include perceived social worth and perceived social influence. Good relational job characteristics mean that nurses have high prosocial behavior. The purpose of this study was to explore the potential profile of nurses’ relational job characteristics, influencing factors and their differences in turnover intention and subjective well-being, thus finding the most suitable clinical relationship job characteristics.MethodsA cross-sectional survey was conducted among 1013 clinical nurses using the general demographic data questionnaire, Relational Job Characteristics scale, Turnover Intention Questionnaire and Campbell index of well-being. A latent profile analysis was performed to explore relational job characteristics latent profiles. Multinomial logistic regression analysis was conducted to examine the predictors of profile membership, and a one-way analysis of variance was applied to compare the turnover intention and subjective well-being in each latent profile.ResultsFive latent profiles were identified and labeled ‘High prosocial job characteristics’ profile (20.7%), ‘Moderate prosocial job characteristics’ profile (41.7%), ‘High social worth-low social impact perceived’ profile (6.3%), ‘Low social worth‐high social impact perceived’ profile (18.8%) and ‘Low prosocial job characteristics’ profile (12.5%). Factors affecting the different types of nurse relationship job characteristics include age, marital status, hospital department, nursing years, professional title and hospital position. Among them, chief nurse, nurses with more than 20 years of nursing experience and obstetrics and gynecology nurses were more likely to be ‘high prosocial job characteristics’ profile. The turnover intention of nurses in ‘high prosocial job characteristics’ profile was significantly lower than that of other profiles, and their subjective well-being was significantly higher than that of other profiles.ConclusionImproving nurses’ perception of social worth and social impact on clinical work can improve nurses’ prosocial behavior and subjective well-being, and reduce their turnover intention. Nursing managers or policy makers can formulate targeted intervention measures according to the influencing factors of potential profiles.

Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients.

Compared with long-term renal replacement therapy, kidney transplantation is the ideal treatment for end-stage renal disease (ESRD), significantly extending patient life and improving quality of life. Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens, but their medication adherence is generally poor compared with other organ transplant recipients. Medication adherence is closely related to medication literacy and psychological status, yet related studies are limited. This study aims to investigate the current status of medication adherence, inner strength, and medication literacy in kidney transplant patients, analyze the relationships among these 3 factors, and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence. A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province. The inner strength, medication literacy, and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale (ISS), the Chinese version of the Medication Literacy Assessment in Spanish and English (MedLitRxSE), and the Chinese version of the Morisky Medication Adherence Scale-8 (C-MMAS-8), respectively. Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence. Correlation analysis was conducted to explore the relationships among medication literacy, medication adherence, and inner strength. Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression, and the mediating effect of inner strength was explored. Among the 421 questionnaires collected, 408 were valid, with an effective rate of 96.91%. The scores of C-MMAS-8, MedLitRxSE, and ISS were 6.64±1.16, 100.63±14.67, and 8.47±4.03, respectively. Among the 408 patients, only 86 (21.08%) patients had a high level of medication adherence, whereas 230 (56.37%) patients had a medium level of medication adherence, and 92 (22.55%) patients had poor medication adherence. Univariate analysis indicated that the kidney transplant patients' age, marital status, education levels, years since their kidney transplant operation, number of hospitalizations after the kidney transplant, and adverse drug reactions showed significant differences in medication adherence (all P<0.05). Correlation analysis showed that inner strength positively correlated with both medication literacy (r=0.183, P<0.001) and medication adherence (r=0.201, P<0.001). Additionally, there was a positive correlation between medication adherence and medication literacy (r=0.236, P<0.001). Inner strength accounted for 13.22% of the total effect in the mediating role between medication literacy and medication adherence. The level of medication adherence among kidney transplant patients needs improvement, and targeted intervention measures are essential. Inner strength mediates the relationship between medication literacy and medication adherence in these patients. Healthcare professionals should focus on enhancing medication literacy and supporting patients' inner strength to improve medication adherence.

Differences in the depression and burnout networks between doctors and nurses: evidence from a network analysis

BackgroundPrevious studies have demonstrated a strong association between depression and job burnout among healthcare professionals, but the results have been inconsistent, and there is a lack of in-depth exploration of such a relationship among different healthcare professions. The present study aims to investigate the interrelationships between depression and burnout among Chinese healthcare professionals and whether there are differences in the networks of these symptoms between doctors and nurses. MethodsThe Maslach Burnout Inventory-General Survey and the 2-item Patient Health Questionnaire were employed to assess job burnout and depression among 3,684 healthcare professionals. The translation has been refined to ensure accuracy and academic suitability. Subsequently, network analysis was conducted on 2,244 participants with a higher level of job burnout to identify core symptoms and explore the associations between job burnout and depression.ResultsThe present study showed a network association between lack of interest and pleasure in things and being exhausted from work, excessive tiredness facing work, tendency to collapse at work, and lack of passion for work than before among healthcare professionals, as well as a notable difference in the network association between lack of interest and pleasure in things and lack of passion for work than before between nurses and doctors.ConclusionsThe depression-burnout network structures differ between doctors and nurses, highlighting the need for targeted intervention measures for both groups.

Prognostic factors associated with gastrointestinal dysfunction after gastrointestinal tumor surgery: A meta-analysis.

Explore the risk factors of gastrointestinal dysfunction after gastrointestinal tumor surgery and to provide evidence for the prevention and intervention of gastrointestinal dysfunction in patients with gastrointestinal tumor surgery. To investigate the potential risk factors for gastrointestinal dysfunction following gastrointestinal tumor surgery and to present information supporting the prevention and management of gastrointestinal dysfunction in surgery patients. Systematically searched the relevant literature from PubMed, Web of Science, Cochrane Library, Embase, CNKI, China Biomedical Database, Wanfang Database, and Weipu Chinese Journal Database self-established until October 1, 2022. Review Manager 5.3 software was used for meta-analysis after two researchers independently screened literature, extracted data, and evaluated the risk of bias in the included studies. A total of 23 pieces of literature were included, the quality of which was medium or above, and the total sample size was 43878. The results of meta-analysis showed that the patients were male (OR = 1.58, 95%CI: 1.25-2.01, P = 0.002) and ≥ 60 years old (OR = 2.60, 95%CI: 1.76-2.87, P < 0.001), physical index ≥ 25.3 kg/m2 (OR = 1.6, 95%CI: 1.00-1. 12, P = 0.040), smoking history (OR = 1.89, 95%CI: 1.31-2.73, P < 0.001), chronic obstructive pulmonary disease (OR = 1.49, 95%CI: 1.22-1.83, P < 0.001), enterostomy (OR = 1.47, 95%CI: 1.26-1.70, P < 0.001), history of abdominal surgery (OR = 2.90, 95%CI: 1.67-5.03, P < 0.001), surgical site (OR = 1.2, 95%CI: 1.40-2.62, P < 0.001), operation method (OR = 1.68, 95%CI: 1.08-2.62, P = 0.020), operation duration (OR = 2.65, 95%CI: 1.92-3.67, P < 0.001), abdominal adhesion grade (OR = 2.52, 95%CI: 1.90-3.56, P < 0.001), postoperative opioid history (OR = 5.35, 95%CI: 3.29-8.71, P < 0.001), tumor TNM staging (OR = 2.58, 95%CI: 1.84-3.62, P < 0.001), postoperative blood transfusion (OR = 2.92, 95%CI: 0.88-9.73, P = 0.010) is a risk factor for postoperative gastrointestinal dysfunction in patients with gastrointestinal tumors. There are many factors affecting gastrointestinal dysfunction in gastrointestinal patients after surgery. Clinical staff should identify relevant risk factors early and implement targeted intervention measures on the basis of personalized assessment to improve the clinical prognosis of patients.

Analysis of disease burden of welder's pneumoconiosis in Jiangsu Province

Objective: To investigate the current status of disease burden and its influencing factors among welder's pneumoconiosis patients, and provide scientific basis for taking targeted intervention measures. Methods: From June 2022 to June 2023, the patients with welder's pneumoconiosis in Jiangsu Province were selected from 1956 to 2020 as the research objects, and disability adjusted life years (DALY) were used as the comprehensive index to study the disease burden. The direct and indirect economic losses caused by the diseases were calculated, and the factors affecting the disease burden were discussed by multiple linear regression method. Results: A total of 974 cases of welder's pneumoconiosis were reported in Jiangsu Province, the cumulative loss of DALY was 6300.73 person-years, and the per capita loss was 6.47 person-years. Among them, the healthy life years lost due to disability (YLD) was 6156.50 person-years (97.71%) , and the healthy life years lost due to premature death (YLL) was 144.23 person-years (2.29%) . Multiple linear regression analysis showed that the main factors affecting DALY were disability grade, diagnostic age, pneumoconiosis grade and length of dust exposure (P<0.05) . The total economic loss caused by 974 welder's pneumoconiosis patients was 1831838160.18 yuan, and the per capita loss was 1880737.33 yuan. Among them, the direct economic loss was 970917563.75 yuan (53.00%) , and the indirect economic loss was 860920596.43 yuan (47.00%) . Conclusion: Welder's pneumoconiosis causes serious disease burden to patients, and at the same time causes huge economic losses to individuals and society, which seriously hinders the development of society. Taking effective control measures to prevent the incidence of welder's pneumoconiosis is the key to reduce the disease burden.

Association between built environment factors and collective walking behavior in peri-urban area: Evidence from Chengdu

Optimizing collective walking has been a pivotal strategy for alleviating the excessive reliance on private cars. As an important criterion for residents' social interaction and mobility vigor, collective walking describes the results of walking activities in streets and positively correlates with the built environments. However, limited attention has been given to the contribution of built environment factors in peri-urban areas towards promoting collective walking. Therefore, this study employed multisource data to assess the impact of these factors on collective walking in peri-urban areas. Our analysis delved into the impact of these factors on collective walking across various urban spaces and explored intervention effects through cross-classification studies that prioritize planning strategies. These results revealed that (1) The impacts of the built environment on collective walking behavior differs in peri-urban areas. (2) Diversity and distance only show significant impacts in peri-urban areas. (3) A distinct spatial mismatch between urban spatial form and collective walking behavior is observed. Subsequent urban design interventions should consider these spatial distribution differences for prioritized zoning planning. Our findings provided convincing evidence that delineated the impact of built environments in peri-urban areas that can guide government and planners to precisely design pedestrian environments through targeted intervention measures.

Professional attractiveness among long-term care workers in nursing homes in China: a cross-sectional study

BackgroundThe population aging trend and the shortage of elderly care workers require the long-term care profession to become more attractive. However, the professional attractiveness among long-term care workers has yet to be extensively studied. This study aims to identify the factors that influence the attractiveness of the long-term care profession for nursing home (NH) care workers..MethodsA cross-sectional study was conducted in more than 50 NHs. Perception of professional attractiveness among long-term care workers and potential associated factors were measured using the Attractive Work Questionnaire (AWQ) and structural instruments including the Fraboni Scale of Ageism (FSA) and the Maslach Burnout Inventory (MBI). A multiple linear regression method was employed to explore the influence of potential independent variables on professional attractiveness.ResultsThe overall response rate was 99%. The results showed the score of professional attractiveness (185.37 ± 20.034), as well as the scores of each component (99.26 ± 11.258 for work condition, 30.13 ± 3.583 for work content, and 55.99 ± 7.074 for job satisfaction). Findings of multiple linear regression analysis indicated that age(β = 0.129, p<.05), years of work(β = 0.156, p<.05), 12-hour shifts(β = 0.185, p<.05), and training times per year(β = 0.148, p<.05) positively associated with long-term care workers perceived professional attractiveness. Whereas only ageism(β=-0.267, p<.05) significantly and negatively influenced professional attractiveness.ConclusionsThe perceived professional attractiveness of long-term care workers in NHs was acceptable. Age, years of work, shifts, training opportunities, and ageism contributed to the professional attractiveness of nursing home care workers in China. Target intervention measures should be taken to enhance the attractiveness of long-term care careers so as to avoid the shortage of long-term care workers.

Childhood maltreatment, parenting style and anxiety in Chinese youths: A case-control study

BackgroundAlthough evidence in supporting the associations between childhood maltreatment (CM), parenting style and anxiety in children and adolescents exists, few high-quality analytical epidemiological studies which focusing on clinically diagnosed anxiety disorders (AD) had been published. ObjectiveThe aim of this study was to further corroborate the associations between CM, parenting style, and AD in a large representative sample of Chinese children and adolescents. Participants and settingStudy subjects were derived from the Mental Health Survey for Children and Adolescents in Yunnan (MHSCAY), a population-based cross-sectional program. MethodsIndividually matched case-control study design was adopted. Univariate and multivariate conditional binary logistic regression models were used to estimate the associations between CM, parenting style and AD. Dose-response trends were estimated using the Cochran-Armitage Chi-square test. A series of stratified analyses were conducted to explore effect modification on exposure-outcome association by some important features. ResultsTotally we screened out 202 cases and 404 matched controls, with an age mean of 14.43 years. Conditional logistic regression models revealed that EA and a higher level of parental over-protection were significantly associated with increased risk of AD, with adjusted ORs of 3.39 (95 % CI: 2.07–5.56) and 1.93 (95 % CI: 1.28–2.90). Stratified analysis identified noticeable effect modification by sex, age, and whether the only child in the family. ConclusionsMajor findings of this study suggested that children and adolescents who had experienced EA or raised up by over-protective parents are at increased risk of AD. Targeted intervention measures should be developed and implemented for these high-risk youths.

Incidence and risk factors of neonatal hypothermia: A systematic review and meta-analysis.

Hypothermia poses a threat to the health and lives of newborns. Therefore, it is essential to identify the factors that influence neonatal hypothermia and provide targeted intervention suggestions for clinical practice to reduce its occurrence. We conducted a literature search to identify factors influencing neonatal hypothermia and performed a meta-analysis to determine the prevalence of neonatal hypothermia and its associated factors. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of cohort and case-control studies, while the Agency for Healthcare Research and Quality (AHRQ) was used to evaluate the quality of cross-sectional studies. Eighteen studies involving 44 532 newborns from 13 countries were included. The incidence of neonatal hypothermia was 52.5% (95% CI: 0.37, 0.68). Factors such as no skin-to-skin contact, prematurity, low birth weight, delayed breastfeeding, asphyxiation and resuscitation after birth, low APGAR score, not wearing a cap, and caesarean section were found to affect neonatal hypothermia. Multiple factors influence neonatal hypothermia, and clinicians can utilise these factors to develop targeted intervention measures to prevent and reduce the incidence of neonatal hypothermia.

A qualitative study on experiences of stigma among postoperative oral cancer patients.

This study aimed to explore the characteristics of stigma in postoperative oral cancer patients to provide a reference for the formulation of targeted intervention measures. A qualitative study was conducted on 25 postoperative oral cancer patients in a tertiary A hospital in Hunan, China, from March to July 2021. Semi-structured face-to-face interviews focused on experiences of stigma were performed. The interview data was analyzed using the NVivo V.12 software based on the reflexive intuitive thematic analysis method. The paper complies with the COREQ. The stigma experience of postoperative oral cancer patients can be divided into 3 themes: (1) triggers (impaired appearance and oral function and psycho-social pressure); (2) forms (overall isolation, unpleasant feeling of inferiority, and unpleasant social discrimination); (3) coping strategies (positive psychological adjustment, seeking social support and coming out of the unpleasant shadows). Postoperative oral cancer patients clearly articulated that stigma was present in their lives and they experienced multiple forms of stigma. Further work is needed to increase education and awareness about oral cancer to guide them to take positive coping and reduce stigma.