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The International Neuropsychological Society (INS) Justice and Equity Subcommittee initiated a survey of neuropsychological academic training programs, clinical practices, and research across Africa, examining respondents’ interest in collaboration and their views on resources needed to advance the field.
Method
This quantitative, cross-sectional study employed chain-referral sampling at higher education institutions identified via uniRank. Of the 1,244 institutions screened, 241 offered psychology or psychiatry coursework. A multilingual cover letter and survey link (English, Swahili, Arabic, French, Portuguese, Spanish) were distributed, yielding 42 respondents from 17 of 54 countries (≈31.5% country response rate).
Results
Most respondents were clinical psychologists or neuropsychologists and reported 1–5 neuropsychologists per country. Neuropsychologists’ roles included cognitive assessment, research, teaching, and assisting in neurological diagnoses, primarily using tests developed outside Africa. Current research centered on the neuropsychological effects of psychiatric disorders, infectious diseases (e.g., HIV, cerebral malaria), and neurodevelopmental disorders, with future focus areas identified as traumatic brain injury and epilepsy. Educational and training opportunities remain limited. Key barriers to program development included insufficient numbers of trained neuropsychologists, clinical training sites, and employment prospects. Despite this, there is strong interest in collaboration to accelerate the development of neuropsychology and neurosciences, given the heavy burden of neurological disease.
Conclusion
To foster growth, efforts must target the creation of academic and clinical training pathways and the adaptation, standardization, and norming of assessment tools tailored to African populations. There exist ample impactful avenues for individual and organizational collaboration or support to further the global development of neuropsychology.
Depression affects over 280 million people worldwide. Long-chain n-3 fatty acids may relate to depression, but observational evidence is inconsistent. This cross-sectional analysis of the National Health and Nutrition Examination Survey 2021–2023 examined the association between dietary long-chain n-3 intake and depression severity in USA adults ≥ 18 years with complete dietary, Patient Health Questionnaire-9 (PHQ-9) and covariate data (n 3608). PHQ-9 severity categories (0–4 to 20–27) served as the main outcome. Total n-3 (α-linolenic acid (ALA), EPA, DPA and DHA) from 24-h recalls (Food and Nutrient Database for Dietary Studies 2021–2023) served as the exposure; supplements were excluded, and supplement use was a binary covariate. Survey-weighted ordinal logistic regression (svyolr) was used with all continuous variables centred/scaled (OR per 1 sd). Covariates included age, sex, race/ethnicity (collapsed for sparse cells), income:poverty ratio, BMI, smoking, alcohol, physical activity and n-3 supplement use. Higher total n-3 intake was inversely associated with depression severity (OR 0·865 per 1 sd, 95 % CI 0·761, 0·983, P = 0·026). EPA showed a significant inverse association (OR 0·907, 95 % CI 0·824, 0·998, P = 0·045); ALA, DPA and DHA were NS. No interaction by sex (P = 0·656) or race/ethnicity (P = 0·155). Sensitivity analyses: excluding supplement users (n 3093) OR 0·872 (95 % CI 0·773, 0·984, P = 0·026); two recalls only (n 3229) OR 0·847 (95 % CI 0·751, 0·955, P = 0·007). Dietary n-3 intake, particularly EPA, was modestly and inversely associated with depression severity. Residual confounding and reverse causation remain possible; longitudinal studies with biomarkers are needed.
Existing evidence suggests a potential association between coffee consumption and non-alcoholic fatty liver disease (NAFLD, now known as MASLD), yet the nature of this relationship remains ambiguous. The primary objective of this study was to comprehensively investigate and clarify the association between coffee intake and the occurrence of NAFLD.
Design:
A cross-sectional study design was employed, analysing data from National Health and Nutrition Examination Survey (NHANES) spanning from 2013 to 2018. Weighted univariate and multivariate logistic regression models were utilised to assess the relationship between coffee consumption and NAFLD. Restricted cubic spline analysis was conducted to explore any potential nonlinear associations. Forest plots were generated to visualise the impact of coffee consumption on NAFLD across different subgroups, and threshold effect analysis was performed to evaluate the nonlinear relationship between coffee consumption and NAFLD prevalence specifically in women.
Setting:
Data were from the US – representative NHANES.
Participants:
8062 subjects aged ≥ 20 years were included.
Results:
The weighted prevalence of NAFLD among the participants was 44·18 %. After controlling for confounding variables, coffee consumption was found to be negatively associated with the risk of NAFLD (OR = 0·96, 95 % CI: 0·94, 0·99). The association between coffee consumption and NAFLD was observed to vary by gender and education level. For the prevention of NAFLD in women, the optimal coffee intake was determined to be two cups.
Conclusions:
Increasing coffee intake emerges as a potentially effective non-pharmacological strategy for the prevention and management of NAFLD. Notably, for women, consuming two cups of coffee appears to represent the optimal threshold for maximising this beneficial effect.
Menopausal age represents the endpoint of the entire reproductive cycle of women, and it is a biological marker that indicates the overall health and ageing status of women. Flavonoids are the most common polyphenolic compounds in the daily diet, and their intake is related to reduced risks of certain diseases. Our study aimed to analyse the relationships between the intake of flavonoids and menopausal age. We selected 29 940 participants from National Health and Nutrition Examination Survey database from 2007–2008, 2009–2010 to 2017–2018. A total of 680 participants were included in our analysis after screening. Multiple logistic regression was used to explore the association between dietary flavonoid subclasses intake and menopausal delay (≥ 55 years old). Restricted cubic splines plots were generated to reveal the nonlinear relationships between the subclasses of flavonoids intake and menopausal age. According to the adjusted multiple factor logistic regression analysis, the top quartile intake (compared with bottom intake) of anthocyanidins was positively associated with delayed menopause (OR = 4·123; 95 % CI: 1·130, 15·041; Ptrend = 0·036), whereas the moderate intake of flavonols was negatively associated with delayed menopause (Q2 v. Q1, OR = 0·081 (95 % CI: 0·025, 0·261), Ptrend = 0·001; Q3 v. Q1, OR = 0·271 (95 % CI: 0·093, 0·791), Ptrend = 0·023). The restricted cubic splines revealed that non-linear association was observed between the intake of isoflavones, flavan-3-ols, flavonols and later menopause (P value for non-linearity < 0·05). Our findings suggest that specific dietary flavonoids intake may have potential roles in regulating menopausal timing.
To comprehensively investigate the factors associated with tsunami evacuation after the 2011 Great East Japan Earthquake (GEJE).
Methods
This cross-sectional study conducted a baseline survey between 2013 and 2016 and included 15,935 participants. The participants were asked to self-report whether they had evacuated after the GEJE and their basic characteristics, as well as their socio-behavioral, physical, lifestyle, and mental factors. The objective variable was the presence or absence of tsunami evacuation after the GEJE, and the explanatory variables were comprehensively explored with reference to previous studies.
Results
Factors associated with the promotion of tsunami evacuation included being a woman, age 30-39 years, working, damage to houses, and participation in tsunami or earthquake evacuation drills before the GEJE. Factors associated with the inhibition of tsunami evacuation were over 60 years of age, higher education, living in areas unaffected by the GEJE, having a spouse, living with many cohabitants, having pets such as dogs or cats, and a high level of physical activity.
Conclusions
This study demonstrates the necessity of enhancing the evacuation processes of older adults, cohabitants, and households with pets. It is important to conduct evacuation drills and hold discussions about disasters within families and households.
This pilot cross-sectional study, conducted in two public hospitals in Malawi, assessed gestational diabetes mellitus (GDM) in pregnant women attending antenatal clinics and compared their dietary quality and food group consumption before and during pregnancy. The study targeted women aged 18 to 49 years within 24 to 28 weeks of gestation. GDM was diagnosed according to the International Association of Diabetes and Pregnancy Study Group criteria and assessed dietary quality before and during pregnancy using a 30-day qualitative food frequency questionnaire. We compared changes in dietary quality and specific food group mean scores using paired t-tests at p < 0.05. Of the 508 women enrolled, 22.7% were diagnosed with GDM. The overall diet quality significantly decreased during pregnancy compared to before; a similar trend was observed in women diagnosed with GDM compared to those without GDM (p < 0.0001). Among women with GDM, the mean score of the following food groups significantly (p < 0.05) decreased during pregnancy: cruciferous vegetables, deep orange vegetables and tubers, citrus fruits, deep orange fruits, other fruits, nuts and seeds, poultry, fish, low fat dairy, whole grains, and liquid oils and significantly (p < 0.05) increased in the following food groups; red meat, processed meat, sugar-sweetened beverages, sweets, sugary snacks and ice cream. In conclusion, GDM is prevalent in Malawian women enrolled in this study and is coupled with inadequate dietary quality, especially during pregnancy. Since dietary quality is pivotal to GDM management, more in-depth longitudinal dietary studies are needed to inform nutritional interventions to prevent and better manage GDM.
Suicidal ideation not only indicates severe psychological distress but also significantly raises the risk of suicide, whereas food insecurity may further increase this risk. To examine the relationship between food insecurity and suicidal ideation, we used the NHANES (National Health and Nutrition Examination Survey) data from 2007 to 2016. The association between the risk of suicidal ideation and food security status was examined using multivariate logistic regression models. To ensure the robustness of our findings, we also conducted subgroup and sensitivity analyses, which were crucial for assessing the consistency and precision of the research findings. This study included 22 098 participants, of whom 50·30 % were female and 49·70 % were male. In the comprehensive analysis of the population, after full adjustment, the OR were 1·14 (95 % CI 0·89, 1·46) for marginal food security, 1·40 (95 % CI 1·12, 1·76) for low food security and 1·59 (95 % CI 1·27, 1·99) for very low food security. In the subgroup analysis, we identified a significant interaction between depression and food security (P = 0·004). Additionally, the results of the sensitivity analysis were consistent with previous findings. Our study revealed that food insecurity significantly increased the risk of suicidal ideation, emphasising the importance of addressing food security to improve mental health. These findings support the need for national food assistance programmes integrated with mental health services. More longitudinal studies are needed to validate the long-term impact of food insecurity on suicidal ideation to optimise intervention measures and policy adjustments.
To investigate associations between dietary intake and patterns of food preparation by age group.
Design:
This cross-sectional study analysed dietary intake data from the most recent Portuguese National Food, Nutrition and Physical Activity Survey. Cluster analysis categorised dietary intake based on the source of food preparation. Regression models were used to study the association between dietary daily intake, Healthy Eating Score (HES) and patterns of food preparation.
Setting:
Portugal, using data representative of the Portuguese population.
Participants:
A total of 5005 Portuguese residents aged 3–84 years were included in the analysis. Dietary intake and food preparation patterns were examined by age group.
Results:
The predominant pattern of food preparation was food prepared by restaurants, canteens and other away-from-home establishments (45·9 %, 95 % CI = 43·8, 48·1). Children and adolescents in this pattern had significantly higher intakes of energy and carbohydrates but lower protein intake compared with those consuming predominantly home-prepared foods. Among adults and the elderly, this pattern was associated with higher intakes of energy, saturated fats, trans fats and free sugars and lower fibre intake. Additionally, children and adolescents whose diets predominantly included food prepared away-from-home showed a decrease in HES (β = –0·7, 95 % CI = –1·3, –0·2), and adults experienced a greater reduction (β = –1·2, 95 % CI = –1·5, –0·9).
Conclusions:
In Portugal, consuming food prepared away from home is associated with poorer dietary quality, with higher energy and unhealthy nutrient intake and lower HES, suggesting a need for interventions focused on promoting healthier food preparation practices.
Low birth weight (LBW) and preterm birth (PTB) are primary factors contributing to morbidity and mortality among children aged under 5, resulting in a range of short- and long-term health consequences worldwide. Among the various risk factors, ambient air pollution poses a significant environmental risk and is a key determinant of child health. The prevalence of LBW and PTB among under 5 children sampled from the NFHS-5, 2019–2021, was combined with monthly PM2.5 data (2013–2021) obtained from the Atmospheric Composition Analysis Group at Washington University. Multivariable logistic regression models were used, and a stratified analysis was applied to understand the potential effect modifiers in LBW and PTB. Further, the geographical variation of LBW and PTB spatial autocorrelation (Moran’s I) was used. Geographically weighted regression and ordinary least square spatial regression were used to identify the spatial heterogeneity associated with selected variables. The study comprises a total of 208,181 under 5 children. Out of these children, the LBW rate was 17.41%, and the rate of PTB was 12.42%. The in-utero exposure to the mean concentration of PM2.5 was 56.01 μg/m3. The odds of suffering from LBW showed a non-linear shift when PM2.5 levels rose from the first octile (<28.02 μg/m3) to the last octile (>93.84 μg/m3) (adjusted odds ratio (AOR): 1.06, 95% CI: 1.01–1.12). While comparing the first octile of exposure to PM2.5 (>93.84 μg/m3) to the last octile, there was a 52% more likelihood of having PTB (AOR: 1.52, 95% CI: 1.43–1.61) after accounting for all relevant factors. These findings highlight the urgent need for a thorough strategy to control the air quality in India. Further, to reduce adverse birth outcomes, longitudinal studies and other co-pollutants can consider assessing the possible mechanisms mediating the relationship between maternal exposure and ambient air pollution.
Research on the association between the Chinese visceral adiposity index (CVAI) and hyperuricaemia (HUA) is scarce, and whether the association differs by sex is unclear. This research aimed to explore sex-specific associations between CVAI and HUA and to compare CVAI’s predictive performance with other adiposity indices using data from 22 171 adults (30–79 years) in the China Multi-Ethnic Cohort study (Chongqing region). The prevalence of HUA was 20·9 % in men and 9·7 % in women. Multivariable logistic regression analyses were utilised to assess the adjusted OR and 95 % CI. After multivariable adjustment, CVAI was associated with HUA in men (OR Q4 v. Q1 = 3·31, 95 % CI 2·73, 4·03) and women (OR Q4 v. Q1 = 7·20, 95 % CI 5·12, 10·12). Moreover, significant interactions were observed between BMI and CVAI on HUA in both sexes (all Pinteraction < 0·001), with the strongest associations in those with BMI < 24·0 kg/m2. The OR (95 % CI) across different BMI groups (< 24·0, 24·0–27·9, ≥ 28·0 kg/m²) were 1·87 (1·63, 2·13), 1·65 (1·48, 1·85) and 1·30 (1·14, 1·49) for men and 2·76 (2·18, 3·51), 2·46 (1·98, 3·07) and 1·87 (1·47, 2·39) for women, respectively. Additionally, CVAI showed satisfactory predictive performance for HUA in women, with the largest area under the receiver operating characteristic curve of 0·735, but not in men (0·660). These findings suggest a close association between CVAI and HUA, particularly pronounced in those with BMI < 24·0 kg/m², and a stronger association in women than in men.
Anaemia remains a significant public health concern in developing countries. This study estimated the proportion of childhood anaemia cases that could be potentially prevented in Togo using data from the 2017 National Malaria Indicator Survey. Maternal, child, and household data were collected through standardized face-to-face interviews. Haemoglobin (Hb) levels were measured in children and their mothers. A total of 2796 children were included in the analyses. The prevalence of anaemia was 75·0 % (95 % CI, CI: 72·5, 88·0). Factors associated with childhood anaemia were age ((adjusted prevalence ratio, aPR = 1·46 (CI: 1·37, 1·56) for 6–23 months and aPR = 1·23 (1·14, 1·32) for 24–42 months, ref: 43–59 months), a later birth order (≥ 4th position) (aPR = 1·11 (1·03, 1·19), ref: 1st–2nd position), malaria in children (aPR = 1·30 (1·22, 1·38)), maternal age ≤ 25 (aPR = 1·17 (1·08, 1·27), ref: ≥ 35 years), maternal anaemia (aPR = 1·13 (1·07, 1·19)), lack of maternal education (aPR = 1·10 (1·02, 1·18), ref: ≥ secondary), number of children under 5 in household (aPR = 1·07 (1·00, 1·14) for ≥ 3, ref: 0–1), unimproved sanitation facilities (aPR = 1·12 (1·02, 1·22)) and low/middle household incomes (aPR = 1·16 (1·04, 1·30) and aPR = 1·13 (1·01, 1·26), respectively, ref: high). The population-attributable fraction was estimated at 8·2 % (6·3, 10·1 %) for child-related modifiable factors, 11·1 % (5·7, 16·3 %) for maternal-related factors, 15·8 % (8·6, 22·5 %) for household-related factors and 30·9 % (24·0, 37·2 %) for the combination of all modifiable factors. This study highlighted a high prevalence of childhood anaemia in Togo and showed that a high proportion of this could be prevented.
This study investigates the level of knowledge and utilization of colorectal cancer (CRC) and prostate cancer (PCa) early detection measures (EDMs) over a period of 12 years in general practice from the patient’s perspective.
Background:
The role of general practitioners (GPs) in EDMs for CRC and PCa in Germany is not well-documented with comprehensive data.
Methods:
We conducted a patient-centric survey in the German federal state of Berlin-Brandenburg at a 12-year interval to examine the role of GPs in EDMs for CRC and PCa. In 2009, 55 GPs were tasked with informing 50 consecutive male patients, each aged over 35, about participating in a survey study (study phase 1/SP1). To evaluate changes over 12 years, a new survey involving 50 male patients from each of 150 GPs was conducted from October 2021 to March 2022 (SP2).
Findings:
We thoroughly reviewed the questionnaires of 890 patients, with 755 in SP1 and 135 in SP2. Patients showed greater awareness of recommendations regarding colonoscopy compared to prostate-specific antigen (PSA) testing. GPs were the most frequently reported source of information for both EDMs in our cohort. Comparing the two study phases, no significant difference in specific awareness of colonoscopy or PSA testing was found among men eligible for EDMs. However, there was a notable increase in the role of health insurance companies as a source of information about colonoscopy over time. Nearly 60% of included patients underwent colonoscopy and/or PSA testing as EDMs.
Conclusion:
The number of EDMs performed among study participants did not increase over time. Our study confirms that GPs remain the primary source of information about EDMs among the study participants.
Migraine can affect adults during their most productive years, yet few studies in Canada have examined the relationship between migraine-related disability and productivity loss. In particular, the impact of migraine on unpaid productivity loss has not been quantified.
Methods:
In this cross-sectional study, employed adults living with migraine were recruited from across Canada to complete a web-based questionnaire. Migraine-related disability was assessed using the Migraine Disability Assessment questionnaire, and productivity loss was evaluated using the Valuation of Lost Productivity questionnaire. Multiple regression models were used to quantify the association between migraine-related disability level and productivity loss after adjusting for relevant clinical, occupational and sociodemographic covariates.
Results:
There were 441 participants, of which 60.1% were female, and the mean (SD) age was 37.7 (10.9). Compared to participants with little to no migraine-related disability, hours of total productivity loss were higher among those with moderate disability (54.1 [95% CI: 10.2–98.1] adjusted hours per 3 months) and severe disability (110.5 [95% CI: 65.5–155.6] adjusted hours per 3 months); paid productivity loss was higher among participants with moderate disability (32.4 [95% CI: 3.1–61.8] adjusted hours per 3 months) and severe disability (61.6 [95% CI: 31.5–91.7] adjusted hours per 3 months); and unpaid productivity loss was greater in those with severe disability (43.5 [95% CI: 12.7–74.3] adjusted hours per 3 months).
Conclusions:
Greater migraine-related disability was associated with more total, paid and unpaid productivity loss among employed adults. These data will be valuable when evaluating the cost-effectiveness of emerging migraine therapies.
Healthy dietary patterns have been linked to lower levels of chronic inflammation. The present study aimed to investigate the associations between food group intakes and high-sensitivity C-reactive protein (hsCRP) among community-dwelling adults.
Design:
Cross-sectional.
Setting:
Three areas in Japan (Shiga, Fukuoka, or Kyushu and Okinawa).
Participants:
The present analysis included 13 648 participants (5126 males and 8522 females; age range, 35–69 years) who had been enrolled in the baseline survey of the Japan Multi-Institutional Collaborative Cohort Study. Food group intakes were estimated using a FFQ. Multiple linear regression was used to examine associations between the quartiles of each energy-adjusted food group intake and log-transformed hsCRP.
Results:
The following concentration ratios of hsCRP after comparing the highest and lowest quartiles of food group intake were significant: in males, 1·12 (95 % CI 1·02, 1·22) for processed meat, 1·13 (95 % CI 1·03, 1·24) for fish and 0·83 (95 % CI 0·76, 0·90) for nuts; in females, 0·89 (95 % CI 0·81, 0·97) for bread, 1·11 (95 % CI 1·03, 1·19) for processed meat, 0·86 (95 % CI 0·80, 0·92) for vegetables, 1·19 (95 % CI 1·11, 1·29) for fruit, 0·90 (95 % CI 0·84, 0·97) for nuts and 0·88 (95 % CI 0·82, 0·95) for green tea.
Conclusions:
Processed meat and nut intakes were associated with higher and lower hsCRP levels, respectively, in both sexes. However, for several food groups, including fish and fruit, previous findings from dietary pattern analyses were not supported by the present analyses at the food group level.
Depression is highly prevalent in haemodialysis patients, and diet might play an important role. Therefore, we conducted this cross-sectional study to determine the association between dietary fatty acids (FA) consumption and the prevalence of depression in maintenance haemodialysis (MHD) patients. Dietary intake was assessed using a validated FFQ between December 2021 and January 2022. The daily intake of dietary FA was categorised into three groups, and the lowest tertile was used as the reference category. Depression was assessed using the Patient Health Questionnaire-9. Logistic regression and restricted cubic spline (RCS) models were applied to assess the relationship between dietary FA intake and the prevalence of depression. As a result, after adjustment for potential confounders, a higher intake of total FA [odds ratio (OR)T3 vs. T1 = 1·59, 95 % confidence interval (CI) = 1·04, 2·46] and saturated fatty acids (SFA) (ORT3 vs. T1 = 1·83, 95 % CI = 1·19, 2·84) was associated with a higher prevalence of depressive symptoms. Significant positive linear trends were also observed (P < 0·05) except for SFA intake. Similarly, the prevalence of depression in MHD patients increased by 20% (OR = 1.20, 95% CI = 1.01–1.43) for each standard deviation increment in SFA intake. RCS analysis indicated an inverse U-shaped correlation between SFA and depression (Pnonlinear > 0·05). Additionally, the sensitivity analysis produced similar results. Furthermore, no statistically significant association was observed in the subgroup analysis with significant interaction. In conclusion, higher total dietary FA and SFA were positively associated with depressive symptoms among MHD patients. These findings inform future research exploring potential mechanism underlying the association between dietary FA and depressive symptoms in MHD patients.
The aim of this study is to assess nutritional status and associated factors among infants and young children aged 6–23 months in Yeka sub-city, Ethiopia, 2021. An institution-based cross-sectional study was conducted in selected health centres found in the Yeka sub-city from May 2021 to July 2021. In total, 396 systematically selected infants and young children aged 6–23 months attended the selected health centres were included in the study. Data were collected by using a structured questionnaire and anthropometric measurements. A multinomial logistic regression model was used.
The overall magnitude of undernutrition and overnutrition among infants and young children were 24.7% and 5.5%, respectively. Dietary diversity score (DDS) ((adjusted odd ratio (AOR) = 5.65; 95% CI = 2.301, 10.87; P value = 0.003), minimum meal frequency (MMF) (AOR = 5.435; 95% CI = 2.097, 11.09; P value = 0.0052), and diarrhoea (AOR = 2.52; 95% CI = 1.007, 6.310; P value = 0.002) were statistically significantly associated factors for nutritional status among infants and young children. Malnutrition (undernutrition and overnutrition) is a public health problem among infants and young children in Yeka sub-city, Ethiopia. DDS, MMF, and diarrhoeal disease were associated with higher odds of undernutrition.
The prevalence of food insecurity in Cyprus and the socio-demographic factors that are related to this public health problem are unknown. Data used in this cross-sectional study were collected between 1 June 2022 and 21 May 2023 using a self-reported method. Food insecurity was evaluated using the Greek version of Adult Food Security Survey Module. The data regarding socio-demographic and socio-economic characteristics along with body weight and height measurements were collected through self-administered questionnaire. A representative sample of n=1255 adults, ≥18 years old living in the five different districts of the Republic of Cyprus, was recruited. Prevalence of food insecurity in Cypriot population was 12.6%. Prevalence was higher in females, in older adults, in adults living in Paphos, in individuals who were separated, divorced, or widowed, in retired people, in people living with children, and in people with low income and education. Based on multivariable analysis, income was the strongest socio-demographic factor independently associated with food security (€ 6,500–€ 19,500: AOR: 0.49, 95% CI 0.28, 0.86 and >€ 19,500: AOR: 0.15, 95% CI 0.73, 0.31). Food insecurity is a global problem that need further examination. The association between food insecurity and socio-demographic characteristics needs to be highlighted in order for each country to develop specific public health policies (e.g. financial support to low income people) to decrease food insecurity and improve people’s overall health and quality of life.
Although both psychological resilience and social support are widely believed to be effective in alleviating post-traumatic psychiatric symptoms in individuals with traumatic events, there has been a lack of comparative analysis of their intervention effects on different post-traumatic psychiatric symptoms. Furthermore, previous studies have mostly failed to control for potential confounding effects caused by different traumatic events.
Aims
We used the novel network analysis approach to examine the differential moderating effects of psychological resilience and social support on post-traumatic psychiatric symptoms, controlling for the confounding effects of traumatic events.
Method
We recruited 264 front-line rescuers who experienced the same traumatic event. Quantified edge weights and bridge expected influence (BEI) were applied to compare the alleviating effects of psychological resilience and social support.
Results
Our study revealed distinct correlations in a sample of front-line rescuers: social support negatively correlates more with psychosomatic symptoms, notably fatigue in depressive networks and sleep disturbance in post-traumatic stress disorder (PTSD) networks, whereas psychological resilience shows fewer such correlations. Quantitative analysis using BEI indicated that psychological resilience more effectively suppresses depressive and anxiety symptom networks, whereas social support more significantly inhibits PTSD symptom networks.
Conclusions
The current study represents the first attempt to examine the differential effects of psychological resilience and social support on post-traumatic outcomes in real-world emergency rescuers, controlling for the confounding effect of traumatic events. Our results can act as the theoretical reference for future precise and efficient post-trauma psychological interventions.
To assess the selection of foods and beverages in children’s sports arenas in Norway.
Design:
A cross-sectional study design with a digital questionnaire was used. Descriptive statistics were used to present the results. Moreover, Pearson’s χ2 tests examined the factors that could aid in distinguishing clubs with healthy or unhealthy consumables.
Setting:
Children’s sports clubs in Norway.
Participants:
Representatives from 301 children’s sports clubs in Norway answered the questionnaire between September and November 2021.
Results:
In total, 89·4% of the participating sports clubs (n 301) offered soda drinks with sugar. Most of the sports clubs (88 %) reported to offer batter-based cakes such as pancakes and waffles and 63·8 % offered cakes. Furthermore, 47·5% sold hot dishes with processed meat, such as hamburgers and hot dogs. More than 80% of the sports clubs offered sweets and snacks, while 44·5% did not offer fruits, vegetables and/or berries. Notably, the important factors that distinguished sports clubs with healthier food selections from those with unhealthier selections were the presence of guidelines for the food offered and purchase agreements with food suppliers.
Conclusions:
Educational, governmental guidelines for the promotion of healthy eating and establishing agreements with suppliers of healthier foods could help to overcome barriers to unhealthy food selection.
Addressing social determinants of health (SDOH) is fundamental to improving health outcomes. At a student-run free clinic, we developed a screening process to understand the SDOH needs and resource utilization of Milwaukee’s uninsured population.
Methods:
In this cross-sectional study, we screened adult patients without health insurance (N = 238) for nine traditional SDOH needs as well as their access to dental and mental health care between October 2021 and October 2022. Patients were surveyed at intervals greater than or equal to 30 days. We assessed correlations between SDOH needs and trends in patient-reported resource usefulness.
Results:
Access to dental care (64.7%) and health insurance (51.3%) were the most frequently endorsed needs. We found significant correlations (P ≤ 0.05) between various SDOH needs. Notably, mental health access needs significantly correlated with dental (r = 0.41; 95% CI = 0.19, 0.63), medications (r = 0.51; 95% CI = 0.30, 0.72), utilities (r = 0.39; 95% CI = 0.17, 0.61), and food insecurity (r = 0.42; 95% CI = 0.19, 0.64). Food-housing (r = 0.55; 95% CI = 0.32, 0.78), housing-medications (r = 0.58; 95% CI = 0.35, 0.81), and medications-food (r = 0.53; 95% CI = 0.32, 0.74) were significantly correlated with each other. Longitudinal assessment of patient-reported usefulness informed changes in the resources offered.
Conclusions:
Understanding prominent SDOH needs can inform resource offerings and interventions, addressing root causes that burden under-resourced patients. In this study, patient-reported data about resource usefulness prompted the curation of new resources and volunteer roles. This proof-of-concept study shows how longitudinally tracking SDOH needs at low-resource clinics can inform psychosocial resources.