Colleges and universities are the educational institutions of training young students. The reform of the modem higher education system requires the personnel training in colleges and universities to lay a stress on th...Colleges and universities are the educational institutions of training young students. The reform of the modem higher education system requires the personnel training in colleges and universities to lay a stress on the diversified development, so that the traditional single professional course education can be changed. Mental health has a close tie with the personal development trend of each student in colleges and universities, and also developing mental health education is one of the most important parts in higher education. For a long time, colleges and universities always adhere to the personnel-based educational idea and attach high importance to the work of professional course education, but fail to provide enough importance for guiding the detailed mental health of students. Thus, the mental health education in colleges and universities is misunderstood in many aspects, and this is studied in this paper.展开更多
This study was designed to determine effects of peer-health-education on sexual health knowledge and attitudes of tertiary institution students in Imo State Nigeria by determining the mean gain scores of sexual health...This study was designed to determine effects of peer-health-education on sexual health knowledge and attitudes of tertiary institution students in Imo State Nigeria by determining the mean gain scores of sexual health knowledge and attitudes after peer health education. Quasi-experimental (pre-test-post-test) research design was employed. Two hundred students drawn from the University, Polytechnic and College of Education, using a multi-stage sampling technique participated in the peer sessions which were facilitated by trained peer educators. Data were analyzed using ANCOVA and Z-test. Findings revealed improved knowledge and attitudes on sexual health, as depicted by positive mean gain scores. Age group 16 - 20 years had the highest mean gain score (<img src="Edit_8e8f0539-e2c6-47bc-80f1-ccaee4c06df5.png" alt="" /> = 22.31) of sexual health knowledge than the rest, while age group 26 - 30 years had the highest mean gain score (<img src="Edit_dec53aa0-f549-425f-baf4-08f39aaf05fd.png" alt="" /> = 10.59) of sexual health attitudes. Males had higher mean gain score (<img src="Edit_e767bc6a-c1f3-4f0a-8b31-814581d9dd64.png" alt="" /> = 26.05) of sexual health knowledge, while females had higher mean gain score (<img src="Edit_79f87968-38f8-4873-8516-f5370ba691df.png" alt="" /> = 9.77) of sexual health attitudes. The first years (100 level students) had the highest mean gain score (<img src="Edit_3f417e44-7627-4d69-860e-94c94ae7db0e.png" alt="" /> = 25.71) of sexual health knowledge and also had the highest mean gain score (<img src="Edit_2a60fbc7-0a2c-49fe-b9a2-1cea354966a3.png" alt="" /> = 14.12) of sexual health attitudes. Level of study was significant both for knowledge and attitudes (P < 0.01). It is recommended that peer-health-education be explored further as a method of communicating sexual health issues to tertiary institution students and youths generally.展开更多
In recent years,under the background of the deepening reform of China’s education system,the curriculum system settings,teaching methods,and teaching concepts of various colleges and universities have undergone major...In recent years,under the background of the deepening reform of China’s education system,the curriculum system settings,teaching methods,and teaching concepts of various colleges and universities have undergone major changes.As a curriculum concept,ideological and political education in courses does not reform a certain professional course,nor does it change the ideological and political course itself.Instead,it combines knowledge imparting and value output to guide students in a positive way.This article analyzes the ideological and political education in college students’mental health education courses.展开更多
BACKGROUND Intimate partner violence(IPV)is a major public health concern linked to psychiatric and physical morbidity.However,evidence from East Asia,particularly from registry-based and sex-inclusive analyses,remain...BACKGROUND Intimate partner violence(IPV)is a major public health concern linked to psychiatric and physical morbidity.However,evidence from East Asia,particularly from registry-based and sex-inclusive analyses,remains limited.We hypothesized that IPV survivors would have elevated risks of psychiatric disorders and stressrelated physical conditions.AIM To assess psychiatric and physical health risks following IPV exposure in Taiwan.METHODS We conducted a nationwide,registry-based case control study using data from Taiwan’s Health and Welfare Data Science Center.Adults aged 18-64 years with a first IPV report in 2019(n=43393)were matched 1:1 by sex and age to controls.Incident diagnoses within 1 year were identified from claims data.Conditional logistic regression was used to estimate adjusted odds ratios(AORs).RESULTS Compared to controls,IPV survivors had higher risks of depressive disorders[AOR=4.18,95%confidence interval(CI):3.78-4.60,P<0.001],bipolar disorder(AOR=4.81,95%CI:3.83-6.10,P<0.001),schizophrenia(AOR=1.75,95%CI:1.46-2.10,P<0.001),and alcohol/substance use disorders(AOR=5.98,95%CI:2.21-8.50,P<0.001).The risk of asthma was modestly elevated(AOR=1.31,95%CI:1.08-1.60,P=0.006).No significant association was observed for irritable bowel syndrome(P=0.94).CONCLUSION IPV survivors in Taiwan face substantially increased psychiatric risk and a modestly elevated risk of asthma,warranting early screening and integrated mental and physical health care.展开更多
Background: Patient self-efficacy is one of the most important factors in treating and overcoming disease. Objective: The aim of this study was to evaluate the effect of an educational program based on the health beli...Background: Patient self-efficacy is one of the most important factors in treating and overcoming disease. Objective: The aim of this study was to evaluate the effect of an educational program based on the health belief model on self-efficacy among patients with type 2 diabetes referred to the Iranian Diabetes Association in 2014. Method: A randomized controlled clinical trial was conducted. Eighty patients with type 2 diabetes were selected randomly by the double block sample method. They were then divided into two groups of intervention and control (40 patients in each group) by random allocation. Data were collected by a questionnaire based on the Health Belief Model and self-efficacy. The data were gathered two months after the educational program was held. The educational program was designed on the basis of data collected in the pre-test phase. Then, the educational program was executed for the intervention group in 8 sessions (each 30 minutes) using lectures and an educational booklet. Data analysis was done with Chi-square Test, Pearson’s correlation, Independent samples T-test and paired T-test. The significance level was considered at 0.05. Results: Before intervention, no significant difference was detected between the two groups. However, after intervention all variables were significantly different except for perceived threat. Moreover, there were significant linear relationships between Self-efficacy and all Health Belief Model components after the educational intervention in both groups (p < 0.05). Conclusion: The educational program based on the health belief model increased self-efficacy in type 2 diabetes mellitus patients.展开更多
Objective To explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.Design This was a qualitative study with conventional content analysi...Objective To explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.Design This was a qualitative study with conventional content analysis approach which was carried out March to October 2016.setting Data collected using semistructured interviews that were digitally recorded,transcribed and analysed until data saturation.MAXQDA 10 software was used to manage the textual data.Participant Participants were twenty-two seven clients from a rural community in Ardabil,Iran who were receiving health services from health centres.result The main obstacles to participate in health education programmes in rural settings were‘Lack of trust to the rural health workers’,‘Adherence to neighbourhood social networks in seeking health information’and‘Lack of understanding on the importance of health education’.Conclusion Rural health education programmes in Iran are encountered with a variety of obstacles.We need to enhancing mutual trust between the rural health workers and villagers,and developing community-based education programmes to promote health information seeking behaviours among villagers.The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.展开更多
Objective:This study aimed to summarize the quality of life experiences of individuals with physical frailty undergoing hemodialysis or peritoneal dialysis and to identify the difficultiesand resources that enable bet...Objective:This study aimed to summarize the quality of life experiences of individuals with physical frailty undergoing hemodialysis or peritoneal dialysis and to identify the difficultiesand resources that enable better person-centered health care.Methods:The study described is a qualitative meta-synthesis literature review.The search was performed in databases such as CINAHL,Scopus,PubMed,Web of Science,the Cochrane Library,and Cuiden Plus through Medical Subject Headings and free terms.Qualitative and mixed studies were included on individuals undergoing hemodialysis or peritoneal dialysis,18 years of age or older,published in English or Spanish,between January 2013 and January 2024.The Mixed Methods Appraisal Tool was used to assess the methodological quality.The information was analyzed and coded through a socioecological model and the social determinants of health.Results:Fourteen qualitative and two mixed articles were selected.A total of 256 individuals participated in the study.Seventeen themes and 25 sub-themes were identifiedand grouped into two blocks(difficulties and resources).The difficultiesthat stood out were a low tolerance for activities of daily living and physical activity,loss of self-control over life and social roles,and lack of community and public resources.As for the resources,the following was found:the positive meaning of dialysis,the safety offered by close individuals and the healthcare team,the activation of specificprograms,and person-centered policies.Conclusions:The analysis and interpretation of the identifieddifficultiesand resources revealed key elements to consider when designing and implementing health programs for individuals undergoing dialysis.Future research should explore these dimensions in diverse cultural and geographical contexts to enhance generalizability and support health equity.展开更多
Objectives Few studies have investigated longitudinal associations of loneliness with health outcomes in Africa.This study aimed to assess the longitudinal associations between loneliness and mental and physical healt...Objectives Few studies have investigated longitudinal associations of loneliness with health outcomes in Africa.This study aimed to assess the longitudinal associations between loneliness and mental and physical health among aging adults in South Africa.Methods Data from the 7-year longitudinal Health and Ageing in Africa(HAALSI)study conducted in South Africa were used in the analysis(analytic sample:n=3707,aged 40 years and older).Loneliness was measured with one question.Longitudinal relationships between loneliness and each health outcome were estimated using Generalized Estimating Equations analysis(GEE),hazard ratios(HRs)(95%CI)were used to determine the relationship between loneliness and 7-year mortality in the entire sample,and correlations between incident health outcomes and loneliness were evaluated using logistic regressions.Results The prevalence of loneliness was 12.1%in 2015,16.9%in 2019,and 16.3%in 2022.Multivariable analysis showed that loneliness was positively associated with the prevalence and/or incidence of four poor mental health indicators(e.g.,poor sleep quality,AOR=1.53,95%CI:1.30–1.80),four physical ill-health indicators(e.g.,incident kidney disease,AOR=2.50,95%CI:1.41–4.42),mortality(Hazard Ratio=1.20,95%CI=1.04–1.39),and three poor behavioral health indicators(e.g.,current tobacco use,AOR=1.21,95%CI=1.04–1.42).Conclusion The study discovered that several outcomes related to mental,physical,and behavioral health were associated with loneliness.Enhancing the detection and management of loneliness could lower mental and physical illness in aging adults in South Africa.展开更多
Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like...Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like estuarine mangroves. Although there is a consensus on the pollution and harmful effects of microplastics(MPs), study on the pollution and potential risks posed by P. vannamei in estuary mangroves remains scarce. Therefore, the extent of microplastic pollution was evaluated and the correlation between the properties of MPs and the potential risks they pose to P. vannamei was examined.The average MP abundance in P. vannamei from Jiulong River estuary was determined to be 0.46±0.03 n/g in five different polymers, i.e., polypropylene(PP), polyethylene(PE), polystyrene(PS), polyethylene terephthalate(PET), and polyvinyl chloride resin(PVC). The total percentage of PS, PE, and PET polymers was the greatest(73.85%), where PET and PP(26.16%) were highly correlated in size and shape. Small MPs(1-200 μm) come in irregular particles, fragments, films, and large-sized MPs(200-1 000 μm) were mainly foam-shaped. The hazard risk level of MPs in P. vannamei from Jiulong River estuary reached grade Ⅲ, and the overall hazard risk index(H) value was 593.66. Among all samples,PVC polymer accounted for the lowest proportion(5.52%), but the H value was as high as 582.42, which contributed 98.11% to the overall hazard risk index. Regardless of global or Chinese, the microplastic pollution of P. vannamei in the estuary is at a moderate level. The protocol for MPs characteristics and correlation in seafood should be the basis for the risk assessment framework. Further studies are needed to evaluate how the exposure to MPs poses a risk for human health.展开更多
Objectives:This study was aimed to develop a health belief model scale for exercise among Chinese residents to describe the relationships between health beliefs and exercise for promoting residents to adopt or maintai...Objectives:This study was aimed to develop a health belief model scale for exercise among Chinese residents to describe the relationships between health beliefs and exercise for promoting residents to adopt or maintain exercise programs.Methods:Participants were from two projects,Project 1 with 3833 participants and Project 2 with 7319 participants.A pool of 21 items was developed based on a small-scale qualitative study about health beliefs of exercise and literature.Internal consistency and construct validity of the scale were evaluated with Cronbach'sαcoefficient,exploratory factor analysis(EFA),confirmatory factor analysis(CFA)and second-order confirmatory factor analysis.Results:A final version of 18 items loaded on six factors which could explain 60.30-%of variance was observed after EFA.The internal consistency of the final version with 18 items performed in Project 1 was acceptable(0.609).The reliability of the six subscales was good with Cronbach'sαcoefficient of 0.628,0.713,0.628,0.801,0.676 and 0.838 for perceived benefits,perceived objective barriers,perceived subjective barriers,self-efficacy,perceived severity and cues to action,respectively.CFA and second-order CFA indicated a good fit to data.Conclusions:The Health Belief Model Scale for Exercise(HBMS-E)is a valid and reliable instrument to assess health beliefs of exercise among residents in China.Understanding the health beliefs of exercise will help health professionals to develop effective interventions for health and evaluate the effectiveness.展开更多
Aiming at the limitations of psychopathology (PTH), the dual-factor model of mental health (DFM) was proposed as a new mental health concept and methodology under the background of positive psychology trend. In this p...Aiming at the limitations of psychopathology (PTH), the dual-factor model of mental health (DFM) was proposed as a new mental health concept and methodology under the background of positive psychology trend. In this paper we propose giving an overview of DFM, and doubt, criticize, and modify DFM from the perspective of Chinese psychological suzhi research. The available literature from 1983 to 2012 that is related to DFM and concerning psychological suzhi research in the past 20 years has been reviewed. In addition, we also absorbed the idea of positive psychology and Traditional Chinese Medicine (TCM) Constitution theory to develop theoretically the relationship model between psychological suzhi and mental health. The relationship model between psychological suzhi and mental health modifies and transcends PTH and DFM. It will be the new research area of mental health research.展开更多
Object: To explore the relationship between psychological suzhi and mental health among Chinese college students, and to gain psychological suzhi factors that are predictors for mental health. Method: By using stratif...Object: To explore the relationship between psychological suzhi and mental health among Chinese college students, and to gain psychological suzhi factors that are predictors for mental health. Method: By using stratified sampling method, an investigation was conducted among 734 subjects. They were assessed with the College Student Psychological Suzhi Scale (CSPS, including 3 subscales, 28 factors) and General Health Questionnaire-20 item (GHQ-20, including 3 subscales). Results: 1) Psychological suzhi score for Chinese college students had negative correlation with the score of GHQ-20, GHQ-depression and GHQ-anxiety (p < 0.001), and positive correlation with the score of GHQ-self-affirmation (p < 0.001);2) Psychological suzhi score for Chinese college students was predictor of the score for GHQ-20 and its subscales namely GHQ-self-affirmation, GHQ-depression, and GHQ-anxiety (β = ?0.448, 0.439, ?0.262, ?0.259, p < 0.001);the variance explained by the score of GHQ-20 and its subscales were 19.9%, 19.1%, 6.7%, 6.5%;3) There were 12 psychological suzhi factors that were predictors for GHQ-self-affirmation which was known as the positive indicator of mental health (p < 0.05);11 psychological suzhi factors were predictors for GHQ-depression and GHQ-anxiety which was known as the negative indicator of mental health (p < 0.05). Conclusion: There exists a correlation between psychological suzhi and mental health, particularly in positive mental health. Indeed, the psychological suzhi factors are able to enhance the pertinence of mental health education.展开更多
Summary： Health disparities between the western, central and eastern regions of rural China, and the impact of national health improvement policies and programming were assessed. A total of 400 counties were randomly...Summary： Health disparities between the western, central and eastern regions of rural China, and the impact of national health improvement policies and programming were assessed. A total of 400 counties were randomly sampled. ANOVA and Logistic regression modeling were employed to estimate differ- ences in health outcomes and determinants. Significant differences were found between the western, central and eastern rural regions in community infrastructure and health outcomes. From 2000 to 2010, health indicators in rural China were improved significantly, and the infant mortality rate （IMR）, mater- nal mortality rate （MMR） and under 5 mortality rate （U5MR） had fallen by 62.79%, 71.74% and 61.92%, respectively. Central rural China had the greatest decrease in IMR （65.05%）; whereas, western rural China had the greatest reduction in MMR （72.99%） but smallest reduction in U5MR （57.36%）. Despite these improvements, Logistic regression analysis showed regional differences in key health outcome indicators （odds ratios）： IMR （central： 2.13; western： 5.31）, U5MR （central： 2.25; western： 5.69）, MMR （central： 1.94; western： 3.31）, and prevalence of infectious diseases （central： 1.62; western： 3.58）. The community infrastructure and health outcomes of the western and central rural regions of China have been improved markedly during the first decade of the 21st century. However, health dis- parities still exist across the three regions. National efforts to increase per capita income, community empowerment and mobilization, community infrastructure, capacity of rural health facilities, and health literacy would be effective policy options to attain health equity.展开更多
Health literacy is critical to improving individual and public health.However,indigenous perceptions of health are largely absent from Western-derived measurements,contributing to disparities in health outcomes betwee...Health literacy is critical to improving individual and public health.However,indigenous perceptions of health are largely absent from Western-derived measurements,contributing to disparities in health outcomes between indigenous and non-indigenous populations.China is the country with the world's largest population and only officially introduced the term"health literacy"in 2008.Current measures of health literacy in China are primarily based on Western-derived constructs,which have been shown to have poor comparability to the unique dual medical system in China.Given its significant importance to health management globally,understanding health perceptions from a traditional Chinese medicine perspective is essential.This review explores the concept and core elements of indigenous health literacy,evaluates the existing definitions and measurement tools as applied to the concept,and proposes a new model of traditional Chinese medicine health literacy.展开更多
Background During the outbreak of COVID-19,the national policy of home quarantine may affect the mental health of parents.However,few studies have investigated the mental health of parents during the COVID-19 pandemic...Background During the outbreak of COVID-19,the national policy of home quarantine may affect the mental health of parents.However,few studies have investigated the mental health of parents during the COVID-19 pandemic.Aims To investigate the depression,anxiety and stress of the students'parents during the COVID-19 pandemic,and to explore the influence factors,especially the influence of social support and family-related factors.Methods The Generalised Anxiety Disorder-7,Patient Health Questionnaire-9,Perceived Stress Scale-10 and Social Support Rating Scale were applied to 1163 parents to measure the parents'depression,anxiety,stress and social support.Results(1)The detection rates of depression and anxiety in parents were 6.1%and 4.0%.The depression,anxiety and perceived stress of parents in central China were significantly higher than those in non-central China.The anxiety of college students'parents was lower than that of parents of the primary,middle and high school students.The depression,anxiety and perceived stress of parents with conflicts in the family were significantly higher than those with a harmonious family.Other factors that influence parents’depression,anxiety and perceived stress include marital satisfaction,social support,parents*history of mental illness and parenting style,etc.(2)The regression analysis results showed that perceived stress,social support,marital satisfaction,family conflicts,child's learning stage as well as parents'history of mental illness had significant effects on parents'anxiety and depression.Conclusion During the COVID-19 pandemic,the mental health of parents was affected by a variety of factors.Good marital relationships,good social support,family harmony and parents without a history of mental illness may be protective factors for parents*mental health,while perceived stress and child in middle or high school are risk factors for parents’mental health.展开更多
Background: Under-five mortality is one of the indicators of the millennium development goals (MDGs) for the child mortality reduction goal. Understanding the social determinants of under-five mortality is helpful to ...Background: Under-five mortality is one of the indicators of the millennium development goals (MDGs) for the child mortality reduction goal. Understanding the social determinants of under-five mortality is helpful to narrow the gap between different social classes. Therefore, this study focused on the social determinants of under-five mortality inEthiopiausing EDHS 2011 data. Methods: The data source for this analysis was the 2011 EDHS which was undertaken over a five-month period from 27 December, 2010 to 3 June, 2011. The sample was selected using a stratified, two-stage cluster design. Samples of 16,515 women of reproductive age were interviewed. The questionnaire used to collect information from these women who?had among other things such as?background characteristics of women, birth history of these women and the survival of each birth at the time of the interview. Births that had occurred to women in the last 10 years prior to the date of the?interview were extracted for the analysis. Descriptive statistical methods were used to describe the distribution of the characteristics of the data. Kaplan Meier plots and incidence rates per 1000 person years were used to compare survival across different categories of the risk factors. The effect of the risk factors on survival was analyzed using Cox proportional hazards regression. Data management and analysis were carried out using STATA 10. Results: A total of 23,581 under-five children were included in the study. The under-five mortality incidence rate in Ethiopia for the last ten years was 29.6 per 1000 person years. Maternal education beyond primary level of education reduced the risk of under-five mortality by about half. A significant reduction in risk of under-five mortality was observed among births to mothers residing in richest households. The hazard ratio (HR) was higher for under-five mortality among boys than daughters, twins than singleton, teen age mother than higher ages and short births than optimal. Conclusions: Empowering mothers with education and making them productive for improving their income are important aspects for reducing under-five mortality. Emerging regions were disadvantaged on the incidence of under-five mortality;however, there was a positive result in narrowing the urban-rural under-five mortality risks. Being teenage mother at birth, short birth interval and twin births were identified risk factors for increased under-five mortality in Ethiopia. Interventions targeted at empowering women and much effort in emerging regions are required. Preventing teenage motherhood and promoting optimal birth spacing are also required to reduce under-five mortality in Ethiopia.展开更多
The overall level of health literacy （HL） in China in 2013 stood at 9.48% , contrasting the rural level of 6.92% with theurban level of 13.80%.Hae level of t tI, in Eastern China was 12.81%, while it was 6.93% in We...The overall level of health literacy （HL） in China in 2013 stood at 9.48% , contrasting the rural level of 6.92% with theurban level of 13.80%.Hae level of t tI, in Eastern China was 12.81%, while it was 6.93% in West China and 7.10% in Cenlxal China Region.The level of III, lbr female was 9.73%, higher than the male level of 9.23%. In addition, the tlL rates of health knowledge and concept, healfla skills, mad health life-style and behaviors was 20.42%, 12.47% and 10.62% respectively. The HI, rates of chronic diseases prevention, infectious diseases prevention, basic medical care, alty mad llrst aid, scientilic healthconcept, and health inlbnnation was respectively 11.59%, 17.12%, 8.30%, 43.53%, 32.12% and 18.46%. The results suggest that the level of health literacy of Chhaese urban and rural residents is low, but still differs substantially across different areas and sub-populations.展开更多
Childhood risky behaviors always result in adverse health outcomes. These behaviors are greatly affected by social environment and individual factors. However, few studies explored the social determinants of schoolchi...Childhood risky behaviors always result in adverse health outcomes. These behaviors are greatly affected by social environment and individual factors. However, few studies explored the social determinants of schoolchildren＇s health behaviors. In this cross-sectional study, the social determinants of health behaviors were examined among both migrant and resident students in Beijing, China. Data of 967 children from six urban and suburban primary schools were analyzed using multiple linear regression analysis. The results showed that less than 60% of children performed some healthy behaviors, although their health knowledge was generally good. Children＇s health behavior scores were greatly determined by school characteristics, health knowledge, demographic characteristics, and family context. Therefore, improving health education and conditions in primary schools is the priority to promote children＇s healthy behaviors, especially for disadvantaged children.展开更多
In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representat...In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratified,probability cluster design,and data were collected by using a survey questionnaire.62 326 available responders were gained.11.6% of them acknowledged having experiences of premarital sexual intercourse（standardized prevalence rate of sexual intercourse was 13.8%）.31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy.76.2% of pregnant students selected abortion to end it.Of students active in premarital sex,46.2% used contraception at the first sexual intercourse,28.2% replied ＂always＂ using contraception in sexual intercourse.The rate of using condoms,oral contraceptives（OCs）,and withdrawal among students who had used contraception was 52.0%,31.0%,and 27.2% respectively.＂No preparation for sex＂（40.3%）,＂pleasure decrement＂（32.1%）,＂won＇t-be-pregnancy in occasional sexual intercourse＂（30.2%） were their common excuses for using no contraception.The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows：having no steady lover [having no steady lover vs having a steady lover：odds ratio（OR）,1.875;95% confidence interval（CI）,1.629-2.158],unaware of the course of conception（unaware vs aware：OR,2.023;95% CI,1.811-2.260）,considering abortion not endanger women＇s physical and mental health（no endangerment vs endangerment：OR,2.659;95% CI,2.265-3.121）,nonuse of contraception（never use vs always use：OR,1.682;95% CI,1.295-2.185）.Medical students were not less likely to experience an unintended pregnancy than nonmedical students（OR,1.111;95% CI,0.906-1.287）.The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services.展开更多
Adverse childhood experiences(ACEs)can negatively affect mental health,whereas character strengths seem to be positively correlated with mental health.Detailed information on the history of ACEs among university stude...Adverse childhood experiences(ACEs)can negatively affect mental health,whereas character strengths seem to be positively correlated with mental health.Detailed information on the history of ACEs among university students in China and the extent which mental health is associated with ACEs and character strengths can contribute to the needed empirical evidence for relevant stakeholders.Objectives of this study are 1)to estimate the prevalence of ACEs among undergraduate students in Southern China;and 2)to assess the extent which mental health outcomes(positive growth,well-being,and depression)are associated with ACEs and character strengths among undergraduate students in Southern China.We conducted a self-administered survey amongfirst and second-year students at a university in Southern China and analyzed data using descriptive statistics and linear regression analyses.Among the 779 students who completed the questionnaire,283 were males,439 were females,and 57 did not indicate their gender.The prevalence of ACEs among the participants was 32.1%.History of ACEs was associated with lower positive growth score(Adjusted Beta=-0.20;95%CI=-0.37,-0.02;p=0.030)and lower well-being score(Adjusted Beta=-1.13;95%CI=-2.04,-0.23;p=0.014).Vitality domain of character strength was associated with all three mental health outcomes after adjusting for covariables(all p-values<0.001).Our studyfindings provide empirical evidence for stakeholders in university mental health.However,caveats regarding lack of temporality,selection bias,social desirability bias,and lack of generalizability should be considered in the interpretation of the studyfindings.展开更多
文摘Colleges and universities are the educational institutions of training young students. The reform of the modem higher education system requires the personnel training in colleges and universities to lay a stress on the diversified development, so that the traditional single professional course education can be changed. Mental health has a close tie with the personal development trend of each student in colleges and universities, and also developing mental health education is one of the most important parts in higher education. For a long time, colleges and universities always adhere to the personnel-based educational idea and attach high importance to the work of professional course education, but fail to provide enough importance for guiding the detailed mental health of students. Thus, the mental health education in colleges and universities is misunderstood in many aspects, and this is studied in this paper.
文摘This study was designed to determine effects of peer-health-education on sexual health knowledge and attitudes of tertiary institution students in Imo State Nigeria by determining the mean gain scores of sexual health knowledge and attitudes after peer health education. Quasi-experimental (pre-test-post-test) research design was employed. Two hundred students drawn from the University, Polytechnic and College of Education, using a multi-stage sampling technique participated in the peer sessions which were facilitated by trained peer educators. Data were analyzed using ANCOVA and Z-test. Findings revealed improved knowledge and attitudes on sexual health, as depicted by positive mean gain scores. Age group 16 - 20 years had the highest mean gain score (<img src="Edit_8e8f0539-e2c6-47bc-80f1-ccaee4c06df5.png" alt="" /> = 22.31) of sexual health knowledge than the rest, while age group 26 - 30 years had the highest mean gain score (<img src="Edit_dec53aa0-f549-425f-baf4-08f39aaf05fd.png" alt="" /> = 10.59) of sexual health attitudes. Males had higher mean gain score (<img src="Edit_e767bc6a-c1f3-4f0a-8b31-814581d9dd64.png" alt="" /> = 26.05) of sexual health knowledge, while females had higher mean gain score (<img src="Edit_79f87968-38f8-4873-8516-f5370ba691df.png" alt="" /> = 9.77) of sexual health attitudes. The first years (100 level students) had the highest mean gain score (<img src="Edit_3f417e44-7627-4d69-860e-94c94ae7db0e.png" alt="" /> = 25.71) of sexual health knowledge and also had the highest mean gain score (<img src="Edit_2a60fbc7-0a2c-49fe-b9a2-1cea354966a3.png" alt="" /> = 14.12) of sexual health attitudes. Level of study was significant both for knowledge and attitudes (P < 0.01). It is recommended that peer-health-education be explored further as a method of communicating sexual health issues to tertiary institution students and youths generally.
基金2024 Research Branch of Ideological and Political Work in Mechanical Vocational Education of the Machinery Industry Policy Research Association of China“Research and Practice on the Cultivation of Positive Psychological Qualities of Higher Vocational College Students from the Perspective of‘Great Ideological and Political Education’”(SZ24B062)。
文摘In recent years,under the background of the deepening reform of China’s education system,the curriculum system settings,teaching methods,and teaching concepts of various colleges and universities have undergone major changes.As a curriculum concept,ideological and political education in courses does not reform a certain professional course,nor does it change the ideological and political course itself.Instead,it combines knowledge imparting and value output to guide students in a positive way.This article analyzes the ideological and political education in college students’mental health education courses.
基金Supported by National Science and Technology Council,Taiwan,No.MOST 111-2629-H-227-001-MY2.
文摘BACKGROUND Intimate partner violence(IPV)is a major public health concern linked to psychiatric and physical morbidity.However,evidence from East Asia,particularly from registry-based and sex-inclusive analyses,remains limited.We hypothesized that IPV survivors would have elevated risks of psychiatric disorders and stressrelated physical conditions.AIM To assess psychiatric and physical health risks following IPV exposure in Taiwan.METHODS We conducted a nationwide,registry-based case control study using data from Taiwan’s Health and Welfare Data Science Center.Adults aged 18-64 years with a first IPV report in 2019(n=43393)were matched 1:1 by sex and age to controls.Incident diagnoses within 1 year were identified from claims data.Conditional logistic regression was used to estimate adjusted odds ratios(AORs).RESULTS Compared to controls,IPV survivors had higher risks of depressive disorders[AOR=4.18,95%confidence interval(CI):3.78-4.60,P<0.001],bipolar disorder(AOR=4.81,95%CI:3.83-6.10,P<0.001),schizophrenia(AOR=1.75,95%CI:1.46-2.10,P<0.001),and alcohol/substance use disorders(AOR=5.98,95%CI:2.21-8.50,P<0.001).The risk of asthma was modestly elevated(AOR=1.31,95%CI:1.08-1.60,P=0.006).No significant association was observed for irritable bowel syndrome(P=0.94).CONCLUSION IPV survivors in Taiwan face substantially increased psychiatric risk and a modestly elevated risk of asthma,warranting early screening and integrated mental and physical health care.
文摘Background: Patient self-efficacy is one of the most important factors in treating and overcoming disease. Objective: The aim of this study was to evaluate the effect of an educational program based on the health belief model on self-efficacy among patients with type 2 diabetes referred to the Iranian Diabetes Association in 2014. Method: A randomized controlled clinical trial was conducted. Eighty patients with type 2 diabetes were selected randomly by the double block sample method. They were then divided into two groups of intervention and control (40 patients in each group) by random allocation. Data were collected by a questionnaire based on the Health Belief Model and self-efficacy. The data were gathered two months after the educational program was held. The educational program was designed on the basis of data collected in the pre-test phase. Then, the educational program was executed for the intervention group in 8 sessions (each 30 minutes) using lectures and an educational booklet. Data analysis was done with Chi-square Test, Pearson’s correlation, Independent samples T-test and paired T-test. The significance level was considered at 0.05. Results: Before intervention, no significant difference was detected between the two groups. However, after intervention all variables were significantly different except for perceived threat. Moreover, there were significant linear relationships between Self-efficacy and all Health Belief Model components after the educational intervention in both groups (p < 0.05). Conclusion: The educational program based on the health belief model increased self-efficacy in type 2 diabetes mellitus patients.
文摘Objective To explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.Design This was a qualitative study with conventional content analysis approach which was carried out March to October 2016.setting Data collected using semistructured interviews that were digitally recorded,transcribed and analysed until data saturation.MAXQDA 10 software was used to manage the textual data.Participant Participants were twenty-two seven clients from a rural community in Ardabil,Iran who were receiving health services from health centres.result The main obstacles to participate in health education programmes in rural settings were‘Lack of trust to the rural health workers’,‘Adherence to neighbourhood social networks in seeking health information’and‘Lack of understanding on the importance of health education’.Conclusion Rural health education programmes in Iran are encountered with a variety of obstacles.We need to enhancing mutual trust between the rural health workers and villagers,and developing community-based education programmes to promote health information seeking behaviours among villagers.The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.
文摘Objective:This study aimed to summarize the quality of life experiences of individuals with physical frailty undergoing hemodialysis or peritoneal dialysis and to identify the difficultiesand resources that enable better person-centered health care.Methods:The study described is a qualitative meta-synthesis literature review.The search was performed in databases such as CINAHL,Scopus,PubMed,Web of Science,the Cochrane Library,and Cuiden Plus through Medical Subject Headings and free terms.Qualitative and mixed studies were included on individuals undergoing hemodialysis or peritoneal dialysis,18 years of age or older,published in English or Spanish,between January 2013 and January 2024.The Mixed Methods Appraisal Tool was used to assess the methodological quality.The information was analyzed and coded through a socioecological model and the social determinants of health.Results:Fourteen qualitative and two mixed articles were selected.A total of 256 individuals participated in the study.Seventeen themes and 25 sub-themes were identifiedand grouped into two blocks(difficulties and resources).The difficultiesthat stood out were a low tolerance for activities of daily living and physical activity,loss of self-control over life and social roles,and lack of community and public resources.As for the resources,the following was found:the positive meaning of dialysis,the safety offered by close individuals and the healthcare team,the activation of specificprograms,and person-centered policies.Conclusions:The analysis and interpretation of the identifieddifficultiesand resources revealed key elements to consider when designing and implementing health programs for individuals undergoing dialysis.Future research should explore these dimensions in diverse cultural and geographical contexts to enhance generalizability and support health equity.
基金HAALSI(Health and Aging in Africa:A Longitudinal Study of an INDEPTH Community in South Africa)is sponsored by the National Institute on Aging(grant number 5P01AG041710-05)and is conducted by the Harvard Center for Population and Development Studies in Partnership with Witwatersrand UniversityThe Agincourt HDSS was supported by the Wellcome Trust,UK(058893/Z/99/A,069683/Z/02/Z,085477/Z/08/Z and085477/B/08/Z),the University of the Witwatersrand and South African Medical Research Council.
文摘Objectives Few studies have investigated longitudinal associations of loneliness with health outcomes in Africa.This study aimed to assess the longitudinal associations between loneliness and mental and physical health among aging adults in South Africa.Methods Data from the 7-year longitudinal Health and Ageing in Africa(HAALSI)study conducted in South Africa were used in the analysis(analytic sample:n=3707,aged 40 years and older).Loneliness was measured with one question.Longitudinal relationships between loneliness and each health outcome were estimated using Generalized Estimating Equations analysis(GEE),hazard ratios(HRs)(95%CI)were used to determine the relationship between loneliness and 7-year mortality in the entire sample,and correlations between incident health outcomes and loneliness were evaluated using logistic regressions.Results The prevalence of loneliness was 12.1%in 2015,16.9%in 2019,and 16.3%in 2022.Multivariable analysis showed that loneliness was positively associated with the prevalence and/or incidence of four poor mental health indicators(e.g.,poor sleep quality,AOR=1.53,95%CI:1.30–1.80),four physical ill-health indicators(e.g.,incident kidney disease,AOR=2.50,95%CI:1.41–4.42),mortality(Hazard Ratio=1.20,95%CI=1.04–1.39),and three poor behavioral health indicators(e.g.,current tobacco use,AOR=1.21,95%CI=1.04–1.42).Conclusion The study discovered that several outcomes related to mental,physical,and behavioral health were associated with loneliness.Enhancing the detection and management of loneliness could lower mental and physical illness in aging adults in South Africa.
基金Supported by the Natural Science Foundation of Xiamen (No. 3502Z20227322)the Natural Science Key Foundation of Fujian Province (No. 2020J02002)+1 种基金the Social Science Foundation of Fujian Province (No. FJ2024BF047)the Financial Research Projects of Fujian Province (No. 2024-48)。
文摘Penaeus vannamei, known as the whiteleg shrimp, holds significant economic importance in aquaculture. The intensive culture of P. vannamei poses substantial environmental risks, particularly in fragile ecosystems like estuarine mangroves. Although there is a consensus on the pollution and harmful effects of microplastics(MPs), study on the pollution and potential risks posed by P. vannamei in estuary mangroves remains scarce. Therefore, the extent of microplastic pollution was evaluated and the correlation between the properties of MPs and the potential risks they pose to P. vannamei was examined.The average MP abundance in P. vannamei from Jiulong River estuary was determined to be 0.46±0.03 n/g in five different polymers, i.e., polypropylene(PP), polyethylene(PE), polystyrene(PS), polyethylene terephthalate(PET), and polyvinyl chloride resin(PVC). The total percentage of PS, PE, and PET polymers was the greatest(73.85%), where PET and PP(26.16%) were highly correlated in size and shape. Small MPs(1-200 μm) come in irregular particles, fragments, films, and large-sized MPs(200-1 000 μm) were mainly foam-shaped. The hazard risk level of MPs in P. vannamei from Jiulong River estuary reached grade Ⅲ, and the overall hazard risk index(H) value was 593.66. Among all samples,PVC polymer accounted for the lowest proportion(5.52%), but the H value was as high as 582.42, which contributed 98.11% to the overall hazard risk index. Regardless of global or Chinese, the microplastic pollution of P. vannamei in the estuary is at a moderate level. The protocol for MPs characteristics and correlation in seafood should be the basis for the risk assessment framework. Further studies are needed to evaluate how the exposure to MPs poses a risk for human health.
基金Supported by National Natural Science Foundation of China(71673009).
文摘Objectives:This study was aimed to develop a health belief model scale for exercise among Chinese residents to describe the relationships between health beliefs and exercise for promoting residents to adopt or maintain exercise programs.Methods:Participants were from two projects,Project 1 with 3833 participants and Project 2 with 7319 participants.A pool of 21 items was developed based on a small-scale qualitative study about health beliefs of exercise and literature.Internal consistency and construct validity of the scale were evaluated with Cronbach'sαcoefficient,exploratory factor analysis(EFA),confirmatory factor analysis(CFA)and second-order confirmatory factor analysis.Results:A final version of 18 items loaded on six factors which could explain 60.30-%of variance was observed after EFA.The internal consistency of the final version with 18 items performed in Project 1 was acceptable(0.609).The reliability of the six subscales was good with Cronbach'sαcoefficient of 0.628,0.713,0.628,0.801,0.676 and 0.838 for perceived benefits,perceived objective barriers,perceived subjective barriers,self-efficacy,perceived severity and cues to action,respectively.CFA and second-order CFA indicated a good fit to data.Conclusions:The Health Belief Model Scale for Exercise(HBMS-E)is a valid and reliable instrument to assess health beliefs of exercise among residents in China.Understanding the health beliefs of exercise will help health professionals to develop effective interventions for health and evaluate the effectiveness.
文摘Aiming at the limitations of psychopathology (PTH), the dual-factor model of mental health (DFM) was proposed as a new mental health concept and methodology under the background of positive psychology trend. In this paper we propose giving an overview of DFM, and doubt, criticize, and modify DFM from the perspective of Chinese psychological suzhi research. The available literature from 1983 to 2012 that is related to DFM and concerning psychological suzhi research in the past 20 years has been reviewed. In addition, we also absorbed the idea of positive psychology and Traditional Chinese Medicine (TCM) Constitution theory to develop theoretically the relationship model between psychological suzhi and mental health. The relationship model between psychological suzhi and mental health modifies and transcends PTH and DFM. It will be the new research area of mental health research.
文摘Object: To explore the relationship between psychological suzhi and mental health among Chinese college students, and to gain psychological suzhi factors that are predictors for mental health. Method: By using stratified sampling method, an investigation was conducted among 734 subjects. They were assessed with the College Student Psychological Suzhi Scale (CSPS, including 3 subscales, 28 factors) and General Health Questionnaire-20 item (GHQ-20, including 3 subscales). Results: 1) Psychological suzhi score for Chinese college students had negative correlation with the score of GHQ-20, GHQ-depression and GHQ-anxiety (p < 0.001), and positive correlation with the score of GHQ-self-affirmation (p < 0.001);2) Psychological suzhi score for Chinese college students was predictor of the score for GHQ-20 and its subscales namely GHQ-self-affirmation, GHQ-depression, and GHQ-anxiety (β = ?0.448, 0.439, ?0.262, ?0.259, p < 0.001);the variance explained by the score of GHQ-20 and its subscales were 19.9%, 19.1%, 6.7%, 6.5%;3) There were 12 psychological suzhi factors that were predictors for GHQ-self-affirmation which was known as the positive indicator of mental health (p < 0.05);11 psychological suzhi factors were predictors for GHQ-depression and GHQ-anxiety which was known as the negative indicator of mental health (p < 0.05). Conclusion: There exists a correlation between psychological suzhi and mental health, particularly in positive mental health. Indeed, the psychological suzhi factors are able to enhance the pertinence of mental health education.
文摘Summary： Health disparities between the western, central and eastern regions of rural China, and the impact of national health improvement policies and programming were assessed. A total of 400 counties were randomly sampled. ANOVA and Logistic regression modeling were employed to estimate differ- ences in health outcomes and determinants. Significant differences were found between the western, central and eastern rural regions in community infrastructure and health outcomes. From 2000 to 2010, health indicators in rural China were improved significantly, and the infant mortality rate （IMR）, mater- nal mortality rate （MMR） and under 5 mortality rate （U5MR） had fallen by 62.79%, 71.74% and 61.92%, respectively. Central rural China had the greatest decrease in IMR （65.05%）; whereas, western rural China had the greatest reduction in MMR （72.99%） but smallest reduction in U5MR （57.36%）. Despite these improvements, Logistic regression analysis showed regional differences in key health outcome indicators （odds ratios）： IMR （central： 2.13; western： 5.31）, U5MR （central： 2.25; western： 5.69）, MMR （central： 1.94; western： 3.31）, and prevalence of infectious diseases （central： 1.62; western： 3.58）. The community infrastructure and health outcomes of the western and central rural regions of China have been improved markedly during the first decade of the 21st century. However, health dis- parities still exist across the three regions. National efforts to increase per capita income, community empowerment and mobilization, community infrastructure, capacity of rural health facilities, and health literacy would be effective policy options to attain health equity.
文摘Health literacy is critical to improving individual and public health.However,indigenous perceptions of health are largely absent from Western-derived measurements,contributing to disparities in health outcomes between indigenous and non-indigenous populations.China is the country with the world's largest population and only officially introduced the term"health literacy"in 2008.Current measures of health literacy in China are primarily based on Western-derived constructs,which have been shown to have poor comparability to the unique dual medical system in China.Given its significant importance to health management globally,understanding health perceptions from a traditional Chinese medicine perspective is essential.This review explores the concept and core elements of indigenous health literacy,evaluates the existing definitions and measurement tools as applied to the concept,and proposes a new model of traditional Chinese medicine health literacy.
基金This study was funded by Shanghai Clinical Research Center for Mental Health(SCRC-MH)(19MC1911100)National Natural Science Foundation of China(81771461)+1 种基金Shanghai Municipal Health Commission(2019ZB0201)Xuhui District Health and Family Planning Commission Important Disease Joint Research Project(XHLHGG201808).
文摘Background During the outbreak of COVID-19,the national policy of home quarantine may affect the mental health of parents.However,few studies have investigated the mental health of parents during the COVID-19 pandemic.Aims To investigate the depression,anxiety and stress of the students'parents during the COVID-19 pandemic,and to explore the influence factors,especially the influence of social support and family-related factors.Methods The Generalised Anxiety Disorder-7,Patient Health Questionnaire-9,Perceived Stress Scale-10 and Social Support Rating Scale were applied to 1163 parents to measure the parents'depression,anxiety,stress and social support.Results(1)The detection rates of depression and anxiety in parents were 6.1%and 4.0%.The depression,anxiety and perceived stress of parents in central China were significantly higher than those in non-central China.The anxiety of college students'parents was lower than that of parents of the primary,middle and high school students.The depression,anxiety and perceived stress of parents with conflicts in the family were significantly higher than those with a harmonious family.Other factors that influence parents’depression,anxiety and perceived stress include marital satisfaction,social support,parents*history of mental illness and parenting style,etc.(2)The regression analysis results showed that perceived stress,social support,marital satisfaction,family conflicts,child's learning stage as well as parents'history of mental illness had significant effects on parents'anxiety and depression.Conclusion During the COVID-19 pandemic,the mental health of parents was affected by a variety of factors.Good marital relationships,good social support,family harmony and parents without a history of mental illness may be protective factors for parents*mental health,while perceived stress and child in middle or high school are risk factors for parents’mental health.
文摘Background: Under-five mortality is one of the indicators of the millennium development goals (MDGs) for the child mortality reduction goal. Understanding the social determinants of under-five mortality is helpful to narrow the gap between different social classes. Therefore, this study focused on the social determinants of under-five mortality inEthiopiausing EDHS 2011 data. Methods: The data source for this analysis was the 2011 EDHS which was undertaken over a five-month period from 27 December, 2010 to 3 June, 2011. The sample was selected using a stratified, two-stage cluster design. Samples of 16,515 women of reproductive age were interviewed. The questionnaire used to collect information from these women who?had among other things such as?background characteristics of women, birth history of these women and the survival of each birth at the time of the interview. Births that had occurred to women in the last 10 years prior to the date of the?interview were extracted for the analysis. Descriptive statistical methods were used to describe the distribution of the characteristics of the data. Kaplan Meier plots and incidence rates per 1000 person years were used to compare survival across different categories of the risk factors. The effect of the risk factors on survival was analyzed using Cox proportional hazards regression. Data management and analysis were carried out using STATA 10. Results: A total of 23,581 under-five children were included in the study. The under-five mortality incidence rate in Ethiopia for the last ten years was 29.6 per 1000 person years. Maternal education beyond primary level of education reduced the risk of under-five mortality by about half. A significant reduction in risk of under-five mortality was observed among births to mothers residing in richest households. The hazard ratio (HR) was higher for under-five mortality among boys than daughters, twins than singleton, teen age mother than higher ages and short births than optimal. Conclusions: Empowering mothers with education and making them productive for improving their income are important aspects for reducing under-five mortality. Emerging regions were disadvantaged on the incidence of under-five mortality;however, there was a positive result in narrowing the urban-rural under-five mortality risks. Being teenage mother at birth, short birth interval and twin births were identified risk factors for increased under-five mortality in Ethiopia. Interventions targeted at empowering women and much effort in emerging regions are required. Preventing teenage motherhood and promoting optimal birth spacing are also required to reduce under-five mortality in Ethiopia.
文摘The overall level of health literacy （HL） in China in 2013 stood at 9.48% , contrasting the rural level of 6.92% with theurban level of 13.80%.Hae level of t tI, in Eastern China was 12.81%, while it was 6.93% in West China and 7.10% in Cenlxal China Region.The level of III, lbr female was 9.73%, higher than the male level of 9.23%. In addition, the tlL rates of health knowledge and concept, healfla skills, mad health life-style and behaviors was 20.42%, 12.47% and 10.62% respectively. The HI, rates of chronic diseases prevention, infectious diseases prevention, basic medical care, alty mad llrst aid, scientilic healthconcept, and health inlbnnation was respectively 11.59%, 17.12%, 8.30%, 43.53%, 32.12% and 18.46%. The results suggest that the level of health literacy of Chhaese urban and rural residents is low, but still differs substantially across different areas and sub-populations.
基金supported by the National Social Science Foundation of China(No.11CGL080)
文摘Childhood risky behaviors always result in adverse health outcomes. These behaviors are greatly affected by social environment and individual factors. However, few studies explored the social determinants of schoolchildren＇s health behaviors. In this cross-sectional study, the social determinants of health behaviors were examined among both migrant and resident students in Beijing, China. Data of 967 children from six urban and suburban primary schools were analyzed using multiple linear regression analysis. The results showed that less than 60% of children performed some healthy behaviors, although their health knowledge was generally good. Children＇s health behavior scores were greatly determined by school characteristics, health knowledge, demographic characteristics, and family context. Therefore, improving health education and conditions in primary schools is the priority to promote children＇s healthy behaviors, especially for disadvantaged children.
基金supported by a grant from The Chinese"11th" Five-Year Plan" Supporting Science and Technology Project (No. 2006BAI15B04)
文摘In order to ascertain prevalence rate of premarital sexual intercourse,unintended pregnancy and abortion,and evaluate associated factors of unintended pregnancy among undergraduates from all over China,the representative sample of unmarried undergraduates was obtained by using a multi-stage,stratified,probability cluster design,and data were collected by using a survey questionnaire.62 326 available responders were gained.11.6% of them acknowledged having experiences of premarital sexual intercourse（standardized prevalence rate of sexual intercourse was 13.8%）.31.5% of students active in premarital sex acknowledged undergoing unintended pregnancy.76.2% of pregnant students selected abortion to end it.Of students active in premarital sex,46.2% used contraception at the first sexual intercourse,28.2% replied ＂always＂ using contraception in sexual intercourse.The rate of using condoms,oral contraceptives（OCs）,and withdrawal among students who had used contraception was 52.0%,31.0%,and 27.2% respectively.＂No preparation for sex＂（40.3%）,＂pleasure decrement＂（32.1%）,＂won＇t-be-pregnancy in occasional sexual intercourse＂（30.2%） were their common excuses for using no contraception.The identified risk factors for unintended pregnancy among students active in premarital sex by multivariate analysis were as follows：having no steady lover [having no steady lover vs having a steady lover：odds ratio（OR）,1.875;95% confidence interval（CI）,1.629-2.158],unaware of the course of conception（unaware vs aware：OR,2.023;95% CI,1.811-2.260）,considering abortion not endanger women＇s physical and mental health（no endangerment vs endangerment：OR,2.659;95% CI,2.265-3.121）,nonuse of contraception（never use vs always use：OR,1.682;95% CI,1.295-2.185）.Medical students were not less likely to experience an unintended pregnancy than nonmedical students（OR,1.111;95% CI,0.906-1.287）.The substantial proportion of unintended pregnancy among undergraduates indicates a need for convenient and targeted contraceptive education and services.
基金funded by the Guangdong Provincial Philosophy and Social Science Planning Project(GD22XJY25).
文摘Adverse childhood experiences(ACEs)can negatively affect mental health,whereas character strengths seem to be positively correlated with mental health.Detailed information on the history of ACEs among university students in China and the extent which mental health is associated with ACEs and character strengths can contribute to the needed empirical evidence for relevant stakeholders.Objectives of this study are 1)to estimate the prevalence of ACEs among undergraduate students in Southern China;and 2)to assess the extent which mental health outcomes(positive growth,well-being,and depression)are associated with ACEs and character strengths among undergraduate students in Southern China.We conducted a self-administered survey amongfirst and second-year students at a university in Southern China and analyzed data using descriptive statistics and linear regression analyses.Among the 779 students who completed the questionnaire,283 were males,439 were females,and 57 did not indicate their gender.The prevalence of ACEs among the participants was 32.1%.History of ACEs was associated with lower positive growth score(Adjusted Beta=-0.20;95%CI=-0.37,-0.02;p=0.030)and lower well-being score(Adjusted Beta=-1.13;95%CI=-2.04,-0.23;p=0.014).Vitality domain of character strength was associated with all three mental health outcomes after adjusting for covariables(all p-values<0.001).Our studyfindings provide empirical evidence for stakeholders in university mental health.However,caveats regarding lack of temporality,selection bias,social desirability bias,and lack of generalizability should be considered in the interpretation of the studyfindings.
