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Zhang Y, Cheng Y, Liang Y, Shao M, Chen A. Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population. Front Psychol 2024; 15:1358229. [PMID: 38800682 PMCID: PMC11117140 DOI: 10.3389/fpsyg.2024.1358229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 04/10/2024] [Indexed: 05/29/2024] Open
Abstract
Background Cataracts, characterized by a decrease in vision due to the clouding of the lens, can progress to blindness in advanced stages. The rising incidence of cataract cases has led to a significant number of patients experiencing negative emotions associated with vision loss, thereby diminishing their quality of life. In clinical practice, it is imperative for healthcare professionals to consider the psychological well-being of cataract patients. Currently, there is a scarcity of research focusing on psychological evaluations, such as assessing feelings of meaninglessness among individuals with cataracts. Objective This study aims to investigate the factors influencing the anxiety of existential meaninglessness and to explore the relationships among existential anxiety, Herth hope index levels and fear of progression in the elderly cataract-affected population. Additionally, it evaluates the effectiveness of Orem's nursing care strategies. Methods Utilizing a sociodemographic questionnaire, the Existential Meaninglessness Anxiety Scale (EM-A), Herth Hope Index Level Scale, and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), this research employed convenience sampling for a cross-sectional and intervention study. The retrospective study sample comprised 1,029 individuals, while the intervention study included 317. The intervention design assessed psychological changes in existential meaninglessness following Orem's preoperative nursing interventions. Multiple linear regression analysis was employed to ascertain the determinants of EM-A within the population of elderly patients with senile cataracts. Pearson correlation analysis elucidated the relationship between EM-A, levels of hope, and the FoP-Q-SF among this demographic. Subsequent investigations, utilizing a t-test, evaluated the effects by comparing the data before and after the implementation of the interventions. Results The correlation between EM-A, hope levels, and FoP-Q-SF was statistically significant (p < 0.05). Factors such as age, education level, alcohol consumption habits, hope levels, and FoP-Q-SF scores significantly affected EM-A scores (p < 0.05). Orem's nursing framework significantly reduced existential anxiety (p < 0.05). Conclusion Among elderly patients with cataracts, existential anxiety was generally moderate. Hope levels and fear of progression were closely associated with the EM-A. The novel Orem preoperative care model effectively addresses clinical issues. In clinical practice, it is crucial to address psychological problems and enhance patients' quality of life.
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Affiliation(s)
| | | | | | | | - Aiai Chen
- Ningbo Eye Institute, Ningbo Eye Hospital, Wenzhou Medical University, Ningbo, China
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Dills JE, Lawson TM, Branscomb J, Mullenix A, Lich KH. Health Impact Assessment: A Missed Opportunity for MCH Professionals in Their Quest to Address the Social Determinants of Health. Matern Child Health J 2022; 26:88-113. [PMID: 35072867 PMCID: PMC9482588 DOI: 10.1007/s10995-021-03350-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2021] [Indexed: 11/30/2022]
Abstract
Introduction Public health professionals, especially ones concerned with maternal and child health (MCH), need to engage in cross-sector collaborations to address social determinants of health. Health Impact Assessment (HIA) systematically brings public health perspectives into non-health decision-making contexts that influence social determinants. Alignment of MCH and HIA practice has not previously been documented. Methods An exploratory review of HIAs conducted in the United States considered several dimensions of MCH-HIA alignment and produced data to test the hypothesis that HIAs involving MCH stakeholders are more likely to address MCH populations and relevant measures. The review examined three key variables for each HIA: inclusion of MCH-focused stakeholders, level of focus on MCH populations, and presence of MCH-relevant content. Results Of the 424 HIAs included in the database of US HIAs, 350 were included in this review. Twenty-four percent (84) included MCH-focused stakeholders, and 42% (148) focused on MCH populations. Ninety percent (317) included metrics or content relevant to at least one Title V National Performance Measure (NPM). HIAs that clearly included MCH stakeholders had seven times the odds of including both a focus on MCH populations and at least one NPM-relevant topic compared to HIAs that did not clearly include MCH stakeholders (OR 6.98; 95% CI 3.99, 12.20). Discussion Despite low engagement of MCH stakeholders in HIAs, many still consider MCH populations and measures. Intentional engagement of MCH workforce in HIAs could ensure greater alignment with existing MCH priorities (such as addressing the social determinants of health and equity) in a given jurisdiction.
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Affiliation(s)
- James E Dills
- Georgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, 55 Park Place NE, 8th Floor, Atlanta, GA, 30303, USA.
| | - Taylor M Lawson
- Rollins School of Public Health, Emory University, Grace Crum Rollins Building, 1518 Clifton Road, Atlanta, GA, 30322, USA
| | - Jane Branscomb
- Georgia Health Policy Center, Andrew Young School of Policy Studies, Georgia State University, 55 Park Place NE, 8th Floor, Atlanta, GA, 30303, USA
| | - Amy Mullenix
- Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 412 Rosenau Hall CB #7445, Chapel Hill, NC, 27599, USA
| | - Kristen Hassmiller Lich
- Gillings School of Global Public Health, University of North Carolina - Chapel Hill, 1105E McGavran-Greenberg Hall CB #7411, Chapel Hill, NC, 27599, USA
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Bever E, Arnold KT, Lindberg R, Dannenberg AL, Morley R, Breysse J, Porter KMP. Use of health impact assessments in the housing sector to promote health in the United States, 2002-2016. JOURNAL OF HOUSING AND THE BUILT ENVIRONMENT : HBE 2021; 36:1277-1297. [PMID: 34720777 PMCID: PMC8555747 DOI: 10.1007/s10901-020-09795-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Accepted: 11/03/2020] [Indexed: 06/13/2023]
Affiliation(s)
- Emily Bever
- Health Impact Project, The Pew Charitable Trusts, 901 E Street NW, 10th Floor, Washington, DC 20004, USA
| | - Kimberly T Arnold
- Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
| | - Ruth Lindberg
- Health Impact Project, The Pew Charitable Trusts, 901 E Street NW, 10th Floor, Washington, DC 20004, USA
| | - Andrew L Dannenberg
- Department of Environmental and Occupational Health Sciences and Department of Urban Design and Planning, University of Washington, Seattle, WA, USA
| | | | - Jill Breysse
- National Center for Healthy Housing, Columbia, MD, USA
| | - Keshia M Pollack Porter
- Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
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Optimizing the health benefits of climate change policies using health impact assessment. J Public Health Policy 2021; 41:139-154. [PMID: 31481736 DOI: 10.1057/s41271-019-00189-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Health impact assessment (HIA) is a tool that can be used to examine the potential health impacts of proposed climate change policies and offer recommendations to promote health and mitigate adverse health consequences of such policies. We used an HIA database, a literature search, and expert consultation to identify 12 HIAs of the proposed climate change policies from six states in the U.S. These policies included cap-and-trade legislation, heat-wave and sea-level-rise mitigation and adaptation, transportation policy impacts of climate change, carbon-reduction strategy scenarios, soil- and water-conservation strategies, urban forest canopy for climate adaptation, overheating buildings, and regional transportation plan and sustainable communities strategies. In four descriptive summaries, we found that HIAs foster stakeholder engagement and provide useful health-promoting recommendations. HIAs can facilitate cross-sector collaboration, help optimize the health co-benefits of climate change policies, and raise awareness among decision makers of health impacts of those proposed policies.
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Alcaraz KI, Wiedt TL, Daniels EC, Yabroff KR, Guerra CE, Wender RC. Understanding and addressing social determinants to advance cancer health equity in the United States: A blueprint for practice, research, and policy. CA Cancer J Clin 2020; 70:31-46. [PMID: 31661164 DOI: 10.3322/caac.21586] [Citation(s) in RCA: 325] [Impact Index Per Article: 65.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Revised: 09/12/2019] [Accepted: 09/25/2019] [Indexed: 12/21/2022] Open
Abstract
Although cancer mortality rates declined in the United States in recent decades, some populations experienced little benefit from advances in cancer prevention, early detection, treatment, and survivorship care. In fact, some cancer disparities between populations of low and high socioeconomic status widened during this period. Many potentially preventable cancer deaths continue to occur, and disadvantaged populations bear a disproportionate burden. Reducing the burden of cancer and eliminating cancer-related disparities will require more focused and coordinated action across multiple sectors and in partnership with communities. This article, part of the American Cancer Society's Cancer Control Blueprint series, introduces a framework for understanding and addressing social determinants to advance cancer health equity and presents actionable recommendations for practice, research, and policy. The article aims to accelerate progress toward eliminating disparities in cancer and achieving health equity.
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Affiliation(s)
- Kassandra I Alcaraz
- Behavioral and Epidemiology Research Group, American Cancer Society, Atlanta, Georgia
| | - Tracy L Wiedt
- Cancer Control Department, American Cancer Society, Atlanta, Georgia
| | - Elvan C Daniels
- Extramural Research, American Cancer Society, Atlanta, Georgia
| | - K Robin Yabroff
- Surveillance and Health Services Research, American Cancer Society, Atlanta, Georgia
| | - Carmen E Guerra
- Perelman School of Medicine and Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Richard C Wender
- Cancer Control Department, American Cancer Society, Atlanta, Georgia
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Ge T, Zhang Q, Lu J, Chen G, Sun M, Li X. Association between education and health outcomes among adults with disabilities: evidence from Shanghai, China. PeerJ 2019; 7:e6382. [PMID: 30809431 PMCID: PMC6385680 DOI: 10.7717/peerj.6382] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 01/01/2019] [Indexed: 01/15/2023] Open
Abstract
Background Adults with disabilities often have worse health outcomes than do their peers without disabilities. While education is a key determinant of health, there is little research available on the health disparities across education levels among adults with disabilities in developing countries. We therefore examined the association between health outcomes and education among adults with disabilities in Shanghai, China. Methods We used the health examination records of 42,715 adults with disabilities in Shanghai in 2014. Five health outcomes, including two diseases (fatty liver and hemorrhoids) and three risk factors (overweight [body mass index ≥ 24]), high blood glucose, and high blood lipid), were evaluated. Descriptive statistics and Pearson’s chi-square test were used to assess differences in participants’ demographic and disability characteristics. Pearson’s chi-square test and Fisher’s exact test were conducted to compare the prevalence of each health outcome among the different education levels. Finally, logistic regression analyses were conducted to explore the association between education and health outcomes after adjusting for sociodemographic characteristics. Results People with an elementary school or lower degree had the highest prevalence of overweight (52.1%) and high blood glucose (20.8%), but the lowest prevalence of hemorrhoids (18.6%) and fatty liver (38.9%). We observed significant differences in the association between education and health outcomes across disability types. For example, in physically disabled adults, higher education was related to higher odds of hemorrhoids (p < 0.001); however, there were no significant disparities in hemorrhoids across the education levels among adults with intellectual disabilities. Discussion Compared with people without disabilities, adults with disabilities in Shanghai have relatively poor health. The association between education and health outcomes differed according to the health condition and disability type. To reduce the prevalence rate of overweight and high blood glucose among people with disabilities, tailored health promotion initiatives must be developed for people with lower education levels. In contrast, specific attention should be paid to the prevention of hemorrhoids and fatty liver among more-educated people with disabilities. Our study provides important evidence for targeting educational groups with specific disability types for health promotion and intervention.
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Affiliation(s)
- Tong Ge
- Department of Health Policy and Management/ School of Public Health, Fudan University, Shanghai, China.,China Research Center on Disability Issues at Fudan University, Fudan University, Shanghai, China.,Key Laboratory of Health Technology Assessment, National Health and Family Planning Committee (Fudan University), Fudan University, Shanghai, China
| | - Qi Zhang
- School of Community and Environmental Health, Old Dominion University, Norfolk, United States of America
| | - Jun Lu
- Department of Health Policy and Management/ School of Public Health, Fudan University, Shanghai, China.,China Research Center on Disability Issues at Fudan University, Fudan University, Shanghai, China.,Key Laboratory of Health Technology Assessment, National Health and Family Planning Committee (Fudan University), Fudan University, Shanghai, China
| | - Gang Chen
- China Research Center on Disability Issues at Fudan University, Fudan University, Shanghai, China.,Key Laboratory of Health Technology Assessment, National Health and Family Planning Committee (Fudan University), Fudan University, Shanghai, China.,Department of Health Law and Health Inspection/ School of Public Health, Fudan University, Shanghai, China
| | - Mei Sun
- Department of Health Policy and Management/ School of Public Health, Fudan University, Shanghai, China.,China Research Center on Disability Issues at Fudan University, Fudan University, Shanghai, China.,Key Laboratory of Health Technology Assessment, National Health and Family Planning Committee (Fudan University), Fudan University, Shanghai, China
| | - Xiaohong Li
- Department of Health Policy and Management/ School of Public Health, Fudan University, Shanghai, China.,China Research Center on Disability Issues at Fudan University, Fudan University, Shanghai, China.,Key Laboratory of Health Technology Assessment, National Health and Family Planning Committee (Fudan University), Fudan University, Shanghai, China
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