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International Journal of Environmental Research and Public Health, Volume 20, Issue 21

2023 November-1 - 64 articles

Cover Story: This groundbreaking study on Portuguese Young Carers (YCs) screened over 9000 adolescents, with 900+ YCs sharing their experiences caring for ill or disabled relatives. The findings underscore the importance of recognizing and addressing the unique needs of Portuguese YCs. They offer valuable insights into factors affecting YCs' well-being and life satisfaction, such as scholar functioning, social support, and the caregiving burden, which closely relates to family dynamics and the extent of their responsibilities. These findings reinforce the adverse impact of being a YC and stress the urgency of providing support for their well-being, personal growth, and nurturing healthy caregiving relationships. This support would benefit individuals, families, communities, and society as a whole. View this paper
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Articles (64)

  • Article
  • Open Access
10 Citations
8,871 Views
18 Pages

Improving Sleep Quality, Daytime Sleepiness, and Cognitive Function in Patients with Dementia by Therapeutic Exercise and NESA Neuromodulation: A Multicenter Clinical Trial

  • Esther Teruel-Hernández,
  • José Antonio López-Pina,
  • Sonia Souto-Camba,
  • Aníbal Báez-Suárez,
  • Raquel Medina-Ramírez and
  • Antonia Gómez-Conesa

Dementia is a progressive decline in cognitive functions caused by an alteration in the pattern of neural network connections. There is an inability to create new neuronal connections, producing behavioral disorders. The most evident alteration in pa...

  • Article
  • Open Access
11 Citations
3,590 Views
13 Pages

Community-Engaged Research (CEnR) to Address Gaps in Chronic Kidney Disease Education among Underserved Latines—The CARE Study

  • Janet Diaz-Martinez,
  • Laura Kallus,
  • Harris Michael Levine,
  • Frank Lavernia,
  • Aydevis Jean Pierre,
  • Jessica Mancilla,
  • Ale Barthe,
  • Carlos Duran,
  • Wayne Kotzker and
  • Michelle M. Hospital
  • + 1 author

Ensuring equitable chronic kidney disease (CKD) education for Latine patients with low health literacy and low English proficiency stands as a critical challenge, and the “Caridad Awareness and Education” (CARE) initiative represents our...

  • Article
  • Open Access
3,417 Views
11 Pages

Postpartum Lifestyle Behaviors among Women with Hypertensive Disorders of Pregnancy: Data from the HUNT Study

  • Ingrid Hafskjold,
  • Vegar Rangul,
  • Hanne Ringvoll,
  • Marit Kolberg,
  • Eirin B. Haug,
  • Rune Blomhoff,
  • Hege Berg Henriksen and
  • Julie Horn

Hypertensive disorders of pregnancy (HDP) are associated with an increased risk of cardiovascular disease later in life. Clinical guidelines for postpartum follow-up after HDP often recommend lifestyle counseling to reduce this risk. However, knowled...

  • Study Protocol
  • Open Access
5 Citations
4,967 Views
24 Pages

Effects of Aircraft Noise on Sleep: Federal Aviation Administration National Sleep Study Protocol

  • Mathias Basner,
  • Ian Barnett,
  • Michele Carlin,
  • Grace H. Choi,
  • Joseph J. Czech,
  • Adrian J. Ecker,
  • Yoni Gilad,
  • Thomas Godwin,
  • Eric Jodts and
  • Pamela A. Shaw
  • + 8 authors

Aircraft noise can disrupt sleep and impair recuperation. The last U.S. investigation into the effects of aircraft noise on sleep dates back more than 20 years. Since then, traffic patterns and the noise levels produced by single aircraft have change...

  • Article
  • Open Access
4 Citations
5,423 Views
36 Pages

This paper tackles the question of how female leaders at national levels of government managed COVID-19 response and recovery from the first COVID-19 case in their respective countries through to 30 September 2021. The aim of this study was to determ...

  • Article
  • Open Access
6 Citations
4,348 Views
11 Pages

Effect of Supervised and Unsupervised Exercise Training in Outdoor Gym on the Lifestyle of Elderly People

  • Welmo A. Barbosa,
  • Carine Danielle F. C. Leite,
  • Carlos H. O. Reis,
  • Alexandre F. Machado,
  • Valentina Bullo,
  • Stefano Gobbo,
  • Marco Bergamin,
  • Ana Paula Lima-Leopoldo,
  • Rodrigo L. Vancini and
  • Danilo S. Bocalini
  • + 2 authors

The aim of this study was to investigate the effectiveness of supervised and unsupervised physical training programs using outdoor gym equipment on the lifestyles of elderly people. Methods: physically independent elderly people were randomly distrib...

  • Article
  • Open Access
13 Citations
6,837 Views
11 Pages

The Association between the Severity of Dysmenorrhea and Psychological Distress of Women Working in Central Tokyo—A Preliminary Study

  • Kumi Matsumura,
  • Kanami Tsuno,
  • Masumi Okamoto,
  • Akiko Takahashi,
  • Akio Kurokawa,
  • Yuko Watanabe and
  • Honami Yoshida

This study aims to clarify the association between the severity of dysmenorrhea and psychological distress among working women in central Tokyo and examine the effect modification of job stressors. The participants in this cross-sectional study were...

  • Review
  • Open Access
6 Citations
3,549 Views
13 Pages

Occupational Etiology of Oropharyngeal Cancer: A Literature Review

  • Rayan Nikkilä,
  • Suvi Tolonen,
  • Tuula Salo,
  • Timo Carpén,
  • Eero Pukkala and
  • Antti Mäkitie

While abundant evidence exists linking alcohol, tobacco, and HPV infection to a carcinogenic impact on the oropharynx, the contribution of inhalational workplace hazards remains ill-defined. We aim to determine whether the literature reveals occupati...

  • Article
  • Open Access
5 Citations
3,350 Views
22 Pages

From Threatening Chaos to Temporary Order through a Complex Process of Adaptation: A Grounded Theory Study of the Escalation of Intensive Care during the COVID-19 Pandemic

  • Camilla Göras,
  • Malin Lohela-Karlsson,
  • Markus Castegren,
  • Emelie Condén Mellgren,
  • Mirjam Ekstedt and
  • Petronella Bjurling-Sjöberg

To ensure high-quality care, operationalize resilience and fill the knowledge gap regarding how to improve the prerequisites for resilient performance, it is necessary to understand how adaptive capacity unfolds in practice. The main aim of this rese...

  • Article
  • Open Access
4 Citations
3,733 Views
16 Pages

Utilizing User Preferences in Designing the AGILE (Accelerating Access to Gender-Based Violence Information and Services Leveraging on Technology Enhanced) Chatbot

  • Anne Ngũnjiri,
  • Peter Memiah,
  • Robert Kimathi,
  • Fernando A. Wagner,
  • Annrita Ikahu,
  • Eunice Omanga,
  • Emmanuel Kweyu,
  • Carol Ngunu and
  • Lilian Otiso

Introduction: Technology advancements have enhanced artificial intelligence, leading to a user shift towards virtual assistants, but a human-centered approach is needed to assess for acceptability and effectiveness. The AGILE chatbot is designed in K...

  • Article
  • Open Access
5 Citations
6,447 Views
19 Pages

Being a Young Carer in Portugal: The Impact of Caring on Adolescents’ Life Satisfaction

  • Ana Meireles,
  • Sofia Marques,
  • Sara Faria,
  • Joana Correia Lopes,
  • Ana Ribas Teixeira,
  • Bruno Alves and
  • Saul Becker

Caring for an ill or disabled relative can present significant challenges that may exceed the personal resources of the caregiver. Young carers (YCs) often take on this role, providing support to family members or friends, which can have far-reaching...

  • Article
  • Open Access
2 Citations
2,407 Views
18 Pages

Universal health coverage (UHC) defines individuals’ timely access to healthcare services without suffering any health-related financial constraints. The Senegalese government has shown commitments towards achievement of UHC as a way of improvi...

  • Article
  • Open Access
2 Citations
3,000 Views
10 Pages

A Qualitative Study on Parenting Practices to Sustain Adolescent Health Behaviors in American Indian Families

  • Christine Hodgson,
  • Dylan Decker,
  • Teresia M. O’Connor,
  • Melanie Hingle and
  • Francine C. Gachupin

American Indian (AI) adolescents who practice healthy behaviors of sleep, nutrition, physical activity, and limited screen time can lower their lifetime risk of diet-sensitive disease. Little is known about how AI parenting practices influence the he...

  • Article
  • Open Access
9 Citations
3,630 Views
19 Pages

What Adolescents Have to Say about Problematic Internet Use: A Qualitative Study Based on Focus Groups

  • Simone Rollo,
  • Claudia Venuleo,
  • Lucrezia Ferrante and
  • Raffaele De Luca Picione

In this paper, the study presented is designed to gain a deeper insight into how adolescents describe, understand, and suggest dealing with Problematic Internet Use (PIU). Eight focus groups were activated with a total of 70 students from the 9th and...

  • Article
  • Open Access
2,246 Views
10 Pages

Autonomy of Nursing Students: Methodological Study of Validation of the PALOP Scale Portuguese Short Version

  • Luís Manuel Cunha Batalha,
  • Josefa Palop-Muñoz,
  • Carlos Alberto Cruz de Oliveira,
  • Carlos Saus-Ortega,
  • Paulo Alexandre Carvalho Ferreira and
  • María-Rosario Gómez-Romero

The cultivation of critical thinking and decision-making skills promotes student autonomy. Only a few instruments measure nursing students’ autonomy, and the PALOP® Scale is one of them. This study aimed to semantically and culturally adapt...

  • Article
  • Open Access
5 Citations
4,138 Views
20 Pages

One in every eight persons in Hawaiʻi, USA, have limited English proficiency (LEP) and are entitled to free language assistance for federally funded services under Title IV of the Civil Rights Act of 1964. They also have the right to culturally...

  • Correction
  • Open Access
1 Citations
1,844 Views
1 Page
  • Article
  • Open Access
12 Citations
3,020 Views
19 Pages

Radon in dwellings is recognized as the primary source of natural radiation exposure to members of the public. In the West Rand District and Soweto in the Gauteng Province (South Africa), indoor radon (222Rn) mapping was carried out to assess the exp...

  • Article
  • Open Access
4 Citations
2,451 Views
10 Pages

Experiences of Impacted Foetal Head: Findings from a Pragmatic Focus Group Study of Mothers and Midwives

  • Annette L. Briley,
  • Sergio A. Silverio,
  • Andrew H. Shennan and
  • Graham Tydeman

Introduction: We aimed to explore the lived experiences of caesarean birth complicated by impaction of the foetal head, for mothers and midwives. Methods: A pragmatic, qualitative, focus group study of mixed-participants was conducted, face-to-face....

  • Article
  • Open Access
3 Citations
3,296 Views
16 Pages

People from Black and Asian backgrounds are more likely to die from COVID-19 but less likely to be vaccinated, threatening to exacerbate health inequalities already experienced by ethnic minority groups. The literature suggests that mistrust rooted i...

  • Review
  • Open Access
4 Citations
3,274 Views
10 Pages

Due to population aging and sociodemographic change, there is an increasing reliance on residential aged care facilities in the Asia–Pacific region. Most countries have adopted taxation as the primary means to levy capital for funding universal...

  • Review
  • Open Access
2 Citations
4,262 Views
18 Pages

In a serious context, individuals with Cerebral Palsy (CP) have limited opportunities to engage in social interaction experiences. Through a review, this study provides an explanation and improved evidence of the methods for rehabilitation in games u...

  • Article
  • Open Access
13 Citations
4,859 Views
12 Pages

The Sociocultural Influences on Breast Cancer Screening among Rural African Women in South Africa

  • Nelisha Sarmah,
  • Maureen Nokuthula Sibiya and
  • Thandokuhle Emmanuel Khoza

The incidence of breast cancer in South Africa is increasing, with rural South African women presenting with advanced stages of the disease. A woman’s breasts are a symbol of her womanhood; they also constitute a social definition of her femini...

  • Review
  • Open Access
9 Citations
5,838 Views
35 Pages

Impacts of Climate Change on Work Health and Safety in Australia: A Scoping Literature Review

  • Lucia Wuersch,
  • Alain Neher,
  • Frank E. Marino,
  • Larissa Bamberry and
  • Rodney Pope

This scoping review explores the extant literature on climate change impacts on Workplace Health and Safety (WHS) in Australia. It maps the coverage of climate hazards, occupations at risk, and health and socio-economic impacts with the aim of identi...

  • Correction
  • Open Access
1,585 Views
2 Pages

The authors regret to acknowledge that a mistake has been made in the original article [...]

  • Article
  • Open Access
3 Citations
3,691 Views
21 Pages

Risky Sexual Behaviour and Sexual Victimization among Young People with Risky Substance Use in Europe—Perspectives from Belgium, Sweden, the Czech Republic, and Germany

  • Christiane Baldus,
  • Tobias H. Elgán,
  • Veerle Soyez,
  • Hanne Tønnesen,
  • Nicolas Arnaud,
  • Ladislav Csemy and
  • Rainer Thomasius

Background: Research indicates that among the risks associated with young people’s alcohol and illicit drug use are sexual risks. However, insights into co-occurrence of substance use and sexual risks in adolescent samples and possible differen...

  • Article
  • Open Access
5 Citations
3,228 Views
29 Pages

The importance of urban parks was highlighted during the COVID-19 pandemic, when a number of restrictions on social gatherings were in place and people’s movements were often restricted to their local neighbourhood. This study examined the chan...

  • Article
  • Open Access
5 Citations
3,454 Views
15 Pages

Geospatial Overlap of Undernutrition and Tuberculosis in Ethiopia

  • Fasil Wagnew,
  • Kefyalew Addis Alene,
  • Matthew Kelly and
  • Darren Gray

Undernutrition is a key driver of the global tuberculosis (TB) epidemic, yet there is limited understanding regarding the spatial overlap of both diseases. This study aimed to determine the geographical co-distribution and socio-climatic factors of u...

  • Article
  • Open Access
5 Citations
2,726 Views
15 Pages

Nothing in Excess: Physical Activity, Health, and Life World in Senegalese Fulani Male Pastoralists, a Mixed Method Approach

  • Dominique Chevé,
  • Enguerran Macia,
  • Moussa Diallo,
  • Loic Lalys,
  • Amadou Hamath Diallo,
  • Sidaty Sow,
  • Audrey Bergouignan and
  • Priscilla Duboz

Objectives: The goal of this study was to evaluate the application of the short form of the International Physical Activity Questionnaire Survey (IPAQ-SF) in the rural Senegalese Fulani pastoralist population by combining quantitative and qualitative...

  • Article
  • Open Access
10 Citations
5,439 Views
14 Pages

Rwanda is the first African country to implement a national HPV vaccination program in 2011. This study sought to clarify the HPV vaccination policymaking process in Rwanda through the lens of Kingdon’s multiple stream framework and Foucault&rs...

  • Article
  • Open Access
3 Citations
5,200 Views
13 Pages

Mental Health of Immigrant Children and Adolescents (6–17 Years) in Canada: Evidence from the Canadian Health Measures Survey

  • Oluwabukola Oladunni Salami,
  • Maryna Yaskina,
  • Katholiki Georgiades,
  • Esperanza Diaz,
  • Kathleen Hegadoren,
  • Salima Meherali,
  • Sophie Yohani and
  • Ambikaipakan Senthilselvan

Background: Studies indicate a higher prevalence of mental health problems among immigrants, but findings on immigrant children and adolescents are mixed. We sought to understand the magnitude of differences in mental health indicators between immigr...

  • Review
  • Open Access
3 Citations
4,920 Views
20 Pages

A Portrait of the Rights of Children with Disabilities in Nigeria: A Policy Review

  • Rose Uzoma Elekanachi,
  • Keiko Shikako,
  • Laurie Snider and
  • Noemi Dahan-Oliel

Worldwide, 200 million children experience disability, with the vast majority living in low- and middle-income countries. The United Nations Convention on the Rights of the Child (CRC) places great importance on the rights of all children for the opp...

  • Article
  • Open Access
1 Citations
3,356 Views
13 Pages

The Effect of Mental Activation of One’s Pet Dog on Stress Reactivity

  • Kerri E. Rodriguez,
  • Dan J. Graham and
  • Rachel G. Lucas-Thompson

Research suggests that mental activation of human social support may reduce stress reactivity. However, the extent to which social support from pets elicits a similar effect has been less explored. This study aims to determine whether the mental acti...

  • Article
  • Open Access
8 Citations
4,338 Views
10 Pages

This study aimed to clarify the factors associated with low albumin in Japanese older adults aged ≥75 years. The data utilized were the health checkup data of older adults aged ≥75 years from 42 municipalities in Gifu Prefecture, which were pro...

  • Article
  • Open Access
1 Citations
3,269 Views
14 Pages

Social networks, particularly Twitter 9.0 (known as X as of 23 July 2023), have provided an avenue for prompt interactions and sharing public health-related concerns and emotions, especially during the COVID-19 pandemic when in-person communication b...

  • Systematic Review
  • Open Access
19 Citations
8,630 Views
21 Pages

Promoting Women’s Well-Being: A Systematic Review of Protective Factors for Work–Family Conflict

  • Lucrezia Cavagnis,
  • Claudia Russo,
  • Francesca Danioni and
  • Daniela Barni

Work–family conflict is a prominent issue, especially in our society, where people are expected to fulfil many roles simultaneously. Work and family life demands significantly impact an individual’s overall well-being, especially for wome...

  • Article
  • Open Access
6 Citations
10,962 Views
11 Pages

Efficacy of Guardian Cap Soft-Shell Padding on Head Impact Kinematics in American Football: Pilot Findings

  • Aaron M. Sinnott,
  • Madison C. Chandler,
  • Charles Van Dyke,
  • David L. Mincberg,
  • Hari Pinapaka,
  • Bradley J. Lauck and
  • Jason P. Mihalik

Sport-related concussion prevention strategies in collision sports are a primary interest for sporting organizations and policy makers. After-market soft-shell padding purports to augment the protective capabilities of standard football helmets and t...

  • Article
  • Open Access
15 Citations
3,855 Views
12 Pages

Levels of Total Mercury and Health Risk Assessment of Consuming Freshwater Stingrays (Chondrichthyes: Potamotrygoninae) of the Brazilian Amazon

  • Adriano Teixeira de Oliveira,
  • Paloma de Almeida Rodrigues,
  • Alexandre Mendes Ramos Filho,
  • Maria Fernanda da Silva Gomes,
  • Ariany Rabello da Silva Liebl,
  • Júlia Vianna de Pinho,
  • Paulo Henrique Rocha Aride and
  • Carlos Adam Conte-Junior

Mercury is an element with potential risk to fish and those who consume it. Thus, this study aimed to determine the levels of total mercury (THg), carry out a health risk assessment related to the consumption of the freshwater stingrays Potamotrygon ...

  • Article
  • Open Access
1 Citations
2,218 Views
16 Pages

Developing and Implementing a Culturally Consonant Treatment Fidelity Support Plan with the Apsáalooke Nation

  • Shannen Keene,
  • Sarah Allen,
  • Alma Knows His Gun McCormick,
  • Coleen Trottier,
  • Brianna Bull Shows,
  • John Hallett,
  • Rae Deernose and
  • Suzanne Held

Treatment fidelity remains underreported in health intervention research, particularly among Indigenous communities. One explanation for this gap is the lack of culturally consonant strategies listed in the National Institutes of Health (NIH) Behavio...

  • Article
  • Open Access
1 Citations
2,558 Views
14 Pages

Survey on the Mental Health of Dispensing Pharmacists in the Auvergne-Rhône-Alpes Region (France)

  • Bernard Massoubre,
  • Tristan Gabriel-Segard,
  • Florence Durupt,
  • Anne-Sophie Malachane,
  • Noémie Anglard,
  • Théophile Tiffet and
  • Catherine Massoubre

Background: The COVID-19 pandemic intensely involved pharmacists in France, with new responsibilities on a large scale, introducing to dispensary practice the performance of vaccination and nasopharyngeal swabs. This study aimed to assess the prevale...

  • Article
  • Open Access
3 Citations
2,976 Views
18 Pages

Zoonotic outbreaks are considered one of the most important threats to public health. Therefore, it is important to educate people on how to prevent zoonotic infections. The purpose of this research was to investigate an intervention aimed at changin...

  • Systematic Review
  • Open Access
9 Citations
6,859 Views
15 Pages

Restorative Effects of Biophilic Workplace and Nature Exposure during Working Time: A Systematic Review

  • Gabriela Gonçalves,
  • Cátia Sousa,
  • Maria Jacinta Fernandes,
  • Nuno Almeida and
  • António Sousa

The work environment plays a crucial role in the health and performance of employees. The growing interest in workers’ well-being has driven the inclusion of nature in workplaces, despite many employees spending most of their time indoors, away...

  • Article
  • Open Access
3 Citations
3,656 Views
14 Pages

Background: Despite the key role of social vulnerability such as economic disadvantage in health outcomes, research is limited on the impact of social vulnerabilities on COVID-19-related deaths, especially at the state and county level in the USA. Me...

  • Article
  • Open Access
67 Citations
9,016 Views
14 Pages

Trends in Serum Per- and Polyfluoroalkyl Substance (PFAS) Concentrations in Teenagers and Adults, 1999–2018 NHANES

  • Nilisha Khadgi Sonnenberg,
  • Akinloye Emmanuel Ojewole,
  • Catherine Oluwalopeye Ojewole,
  • Otite Precious Lucky and
  • Joseph Kusi

Some types of per- and poly-fluoroalkyl substances (PFAS) have been banned over the last two decades, but millions of Americans continue to have exposure to the compounds through drinking water and consumer products. Therefore, understanding the chan...

  • Essay
  • Open Access
11 Citations
3,079 Views
11 Pages

Family-centred service (FCS) acknowledges the importance of family engagement in therapeutic processes and focuses on the needs of all family members. This way of thinking and practicing is becoming increasingly recognized as an optimal care delivery...

  • Systematic Review
  • Open Access
1 Citations
2,467 Views
10 Pages

Life Course Assessment of Area-Based Social Disadvantage: A Systematic Review

  • Sarah A. Keller,
  • Sarah Lim,
  • William R. Buckingham and
  • Amy J. H. Kind

Area-based social disadvantage, which measures the income, employment, and housing quality in one’s community, can impact an individual’s health above person-level factors. A life course approach examines how exposure to disadvantage can...

  • Article
  • Open Access
6 Citations
4,221 Views
17 Pages

This study aimed to examine the relationship among self-compassion, attributional styles, and mental health and their components in older adolescents in the context of the COVID-19 pandemic. The role of each component of self-compassion (self-kindnes...

  • Article
  • Open Access
7 Citations
3,855 Views
13 Pages

Background: There is a lack of literature specifically examining the workplace bullying of apprentices and trainees in traditional, male-dominated sectors such as the Australian building and construction industry. Using social identity theory (SIT),...

  • Brief Report
  • Open Access
2,269 Views
8 Pages

Factors Contributing to Delayed Return to Work among French Healthcare Professionals Afflicted by COVID-19 at a Hospital in the Rhône-Alpes Region, 2021

  • David Monier,
  • Paul Bonjean,
  • Pierre Carcasset,
  • Martine Moulin,
  • Bruno Pozzetto,
  • Elisabeth Botelho-Nevers,
  • Luc Fontana and
  • Carole Pelissier

COVID-19 is an emerging disease whose impact on the return to work of hospital staff is not yet known. This study was aimed at evaluating the prevalence of delayed return to work associated with medical, personal, and professional factors in hospital...

  • Article
  • Open Access
3 Citations
3,051 Views
19 Pages

The Perception of the Quality of Professional Healthcare Assistance for the Management of Endometriosis: Findings from a National Survey in Italy

  • Vincenza Cofini,
  • Mario Muselli,
  • Erika Limoncin,
  • Chiara Lolli,
  • Erika Pelaccia,
  • Maurizio Guido,
  • Leila Fabiani and
  • Stefano Necozione

(1) Background: endometriosis is included in the list of chronic and disabling pathologies. This study aimed to examine patients’ points of view about the quality of care for endometriosis during the COVID-19 pandemic; (2) Methods: we conducted...

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Int. J. Environ. Res. Public Health - ISSN 1660-4601