Search Results (2,566)

Dog parents have a strong attachment to their pets and treat them as children. Similarly to the guilt experienced by the parents of human children, dog parents feel guilty when they have to travel or work long hours and leave their dogs at home alone. This study examined the empathic tendencies among dog parents and how they are related to dog parent guilt and other mental health symptoms. A sample of 332 dog owners from the United States, stratified by age and sex, was recruited for this study. The sample comprised 168 female and 164 male participants. The Guilt About Dog Parenting Scale (GAPS-D), Depression Anxiety and Stress Scale-21, Interpersonal Reactivity Index, and Dog Anthropomorphism Scale were administered via an online survey. Demographic variables, such as age, sex, race, education level, household income, relationship, and parental status, were also collected. Data were analyzed using descriptive statistics, correlation, and linear regression. As predicted, this study found that empathic tendencies in dog parents are related to guilt, anthropomorphizing, and mental health symptoms. This is the first study to examine empathetic tendencies among dog parents in relation to dog parent guilt. Researchers, educators, social workers, mental health professionals, and veterinarians should inform and educate pet owners about dog parent guilt. This will increase the knowledge of professionals, organizations, and pet owners suffering from such guilt. Cognitive behavior therapy (CBT) may offer a promising approach for helping pet parents identify, normalize, and better understand their thoughts, feelings, and behaviors related to empathic and anthropomorphic tendencies. By addressing these cognitive patterns, CBT could potentially help reduce associated feelings of guilt, depression, anxiety, and stress. Full article

Background/Objectives: Equitable access to childhood vaccines remains a challenge in many low- and middle-income countries. This study assessed coverage of WHO-recommended childhood vaccines in Cambodia and the Philippines, focusing on urban–rural and wealth disparities, and examined maternal demographic and socioeconomic factors influencing vaccination coverage. Methods: Cross-sectional data from Demographic and Health Surveys from Cambodia (2000–2021/22) and the Philippines (2003–2022) were used. Descriptive analyses were performed to elucidate vaccination coverage trends (BCG, hepatitis B birth dose, DTP, OPV, PCV, and measles). Urban–rural and wealth-related disparities were assessed by calculating absolute differences and Slope Index of Inequality. Logistic regression was used to analyze the impact of maternal demographics and socioeconomic status on vaccination coverage. Results: Cambodia showed significant increases in BCG, DTP, and OPV coverage over the past two decades, whereas those coverage in the Philippines declined slightly since 2017. In 2022, 75.2% of Filipino children received the BCG and hepatitis B (birth dose) vaccines, and around two-thirds completed DTP, OPV, and PCV vaccinations on schedule, lower than the rates in Cambodia. Only half of the children completed measles vaccination in both countries. Urban–rural disparities declined over time in both countries, but wealth inequalities persisted and widened in the Philippines between 2017 and 2022. Women with higher education attainment, from a wealthy household and having fewer children, was associated with increased likelihood of completing childhood vaccinations in both countries. Conclusions: Persistent socioeconomic disparities in childhood vaccination in low- and middle-income countries highlight the need for targeted pro-poor and community-based strategies to ensure equitable access. Full article

(1) Background: Cardiovascular disease (CVD) and edentulism are major public health challenges with shared risk factors and overlapping inflammatory pathways. This study investigates the association between complete tooth loss and CVD. (2) Methods: Data were analyzed from the 2015–2018 National Health and Nutrition Examination Survey (NHANES) dataset using Poisson regression analysis to examine the relationship between CVD and complete edentulism, adjusting for age, sex, education, family income-to-poverty ratio, race/ethnicity, diabetes status, and BMI. Of the 11,287 participants, 1763 individuals (15.62%) were completely edentulous, and 9524 (84.38%) retained some or all of their dentition. (3) Results: Individuals with cardiovascular conditions, including myocardial infarction (PR = 1.55; 95% CI: 1.23–1.98), coronary heart disease (PR = 1.44; 95% CI: 1.13–1.85), congestive heart failure (PR = 1.58; 95% CI: 1.22–2.07), and stroke (PR = 1.46; 95% CI: 1.13–1.90), demonstrated a higher prevalence of complete edentulism compared to those without these conditions, after adjusting for key demographic and health-related confounders (p < 0.01). (4) Conclusions: These findings suggest a statistical association between CVD and complete edentulism in U.S. adults. However, due to the cross-sectional nature of this study, causal relationships cannot be inferred, and further longitudinal studies are needed to understand the bidirectional mechanisms between CVD and complete edentulism. Full article

Background: Assistance dogs can support children with autism by improving emotional regulation and social functioning, but access is limited. The Family Dog Service was developed to help families of autistic children gain similar benefits through companion dogs. It offers tailored support for selecting, training, and integrating a dog into the home. This study explored parent perspectives on the service and perceived impacts of companion dogs. Methods: A cross-sectional online survey was conducted among UK residents who attended Family Dog Service workshops. The survey included demographic data, mental health and wellbeing measures, and questions about human–animal interactions. Quantitative data were analysed descriptively; qualitative responses underwent thematic analysis. Results: Of 118 participants, 101 (85.6%) owned a dog, while 17 (14.4%) were considering acquisition. Most owners reported improvements in their child’s mood (75.2%; n = 76) and reduced anxiety-related behaviours (70.3%, n = 71) following dog acquisition. Nearly half (49.5%, n = 50) rated the child–dog relationship as ‘very’ or ‘extremely’ positive within the first month, increasing to 86.1% (n = 87) by the time of data collection. Families also reported enhanced dynamics and reduced caregiver stress. Despite some challenges, the service was valued for its autism-specific guidance and ongoing support. Conclusions: The Family Dog Service may offer a practical, accessible alternative to assistance dogs, supporting autistic children’s wellbeing and strengthening family relationships through positive interactions between children and their dogs. Full article

Introduction: Recent guidelines developed by the European Association for the Study of Obesity (EASO) and the European Federation of the Associations of Dietitians (EFAD) focused on the dietetic management of obesity in adults. The present study aimed to explore the perspectives of healthcare professionals regarding these guidelines. Methods: In total, 85 registered dietitians/nutritionists from Greece, the Netherlands, the Republic of Ireland, and the United Kingdom completed an online survey, and 10 were interviewed, in February–March 2023. Demographic data were also collected. Results: Awareness of the EASO-EFAD guidelines among registered dietitians/nutritionists was moderate (57.6%), but only 20% had read them in full. Dietitians with higher education and relevant experience were more likely to have read the guidelines. Less than half reported that key evidence-based recommendations, such as individualized medical nutrition therapy and intensive behavioral interventions, are already included in national guidance. Recommendations like portfolio or DASH diets, partial meal replacements, and calorie restriction were less commonly part of national guidance/usual practice. A small percentage of participants described their adoption of several nutritional approaches novel to them. These included the portfolio dietary pattern, partial meal replacements, and intermittent fasting or continuous calorie restriction. For some Irish dietitians, prioritizing weight as the main outcome conflicted with their emphasis on overall health and individualized nutrition therapy. Other barriers of recommendation implementation included exclusive availability in English, rapid changes in obesity management, staffing shortages, limited multidisciplinary collaboration, and inconsistent knowledge among healthcare providers. Conclusions: The present study identified gaps in the adoption of the EASO-EFAD guidelines into dietetic/clinical practice. EFAD will develop strategies to disseminate these guidelines at different levels of stakeholders (national/local authorities, dietitians/nutritionists, and patients). Full article

Objectives: The adoption of telemedicine, which is the delivery of healthcare services through digital platforms, exploded during the COVID-19 pandemic as a means to ensure the continuity of care while minimizing infection risks. While this modality improved access and convenience for many, disparities in adoption have emerged, particularly in rural and underserved populations. This study aims to evaluate the impact of telemedicine on patient satisfaction before and during the pandemic, with a focus on chronic disease management—notably hypertension—and to identify factors influencing the equitable adoption of telehealth. Methods and Procedures: This study used a mixed method approach, combining quantitative survey data and causal loop modeling to analyze patient satisfaction levels and the interplay between telehealth adoption, healthcare access, and demographic disparities. Patient-reported satisfaction data were collected in two time periods—before and during the pandemic. Causal modeling was used to explore systemic relationships between provider support, technology access, patient engagement, and health equity. Results: The findings revealed that telemedicine significantly enhanced healthcare access during the pandemic, with a notable increase in patient satisfaction scores. Patients with chronic conditions, especially those diagnosed with hypertension, reported the improved continuity of care and reduced geographic barriers. However, disparities in telehealth access were more pronounced in non-metropolitan areas and among older adults and minority populations. Causal analysis highlighted key enablers of telehealth success, i.e., provider support, digital literacy, and access to reliable internet and devices. Conclusions: Telemedicine presents a transformative solution for equitable healthcare delivery, especially in chronic disease management. Strategic efforts are needed to address adoption disparities and ensure the sustained and inclusive integration of telehealth after the pandemic. Full article

Background: The Dietary Guidelines for Americans (DGA) and the American Academy of Pediatrics recommend limiting 100% juice consumption to 0.5–1.25 cups/day and to no more than one half of total fruit intake. Objective: To explore the dietary benefits of consuming 100% fruit juice and diluted 100% juice across diverse socio-demographic strata in the US. Methods: Consumption patterns for 100% juice and diluted 100% juice were examined by sex, age group, income-to-poverty ratio (IPR), and race/ethnicity. Dietary intakes came from the National Health and Nutrition Examination Survey (NHANES 2017–2020 and 2021–2023). The Healthy Eating Index 2020 (HEI 2020) and diet-level Nutrient Rich Food (NRF9.3) scores were the two measures of diet quality. The amounts of 100% juice consumed were compared to published DGA recommendations. Results: The consumption of 100% juice was greatly below that of water, milk, and sugar-sweetened beverages (SSBs). The consumption of diluted 100% juice was very low. Consumers of 100% juice had higher HEI 2020 scores (53 vs. 48) and diets with less added sugar and more total fruit, more potassium, calcium, and vitamin C. About 88% of the NHANES sample consumed <4 oz/day (1/2 cup) of 100% juice and most derived at least 50% of fruit from whole fruit, though some variation by income and race/ethnicity was observed. About 93% of the sample consumed <1 cup/day (8 oz) of 100% juice. Lower income groups consumed less whole fruit and more 100% juice. Conclusion: The consumption of 100% fruit juice was a marker of healthier dietary choices. The observed social gradient suggests that 100% fruit juice may provide valuable nutrients to populations who may be unable to afford or access whole fruit. Public health recommendations: The consumption of 100% fruit juice by some population subgroups could be increased. Fruit juice was not displacing whole fruit, and current consumption was well below the current DGA recommended values. Full article

Burnout, characterized by emotional exhaustion and depersonalization, is increasingly recognized as a significant mental health concern with psychiatric implications. This cross-sectional study explored variables associated with current burnout levels among 2004 teachers in 19 Latin American countries and Spain, drawing on retrospective perceptions of COVID-19 pandemic-related changes in work conditions and student behavior. Using a comprehensive survey, researchers gathered demographic information, work-related characteristics, and burnout levels measured by the Maslach Burnout Inventory. Participants were recruited through social media platforms and teacher groups. Participants reported high emotional exhaustion, with 45.9% exceeding the clinical threshold. Moderate depersonalization levels were observed, with 30.2% scoring above the clinical cutoff. Hierarchical regressions indicated that emotional exhaustion was significantly predicted by individual (e.g., gender, age, socioeconomic status, pre-existing mental and chronic illnesses), school (e.g., school level, sector, and workload), and student factors (e.g., behavior and social adjustment problems), accounting for 17.4% of the variance. Depersonalization was similarly associated with individual (e.g., gender, age, education, and pre-existing mental illness), school (e.g., workload and school level), and student characteristics (e.g., educational, behavioral, and family adjustment problems), explaining 6.5% of the variance. These findings contribute to psychiatric and psychological research by identifying specific risk profiles for chronic stress syndromes in educators—an occupational group facing long-term psychological impacts from the COVID-19 crisis. This study underscores the need for interdisciplinary psychiatric approaches to diagnose and prevent burnout and promote teacher well-being through clinical and policy-level interventions. Full article

The COVID-19 pandemic and related public health and hospital restrictions directly influenced Canadian perinatal healthcare. This study aimed to evaluate predictors of pandemic-related pregnancy and postpartum stress in Canada. A sample of 398 women with Canadian pandemic pregnancy experiences completed an online cross-sectional survey between September 2021 and February 2022. Demographic factors, perinatal healthcare characteristics, and psychometric measures including Oslo Social Support Scale (OSSS-3) and Brief COPE were analyzed by independent hierarchical generalized linear models (GLM) to identify predictive variables associated with prenatal and postpartum pandemic-related pregnancy stress scales (PREPS). Respondents reported low social support, low–moderate Problem-Focused and Emotion-Focused Coping scores, with low Avoidant Coping. Middle income and canceled prenatal care appointments were associated with prenatal PREPS-Preparedness Stress, with provider satisfaction negatively associated. Avoidant Coping was positively associated with both prenatal and postpartum Preparedness Stress and Infection Stress scores, whereas Problem-Focused Coping was associated with both prenatal and postpartum Positive Appraisal. High COVID-19 rates and region of healthcare were associated with prenatal and postpartum Infection Stress. Our findings that perinatal healthcare characteristics and psychometric measures, rather than demographic characteristics, were greater predictors of pandemic-related stress reflect the broad societal disruptions that shaped Canadian pregnancy experiences in our sample of mostly high income, well-educated, non-racialized women. Full article

Sub-Saharan Africa bears the heaviest burden of HIV/AIDS. Kenya alone has an estimated 1.4 million people living with HIV. Therefore, this study determined HIV testing prevalence and associated factors among men aged 15–54 years in Kenya. The study is a secondary data analysis of the 2022 Kenya Demographic and Health Survey, a nationally representative population-based cross-sectional survey. A multivariable logistic regression model was used to determine factors associated with HIV testing. Survey weights were used to adjust analyses for unequal sampling probabilities. Out of 14,453 men included in the study, the prevalence of self-reported HIV testing was 73.5%, which was higher among men aged 30–34 years old compared to the 15–19 years (90.2% vs. 33.3%), married or living with a partner (89.1% vs. 55.5%), residing in urban areas (82.5% vs. 67.8%), with higher education (90.6% vs. 58.4%), employed (80.5% vs. 43.1%), richest (83.8% vs. 60.4%), and those with three or more sexual partners (81.7% vs. 68.0%) groups. Targeted interventions to encourage more men to participate in regular HIV testing are needed. This can be achieved by bringing HIV testing sites closer to males through HIV self-testing and community testing, particularly home-based testing. Full article

Background: The aim of this study was to explore the intention of Jordanian patients diagnosed with hyperlipidemia to engage in physical activity. This objective was achieved via an in-depth analysis of how patient attitudes, subjective norms, and perceived behavioral control can influence patient intentions to exercise. Additionally, this research examined how sociodemographic factors and perceived barriers can impact patient participation in physical activity. Methodology: This study employed a cross-sectional approach on a convenience sample of Jordanian patients diagnosed with hyperlipidemia. To gain the required data, a 15-item questionnaire (derived from the Theory of Planned Behavior) was presented to the participants in the form of an online survey (via several platforms, including WhatsApp, Facebook, and email). Results: The results indicate that perceived behavioral control had a significant correlation with the participants’ intentions to participate in physical activity. Additionally, the findings revealed that there were no significant correlations between demographic features (age, marital status, level of education, and monthly income) and intention to engage in physical activity. However, the results ascertained the existence of several facilitators to exercise (such as financial resource availability, self-interest, beneficial weather conditions, and supportive friends or exercise partners). The most commonly reported barriers to physical activity included time constraints, work commitments, and limitations imposed by existing health conditions. Conclusions: These findings provide valuable insights that can be employed to develop physical activity programs that address the cultural needs of Jordanian patients diagnosed with hyperlipidemia and enhance their levels of physical activity. Full article

This research examines road users’ willingness to pay for enhanced active mobility infrastructure at King Mongkut’s Institute of Technology Ladkrabang (KMITL), a suburban university campus in Bangkok, Thailand. The study addresses the need for sustainable transportation solutions in middle-income urban environments by analyzing factors that influence walking and cycling adoption among university community members. The research employed a comprehensive mixed-methods framework combining qualitative SWOT analysis, a stated preference survey of 400 participants, and regularized logistic regression modeling with cross-validation. The analysis revealed that specific infrastructure improvements significantly increase the likelihood of active mobility adoption. Rest areas demonstrated the strongest positive association (OR = 2.15, 95% CI: 1.08–4.27, p = 0.029), followed by CCTV security systems (OR = 1.89, 95% CI: 0.98–3.65, p = 0.047), and improved public transport connectivity (OR = 2.84, 95% CI: 1.42–5.68, p = 0.003). Demographic analysis uncovered notable resistance patterns, with male participants (OR = 0.48, 95% CI: 0.26–0.89, p = 0.020) and higher-income individuals showing reduced willingness to transition from motorized transportation. Using the Contingent Valuation Method with proper bias mitigation strategies, the study quantified potential behavioral changes, projecting a 12–18 min daily increase in active mobility engagement. This enhancement would generate measurable health benefits valued at 2840–4260 THB per person annually using WHO-HEAT methodology. The research contributes valuable insights to the limited body of active mobility literature from Southeast Asian suburban contexts, providing a replicable framework for similar investigations. Full article

Background: T1D is generally associated with increased psychological burden, but evidence from Middle Eastern populations remains scarce. The present study assessed the gender differences in management, prevalence, and risk factors of perceived depression and anxiety among people with T1D in Saudi Arabia. Methods: A cross-sectional online survey was conducted among people withT1D across Saudi Arabia to collect demographic, clinical, and diabetes management data. Perceived depression and anxiety symptoms were assessed using a validated questionnaire. Multinomial logistic regression was used to identify risk factors of severe depression and anxiety. Results: Among 1073 PwT1D (303 males and 770 females), perceived depressive and anxiety symptoms were highly prevalent. Females had higher perceived anxiety compared with males (p = 0.003). Age- and BMI-adjusted regression analysis showed that, overall, higher income (p = 0.008), no neuropathy (p = 0.002), above-average benefit from the diabetes education clinic (p = 0.02), practicing carbohydrate counting (p = 0.002), and HbA1c < 7.0% (p = 0.01) were protective against perceived severe depression. Friends with T1D as the preferred education source (odds ratio [OR] = 2.8, p = 0.04) and a rejected request for continuous glucose monitoring (CGM) (OR = 1.88, p = 0.02) or insulin pump (OR = 2.8, p = 0.001) were significant risk factors. Perceived severe anxiety was associated with insulin pump rejection (OR = 2.4, p < 0.001) and self-reading as the preferred education source (OR = 2.0, p = 0.03). Being male (p = 0.02), no neuropathy (p = 0.01), practicing carbohydrate counting (p < 0.001), and HbA1c < 7.0% (p = 0.001) were protective. Conclusions: Symptoms of depression and anxiety are highly prevalent among people with T1D in Saudi Arabia, with females and socioeconomically disadvantaged individuals at greater risk. The findings highlight an urgent need for integrated mental health support within diabetes care and improved access to resources. Full article

Background/Objectives: Sustainability discussions are increasingly highlighting the environmental and health impacts of meat production and consumption. The study aimed to analyze how meat attachment influences the intention to reduce meat consumption among young adults, considering the moderating role of environmental attitude. Methods: An online survey was conducted from 27 April to 1 May 2022, among young Korean adults in their 20s, and 1478 responses were collected. The survey questionnaire assessed the participants’ (1) meat attachment (hedonism, affinity, entitlement, and dependence), (2) environmental attitude, (3) intention to reduce meat consumption, and (4) socio-demographics. Hierarchical multiple regressions were performed to explore the associations between meat attachment and the intention to reduce meat consumption, controlling for the participants’ socio-demographic characteristics. The moderating effect of environmental attitude on the associations was assessed using the PROCESS macro. Results: The results showed that, among the four subscales of meat attachment, affinity (β = 0.103, p < 0.001) and dependence (β = −0.201, p < 0.001) significantly predicted the intention to reduce meat consumption. In contrast, hedonism (β = −0.007, p = 0.831) and entitlement (β = 0.019, p = 0.509) exhibited no significant associations. Additionally, environmental attitude significantly moderated the associations between both affinity (interaction β = 0.135, p = 0.001) and dependence (interaction β = −0.159, p < 0.001) and the intention to reduce meat consumption. Conclusions: Overall, this study suggests that addressing meat dependence and affinity could be crucial for encouraging a reduction in meat consumption. Additionally, raising environmental attitude among younger adults may be needed before encouraging meat reductions. Given the limited research conducted in Asian contexts, this study offers a valuable foundation for the development of future educational interventions targeting sustainability concerns associated with meat consumption. Full article

Objective: To investigate public attitudes in New Zealand towards the euthanasia of dogs and cats and to explore the factors that influence these views. Materials and Methods: Data were collected through a nationwide online survey conducted in 2019 as part of the Furry Whānau Wellbeing research project. The survey included questions about pet euthanasia, and respondents were asked to indicate their level of agreement with various statements. Results: Of 2293 respondents to the 2019 New Zealand Pet Survey, the majority (n = 1756) opposed euthanasia for stray, unwanted, or financially burdensome pets (76.7%; 90.2% and 66.3% of these disagreed or strongly disagreed, respectively). In contrast, a slim majority (n = 1162) supported it for sick animals. Females were less likely to agree with euthanasia in most scenarios compared to males. Māori and New Zealand European respondents (n = 1790) showed higher levels of neutrality than other ethnicities regarding stray animals and lower levels of disagreement regarding financially constrained situations. Older respondents (65+) were more likely to support euthanasia for sick animals, while younger respondents (18–24) were less inclined. Higher education levels are correlated with increased neutrality towards euthanising stray animals and increased support for euthanising feral animals. Respondents with children were more likely to be neutral or to disagree with euthanasia in most scenarios. Those with rural upbringings were more accepting of euthanasia for stray and feral animals. A thematic analysis of 653 respondent comments revealed key themes: euthanasia was seen as complex and context-dependent, a humane last resort for suffering animals, but not for convenience. Respondents emphasised responsible pet ownership and a right to life, even for feral animals, advocating for alternatives such as trap–neuter–release. Conclusion: New Zealanders largely view euthanasia as an ethically acceptable option for terminally ill or suffering animals but reject it when driven by convenience or financial hardship. Attitudes vary across demographic groups, highlighting the need for culturally sensitive education and policy. The findings align with Sustainable Development Goal 3 (Good Health and Well-being) and support broader discussions on responsible pet ownership, ethical decision making, and animal welfare legislation. Full article