Search Results (2,587)

(1) Introduction: Drug use among adolescents remains persistent, including in school settings, thus requiring attention. This study analyzed the prevalence of drug experimentation and current use among high school students and their associated factors. (2) Methods: An analytical cross-sectional study was conducted in 2023 with 4610 students from public and private high schools in the Metropolitan Region of Grande Vitória, Brazil. Data were collected using tablets and a questionnaire. Sociodemographic variables were considered. Bivariate analyses and Poisson regression were used. (3) Results: Drug experimentation was reported by 22% of students (23.5% girls; 19.8% boys), and current use by 8.7% (9.2% girls; 8.0% boys). Higher lifetime use was observed among older adolescents (RP: 1.44) and those from higher socioeconomic classes (RP: 1.24). Statistically significant associations were found in LGBTQIAPN+ students (RP: 1.54 experimentation; RP: 1.76 current use) and Black students (RP: 1.33; 1.59). Being in a relationship (RP: 1.41; 1.42), currently working (RP: 1.36; 1.62), and having separated parents (RP: 1.29; 1.37) were also associated. (4) Conclusions: The high prevalence of drug use among adolescents highlights the need for targeted public policies, especially school-based actions promoting mental health, diversity, and racial equity. This study identifies vulnerable subgroups at greater risk. Full article

Background/Objectives: Anorexia–Cachexia Syndrome (ACS) is a multifactorial condition common in advanced chronic illnesses, leading to significant impacts on prognosis and quality of life. This retrospective cohort study aimed to evaluate the prevalence, management strategies, and clinical and patient-centered outcomes of ACS in a home-based palliative care team. Methods: Clinical records of 128 adult patients followed between 2021 and 2024 were analyzed. Data collected included sociodemographic variables, clinical diagnosis, nutritional parameters (Palliative Performance Scale (PPS), Mini Nutritional Assessment (MNA)), symptoms (anorexia, fatigue), interventions (enteral nutrition, psychological and rehabilitative support), and relevant medications. Statistical analysis included descriptive, inferential, and multivariable proportional hazard regression analysis to identify independent predictors of weight loss and anorexia. Results: Manifestations of ACS were observed across both oncologic and non-oncologic conditions. The prevalence of weight loss and anorexia were interrelated and were not different between diagnostic groups. Using multivariable analysis, higher baseline MNA scores (HR = 3.797, p = 0.006) and the use of enteral nutrition (HR = 7.418, p = 0.014) were independently associated with an increased risk of significant weight loss. Lower baseline PPS scores (HR = 0.069), use of enteral nutrition (HR = −0.890), and the presence of psychological support were protective for subsequent anorexia. Dexamethasone use was associated with greater nutritional decline in univariate models. Conclusions: The management of ACS in home palliative care requires the early identification of symptoms, multidisciplinary intervention, and personalized strategies beyond disease etiology. Risk of weight loss is associated with higher MNA scores, and these are best managed in the first week. In anorexia cases, psychological support is protective. Full article

Background and Objectives: Data on mental health in university students have been increasingly concerning, with high prevalence rates of clinical conditions such as anxiety, stress, and depression. This study aims to evaluate the risk factors associated with mental health status and to develop a predictive model. Materials and Methods: A total of 242 university students were recruited (74.8% women). Participants’ ages ranged from 18 to 56 years (M = 25.81; SD = 7.59). Data collection were conducted through the Depression, Anxiety, and Stress Scale (DASS-21), the Big Five Inventory-10 (BFI-10), and the Coping Orientation to Problems Experienced Inventory (COPE-28). Results: Overall, mean scores across the three clinical dimensions are within the moderate range, but anxiety shows the highest mean value (M = 8.67, SD = 5.69) and is categorized as “extremely severe.” Additionally, identifying as female, living with family or roommates, and having high scores on passive coping styles were significant risk factors for mental health deterioration. In contrast, identifying as male, living with a romantic partner (cohabitation), and having high scores on the Responsibility personality trait were identified as protective factors against mental health impairment. Conclusions: Additional research is warranted to explore additional mediating variables and to develop specific intervention protocols for improving university students’ psychological well-being. Full article

This study examines journalists’ perceptions of the impact of artificial intelligence (AI) on disinformation, a growing concern in journalism due to the rapid expansion of generative AI and its influence on news production and media organizations. Using a quantitative approach, a structured survey was administered to 504 journalists in the Basque Country, identified through official media directories and with the support of the Basque Association of Journalists. This survey, conducted online and via telephone between May and June 2024, included questions on sociodemographic and professional variables, as well as attitudes toward AI’s impact on journalism. The results indicate that a large majority of journalists (89.88%) believe AI will considerably or significantly increase the risks of disinformation, and this perception is consistent across genders and media types, but more pronounced among those with greater professional experience. Statistical analyses reveal a significant association between years of experience and perceived risk, and between AI use and risk perception. The main risks identified are the difficulty in detecting false content and deepfakes, and the risk of obtaining inaccurate or erroneous data. Co-occurrence analysis shows that these risks are often perceived as interconnected. These findings highlight the complex and multifaceted concerns of journalists regarding AI’s role in the information ecosystem. Full article

Discrimination and harassment (DH) against women are topics of broad concern to gender equality advocates. This study aimed to investigate the prevalence of DH against women in Nigeria, based on seven specific forms of DH captured in the 2021 Nigeria Multiple Indicator Cluster Survey (MICS), and to identify key socio-demographic factors associated with an aggregated DH outcome variable. Drawing upon data from 38,806 women aged 15–49, we used descriptive statistics to summarize the prevalence of DH across seven reasons and the socio-demographic characteristics of respondents, followed by chi-square analysis to test bivariate associations and binary logistic regression to identify predictors. Results showed that the prevalence of DH against Nigerian women (18.9%) was significantly associated with socio-demographic factors such as age, education level, wealth index, marital status, and ethnicity. At the individual level, women who felt very unhappy had higher odds of experiencing DH (OR = 3.101, 95% CI: 2.393–4.018, p < 0.001) compared to those who felt very happy. In contrast, women with higher/tertiary education (OR = 0.686, 95% CI: 0.560–0.842, p < 0.001) were 31.4% less likely to face DH than those with no education. Regionally, respondents living in Zamfara (OR = 5.045, 95% CI: 3.072–8.288, p < 0.001) were over five times more likely to experience DH than those in Kano state. The findings underscore the need for policy interventions and support systems to address DH against women in Nigeria. Full article

(1) Background: This study aimed to compare psychological symptoms between Italian university students and American college students, considering both external (e.g., nationality) and internal variables (e.g., gender, age, and personality traits) potentially associated with mental health status. (2) Methods: A total of 201 Italian students from the University of Parma and 214 American students from Boston College were recruited. Participants completed the Symptom Questionnaire (SQ) and the 16 Personality Factors Questionnaire (16PF). Group comparisons were conducted on socio-demographic and psychological variables using chi-square and independent samples t-tests. Subsequently, hierarchical linear regression analyses were performed separately for each sample to identify personality traits that predict psychological symptoms, while controlling for gender and age. (3) Results: Both samples scored above the clinical cut-off on all SQ symptom scales. American students reported significantly higher levels of depression and hostility. Across both groups, psychological distress was primarily predicted by high tension and low emotional stability, with personality traits explaining a greater proportion of variance than nationality. Traits related to social interaction and emotional regulation also emerged as significant predictors. (4) Conclusions: Identifying personality profiles that are more vulnerable to psychological symptoms may support the development of early identification strategies and targeted prevention programs in university settings. Full article

Background: Child Development Accounts (CDAs) were introduced in the 1990s as a long-term asset-building policy aimed at supporting families in accumulating assets to achieve life goals for their children, including higher education, homeownership, and long-term economic security. Beyond their financial benefits, CDAs have been theorized to strengthen family relationships and improve children’s well-being by fostering a future-oriented mindset and increasing parental involvement in educational activities. Objective: This study investigates the impact of CDAs on parent–child educational engagement and children’s sense of hope for the future, contributing to the growing body of research on the multidimensional benefits of asset-based policies for children’s development. Methods: Data were drawn from the third wave of the SEED for Oklahoma Kids (SEED OK) study, a rigorous, longitudinal, randomized policy experiment in the United States. The analytic sample comprised 1425 families. Dependent variables were parent–child educational engagement and children’s hope. The independent variable was participation in the SEED OK CDA policy experiment. Baseline sociodemographic variables related to children, mothers, and households were controlled for in the analysis. Multivariate linear regressions and path analysis techniques were employed to assess direct and indirect effects. Results: Participation in CDAs was found to improve parent–child educational interactions and enhance children’s hope significantly in the pre-COVID-19 sample. The study’s rigorous design and consistent implementation allowed for establishing causal relationships and long-term developmental benefits. Conclusions: CDAs offer not only financial advantages but also contribute meaningfully to strengthening family dynamics and promoting positive psychosocial outcomes for children, supporting their inclusion in comprehensive social policy frameworks. Full article

Background/Objectives: Miscarriage (spontaneous abortion) can precipitate post-traumatic stress disorder (PTSD). In Peru, post-loss mental healthcare is limited. We aimed to identify factors associated with PTSD symptoms persisting ≥ 3 months among women who experienced miscarriage and were treated in the emergency department (ED) of a national hospital in Lima, 2021–2023. Methods: We conducted a cross-sectional analytical study of 214 women with spontaneous abortion seen in the ED (January 2021–December 2023). PTSD symptoms were measured with the PTSD Checklist for DSM-5 (PCL-5), anchored to the miscarriage index; sociodemographic and gyneco-obstetric variables were obtained with a validated questionnaire. Multivariable Poisson regression with robust variance estimated the adjusted prevalence ratios (aPRs). Results: Probable PTSD (PCL-5 ≥ 33) was present in 52.8% of participants. Independent correlates included previous miscarriage (aPR 1.75; 95% CI 1.35–2.25), ≥2 pre-gestational medical visits (aPR 1.66; 95% CI 1.21–2.27), and one (aPR 1.36; 95% CI 1.00–1.84) or multiple comorbidities (aPR 1.61; 95% CI 1.12–2.30). No other sociodemographic or obstetric variables were significantly associated. Conclusions: More than half of women assessed ≥ 3 months after miscarriage screened positive for probable PTSD. Previous pregnancy loss increased pre-gestational healthcare contact, and medical comorbidities were associated with higher prevalence. Integrating routine mental health screening and trauma-informed support within ED and reproductive health services could improve detection and care for this population. To our knowledge, this is the first ED-based study in Peru to examine factors associated with post-loss probable PTSD (PCL-5 ≥ 33) after miscarriage. Full article

Background: Stigma is a major barrier to tuberculosis (TB) control worldwide. However, there is limited evidence of TB-related stigma not only toward patients but also toward their family members in Saudi Arabia. This study aims to assess the level of TB-related stigma and associated factors among individuals with TB and their families in Jazan, Saudi Arabia. Methods: A cross-sectional survey was conducted among 404 participants (272 adult patients with TB and their 132 family members). Participants were interviewed using a structured questionnaire adapted from validated TB-related stigma scales, covering sociodemographic factors and perceived stigma. Sociodemographic factors were used to compare stigma grades. Collected data were analyzed using the Statistical Package for the Social Sciences. Frequencies and percentages were used to describe qualitative variables, while the χ²-test was applied to compare TB-related stigma levels according to demographic factors. p < 0.05 was considered statistically significant. Results: Most participant patients had pulmonary TB (78.7%), while 21.3% had extrapulmonary TB. More than half of them (50.7%) experienced severe stigma, while 23.5% had mild stigma. Levels of TB-related stigma differed significantly according to the patients’ age groups (p = 0.011), residence (p < 0.001), occupation (p = 0.022), and type of TB, which was higher among those with pulmonary TB (p = 0.003). Moreover, 24.2% of family members experienced severe stigma, while 25% had mild stigma. Perceived stigma showed a negative impact on the management of TB. Levels of stigma differed significantly among family members according to their residence (p < 0.001) and marital status (p = 0.018). Conclusions: TB-related stigma is widespread among individuals with TB and their family members in Saudi Arabia. This stigma has significant negative impacts on the management of TB. Levels of perceived stigma are higher among younger patients, those living in urban areas, unemployed patients, and patients with pulmonary TB. Among family members, the stigma levels are higher for those living in urban areas and single individuals. Full article

Background: Obesity is multifactorial, shaped by biological, behavioral, and psychosocial factors. Traditional sociodemographic and lifestyle influences are well studied, but psychological well-being, particularly life purpose, remains less explored. This study investigates associations between demographics, health behaviors, and life purpose and obesity prevalence, assessed through four validated adiposity indices in Spanish workers. Methods: This cross-sectional study included 93,077 workers (mean age: 43.8 ± 9.6 years; 54.1% men). Obesity was defined according to four measures: body mass index (BMI), waist-to-height ratio (WtHR), Clínica Universidad de Navarra Body Adiposity Estimator (CUN-BAE), and Metabolic Score for Visceral Fat (METS-VF). Sociodemographic, lifestyle (Mediterranean diet, physical activity, smoking), and psychological (Purpose in Life Test, PIL-10) variables were assessed. Logistic regression was used to evaluate associations with obesity risk. Results: Low life purpose was significantly associated with increased odds of obesity across all indices, particularly for CUN-BAE (OR = 4.58; 95% CI: 3.99–6.28) and BMI (OR = 5.45; 95% CI: 4.71–6.30). Traditional risk factors such as physical inactivity, poor adherence to the Mediterranean diet, older age, a lower social class, and smoking also demonstrated strong associations with higher adiposity levels. METS-VF showed the greatest sensitivity to male sex and unhealthy behaviors. Conclusions: This study identifies life purpose as an independent psychosocial determinant of obesity. Using multiple adiposity measures strengthens the findings, emphasizing psychological well-being in prevention. Longitudinal research is needed to confirm causality and develop interventions enhancing life purpose to improve cardiometabolic health. Given the cross-sectional design, causal inferences cannot be drawn and the directionality of associations remains uncertain. Full article

Background/Objectives: We identified the factors related to post-intensive care syndrome in a sample of patients from northern Colombia. Methods: This study employed a quantitative, observational, descriptive, and correlational approach. A sample of 277 adults was obtained through non-probabilistic convenience sampling, and a characterization form comprising sociodemographic and clinical variables was applied. The Healthy Aging Brain Care Monitor (HABC-M) instrument was also used, which is a clinical tool with a high capacity to detect post-intensive care syndrome (PICS) in surviving intensive care unit (ICU) patients. Results: The final sample consisted of 277 adults, 67.5% male, with university degrees, cohabiting in a marital union, working, from urban areas, and of the Catholic religion. Seventy percent of the sample presented both cardiovascular and neurological alterations and was admitted to the ICU, and 66% had a personal history of arterial hypertension (AHT) and type 2 diabetes mellitus (DM2). Patients had a mean ICU stay of 10.7 days, with a standard deviation of 4 days, and displayed a moderate risk of morbidity and mortality according to Acute Physiology and Chronic Health Evaluation II (APACHE II). A total of 38.6% of the sample received mechanical ventilation, with a mean duration of 8.3 days, and 7.5% underwent tracheostomy. As for sedation, 38.6% were administered fentanyl. In total, 83.4% of the sample presented the syndromes under study, with a predominance of the severe category. The global score of the scale was taken as the dependent variable, and statistical significance (p < 0.05) was found with sociodemographic variables, including origin and religion, and with clinical variables such as receiving pharmacological treatment. Conclusions: The sample presented PICS globally and showed how it affects the different dimensions, showing associations with the sociodemographic and clinical variables of interest. Full article

Locus of control refers to the way in which people perceive whether they have control over situations in their lives or whether these situations are the result of external circumstances. Locus of control subsequently influences individuals’ motivation, decision-making, and ability to accept responsibility. How locus of control manifests itself in the behavior of a particular individual can be influenced by several factors. In this article, we focused on how elements of different dimensions of human resource diversity can influence locus of control. For the research, we chose a quantitative approach using a questionnaire measuring the locus of control, along with additional questions. The main aim of the presented research was to identify the relationship between sociodemographic variables and the locus of control orientation of individual groups of respondents. The research sample consisted of N = 384 participants who completed the reduced standardized Rotter locus of control scale. The results focused on differences in individuals’ locus of control in terms of age, gender, type of work experience, and marital status and to what extent these sociodemographic variables can be a predictor of individuals’ locus of control. Hypotheses testing was performed using IBM SPSS 23 software. Th theoretical application of the research findings lies in the discovery that the locus of control (LoC) is not influenced by simple characteristics but must be understood in a more complex way. The practical application lies in the fact that professional experience can influence how employees perceive their level of control over their ability to affect their work and outcomes. Full article

This study highlights how socio-demographic, information, and government factors play different roles in people’s health during COVID-19 between Asian countries and non-Asian countries by employing the Hierarchical Linear Regression. This study finds that government factors play a more significant role in shaping wellness and happiness in Asian countries, whereas they have a stronger impact on health status in non-Asian countries. Second, information factors—such as knowledge about vaccines, medical professionals, and reliable sources—have a more substantial effect on health status in Asian countries, while they are more strongly associated with wellness and happiness in non-Asian contexts. Third, socio-demographic variables exert a greater influence on overall health outcomes in non-Asian countries compared to Asian countries. In particular, gender, occupation, socioeconomic placement, height, and weight consistently play a significant role across all health dimensions in non-Asian countries, whereas their impact varies across different health domains in Asian settings. Full article

Background: The increasing prevalence of overweight and obesity worldwide is one of the most serious public health challenges, reaching epidemic proportions. Excessive body weight is often accompanied by metabolic disorders such as insulin resistance, atherogenic dyslipidaemia and hypertension—collectively known as metabolic syndrome. This cross-sectional study aimed to identify predictors of metabolic syndrome in women using logistic regression analysis based on selected sociodemographic, anthropometric, and lifestyle variables. Methods: The study included 250 women aged 23–85 recruited in the Podkarpackie region of Poland. Data on sociodemographic characteristics and smoking status were collected via a questionnaire. Physical activity and sedentary behaviours were assessed using the Global Physical Activity Questionnaire. Body composition was measured using bioelectrical impedance analysis. Fasting capillary blood samples and blood pressure measurements were obtained by qualified medical staff in accordance with standard procedures. Results: Obesity was strongly associated with metabolic syndrome components, particularly abnormal blood pressure (66.3%) and fasting glucose (64%), both of which were statistically significant (p < 0.01). Age was a significant predictor of metabolic syndrome (OR = 1.06; p < 0.01) and its components, including hypertension, dysglycaemia and dyslipidaemia. Waist-to-hip ratio was strongly linked to metabolic syndrome (OR = 356.97; p < 0.01) and obesity (OR = 5.89 × 10³⁰; p < 0.001); however, these exceptionally high values should be interpreted with caution, as they may reflect statistical artifacts due to model instability or sample characteristics, rather than a meaningful or generalizable association. Higher body fat mass was associated with an increased risk of obesity, hypertension and dysglycaemia (OR = 1.42, 1.06 and 1.06 respectively; p < 0.01). Conclusions: These results emphasise the significant role of obesity as a risk factor for metabolic syndrome in women, highlighting the need for personalised preventive strategies that consider lifestyle and sociodemographic factors, such as targeted health education, promotion of physical activity, and dietary counselling adapted to the needs of women at risk. Full article

Volatile organic compounds (VOCs) are common indoor air pollutants known to pose significant health risks, yet little is known about how internal exposure varies across populations and environments. This study investigated the associations between indoor air pollutants and urinary VOC biomarkers in a nationally representative sample. We analyzed data from 1880 adults in the eighth Korea National Health and Nutrition Examination Survey (2020–2021) who completed an indoor air quality (IAQ) survey and provided urine samples, assessing the influence of sociodemographic, behavioral, and environmental factors. Indoor concentrations of PM_2.5, CO₂, formaldehyde, total VOCs, benzene, ethylbenzene, toluene, xylene, and styrene were measured, alongside the urinary concentrations of nine VOC biomarkers. Associations between pollutants, sociodemographic variables, and biomarkers were evaluated using univariate and multivariable linear regression with Bonferroni correction. Older age, female, lower socioeconomic status (SES), and smoking were associated with higher urinary VOC biomarker concentrations, with smoking showing the strongest associations. Indoor ethylbenzene, styrene, benzene, and CO₂ were also associated with multiple metabolites. These findings indicated significant associations between household air pollutants and urinary VOC metabolites, with disparities by age, sex, SES, and smoking status, underscoring the importance of targeted IAQ interventions for vulnerable populations. Full article