Search

Subjective vitality is an important, yet understudied, indicator of eudaimonic well-being. People experience subjective vitality when they engage in need-satisfying activities. We investigate two sport consumption activities (stadium attendance and sport television viewing), team identification, and subjective vitality to understand how sport consumption mediates the impact of team identification on subjective vitality. Throughout a season, data were collected from local residents (n = 618) living within the franchise area of a Japanese professional baseball team. Structural equation modeling and bootstrapping mediation analysis showed that team identification exerted both a direct and an indirect effect via attendance frequency on subjective vitality. The proposed model and the findings offer new theoretical insights into the roles of subjective vitality, team identification, and stadium attendance in spectator sport. Consequently, sport teams can leverage these insights to intensify consumer experiences when people attend games, positively contributing to their well-being. [ABSTRACT FROM AUTHOR]

Sleep is essential for maintenance and restoration of health, yet studies exploring this in hospitalized children are scarce. In a qualitative study, we assessed the perceived quality of sleep, factors affecting sleep, and the role of health care professionals in the sleep environment for hospitalized children aged 1 to 12 years. Data were obtained from 11 semi-structured, audio-recorded, and verbatim-transcribed interviews with parents, and analyzed using a systematic thematic analysis. The interviews were coded based on iterative assessment of transcripts. Subsequently, categories and interpretative main themes were identified. Four themes emerged: (1) being informed, keeping informed; (2) coordination of care; (3) parents as main advocates for their child's sleep; and (4) environmental disturbers. Parents reported differences in their child's sleep quality during hospital compared with home. Sleep is substantially affected during hospitalization, prompting the need for interventions to improve the quality of sleep of children. Parents provided valuable suggestions for improvements. [ABSTRACT FROM AUTHOR]

Several recent European studies conducted over the past 50 years have documented a positive connection between a person’s height and their salary. However, there are very few studies for earlier periods and for southern Europe. In this paper, we analyze the relationship between the height of conscripts born between 1888 and 1907 and their daily wages in 1924. Data for the Spanish city of Zaragoza was used. The results showed that for every additional 10 cm of height, an individual earned approximately 3% more. Furthermore, the shortest 25% of individuals suffered a considerable penalty in their income (about 15%). To understand the causes of this discrimination, we then analyzed the data by socioeconomic group. We found that people in low socioeco nomic groups essentially suffered wage discrimination. This finding could be linked to the fact that a tall stature conveys an image of strength and productivity. It should be noted that these results were found mainly for the urban areas, with their relatively large labor supply and weak blood ties rather than rural areas or among immigrants. In other words, the height penalty affected the weakest groups of society (low socioeconomic level and immigrants). [ABSTRACT FROM AUTHOR]

Objectives: Access to greenspaces and contact with nature can promote physical activity and have positive effects on physical and mental health. This scoping literature review aims to examine current evidence linking greenspaces and (a) behaviour change, (b) health outcomes and (c) co-benefits. Methods: This review was conducted in accordance with the PRISMA scoping review guidelines. Searches were conducted through PubMed and EMBASE databases for studies published between 2000 and March 2023 with a focus on Europe. Results: 122 scientific articles and grey literature reports were identified. Access to greenspaces is positively associated with physical and mental health, and reduced risk of all-cause mortality and some non-communicable diseases. Greenspace quality is associated with increased physical activity and reduced risk of obesity. Naturebased therapies or green prescription are effective in improving mental health outcomes and overall health. Importantly, numerous co-benefits of greenspaces are identified. Conclusion: Increasing access to greenspaces for populations with particular attention to greenspace quality is important for co-benefits. Responsible governance and use of greenspaces are crucial to minimize public health risks and human disturbance of nature. [ABSTRACT FROM AUTHOR]

Pressure ulcers (PUs) represent a burden to the health economy and patients alike. Despite national and international guidelines regarding the management of risk, the incidence and prevalence across England remains high. Detecting early the risk of PUs is paramount, and requires using a valid risk assessment tool alongside clinical judgement and management of associated risk factors. There is a need to implement prevention strategies. Introducing care bundles for pressure ulcers, for example SKIN, SSKIN and most recently aSSKINg, is designed to guide clinicians and reduce variations in care. This article presents a review of the evidence on compliance with guidelines, frameworks, pathways or care bundles within primary and secondary care settings. This article focuses on the literature review that was conducted to inform a subsequent clinical audit of compliance with the aSSKINg framework in a Community NHS Foundation Trust in the South East of England. [ABSTRACT FROM AUTHOR]

BACKGROUND AND OBJECTIVES: Children with medical complexity (CMC) comprise a subgroup of children with severe chronic diseases. A conceptual definition for CMC has been formulated, but there is no agreement on criteria to fulfill each of the 4 proposed domains: diagnostic conditions, functional limitations, health care use, and family-identified needs. Our objective with this study was to identify a standardized definition of CMC. METHODS: Through a scoping review of the CMC literature, we identified potential criteria to fulfill each domain. These were incorporated into an electronic survey that was completed by a geographic and professionally varied panel of 81 American and Canadian respondents with expertise in managing CMC (response rate 70%) as part of a 4-iteration Delphi procedure. Respondents were asked to vote for the inclusion of each criterion in the definition, and for those with quantitative components (eg, hospitalization rates), to generate a consensus threshold value for meeting that criterion. The final criteria were analyzed by a committee and collapsed when situations of redundancy arose. RESULTS: Of 1411 studies considered, 132 informed 55 criteria for the initial survey, which was presented to 81 respondents. Consensus for inclusion was reached on 48 criteria and for exclusion on 1 criterion. The committee collapsed those 48 criteria into 39 final criteria, 1 for diagnostic conditions, 2 for functional limitations, 13 for health care use, and 23 for family needs. CONCLUSIONS: These results represent the first consensus-based, standardized definition of CMC. Standardized identification is needed to advance understanding of their epidemiology and outcomes, as well as to rigorously study treatment strategies and care models. [ABSTRACT FROM AUTHOR]

Background: Among the multiple challenges that people experiencing mental illness in general, and schizophrenia or bipolar disorders in particular, have to face, stigma appears to be one of the most difficult to tackle. In France, the body of research about stigma regarding people experiencing schizophrenia or bipolar disorders is growing, but not as much as in other western countries. Aims: In this context, our study aims to explore and compare stigma in French people experiencing schizophrenia or bipolar disorders, along with their respective mental healthcare system experience, in order to better address them within public health policies. Methods: 20 French mental health service users experiencing schizophrenia and 20 experiencing bipolar disorders answered the Stigma Scale, which assesses three dimensions of stigma (discrimination, difficulties of divulgation and lack of positive aspects). A semi-structured interview was used to collect information about the experience of the mental healthcare system (level of information, access to diagnosis, treatment, access to psychoeducation, etc.). Results: People experiencing schizophrenia and people experiencing bipolar disorders are different populations in terms of social impairment. However, they share a comparable negative experience of the mental healthcare system and a comparable level of information about their illness, to the exception of diagnosis divulgation, as people experiencing bipolar disorders have a better access to their diagnosis. People experiencing schizophrenia perceive a higher actual discrimination than people experiencing bipolar disorders. Conclusions: Public health policies should take into account the strong perception of actual discrimination of people experiencing schizophrenia, with capitalizing on what seems beneficial for people experiencing bipolar disorders. [ABSTRACT FROM AUTHOR]

To investigate whether the association between hearing difficulties and self-reported memory problems is mediated by physical health and psychosocial wellbeing. A cross-sectional study. Path analyses were used to test potential theoretical models (psychosocial-cascade, common cause) of the association between hearing difficulties and memory problems, adjusting for age. A sample of 479 adults (18–87 years) completed self-reported outcome measures. Half the participants reported clinically significant hearing difficulties and 30% self-reported memory problems. In the direct model, reporting hearing difficulties was associated with a greater likelihood of reporting memory problems (β = 0.17, p = 0.007, 95% Confidence Intervals [CI] = 0.00, 0.01). Hearing difficulties were also associated with poorer physical health, but this did not mediate the association with memory. Psychosocial factors, however, fully mediated the relationship between hearing difficulties and memory problems (β = 0.03, p = 0.019, 95% CI = 0.00, 0.01). Adults with hearing difficulties may be more likely to self-report memory problems, irrespective of age. This study supports the psychosocial-cascade model, as the association between self-reported hearing and memory problems was explained entirely by psychosocial factors. Future studies should investigate these associations using behavioural measures, as well as explore whether interventions can reduce the risk of developing memory problems in this population. [ABSTRACT FROM AUTHOR]

Existing readings of Wordsworth's physiological aesthetics do little to explicate the agency that is attached to the blood and its role in Wordsworth's conception of the mind and its creative processes. This essay introduces the medico-historical contexts of emerging physiological knowledge as well as long-held paradigms of health and disease to demonstrate how blood participates in the workings of the mind and reveals a more distinctly corporeal process of creative development and production in Wordsworth's poetry and prose. I argue that Wordsworth's mental system is a blood-based mind: one that is attuned to the fluid connections between the vascular and nervous systems that were of special importance to physiologists of the eighteenth century. In his poetry and prose, Wordsworth figures blood as a substance of mind that assimilates impressions from the natural world and serves as a raw material of mind that must be refined and regulated for the sake of the poet's creative health. [ABSTRACT FROM AUTHOR]

This address highlights the potential role of the social psychology of justice in the analysis of phenomena anchored in substantive areas like health, the environment, education, and racial and gender dynamics. To do so, I ask three questions: (1) Do sociologists attend to justice in their scholarly work? (2) When sociologists do attend to justice, do they conceptualize it clearly? and (3) Could the social psychology of justice scholarship further contribute to sociologists' attention to and clarity of conceptualization and understanding of social phenomena? To answer the first question, I coded references to justice in the contents of publications in three American Sociological Association journals over a five-year period. For the latter two questions, I leverage illustrations drawn from the health domain. My answers are, respectively, not so much, not really, and yes. The last response, importantly, ensures that justice is seen so that it can be done. [ABSTRACT FROM AUTHOR]

Purpose: Midlife adults have been estimated to spend over half of their waking time engaging in sedentary behavior, and greater sedentary behavior has been associated with a reduced likelihood of successful aging. Moreover, more than one-quarter of midlife adults report chronic pain, and there is reason to believe that pain may contribute to sedentary behavior among this population. The goal of these analyses was to test associations between self-reported increases in pain during activity and subsequent sedentary behavior among a sample of midlife adults with chronic pain. Methods: Participants included 200 midlife adults (age 50–64) who reported chronic pain and completed an online prospective survey. Activity-induced pain was assessed at baseline and total time spent engaging in sedentary behavior was assessed at baseline, 1-week, and 4-week follow-up assessments. Results: Activity-induced pain predicted greater sedentary behavior at 1-week (p <.05) and 4-week (p <.01) follow-up assessments, even after controlling for chronic pain intensity and baseline sedentary behavior. Conclusions: Activity-induced pain may represent an important mechanism underlying sedentary behavior among midlife adults with chronic pain, and programs designed to reduce sedentary behavior among this population may benefit from tailoring to account for the antithetical influence of activity-induced pain. Indeed, the current findings suggest that mitigating the extent to which pain increases during activity may be more important than reducing overall pain intensity when attempting to decrease sedentary behavior among this population. This and future work have the potential to inform the refinement of tailored interventions. [ABSTRACT FROM AUTHOR]

Aim: To describe popular diet content visible on #intermittentfasting, #keto, and #lowcarb on adolescent social media accounts. Methods: An adolescent Instagram profile captured 200 'top' images from three popular diet hashtags (#intermittentfasting, #keto, and #lowcarb) across two timepoints. Images were coded using a pre‐determined ontology as food (core or discretionary; common foods/food groups), people (group, individual, before/after), or informative. Descriptive statistics were used to summarise these categories across hashtags. Results: At the time of first data collection, there were 3.8 million #intermittentfasting, 19 million #keto, and 22 million #lowcarb posts on Instagram. At the second timepoint there were 4.3 million #intermittentfasting, 21.5 million #keto, and 24.3 million #lowcarb posts. Images tagged #intermittentfasting were categorised as 44% food, 39% people, 10% information; #keto were 64% food, 28% people, 5% information; and #lowcarb were 69% food, 14% people, 16% information. Food images mostly depicted animal proteins (58.6% of #intermittentfasting; 62.9% of #keto; and 40.1% of #lowcarb). Images of people were individual (44%) or before/after (39%); mostly female (77%), of white (53%) ethnicity. Across all posts, 12.5% were linked to a commercial product/program, and 2.3% provided nutrition information. Conclusion: Diet‐related images visible when adolescents search #intermittentfasting, #keto, and #lowcarb on Instagram promote animal‐based foods with or without vegetables. These diet hashtags on Instagram do not provide nutrition information and are not helpful for young people searching for diet information online. [ABSTRACT FROM AUTHOR]

During cancer treatment, oncology nurses emphasize patient and family education about coping strategies to manage adverse events such as gastrointestinal effects and fatigue. However, information about how to return to healthy eating and physical activity behaviors may not be systematically implemented early in the post-treatment survivorship period. This article reviews and compares clinical practice guideline recommendations for nutrition and physical activity during and after cancer treatment. [ABSTRACT FROM AUTHOR]

Moving Beyond Cancer to Wellness is a patientand caregiver-focused educational outreach event with an inspirational message and lectures that address common concerns among cancer survivors. This event is open to the community and offers a keynote speaker, breakout sessions on specific survivorship topics, and a patient panel. This typically in-person event was held virtually in 2020 and 2021 because of the COVID-19 pandemic, but returned to the in-person format in 2022. As demonstrated by consistently strong attendance and high satisfaction results, this communitybased educational event has been successful in communicating survivorship information to cancer survivors and their families. [ABSTRACT FROM AUTHOR]

Throughout the early twentieth century, the widespread growth of coffee drinking in Sweden led for calls by health reformers, doctors and scientists to implement measures to curtail what they deemed "coffee abuse." Debates about the dangers of coffee took place in Swedish Parliament and trickled out into the popular press. It was not long before canny manufacturers saw an opportunity to capitalize upon this, introducing coffee substitutes onto the Swedish market. One of the most popular brands was the roasted wheat bran drink Postum. This article seeks to investigate the early marketing practices of Postum in Sweden and how the brand used advertisements to exploit the public's growing fears around coffee and put itself forward as a viable substitute that was essential for good health. Using a dataset of 200 advertisements published in Svenska Dagbladet between 1926 and 1940, it demonstrates how Postum skewed scientific/medical knowledge on caffeine to their advantage, urging consumers to buy Postum to protect themselves against neurasthenia, insomnia and digestive disorders. In doing so, Postum went far beyond its role as a drink, instead tapping into discourses of wellbeing, morality and productivity, which remain a central part of food marketing today. [ABSTRACT FROM AUTHOR]

Emotional and existential suffering is prevalent in advanced diseases and psychologists have valuable skills to support people in this time of life. Yet, psychologists are rarely integrated in palliative care and relevant training is sparse. Being integrated in other areas of health, it is likely that we will be supporting these patients, whether integrated in a specialized team or not. This article is meant to serve psychologists, already skilled in the art and science of psychosocial intervention, who may find themselves supporting patients with advanced disease. Relevant history of palliative care is provided to elucidate palliative philosophy and approach. Evidence-based existential interventions will be reviewed. Integration of psychological models and both palliative theory and practice is provided to support palliative-appropriate case conceptualizations. Finally, case examples are provided throughout to help readers reconcile their existing practice in this domain of care. [ABSTRACT FROM AUTHOR]

The Revised Illness Perception Questionnaire (IPQ-R) assesses patients' perspectives of their illnesses. Original psychometric testing occurred in limited populations. The purpose of this reliability generalization meta-analysis was to: (1) estimate internal consistency reliability of each IPQ-R subscale, and (2) test moderators of these estimates. Web of Science was searched in July 2022 for articles citing the original IPQ-R paper that reported IPQ-R reliability data. Cronbach's alphas (⍺) were pooled for each IPQ-R subscale using inverse variance weighting and DerSimonian and Laird estimation. Sixty-six studies met criteria. Overall pooled ⍺ estimates were acceptable: 0.71–0.87. Treatment control reliability was reduced among cardiac (⍺ = 0.68), diabetes/kidney disease (⍺ = 0.63), and mixed/other (⍺ = 0.66) samples; cyclical reliability was reduced in cancer (⍺ = 0.65) samples. Age, gender, and race were also significant moderators. Subscale reliability varied based on sample characteristics. Adapting IPQ-R subscales to account for sample variation could improve measurement of illness perception constructs. [ABSTRACT FROM AUTHOR]

Exposure to toxins—such as heavy metals and air pollution—can result in poor health and wellbeing. Recent scientific and media attention has highlighted negative health outcomes associated with toxic exposures for U.S. military personnel deployed overseas. Despite established health risks, less empirical work has examined whether deployment-related toxic exposures are associated with declines in mental and physical health after leaving military service, particularly among the most recent cohort of veterans deployed after September 11, 2001. Using data from 659 U.S. veterans in the VISN 6 MIRECC Post-Deployment Mental Health Study, we tested whether self-reported toxic exposures were associated with poorer mental and physical health. At baseline, veterans who reported more toxic exposures also reported more mental health, β = 0.14, 95% CI [0.04, 0.23], p = 0.004, and physical health symptoms, β = 0.21, 95% CI [0.11, 0.30], p < 0.001. Over the next ten years, veterans reporting more toxic exposures also had greater increases in mental health symptoms, β = 0.23, 95% CI [0.15, 0.31], p < 0.001, physical health symptoms, β = 0.22, 95% CI [0.14, 0.30], p < 0.001, and chronic disease diagnoses, β = 0.15, 95% CI [0.07, 0.23], p < 0.001. These associations accounted for demographic and military covariates, including combat exposure. Our findings suggest that toxic exposures are associated with worsening mental and physical health after military service, and this recent cohort of veterans will have increased need for mental health and medical care as they age into midlife and older age. [ABSTRACT FROM AUTHOR]

This article aims to synthesize the extant literature that brings sociological analysis to the context, production and perpetuation of the antiracist identity. Our aim is to distinguish this analysis from the huge body of literature written from inside antiracism. Antiracism began in the latter half of the twentieth century. This examination reveals antiracism as an identity and a project of organizational production maintained through discursive and symbolic formations and institutionalized forms of governance. Its members espouse easily digestible 'common sense' ideologies of racism and anti-racism premised on a belief in the 'absolute nature' of categories of ethnicity and race. It then builds on this discursive framing with commensurate solutions at these levels. It does this through discursive projects and codification of institutional self governance. However, this racializing identity work may perpetuate racism through its classifications and its obfuscation of class privilege and economic inequalities. Its ever-expanding codified extension into organizations, businesses and global grassroots movements calls for a critical lens to direct historical, economic and political analysis onto the obfuscating work of this identity. [ABSTRACT FROM AUTHOR]

Purpose: The associations between dietary patterns and liver cancer risk have received much attention, but evidence among the Chinese population is scarce. This study aims to update the results of two cohort studies and provide the sex-specific associations in the Chinese population. Methods: This study was based on two cohorts from the Shanghai Men's Health Study (SMHS) and the Shanghai Women's Health Study (SWHS). Diet information was collected by validated food frequency questionnaires. Dietary patterns were derived by factor analysis. Cox regression model was utilized to estimate the hazard ratio (HR) and 95% confidence interval (CI) for associations between dietary patterns and liver cancer risk. Results: During median follow-up years of 11.2 (male) and 17.1 (female) years, 427 males and 252 females were identified as incident primary liver cancer cases. In males, vegetable-based dietary pattern was inversely associated with liver cancer (HRQ4-Q1: 0.67, 95%CI 0.51–0.88, Ptrend < 0.001). Interaction analysis indicated that in males lower vegetable-based dietary pattern score and older age/medical history of chronic hepatitis combined increase the hazard of liver cancer more than the sum of them, with a 114% and 1061% higher risk, respectively. In females, the fruit-based dietary pattern was associated with a reduced risk of liver cancer (HRQ4-Q1: 0.63, 95%CI 0.42–0.95, Ptrend = 0.03). In both males and females, null associations were observed between the meat-based dietary pattern and the risk of liver cancer. Conclusion: A vegetable-based dietary pattern in males and a fruit-based dietary pattern in females tended to have a protective role on liver cancer risk. This study provided updated information that might be applied to guide public health action for the primary prevention of liver cancer. [ABSTRACT FROM AUTHOR]

Workplace-related factors are associated with the risk of depression. Despite implementation of workplace health promotion (WHP) programmes in China to promote the physical and mental well-being of workers, the relationship between WHP and depression has received limited attention. This study investigated the association between WHP service utilisation and depressive symptoms among workers. This was a cross-sectional survey. A researcher-designed questionnaire was used to collect information on socio-demographic and occupational characteristics, WHP service utilisation, and mental health status. The Lasso method was used for variable selection to achieve dimension reduction, and logistic regression was used to assess the association between WHP service utilisation and depressive symptoms. The analysis included 11,710 workers, of whom 17.0% had depressive symptoms. Lasso regression resulted in 6 of 18 WHP services showing significant negative associations with depressive symptoms, including occupational safety training, mental health services, health check-ups, sports activities, fitness rooms, and healthy canteens. The logistic regression results showed that, after adjusting for sociodemographic and occupational factors, utilisation of these six services was associated with a decreased likelihood of depressive symptoms. The adjusted odds ratio (aOR) was 0.84 (95% confidence interval [CI]: 0.73–0.96) for occupational safety training, aOR: 0.82 (95% CI: 0.68–0.99) for mental health services, aOR: 0.80 (95% CI: 0.71–0.90) for health check-ups, aOR: 0.68 (95% CI: 0.57–0.80) for sports activities, aOR: 0.59 (95% CI: 0.47–0.74) for fitness rooms and aOR: 0.72 (95% CI: 0.59–0.87) for healthy canteens. Utilisation of WHP services was associated with a lower prevalence of depressive symptoms. Implementation of WHP services and the provision of a supportive workplace environment should be prioritised to benefit the mental health of workers. [ABSTRACT FROM AUTHOR]

This article analyzes the media coverage of the first wave of the COVID-19 crisis. The analysis of 213 items from leading TV channels and newspapers revealed four main themes characterising the: coverage of the establishment's preparations, coverage of morbidity, criticism of the establishment, and information provision. By and large, the media acted as a 'mobilized press', encouraging the public to follow guidelines, but criticism of certain sectors of the public and individuals was almost absent. The article demonstrates that the phenomenon of 'rallying around the flag' is common in both security and health crises. [ABSTRACT FROM AUTHOR]

Republicans and Democrats responded to the COVID-19 pandemic in starkly different ways, from their attitudes in 2020 about whether the virus posed a threat to whether the pandemic ended in 2023. The consequences of COVID-19 for health equity have been a central concern in public health, and the concept of health equity has also been beset by partisan polarization. In this article, the authors present and discuss nationally representative survey data from 2023 on US public perceptions of disparities in COVID-19 mortality (building on a previous multiwave survey effort) as well as causal attributions for racial disparities, the contribution of structural racism, and broader attitudes about public health authority. The authors find anticipated gulfs in perspectives between Democrats on the one hand and independents and Republicans on the other. The results offer a somewhat pessimistic view of the likelihood of finding common ground in how the general public understands health inequities or the role of structural racism in perpetuating them. However, the authors show that those who acknowledge racial disparities in COVID-19 are more likely to support state public health authority to act in response to other infectious disease threats. The authors explore the implications of these public opinion data for advocacy, communication, and future needed research. [ABSTRACT FROM AUTHOR]

Summary: The field of metabolomics has undergone substantial growth, particularly in its application to cereals and their derived products. This comprehensive analytical technique offers insights into the complex and dynamic metabolic profiles of cereals and their derivatives, thereby contributing to a deeper understanding of the composition, quality, and nutritional aspects of these. Various techniques such as mass spectrometry (MS), chromatography coupled with MS, and nuclear magnetic resonance (NMR) were employed to explore the diverse range of metabolites present in cereals. Studies have focused on different aspects that alter the metabolic profile of cereals and their derived products. The present article elucidates the impact of factors such as genotype, growing conditions, and processing methods on the metabolite composition of cereals. Additionally, it has facilitated the identification of bioactive compounds with potential health benefits, contributing to the development of functional foods. Metabolomics approaches enabled the detection of different phenolics, and other essential metabolites in cereals and their derived products, and their modulatory effects on human health. The advances in metabolomics are considered as a powerful tool for developing innovative and healthier cereal‐based products. [ABSTRACT FROM AUTHOR]

Guided by the integrative theory of communication work, we present a computational and qualitative analysis of Reddit comments authored by patient-users living with chronic overlapping pain conditions. We first employed computational text analysis to compress the data corpus via structural topic modeling. The community detection algorithm Louvain was employed to identify communities of topics within the data. Then, we extracted a subset of the data and performed a computer-aided qualitative thematic co-occurrence analysis. Topic modeling revealed 35 topics and five thematic communities. The qualitative analysis revealed that these topics mapped onto and extended the typology of communication work and contributing factors and identified co-occurrence patterns both among and across research questions. Our findings offer methodological, theoretical, and practical implications. [ABSTRACT FROM AUTHOR]

A recent systematic review reported positive associations between parents and children's physical activity participation. Moreover, parents' perceptions of the importance and value of physical activity can influence their children's participation in it. Our aim in this study was to develop and validate an instrument to assess parents' perceptions of the importance of physical activity and physical education. After first creating the instrument, we conducted content and exploratory factorial validation and reliability analyses of it with 93 parents (M age = 44.76, SD = 6.05, range = 31–66 years; 73 females, 20 males). The result was a 9-item instrument, with items assessed on a 5-point Likert scale and grouped into three factors: (a) importance of physical education; (b) importance of engaging in physical activity or sport; and (c) importance of joining your children in physical activity or sport. In a second confirmatory factor analysis with 224 parents (M age = 44.53, SD = 6.07; 174 or 77.7% females and 50 or 22.3% males) we confirmed the factor validity and reliability previously analyzed (χ 2 = 42.77, df = 24, p =.011, GFI = 0.96, NFI = 0.98, NNFI = 0.99, CFI = 0.99, RMSEA = 0.06 (90% CI: 0,04, 0.08), SRMR = 0.04, ECVI = 0.04, CR = 0.70–0.87). Thus, the new Physical Activity and Physical Education Importance for Parents Scale (PAPEIPS) is a valid and reliable instrument for measuring parents' perceived importance of physical activity and physical education. [ABSTRACT FROM AUTHOR]

Sustainable food systems provide food security while stewarding economic, social, and environmental bases in ways to meet future generations' needs. Sustainable food systems encompass the health of animals, people, and ecosystems. Healthy and productive ruminants can produce meat and milk products with fewer resources, and consequently, often fewer greenhouse gas emissions are produced. Ruminant livestock faces the dual challenge of being impacted by and contributing to climate change, while also experiencing increased demand for ruminant meat and milk products due to growing global population and increased incomes. This challenge presents different ways forward depending upon solutions and how one values certain aspects of sustainability, ranging from simply building upon past improvements in ruminant agriculture to dramatic reductions in ruminant livestock populations. Better understanding the concerns with ruminant's role in sustainable food systems is important, as is understanding the different viewpoints and interpretation of evidence both for and against ruminant agriculture. This review provides a brief overview of some of the key issues related to the role ruminant animals play in sustainable food systems, including greenhouse gas emissions, feed‐food competition and land use, and human nutrition. The review also highlights how improved animal health outcomes can enhance ruminants' role in sustainable food systems. Ultimately, ruminants make unique contributions to human flourishing via providing nutrition, livelihoods, and ecosystem services from forage resources and grassland landscapes. However, the status quo is unlikely to meet the challenges of the coming decades, thus investing in research and development into sustainable ruminant systems is required. [ABSTRACT FROM AUTHOR]

This study examined factors that impact Black middle and high school students' academic and psychosocial well-being. Qualitative analysis of focus group data using grounded methodological approach on 51 middle and high school students in a predominantly White urban school district. Findings show Black students are constantly exposed to racial microaggressions (i.e. microinvalidation, microinsult, microassault) which impact their overall academic performance and psychosocial well-being. Use of request to use the N-word was a common and stressful form of microaggression encountered by Black students. Overall, racial microaggressions (e.g. use/request to use the "N" word) are common, stressful and begin early among Black students attending predominantly White schools. Black students recognize the commonplace nature of racial microaggressions and actively identify coping mechanisms (e.g. safe shared on-campus spaces, identifying concrete steps schools can take to create safe environment). Concerted efforts by schools are needed to prevent/mitigate the harmful effects of microaggression exposure to students. [ABSTRACT FROM AUTHOR]

The aim of this systematic review with meta-analysis was to evaluate the effects of resistance training on physical fitness, physiological variables and body composition of postmenopausal women. The present systematic review was performed in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement and was registered in PROSPERO. A total of 12 studies were included. The literature search was performed in PubMed, Web of Science and EBSCO. Randomized control trials were included. Two blinded investigators performed the search, study selection and data collection, and assessed the quality and risk of bias. A random-effects model was used for all analyses. Compared to the control group, resistance training produced a significant improvement in maximal oxygen volume (standardized mean difference [SMD] = 2.32, p < 0.001), lower extremity strength (SMD = 4.70, p < 0.001) and upper extremity strength (SMD = 7.42, p < 0.001). The results obtained in the systematic review and meta-analysis confirm the benefits of resistance training on physical fitness in postmenopausal women, although there is more debate regarding its influence on bone mineral density, and anthropometric and derived variables. This work provides a solid starting point for promoting resistance training at a frequency of 3 days per week, in 60-min sessions, with the aim of improving parameters directly related to quality of life, functionality and disease prevention of postmenopausal women. [ABSTRACT FROM AUTHOR]

Aim: To determine the effects of collaborative health management of congestive heart failure through the rigorous evaluation and extraction of evidence. Background: Over the past two decades, cardiovascular disease has been the leading cause of death worldwide. Multidisciplinary team intervention for congestive heart failure has increased with population ageing and congestive heart failure incidence rate as well as cost of care. However, the effectiveness and feasibility of collaborative health management need to be explored. Design: Systematic review and meta‐analysis. Methods: We conducted systematic literature searches in the Cochrane Library, PubMed, CINAHL and Medline for articles published between 2002 and 2022. After screening based on the inclusion and exclusion criteria, 13 articles were included in a rigorous review and evidence extraction process, evaluated methodological quality using the Jadad Quality Scale. Statistical heterogeneity was evaluated using Review Manager (RevMan Version 5.4) for the meta‐analysis. Results: In this study, a systematic review and meta‐analysis were performed on 13 studies regarding the collaborative health management of people with congestive heart failure. The common result is that the collaborative health management model enables the enhancement of self‐care and monitoring abilities, the strengthening of cardiac function, the alleviation of physiological and psychological symptoms and the improvement of readmission rates, mortality rate and quality of life. Conclusion: The congestive heart failure collaborative health management model could decrease the hospitalization rate related to congestive heart failure, all‐cause mortality rate, and all‐cause hospitalization rate, and improve the quality of life. Implications for Practice: The collaborative health management model could effectively coordinate interdisciplinary team cooperation and provide information, which decreases hospitalization and mortality risks and improves their quality of life. No patient or Public Contribution: Our paper is a systematic review and meta‐analysis, and such details do not apply to our work. What does this paper contribute to the wider global clinical community?: The Collaborative Health Management Model provides in‐depth insights, aiding in the design tailored to the specific circumstances of each country. Highlighting its critical role in the context of a global shortage of nursing staff, the model emphasizes the integration of multidisciplinary professional roles and the strengthening of collaboration as essential elements in addressing challenges posed by workforce shortages.Implementation of the Collaborative Health Management Model not only enhances patient care outcomes but also relieves pressure on healthcare systems, lowers medical costs, and addresses challenges arising from the shortage of nursing staff. Consequently, this model not only contributes to individual patient care improvement but also holds broader implications for enhancing the efficiency and sustainability of global healthcare systems. Trial and Protocol Registration: The detailed study protocol can be found on the PROSPERO website. [ABSTRACT FROM AUTHOR]

Aims: The aims of the study were to gain insight in the transfer process from hospital to homecare or rehabilitation centre from a patient's perspectives and to describe the experienced involvement, information provision and information needs patients. Design: A multiple case study with a phenomenological approach. Methods: Observations and interviews were employed, between May 2019 and August 2019, to capture the patient's perspectives and experiences on involvement, information provision and needs. Observations were executed during the discharge process from hospital to homecare (n = 6) or revalidation centre (n = 1) and during admission interviews with community nurses (n = 6). Interviews were conducted at the patient's home and the revalidation centre. Results: Eight themes were identified within three phases of the transfer process. The Sign‐up phase contained two themes: 'organizing follow‐up care' and 'planning the moment of discharge from the hospital'. The two themes in the Transfer phase were, 'verbal information provision' and 'written information provision'. Four themes were identified in the End phase: 'nursing supplies', 'medication', 'the electronic patient portal' and 'continuation of (para)medical care'. Conclusions: Patient participation in the transition process from the hospital to follow‐up care can be improved. This study indicates that unsafe situations could be prevented by patient involvement and clear perceptions of the role and responsibilities of patients, family and healthcare professionals. Implications to Patient Care: Patient and family involvement has the potential to improve transition of care and techniques for shared decision‐making can be applied to a greater extent. Impact: This paper highlights that patients and families should be acknowledged as key figures in the transfer process and gives direction to healthcare professionals on how to increase involvement in the transfer process by actively inviting patients to participate in the transfer process. Reporting Method: COREQ guidelines for qualitative reporting. No patient or public contribution. Contribution to Global Clinical Community: This paper gives insights in patients' and families' perspectives on transition of nursing care and their involvement during the whole transfer process.This paper gives direction how to improve patient participation during the discharge process from hospital to follow‐up care. [ABSTRACT FROM AUTHOR]

Aim: To synthesize research investigating suicide, suicide attempts, self‐harm and suicide ideation in nursing and midwifery students, a group of interest due to high rates of suicide among qualified nurses. Specific areas of interest for this review included prevalence, factors which may contribute to or mitigate risk and suicide prevention interventions. Design: A systematic review was conducted, and Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) guidelines were followed. Data Sources: Three electronic databases were searched, and additional articles identified using hand‐searching. Studies were included if they examined suicide, suicide attempts, self‐harm or suicide ideation in nursing or midwifery students. Review Methods: Studies were deduplicated and assessed for inclusion. Data from included studies were extracted, quality of studies assessed and data synthesized, informed by study focus, design and assessed quality. Results: About 46 studies of largely moderate to low quality were identified. A high‐quality study demonstrated increased risk of suicide in Swedish female nursing students, and increased risk of self‐harm in nursing students of both sexes. Prevalence of suicide ideation did not appear to differ across course year, or between nursing students and students on other programmes. Psychiatric conditions, particularly depression, were associated with suicide ideation. Three studies related to suicide prevention interventions were identified. Integration of wellness initiatives into the curriculum and peer support were preferred interventions among nursing students and teaching staff. Conclusions: To understand the extent of suicide and self‐harm among nursing and midwifery students there is a need for further epidemiological research stratified by programme of study. To develop prevention interventions and initiatives for nursing students, high‐quality longitudinal studies should examine characteristics associated with suicide and self‐harm. Impact: Current findings suggest interventions could include support for students experiencing mental health difficulties, foster peer support, and help develop wellness. No patient or public contribution. [ABSTRACT FROM AUTHOR]

Predominantly Western-based biomedical models of successful aging have been used to research, understand, and explain successful aging among diverse populations. With an increasingly heterogeneous older adult population nationwide, scholars have been exploring Indigenous understandings of successful aging. To add to the accumulation of knowledge of diverse Alaska Native populations, this study involved semi-structured qualitative interviews with 20 Unangan Elders from the Aleutian and Pribilof Islands. This community-based participatory research study explores the aging experiences and conceptualization of successful aging of these Elders from this remote and culturally distinct region of Alaska. Thematic analysis was employed to identify themes related to successful aging within this specific region, which supported our previous four themes, or characteristics, of Alaska Native successful aging: physical health, social support and emotional well-being, generativity as a traditional way of life, and community engagement and Inidgenous cultural generativity. Each of these themes or characteristics of Eldership is intertwined and together support successful aging within two remote communities in the Bering Sea. The findings of this study illuminate how Alaska Native Elders can live in geographically diverse regions of the State, yet the values and teachings they possess on successful aging possess the same cultural values and teachings. This study highlighted two new emerging constructs that influence Alaska Native Elders' successful aging based on geographical location. Findings contribute to the thematic saturation of the four main successful aging domains while outlining the importance of future research to conduct deeper investigations into the role of environment and history on Elders' perceptions and understanding of aging. [ABSTRACT FROM AUTHOR]

Colorectal cancer (CRC) is the fourth most common cancer among U.S. men and women and the second deadliest. Effective screening modalities can either prevent CRC or find it earlier, but fewer than two thirds of U.S. adults are adherent to CRC screening guidelines. We tested whether people who defensively avoid CRC information have lower adherence to CRC screening recommendations and weaker intentions for being screened and whether CRC information avoidance adds predictive ability beyond known determinants of screening. Participants, aged 45–75 years, completed a survey about known structural determinants of CRC screening (healthcare coverage, healthcare use, provider recommendation), CRC information avoidance tendencies, and screening behavior (n = 887) and intentions (n = 425). Models were tested with multivariable regression and structural equation modeling (SEM). To the extent that participants avoided CRC information, they had lower odds of being adherent to CRC screening guidelines (OR = 0.55) and if non-adherent, less likely to intend to be screened (b=-0.50). In the SEM model, avoidance was negatively associated with each known structural determinant of screening and with lower screening adherence (ps < 0.01). Fit was significantly worse for nested SEM models when avoidance was not included, (i.e., the paths to avoidance were fixed to zero). Information avoidance was associated with screening behavior and other known structural determinants of screening adherence, potentially compounding its influence. Novel strategies are needed to reach avoiders, including health communication messaging that disrupts avoidance and interventions external to the healthcare system, with which avoiders are less engaged. [ABSTRACT FROM AUTHOR]

Due to their special nature, the economic-social rights (ESRs) – compared to civil-political rights (CPRs) – entail distinct legislative methodology. This is still a nascent area of knowledge globally. ESRs are increasingly pivotal in the trending populist governments. Also, there is growing practical clarity on the paradigm of indivisibility and interdependence of ESRs and CPRs. However, unlike CPRs, the ESRs continue to be seen as resource-contingent, and therefore not amenable to legislative regulation but to 'progressive realization' through policies. This article foremost contests that, and instead asserts that ESRs too are legalisable and even justiciable, though differently from CPRs. It illustrates this from a lapsed national health bill of the Indian government, drafted and steered by the author. The matrix comprising the right to health and an Indian legislative initiative is used: the right to health as a particularly complex ESR; and India as a representative democracy with rising influence of privatisation and a declining legislature. Secondly, this experience demonstrates that ESRs need alternative concepts, techniques and practices of legislating. The unfolding nature of ESRs and their deep political-economic entrenchment require nimble and intricate negotiations among competing stakeholders. This makes the ESR laws evolving non-linear processes more than finished end-products. Also, process heaviness makes their legislation necessarily complicated and slow. Thirdly, the case study shows, legislating on ESRs invokes a qualitatively different understanding of democracy. Since ESRs essentially involve multiple interest groups and the larger regulatory framework comprising both the legislature and the executive, they implicate innate democratic values. In the contemporary de-democratisation context, their long-drawn legislative process – even a disingenuous one, initiated only for legitimacy – could counter-intuitively bolster deliberative democracy. For all three reasons, the process itself – besides the enacted law, the product – deserves recognition as an underexamined critical success-indicator of legislative methodology, especially for ESRs. [ABSTRACT FROM AUTHOR]

Community health workers are responsible for finding, processing, and transferring health information to communities with limited access to health‐related resources, including farmworkers. This paper is the culmination of an undergraduate student research project to explore the learning processes and preferences of farmworker‐serving community health workers in the USA. The project was designed for students from farmworker or agricultural backgrounds at two North Carolina universities and was supported by a North Carolina Department of Health and Human Services workforce development grant. Semi‐structured interviews were conducted, in person and virtually, with a convenience sample of 17 current and former community health workers. The interview data were analysed thematically and identified a preference for a combination of learning styles, with visual and hands‐on learning being the most preferred. Community health workers also identified the importance of learning preferences in relation to their responsibilities as health educators. This study provides librarians, along with public health and medical professionals, with useful information about learning preferences to inform the creation of new and varied learning materials for community health workers. [ABSTRACT FROM AUTHOR]

Background: Medication discontinuation studies explore the outcomes of stopping a medication compared to continuing it. Comprehensively identifying medication discontinuation articles in bibliographic databases remains challenging due to variability in terminology. Objectives: To develop and validate search filters to retrieve medication discontinuation articles in Medline and Embase. Methods: We identified medication discontinuation articles in a convenience sample of systematic reviews. We used primary articles to create two reference sets for Medline and Embase, respectively. The reference sets were equally divided by randomization in development sets and validation sets. Terms relevant for discontinuation were identified by term frequency analysis in development sets and combined to develop two search filters that maximized relative recalls. The filters were validated against validation sets. Relative recalls were calculated with their 95% confidences intervals (95% CI). Results: We included 316 articles for Medline and 407 articles for Embase, from 15 systematic reviews. The Medline optimized search filter combined 7 terms. The Embase optimized search filter combined 8 terms. The relative recalls were respectively 92% (95% CI: 87–96) and 91% (95% CI: 86–94). Conclusions: We developed two search filters for retrieving medication discontinuation articles in Medline and Embase. Further research is needed to estimate precision and specificity of the filters. [ABSTRACT FROM AUTHOR]

Nietzsche offers us an account of how different drives interact with one another; it is rich but also appears to risk the homunculus fallacy. Competing attempts to deflect this charge on his behalf share an implicit consensus about the 'epistemic ends' of the account: they assume Nietzsche is trying to provide true explanations of psychological phenomena. I argue against this consensus. I claim that Nietzsche's characterisations of drive interaction are to be taken as fictive and are not intended to have explanatory value. They nevertheless facilitate genuine epistemic achievement. Drawing on Catherine Elgin's account of the epistemic role of idealised models in science, I argue that Nietzsche's account of drive interaction is a 'model of the mind' that, despite relying on falsehoods, can exemplify features of our psychology that aid us in making novel predictions. We then see that Nietzsche neatly sidesteps the homunculus fallacy; we can further understand more fully what Nietzsche hopes his drive psychology will teach us. We can now resolve, for example, outstanding interpretative puzzles about the relationship between psychic integration and Nietzsche's distinctive notion of spiritual health. [ABSTRACT FROM AUTHOR]

Understanding poverty and related social determinants is an important component of health profession training so that students understand how to care for under-resourced communities. This study assessed the impact of poverty simulations on students' self-efficacy to practice in vulnerable communities. We used a retrospective study to evaluate the influence of a poverty simulation students' knowledge, skills, and intent to serve in under resourced communities. Data analysis (n = 650) demonstrated significant improvements around care team collaboration and how a patient's background impacts their overall health care. The project identified an effective strategy to help students build self-efficacy to practice in under-resourced communities. [ABSTRACT FROM AUTHOR]

The notion of the achievement society and the achievement generation has, in recent years, become an influential way of explaining the increase in mental health and psychosomatic complaints among Scandinavian youth. However, the theories produced about the social pathologies of twenty-first-century teenage life have been less inclined to empirically investigate the relevance of achievement among contemporary youth. We conducted focus groups and individual interviews with 80 early adolescents from four socioeconomically and geographically distinct schools in Denmark. Our results indicate that the notion of an achievement society and an achievement generation is more present and internalised among adolescents, particularly girls, in the schools located in resourceful areas. Adolescents, and in particular boys, in the schools located within less resourceful areas expressed fewer achievement demands across a number of areas and felt their social status among peers was less intertwined with their ability to perform simultaneously in school, sports, social media, etc. Based on our findings, we conclude that further studies of achievement demands among present-day youth should show more sensitivity towards class, gender and other social categories, in order to reflect on how young people's standards of self-conduct, and the influence of broader societal imperatives, are intersectionally structured. [ABSTRACT FROM AUTHOR]

The purpose of the authors was to develop a valid and reliable measurement tool for assessing the status of privacy protection. This study was conducted methodologically. This scale was tested with 500 healthcare professionals who were employed in nine provinces in Turkey. The obtained data were used to test the scale's validity and reliability. In the level of awareness section, the variance explained 47.13% of the total variance. In the frequency of application section, the variance explained 49.12% of the total variance. The internal consistency coefficient of the scale was calculated as the level of awareness 0.95 and frequency of application sections 0.96. The time invariance of the scale indicated its high reliability, and the concurrent -application validity was determined to be supported. This study prepared measurement tool of 5-point Likert-type consisting of two sections, two sub-scales, and 30 items was developed. [ABSTRACT FROM AUTHOR]

Interprofessional education is a key component of preparing health professional students to become collaborative practice-ready graduates. In the design and delivery of activities, educators seek ways to enhance student participation and learning with the goal of developing students' collaborative practice capabilities. Traditionally, learning formats have largely maintained a clinical focus to enable students to learn with, from and about each other's roles as health professionals. In recent years, escape rooms have emerged as an innovative teaching approach within interprofessional education. Utilising gamification, escape rooms require students to work collaboratively, employing teamwork, communication, conflict resolution and problem-solving skills to 'escape' a set scenario. This article explores our experience of using escape rooms as an interprofessional education strategy. Additionally, we report on trialling a non-clinical focus within the activity as an alternative means of educating students for collaborative practice. [ABSTRACT FROM AUTHOR]

The health, social, and economic uncertainties that accompany crisis events make them fertile ground for racism, as observed on a global scale during the COVID-19 pandemic, with evidence of significant social and health consequences for those targeted. In this article, we present the findings of a reflexive, interpretive thematic analysis of semi-structured interviews with 10 service providers and community leaders who have supported multicultural communities during the pandemic in Melbourne, Australia. Interviewees discussed numerous social and health equity consequences of pandemic-related racism and offered best-practice recommendations for policy, research, and advocacy. Drawing on Systemic Racism Theory, our analysis reveals significant social and health implications of racism in Melbourne during COVID-19, lending further support to the concept of racism as both a social determinant of health and a key driver of social inequity. Participants advocated collaborative, community-led antiracism and advocacy approaches that centre the knowledge and expertise of people with lived experience of racism. These recommendations are discussed with consideration of contemporary challenges in research, policy, and practice efforts to address the ongoing health and social equity issues facing multicultural communities in times of crisis. [ABSTRACT FROM AUTHOR]

This commentary explores historical efforts to diagnose the present and project the future through the specific example of medical manpower planning. To situate this, it draws on work within and across geography exploring the concept of anticipation and considers the discipline's failure to adequately engage with healthcare workers, despite the vibrancy of health geography as a subdiscipline. As it explores, ensuring adequate numbers of staff in a healthcare system has been an issue for as long as there have been healthcare systems. Planning for healthcare system needs is thus a particularly fraught form of anticipation that seeks to project future needs from a contested and often incalculable present as a basis for political decision‐making and resource allocation. As this commentary explores, it is a problem that is global in scope, historically deep and thus rich in analytical possibility. [ABSTRACT FROM AUTHOR]

Aims: The aim of the study was to examine perceived stress as a mediator of the association between weight‐related discrimination and physical and psychological well‐being among persons with type 2 diabetes (T2D). Methods: Data were obtained from 5104 persons with self‐reported T2D participating in the All of Us research programme in the United States. The Everyday Discrimination Scale, Cohen's Perceived Stress Scale (PSS) and PROMIS Global Health Scale were used to measure weight‐related discrimination, perceived stress and health outcomes (physical and psychological), respectively. Mediation effects of PSS were tested by bootstrapping with 5000 random samples. Results: Participants were, on average, 63.62 (SD 11.38) years old. Majority of them were female (55.53%), non‐Hispanic White (72.61%), married or living with a partner (56.92%), had a household income of <$35,000 (31.99%) and had some college education (33.54%). We found that approximately 18% of study participants reported having experienced weight‐related discrimination. We also found that weight‐related discrimination was independently associated with poor physical and psychological well‐being. These associations were partially mediated by perceived stress such that weight‐related discrimination was associated with greater perceived stress, which was in turn associated with poorer physical and psychological well‐being. Conclusions: Given that weight‐related discrimination is associated with poor outcomes through elevated stress, interventions that target stress may disrupt this pathway thereby helping to reduce the health impact of weight‐related discrimination. This assertion should, however, be tested in future studies. [ABSTRACT FROM AUTHOR]

The article offers news briefs related to diabetic medicine. Climate change poses challenges for people with diabetes, affecting their health and access to care. Teplizumab and baricitinib show potential in delaying the progression of type 1 diabetes. Quitting smoking reduces the risk of type 2 diabetes and improves management and outcomes.

We developed the Counsellor Personal Wellness and Professional Wellbeing (CPW) assessment based on the integration of the Well-Being theory and the Indivisible Self Model of Wellness (IS-WEL). Our participants included 326 counsellors, counsellor educators, and counsellors-in-training in the United States. The participants primarily identified as White (77%), women (80%), and with a doctoral degree (42%). Based on our results, the CPW can be used as a self-assessment or an administered assessment among counselling professionals and clinical supervisors. We provide a rationale for developing the C-PW and the instrument development and validation procedure. Implications for counselling professionals and researchers are included. [ABSTRACT FROM AUTHOR]

The physical and societal characteristics of home have been established as important in influencing the health and wellbeing of older adults, yet these have rarely been explored together. There is also limited research into variation across age groups, with older adults often examined as a homogenous group of those 65 years and over. This study advances the knowledge base by using the concept of person–environment (P-E) fit to analyse differences in personal and home environment (physical and societal) characteristics between young-old (65–74 years) and old-old (75 and above) age groups, and to assess how these characteristics influence their self-perceived health. This cross-sectional study draws upon survey data from 1,999 older adult participants from the Australian Housing Conditions Dataset. Descriptive statistics and inferential analysis were used to assess for significant differences between age groups and a binomial logistic regression was utilised to examine influences on health. The analysis found that the factors which influence health varies appreciably between age groups. For the young-old financial strain, being on the fixed-income pension and hypertension were important contributing factors, in contrast for the old-old gender (being male), having depression and the home being modified for disability were key influences. For both age groups heart disease was a contributing factor to perceived health. The results indicate the important contribution to knowledge of incorporating a wide range of person and environment characteristics when exploring P-E fit for older adults. The inclusion of societal aspects, such as financial strain, fixed-income pension, tenure and access to community aged care services when exploring influences on health, arises as a key conclusion of the study. In terms of impact, this research is significant given rising inequalities globally and specifically in the Australian context, the need for policy measures to address income inequality, and its health and social implications for older households. [ABSTRACT FROM AUTHOR]