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Taiwan is surrounded by seas and the residents take the advantage of its favorable geographical position to acquire fish resources. Fish are high in omega-3 polyunsaturated fatty acids. However, nearly all fish contain traces of mercury (Hg). This study carries out probabilistic approach to quantify the benefit-risk analysis for foods (BROFO) of omega-3 polyunsaturated fatty acid and methylmercury (MeHg) for the people who eat the Hg-contaminated fish in Taiwan. The fish assessed were farmed fishes including barramundi, catfish, cobia, etc.; and capture fisheries including anglerfish, blue mackerel, butterfish, etc. The models implemented include the desirable dose index (DI) to account the health benefits, hazard quotient (HQ) to account the developmental neuropsychological impairment effect, and disability adjusted life years (DALY) model to assess the number of years lost by incidence of intelligence quotient (IQ) for infants and coronary heart disease (CHD) or Stroke for adult. The results of this study suggest that to maintain the current levels of intake for cod and scad. Based on the benefits from eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), an increase in the intake of saury and salmon is recommended.

Objectives The aim was to assess the effects of a parental sex education program on knowledge, attitudes, self-efficacy, and practices among immigrant parents. Methods A cluster randomized trial was conducted at immigrant activity centers in northern Taiwan. Recruited participants were randomly assigned to an experimental (four centers, n = 86) or control (four centers, n = 67) group. A practical booklet and a booster session were delivered. In total, 132 participants’ knowledge, attitudes, self-efficacy, and practice of parenting sexual education were examined at the baseline and 6 weeks after the intervention. Results After controlling for possible confounders, the posttest scores of self-efficacy of the experimental group were higher than those of the control group. The Johnson-Neyman procedure indicated that the intervention was effective for participants who had pretest knowledge, attitude, and practice scores of Conclusions An intervention with both practical booklet and booster session can improve knowledge, attitudes, self-efficacy and practices of parental sex education among immigrant parents. Practice implications In addition to practical booklets, health care professionals should provide booster sessions that meet the needs of immigrant parents to prevent sexual problems among children and adolescents at an early age.

The aim of this study was to explore predictors of nurses' willingness to handle abuse of older people.Abuse of older people is a long-discussed healthcare issue worldwide. Although nurses are considered capable of identifying and reporting cases of abuse of older people, no study has been conducted in Taiwan on nurses' willingness to handle abuse of older people.A cross-sectional design was used.The study was conducted from May to June 2019. A convenience sampling was adopted to survey 555 nurses from a medical center in Taiwan. Data were collected using the Knowledge of Abuse of Older People Scale, Attitudes Towards Older People Scale, Attitudes Towards Handling Abuse of Older People Scale, Willingness to Handle Abuse of Older People Scale, and personal characteristics. Pearson correlation coefficient analysis, independent sample t-test, one-way analysis of variance, and multiple linear regression were performed.Participants scored an average of 2.98 out of 4 on the Willingness to Handle Abuse of Older People Scale, indicating that they were inclined to do so. Attitudes towards older people, knowledge, attitudes towards handling abuse of older people, awareness of the hospital's reporting procedure and dissemination of information related to abuse of older people, sex, age, and clinical work experience explained 41.4% of the variance of willingness. Participants' attitudes toward handling abuse of older people was the most important predictor of their willingness to do so.To improve nurses' willingness to handle cases of abuse of older people, particularly that of male nurses, hospital authorities should provide in-service training and education and disseminate information on the subject matter. Nursing schools should prioritize offering gerontological nursing courses to foster nursing students' positive attitudes toward older adults and handling abuse of older people.Nurses' attitudes toward handling abuse of older people were the most important predictor of their willingness to handle abuse of older people.

Summary Aims Brisk walking may be a measure for reducing impacts of chronic diseases in middle-aged and older people. Understanding the perceptions of regular brisk walkers would be valuable for healthcare providers endeavoring to cultivate and promote regular brisk walking in middle-aged and older people. Therefore, the aim of this study was to explore and understand perceptions of regular brisk walking by middle-aged and older persons. Methods A qualitative method was employed in this study. Both purposive and snowball sampling techniques were applied to recruit middle-aged and older persons who have experience doing regular brisk walking in the community. Six focus groups were conducted with a total of 48 people aged 48–81 years in April and May 2011. An interview guide with five open-ended questions was used in the focus groups. Data were analyzed using a content analysis. Results Five themes were identified from the data: (a) health promotion and maintenance; (b) relationship building and social interactions; (c) leaders' enthusiasm and peer pressure; (d) the nature of brisk walking; and (e) becoming part of one's daily life. Conclusions Middle-aged and older persons thought that regular brisk walking could promote and maintain their health and was a good way to have social contact with others. Enthusiastic community leaders and pressure from peers encouraged them to continue exercising, and eventually, it became part of their lives. The results provide information to healthcare professionals, community leaders, and policy-makers for developing appropriate brisk walking programs in the future for middle-aged and older persons in the community.