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Objective: To explore the related factors of non-suicidal self-injury behaviors among sexual and gender minorities. Methods: The database of CNKI, CBM, PubMed, Web of Science, Embase, PsycINFO and CINAHLwere retrieved. Software RevMan 5.3 was applied to perform Meta-analysis. Results: A total of 10 articles were included, with a total of 18 520 subjects. Seven factors were included in the meta-analysis. Among them, attempted suicide, depression, general victimization and victimization because of sexual and gender minority were riskfactors for non-suicidal self-injury behaviors among sexual and gender minorities (OR = 6. 50, 3. 67, 1. 50, 1.48). Care of non-parent adult, parental contact and safe campus environment were protective factors for non-suicidal self-injury behaviors among sexual and gender minorities (OR = 0.91, 0.87, 0.75). Conclusion: Sexual and gender minorities who are attempted suicide, with depression, with general victimization and with victimization because of sexual and gender minority identity are more likely to bring about non-suicidal self-injury, and care of nonparent adult, parental contact and safe campus environment can reduce non-suicidal self-injury behaviors among sexual and gender minorities. [ABSTRACT FROM AUTHOR]

The aim of this study is to understand the family history of people pathologically engaging in gambling in rural Greece along with the factors and effects (suicidal thoughts/attempts) related thereto, according to participants' perspective. Qualitative in nature, the study was based on 32 semi-structured interviews carried out with adults who attended a Treatment Facility for pathological gambling in Heraklion Crete, in Greece. A past family history of excessive gambling was reported by most of the participants, while in many cases were reported a family history of alcohol misuse. Participants perceived self-characteristics, losses/traumatic experiences, paternal and nuclear family characteristics, work-related problems, peers who also gamble and upbringing practices influenced by culture as principal pathological gambling factors. Participants also reported that pathological gambling has various effects on one's psychological mood, behavior, and relationship patterns with self and others. Most participants also reported having suicidal thoughts, whereas a few of them mentioned at least one suicide attempt. The study concludes that pathological gambling in the current population is associated with a past family history of excessive gambling or alcohol misuse. Multiple factors also seem to contribute to its manifestation and to such adverse effects, such as suicidal thoughts and attempts. [ABSTRACT FROM AUTHOR]

Depression and suicidal ideation often co-occur in children and adolescents, yet they possess distinct characteristics. This study sought to identify the different related factors associated with depression and suicidal ideation. A nationwide cross-sectional survey collected data from Chinese children and adolescents aged 8 to 18 (N = 160,962; 48.91 % girls). The survey included inquiries about demographics, depression, suicidal ideation, anxiety, perceived stress, academic burnout, internet addiction, non-suicidal self-injury, bullying, and being bullied. Fifteen machine learning algorithms were conducted to identify the different related factors associated with depression and suicidal ideation. Additionally, we conducted external validation on an independent sample of 1,812,889 children and adolescents. Our findings revealed seven related factors linked to depression and six associated with suicidal ideation, with average accuracy rates of 86.86 % and 85.82 %, respectively. For depression, the most influential factors were anxiety, perceived stress, academic burnout, internet addiction, non-suicidal self-injury, experience of bullying, and age. Similarly, anxiety, non-suicidal self-injury, perceived stress, internet addiction, academic burnout, and age emerged as paramount factors for suicidal ideation. Moreover, these related factors showed notable variations in their predictive capacities for depression and suicidal ideation across different subgroups. Anxiety emerged as the predominant shared factor for both depression and suicidal ideation, whereas the other related factors displayed distinct predictive patterns for each condition. These findings highlight the critical need for tailored strategies from public mental health service providers and policymakers to address the pressing concerns of depression and suicidal ideation. • The internal validation sample included 160,962 youths and the external validation sample comprised 1,812,889 youths. • Fifteen algorithms were used to predict depression and suicidal ideation. • Anxiety was the predominant shared factor for both depression and suicidal ideation. • Other related factors were differently associated with depression and suicidal ideation. • Related factors exhibited notable variations in their predictive capacities for predicting depression and suicidal ideation across different subgroups. [ABSTRACT FROM AUTHOR]

Introduction: Limited studies report anxiety and depression prevalence and their correlations with prognosis in acute myeloid leukemia (AML). Even worse, their risk factors for AML remained unclear. This study aimed to investigate the prevalence, risk factors, and prognostic value of anxiety and depression in AML patients. Methods: Totally, 132 de novo AML patients, 60 non-malignant hematological disease patients (as disease controls), and 60 healthy controls were enrolled. Anxiety and depression status were evaluated by the Hospital Anxiety and Depression Scale (HADS) in all participants. Results: HADS-anxiety score (8.2 ± 3.2 vs. 6.1 ± 2.9 vs. 4.7 ± 2.8), anxiety rate (48.5% vs. 25.0% vs. 10.0%), HADS-depression score (7.8 ± 3.0 vs. 5.8 ± 3.0 vs. 4.0 ± 2.8), and depression rate (43.2% vs. 23.3% vs. 8.3%) were highest in AML patients, followed by disease controls, and the lowest in healthy controls (all p < 0.001). Multivariate logistic regression analysis identified that factors independently associated with anxiety included male (p = 0.002, odds ratio [OR] = 0.240), smoking (p = 0.043, OR = 2.474), education duration (p = 0.024, OR = 0.889), and NCCN high-risk stratification (p = 0.008, OR = 2.347), while those independently associated with depression were age (p = 0.005, OR = 1.055), single/divorced/widowed status (p = 0.014, OR = 3.149), NCCN high-risk stratification (p = 0.002, OR = 3.077), and white blood cell (WBC) (p < 0.001, OR = 1.062). Additionally, depression was correlated with shorter accumulating event-free survival (p = 0.012) and overall survival (p = 0.041) in AML patients, whereas anxiety was not. Conclusions: Anxiety and depression are prevalent, among which depression is associated with poor survival profile, but anxiety is not; moreover, age, male, education, single/divorced/widowed status, smoking, NCCN high-risk stratification, and WBC were independent related factors of anxiety and depression in AML patients. [ABSTRACT FROM AUTHOR]

Objective To understand the psychological resilience of HIV-infected pregnant women in Guangdong Province and its related factors, and to explore the moderating effect of domestic violence, providing a reference for improving the psychological resilience of HIV-infected pregnant women. Methods An electronic questionnaire was used to collect data in 2021 on the sociodemographic characteristics, HIV infection and treatment status, awareness of personal rights, HIV stigma, discrimination in medical settings, spouse/sexual partner HIV infection status, social and domestic support, domestic violence, and psychological resilience of newly reported HIV-infected pregnant women across various cities in Guangdong Province. Multivariate logistic regression was employed to analyze the factors related to the psychological resilience of HIV-infected pregnant women, and a stratified regression model was further used to explore the moderating effect of domestic violence. Results Among 360 HIV-infected pregnant women, 38.33% (138/360) exhibited low psychological resilience. The results of the multivariate logistic regression indicated that those aware of their rights and able to file complaints when their rights were not protected (aOR=2.52, 95%CI: 1.48-4.34) demonstrated higher levels of psychological resilience, while those who had experienced domestic violence due to their HIV status (aOR=0.41, 95%CI: 0.17-0.95) and those with high levels of HIV stigma (aOR=0.20, 95%CI: 0.12-0.32) showed lower levels of psychological resilience. A moderating effect of domestic violence was found between HIV stigma and psychological resilience (β=-2.803, P=0.001); compared to participants who did not experience domestic violence (β=-1.324, P<0.001), those who did experience domestic violence exhibited significantly lower psychological resilience in relation to HIV stigma (β=-4.127, P<0.001). Conclusion Psychological resilience among HIV-infected pregnant women in Guangdong Province is relatively low. It is essential to implement domestic violence prevention and psychological intervention efforts to enhance the psychological resilience of HIV-infected pregnant women. [ABSTRACT FROM AUTHOR]

Resettlement offers a "safe solution" for people who have experienced displacement. Nevertheless, refugees face additional challenges once resettled, including the erosion of their social fabric and the disruption of refugee communities. Therefore, social connections are crucial in resettlement. So far, the literature on social connections has focused on their functions (e.g., social support) and neglected this concept to the detriment of its meaning and related factors, so an in-depth exploration of social connections is necessary, especially in the problematic context of resettlement. To this end, 41 articles published between 2011 and 2022 and conducted with refugees and asylum seekers in resettlement contexts, were identified through searches in MEDLINE, Scopus, Google Scholar, and PsycINFO. The aim of this scoping review is to identify potentially broad literature on social connections in resettlement to provide an understanding of how refugees engage in social connections during this process. Four main social connections in the resettlement context emerged: (a) connections within the immediate community, (b) transnational connections, (c) connections with the mainstream community, and (d) connections with services. The results confirm the need to better explore how social connections impact refugees' experiences in resettlement and to grasp their political meaning in resettlement contexts. [ABSTRACT FROM AUTHOR]

Abstract To explore the clinical characteristics of patients infected with SARS-CoV-2 nationwide, especially the effect factors of asymptomatic infection and disappearance of clinical symptoms. A total of 66,448 COVID-19 patients in China who have been diagnosed by nucleic acid test or rapid antigen test were surveyed online (December 24, 2022 to January 16, 2023). Our cross-sectional study used descriptive analyses and binary Logistics regression model to assess the correlation between the clinical characteristics and relative factors, including age, gender, pre-existing conditions, reinfection, vaccination and treatment. A total of 64,515 valid questionnaires were collected. Among included participants, 5969 of which were asymptomatic. The symptoms were mainly upper respiratory symptoms, including dry and itchy throat (64.16%), sore throat (59.95%), hoarseness (57.90%), nasal congestion (53.39%). In binary Logistics regression model, we found that male, no pre-existing conditions, reinfection and vaccination have positive correlations with the appearance of asymptomatic COVID-19 patients. In Cox proportional-hazards regression model, considering all clinical symptoms disappeared in 14 days as outcome, we found that ≤ 60 years old, male, no pre-existing conditions, vaccination and adopted treatment have positive correlations with rapid amelioration of clinical symptoms in COVID-19 patients. The clinical symptoms of the participants were mainly upper respiratory symptoms which were according with the infection of Omicron variant. Factors including age, gender, pre-existing conditions and reinfection could influence the clinical characteristics and prognosis of COVID-19 patients. Importantly, vaccination has positive significance for the prevention and treatment of COVID-19. Lastly, the use of Chinese medicine maybe beneficial to COVID-19 patients, however, reasonable guidance is necessary.

Abstract Objective Although health literacy (HL) has emerged as a critical public health concern, research on HL in emergency management departments is limited. This study aimed to investigate the awareness of HL and associated factors among firefighters of emergency management departments in southwest China to provide a basis for carrying out targeted health education. Methods A cross-sectional convenience sample of 1,742 firefighters from an emergency management department in southwestern China was surveyed from February to April 2023 using the Chinese Citizen’s Health Literacy Questionnaire (2019 version). The chi-square test, linear trend chi-square test, Fisher’s test, rank sum test, and multifactorial logistic regression model were used to identify influential factors associated with HL. Results The HL level of the 1742 respondents was 34.3%. Age, ethnicity, education level, length of service, type of job, smoking status, types of parental jobs, annual household income, time of daily internet use, etc. (P

This study aimed to determine sexual dysfunction (SD) and erectile disorder (ED) prevalence and analyze risk factors in older men of infertile couples. The study was a cross-sectional descriptive study conducted on male partners in infertile couples who were aged between 40–60 years. The study took place at the Hue Center for Reproductive Endocrinology and Infertility, Hue University Hospital, Viet Nam from January 2022 to August 2023. All participants were examinated and were privately asked to answer the International Index of Erectile Function (IIEF)-15 questionaires vietnamese-language version to diagnose sexual dysfunction and erectile disorder. The study sample consisted of 81 qualified men. The prevalence of SD was 51.9% (N = 42), of which the rate of ED accounted for 46.9% (N = 38). Among the 42 cases of SD, 37 were mild cases (45.8%), 1 was moderate (1.2%) and 4 were severe (4.9%). In all five sexual domains, it was found that the severity of SD was associated with lower scores (p < 0.001). Cardiovascular disease (CVD) was associated with severity of SD (p = 0.044). The decrease in scores of sexual desire and satisfaction could significantly affect sperm vitality and DNA fragmentation index. Age, number of living children and economic income were statistically correlated to SD domains (p < 0.05). Sexual dysfunction is a comprehensive disorder that affects each of the four phases of the sexual response cycle in older infertile men. It is a common disorder that could affect semen quality, leading to total sexual dysfunction and erectile disorder. Factors such as age, term births history, number of living children, geography and economic income are demography-sociology risk factors. Additionally, CVD with vascular endothelial damage mechanism has a statistically significant relationship with the severity of sexual dysfunction.

Abstract Background Intimate partner violence (IPV) is the most common form of violence against women. Postpartum IPV refers to any type of IPV that occurs up to one year after childbirth and has many adverse impacts on mothers and their children. Considering the lack of sufficient information on the prevalence and factors related to IPV after childbirth in Iran, this study aimed to evaluate the frequency and severity of IPV, its different forms, and psychosocial factors related to IPV, as well as to explore how IPV is perceived among mothers one year after childbirth. Methods An explanatory sequential mixed-methods design was used to conduct this study in two phases. The first phase is a cross-sectional study that will be performed on postpartum mothers who have a one-year-old child referred to health care centers in the southern region of Tehran, Iran, with the aim of determining the prevalence of IPV and its related factors. The second phase is a qualitative conventional content analysis study with the purpose of exploring women’s experiences and perceptions of IPV and its preventive or protective factors. Purposive sampling will be used. Based on the results of the quantitative phase, mothers who are at the two ends of the IPV spectrum (based on their total Conflict Tactics Scale (CTS-2) scores) will be selected, and in-depth and semistructured interviews will be conducted with them. Finally, the researchers will provide an interpretation of the quantitative results using qualitative data. Discussion This is the first study that uses a mixed methods approach to explain different dimensions of IPV, its related factors, and mothers' perceptions of it. By providing a better understanding of this phenomenon, it is hoped that the results of this research will be used by policymakers and officials of educational and cultural systems to plan and provide effective interventions, enact laws, and present educational and cultural programs to prevent IPV after childbirth. Ethical code IR.TUMS.FNM.REC1400.200.

Objective To investigate the cognition, vaccination intention and related factors of parents of middle school students on human papillomavirus (HPV) and its vaccine in Yuzhong District, Chongqing, and to provide scientific basis for the promotion and application of HPV vaccine. Methods Parents of students in eight middle schools in Yuzhong District, Chongqing were surveyed by questionnaire through convenient sampling from February to March 2022 to understand their cognition of HPV and its vaccine, vaccination intention and related factors. A total of 1 918 questionnaires were sent out, and 1 898 were effectively collected, with an effective recovery rate of 98. 76%. Results Among the 1 898 parents, 91.36% (1 734/1898) had heard about cervical cancer, 71. 18% (1 351/1 898) had heard about HPV, and 65.44% (1 242/1 898) had heard about HPV vaccine, but they did not have a good grasp of some items of related knowledge. 71.39% of parents (1 355/1 898) were willing to vaccinate their children against HPV. The gender of the child, the degree of knowledge about HPV vaccine, and the assessment of the risk of HPV infection were the factors that affected parents' willingness to vaccinate their children. Conclusion Parents of middle school students in Yuzhong District of Chongqing have a limited understanding of HPV and its vaccine knowledge. In order to improve the vaccination rate of teenagers, targeted publicity and education should be carried out, and parents concern about the price of vaccine should be solved. [ABSTRACT FROM AUTHOR]

OBJECTIVE: At present, there are many reports on the related factors associated with the incidence of cervical spine instability in patients with rheumatoid arthritis, but there are problems such as small sample size and many confounding factors, and the research results of various studies on the same related factors are also different. This article analyzed the factors related to cervical spine instability in patients with rheumatoid arthritis by means of a systematic review. METHODS: Articles related to cervical spine instability in patients with rheumatoid arthritis were collected by searching both Chinese and English databases until March 2023. The outcome of cervical spine instability in patients with rheumatoid arthritis was used as the grouping criterion to abstract basic information, baseline patient characteristics, laboratory-related tests, medication use, and other relevant risk factors. Meta-analysis was done using Stata 14.0 software. RESULTS: (1) Sixteen relevant studies, all of moderate or above quality, were included, including seven studies with case-control studies and nine with cross-sectional studies. The overall incidence of cervical spine instability in patients with rheumatoid arthritis was 43.08%. (2) Meta-analysis showed: Related risk factors included female (OR=0.60, 95%CI: 0.44-0.82, P=0.002); age at disease onset (SMD=-0.52, 95%CI: -0.86 to -0.18, P=0.003); duration of disease (SMD=0.58, 95%CI: 0.14-1.02, P=0.01); body mass index (OR=0.74, 95%CI: 0.63-0.88, P=0.001); rheumatoid factors positive univariate analysis subgroup (OR=1.33, 95%CI:1.02 to 1.72, P=0.04), C-reactive protein (SMD=0.26, 95%CI: 0.16-0.35, P=0.00), erythrocyte sedimentation rate (SMD=0.15, 95%CI: 0.002-0.29, P=0.047), anti-cyclic-citrullinated peptide antibodies (OR=1.73, 95%CI: 1.19-2.51, P=0.004), 28-joint Disease Activity Score (SMD=0.20, 95%CI: 0.04-0.37, P=0.02), destruction of peripheral joints (OR=2.48, 95%CI: 1.60-3.85, P=0.00), and corticosteroids (OR=1.91, 95%CI: 1.54-2.37, P=0.00) were strongly associated with the development of rheumatoid arthritis-cervical spine instability. Female and corticosteroid use were independently associated with the occurrence of rheumatoid arthritis-cervical spine instability. CONCLUSION: Based on clinical evidence from 16 observational studies, the overall incidence of rheumatoid arthritis-cervical spine instability was 43.08%. However, the incidence of cervical spine instability in rheumatoid arthritis patients varied greatly among different studies. Gender (female) and the use of corticosteroids were confirmed as independent correlation factors for the onset of cervical spine instability in patients with rheumatoid arthritis. The results of this study still provide some guidance for early clinical recognition, diagnosis, and prevention of rheumatoid arthritis-cervical spine instability. [ABSTRACT FROM AUTHOR]

Objective Background Suicide has become a major public health issue of global concern. Suicidal ideation represents the initial psychological and one of the strongest predictorsactivities associated with suicidal behavior. Suicidal ideation is a dynamic state factor rather than a static trait factor, so it is necessary to study the development trajectory of suicidal ideation and its related factors. Objective To investigate the development trajectory and relatedfactors of suicide ideation college students. Methods From 2019 to 2021,1438 college students in a university in Guangdong Province were selected for three longitudinal tracking each October by using the method of convenient sampling. The Self - rating ideas of suicide scale(SIOSS) was used to measure the level of suicide ideation. Data analysis was mainly based on the Latent Growth Mixed Model(LGMM) to analyze the development trajectory of students' suicide ideation. Multivariate Logistic Regression model was established to analyze the related factors to the variation of each potential category of suicidal ideation. Results From 2019 to 2021, the total scores of college students' suicidal ideation were 3. 79 ± 2. 87, 3. 71 ± 2. 90 and 3. 32 ± 2. 87, showing a decreasing trend over time. The development tendencies of college students' suicide ideation have been classified into 3 categories: Cl group (worsening suicidal ideation group) (11.8%), C2 group (persistent low suicidal ideation group) (79.6%), and C3 group (relieving suicidal ideation group) (8.6%). Compared with Cl group, college students who had an average (OR = 2. 52, 95% CI: 1. 31 -4. 86)or happy childhood (OR = 3. 95,95% CI: 2. 02 - 7. 74), no history of suicide attempt (OR = 9. 03, 95% CI: 3, 49 - 23. 36), and were extroverted (OR = 1. 03, 95% C/: 1. 01 - 1. 05) were more likely to enter C2 group. Students who were from cities (OR = 0. 54, 95% CI: 0, 31 - 0. 93), got high neuroticism scores (OR = 0. 86, 95% CI: 0, 84 - 0. 88) were less likely to enter the C2 group. College students with happy childhood life(OR = 3. 29, 95% CI: L 40 - 7. 74) were more likely to enter the C3 group, but students from cities (OR 二 0. 37, 95% C/;0. 18 - 0. 78) were less likely to enter the C3 group. Conclusion The development tendencies of college students' suicide ideation can be classified into three categories: worsening suicidal ideation group, persistent low suicidal ideation group, and relieving suicidal ideation group. The developmental trajectory of suicidal ideation is related to birthplace, childhood life, suicide history, and personality traits. [ABSTRACT FROM AUTHOR]

Objective: Antisocial behavior and antisocial personality disorder (ASPD) cause serious harm to society and families. Ethnicity may have an impact on an individual’s antisocial behavior and the incidence of ASPD. Therefore, this study aimed to investigate the current status of antisocial behavior and ASPD among youth and its correlation with ethnicity in ethnic minority areas in China. Methods: A total of 2475 Chinese youth (1794 under 18 and 681 greater than or equal to 18) were recruited from December 1 to 30, 2021, in Yunnan, China. All participants completed a General Information Questionnaire and the Personality Diagnostic Questionnaire Fourth Edition Plus (PDQ-4+). Associations between antisocial behavior and ASPD and sociodemographic factors such as ethnicity were examined using binary logistic regression analysis. Results: The positive rate of antisocial behavior screening in youth was 5.4% (95% CI (confidence interval): 4.3-6.4), with a positive rate of ASPD screening of 4.4% (95% CI: 2.9-6.0). Male, single-child and maternal education level at senior high school and above were risk factors for positive antisocial behavior screening, while senior high school grade and medium subjective family economic status were protective factors for positive antisocial behavior screening. Being male and paternal educational background were risk factors for positive ASPD screening. Conclusion: This study found high rates of positive screening for antisocial behavior and ASPD in youth and no significant differences in ethnicity. These results can be used to inform personality development. [ABSTRACT FROM AUTHOR]

Objectives: Hikikomori is commonly defined as a social condition in which individuals avoid social participation and relationships beyond their family members by confining themselves to a room or their house for 6 months or longer. Hikikomori has been predominantly considered a problem among young people; however, as the population is ageing, hikikomori has also emerged as a social issue among adults. Nevertheless, no comparative studies have examined the differences in the factors associated with hikikomori among teenagers/young adults and middle-aged/older adults. Thus, this phenomenon has not been thoroughly examined, and it remains unclear whether the risk factors vary between teenagers/young adults and middle-aged/older adults. Based on the Japan Cabinet Office's definition of hikikomori, this cross-sectional study evaluated the prevalence and related factors of hikikomori among the working age population (15–64 years), utilising univariate and multivariate analyses. The study also compared differences in the prevalence of and factors related to hikikomori between teenagers/young adults and middle-aged/older adults. Methods: We distributed self-administered questionnaires to individual participants and their families between 24 December 2020 and 18 January 2021. Results: Data from an anonymised sample of 3,092 individuals (split into two groups of 15–39 and 40–64 years) were subjected to analysis. The results revealed a hikikomori prevalence of 2.3% in the target population; the prevalence rate was 2.12% among individuals aged 15 to 39 years and 2.42% among those aged 40 to 64 years. The analysis demonstrated strong correlations between hikikomori and several factors, including unemployment, truancy, a history of psychiatric consultation or hospitalisation, being male and the absence of ibasho, which is defined as a place where individuals can feel peace, security, acceptance and belonging. The factors associated with hikikomori differed between teenagers/young adults and middle-aged/older adults. Conclusion: Our findings, thus, contribute to existing research by providing a comparative analysis of risk factors across different age groups. [ABSTRACT FROM AUTHOR]

Objective：To investigate the correlation between basic lung function indicators and functional prognosis of spinal cord injury (SCI), and provide a basis for accurately judging the prognosis and improving the recovery effect in the early clinical stage. Method：A retrospective analysis was made of 398 patients who met the inclusion and exclusion criteria in the department of rehabilitation medicine of the first affiliated hospital of the air force military medical university from June 2018 to May 2022. The data of patients' age, sex, body mass index (BMI), time from admission to injury, length of stay, ASIA classification and injury level, hematological indicators (white blood cell count, red blood cell count, hemoglobin concentration), and basic lung function test indicators at admission including tidal volume (VT), vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), forced expiratory volume in one second/forced vital capacity (FEV1/FVC), peak expiratory flow (PEF), 25% forceful exhalation forced expiratory flow at 25% of FVC exhaled (FEF25), forced expiratory flow at 50% of FVC exhaled (FEF50), forced expiratory flow at 75% of FVC exhaled (FEF75), maximal voluntary ventilation (MVV), maximal voluntary ventilation/maximal predicted voluntary ventilation (MVV/ MVVpre) were collected. The mean relative function gain (mRFG) of the modified Barthel index was used as the dependent variable, and the unit and multiple linear regression methods were used to identify the relevant factors affecting the prognosis of SCI patients, especially the underlying lung function indicators. Result：The single and multiple linear regression analysis showed that the prognosis of SCI patients was significantly related to the ASIA classification (B=11.064, P=0.019), length of stay (B=0.125, P=0.005) and VC (B=5.177, P=0.014). The cut-off value for VC judging the prognosis of SCI patients was 2.39L. Conclusion：Low VC is an independent risk factor for functional outcome in patients with SCI.The detection of basic lung function at the time of admission can help to judge the functional prognosis of patients with SCI. For the patients with VC below 2.39L, the prognosis is worse. Close attention should be paid to these patients, and more adequate rehabilitation treatments should be involved to maximize the improvement of patients' daily living ability. [ABSTRACT FROM AUTHOR]

To analyze the prevalence and related factors of depression symptom among middle- aged and older adults belonging to Zhiguo ethnic minority groups, who experienced relative isolation prior to mod- ernization and bypassed the transitional period associated with feudal monarchy in Yunnan Province. Methods: Using stratified cluster sampling, a total of 1 035 individuals from Zhiguo ethnic minority groups were investigated with the 9-item Patient Health Questionnaire (PHQ-9) to measure depression symptom scores (a total score≥5 was considered indicative of depression symptom). A self-administered questionnaire was utilized to investigate 24 cova- riates across five dimensions: sociodemographic, social-interpersonal network, mental health status, physical health status, and health behaviors. Results: Among the surveyed participants, 231 individuals (22.32%) exhibited depres- sion symptoms. The logistic regression analysis showed that middle-aged and elderly people belonging to Zhiguo ethnic minority groups with occupations as laborers (OR = 8.73), farmers (OR =7.34), and other professions (OR =7. 13), those who reported feeling stressed or anxious in the last month (OR = 5.43), those suffering from one (OR=2.81) or more chronic illnesses (OR = 2. 14), experiencing sleep problems (OR =3.74)/debilitating (OR =1.69)/mild-moderate pain (OR = 2. 23, 4. 37), and engaging in sedentary behavior (OR = 2. 27) were at higher risk for depressive symptoms. The risk of depressive symptoms was lower among middle-aged and elderly people be- longing to Zhiguo ethnic minority groups with higher social support scores (OR = 0.96) and meaning in life scores (OR=0.96). Conclusion: The prevalence of depressive symptoms among middle-aged and elderly individuals of Zhiguo ethnic minorities is substantial, influenced by multiple factors. [ABSTRACT FROM AUTHOR]

Objective: To explore the suicidal ideation and related factors in college students with visual and hearing disabilities. Methods: Totally 540 college students with visual and hearing disabilities in a special education. college in Beijing were selected. They were assessed with the National Comorbidity Survey Replication (NCS-R) for suicidal ideation and behavior, Psychological Strain Scale (PSS-40), Depression, Anxiety and Stress Scale (DASS-21), Index-Well-Being Scale (IWB), and Satisfaction with Life Scale (SWLS). Results: The scores of NCS-R were higher in female students with visual and hearing disabilities than in males (P<0.05). The results of regression analysis showed that female and depression scores were positively correlated with the total scores of NCS-R (β=0.69, 0.07, Ps <0.05), while IWB and SWLS scores were negatively correlated with the NCS-R total scores (β-0.03, 0. 06. Ps <0.05). Conclusion: It suggests that suicidal ideation may have higher levels in female college students with visual and hearing disabilities, and is associated with depression, subjective well-being. and life satisfaction. [ABSTRACT FROM AUTHOR]

Objective: To systematically review the factors related to the aggressive behavior of hospitalized patients with schizophrenia in China. Methods: CNKI, Wanfang, VIP, China Biomedical Literature Database, PubMed, Cochrane Library, and Embase databases were searched to collect case-control studies on factors related to aggression in hospitalized patients with schizophrenia in China from its inception to June 2023. Analysis was performed using Review Manager 5.3 to calculate pooled OR (95% CI) values. Results: Thirty-three studies were included. Medical staff coercive measures (OR = 3.86, 95% CI: 2.755.43), unemployment (OR = 1. 44, 95% CI: 1. 14-1.81), positive family history (OR=2.97,95% 97,95% CI: CI: 2.29-3.8 2.293.87), poor medication compliance (OR = 4. 37, 95% CI: 3.36-5.69), young age (OR=3. 13,95% CI: 2. 66-3.69), involuntary hospitalization (OR = 3. 34,95% C1:2.81-3.97), depression (OR=2. 11, 95% CI: 1. 682.66), emotional abuse (OR = 1. 13, 95% CI: 1.04-1. 23), male (OR = 2. 70, 95% CI: 2.20-3.31), delusions (OR = 2. 14, 95% CI: 1.692.71), auditory hallucinations (OR=2. 23, 95% CI: 1.70-2.94), and major life events (OR = 3. 21, 95% CI: 1.905.42) and previous history of aggressive behavior (OR=2. 20, 95% CI: 2.062.34) were risk factors associated with aggressive behavior in Chinese patients with schizophrenia, and social support (OR=0.46, 95% CI: 0.31-0.67) was a protective factor. Conclusion: There are various factors related to aggressive behavior in hospitalized Chinese patients with schizophrenia, and medical staff should identify high-risk groups early according to the relevant factors, and effectively intervene in controllable factors to reduce the occurrence of aggressive behavior. [ABSTRACT FROM AUTHOR]

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AbstractBackgroundObjectiveMethodsResultsConclusionTobacco use is one of the leading causes of preventable mortality and morbidity. Although Cyprus is considered a developed country, the tobacco prevalence and related issues have not been explored sufficiently in the general population of North Cyprus.The objective of this study is to determine the rate of tobacco product consumption and related factors among the visitors of a community health center and a university hospital in Northern Cyprus.The study was designed as a cross-sectional study The data were collected using a questionnaire developed in compliance with WHO guidelines. The data were analyzed using IBM-SPSS18.0 with p < 0.05 evaluated as significant.Out of a total of 635 individuals approached, 615 provided responses. The participation rate was 96%. The frequency of male smokers was 47.2%, while the frequency of female smokers was 34.0%, with a total smoking rate of 40.7%, much higher than world averages. The survey identified friendship influence as the primary reason for starting tobacco use, accounting for 42%, followed by being stressed at 34.6%. Male gender, being single, having no children, Turkish nationality were predictors of smoking, while financial status was not. The participants indicated a high frequency regarding exposure to passive smoke (51.1%). More than half of the respondents thought tobacco control in Northern Cyprus is not satisfactory.More research needs to be done to determine the exact overall prevalence of tobacco consumption in the population, which was found high in this study. Moreover, implementation of comprehensive tobacco control strategies is essential to control the prevalent tobacco dependence. [ABSTRACT FROM AUTHOR]

Objective: Although health literacy (HL) has emerged as a critical public health concern, research on HL in emergency management departments is limited. This study aimed to investigate the awareness of HL and associated factors among firefighters of emergency management departments in southwest China to provide a basis for carrying out targeted health education. Methods: A cross-sectional convenience sample of 1,742 firefighters from an emergency management department in southwestern China was surveyed from February to April 2023 using the Chinese Citizen’s Health Literacy Questionnaire (2019 version). The chi-square test, linear trend chi-square test, Fisher’s test, rank sum test, and multifactorial logistic regression model were used to identify influential factors associated with HL. Results: The HL level of the 1742 respondents was 34.3%. Age, ethnicity, education level, length of service, type of job, smoking status, types of parental jobs, annual household income, time of daily internet use, etc. (P < 0.05). The results of multivariate logistic regression analysis indicate that type of job (OR = 0.648, 95%CI:0.426–0.985), length of service (OR = 0.496, 95%CI:0.251–0.981), household income (OR = 1.900, 95%CI:1.443–2.502), daily internet usage time (OR = 0.726, 95%Cl:0.588–0.896), health status (OR = 0.750, 95%Cl:0.585–0.962) and frequency of organizing HL sessions (OR = 1.603, 95%Cl:1.101–2.330) were influencing factors affecting the HL of the officers and soldiers. Conclusion: The health literacy level of firefighters in the Emergency Management Department in Southwest China was 34.3%. Lower levels were found in the health-related skills dimension (HRS, 30.1%) and in infectious disease control (ID, 30.7%). Health information literacy (HI, 34.3%) was lower than the national level. The type of urban and rural areas, literacy level, and household income level may be the factors affecting the level of health literacy among the respondents. Therefore, health education and promotion interventions should target high priority dimensions (HRS, HI, and ID) and should focus on strengthening health literacy levels of firefighters with rural types, low education levels, and low household income to improve their health. [ABSTRACT FROM AUTHOR]

As a result of globalization, Chinese young adults who transit to adulthood currently are being exposed to a combination of traditional Chinese values such as collectivism and Confucian philosophy, as well as Western individualism. We analyzed the trends in depression prevalence within an 8-year period using panel data derived from young adults in China. The investigation further delved into the multifaceted correlates of depression, including demographic profiles, health-related parameters, and consequential life events. Data were obtained from five cycles, 2010 to 2018, of the China Family Panel Studies (CFPS). Participants included adults aged 18 to 24 years (total analytic sample N = 15,442). Depression symptoms increased in prevalence in Chinese young adults over the eight years; therefore, depression screening should be regularly conducted in this demographic. This study highlights the issue's gravity and suggests potential correlations with cultural, regional economic development level, gender, religion, hukou (household registration), lifestyle, chronic health conditions, on-going school attendance, and marital factors. [ABSTRACT FROM AUTHOR]

Background: Intimate partner violence (IPV) is the most common form of violence against women. Postpartum IPV refers to any type of IPV that occurs up to one year after childbirth and has many adverse impacts on mothers and their children. Considering the lack of sufficient information on the prevalence and factors related to IPV after childbirth in Iran, this study aimed to evaluate the frequency and severity of IPV, its different forms, and psychosocial factors related to IPV, as well as to explore how IPV is perceived among mothers one year after childbirth. Methods: An explanatory sequential mixed-methods design was used to conduct this study in two phases. The first phase is a cross-sectional study that will be performed on postpartum mothers who have a one-year-old child referred to health care centers in the southern region of Tehran, Iran, with the aim of determining the prevalence of IPV and its related factors. The second phase is a qualitative conventional content analysis study with the purpose of exploring women's experiences and perceptions of IPV and its preventive or protective factors. Purposive sampling will be used. Based on the results of the quantitative phase, mothers who are at the two ends of the IPV spectrum (based on their total Conflict Tactics Scale (CTS-2) scores) will be selected, and in-depth and semistructured interviews will be conducted with them. Finally, the researchers will provide an interpretation of the quantitative results using qualitative data. Discussion: This is the first study that uses a mixed methods approach to explain different dimensions of IPV, its related factors, and mothers' perceptions of it. By providing a better understanding of this phenomenon, it is hoped that the results of this research will be used by policymakers and officials of educational and cultural systems to plan and provide effective interventions, enact laws, and present educational and cultural programs to prevent IPV after childbirth. Ethical code: IR.TUMS.FNM.REC1400.200. Plain English summary: Intimate partner violence is the most common form of violence against women, with a higher prevalence in Asian and Eastern Mediterranean countries, including Iran. The period after childbirth is a stressful and anxiety-provoking event due to the increased physical, psychological, social, and economic needs of parents, leading to intimate partner violence. Studies show that women who experience violence after childbirth face many physical, sexual, and emotional problems. Additionally, it will have a negative impact on their baby. Many factors can lead to intimate partner violence, among which psychological factors are among the most important. Therefore, we decided to perform a study in two phases with the aim of determining the prevalence and factors related to intimate partner violence. In the first phase, we will study Iranian women who have a one-year child living in southern Tehran city and ask them to complete questionnaires related to intimate partner violence. In the second phase, we will conduct an interview with women who have experienced violence after childbirth to obtain more information about the factors involved. [ABSTRACT FROM AUTHOR]

Objective: To explore the quality of working life and its related factors in patients with breast cancer returned to work after surgery. Methods: A total of 316 patients with breast cancer who had returned to work after surgery were selected, and they were investigated with the General information questionnaire, Quality of Working Life Questionnaire for Cancer Survivors（QWLQ-CS）,Breast Cancer Survivors Resilience Scale（BCRS） and Strategies Used by People to Promote Health（SUPPH）.Multivariate linear regression analysis was used to analyze the related factors of quality of working life. Results: Multiple linear regression analysis showed that the QWLQ-CS score was positively correlated with education level, per capita monthly income of family, work pattern, return to work time, personal protection and social protection score of BCRS, and positive attitude scores of SUPPH（β-1.05,1.23,2.26,0.69,0.95,1.00,0.13）,while negatively correlated with the complications（β=-3.83）.Conclusion: The quality of working life for patients with breast cancer after surgery needs to be improved after they return to work, psychological resilience and self-efficacy are positively correlated with quality of working life. [ABSTRACT FROM AUTHOR]

Objective To investigate the risk factors and preventive strategies of pancreaticoduodenectomy postoperative hemorrhage. Methods A total of 208 patients who underwent pancreaticoduodenectomy in the Department of Hepatobiliary Surgery of the 904th Hospital of Joint Logistics Support Force, PLA from January 2017 to December 2021 were enrolled. Twenty-one patients with postoperative hemorrhage were retrospectively analyzed. Results Univariate analysis indicated that postoperative hemorrhage was mainly associated with pancreatic leakage, biliary leakage, abdominal infection, hypoproteinemia, diabetes, improper use of ultrasound knife, skeletonization, intraoperative blood loss, preoperative jaundice, etc.(P0.05). Among the 21 patients with postoperative hemorrhage, 4 cases recovered after conservative treatment such as hemostasis and blood transfusion, 6 cases underwent interventional treatment, 11 cases underwent abdominal exploration, and 2 cases died of postoperative multiple organ failure. Pancreatic leakage (OR=3.963,95%CI: 1.120-14.025), biliary leakage (OR=4.013,95% CI: 1.173-13.734) and abdominal infection (OR=7.545,95%CI: 1.833-31.051) were independent risk factors for postoperative hemorrhage. Conclusions The improvement of anastomotic manipulation, reduction of anastomotic leakage, and control and prevention of abdominal infection are important to prevent postoperative hemorrhage of pancreaticoduodenectomy. Surgical treatment should be performed as soon as possible for the patients with poor conservative treatment effect.

Background and purpose: Reducing the desire to have children is one of the most important concerns and challenges in developed and developing countries. Also, the current policies in these countries try to understand the factors related to it, and until today, through this way, it has led to an increase in the population in countries with an aging population. Considering the importance of this issue, we decided to prepare and compile a study to determine the factors related to the desire to have children systematically. Materials and methods: This study was conducted in 2024, which is a systematic review, and was conducted in five stages, which included designing the study question, searching, extracting related studies, selecting related studies, tabulating information, and reporting the results. Was. Searching in domestic and foreign databases including SID, PubMed, magician, Iran doc, Science Direct, Scopus, and Google Scholar search engine with keywords such as "related factors", "childbearing", "psychological factors", "social factors", Cultural factors, "physical factors", "individual factors", "religious factors", "decrease", "Iran" and "tendency" and their English equivalents were carried out. Studies were reviewed in the period from 2012 to 2024 (the last twelve years, due to major changes in the world). To select studies, inclusion or exclusion criteria were considered. Also, the quality screening of the studies was done by the Newcastle checklist. After selecting and checking the quality, the data in the studies were classified. Results: Based on the answer to the main research question, the findings were classified into three categories: social and environmental factors, psycho-physical factors, and demographic factors. The review of 16 cross-sectional studies showed that factors such as sex, age, marriage, education, race, and place of residence are included in the demographic class. Among other relevant factors is the desire to have children. Religion and religion, technological progress, life experiences, culture and politics governing the society, family structure, peers and economic issues, and access to the media are among other related issues that are included in the category of social and environmental factors and are mentioned in 6 studies. became. The analysis of 7 other cross-sectional studies pointed to the connection of the next class, i.e. psycho-physical factors. In these studies, factors such as personality, depression, self-esteem, underlying disease, and fertility and infertility records were related to having children. It should be noted that some studies were placed in several classes and the classes overlapped. Conclusion: Based on the findings of this study, it can be concluded that there are many factors related to people's desire to have children, which the studies in this research are not sufficient in expressing. But it is possible to take help from these factors that have been mentioned in various studies as a guide to know the related factors and by planning to manage or strengthen some of them, help to increase the desire to have children.

Summary: Background and aims: This work aims to investigate the nutritional status and to find out several related factors among Vietnamese students in 2022. Methods: A descriptive and cross-sectional study was conducted on 835 students. Participants were asked to fill in a questionnaire to collect their social-demographic information, as well as information about their height, weight, waist, and hip circumference, eating habits, and physical activity habits. Descriptive statistics and analytical statistics were performed, with P

Abstract Background Sarco-osteoporosis is a skeletal muscle disease associated with aging and complex pathological factors. At present, there are few studies on the analysis of its related factors, and a nomogram to estimate the risk of sarco-osteoporosis in middle-aged and elderly patients is not available. Methods A total of 386 patients admitted to our hospital from October 2021 to October 2022 were collected, and the general demographic data and clinical data of the patients were collected.386 subjects were enrolled in the study and randomly divided into training set and validation set at a ratio of 7:3. In the training set, the Least absolute shrinkage and selection operator(LASSO)regression technique was used to select the optimal predictive features, and multivariate logistic regression was used to screen the factors associated with sarco-osteoporosis, and a nomogram was constructed using meaningful variables from multivariate analysis. The performance of the nomograms was assessed and validated by Area Under Curve (AUC) and calibration curves. Results There were no significant differences in baseline characteristic of individuals in training set and validation set, six variables with non-zero coefficients were screened based on LASSO regression in the training set. Multivariate logistic regression analysis showed that the related factors for sarco-osteoporosis in middle-aged and elderly inpatients included age (OR = 1.08, 95%CI 1.03 ∼ 1.14), regular exercise (OR = 0.29, 95%CI 0.15 ∼ 0.56), albumin (OR = 0.9, 95%CI 0.82 ∼ 0.98), height (OR = 0.93, 95%CI 0.88 ∼ 0.99) and lean mass index (OR = 0.66, 95%CI 0.52 ∼ 0.85), and a nomogram was constructed based on the above factors. AUC of nomogram were 0.868(95%CI 0.825 ∼ 0.912) in the training set and 0.737(95%CI 0.646 ∼ 0.828) in the validation set. Calibration curve analysis showed that the predicted probability of sarco-osteoporosis had high consistency with the actual probability, and the absolute error of the training set and verification set was 0.018 and 0.03, respectively. Conclusions Our research showed that the occurrence of sarco-osteoporosis was associated with age, regular exercise, albumin, height and lean mass index, and we have developed a nomogram that can be effectively used in the preliminary and in-depth risk prediction of sarco-osteoporosis in middle-aged and elderly hospitalized patients.

Abstract Backgound To explore the characteristics and risk factors for health-related risky behaviours (HRRBs) in adolescents with depression. Methods A total of 136 adolescents aged 12–18 years who met the diagnostic criteria for depression, and 272 healthy controls. All the subjects were assessed with the Adolescent Health-Related Risky Behavior Inventory (AHRBI), and the AHRBI scores of the two groups were compared with the Mann–Whitney U test. The depression group was assessed with the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Childhood Trauma Questionnaire (CTQ), Cognitive Emotion Regulation Questionnaire (CERQ), Egna Minnen av Barndoms Uppfostran (EMBU), and Family Adaptability and Cohesion Scale (FACES II-CV). Spearman correlation analysis and multiple linear regression were used to explore the risk factors for HRRBs in adolescents with depression. Results The AHRBI total score and five-factor scores of self-injury and suicide (SS), aggression and violence (AV), rule-breaking (RB), smoking and drinking (SD), and health-compromising behavior (HCB) in the depression group were higher than those in the control group. The severity of anxiety, catastrophizing, cognitive emotional regulation strategy (self-blame and blaming of others), the frequency of depression, physical neglect, and sexual abuse all increased the risk of HRRBs in adolescents with depression, and paternal emotional warmth and understanding had protective effects. Conclusion First, depressed adolescents exhibited significantly more HRRBs than healthy adolescents. Second, there are many risk factors for HRRBs in adolescents with depression, and the risk factors for different types of HRRBs are also different.

Copyright of Annali di Igiene, Medicina Preventiva e di Comunità is the property of Societa Editrice Universo s.r.l. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To systematically evaluate and explore the factors influencing depressive symptoms in female breast cancer patients in China through meta-analysis. Methods: Relevant data were retrieved from cross-sectional studies or cohort studies on depressive symptoms of Chinese breast cancer within the following databases: PubMed, Embase, Cohrane Library, Web of 105 Science, Database of Medical Literature (CBM), Wan Fang Data, CNKI, and VIP databases. The literature screening, data extraction and literature quality evaluation were performed by two researchers by carefully reading the title, abstract and full text, and metaanalysis was performed using Stata 1.5 software after extracting relevant data. Results: Fourteen papers were finally included, with a cumulative total of 3,071 people surveyed, and a total of 1,298 breast cancer patients were detected with depression, with a detection rate of depressive symptoms of 42.26%; meta analysis showed that age less than 40 years old, unmarried, less than undergraduate education, monthly income <5,000 yuan, advanced breast cancer, radical breast cancer surgery, family history, living in rural areas, underlying disease stage and chemotherapy were associated with an increased incidence of depression in breast cancer patients. Conclusion: The detection rate of depressive symptoms in female breast cancer patients is high, and there is a need to strengthen depression-related psychological screening of breast cancer patients and provide them with individualized interventions to reduce the incidence of depression in breast cancer patients and to lower the level of depression already present in the patients. [ABSTRACT FROM AUTHOR]

Objective To analyze the status of non-response to hepatitis B vaccine and its related factors in children born to mothers infected with hepatitis B virus (HBV). Methods The children born to mothers with HBV infection reported in Hunan Province from January to December 2022 were selected. All the children received hepatitis B immunoglobulin injection and 3 doses of hepatitis B vaccination and were followed up to 7-12 months of age for detection of hepatitis B surface antigen (HB-sAg) and anti-HBs. Both HBsAg and anti-HBs were negative, indicating that there was no response to hepatitis B vaccine in children. Unconditional binary logistic regression model was used to analyze the related factors of non-response to hepatitis B vaccine in children. Results A total of 9 792 children born to mothers infected with HBV were analyzed. Among 9 792 children, the non-response rate of hepatitis B vaccine was 9.5% (928/9 792). Non-conditional binary Logistic regression analysis showed that the risk of non-response to hepatitis B vaccine in children born to HBeAg-positive mothers was 1.62 times higher than that in children born to HBeAg-negative mothers (OR=1.62, 95% CI: 1.40-1.88). The risk of non-response to hepatitis B vaccine in children with macrosomia (birth weight ≥ 4 000g) was 1.41 times higher than that in children with normal birth weight (OR = 1.41, 95% CI: 1.08-1.85). Maternal antiviral therapy (OR=0.59, 95% CI: 0.48-0.73) and child HepB standard vaccination (OR=0.66, 95% CI: 0.57-0.78) were the protective factors of non-response to hepatitis B vaccine in children. Conclusion The non-response rate of hepatitis B vaccine in children born to HBV infected mothers is high, and it is affected by maternal HBeAg positive, antiviral therapy during pregnancy, birth weight, and standard vaccination. [ABSTRACT FROM AUTHOR]

Background and purpose: Reducing the desire to have children is one of the most important concerns and challenges in developed and developing countries. Also, the current policies in these countries try to understand the factors related to it, and until today, through this way, it has led to an increase in the population in countries with an aging population. Considering the importance of this issue, we decided to prepare and compile a study to determine the factors related to the desire to have children systematically. Materials and methods: This study was conducted in 2024, which is a systematic review, and was conducted in five stages, which included designing the study question, searching, extracting related studies, selecting related studies, tabulating information, and reporting the results. Was. Searching in domestic and foreign databases including SID, PubMed, magician, Iran doc, Science Direct, Scopus, and Google Scholar search engine with keywords such as "related factors", "childbearing", "psychological factors", "social factors", Cultural factors, "physical factors", "individual factors", "religious factors", "decrease", "Iran" and "tendency" and their English equivalents were carried out. Studies were reviewed in the period from 2012 to 2024 (the last twelve years, due to major changes in the world). To select studies, inclusion or exclusion criteria were considered. Also, the quality screening of the studies was done by the Newcastle checklist. After selecting and checking the quality, the data in the studies were classified. Results: Based on the answer to the main research question, the findings were classified into three categories: social and environmental factors, psycho-physical factors, and demographic factors. The review of 16 cross-sectional studies showed that factors such as sex, age, marriage, education, race, and place of residence are included in the demographic class. Among other relevant factors is the desire to have children. Religion and religion, technological progress, life experiences, culture and politics governing the society, family structure, peers and economic issues, and access to the media are among other related issues that are included in the category of social and environmental factors and are mentioned in 6 studies. became. The analysis of 7 other cross-sectional studies pointed to the connection of the next class, i.e. psycho-physical factors. In these studies, factors such as personality, depression, self-esteem, underlying disease, and fertility and infertility records were related to having children. It should be noted that some studies were placed in several classes and the classes overlapped. Conclusion: Based on the findings of this study, it can be concluded that there are many factors related to people's desire to have children, which the studies in this research are not sufficient in expressing. But it is possible to take help from these factors that have been mentioned in various studies as a guide to know the related factors and by planning to manage or strengthen some of them, help to increase the desire to have children. [ABSTRACT FROM AUTHOR]

Objective: To understand suicide behavior in caregivers of patients with end-stage cancer and to explore the relationship between sleep-related symptoms, quality of life, depressive symptoms, and suicide behavior. Methods: Two hundred and thirteen caregivers of end-stage cancer patients were assessed with the World Health Organization Quality of Life(WHOQOL-BREF), Patient Health Questionnaire(PHQ-9), 3 standardized questions for sleep-related symptoms, and 3 standardized questions for suicide behavior. Results: The detection rate of suicide behavior was 16.43%.Quality of life scores were negatively correlated with depressive symptom scores, sleep-related symptoms, and suicide behavior(r=-0.66, -0.29, -0.44, Ps ＜0.01), and positive correlations were found between depressive symptom scores, sleep-related symptoms, and suicide behavior(r=0.27, 0.51, 0.10, Ps ＜0.01).The mediating effect of quality of life scores in the relationship between depressive symptom scores and sleep-related symptoms was statistically significant(r=0.29), with the mediating effect accounting for55% of the total effect; depressive symptom scores played a full mediating effect in the effect of sleep-related symptoms on suicide behavior(r=0.34, P ＜0.05).Conclusions: Among caregivers of patients with end-stage cancer, suicide behavior is detected at a high rate, and sleep-related symptoms, quality of life, and depressive symptoms may be correlates of suicide behavior. [ABSTRACT FROM AUTHOR]

Background: Postural instability and gait disorder dominant (PIGD) is one of the most common disabling symptoms of Parkinson's disease (PD), which seriously affects patients' quality of life. Therefore, it is essential to identify PIGD and develop targeted interventions to reduce the risk of PIGD in PD patients. Aim: This study aimed to investigate the gait characteristics of PD patients based on wearable devices and to establish a predictive model for their related influencing factors. Methods: The retrospective medical records of patients from January 2020 to September 2023 were collected, including 159 patients with PD (divided into PIGD [n = 73] and non‐PIGD [n = 86] groups) and 200 healthy patients (as the healthy control group). Information from social demographic data, a blood test, scale scores, gait analysis based on wearable devices, white matter lesions, and the Fazekas scale was extracted and analyzed. Results: Compared with the healthy control group, the mean step length, mean rate, mean angular velocity, and step length were lower in the PD group, while the mean steps were higher in the turning test. The incidence of PIGD was 46% in PD patients, and PD patients with the non‐tremor onset mode were more likely to develop PIGD than those with the tremor onset mode. Compared to the non‐PIGD group, the PIGD group showed more serious gait problems in different experimental tasks and had a higher Hoehn and Yahr (H‐Y) stage, Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale score, periventricular white matter (PVWM) score, deep white matter score, and Fazekas scale score, but they had lower hemoglobin levels, D‐dimer levels, Tinetti Balance scores, Tinetti Gait scores, Berg Balance Scale scores, and Mini‐Mental State Examination (MMSE) scores. Logistic regression analysis showed that the MMSE score was negatively correlated with the occurrence of PIGD, while the HAMA score, H‐Y stage, PVWM score, and non‐tremor form of onset were positively correlated with the occurrence of PIGD Conclusion: The incidence of gait disorder in PD patients is higher than that in the normal population. Moreover, cognitive dysfunction, anxiety state, H‐Y stage, PVWM score, and the non‐tremor mode of onset can be considered independent risk factors for PIGD. [ABSTRACT FROM AUTHOR]

To explore potential profiles of successful aging among empty nesters using latent profile analysis and to analyze their influencing factors. A total of 452 community-based empty nesters were included using convenience sampling. Empty nesters were surveyed using the Successful Ageing Scale, Social Capital Scale, Sense of Coherence Scale, and Chinese version of the Health-Promotion Lifestyle Scale-II. Latent profile analysis was used to categorize the successful aging of empty nesters, and factors influencing each category were analyzed using multiple logistic regression. Four latent profiles of successful aging were identified: 'low successful aging-low spirituality', 'high successful aging-spiritual fluctuation', 'high successful aging-balanced development group', and 'medium successful aging-medium spirituality'. The results of the multiple logistic regression analysis showed that gender, education, residence mode, and social capital were factors influencing the potential profiles of successful aging. There are four potential categories of successful aging among empty nesters. Gender, education, residence mode, and social capital were associated with successful aging among empty nesters. Targeting interventions may help enhance empty nesters' successful aging. Future research should combine subjective and objective indicators to assess the health of older people and explore other determinants for formulating interventions to improve successful aging of empty nesters. [ABSTRACT FROM AUTHOR]

Background: Sarco-osteoporosis is a skeletal muscle disease associated with aging and complex pathological factors. At present, there are few studies on the analysis of its related factors, and a nomogram to estimate the risk of sarco-osteoporosis in middle-aged and elderly patients is not available. Methods: A total of 386 patients admitted to our hospital from October 2021 to October 2022 were collected, and the general demographic data and clinical data of the patients were collected.386 subjects were enrolled in the study and randomly divided into training set and validation set at a ratio of 7:3. In the training set, the Least absolute shrinkage and selection operator(LASSO)regression technique was used to select the optimal predictive features, and multivariate logistic regression was used to screen the factors associated with sarco-osteoporosis, and a nomogram was constructed using meaningful variables from multivariate analysis. The performance of the nomograms was assessed and validated by Area Under Curve (AUC) and calibration curves. Results: There were no significant differences in baseline characteristic of individuals in training set and validation set, six variables with non-zero coefficients were screened based on LASSO regression in the training set. Multivariate logistic regression analysis showed that the related factors for sarco-osteoporosis in middle-aged and elderly inpatients included age (OR = 1.08, 95%CI 1.03 ∼ 1.14), regular exercise (OR = 0.29, 95%CI 0.15 ∼ 0.56), albumin (OR = 0.9, 95%CI 0.82 ∼ 0.98), height (OR = 0.93, 95%CI 0.88 ∼ 0.99) and lean mass index (OR = 0.66, 95%CI 0.52 ∼ 0.85), and a nomogram was constructed based on the above factors. AUC of nomogram were 0.868(95%CI 0.825 ∼ 0.912) in the training set and 0.737(95%CI 0.646 ∼ 0.828) in the validation set. Calibration curve analysis showed that the predicted probability of sarco-osteoporosis had high consistency with the actual probability, and the absolute error of the training set and verification set was 0.018 and 0.03, respectively. Conclusions: Our research showed that the occurrence of sarco-osteoporosis was associated with age, regular exercise, albumin, height and lean mass index, and we have developed a nomogram that can be effectively used in the preliminary and in-depth risk prediction of sarco-osteoporosis in middle-aged and elderly hospitalized patients. [ABSTRACT FROM AUTHOR]

Objective To explore the marital adjustment status of infertile couples and analyze inflvencing related factors for obtaining the basis of early intervention during diagnosis and treatment. Methods Total of 413 couples who met the criteria for infertility diagnosis were recruited from a tertiary-level hospital in Anhui Province. The Locke-Wollance Marriage Adjustment Questionnaire (MAT) was used to investigate the marital adjustment status of infertile couples. General data survey, Social Support Rating Scale (SSRS) and Psychological Resilience Scale (CD-RISC) were used to investigate the factors related to marital disorders in infertile couples. The risk factors of marital disorder were analyzed by binary logistic regression analysis. Results The proportion of marital disorder in females was 31.9%, which was higher than that in males (20.0%). The infertility caused by female (OR=2.331, 95% CI= 1.160～4.683), living with elders (OR=0.453, 95% CI= 0.284～0.722), poor psychological resilience, and (OR=1.024, 95% CI= 1.008～1.040) lack of social support (OR=1.084, 95% CI=1.041～1.129) were the risk factors for marital disorder in women. Increasing age (OR=0.652, 95% CI=0.432～0.984), poor psychological resilience (OR=1.047, 95% CI=1.025～1.070) and lack of social support (OR=1.070, 95% CI=1.023～1.118) were the risk factors for marital disorder in men. Conclusion The proportion of marital disorders in women is higher than that in men. The factors related to marital disorders are concentrated in individual, family and social aspects. Dual intervention should be carried out to improve the marital quality of patients. [ABSTRACT FROM AUTHOR]

Objective: To investigate the post-traumatic stress response in women with unintended pregnancy termination and analyze its related factors. Methods: Totally 388 women with unintended pregnancy termination from two public hospitals in Fujian were selected as the research subjects. They were assessed with the Impact of Event Scale-Revised (IES-R), Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC) and Perinatal Grief Scale (PGS). The total score of IES-R≥35 was positive for post-traumatic stress disorder screening. Results: The total score of IES-R was (20.6 ± 12.4), and the positive rate of post-traumatic stress disorder screening was 16.5%. Multiple linear regression analysis showed that the IES-R total scores were higher in those who thought pregnancy timing was appropriate than those who thought pregnancy timing was wrong (β=0.13), and lower in women with moderate pain during termination than in those with severe pain (β = -0.09). The IES-R total scores were positively correlated with gestational weeks, depression scores of the HADS and grief scores of the PGS (B=0. 18, 0. 27, 0. 16), and negatively correlated with optimism scores of the CD-RISC (β-0. 12). Conclusion: The post-traumatic stress response of unintended termination of pregnancy is at a moderate level. Post-traumatic stress symptoms are more likely to occur in women who thought pregnancy timing is appropriate, and those with severe pain during pregnancy termination, large gestational weeks, high level of depression during pregnancy, and high level of grief after pregnancy termination. [ABSTRACT FROM AUTHOR]

Objective: Although some previous studies have investigated health in police officers, investigations of related factors have been limited to work-related associations or those affecting certain police officers. To address this gap, this study investigated relationships between sociodemographic factors, work-related factors, health behaviors, health conditions, and self-rated bad health (SRBH) in Korean police officers. Methods: In 2021, we conducted a cross-sectional survey in cooperation with the Korean National Police Agency (KNPA). The respondents were 6,591 police officers aged 21–60 years, all of whom agreed to complete the survey online using the police agency’s intranet. After collecting data, we conducted a multiple logistic regression analysis to examine factors that were associated with SRBH, with calculations for adjusted odds ratios (ORs) and 95 % confidence intervals (CIs). The study model included a range of individual socioeconomic characteristics, work-related variables, health behaviors, and health conditions. Results: Although the associated factors varied according to age group, several factors generally related to SRBH, including the lack of exercise, stress, having one or more chronic diseases, and work-related pain. By contrast, neither sex nor sleep duration were associated with SRBH of respondents. Monthly night work, smoking, and alcohol consumption were only associated with SRBH of certain age groups. Conclusions: Several variables clearly related to SRBH of police officers. In this context, health-related associations, especially stress and chronic diseases, tended to differ according to age, including those that should be considered to improve health. These findings have important implications for relevant healthcare programs and interventions.

IntroductionWe aimed to assess the impact of myasthenia gravis (MG) on the long-term prognosis in patients with thymoma after surgery and identify related prognostic factors or predictors.MethodsThis retrospective observational study included 509 patients with thymoma (thymoma combined with MG [MG group] and thymoma alone [non-MG group]). Propensity score matching was performed to obtain comparable subsets of 96 patients in each group. A comparative analysis was conducted on various parameters.ResultsBefore matching, the 10-year survival and recurrence-free survival rates in both groups were 93.8 and 98.4%, and 85.9 and 93.4%, respectively, with no statistically significant difference observed in the survival curves between the groups (p > 0.05). After propensity score matching, 96 matched pairs of patients from both groups were created. The 10-year survival and recurrence-free survival rates in these matched pairs were 96.9 and 97.7%, and 86.9 and 91.1%, respectively, with no statistical significance in the survival curves between the groups (p > 0.05). Univariate analysis of patients with thymoma postoperatively revealed that the World Health Organization histopathological classification, Masaoka–Koga stage, Tumor Node Metastasis stage, resection status, and postoperative adjuvant therapy were potentially associated with tumor recurrence after thymoma surgery. Multivariate analysis demonstrated that the Masaoka–Koga stage and postoperative adjuvant therapy independently predicted the risk of recurrence in patients with thymoma after surgery.ConclusionThere was no difference in prognosis in patients with thymoma with or without MG. The Masaoka–Koga stage has emerged as an independent prognostic factor affecting recurrence-free survival in patients with thymoma, while postoperative adjuvant therapy represents a poor prognostic factor.

Background: Lung cancer is the second most diagnosed cancer and the leading cause of cancer death in 2020, representing approximately one in 10 (11.4 %) cancers diagnosed and one in 5 (18.0 %) deaths. There are currently very few studies evaluating the prevalence and related factors of lung cancer detected using low-dose CT scans. Objective: Evaluate the prevalence and related factors of lung cancer using low-dose CT scans in high-risk populations in Vietnam. Materials and methods: A cross-sectional analysis study of 169 high-risk patients was conducted to assess the lung cancer prevalence and related factors. Enrolled patients received a physical examination, low-dose computerized tomography scan, and biopsy if abnormalities were found through the CT scan. Univariable and Multivariable analysis through Odd Ratio (OR) to assess the related risk of lung cancer. Results: A total of 169 high-risk patients with a mean age of 62.93 ± 9.31 (years), and the majority were male (91.7 %). Of which 4 cases (2.37 %) were recorded with lung cancer, 3 cases of adenocarcinoma, and 1 case of squamous cell carcinoma. A history of smoking and Chronic Obstructive Pulmonary Disease (COPD) were associated with an increased risk of abnormalities on lung CT scans. Multivariate regression analysis revealed that smoking over 30 pack-years and COPD significantly increased the risk of abnormalities on lung CT scans, p

Objective(s): Postpartum depression is common in women. The present study was conducted with the aim of investigating and comparing the prevalence and factors affecting symptoms of postpartum depression in 6 months before and after the beginning of the covid-19 pandemic. Methods: This cross-sectional study compared symptoms of postpartum depression in 39724 women who gave birth 6 months before the COVID-19 pandemic and 6100 women who gave birth after the COVID-19 pandemic. The information related to the symptoms of postpartum depression was extracted from mental health screening records that are commonly used in health centers covered by the Ministry of Health. General information was obtained from the National Integrated Health System of the Ministry of Health and the data were analyzed in SPSS 22 software. Results: The prevalence of postpartum depressive symptoms 6 months before and 6 months after the COVID-19 pandemic was 1.9% and 2.6%, respectively. Symptoms of Postpartum depression 6 months before the COVID-19 pandemic significantly was associated with age, body mass index, history of infant death, unwanted pregnancy, the number of births (P

Background & Objectives: Dyslipidemia is a major public health issue worldwide characterized by changes in lipid index such as cholesterol, Low Density Lipoprotein (LDL), High Density Lipoprotein (HDL) and triglycerides (TG).This manuscript aimed to investigate the associated factors of dyslipidemia in Fasa Persian cohort study. Materials & Methods: This cross-sectional study was conducted on the baseline data of Fasa Persian cohort with an initial sample size of 10129 subjects (35-70 years old) in 2021 in Iran. Univariate and multivariate logistic regression models were used to assess the relationship between covariates and dyslipidemia. Results: The number of males in this study was 4572 and the number of females was 5557. The prevalence of dyslipidemia in them was 40.8% and 27.7%, respectively (p-value < 0.001), and the prevalence of dyslipidemia in the whole study population was 3407 (33.6%). Dyslipidemia was also more common in alcoholics, opium users, smokers, high glycemic index and higher body mass index (BMI). Men were 1.68 times more likely to have dyslipidemia than women. Opium and cigarette smokers were 1.15 and 1.36 times more likely to have dyslipidemia than non-smokers, respectively. Also, as BMI increases, the likelihood of dyslipidemia becomes higher than the reference group (below 18.5), and people with a BMI greater than 30 have the highest obesity range. Conclusions: This study showed that the prevalence of dyslipidemia in the studied population was higher in men than in women and several risk factors such as gender differences, body mass index, smoking and opium use are effective in the prevalence of dyslipidemia.

The study aimed to explore the depression profile of empty nesters and to identify heterogeneous subgroups in the elderly population. It explored the influencing factors of depression in elderly people with different depression profiles, with a view to provide a reference basis for improving the depression situation of empty-nesting elderly people. This study used the Chinese Longitudinal Healthy Lifespan Survey (CLHLS) survey data, with empty nesters over 60 as the research subjects. Latent profile analysis (LPA) was used to fit potential classes of depression in empty nesters; chi-square tests, Kruskal-Wallis, and multinomial logistic regression were used to explore the factors influencing different depression profiles in older adults. A total of 4481 subjects were included in this study and were classified as low-level (11.6 %), moderate-level (51.6 %), and high-level (36.8 %). Compared to the low-level, the influencing factors for the high-level were IADL, anxiety, self-rated health, exercise, and education; and the influencing factors for the medium level group were anxiety, self-rated health, drink, and education. Factors influencing high-level relative to the mid-level group were IADL, anxiety, residence, self-rated health, exercise, and limited in activities. The CESD-10, as a screening tool, could not completely determine the presence of depression in high levels of empty nesters. Psychological problems arising from depression among empty nesters seriously affected their overall health, and targeted intervention strategies should be developed for different categories of older adults to improve depression and enhance health-related quality of life. • With the continued aging of the population and the improvement in people's living standards, more and more people were concerned about the mental health of the elderly. • Depression, as one of the important indicators of mental health, was also receiving more and more widespread attention from society. • In this study, the level of depression of empty nesters was divided into three subgroups, with different characteristics between each subgroup. • By analyzing the key influencing factors and their mechanism of influence on depression, this study could provide a basis for the effective prevention and treatment of depression in the elderly by the health sector and other related departments, and be of great significance for the realization of healthy aging. [ABSTRACT FROM AUTHOR]

Purpose: To reveal the prevalence of eating disorders (EDs) and related factors in pregnancy. Methods: The search was performed in PubMed, EBSCOhost, Web of Science, Scopus, Google Scholar, and Ovid databases search up to April 3, 2022, using the keywords combination of "(eating disorders OR anorexia nervosa OR bulimia nervosa OR binge eating disorder) AND (pregnancy OR pregnant)". Two researchers independently extracted data from the articles using a standard form. We evaluated the quality of the studies according to the Joanna Briggs Institute assessment tools. Results: The prevalence of EDs in pregnant women in the 11 studies involving 2,369,520 pregnant women was ranging between 0.5 and 10.6%. The prevalence of EDs in pregnant women was 4.3% (95% confidence interval 2%–9%; I2 = 99.5%). The prevalence of anorexia nervosa and binge eating disorder during pregnancy shows a statistically significant increase compared to pre-pregnancy, and the prevalence of bulimia nervosa during pregnancy decreases. The prevalence of EDs is higher in pregnant women under 30 years of age, secondary school graduates, married, and with normal BMI. Half of the pregnant women with EDs had anxiety and about one-third of pregnant women had depression. Excessive exercise is observed in 0.7% of pregnant women, fasting in 0.3%, laxative or diuretic use in 0.1%, and self-induced vomiting in 0.6%. Conclusions: This study is important as it is the first systematic review and meta-analysis to reveal the global prevalence of EDs in pregnant women and related factors. Continuing routine screening tests to detect EDs during pregnancy may contribute to taking special preventive measures for risk groups and protecting mother–child health. Trial registration: PROSPERO registration number (CRD42022324721), date of registration: 10/05/2022. [ABSTRACT FROM AUTHOR]

Objective: To systematically review the related factors of depressive symptoms among men who have sex with men (MSM) in China. Methods: CNKI, Wanfang Data, VIP, CBM, EMbase, Pubmed, CINAHL, Web of Science and the Cochrane Library were searched from inception to February 17, 2023. After literature screening and data extraction, two researchers independently assessed the quality of included studies according to the Agency for Healthcare Research and Quality. Results: A total of 21 articles with 11 822 participants were included. The results of meta-analysis showed that month income ≥3 000 yuan (OR=0. 59), college degree or above (OR=0. 59) and high self-esteem (OR=0. 83) were protective factors, sexual role as the recipient (OR=1. 68). dual sexual role (OR=1. 41), multiple sexual partners (OR=1. 65), sexual violence experience (OR=3. 44), self-rated poor health status (OR= 3. 93), HIV/AIDS related discrimination (OR=1. 13), HIV/AIDS related stress (OR=1. 11) and suicidal tendency (OR=2. 86) were risk factors for depressive symptoms. Conclusion: There are many related factors to the depressive symptoms of MSM. It is necessary to carry out early intervention on the basis of personalized assessment to reduce the occurrence of depressive symptoms among MSM. [ABSTRACT FROM AUTHOR]