IJERPH, Vol. 18, Pages 2216: Feasibility and Acceptability of Accelerometer Measurement of Physical Activity in Pregnant Adolescents
Lauren B. Shomaker During pregnancy, physical activity relates to better maternal and child mental and physical health. Accelerometry is thought to be effective for assessing free-living physical activity, but the feasibility/acceptability of accelerometer use in pregnant adolescents has not been reported. In this short communication, we conducted secondary analysis of a small pilot study to describe the feasibility/acceptability of accelerometry in pregnant adolescents and the preliminary results of physical activity characteristics. Participants were recruited from a multidisciplinary adolescent perinatal clinic. ...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Emma L. M. Clark Lauren D. Gulley Allison M. Hilkin Bonny Rockette-Wagner Heather J. Leach Rachel G. Lucas-Thompson Marian Tanofsky-Kraff Kristen J. Nadeau Stephen M. Scott Jeanelle L. Sheeder Lauren B. Shomaker Tags: Communication Source Type: research

IJERPH, Vol. 18, Pages 2217: An Intercategorical Ecology of Lead Exposure: Complex Environmental Health Vulnerabilities in the Flint Water Crisis
Ryan Light In 2014, city and state officials channeled toxic water into Flint, Michigan and its unevenly distributed and corroding lead service lines (LSLs). The resulting Flint water crisis is a tragic example of environmental racism against a majority Black city and enduring racial and spatial disparities in environmental lead exposures in the United States. Important questions remain about how race intersected with other established environmental health vulnerabilities of gender and single-parent family structure to create unequal toxic exposures within Flint. We address this question with (1) an “intercategor...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Raoul S. Li évanos Clare R. Evans Ryan Light Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2218: Determinants of Travel Participation and Experiences of Wheelchair Users Traveling to the Bodrum Region: A Qualitative Study
han Topcu Arasli Although the number of people with disabilities and types of disability increases day by day, a sufficient point has not been reached regarding accessible tourism. The participation rate of people with disabilities (PWDS) in tourism activities is low, and there is a big gap in the travel and accommodation sector in this regard. Studies of previous scholars have concluded that the accessible tourism market is a significant and profitable area, but determinants of participation to travel and process of travel, such as wheelchair user expectations, are consistently ignored by the tourism industry. The ...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Özcan G üçhan Topcu Arasli Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2219: Long-Term Economic Sustainability of Humanitarian Logistics —A Multi-Level and Time-Series Data Envelopment Analysis
We present a boot-strapped DEA window analysis and Malmquist index application as a methodological state of the art for a multi-input and multi-output efficiency analysis and discuss specific adaptions to typical core challenges in humanitarian logistics. A characteristic feature of humanitarian operations is the fact that a multitude of organizations are involved on at least two levels, national and supra-national, as well as in two sectors, private NGO and government agencies. This is modeled and implemented in an international empirical analysis: First, a comprehensive dataset from the 34 least developed countries in Af...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Klumpp Loske Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2220: The Influence of Power on Leisure: Implications for Inclusive Leisure Services
tilo Many people experience domination as they encounter oppression and marginalization because of power differentials limiting their leisure. We rely on Foucault for guidance to examine connections between power and opportunities for people to be included in leisure and recognize that, like Foucault, we experience privilege. Considering such privilege, we explore power and people connections, scrutinize ways power influences leisure, and examine methods to promote or resist power to increase leisure. Drawing on the analysis of power and leisure, we examine how discourse influences leisure and identify ways to facilita...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Lopez Frias Dattilo Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2221: The Impacts of Illegal Toxic Waste Dumping on Children ’s Health: A Review and Case Study from Pasir Gudang, Malaysia
This study examines an incident of illegal chemical dumping in Pasir Gudang, Malaysia and its potential health impacts on children. The study introduced a risk assessment of possible health-related effects due to chemical contamination based on a real case scenario where quantification of the contamination was not feasible. A literature review and spatial analysis were used as research methods. On 6th March 2019, tons of hazardous waste were illegally disposed into Kim Kim River, Pasir Gudang, Malaysia. They were identified as benzene, acrolein, acrylonitrile, hydrogen chloride, methane, toluene, xylene, ethylbenzene, and ...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Mohd Faiz Ibrahim Rozita Hod Mazrura Sahani Azmawati Mohammed Nawi Idayu Badilla Idris Hanizah Mohd Yusoff Haidar Rizal Toha Tags: Review Source Type: research

IJERPH, Vol. 18, Pages 2222: Spatiotemporal Distribution Characteristics and Driving Forces of PM2.5 in Three Urban Agglomerations of the Yangtze River Economic Belt
Tong Zhou As part of one of the five major national development strategies, the Yangtze River Economic Belt (YREB), including the three national-level urban agglomerations (the Cheng-Yu urban agglomeration (CY-UA), the Yangtze River Middle-Reach urban agglomeration (YRMR-UA), and the Yangtze River Delta urban agglomeration (YRD-UA)), plays an important role in China’s urban development and economic construction. However, the rapid economic growth of the past decades has caused frequent regional air pollution incidents, as indicated by high levels of fine particulate matter (PM2.5). Therefore, a driving force fact...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Jin-Wei Yan Fei Tao Shuai-Qian Zhang Shuang Lin Tong Zhou Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2223: Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions —A Proposed Model to Guide Clinical Care
Conclusion: This study investigated factors important for self-management and highlighted the unique contribution and focus of nursing support to promote independent self-care. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Hellqvist Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2224: Risk Factors Influencing Cyberbullying Perpetration among Middle School Students in Korea: Analysis Using the Zero-Inflated Negative Binomial Regression Model
Kim This cross-sectional descriptive study identified risk factors and predictors related to the perpetration of and potential for cyberbullying among adolescents, respectively. The analysis included a zero-inflated negative binomial regression model. Data were assessed from 2590 middle-school student panels obtained during the first wave of the Korean Child and Youth Panel Survey 2018. Of these respondents, 63.7% said they had not experienced the perpetration of cyberbullying. However, a subsequent count model analysis showed that several factors were significantly associated with cyberbullying, including offline d...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Kang Kang Kim Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2225: Tobacco Smoke and CYP1A2 Activity in a US Population with Normal Liver Enzyme Levels
Wu Non-alcoholic fatty liver disease (NAFLD) is common among 30% of American adults. Former and current smokers are at higher risk for NAFLD compared to never smokers. The ratio of urine caffeine metabolites to caffeine intake—namely, urine caffeine metabolite indices—has previously been used as a proxy for CYP1A2 activity, which is one of the main liver metabolizing enzymes. CYP1A2 activity is associated with NAFLD progression. No studies to our knowledge have examined the associations of liver enzymes, smoking intensity, and secondhand smoke (SES) with CYP1A2 activity (using caffeine metabolite indices)...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Garduno Wu Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2226: Bioremediation of Total Petroleum Hydrocarbons (TPH) by Bioaugmentation and Biostimulation in Water with Floating Oil Spill Containment Booms as Bioreactor Basin
Sharma A crude oil spill is a common issue during offshore oil drilling, transport and transfer to onshore. Second, the production of petroleum refinery effluent is known to cause pollution due to its toxic effluent discharge. Sea habitats and onshore soil biota are affected by total petroleum hydrocarbons (TPH) as a pollutant in their natural environment. Crude oil pollution in seawater, estuaries and beaches requires an efficient process of cleaning. To remove crude oil pollutants from seawater, various physicochemical and biological treatment methods have been applied worldwide. A biological treatment method using b...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Sayed Baloo Sharma Tags: Review Source Type: research

IJERPH, Vol. 18, Pages 2227: Nature ’s Role in Supporting Health during the COVID-19 Pandemic: A Geospatial and Socioecological Study
IJERPH, Vol. 18, Pages 2227: Nature’s Role in Supporting Health during the COVID-19 Pandemic: A Geospatial and Socioecological Study International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18052227 Authors: Robinson Brindley Cameron MacCarthy Jorgensen The COVID-19 pandemic has brought about unprecedented changes to human lifestyles across the world. The virus and associated social restriction measures have been linked to an increase in mental health conditions. A considerable body of evidence shows that spending time in and engaging with nature can improve human heal...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Robinson Brindley Cameron MacCarthy Jorgensen Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2228: Telephone Emergency Service 142 (TelefonSeelsorge) during the COVID-19 Pandemic –Cross-Sectional Survey among Counselors in Austria
IJERPH, Vol. 18, Pages 2228: Telephone Emergency Service 142 (TelefonSeelsorge) during the COVID-19 Pandemic–Cross-Sectional Survey among Counselors in Austria International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18052228 Authors: Humer Pieh Probst Kisler Schimböck Schadenhofer Telephone emergency services play an important role in providing low-threshold, anonymous crisis intervention free of cost. The current study aims to examine the mental well-being and perceived stress level of counselors as well as the main topics of helpline callers during the COVID...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Humer Pieh Probst Kisler Schimb öck Schadenhofer Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2229: Use of Health Services and Unmet Need among Adults of Russian, Somali and Kurdish Origin in Finland
Koponen Castaneda Equal access to health care is one of the key policy priorities in many European societies. Previous findings suggest that there may be wide differences in the use of health services between people of migrant origin and the general population. We analyzed cross-sectional data from a random sample of persons of Russian (n = 692), Somali (n = 489), and Kurdish (n = 614) origin and the Health 2011 survey data (n = 1406) representing the general population in Finland. Having at least one outpatient visit to any medical doctor during the previous 12 months was at the same level for groups of Russian a...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Çilenti Rask Elovainio Lilja Kuusio Koskinen Koponen Castaneda Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2230: Hospitalization Costs of Lower Limb Ulcerations and Amputations in Patients with Diabetes in Romania
na M. Borzan In this retrospective case-control study conducted in Cluj-Napoca, Romania, we assessed the effect of ulcerations/amputations on hospitalization costs of patients with diabetes. Patients with (Group 1) or without (Group 2) ulcerations/amputations (case-control ratio 3:1) admitted to a single diabetes center between 2012–2017 were included. The effects of hospitalization days, age, duration of diabetes, body mass index and glycated hemoglobin (HbA1c) on total costs was explored using a multivariate linear regression analysis, enter model. Overall, 876 patients were included (Group 1: 682, 323 [47.4%] ...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Diana I. Sima Cosmina I. Bondor Ioan A. Vere şiu Norina A. G âvan Cristina M. Borzan Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2231: Prevalence and Risk Factors of COVID-19 Symptoms among U.S. Adults with Allergies
This study sought to evaluate COVID-19 associated physical and mental health symptoms among adults with allergies compared to the general U.S. adult population. Methods: Data for these analyses were obtained from the publicly available COVID-19 Household Impact Survey, which provides national and regional statistics about physical health, mental health, economic security, and social dynamics among U.S. adults (ages 18 and older). Data from 20–26 April 2020; 4–10 May 2020; and 30 May–8 June 2020 were included. Our primary outcomes for this analysis were physical and mental health symptoms experienced in th...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Marlene Camacho-Rivera Jessica Yasmine Islam Denise Christina Vidot Sunit Jariwala Tags: Communication Source Type: research

IJERPH, Vol. 18, Pages 2232: Lessons from the First Wave of COVID-19. What Security Measures Do Women and Men Require from the Hotel Industry to Protect against the Pandemic?
ro Menor-Campos The tourism sector in general and the hotel sector in particular face the challenge of managing appropriate security measures to deal with the COVID-19 pandemic. In this sense, it is useful to know which measures are most demanded by the clientele. This research, through non-parametric statistics tests, concluded that women are more demanding than men in relation to the security measures to be taken in hotels. More specifically, this research concludes that women are more demanding than men in relation to a set of measures including ensuring good hygiene conditions, the use of disinfectants, the exis...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Rueda L ópez L ópez-Felipe Navajas-Romero Menor-Campos Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2233: Integrated Human Exposure to Air Pollution
lmeida Air pollution is one of the major environmental health problems that people face nowadays, affecting everyone in the world [...] (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Canha Diapouli Almeida Tags: Editorial Source Type: research

IJERPH, Vol. 18, Pages 2234: Do Observed Teaching Behaviors Relate to Students ’ Engagement in Physical Education?
IJERPH, Vol. 18, Pages 2234: Do Observed Teaching Behaviors Relate to Students’ Engagement in Physical Education? International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18052234 Authors: González-Peño Franco Coterón Teachers’ behaviors can affect students’ engagement in the Physical Education (PE) setting. According to self-determination theory, teachers can rely on either a need-supportive or a controlling teaching behavior, and these behaviors will differently affect students’ outcomes. The main objective of this research was to ana...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Gonz ález-Peño Franco Coter ón Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2235: A Pandemic within the Pandemic? Physical Activity Levels Substantially Decreased in Countries Affected by COVID-19
er Yuki Lieberman Vogt Verhagen Hespanhol Hollander Governments have restricted public life during the COVID-19 pandemic, inter alia closing sports facilities and gyms. As regular exercise is essential for health, this study examined the effect of pandemic-related confinements on physical activity (PA) levels. A multinational survey was performed in 14 countries. Times spent in moderate-to-vigorous physical activity (MVPA) as well as in vigorous physical activity only (VPA) were assessed using the Nordic Physical Activity Questionnaire (short form). Data were obtained for leisure and occupational PA p...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Wilke Mohr Tenforde Edouard Fossati Gonz ález-Gross S ánchez Ramírez Lai ño Tan Pillay Pigozzi Jimenez-Pavon Novak Jaunig Zhang van Poppel Heidt Willwacher Yuki Lieberman Vogt Verhagen Hespanhol Hollander Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2236: Does Vigorous Physical Activity Contribute to Adolescent Life Satisfaction?
Conclusions: Promoting both current subjective well-being and organized PA, with an emphasis on achieving the VPA recommendations, may support general LS and a healthy lifestyle in adolescents. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Chmel ík Fr ömel Groffik Šafář Mit áš Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2237: Sex Differences in the Association between Atrial Fibrillation and 90-day Adverse Outcomes Among Older Adults with Heart Failure: A Retrospective Cohort Study
This study, therefore, compared sex differences in the association between AF and its 90-day adverse outcomes (hospital readmissions and emergency room (ER) visits) among older adults with HF. Of the 250 older adult patients, the prevalence rates of coexisting AF between male and female HF patients were 46.0% and 31.0%, respectively. In both male and female older patients, patients with AF have a significantly higher readmission rate (male 46.0%, and female 34.3%) than those without AF (male 6.8%, and female 12.8%). However, there are no significant differences in the association between AF and ER visits in both male and f...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Son Kim Won Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2238: The Incidence of Healthcare-Associated Infections, Their Clinical Forms, and Microbiological Agents in Intensive Care Units in Southern Poland in a Multicentre Study from 2016 to 2019
Conclusions. A two-fold higher incidence rate of BSI was detected compared to the average incidence in European countries. BSI of unknown source (BSI-UNK) was predominant. K. pneumoniae and A. baumannii bacteria were the most often isolated microorganisms causing HAI. Infection control based on incidence rate for each type of infection is necessary in ICU to assess the epidemiological situation. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Rafa Wa łaszek Wa łaszek Doma ński R óżańska Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2239: Heavy-Metal Phytoremediation from Livestock Wastewater and Exploitation of Exhausted Biomass
roppa Rossi Sustainable agriculture is aimed at long-term crop and livestock production with a minimal impact on the environment. However, agricultural practices from animal production can contribute to global pollution due to heavy metals from the feed additives that are used to ensure the nutritional requirements and also promote animal health and optimize production. The bioavailability of essential mineral sources is limited; thus, the metals are widely found in the manure. Via the manure, metallic ions can contaminate livestock wastewater, drastically reducing its potential recycling for irrigation. Phytoremedi...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Hejna Onelli Moscatelli Bellotto Cristiani Stroppa Rossi Tags: Review Source Type: research

IJERPH, Vol. 18, Pages 2240: Housing Quality in a Rural and an Urban Settlement in South Africa
This study has highlighted housing conditions in Agincourt and Jouberton that are detrimental to health, and which may impact disease severity or transmission in South African communities. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Mathee Moyes Mkhencele Kleynhans Language Piketh Moroe Wafawanaka Martinson McMorrow Tempia Kahn Cohen Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2241: Cardiac Rehabilitation Based on the Walking Test and Telerehabilitation Improved Cardiorespiratory Fitness in People Diagnosed with Coronary Heart Disease during the COVID-19 Pandemic
This study investigated an alternative home-based cardiac telerehabilitation model in consideration of the recommendations for the COVID-19 quarantine of people diagnosed with coronary heart disease (CHD). We hypothesized that using a 200 m fast walking test (200 mFWT) and telerehabilitation would create an effective alternative cardiac rehabilitation (CR) intervention that could improve cardiorespiratory fitness. Participants (n = 19, mean age 60.4 ± 9.6) of the 8-week intervention performed regular physical exercise at the target heart rate zone determined by calculations based on the 200 mFWT results. In our stud...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Batalik Konecny Dosbaba Vlazna Brat Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2242: Effects of Exercise Intervention on Mitochondrial Stress Biomarkers in Metabolic Syndrome Patients: A Randomized Controlled Trial
kung Metabolic syndrome (MetS) pathogenesis involves oxidative stress associated with mitochondrial dysfunction, which triggers integrated stress responses via various compensatory metabolic modulators like mitokines and hepatokines. However, the regulatory mechanisms underlying the exercise-derived benefits with respect to mitokines and hepatokines (potential MetS biomarkers) are unknown. Thus, we investigated the effects of exercise training on MetS biomarkers and their associations with clinical parameters. In this single-center trial, 30 women with MetS were randomly assigned to 12-week supervised exercise or contr...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Chang Namkung Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2243: Does Science Literacy Guarantee Resistance to Health Rumors? The Moderating Effect of Self-Efficacy of Science Literacy in the Relationship between Science Literacy and Rumor Belief
Zou Lai Health rumors not only incite unnecessary fears and skepticism, but may also cause individuals to refuse effective remedy and thus delay their treatment. Studies have found that health literacy may help the public identify the falsity of health rumors and avoid their negative impact. However, whether other types of literacy work in helping people disbelieve health rumors is still unknown. With a national survey in China (N = 1646), our study examined the effect of science literacy on rumor belief and further analyzed the moderating role of self-efficacy of science literacy in their relationship. Hierarchical...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: He Chen Xiong Zou Lai Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2244: Oral Anticoagulant Adequacy in Non-Valvular Atrial Fibrillation in Primary Care: A Cross-Sectional Study Using Real-World Data (Fantas-TIC Study)
Conclusions: Poor adequacy to current criteria was observed, being inadequacy higher in DOACs than in VKAs. TTR and GFR should be routinely calculated in electronic health records (EHR) to facilitate decision-making and patient safety. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Dalmau Llorca Aguilar Mart ín Carrasco-Querol Hern ández Rojas Forcadell Drago Cumplido Pepi ó Vilaubí Castro Blanco Gon çalves Fern ández-Sáez Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2245: Intimate Partner Violence and the Role of Child Maltreatment and Neighborhood Violence: A Retrospective Study of African American and US Caribbean Black Women
Conclusions: The study addressed the short and long-term impact of child maltreatment and the contribution to the cycle of intimate violence among US Black women including African American and Caribbean Blacks. The study suggests the need for prevention and intervention efforts to improve structural conditions for at-risk populations and communities predisposed to violence and other negative outcomes. Possibilities for future research are also discussed. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Lacey Shahid Jeremiah Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2246: Preterm Deliveries in Women with Uterine Myomas: The Japan Environment and Children ’s Study
This study aimed to clarify the association between uterine myomas and preterm birth (PTB), preterm premature rupture of membranes (pPROM), and intrauterine infection (II). The study was based on data from the Japan Environment and Children’s Study, a nationwide birth-cohort study. Data of 86,370 women with singleton births after 22 weeks of gestation (with uterine myomas, n = 5354) were retrospectively analyzed. Using logistic regression, adjusted odds ratios (aORs) for PTB, pPROM, and II were calculated considering women without uterine myomas as the reference. Additionally, the effects of II on the incidence of PT...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Tsuyoshi Murata Hyo Kyozuka Yuta Endo Toma Fukuda Shun Yasuda Akiko Yamaguchi Akiko Sato Yuka Ogata Kosei Shinoki Mitsuaki Hosoya Seiji Yasumura Koichi Hashimoto Hidekazu Nishigori Keiya Fujimori The Japan Environment Children ’s Study (JECS) Group Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2247: Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review
ė The non-development of the concept of patient knowledge empowerment for disease self-management and the non-development of the theory of patient knowledge empowerment in patients with chronic diseases, cause methodological inconsistency of patient empowerment theory and does not provide a methodological basis to present patient knowledge empowerment preconditions. Therefore, the aim of the present integrative review was to synthesize and critically analyze the patient knowledge enablers distinguished in the public health management theory, the knowledge sharing enablers presented in the knowledge management theory a...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Vainauskien ė Vaitkien ė Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2248: Population Response to Air Pollution and the Risk of Coronavirus Disease in Chinese Cities during the Early Pandemic Period
This study highlights the importance of health behaviors, including mask-wearing for preventing infections. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Miryoung Yoon Jong-Hun Kim Jisun Sung Ah-Young Lim Myung-Jae Hwang Eun-Hye Kim Hae-Kwan Cheong Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2205: Implementation of Person-Centered Care: A Feasibility Study Using the WE-CARE Roadmap
Conclusions: This feasibility pilot study indicates that the Gothenburg PCC approach can be successfully transferred to a rehabilitation hospital in Poland with favorable perceptions of implementation by both professionals and patients/their families. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Roman A. Lewandowski J ędrzej B. Lewandowski Inger Ekman Karl Swedberg Jan T örnell Heather L. Rogers Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2206: Preventive Metformin Monotherapy Medication Prescription, Redemption and Socioeconomic Status in Hungary in 2018 –2019: A Cross-Sectional Study
This study was designed to characterize the spatial distribution of metformin medication used as first-line monotherapy for prevention of T2DM in relationship with the socioeconomic status (level of deprivation) and T2DM mortality at district level in a nationwide cross-sectional ecological study for the first time in a European country, Hungary. Risk analysis was used to estimate the relationships between socioeconomic status, characterized by tertiles of deprivation index, and mortality caused by diabetes, and metformin medication (both prescription and redemption) for the years of 2018 and 2019 at the district level. Th...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Csilla Nagy Attila Juh ász P éter Pikó Judit Di ószegi Gy örgy Paragh Zolt án Szabó Orsolya Varga R óza Ádány Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2207: Physical Activity Improves Mental Health in Children and Adolescents Irrespective of the Diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) —A Multi-Wave Analysis Using Data from the KiGGS Study
Conclusion: This study underlines the importance of a high frequency level of PA for a good mental health status among children and adolescents, irrespective of the diagnosis of ADHD. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Parisa Ganjeh Thomas Meyer York Hagmayer Ronny Kuhnert Ulrike Ravens-Sieberer Nicole von von Steinbuechel Aribert Rothenberger Andreas Becker Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2208: An Exploration of the Psycho-Social Benefits of Providing Sponsorship and Supporting Others in Traditional 12 Step, Self-Help Groups
overn Sponsorship is a key feature of traditional drug and alcohol self-help groups. It is a source of interpersonal support provided by an individual who is in a more advanced stage of recovery to an individual at an earlier stage of recovery. Whilst it is widely recognised that sponsorship is beneficial to the person receiving it, little is known about the psychological and social benefits that sponsors derive from providing sponsorship to others. We conducted in-depth qualitative interviews with 36 long-term self-help users (6 months−10 years) with experience of sponsoring the recovery of others, recruited fro...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: William McGovern Michelle Addison Ruth McGovern Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2209: How Can Bullying Victimisation Lead to Lower Academic Achievement? A Systematic Review and Meta-Analysis of the Mediating Role of Cognitive-Motivational Factors
Khattab Bullying involvement may have an adverse effect on children’s educational outcomes, particularly academic achievement. However, the underlying mechanisms and factors behind this association are not well-understood. Previous meta-analyses have not investigated mediation factors between bullying and academic achievement. This meta-analysis examines the mediation effect of cognitive-motivational factors on the relationship between peer victimization and academic achievement. A systematic search was performed using specific search terms and search engines to identify relevant studies that were selected accor...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Muthanna Samara Bruna Da Silva Nascimento Aiman El-Asam Sara Hammuda Nabil Khattab Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2210: Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients
Conclusions: Our analysis revealed that the DHI vestibular subscale distinguishes between patients with compensated and uncompensated vestibular dysfunction. The positional subscale showed the highest scoring in the BPPV group with high sensitivity and low specificity of the test. The DHI is highly correlated with patients’ psychological status. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Ewa Zamyslowska-Szmytke Piotr Politanski Magdalena Jozefowicz-Korczynska Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2211: Ascertainment Bias in a Historic Cohort Study of Residents in an Asbestos Manufacturing Community
d A. Emmett This paper describes follow-up for a cohort of 4530 residents living in the asbestos manufacturing community of Ambler, PA, U.S. in 1930. Using re-identified census data, cause and date of death data obtained from the genealogic website Ancestry.com, along with geospatial analysis, we explored relationships among demographic characteristics, occupational, paraoccupational and environmental asbestos exposures. We identified death data for 2430/4530 individuals. Exposure differed significantly according to race, gender, age, and recency of immigration to the U.S. Notably, there was a significant difference in...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Jeremy D. Wortzel Douglas J. Wiebe Shabnam Elahi Atu Agawu Frances K. Barg Edward A. Emmett Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2212: In Touch with the Heartbeat: Newborns ’ Cardiac Sensitivity to Affective and Non-Affective Touch
IJERPH, Vol. 18, Pages 2212: In Touch with the Heartbeat: Newborns’ Cardiac Sensitivity to Affective and Non-Affective Touch International Journal of Environmental Research and Public Health doi: 10.3390/ijerph18052212 Authors: Letizia Della Longa Danica Dragovic Teresa Farroni The sense of touch is the first manner of contact with the external world, providing a foundation for the development of sensorimotor skills and socio-affective behaviors. In particular, affective touch is at the core of early interpersonal interactions and the developing bodily self, promoting the balance between internal physiolo...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Letizia Della Longa Danica Dragovic Teresa Farroni Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2213: Self-Reported Waiting Times for Outpatient Health Care Services in Hungary: Results of a Cross-Sectional Survey on a National Representative Sample
Conclusions: Longest waiting times were reported for public specialist visits, but waiting times were favorable for family doctors and private specialists. Further investigation is needed to better understand potential inequities affecting people in worse health status. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Óscar Brito Brito Fernandes Armin Lucevic M árta Péntek Dionne Kringos Niek Klazinga L ászló Gulácsi Zsombor Zrubka Petra Baji Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2214: Impact of Prolonged Exposure to a Slippery Surface on Postural Stability
Knight Falls are extremely common in occupational settings. Intrinsic factors such as overexertion and extrinsic factors such as the supporting surface are causative factors of falls. The impact of prolonged exposure to a slippery surface on postural stability has not been previously studied. The purpose of the study was to analyze the effect of extended exposure to a dry and a slippery surface on postural stability. Eighteen males (age: 21.17 ± 3.38 years; height: 1.77 ± 0.08 m; mass: 89.81 ± 14.23 kg) were recruited and subjected to one-hour walking on a dry surface and a slippery surface on two...
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Sachini N. K. Kodithuwakku Kodithuwakku Arachchige Harish Chander Alana J. Turner Adam C. Knight Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2215: Epidemiological Research on Occupational and Environmental Carcinogens
a The cancer risk associated with exposure to environmental and occupational carcinogens such as asbestos, benzene, radiation, or lifestyle carcinogens such as cigarette smoking depends on the entire history of exposure to the carcinogen, including the age of exposure and the time-varying intensity of exposure [...] (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 24, 2021 Category: Environmental Health Authors: Caterina Ledda Tags: Editorial Source Type: research

IJERPH, Vol. 18, Pages 2181: Intimate Partner Cyberstalking, Sexism, Pornography, and Sexting in Adolescents: New Challenges for Sex Education
Conclusions: it is essential to implement sexual affective education programs in schools in which Information and Communication Technologies (ICT) are incorporated so that boys and girls can experience their relationships, both offline and online, in an egalitarian and violence-free way. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Yolanda Rodr íguez-Castro Rosana Mart ínez-Román Patricia Alonso-Ruido Alba Ad á-Lameiras Mar ía Victoria Carrera-Fernández Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2152: Socioeconomic Factors Related to Job Satisfaction among Formal Care Workers in Nursing Homes for Older Dependent Adults
Sotos Population ageing is increasing the demand for dependent care. Aged care nursing homes are facilities that provide formal care for dependent older persons. Determining the level of job satisfaction among workers in nursing homes and the associated factors is key to enhancing their well-being and the quality of care. A cross-sectional survey was administered online to nursing home workers (n = 256) in an inland region of Spain over the period from February to May 2017. The questionnaire collected data on sociodemographic variables and others related to training and job satisfaction. The results show that most of t...
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Isabel Pardo-Garcia Roberto Martinez-Lacoba Francisco Escribano-Sotos Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2153: Quality of Life and Associated Factors in Young Workers
Conclusions: In the present study, self-rated health, physical activity, and gender were associated with young workers’ quality of life. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Jos é Andrade Louzado Matheus Lopes Cortes M árcio Galvão Oliveira Vanessa Moraes Bezerra S óstenes Mistro Danielle Souto de Medeiros Daniela Arruda Soares Kelle Oliveira Silva Cl ávdia Nicolaevna Kochergin Vivian Carla Honorato dos Santos de Carvalh Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2154: Authentic Youth Engagement in Environmental Health Research and Advocacy
Ellen J. Hahn Training in environmental health (EH) engages and inspires youth to tackle health promotion and policy change. Yet, there is little guidance on how to successfully nurture and sustain youth engagement. This paper compares four case studies of youth engagement to promote EH in rural and urban communities using the Youth Empowerment Solutions (YES!) framework. Of the case studies in rural (Central Appalachia) and urban (Cincinnati, Ohio) communities, two employ citizen science approaches using PhotoVoice and environmental sampling; one engages youth in a science communication camp; and one focuses on policy...
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Kathryn M. Cardarelli Melinda Ickes Luz Huntington-Moskos Craig Wilmhoff Angela Larck Susan M. Pinney Ellen J. Hahn Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2155: Assessment of Thoracic Pain Using Machine Learning: A Case Study from Baja California, Mexico
In this study, the machine learning techniques were used, performing an analysis of 27 variables provided by a database with information from 258 geriatric patients with 60 years old average age from Medical Norte Hospital in Tijuana, Baja California, Mexico. The objective of this analysis is to determine which variables are correlated with thoracic pain of cardiac origin and use the results as secondary parameters to evaluate the thoracic pain in the emergency rooms, and determine if its origin comes from a CVD or not. For this, two machine learning techniques were used: Tree classification and cross-validation. As a resu...
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Veronica Rojas-Mendizabal Cristi án Castillo-Olea Alexandra G ómez-Siono Clemente Zu ñiga Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 2156: Effects of Resilience and Acculturation Stress on Integration and Social Competence of Migrant Children and Adolescents in Northern Chile
ter Villalonga-Olives Migration in Chile has increased exponentially in recent years, with education being one of the main focuses of attention in this cultural transformation. Integration and social competence in the migrant population are determined by several factors. The aim of this study is to evaluate the potential effects of resilience and acculturation stress on the levels of integration and social competence in migrant students in Northern Chile. In total, 292 school children of both genders aged 8 to 18, from the fourth grade to senior year of high school, participated in the investigation. A subscale of the ...
Source: International Journal of Environmental Research and Public Health - February 23, 2021 Category: Environmental Health Authors: Alejandra Caqueo-Ur ízar Alfonso Urz úa Carolang Escobar-Soler Jerome Flores Patricio Mena-Chamorro Ester Villalonga-Olives Tags: Article Source Type: research