IJERPH, Vol. 15, Pages 2087: Anxiety in Rural Chinese Children and Adolescents: Comparisons across Provinces and among Subgroups
Rozelle China’s competitive education system has produced notably high learning outcomes, but they may be costly. One potential cost is high levels of anxiety. China has launched several initiatives aimed at improving student mental health. However, little is known about how effective these programs and policies are. The goal of this paper was to examine anxiety levels among children and adolescents in rural China, and to identify which subpopulations were particularly vulnerable to anxiety. Data were aggregated from 10 different school-level surveys conducted in rural areas of five provinces between 2008...
Source: International Journal of Environmental Research and Public Health - September 22, 2018 Category: Environmental Health Authors: Hongyan Liu Yaojiang Shi Emma Auden Scott Rozelle Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2086: ‘Sustainable’ Rather Than ‘Subsistence’ Food Assistance Solutions to Food Insecurity: South Australian Recipients’ Perspectives on Traditional and Social Enterprise Models
IJERPH, Vol. 15, Pages 2086: ‘Sustainable’ Rather Than ‘Subsistence’ Food Assistance Solutions to Food Insecurity: South Australian Recipients’ Perspectives on Traditional and Social Enterprise Models International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102086 Authors: Sue Booth Christina Pollard John Coveney Ian Goodwin-Smith South Australian (SA) food charity recipients’ perspectives were sought on existing services and ideas for improvement of food assistance models to address food insecurity. Seven focus groups were conducted be...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Sue Booth Christina Pollard John Coveney Ian Goodwin-Smith Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2070: Perfluorooctanoic Acid (PFOA) Exposure in Early Life Increases Risk of Childhood Adiposity: A Meta-Analysis of Prospective Cohort Studies
ng Yuan Some articles have examined perfluorooctanoic acid (PFOA) exposure in early life in relation to risk of childhood adiposity. Nevertheless, the results from epidemiological studies exploring the associations remain inconsistent and contradictory. We thus conducted an analysis of data currently available to examine the association between PFOA exposure in early life and risk of childhood adiposity. The PubMed, EMBASE, and Web of Science databases were searched to identify studies that examined the impact of PFOA exposure in early life on childhood adiposity. A random-effects meta-analysis model was used to pool t...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Pingping Liu Fang Yang Yongbo Wang Zhanpeng Yuan Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2071: Targeted Versus Nontargeted Communication About Electronic Nicotine Delivery Systems in Three Smoker Groups
Conclusions: Our targeted messages did not appear to be a better choice over nontargeted messages to communicate about ENDS to smokers. Given the increasing call to accurately inform the public of the risk differences among various tobacco products, future studies should continue to explore whether targeted messages could be employed to communicate about the comparative risks of ENDS. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Bo Yang Jiaying Liu Lucy Popova Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2072: Meeting Patients ’ Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues
IJERPH, Vol. 15, Pages 2072: Meeting Patients’ Right to the Correct Diagnosis: Ongoing International Initiatives on Undiagnosed Rare Diseases and Ethical and Social Issues International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102072 Authors: Sabina Gainotti Deborah Mascalzoni Virginie Bros-Facer Carlo Petrini Giovanna Floridia Marco Roos Marco Salvatore Domenica Taruscio The time required to reach a correct diagnosis is a key concern for rare disease (RD) patients. Diagnostic delay can be intolerably long, often described as an “odyssey&rdqu...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Sabina Gainotti Deborah Mascalzoni Virginie Bros-Facer Carlo Petrini Giovanna Floridia Marco Roos Marco Salvatore Domenica Taruscio Tags: Review Source Type: research

IJERPH, Vol. 15, Pages 2073: Factors Associated with the Risk of Developing Coronary Artery Disease in Medicated Patients with Major Depressive Disorder
Conclusions: This study highlights that the interaction effect of the severity of depression and the triglyceride level, was a modifiable factor positively associated with high FRS. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Roger C. M. Ho Anna C. Chua Bach X. Tran Carol C. Choo Syeda Fabeha Husain Giang T. Vu Roger S. McIntyre Cyrus S. H. Ho Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2074: Suicide on the Railways in Belgium: A Typology of Locations and Potential for Prevention
This study analyzed the geographic distribution of railway suicides in Belgium from 2008–2013 at the level of a railway section (average length of 3.5 km). Principal component analysis (PCA) identified three groups of correlations that helped explain the variance of railway suicide. The three groups are related to characteristics of urban spaces, psychiatric facilities, and railway traffic density. Based on the PCA results, the study found four types of railway sections. The density of railway suicide was average and low in the urban and rural/industrial sections, respectively. However, it was high in the sub...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Mathieu Strale Karolina Krysinska Ga ëtan Van Overmeiren Karl Andriessen Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2076: Associations Between the Dopamine D4 Receptor and DAT1 Dopamine Transporter Genes Polymorphisms and Personality Traits in Addicted Patients
na Grzywacz Many factors are involved in addiction. The dopaminergic system is thought to be the key element in this process. The mesolimbic dopamine system is a crucial element in the reward system. Changes in this system are thought to be leading to substance use disorders and dependence. Therefore, for our study we chose an analysis of two polymorphisms in genes (Variable Number of Tandem Repeats in DRD4 and DAT1) responsible for dopaminergic transmission, which might be implicated in the scores of personality traits measured by the NEO-FFI test. The study group consisted of 600 male volunteers—299 add...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Jolanta Chmielowiec Krzysztof Chmielowiec Aleksandra Suchanecka Grzegorz Trybek Bo żena Mroczek Iwona Ma łecka Anna Grzywacz Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2075: Cognitive Load Changes during Music Listening and its Implication in Earcon Design in Public Environments: An fNIRS Study
This study aimed to examine the cognitive load changes required to perform a melodic contour identification task (CIT). While healthy college students (N = 16) were presented with five CITs, behavioral (reaction time and accuracy) and cerebral hemodynamic responses were measured using functional near-infrared spectroscopy. Our behavioral findings showed a gradual increase in cognitive load from CIT1 to CIT3 followed by an abrupt increase between CIT4 (i.e., listening to two concurrent melodic contours in an alternating manner and identifying the direction of the target contour, p < 0.001) and CIT5 (i.e., listeni...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Eunju Jeong Hokyoung Ryu Geonsang Jo Jaehyeok Kim Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2078: Algal Bloom Prediction Using Extreme Learning Machine Models at Artificial Weirs in the Nakdong River, Korea
In this study, we design an intelligent model to predict chlorophyll-a concentration, which is the primary indicator of algal blooms, using extreme learning machine (ELM) models. Modeling algal blooms is important for environmental management and ecological risk assessment. For this purpose, the performance of the designed models was evaluated for four artificial weirs in the Nakdong River, Korea. The Nakdong River has harmful annual algal blooms that can affect health due to exposure to toxins. In contrast to conventional neural network (NN) that use backpropagation (BP) learning methods, ELMs are fast learning, feedforwa...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Hye-Suk Yi Sangyoung Park Kwang-Guk An Keun-Chang Kwak Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2077: Monitoring Injuries Associated with Mandated Children ’s Products in Australia: What Can the Data Tell Us?
This study highlights significant limitations in injury surveillance data for identification and monitoring of child product-related injuries. This in turn limits the evidence base to assess the efficacy of existing regulations. Available data show baby walkers, cots, prams, nightwear, and bunk beds to be associated with a considerable number of child hospital presentations, admissions, and deaths. A significant scope for improvement in current product injury recording practices in the health sector exists. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Kirsten Vallmuur Caroline Lukaszyk Jesani Catchpoole Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2079: Laboratory-Assessed Markers of Cardiometabolic Health and Associations with GIS-Based Measures of Active-Living Environments
Ross Active-living-friendly environments have been linked to physical activity, but their relationships with specific markers of cardiometabolic health remain unclear. We estimated the associations between active-living environments and markers of cardiometabolic health, and explored the potential mediating role of physical activity in these associations. We used data collected on 2809 middle-aged adults who participated in the Canadian Health Measures Survey (2007–2009; 41.5 years, SD = 15.1). Environments were assessed using an index that combined GIS-derived measures of street connectivity, land use m...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Samantha Hajna Kaberi Dasgupta Nancy A. Ross Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2080: Major Stressors among Korean Adolescents According to Gender, Educational Level, Residential Area, and Socioeconomic Status
n Lee Adolescents are exposed to many stressors which have been associated with poor mental health. Using data from the 2015 Korea Youth Risk Behavior Web-based Survey, we identified the major stressors among Korean adolescents based on gender, current educational level, residential area, and socioeconomic status (SES). The major stressors among girls were relationship- and appraisal-related factors, whereas boys more often reported health- and conflict-related factors. High school students more often reported academic performance and family circumstances as major stressors, whereas middle school students tended to rep...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Subin Park Hyesue Jang Eun-Sun Lee Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2081: Effect of a 12-Week Online Walking Intervention on Health and Quality of Life in Cancer Survivors: A Quasi-Randomized Controlled Trial
llman Cancer survivors are at an increased risk of experiencing physical and psychological ill-effects following cancer treatment. Rural cancer survivors are at a greater risk of future health problems following a cancer diagnosis compared to their urban counterparts. Physical activity has been targeted as a health promotion priority in cancer survivors. Research indicates that a large portion of cancer survivors do not meet physical activity recommendations. The purpose of this quasi-randomized controlled trial was to test the effectiveness of an online 12-week walking intervention designed for cancer survivors, and t...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Lauren J. Frensham Gaynor Parfitt James Dollman Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2083: Selected Socio-Demographic and Occupational Factors of Burnout Syndrome in Nurses Employed in Medical Facilities in Ma łopolska—Preliminary Results
IJERPH, Vol. 15, Pages 2083: Selected Socio-Demographic and Occupational Factors of Burnout Syndrome in Nurses Employed in Medical Facilities in Małopolska—Preliminary Results International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102083 Authors: Anna Nowacka Anna Piskorz Renata Wolfshaut-Wolak Jadwiga Piątek Agnieszka Gniadek The study examined the relationship between socio-demographic and occupational factors and the level of occupational burnout using the dimensions of emotional exhaustion (EE), depersonalization (DEP), and personal accomplishment (PA). It examine...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Anna Nowacka Anna Piskorz Renata Wolfshaut-Wolak Jadwiga Pi ątek Agnieszka Gniadek Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2082: Syncope and Collapse Are Associated with an Increased Risk of Cardiovascular Disease and Mortality in Patients Undergoing Dialysis
Conclusion: SC was significantly associated with cardiovascular events and overall mortality in the patients on dialysis. SC may serve as a prodrome for cardiovascular comorbidities, thereby assisting clinicians in identifying high-risk patients. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Shih-Ting Huang Tung-Min Yu Tai-Yuan Ke Ming-Ju Wu Ya-Wen Chuang Chi-Yuan Li Chih-Wei Chiu Cheng-Li Lin Wen-Miin Liang Tzu-Chieh Chou Chia-Hung Kao Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2084: Erratum: Assari, S.; Mistry, R. Educational Attainment and Smoking Status in a National Sample of American Adults; Evidence for the Blacks ’ Diminished Return. Int. J. Environ. Res. Public Health 2018, 15, 763
IJERPH, Vol. 15, Pages 2084: Erratum: Assari, S.; Mistry, R. Educational Attainment and Smoking Status in a National Sample of American Adults; Evidence for the Blacks’ Diminished Return. Int. J. Environ. Res. Public Health 2018, 15, 763 International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102084 Authors: Shervin Assari Ritesh Mistry Due to an error during production, a citation of the published paper [1] was incorrect [...] (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Shervin Assari Ritesh Mistry Tags: Erratum Source Type: research

IJERPH, Vol. 15, Pages 2085: Development of Policy Relevant Human Biomonitoring Indicators for Chemical Exposure in the European Population
hoeters Xenia Trier The European Union’s 7th Environmental Action Programme (EAP) aims to assess and minimize environmental health risks from the use of hazardous chemicals by 2020. From this angle, policy questions like whether an implemented policy to reduce chemical exposure has had an effect over time, whether the health of people in specific regions or subpopulations is at risk, or whether the body burden of chemical substances (the internal exposure) varies with, for example, time, country, sex, age, or socio-economic status, need to be answered. Indicators can help to synthesize complex scientifi...
Source: International Journal of Environmental Research and Public Health - September 21, 2018 Category: Environmental Health Authors: Jurgen Buekers Madlen David Gudrun Koppen Jos Bessems Martin Scheringer Erik Lebret Denis Sarigiannis Marike Kolossa-Gehring Marika Berglund Greet Schoeters Xenia Trier Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2056: Health Risk of Polonium 210 Ingestion via Drinking Water: An Experience of Malaysia
h Choo Ta The presence of toxic polonium-210 (Po-210) in the environment is due to the decay of primordial uranium-238. Meanwhile, several studies have reported elevated Po-210 radioactivity in the rivers around the world due to both natural and anthropogenic factors. However, the primary source of Po-210 in Langat River, Malaysia might be the natural weathering of granite rock along with mining, agriculture and industrial activities. Hence, this is the first study to determine the Po-210 activity in the drinking water supply chain in the Langat River Basin to simultaneously predict the human health risks of Po-210 ing...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Minhaz Farid Ahmed Lubna Alam Che Abd Rahim Mohamed Mazlin Bin Mokhtar Goh Choo Ta Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2069: Data-Driven Approach to Improving the Risk Assessment Process of Medical Failures
Chen In recent decades, many researchers have focused on the issue of medical failures in the healthcare industry. A variety of techniques have been employed to assess the risk of medical failure and to generate strategies to reduce the frequency of medical failures. Considering the limitations of the traditional method—failure mode and effects analysis (FMEA)—for risk assessment and quality improvement, this paper presents two models developed using data envelopment analysis (DEA). One is called the slacks-based measure DEA (SBM-DEA) model, and the other is a novel data-driven approach (ND...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Shih-Heng Yu Emily Chia-Yu Su Yi-Tui Chen Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2062: Perceptions about the Federally Mandated Smoke-Free Housing Policy among Residents Living in Public Housing in New York City
Conclusions: Resident-endorsed strategies to optimize implementation effectiveness include improving the access to cessation services, ongoing resident engagement, education and communication to address misconceptions and concerns about enforcement, and placing smoke-free homes in a larger public housing authority healthy housing agenda. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Nan Jiang Lorna Thorpe Sue Kaplan Donna Shelley Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2061: Occupational Health Risk Assessment in the Electronics Industry in China Based on the Occupational Classification Method and EPA Model
xian Wu The awareness of occupational health risk management in the electronics industry is weak in China, and many Chinese occupational health management regulations have not been effectively implemented. China’s current occupational hazards classification method and the Environmental Protection Agency (EPA) inhalation risk assessment model recognized internationally were used to perform health risk assessments for a chip manufacturing company in the electronics industry in order to determine the existing problems and put forward the optimization proposals of the occupational hazards classification metho...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Ying Cai Fei Li Jingdong Zhang Zixian Wu Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2060: Comparison of Product Carbon Footprint Protocols: Case Study on Medium-Density Fiberboard in China
This study aims to compare the criteria and implications of the three protocols. The medium-density fiberboard (MDF) (functional unit: 1 m3) has been selected as a case study to illustrate this comparison. Different criteria, such as the life cycle stage included, cut-off criteria, biogenic carbon treatment, and other requirements, were discussed. A cradle-to-gate life cycle assessment (LCA) for MDF was conducted. The CF values were −667.75, −658.42, and 816.92 kg of carbon dioxide equivalent (CO2e) with PAS 2050, GHG protocol, and ISO 14067, respectively. The main reasons for the different resu...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Shanshan Wang Weifeng Wang Hongqiang Yang Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2063: Solar Radiation Exposure and Outdoor Work: An Underestimated Occupational Risk
Gobba A considerably high number of outdoor workers worldwide are constantly exposed for the majority of their working life to solar radiation (SR); this exposure is known to induce various adverse health effects, mainly related to its ultraviolet (UV) component. The skin and the eye are the principal target organs for both acute and long-term exposure. Actinic keratosis, non-melanoma skin cancers, and malignant melanoma are the main long-term adverse skin effects, whereas in the eye pterygium, cataracts, and according to an increasing body of evidence, macular degeneration may be induced. Despite this, SR exposure ris...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Alberto Modenese Leena Korpinen Fabriziomaria Gobba Tags: Review Source Type: research

IJERPH, Vol. 15, Pages 2064: Vitamin D Supplementation and Nordic Walking Training Decreases Serum Homocysteine and Ferritin in Elderly Women
This study presents a parallel decrease of homocysteine and ferritin in response to regular training supported by vitamin D supplementation. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Walentukiewicz Lysak-Radomska Jaworska Prusik Prusik Kortas Lipi ński Babinska Antosiewicz Ziemann Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2065: Interventions to Improve Vaccination Uptake and Cost Effectiveness of Vaccination Strategies in Newly Arrived Migrants in the EU/EEA: A Systematic Review
nsen Kevin Pottie Newly arrived migrants to the EU/EEA (arrival within the past five years), as well as other migrant groups in the region, might be under-immunised and lack documentation of previous vaccinations, putting them at increased risk of vaccine-preventable diseases circulating in Europe. We therefore performed a systematic review conforming to PRISMA guidelines (PROSPERO CRD42016045798) to explore: (i) interventions that improve vaccine uptake among migrants; and (ii) cost-effectiveness of vaccination strategies among this population. We searched MEDLINE, Embase, CINAHL, and Cochrane Database of Systematic...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Charles Hui Jessica Dunn Rachael Morton Lukas P. Staub Anh Tran Sally Hargreaves Christina Greenaway Beverly Ann Biggs Robin Christensen Kevin Pottie Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2066: Effects of a 36-h Survival Training with Sleep Deprivation on Oxidative Stress and Muscle Damage Biomarkers in Young Healthy Men
In conclusion, these findings imply that a 36-h survival training with sleep deprivation impairs enzymatic antioxidant defense, increases lipid peroxidation, and induces muscle damage. Our findings also indicate that at least in the case of young physically active men, a 12-h recovery after the 36-h period of physical activity with sleep deprivation may be sufficient for the normalization of oxidative and muscle damage markers and restoration of blood prooxidant-antioxidant homeostasis. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Ewa J ówko Pawe ł Różański Andrzej Tomczak Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2067: Family Patterns and Suicidal and Violent Behavior among Adolescent Girls —Genogram Analysis
IJERPH, Vol. 15, Pages 2067: Family Patterns and Suicidal and Violent Behavior among Adolescent Girls—Genogram Analysis International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102067 Authors: Sitnik-Warchulska Izydorczyk An increase in extreme self-destructive and aggressive behaviors in adolescents has been observed in recent years. Therapeutic effectiveness seems to depend on an adequate recognition of factors that might increase the risk of extreme destructive behaviors. The aim of this study was to identify the family patterns that should draw therapeutic attention due t...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Sitnik-Warchulska Izydorczyk Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2068: All-Cause and Cancer Mortality Trends in Macheng, China (1984 –2013): An Age-Period-Cohort Analysis
IJERPH, Vol. 15, Pages 2068: All-Cause and Cancer Mortality Trends in Macheng, China (1984–2013): An Age-Period-Cohort Analysis International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15102068 Authors: Chunhui Li Songbo Hu Chuanhua Yu The aim was to study the variation trends of all-cause and cancer mortality during 1984–2013 in Macheng City, China. The mortality data were collected from Macheng City disease surveillance points system and Hubei Center for Disease Control and Prevention. The model life table system was used to adjust mortality rates due to an unde...
Source: International Journal of Environmental Research and Public Health - September 20, 2018 Category: Environmental Health Authors: Chunhui Li Songbo Hu Chuanhua Yu Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2059: Personal Involvement Moderates Message Framing Effects on Food Safety Education among Medical University Students in Chongqing, China
Conclusions: This study portrayed the selection preference of message framing on food safety education among medical university students in southwest China. Participants exposed to loss-framed messages had higher message acceptance than those exposed to gain-framed messages. Personal involvement may affect the food safety message framing. Public health advocates and professionals can use framed messages as a strategy to enhance intervention efficacy in the process of food safety education. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Li Bai Zhengjie Cai Yalan Lv Tingting Wu Manoj Sharma Zumin Shi Xiaorong Hou Yong Zhao Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2047: Building-Related Environmental Intolerance and Associated Health in the General Population
even Nordin People frequently attribute adverse symptoms to particular buildings when exposure to pollutants is low, within nonhazardous levels. Our aim was to characterize building-related intolerance (BRI) in the general population. Data were derived from two population-based questionnaire surveys, the Västerbotten and Österbotten Environmental Health Study. We identified cases of BRI if respondents reported symptoms emerging from residing in certain buildings, when most other people had none. The questionnaires covered lifestyle factors, perceived general health, BRI duration and symptom fr...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Kirsi Karvala Markku Sainio Eva Palmquist Anna-Sara Claeson Maj-Helen Nyback Steven Nordin Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2048: Establishing Heat Alert Thresholds for the Varied Climatic Regions of British Columbia, Canada
The objective of this study was to identify evidence-based heat alert thresholds for the Southwest, Southeast, Northwest, and Northeast regions to facilitate the introduction of HARS across BC. This was done based on a national approach that considers high temperatures on two consecutive days and the intervening overnight low, referred to as the high-low-high approach. Daily forecast and observed air temperatures and daily mortality counts for May through September of 2004 through 2016 were obtained. For each date (dayt), dayt−2 forecasts were used to assign high temperatures for dayt and dayt+1 and the overn...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Kathleen E. McLean Rebecca Stranberg Melissa MacDonald Gregory R. A. Richardson Tom Kosatsky Sarah B. Henderson Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2049: Changes in Work Practices for Safe Use of Formaldehyde in a University-Based Anatomy Teaching and Research Facility
ng Albert van Linge Anatomy teaching and research relies on the use of formaldehyde (FA) as a preservation agent for human and animal tissues. Due to the recent classification of FA as a carcinogen, university hospitals are facing a challenge to (further) reduce exposure to FA. The aim of this study was to reduce exposure to FA in the anatomy teaching and research facility. Workers participated in the development of improved work practices, both technical and organizational solutions. Over a period of 6 years mitigating measures were introduced, including improvement of a down-flow ventilation system, introduction of...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Paul T. J. Scheepers Martien H. F. Graumans Gwendolyn Beckmann Maurice van Dael Rob B. M. Anzion Maarten Melissen Nicole Pinckaers Luuk van Wel Laurie M. A. de Werdt Vera Gelsing Albert van Linge Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2050: Shadow Puppets and Neglected Diseases: Evaluating a Health Promotion Performance in Rural Indonesia
Darren J. Gray ‘Rama and the Worm’ is a shadow puppet production targeting neglected diseases in Central Java. It is an entertainment-based intervention study to promote health by reducing the impact of parasitic diseases such as soil-transmitted helminths (STH). The study uses traditional Javanese shadow puppetry (wayang kulit) as a vehicle in village communities to disseminate health messages and promote behaviour change to prevent diseases caused, primarily, by inadequate sanitation and poor hygiene. The health education messages contained in the play, although using traditional characte...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Johanna Kurscheid Dan Bendrups Joko Susilo Courtney Williams Salvador Amaral Budi Laksono Donald E. Stewart Darren J. Gray Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2051: Evaluating the Accessibility of Healthcare Facilities Using an Integrated Catchment Area Approach
uo Bo Wan Accessibility is a major method for evaluating the distribution of service facilities and identifying areas in shortage of service. Traditional accessibility methods, however, are largely model-based and do not consider the actual utilization of services, which may lead to results that are different from those obtained when people’s actual behaviors are taken into account. Based on taxi GPS trajectory data, this paper proposed a novel integrated catchment area (ICA) that integrates actual human travel behavior to evaluate the accessibility to healthcare facilities in Shenzhen, China, using the...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Xiaofang Pan Mei-Po Kwan Lin Yang Shunping Zhou Zejun Zuo Bo Wan Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2052: Spatial Assessment of Anthropogenic Impact on Trace Metal Accumulation in Farmland Soils from a Rapid Industrializing Region, East China
In this study, soil samples at two depths were collected from a typical county in East China and analyzed for total concentrations of Fe, Al, Pb, Cd, Cu, Zn, Cr, and Ni. Results showed that trace metals like Pb, Cd, Cu, Zn, Cr, and Ni have accumulated in the regional farmlands, with average topsoil concentrations 1.62–1.77 times higher than their background concentrations in subsoil. However, they were still much lower than the limits of the Chinese Environmental Quality Standard for Soils. By the proper calculation of enrichment factor (EF), it was found that the accumulations of trace metals in the topsoil ...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Wei Jiao Yong Niu Yuan Niu Hengyu Hu Ruiping Li Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2053: Combined Before-and-After Workplace Intervention to Promote Healthy Lifestyles in Healthcare Workers (STI-VI Study): Short-Term Assessment
drea Trevisan Paolo Spinella Health care workers (HCWs) are prone to a heavy psycho-physical workload. Health promotion programs can help prevent the onset of chronic and work-related diseases. The aim of the STI-VI ‘before-and-after’ study, with assessments scheduled at 6 and 12 months, was to improve the lifestyle of HCWs with at least one cardiovascular risk factor. A tailored motivational counseling intervention, focusing on dietary habits and physical activity (PA) was administered to 167 HCWs (53 males; 114 females). BMI, waist circumference, blood pressure, and cholesterol, triglyce...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Maria Luisa Scapellato Vera Comiati Alessandra Buja Giulia Buttignol Romina Valentini Valentina Burati Lucia La Serra Isabella Macc à Paola Mason Pasquale Scopa Anna Volpin Andrea Trevisan Paolo Spinella Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2054: Activity-Friendly Built Environments in a Super-Aged Society, Japan: Current Challenges and toward a Research Agenda
o Oka There is a growing recognition of the role of built environment attributes, such as streets, shops, greenways, parks, and public transportation stations, in supporting people’s active behaviors. In particular, surrounding built environments may have an important role in supporting healthy active aging. Nevertheless, little is known about how built environments may influence active lifestyles in “super-aged societies”. More robust evidence-based research is needed to identify how where people live influences their active behaviors, and how to build beneficial space in the ...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Mohammad Javad Koohsari Tomoki Nakaya Koichiro Oka Tags: Commentary Source Type: research

IJERPH, Vol. 15, Pages 2055: Sleep Quality and Its Associated Factors among Low-Income Adults in a Rural Area of China: A Population-Based Study
Conclusions: Sociodemographic, lifestyle and health-related factors had an impact on the frequently poor sleep quality of low-income Chinese adults in rural areas. Thus, comprehensive measures must be developed to address the modifiable predictive factors that can possibly enhance sleep quality. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Wenwen Wu Wenru Wang Zhuangzhuang Dong Yaofei Xie Yaohua Gu Yuting Zhang Mengying Li Xiaodong Tan Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2057: Fuzzy Group Consensus Decision Making and Its Use in Selecting Energy-Saving and Low-carbon Technology Schemes in Star Hotels
Wang Energy-saving and low-carbon technologies play important roles in reducing environmental risk and developing green tourism. An energy-saving and low-carbon technology scheme selection may often involve multiple criteria and sub-criteria as well as multiple stakeholders or decision makers, and thus can be structured as a hierarchical multi-criteria group decision making problem. This paper proposes a framework to solve group consensus decision making problems, where decision makers’ preferences between the alternatives considered with respective to each criterion are elicited by the paired comparison method,...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Ping Lu Xuan Yang Zhou-Jing Wang Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2058: Quantitative Assessment of Relationship between Population Exposure to PM2.5 and Socio-Economic Factors at Multiple Spatial Scales over Mainland China
Yuyue Xu Analyzing the association between fine particulate matter (PM2.5) pollution and socio-economic factors has become a major concern in public health. Since traditional analysis methods (such as correlation analysis and geographically weighted regression) cannot provide a full assessment of this relationship, the quantile regression method was applied to overcome such a limitation at different spatial scales in this study. The results indicated that merely 3% of the population and 2% of the Gross Domestic Product (GDP) occurred under an annually mean value of 35 μg/m3 in mainland China, and the highest popula...
Source: International Journal of Environmental Research and Public Health - September 19, 2018 Category: Environmental Health Authors: Ling Yao Changchun Huang Wenlong Jing Xiafang Yue Yuyue Xu Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2042: A Bayesian Quantile Modeling for Spatiotemporal Relative Risk: An Application to Adverse Risk Detection of Respiratory Diseases in South Carolina, USA
son Quantile modeling has been seen as an alternative and useful complement to ordinary regression mainly focusing on the mean. To directly apply quantile modeling to areal data the discrete conditional quantile function of the data can be an issue. Although jittering by adding a small number from a uniform distribution to impose pseudo-continuity has been proposed, the approach can have a great influence on responses with small values. Thus we proposed an alternative to model the quantiles of relative risk for spatiotemporal areal health data within a Bayesian framework using the log-Laplace distribution. A simulation...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Chawarat Rotejanaprasert Andrew B. Lawson Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2043: The Epidemiology of Food Allergy in the Global Context
ang There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. Nevertheless, studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. In Western countries, challenge-diagnosed food allergy has been reported to be as high as 10%, with the greatest prevalence noted among younger children. There is also growing evidence of increasing...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Wenyin Loh Mimi L. K. Tang Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2044: Short-Term and Long-Term Effects of Off-Job Activities on Recovery and Sleep: A Two-Wave Panel Study among Health Care Employees
This study examined whether particular recovery activities after work have a positive or negative effect on employee recovery from work (i.e., cognitive, emotional, and physical detachment) and sleep quality. We used a two-wave panel study of 230 health care employees which enabled looking at both short-term and long-term effects (i.e., two-year time interval). Gender, age, marital status, children at home, education level, management position, and working hours were used as control variables. Hierarchical multiple regression analyses showed that work-related off-job activities were negatively associated with cognitive and...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Jan de Jonge Akihito Shimazu Maureen Dollard Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2045: Passive Smoking Indicators in Italy: Does the Gross Domestic Product Matter?
Conclusions: Smoking ban is more respected in Regions with higher GDP. For a better health promotion, systematic vigilance and sanctions should be maintained and strengthened, particularly in regions with low compliance with smoking bans. (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Giuseppe La Torre Cristina Sestili Rosario Andrea Cocchiara Sara Cianfanelli Lorenza Lia Alice Mannocci Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2046: Air Pollutant and Health-Efficiency Evaluation Based on a Dynamic Network Data Envelopment Analysis
-Yu Lin Environmental pollution and the associated societal health issues have attracted recent research attention. While most research has focused on the effect of air pollution on human health and local economies, few articles have discussed the environment, health, and economic development in in an integrated analysis. This paper used a Dynamic Network SBM Model to evaluate production and health efficiencies in Chinese cities and found that the production efficiency scores were slightly higher than the health efficiency scores, with the two-stage efficiency scores in most cities having significant fluctuations. Labo...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Tao Zhang Yung-ho Chiu Ying Li Tai-Yu Lin Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2034: Influenza Vaccinations for All Pregnant Women? Better Evidence Is Needed
i Pregnant women are a World Health Organization (WHO) priority group for influenza vaccination, but evidence of effectiveness and safety for pregnant women comes from observational studies, which are notoriously prone to confounding by indication and healthy-vaccinee bias. The latter type of bias leads to an overestimation of the effectiveness and safety of the vaccine, which may be what occurs in pregnant women. Indeed, better educated women with healthier behaviors and who seek better medical care may be more adherent to vaccinations recommended by doctors, scientific societies and health authorities. Therefore, it ...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Alberto Donzelli Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2035: Socio-Cultural Reasons and Community Perceptions Regarding Indoor Cooking Using Biomass Fuel and Traditional Stoves in Rural Ethiopia: A Qualitative Study
Lärstad Around three billion people in the world and 90% of the rural households in low-and middle-income countries are exposed to wood smoke with varying exposure levels and resulting health risks. We aimed to explore perceptions of the community towards indoor cooking and the socio-cultural barriers to bring change in Butajira, rural Ethiopia. We conducted a qualitative study involving ten separate focus group discussions with purposively selected members of the community and two key informant interviews with health extension workers. Content analysis was carried out using ATLAS.ti software. Participants reporte...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Mulugeta Tamire Adamu Addissie Susann Skovbjerg Rune Andersson Mona L ärstad Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2036: Relationship of Time-Activity-Adjusted Particle Number Concentration with Blood Pressure
Doug Brugge Emerging evidence suggests long-term exposure to ultrafine particulate matter (UFP, aerodynamic diameter < 0.1 µm) is associated with adverse cardiovascular outcomes. We investigated whether annual average UFP exposure was associated with measured systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and hypertension prevalence among 409 adults participating in the cross-sectional Community Assessment of Freeway Exposure and Health (CAFEH) study. We used measurements of particle number concentration (PNC, a proxy for UFP) obtained from mobile monitori...
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Laura Corlin Shannon Ball Mark Woodin Allison P. Patton Kevin Lane John L. Durant Doug Brugge Tags: Article Source Type: research

IJERPH, Vol. 15, Pages 2037: The Quality of Tuberculosis Care in Urban Migrant Clinics in China
In conclusion, the quality of tuberculosis care accessed by migrants was very poor and policies to improve the quality should be prioritized in current health reforms. Providing a base salary was a possible way to improve quality of care and increasing the education attainment of urban community clinicians might reduce the heavy barrier of medical expenses for migrants (Source: International Journal of Environmental Research and Public Health)
Source: International Journal of Environmental Research and Public Health - September 18, 2018 Category: Environmental Health Authors: Hao Xue Jennifer Hager Qi An Kai Liu Jing Zhang Emma Auden Bingyan Yang Jie Yang Hongyan Liu Jingchun Nie Aiqin Wang Chengchao Zhou Yaojiang Shi Sean Sylvia Tags: Article Source Type: research