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Savolainen O, Sormunen M, Turunen H. Public health nurses' perceptions on promotive and risk factors for children's mental health: A qualitative interview study. J Adv Nurs 2021; 77:4815-4826. [PMID: 34318947 DOI: 10.1111/jan.14987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2021] [Revised: 06/18/2021] [Accepted: 07/09/2021] [Indexed: 11/27/2022]
Abstract
AIM To describe promotive and risk factors for children's mental health at the individual, interpersonal, organizational, community and public policy levels of the socioecological environment. DESIGN A descriptive qualitative interview study. METHODS Data were collected in Finland during autumn 2019 via semi-structured interviews. Participants (n = 23) comprised public health nurses who worked in child health clinics and school healthcare. Data were analyzed using inductive content analysis. RESULTS Several promotive and risk factors were identified to have affected children's mental health. Intra-family factors were the most important in the opinion of public health nurses, and they were most concerned about family related risk factors. In addition, the descriptions of nurses revealed that children are in a socially unequal position in terms of their place of residence. It was also uncovered that there were fewer social and healthcare and leisure services in small municipalities, the distances to services were longer, which was perceived to complicate the use of services, and the fear of stigma was greater. CONCLUSION According to public health nurses, factors at the individual, interpersonal, organizational, community and public policy levels of the socioecological environment affect children's mental health and overall well-being. Consequently, the promotion of children's mental health should be emphasized at every level of the society, considering the whole family. IMPACT This study indicated the importance of considering factors that affect children's mental health at all levels of the socioecological environment. The results can be reflected in the relation of the socioecological model of health promotion and used in planning the work of nurses in primary healthcare and other relevant nursing settings to emphasize promotive and preventive work.
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Affiliation(s)
- Outi Savolainen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Marjorita Sormunen
- Institute of Public Health and Clinical Nutrition, University Lecturer, University of Eastern Finland, Kuopio, Finland
| | - Hannele Turunen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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Rodriguez Espinosa P, Chen YC, Sun CA, You SL, Lin JT, Chen KH, Hsing AW, Heaney CA. Exploring health and well-being in Taiwan: what we can learn from individuals' narratives. BMC Public Health 2020; 20:159. [PMID: 32013898 PMCID: PMC6998329 DOI: 10.1186/s12889-020-8201-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2019] [Accepted: 01/13/2020] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Our aim was to explore the concepts of health and well-being from the point of view of the people experiencing them. Most of the efforts to understand these concepts have focused on disease prevention and treatment. Less is known about how individuals achieve health and well-being, and their roles in the pursuit of a good life. We hoped to identify important components of these concepts that may provide new targets and messages to strengthen existing public health programs. An improved understanding of health and well-being - or what it means to be well - can guide interventions that help people lead healthier, more fulfilling lives. METHODS Using a grounded qualitative approach drawing from narrative inquiry, we interviewed 24 Taiwanese adults. Thematic inductive coding was employed to explore the nature of health and well-being. RESULTS Eight constituent domains emerged regarding well-being and health. While the same domains were found for both constructs, important frequency differences were found when participants discussed health versus well-being. Physical health and lifestyle behaviors emerged as key domains for health. Disease-related comments were the most frequently mentioned sub-category within the physical health domain, along with health care use and aging-related changes. For well-being, family and finances emerged as key domains. Family appears to be a cornerstone element of well-being in this sample, with participants often describing their personal well-being as closely tied to - and often indistinguishable from - their family. Other domains included work-life, sense of self, resilience, and religion/spirituality. CONCLUSIONS Health and well-being are complex and multifaceted constructs, with participants discussing their constituent domains in a very interconnected manner. Programs and policies intended to promote health and well-being may benefit from considering these domains as culturally-appropriate leverage points to bring about change. Additionally, while the domains identified in this study are person-centered (i.e., reflecting the personal experiences of participants), the stories that participants offered provided insights into how well-being and health are influenced by structural, societal and cultural factors. Our findings also offer an opportunity for future refinement and rethinking of existing measurement tools surrounding these constructs.
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Affiliation(s)
- Patricia Rodriguez Espinosa
- Stanford Prevention Research Center, Stanford University School of Medicine, 3300 Hillview Ave (Mail code: 5537), Palo Alto, CA, 94304, USA.
| | - Yong-Chen Chen
- School of Medicine, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
- Big Data Research Center, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
| | - Chien-An Sun
- Big Data Research Center, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
- Department of Public Health, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
| | - San-Lin You
- School of Medicine, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
| | - Jaw-Town Lin
- School of Medicine, College of Medicine, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
| | - Kun-Hu Chen
- Department of Clinical Psychology, Fu-Jen Catholic University, No. 510, Zhongzheng Rd., Xinzhuang District, New Taipei City, Taiwan
| | - Ann W Hsing
- Stanford Prevention Research Center, Stanford University School of Medicine, 3300 Hillview Ave (Mail code: 5537), Palo Alto, CA, 94304, USA
- Stanford Cancer Institute, Stanford University School of Medicine, 780 Welch Road, CJ Huang Building, Palo Alto, CA, 94305, USA
- Department of Epidemiology, Stanford University, Palo Alto, CA, USA
| | - Catherine A Heaney
- Stanford Prevention Research Center, Stanford University School of Medicine, 3300 Hillview Ave (Mail code: 5537), Palo Alto, CA, 94304, USA
- Department of Psychology, Stanford University, 450 Serra Mall, Building 20, Palo Alto, CA, 94305, USA
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Do Sociodemographic Factors and Urban Green Space Affect Mental Health Outcomes Among the Urban Elderly Population? INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16050789. [PMID: 30836691 PMCID: PMC6427606 DOI: 10.3390/ijerph16050789] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 02/25/2019] [Accepted: 02/26/2019] [Indexed: 01/04/2023]
Abstract
The mounting mental health issues faced by elderly urban residents increase the social and economic costs to society associated with dementia and depression. Therefore, it is necessary to identify the characteristics of elderly urban residents suffering from mental health issues, to address these issues more effectively. We used 2015 Community Health Survey data from the Korea Centers for Disease Control and Prevention to identify the demographic and social characteristics of 11,408 elderly urban residents in relation to stress levels and symptoms of depression in seven metropolitan areas in Korea, and to calculate the odds ratio for urban green space. We found that the prevalence of these mental health issues generally decreased in relation to the ratio of green space of an area. These findings suggest identifying elderly people who are vulnerable to certain mental health issues based on demographic and social characteristics and demonstrate that the ratio of urban green space within a community is an important component in improving mental health outcomes for elderly urban residents. These findings have policy implications for assisting elderly people vulnerable to certain mental health issues and for establishing a green welfare policy targeting this population.
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Connolly D, Anderson M, Colgan M, Montgomery J, Clarke J, Kinsella M. The impact of a primary care stress management and wellbeing programme (RENEW) on occupational participation: A pilot study. Br J Occup Ther 2018. [DOI: 10.1177/0308022618793323] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Affiliation(s)
| | - Melanie Anderson
- Occupational Therapist, Our Lady’s Hospice and Care Services, Dublin, Ireland
| | - Mary Colgan
- Occupational Therapist, Mid-Kildare Network Disability Team, Kildare, Ireland
| | | | | | - Marie Kinsella
- Occupational Therapist, Social Work Practitioner, Health Service Executive, Dublin, Ireland
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Jacka FN, Reavley NJ, Jorm AF, Toumbourou JW, Lewis AJ, Berk M. Prevention of common mental disorders: what can we learn from those who have gone before and where do we go next? Aust N Z J Psychiatry 2013; 47:920-9. [PMID: 23798717 DOI: 10.1177/0004867413493523] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVE Prevention strategies have made a major contribution to the considerable successes in reductions in cardiovascular disease and cancer mortality seen in recent decades. However, in the field of psychiatry, similar population-level initiatives in the prevention of common mental disorders, depression and anxiety, are noticeably lacking. This paper aims to provide a brief overview of the existing literature on the topic of the prevention of common mental disorders and a commentary regarding the way forward for prevention research and implementation. METHODS This commentary considers what we currently know, what we might learn from the successes and failures of those working in prevention of other high prevalence health conditions, and where we might go from here. Taking cognisance of previous preventive models, this commentary additionally explores new opportunities for preventive approaches to the common mental disorders. RESULTS The consensus from a large body of evidence supports the contention that interventions to prevent mental disorders across the lifespan can be both effective and cost-effective. However, funding for research in the area of prevention of common mental disorders is considerably lower than that for research in the areas of treatment, epidemiology and neurobiology. Thus, there is a clear imperative to direct funding towards prevention research to redress this imbalance. Future prevention interventions need to be methodologically rigorous, scalable to the population level and include economic evaluation. Evidence-based knowledge translation strategies should be developed to ensure that all stakeholders recognise preventing mental disorders as an imperative, with appropriate resources directed to this objective. CONCLUSION There has been a recent expansion of research into potentially modifiable risk factors for depression, and it is now timely to make a concerted effort to advance the field of prevention of common mental disorders.
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Affiliation(s)
- Felice N Jacka
- 1IMPACT Strategic Research Centre (Innovation in Mental and Physical Health and Clinical Treatment), Deakin University, Geelong, Australia and Department of Psychiatry, The University of Melbourne, Parkville, Australia
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