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Wang Z, Fang Y, Zhang X. Impact of Social Capital on Health Behaviors of Middle-Aged and Older Adults in China-An Analysis Based on CHARLS2020 Data. Healthcare (Basel) 2024; 12:1154. [PMID: 38891229 PMCID: PMC11171628 DOI: 10.3390/healthcare12111154] [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: 04/17/2024] [Revised: 05/28/2024] [Accepted: 06/03/2024] [Indexed: 06/21/2024] Open
Abstract
To actively respond to the challenges posed by population aging, people are paying more and more attention to healthy behavioral lifestyles, and the impact of social capital as an informal system on health behaviors cannot be ignored. This paper explores the impact of social capital on health behaviors of middle-aged and older adults based on 2020 CHARLS data. Using binary logistic regression models, we discussed the association between social capital and five health behaviors. The results suggest that structural social capital significantly increases physical activity and physical examination behaviors among middle-aged and older adults but also decreases the probability of abstinence behaviors. Cognitive social capital increases the probability that middle-aged and older adults will have a reasonable amount of sleep and physical activity. However, it also decreases the probability that smoking cessation behaviors will occur. Further attention needs to be paid to the role of social capital, the creation of a harmonious social environment and the enhancement of social trust, the strengthening of communities and grass-roots social organizations, and the provision of more platforms for the participation of middle-aged and older adults in social activities, to improve the quality of the healthy lives of middle-aged and older adults and, in turn, to promote the establishment of healthy behaviors.
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Affiliation(s)
| | | | - Xingwei Zhang
- School of Public Health, Hangzhou Normal University, Hangzhou 311121, China; (Z.W.); (Y.F.)
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Wang Z, Tang Y, Wang G, Deng Y, Jiang Y, Sun W, Sun X, Ip P, Owens J, Zhao M, Xiao Y, Jiang F, Wang G. Insufficient Sleep is Associated With Increasing Trends in Adolescent Suicidal Behaviors. J Adolesc Health 2024; 74:1198-1207. [PMID: 38506779 PMCID: PMC11137680 DOI: 10.1016/j.jadohealth.2024.01.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 11/03/2023] [Accepted: 01/12/2024] [Indexed: 03/21/2024]
Abstract
PURPOSE Youth suicide has been increasing and became a public health concern worldwide. Identifying insufficient sleep as the potential risk factor is critical to reducing suicide risk and increasing trends. This study aimed to determine whether insufficient sleep is associated with increasing trends in suicidal behaviors and disparities by sex, age, and race/ethnicity among school adolescents. METHODS The present study used biennial data from the US nationally representative Youth Risk Behavior Survey from 2007 to 2019. Joinpoint regression models were used to estimate biennial percent changes (BPCs) and average BPCs (ABPCs) of suicidal behaviors by sleep duration. Logistic regression models were used to examine the association between insufficient sleep and suicidal behaviors. RESULTS Of 73,356 adolescent students included (mean [standard deviation] age, 16.11 [1.23] years), 50.03% were female. Suicidal ideation and suicide plan among insufficient sleep group increased from 2007 to 2019 (BPC = 2.88% [95% confidence interval {CI}: 1.65%, 4.13%]; BPC = 3.42% [95% CI: 2.09%, 4.77%]), but were nonsignificant among sufficient sleep group. Trends in suicidal ideation (ABPC = 3.03% [95% CI: 1.35%, 4.73%]) and suicide plan (ABPC = 4.03% [95% CI: 2.47%, 5.62%]) among female adolescents with insufficient sleep increased, but nonsignificant among male adolescents with insufficient sleep. Suicidal ideation (ABPC = 1.73% [95% CI: 0.51%, 2.97%]) and suicide plan (ABPC = 2.31% [95% CI: 0.70%, 3.95%]) increased among younger adolescents only with insufficient sleep, whereas suicide trends by sleep duration were similar among older adolescents. Suicide plan among insufficient sleep group increased across the four racial groups, with BPC highest for the White (BPC = 3.48% [95% CI: 1.31%, 5.69%]), and lowest for the Hispanic/Latino (BPC = 1.18% [95% CI: 0.15%, 2.23%]), but were nonsignificant among sufficient sleep group except for the White (BPC = 2.83% [95% CI: 0.62%, 5.09%]). DISCUSSION Insufficient sleep was disproportionately associated with increasing trends in suicidal behaviors among female, younger, and non-White adolescent students. Ensuring sufficient sleep can potentially reduce suicide among school adolescents.
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Affiliation(s)
- Zijing Wang
- Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yijia Tang
- Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Guangshuai Wang
- Faculty Artificial Intelligence in Education, National Engineering Research Center of Educational Big Data, Central China Normal University, Wuhan, Hubei, China
| | - Yujiao Deng
- Department of Neurology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yanrui Jiang
- Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Wanqi Sun
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaoning Sun
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Institute of Psychology and Behavioral Science, Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai, China
| | - Patrick Ip
- Department of Paediatrics and Adolescent Medicine, University of Hong Kong, Hong Kong, China
| | - Judith Owens
- Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Min Zhao
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China; CAS Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Sciences, Shanghai, China
| | - Yunyu Xiao
- Department of Population Health Sciences, Weill Cornell Medicine|NewYork-Presbyterian, New York, New York.
| | - Fan Jiang
- Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Center for Brain Science and Brain-Inspired Technology, Shanghai, China.
| | - Guanghai Wang
- Department of Developmental and Behavioral Pediatrics, Pediatric Translational Medicine Institute, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Ministry of Education-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Center for Brain Science and Brain-Inspired Technology, Shanghai, China.
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Mastrobattista L, Gomez Perez LJ, Gallimberti L, Genetti B, Andreotti A, Fassinato D, Monacis L, Anselmi P, Colledani D, Minutillo A, Mortali C. Psychosocial risk and protective factors for youth problem behavior are associated with food addiction in the Generation Z. Front Public Health 2024; 12:1414110. [PMID: 38859893 PMCID: PMC11163117 DOI: 10.3389/fpubh.2024.1414110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Accepted: 05/16/2024] [Indexed: 06/12/2024] Open
Abstract
Objective Food Addiction (FA) and other well-known risk behavior as substance misuse tend to co-occur and may share similar risk and protective factors. The aim of this study was to assess the association between the diagnosis/severity of FA and psychosocial domains typically related to risk behavior syndrome in a large, nationally representative community sample of Generation Z underage Italian students. Method The sample consisted of 8,755 students (3,623 from middle schools, 5,132 from high schools). A short version of the Yale Food Addiction Scale 2.0 was administered to evaluate FA. Risk and protective factors related to demographic, personality, behavior, and family variables were examined. Stepwise multivariate logistic and linear regressions were conducted. Results The prevalence of FA was 30.8%. Female gender, social anxiety and depression symptoms, social withdrawal risk, Internet gaming disorder, social media addiction, current substance use, social challenge engagement and experienced doxing boosted the chance of FA diagnosis, whereas eating fruit and vegetables, playing competitive sports and an average sleep duration of 7-8 h per night reduced these odds. FA severity was significantly and positively associated with trait impulsiveness, social anxiety and depressive symptoms, risk of social withdrawal, recent substance use, social media, and gaming addiction, doxing suffered and risky social challenges participation. Negative associations between the severity of FA and fruit and vegetable diet habits were found. Conclusion Our findings confirm that FA is widespread among Italian adolescents. The associations between the diagnosis and severity of FA and psychosocial risk factors for health, including, addictive and deviant behaviors related to digital misuse, suggest its belonging to the risk behavior constellation. Health promotion schemes based on a multicomponent strategy of intervention should consider the inclusion of FA and its psychosocial correlates.
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Affiliation(s)
- Luisa Mastrobattista
- National Centre on Addiction and Doping, Italian National Institute of Health, Rome, Italy
| | | | | | - Bruno Genetti
- Explora Research and Statistical Analysis, Padua, Italy
| | | | | | - Lucia Monacis
- Department of Humanities, University of Foggia, Foggia, Italy
| | - Pasquale Anselmi
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padua, Italy
| | - Daiana Colledani
- Department of Philosophy, Sociology, Education and Applied Psychology (FISPPA), University of Padova, Padua, Italy
| | - Adele Minutillo
- National Centre on Addiction and Doping, Italian National Institute of Health, Rome, Italy
| | - Claudia Mortali
- National Centre on Addiction and Doping, Italian National Institute of Health, Rome, Italy
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Venta A, Alfano C. Can Sleep Facilitate Adaptation for Immigrant High Schoolers? Longitudinal Relations Between Sleep Duration, Acculturative Stress, and Acculturation. Child Psychiatry Hum Dev 2023; 54:147-153. [PMID: 34427824 DOI: 10.1007/s10578-021-01234-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/15/2021] [Indexed: 01/25/2023]
Abstract
Rising rates of youth migration are occurring globally and, thus, the adaptation of immigrant youth to their host country's cultural norms is a pressing public health concern. Indeed, both acculturation and acculturative stress are associated with mental health for immigrant youth. The broad aim of this study was to examine how sleep duration would prospectively relate to acculturation (Short Acculturation Scale) and acculturative stress (Social, Attitudinal, Familial, and Environmental Acculturative Stress Scale) following migration for N = 110 immigrant high school students across 1 year. We hypothesized that acculturation would increase, and acculturative stress would decrease over the course of 1 year of data collection. We found evidence of both anticipated longitudinal changes, with significant slope parameters that were of opposite direction (i.e., acculturation positive, acculturative stress negative). Longer sleep duration at baseline was predictive of both greater increase in acculturation and greater decrease in acculturative stress over 1 year.
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Affiliation(s)
- Amanda Venta
- Department of Psychology, University of Houston, 4849 Calhoun Rd., Room 373, Houston, TX, 77204-6022, USA.
| | - Candice Alfano
- Department of Psychology, University of Houston, 4849 Calhoun Rd., Room 373, Houston, TX, 77204-6022, USA
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Huan Y, Mujun X, Xin L, Ping Z, Limei F, Aming L, Xinquan L. Short Sleep Duration as a Risk Factor for Depression, Anxiety and Fatigue in Patients with Leukemia. Neuropsychiatr Dis Treat 2022; 18:1573-1582. [PMID: 35937713 PMCID: PMC9346604 DOI: 10.2147/ndt.s362229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 06/18/2022] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE Our study aimed to investigate the level of depression, anxiety, and fatigue in patients with leukemias, and analyze the influence of sleep duration on the mental symptoms of patients with leukemias. METHODS A total of 127 patients were enrolled in our study and completed the questionnaire survey. Self-Assessment Depression Scale (SDS), Self-Assessment Anxiety Scale (SAS), and the Fatigue Scale-14 (FS-14) were adopted. The patient's lifestyle information, including exercise, alcohol abuse, and smoking, was obtained from the patient's self-report. RESULTS Depression score of patients with sleep duration >8 hours (long duration group) was 56.21±11.63, which was significantly lower than that of patients sleep duration between 6 and 8 hours (medium duration group) with 59.61±8.77 and patients sleep <6 hours (short duration group) with 64.82±6.42 (P = 0.007). Similarly, the anxiety score of long duration group, medium duration group and short duration group was 45.36±11.41, 48.26±6.96 and 53.53±5.87, respectively (P = 0.005). The fatigue score of short duration group is 8.47±2.45, which is higher than others (P = 0.046). To further identify the relationship, we evaluated physical fatigue and mental fatigue levels in patients with or without symptoms of depression. We found that patients with symptoms of depression have a higher score both in physical fatigue and mental fatigue (all p < 0.001). Similar trend was observed in patients with or without symptoms of anxiety (all p < 0.001). However, alzhough patients with leukemia in long duration group have the highest score of physical fatigue (p = 0.016), no significant difference in mental fatigue was found in different sleeping duration group (p = 0.587). Furthermore, multivariate analyses were conducted and revealed that sleep duration was the independent factor associated with depression (OR = 0.270, P = 0.003) and anxiety (OR = 0.473, P = 0.010). CONCLUSION For leukemia patients with short sleep duration, a prompt evaluation of their level of depression, anxiety, and fatigue and the initiation of timely interventions is essential.
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Affiliation(s)
- Yu Huan
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Xiong Mujun
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Liao Xin
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Zhu Ping
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Fu Limei
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Lei Aming
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
| | - Liang Xinquan
- Department of Hematology, Chenzhou First People's Hospital, Chenzhou City, Hunan Province, People's Republic of China
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Weiss MD, Surman C, Khullar A, Owens J, He E, Cataldo M, Donnelly G. Effect of a Multilayer, Extended-Release Methylphenidate Formulation (PRC-063) on Sleep in Adolescents with Attention-Deficit/Hyperactivity Disorder: A Randomized, Double-Blind, Fixed-Dose, Placebo-Controlled Trial Followed by a 6-Month Open-Label Follow-Up. J Child Adolesc Psychopharmacol 2021; 31:623-630. [PMID: 34714112 DOI: 10.1089/cap.2021.0087] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Objectives: We analyzed patient-reported sleep parameters for an extended-release methylphenidate formulation (PRC-063) in adolescents with attention-deficit/hyperactivity disorder. Methods: Clinical efficacy and long-term safety/tolerability data from a 4-week, double-blind, placebo-controlled, fixed-dose study (NCT02139111) and a subsequent 6-month, optimized-dose, open-label extension (OLE) study (NCT02168127) were used. In the double-blind study, participants were randomly assigned 1:1:1:1:1 to one of four doses of PRC-063 (25, 45, 70, or 85 mg/day) or placebo. In both the double-blind and OLE studies, sleep outcomes were assessed using the Pittsburgh Sleep Quality Index (PSQI). Results: During double-blind treatment, no statistically significant least-squares mean difference in change from baseline between PRC-063 (all doses combined; N = 293) and placebo (N = 74) was found for either global PSQI score (-0.3 vs. -0.5; p = 0.6110) or scores for any of the seven PSQI subscales. Compared with the placebo group, a marginally higher proportion of patients in the PRC-063 group (all doses combined) went from being poor to good sleepers (global PSQI score ≤5; 14.4% vs. 11.3%). In a logistic regression analysis, study treatment was not a predictor of poor sleep (p = 0.5368) at the end of the double-blind study. In the OLE study, there was a trend of improvement in sleep after 1 month of individualized dosing that was maintained through 6 months. Sleep efficiency (time asleep as a proportion of time in bed) showed improvement at the end of the OLE study. Conclusion: While individual patients may experience changes in sleep as an adverse event, group data evaluating sleep as an outcome found there were no differences between PRC-063 and placebo in self-reported sleep outcomes on the PSQI.
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Affiliation(s)
| | - Craig Surman
- Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Atul Khullar
- Department of Psychiatry, University of Alberta, Edmonton, Alberta, Canada
| | - Judith Owens
- Department of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Ellie He
- Imbrium Therapeutics, a subsidiary of Purdue Pharma L.P., Stamford, Connecticut, USA
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Zhai S, Phillips S, Ward TM. Sleep Deficiency and Pediatric Chronic Pain. Nurs Clin North Am 2021; 56:311-323. [PMID: 34023124 DOI: 10.1016/j.cnur.2021.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Sleep deficiency in children is a public health concern, and it is highly comorbid in pediatric chronic pain conditions. Children may be particularly vulnerable to the deleterious effects of sleep deficiency, because comorbid sleep deficiency in chronic pain may further exacerbate already existent symptoms of pain, anxiety, depressions, daytime function, and increase health care use. Sleep deficiency is modifiable and integrating human-centered approaches into the development of sleep interventions is a pragmatic approach to partner with parents and children to provide them with the knowledge, motivation, and skills for setting and achieving goals, adapting to setbacks, and problem solving.
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Affiliation(s)
- Shumenghui Zhai
- University of Washington School of Nursing, Box 357266, Seattle, WA 98195, USA.
| | - Shameka Phillips
- UAB Nutrition and Obesity Research Center (NORC), University of Alabama at Birmingham, School of Nursing, 1720 University Boulevard, Birmingham, AL 35294, USA
| | - Teresa M Ward
- Department of Child, Family, and Population Health Nursing, University of Washington School of Nursing, Box 357262, Seattle, WA 98195, USA
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Rodrigues EDF, Gomes GC, Lourenção LG, Pintanel AC, Alvarez SQ, Oliveira AMND. Influence of life habits and behaviors on the health of adolescents. AQUICHAN 2020. [DOI: 10.5294/aqui.2020.20.4.7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective: To identify the influence of life habits and behaviors on the health of adolescents.
Materials and method: This is a quantitative research, with an exploratory and descriptive approach, developed with 124 adolescents, students from a pre-professional school in southernmost Brazil. Data was collected by means of a questionnaire. The analysis was performed using descriptive statistics by means of the SPSS software, version 20.0.
Results: The high consumption of ultra-processed food in intermediate meals and insufficient sleep hours per night cause risks to the health of adolescents. Practicing physical activities has proved to be a health protection habit.
Conclusions: The adolescents need to reframe the importance of healthy eating and sleep in their routine. It was observed that there are modifiable factors for sleep improvement in quality and quantity, as well as the value and inclusion of in natura food in intermediate meals. We believe that the role of nurses in school spaces, giving rise to joint reflections on the process of self-care, health concepts, risky and healthy behaviors, is capable of promoting and protecting the health of adolescents and preventing morbidities in the future.
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Individual Capital Structure and Health Behaviors among Chinese Middle-Aged and Older Adults: A Cross-Sectional Analysis Using Bourdieu's Theory of Capitals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17207369. [PMID: 33050214 PMCID: PMC7599811 DOI: 10.3390/ijerph17207369] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/29/2020] [Accepted: 10/07/2020] [Indexed: 01/06/2023]
Abstract
This study draws on Bourdieu’s theory of capitals to analyze the relative importance of economic, cultural, and social capital on health behaviors in Chinese middle-aged and older adults. Based on data from the China Family Panel Studies of 2016 (N = 15,147), we first harnessed a binary logistic regression model to discuss the associations between the three capitals and four types of health behaviors (i.e., physical exercise, smoking, binge drinking and stay-up). Using the sheaf coefficients technique, we then compared the relative effects of three of the capitals on health behaviors. The results suggest that cultural capital is the most influential one, which would significantly increase physical exercise and stay-up behaviors, and reduce smoking and binge drinking behaviors. Economic capital is also an important predictor, that may reduce smoking behavior but increase binge drinking and stay-up behaviors. Social capital has shown the least importance, although it would still be saliently associated with physical exercise, smoking and stay-up behaviors. In addition, some significant group disparities are also identified. This article is one of the first to explain health behavior inequalities through a Bourdieusian capital-based approach in Chinese contexts.
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