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Sprague NL, Branas CC, Rundle AG, Factor-Litvak P. Educational Outcomes Are an Underused Metric for Child and Life Course Health. Am J Public Health 2024; 114:864-869. [PMID: 39110938 PMCID: PMC11306609 DOI: 10.2105/ajph.2024.307761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2024]
Affiliation(s)
- Nadav L Sprague
- Nadav L. Sprague is a PhD candidate in epidemiology at Columbia University's Mailman School of Public Health, New York, NY. Charles C. Branas, Andrew G. Rundle, and Pam Factor-Litvak are professors in Columbia University's Mailman School of Public Health
| | - Charles C Branas
- Nadav L. Sprague is a PhD candidate in epidemiology at Columbia University's Mailman School of Public Health, New York, NY. Charles C. Branas, Andrew G. Rundle, and Pam Factor-Litvak are professors in Columbia University's Mailman School of Public Health
| | - Andrew G Rundle
- Nadav L. Sprague is a PhD candidate in epidemiology at Columbia University's Mailman School of Public Health, New York, NY. Charles C. Branas, Andrew G. Rundle, and Pam Factor-Litvak are professors in Columbia University's Mailman School of Public Health
| | - Pam Factor-Litvak
- Nadav L. Sprague is a PhD candidate in epidemiology at Columbia University's Mailman School of Public Health, New York, NY. Charles C. Branas, Andrew G. Rundle, and Pam Factor-Litvak are professors in Columbia University's Mailman School of Public Health
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Oerther S, Manspeaker S. The Role of the School Nurse in Addressing Climate-Associated Illnesses: Air Quality. NASN Sch Nurse 2024; 39:71-74. [PMID: 38087818 DOI: 10.1177/1942602x231200024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2024]
Abstract
Climate change is having an unprecedented influence on human health. Children's allergies and respiratory problems are increasing because of rising pollen levels and air pollution. School nurses are well positioned to prevent and treat allergies, asthma, and other respiratory conditions. Due to their consistent presence with the school setting, nurses can promote health, wellness, and academic productivity by addressing poor indoor and outdoor air quality. The purpose of this article is to increase understanding of how air quality affects the health of school-age children and to provide school nurses with primary, secondary, and tertiary prevention strategies for ensuring clean and healthy learning environments. This is the second in a series of articles aimed at raising awareness among school nurses about climate-associated illnesses and equipping them with the resources they need to protect students' health.
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Affiliation(s)
- Sarah Oerther
- Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO
| | - Sarah Manspeaker
- Rangos School of Health Sciences, Duquesne University, Pittsburgh, PA
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Jeong DW, Kim GS, Park MK. [Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool]. J Korean Acad Nurs 2022; 52:173-186. [PMID: 35575110 DOI: 10.4040/jkan.21211] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Revised: 12/27/2021] [Accepted: 02/22/2022] [Indexed: 01/10/2023]
Abstract
PURPOSE Climate change has various negative effects on human health, which has resulted in increased burden on the health care system. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. METHODS The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master's, doctoral, and post-doctoral nursing students. RESULTS The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach's αá was .81, with an intraclass correlation coefficient of .66~.90. The five subscales model was validated by confirmatory factor analysis (SRMR < .08, RMSEA < .08, AGFI > .70, CFI > .70). CONCLUSION The K-CHANT has satisfactory construct validity and reliability to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses' perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it.
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Affiliation(s)
- Da Woon Jeong
- College of Nursing, Yonsei University, Seoul, Korea.,Department of Cardiovascular, Severance Hospital, Seoul, Korea
| | - Gwang Suk Kim
- College of Nursing, Yonsei University, Seoul, Korea.,Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
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Holm SM, Miller MD, Balmes JR. Health effects of wildfire smoke in children and public health tools: a narrative review. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2021; 31:1-20. [PMID: 32952154 PMCID: PMC7502220 DOI: 10.1038/s41370-020-00267-4] [Citation(s) in RCA: 65] [Impact Index Per Article: 21.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 09/07/2020] [Accepted: 09/11/2020] [Indexed: 05/20/2023]
Abstract
Wildfire smoke is an increasing environmental health threat to which children are particularly vulnerable, for both physiologic and behavioral reasons. To address the need for improved public health messaging this review summarizes current knowledge and knowledge gaps in the health effects of wildfire smoke in children, as well as tools for public health response aimed at children, including consideration of low-cost sensor data, respirators, and exposures in school environments. There is an established literature of health effects in children from components of ambient air pollution, which are also present in wildfire smoke, and an emerging literature on the effects of wildfire smoke, particularly for respiratory outcomes. Low-cost particulate sensors demonstrate the spatial variability of pollution, including wildfire smoke, where children live and play. Surgical masks and respirators can provide limited protection for children during wildfire events, with expected decreases of roughly 20% and 80% for surgical masks and N95 respirators, respectively. Schools should improve filtration to reduce exposure of our nation's children to smoke during wildfire events. The evidence base described may help clinical and public health authorities provide accurate information to families to improve their decision making.
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Affiliation(s)
- Stephanie M Holm
- Western States Pediatric Environmental Health Specialty Unit, University of California San Francisco, San Francisco, CA, USA.
- Division of Occupational and Environmental Medicine, University of California San Francisco, San Francisco, CA, USA.
- Division of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, CA, USA.
- Children's Environmental Health Center, Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, CA, USA.
| | - Mark D Miller
- Western States Pediatric Environmental Health Specialty Unit, University of California San Francisco, San Francisco, CA, USA
- Division of Occupational and Environmental Medicine, University of California San Francisco, San Francisco, CA, USA
- Children's Environmental Health Center, Office of Environmental Health Hazard Assessment, California Environmental Protection Agency, Oakland, CA, USA
| | - John R Balmes
- Western States Pediatric Environmental Health Specialty Unit, University of California San Francisco, San Francisco, CA, USA
- Division of Occupational and Environmental Medicine, University of California San Francisco, San Francisco, CA, USA
- Division of Environmental Health Sciences, School of Public Health, University of California Berkeley, Berkeley, CA, USA
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Kazemitabar M, Moghadamzadeh A, Habibi M, Hakimzadeh R, Garcia D. School health assessment tools: a systematic review of measurement in primary schools. PeerJ 2020; 8:e9459. [PMID: 32742780 PMCID: PMC7380271 DOI: 10.7717/peerj.9459] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 06/09/2020] [Indexed: 12/02/2022] Open
Abstract
Background This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear overview of the quality of all available tools measuring school health in primary schools. This systematic review was registered in PROPERO with the Registration ID: CRD42020158158. Method Databases of EBSCOhost, PubMed, ProQuest, Wily, PROSPERO, and OpenGrey were systematically searched without any time limitation to find all full-text English journal articles studied at least one of the COSMIN checklist measurement properties of a school-health assessment tool in primary schools. The instruments should be constructed based on a school health model. The eligible studies were assessed by COSMIN Risk of Bias checklist to report their quality of methodology for each measurement property and for the whole study by rating high, moderate or low quality. Results At the final screening just seven studies remained for review. Four studies were tool development, three of them were rated as “adequate” and the other study as “very good”; five studies examined the content validity, three of them were appraised as “very good”, and the two remaining as “inadequate”. All seven studies measured structural validity, three of them were evaluated as “very good”, three other were scored as “adequate”, and the last study as “inadequate”. All the seven studies investigated the internal consistency, five of them were assessed as “very good”, one was rated as “doubtful”, and the last one as “inadequate”. Just one study examined the cross-cultural validity and was rated as “adequate”. Finally, all seven studies measured reliability, two of them were rated as “very good” and the rest five studies were appraised as “doubtful”. All rating was based on COSMIN checklist criteria for quality of measurement properties assessment. Conclusion The number of studies addressing school health assessment tools was very low and therefore not sufficient. Hence, there is a serious need to investigate the psychometric properties of the available instruments measuring school health at primary schools. Moreover, the studies included in the present systematic review did not fulfill all the criteria of the COSMIN checklist for assessing measurement properties. We suggest that future studies consider these criteria for measuring psychometric properties and developing school health assessment tools.
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Affiliation(s)
- Maryam Kazemitabar
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Ali Moghadamzadeh
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Mojtaba Habibi
- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Rezvan Hakimzadeh
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Danilo Garcia
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.,Blekinge Center of Competence, Region Blekinge, Karlskrona, Sweden.,Centre for Ethics, Law and Mental Health, University of Gothenburg, Gothenburg, Sweden.,Department of Psychology, University of Gothenburg, Gothenburg, Sweden.,Network for Well-Being, Sweden
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Anderko L, Chalupka S, Du M, Hauptman M. Climate changes reproductive and children's health: a review of risks, exposures, and impacts. Pediatr Res 2020; 87:414-419. [PMID: 31731287 DOI: 10.1038/s41390-019-0654-7] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 09/29/2019] [Indexed: 12/14/2022]
Abstract
Our climate has significantly changed, exceeding what the world has experienced over the last 650,000 years, and has been cited as the most significant health threat of the twenty-first century. Climate change is impacting health in unprecedented ways. While everyone is vulnerable to the health impacts associated with climate change, children are disproportionately affected because of their physical and cognitive immaturity. Climate change impacts that include rising temperatures, extreme weather, rising sea levels, and increasing carbon dioxide levels are associated with a wide range of health issues in children such as asthma, allergies, vector-borne diseases, malnutrition, low birth weight, and post-traumatic stress disorder. Pediatric health providers play a critical role in advancing the science and translating findings to improve public understanding about the link between climate changes and children's health, and establishing strategies to address these issues. This review will provide an overview of research exploring the impact of climate change on children's health impacts, as well as provide recommendations for pediatric research moving forward.
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Affiliation(s)
- Laura Anderko
- Department of Health Administration and Policy, Mid-Atlantic Center for Children's Health and the Environment, School of Nursing & Health Studies, Georgetown University, Washington, DC, USA.
| | - Stephanie Chalupka
- Department of Nursing, Worcester State University, Worcester, MA, USA.,Mid-Atlantic Center for Children's Health and the Environment, School of Nursing & Health Studies, Georgetown University, Washington, DC, USA
| | - Maritha Du
- Environmental Studies Program, Boston College, Chestnut Hill, MA, USA.,New England Pediatric Environmental Health Specialty Unit, Boston, MA, USA.,Pediatric Environmental Health Center, Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA
| | - Marissa Hauptman
- Department of Pediatrics, Harvard Medical School, Boston, MA, USA.,New England Pediatric Environmental Health Specialty Unit, Pediatric Environmental Health Center, Division of General Pediatrics, Boston Children's Hospital, Boston, MA, USA
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