Best practices for online Canadian prenatal health promotion: A public health approach

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.

疫情防控期间大学生焦虑水平及其影响因素研究

为了解大学生在新型冠状病毒肺炎疫情防控期间的焦虑状况，采用汉密顿焦虑量表（HAMA），对四川、云南、重庆三省（直辖市）的3 178名大学生进行在线问卷测试。结果发现：新冠肺炎疫情防控期间大学生焦虑水平高于常模，并且与大学生的性别、就读学历层次、就读学科、每日上网时间等存在显著相关性。其中，28.48%的大学生还可能有严重焦虑；女性、专科层次、尚不清楚就读学科的大学生群体焦虑水平更为明显；精神性焦虑是新冠肺炎疫情防控期间大学生焦虑的主要特质；每日上网时间与大学生精神性焦虑水平呈显著正相关。在公共卫生事件突发时期，应积极关注大学生的心理健康状态，采取针对性措施加以有效疏导和干预，促进其心理健康发展。     

增进学生身心健康是我国学校体育发展的根本和方向——学习贯彻习近平总书记在全国教育大会上的重要讲话精神

2018年9月10日，习近平总书记在全国教育大会上强调：“要树立健康第一的教育理念，开齐开足体育课，帮助学生在体育锻炼中享受乐趣、增强体质、健全人格、锤炼意志。”这为我国未来学校体育的发展指明了方向。学校体育要认真贯彻落实习近平总书记的重要讲话精神，把增进学生的身心健康作为学校体育工作的出发点和落脚点，切实提高学生的身心健康水平，促进学生全面发展。本文首先阐述了习近平总书记重要讲话精神的核心要义，以及所体现的以人为本的思想、高度重视把学生的健康放在首位、非常关注学生的身心协调发展等。其次，就如何落实习近平总书记的重要讲话精神提出了建设性意见：必须开齐开足体育课，保证校内外锻炼时间；提高体育课和课外体育活动的教育教学质量，加强学生的运动效果；“五育”并重，将学校体育纳入学校教育质量评价的重要组成部分；体育教师应树立强烈的社会责任感和使命感等措施和建议。     

习近平关于人民健康重要论述的理论内涵与实践价值

促进全民健康，决胜全面小康。习近平总书记关于人民健康的重要论述，充分彰显了以人民为中心的时代要求，蕴含着以推动全面建成小康社会为战略目标，以维护社会公平正义为价值追求，以社会资源共建共享为方法路径，以中国特色社会主义制度的优越性为条件保证的丰富内涵。在新时代，习近平总书记关于人民健康的重要论述对于加快实施健康中国战略、推动构建中国健康工作体系特别是指导此次新型冠状病毒肺炎疫情防控展现出重要的实践价值。     

“游戏成瘾”与健康性应对——兼论健康传播在游戏中的适应性

《国际疾病分类》正式将"游戏成瘾"收录其中，在强调成瘾危害的同时，也认可其作为社会问题医学化的某种待研究领域。实际上，"游戏成瘾"已经构成了现代意义上的"疾病"认知，在与健康传播的缠绕之中既形成了独特的研究范式，也面临着自身困境。立足于此，应从游戏量级、游戏内容、游戏情境及游戏关联等方面进行相关的健康应对，并在健康支出、文本、体验及情感等传播变量中予以规制及改善。同时，以游戏"情商加油站"为个案，探讨健康传播作为一种研究视角，在游戏适应中的严肃化转向及可行性。     

Maboo wirriya,be healthy: Community-directed development of an evidence-based diabetes prevention program for young Aboriginal people in a remote Australian town

Supporting healthy lifestyle behaviours is a key aspect of preventing type 2 diabetes which disproportionately affects disadvantaged groups from a younger age. Formative participatory research was undertaken to design a program for young Aboriginal people in a remote town in North West Australia with a high level of health needs and relatively few prevention initiatives. Focus groups and advisory discussions with Aboriginal community members were used to determine the nature of the program. The need for a comprehensive program was consistently expressed and limited healthy lifestyle knowledge and difficulties with healthy eating influenced by food environments were noted to be important. With guidance from the Derby Aboriginal Health Service, findings were integrated with previous international research evidence to develop a program tailored to local Aboriginal people aged 15–25 years and refine it after piloting. This 8-session program, ‘Maboo wirriya, be healthy’ involved an education component consistent with the US Diabetes Prevention Program and practical activities including group exercise. Changes to program structure and documentation were made after piloting for future use. The community-directed approach used in this study is vital to ensure relevance of localised chronic disease prevention programs in a range of settings.     

Emotions into Disorder: Anxiety Disorders and the Social Meaning of Fear

This article explores what we refer to as norm-stimuli-state discrepancies, which are disparities between people's physical-emotional responses to emotional cues and the normative meanings of those cues. Drawing on forty qualitative interviews and participant observation research at support groups, we show that people with anxiety disorders describe two forms of norm-stimuli-state discrepancies. The first form involves discrepancies of type, in which people label fearful emotional states as deviant for being caused by the “wrong” stimuli. The second involves discrepancies of intensity, in which people label fearful states as deviant for involving feelings or displays of “too much” anxiety in response to an “appropriate” stimuli. The article further addresses the role of stimuli in prompting treatment seeking. Unexpected and intense emotional distress in combination with the falling away of external cues—which we refer to as “stimuli-less fear”—serve as a critical juncture on the path to an anxiety disorder diagnosis.     

Peer support and food security in deaf college students

Abstract

Objective: The purpose of the study was to investigate whether peer support and demographic characteristics predicted food security among deaf college students. Participants: The sample included 166 deaf college students at Gallaudet University. Methods: Participants completed a bilingual online survey in American Sign Language (ASL) and English. This survey included USDA’s 6-item food security survey, questions about peer support and socio-demographic characteristics. Results: Out of 166 students (mean age =23; SD?=?6), 60.7% were food secure. About 26.4% were at-risk for low food security and another 12.9% had very low food security. The sample included respondents who identified as people of color (54%) and women (52%). Binary logistic regression revealed that compared to people who reported always receiving peer support, people who never received peer support were 16.3 times more likely to experience food insecurity (adj OR: 16.325, 95% CI 1.824–146.107). Conclusions: This study demonstrates a strong relationship between peer support and deaf college students' food security experiences.     

Are college students health literate?

Abstract

Objective: To examine the health literacy of college students. Participants: A convenience sample of 245 graduate and undergraduate college students. Methods: During February–April of 2018 participants completed the Short Test of Functional Health Literacy which assessed literacy on two passages describing a thyroid scan, and basic healthcare insurance information. Results: Most college students displayed adequate health literacy (99.2%). The ANOVA analyses revealed college classification was the most significant predictor, followed by ethnicity, sex, and primary language. Age was significantly related to health literacy, when holding college classification constant. Interestingly, college major, healthcare work experience, or having health care credentials were not predictors of health literacy. Conclusion: This group of college students had adequate health literacy skills. However, the results of this study revealed demographic disparities that suggest further study.     

Oral health among student veterans: Effects on mental and physical health

Abstract

Objective: The purpose of this study was to explore differences in oral health among students by military service status in postsecondary settings. Participants: Secondary data were obtained from the American College Health Association’s 2011–2014 National College Health Assessment II. Method: Demographic characteristics of the study sample were explored by calculating frequencies and percentages by military service status. Research questions were explored with maximum likelihood multiple logistic regression. Results: Service member and veteran students are at greater risk for neglecting health behaviors associated with positive oral health, including that they were less likely to get dental exams and that those who deployed in the past were the least likely to be practicing good oral health. Conclusions: The results suggest that improving oral health will contribute to improving health and mental health outcomes in this population, and provide important information for health specialists working with service members and veterans on college campuses.