Suicide among agricultural, forestry, and fishery workers: a systematic literature review and meta-analysis

Objectives This review aimed to quantify suicide risk among agricultural, forestry, and fishery workers and study potential variations of risk within this population. Methods We conducted a systematic literature review and meta-analysis from 1995 to 2016 using MEDLINE and following the PRISMA guidelines. A pooled effect size of suicide risk among the population of interest was calculated using meta-analysis. Subgroup analyses were conducted to investigate whether effect size differed according to population or study characteristics. Meta-regression was used to identify sources of heterogeneity. Results The systematic review identified 65 studies, of which 32 were included in the meta-analysis. Pooled effect size was 1.48 [95% confidence interval (CI) 1.30–1.68] representing an excess of suicide risk among the population of interest. Subgroup analysis showed that this effect size varied according to geographic area, with a higher effect size in Japan. The following study characteristics were found to contribute to the between-study variance: reference group, measure of effect size, and study design. Conclusions Our findings suggest an excess of suicide risk among agricultural, forestry, and fishery workers and demonstrated that this excess may be even higher for these groups in Japan. This review highlights the need for suicide prevention policies focusing on this specific population of workers. More research is also needed to better understand the underlying factors that may increase suicide risk in this population. by Klingelschmidt J, Milner A, Khireddine-Medouni I, Witt K, Alexopoulos EC, Toivanen S, LaMontagne AD, Chastang J-F, Niedhammer I. doi:10.5271/sjweh.3680

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Correction of odds ratios in case-control studies for exposure misclassification with partial knowledge of the degree of agreement among experts who assessed exposures

Objectives

Estimates of association between exposures and diseases are often distorted by error in exposure classification. When the validity of exposure assessment is known, this can be used to adjust these estimates. When exposure is assessed by experts, even if validity is not known, we sometimes have information about interrater reliability. We present a Bayesian method for translating the knowledge of interrater reliability, which is often available, into knowledge about validity, which is often needed but not directly available, and applying this to correct odds ratios (OR).

Methods

The method allows for inclusion of observed potential confounders in the analysis, as is common in regression-based control for confounding. Our method uses a novel type of prior on sensitivity and specificity. The approach is illustrated with data from a case-control study of lung cancer risk and occupational exposure to diesel engine emissions, in which exposure assessment was made by detailed job history interviews with study subjects followed by expert judgement.

Results

Using interrater agreement measured by kappas (), we estimate sensitivity and specificity of exposure assessment and derive misclassification-corrected confounder-adjusted OR. Misclassification-corrected and confounder-adjusted OR obtained with the most defensible prior had a posterior distribution centre of 1.6 with 95% credible interval (Crl) 1.1 to 2.6. This was on average greater in magnitude than frequentist point estimate of 1.3 (95% Crl 1.0 to 1.7).

Conclusions

The method yields insights into the degree of exposure misclassification and appears to reduce attenuation bias due to misclassification of exposure while the estimated uncertainty increased.

http://ift.tt/2z1mlEo

Circulatory disease in French nuclear fuel cycle workers chronically exposed to uranium: a nested case-control study

Objectives

There is growing evidence of an association between low-dose external -radiation and circulatory system diseases (CSDs), yet sparse data exist about an association with chronic internal uranium exposure and the role of non-radiation risk factors. We conducted a nested case–control study of French AREVA NC Pierrelatte nuclear workers employed between 1960 and 2005 to estimate CSD risks adjusting for major CSD risk factors (smoking, blood pressure, body mass index, total cholesterol and glycaemia) and external -radiation dose.

Methods

The study included 102 cases of death from CSD and 416 controls individually matched on age, gender, birth cohort and socio-professional status. Information on CSD risk factors was collected from occupational medical records. Organ-specific absorbed doses were estimated using biomonitoring data, taking into account exposure regime and uranium physicochemical properties. External -radiation was measured by individual dosimeter badges. Analysis was conducted with conditional logistic regression.

Results

Workers were exposed to very low radiation doses (mean -radiation dose 2 and lung uranium dose 1 mGy). A positive but imprecise association was observed (excess OR per mGy 0.2, 95% CI 0.004 to 0.5). Results obtained after adjustment suggest that uranium exposure might be an independent CSD risk factor.

Conclusions

Our results suggest that a positive association might exist between internal uranium exposure and CSD mortality, not confounded by CSD risk factors. Future work should focus on numerous uncertainties associated with internal uranium dose estimation and on understanding biological pathway of CSD after protracted low-dose internal radiation exposure.

http://ift.tt/2iPfuKu

IJERPH, Vol. 14, Pages 1328: The Gulf Coast Health Alliance: Health Risks Related to the Macondo Spill (GC-HARMS) Study: Self-Reported Health Effects

IJERPH, Vol. 14, Pages 1328: The Gulf Coast Health Alliance: Health Risks Related to the Macondo Spill (GC-HARMS) Study: Self-Reported Health Effects

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111328

Authors: Sharon Croisant Yu-li Lin Joseph Shearer John Prochaska Amanda Phillips-Savoy James Gee Daniel Jackson Reynold Panettieri Marilyn Howarth John Sullivan Bishop Black Joi Tate Dustin Nguyen Amber Anthony Asim Khan Harshica Fernando G. Ansari Gilbert Rowe Bret Howrey Chantele Singleton Cornelis Elferink

The Deepwater Horizon (DWH) explosion in 2010 is the largest oil spill (Macondo) in U.S. history. We focused on gaining an understanding of the physical health and mental health effects attributable to the Macondo oil spill. This is a report of a cross-sectional cohort study (wave 1) to establish ‘baseline’ findings and meant to provide descriptive information to be used for a multi-wave, longitudinal study. Gulf Coast Health Alliance: health Risks related to the Macondo Spill (GC-HARMS) uses a Community-Based Participatory Research approach, thus including multi-disciplinary, multi-institutional academic partners and representatives of three communities impacted by the spill. Three research sites were selected for human sampling along the Gulf of Mexico coast including two from Mississippi and one from Louisiana, with Galveston, Texas, serving as a comparison site, given that it was not directly impacted by the spill. One hundred participants were selected from each community, representing adults, seniors and children, with approximately equal numbers of males and females in each group. Participants completed initial assessments including completion of a ‘baseline’ survey and, rigorous physical assessments. Results from wave 1 data collection reported herein reveal changes in self-reported physical health and mental health status following the oil spill, disparities in access to healthcare, and associations between mental health and emotional conditions related to displacement/unemployment. Few environmental health studies have been conducted in communities impacted by significant oil spills. Results imply potential prolonged effects on mental health and community vulnerability.

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IJERPH, Vol. 14, Pages 1329: Cross-Sectional Associations between Home Environmental Factors and Domain-Specific Sedentary Behaviors in Adults: The Moderating Role of Socio-Demographic Variables and BMI

IJERPH, Vol. 14, Pages 1329: Cross-Sectional Associations between Home Environmental Factors and Domain-Specific Sedentary Behaviors in Adults: The Moderating Role of Socio-Demographic Variables and BMI

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111329

Authors: Sofie Compernolle Cedric Busschaert Ilse De Bourdeaudhuij Greet Cardon Sebastien Chastin Jelle Van Cauwenberg Katrien De Cocker

Despite the negative health effects of too much sitting, the majority of adults are too sedentary. To develop effective interventions, insight is needed into home environmental correlates of adults’ sedentary behaviors, and into the susceptibility of population subgroups to these home environmental cues. In total, 559 Flemish adults reported socio-demographics, weight and height, home environmental factors and domain-specific sedentary behaviors. Generalized linear modeling was conducted to examine main associations between home environmental factors and domain-specific sedentary behaviors, and to test the moderating role of socio-demographics and BMI on these associations. In case of significant interactions, stratified analyses were performed. Results showed that, among those who did use a computer/laptop during the last week, a one-unit increase in the number of computers or laptops was associated with 17% (OR = 1.17; 95% CI = 1.02, 1.34) and 24% (OR = 1.24; 95% CI = 1.08, 1.43) more minutes computer time per day, respectively. The proximity of the remote controller (p < 0.001) and the number of televisions (p = 0.03) were positively associated with television time, and the number of motorized vehicles (95% CI = 0.001, 0.12) was positively associated with the odds of participation in transport-related sitting time. The latter two associations were moderated by BMI, with significant positive associations limited to those not overweight. To conclude, home environmental factors were associated with domain-specific sedentary behaviors, especially in healthy weight adults. If confirmed by longitudinal studies, public health professionals should encourage adults to limit the number of indoor entertainment devices and motorized vehicles.

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IJERPH, Vol. 14, Pages 1324: Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

IJERPH, Vol. 14, Pages 1324: Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111324

Authors: Vanessa Hiratsuka Julie Beans Renee Robinson Jennifer Shaw Ileen Sylvester Denise Dillard

Alaska Native (AN) and American Indian (AI) people are underrepresented in health research, yet many decline to participate in studies due to past researcher misconduct. Southcentral Foundation (SCF), an Alaska Native-owned and operated health care organization, is transforming the relationship between researchers and the tribal community by making trust and accountability required features of health research in AN/AI communities. In 1998, SCF assumed ownership from the federal government of health services for AN/AI people in south central Alaska and transformed the health system into a relationship-based model of care. This change reimagines how researchers interact with tribal communities and established community oversight of all health research conducted with AN/AI people in the region. We describe the SCF research review process, which requires tribal approval of the research concept, full proposal, and dissemination products, as well as local institutional review board approval, and a researcher-signed contract. This review evaluates research through the lens of tribal principles, practices, and priorities. The SCF example provides a framework for other tribes and organizations seeking to reshape the future of health research in AN/AI communities.

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IJERPH, Vol. 14, Pages 1325: Chronic Stress in Young German Adults: Who Is Affected? A Prospective Cohort Study

IJERPH, Vol. 14, Pages 1325: Chronic Stress in Young German Adults: Who Is Affected? A Prospective Cohort Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111325

Authors: Ronald Herrera Ursula Berger Jon Genuneit Jessica Gerlich Dennis Nowak Wolff Schlotz Christian Vogelberg Erika von Mutius Gudrun Weinmayr Doris Windstetter Matthias Weigl Katja Radon

We aimed to prospectively assess changes in chronic stress among young adults transitioning from high school to university or working life. A population-based cohort in Munich and Dresden (Germany) was followed from age 16–18 (2002–2003) to age 20–23 (2007–2009) (n = 1688). Using the Trier Inventory for the Assessment of Chronic Stress, two dimensions of stress at university or work were assessed: work overload and work discontent. In the multiple ordinal generalized estimating equations, socio-demographics, stress outside the workplace, and job history were additionally considered. At follow-up, 52% of the population were university students. Work overload increased statistically significantly from first to second follow-up, while work discontent remained constant at the population level. Students, compared to employees, reported a larger increase in work overload (adjusted odds ratio (OR): 1.33; 95% confidence interval (95% CI): 1.07, 1.67), while work discontent did not differ between the groups. In conclusion, work overload increases when young adults transition from school to university/job life, with university students experiencing the largest increase.

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IJERPH, Vol. 14, Pages 1327: History of Asbestos Ban in Hong Kong

IJERPH, Vol. 14, Pages 1327: History of Asbestos Ban in Hong Kong

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111327

Authors: Chun-Kwan Wong Sabrina Wan Ignatius Yu

As millions of immigrants moved to Hong Kong (HK) from China in the recent decades, large amount of residential housings were built in the early years and a substantial proportion of those buildings used asbestos-containing materials (ACMs). Since the number of new cases of ARDs diagnosed has increased year by year since 1990’s, the remarkable increase of incidences had drawn the attention of the public and most importantly the HK government. It became one of the trigger points leading to asbestos ban in HK history. Comparatively, non-governmental organizations (NGOs), labor unions and patients’ self-help organizations demonstrated a more aggressive and proactive attitude than the HK government and have played a key role in the development of asbestos banning policy in HK. After numerous petitions and meetings with the government representatives by those parties in the past decade, the HK government eventually changed its attitude and started to consider terminating the endless threat from asbestos by amending the policy, and the new clause of legislation for banning of all forms of asbestos was enacted on 4 April 2014. Other than the restriction of asbestos use, the compensation system about ARDs has also made some great moves by the effort of those parties as well. Based on the experience we learnt through the years, efforts from different stakeholders including patients’ self-help organizations, NGOs, legislative councilors, and media power are absolutely essential to the success of progression and development in today’s asbestos banning in HK.

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IJERPH, Vol. 14, Pages 1326: Geographical Variations in the Environmental Determinants of Physical Inactivity among U.S. Adults

IJERPH, Vol. 14, Pages 1326: Geographical Variations in the Environmental Determinants of Physical Inactivity among U.S. Adults

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111326

Authors: Ruopeng An Xinye Li Ning Jiang

Physical inactivity is a major modifiable risk factor for morbidity, disability and premature mortality worldwide. This study assessed the geographical variations in the impact of environmental quality on physical inactivity among U.S. adults. Data on county-level prevalence of leisure-time physical inactivity came from the Behavioral Risk Factor Surveillance System. County environment was measured by the Environmental Quality Index (EQI), a comprehensive index of environmental conditions that affect human health. The overall EQI consists of five subdomains—air, water, land, social, and built environment. Geographically weighted regressions (GWRs) were performed to estimate and map county-specific impact of overall EQI and its five subdomains on physical inactivity prevalence. The prevalence of leisure-time physical inactivity among U.S. counties was 25% in 2005. On average, one standard deviation decrease in the overall EQI was associated with an increase in county-level prevalence of leisure-time physical inactivity by nearly 1%. However, substantial geographical variations in the estimated environmental determinants of physical inactivity were present. The estimated changes of county-level prevalence of leisure-time physical inactivity resulted from one standard deviation decrease of the overall EQI ranged from an increase of over 3% to a decrease of nearly 2% across U.S. counties. Analogous, the estimated changes of county-level prevalence of leisure-time physical inactivity resulted from one standard deviation decrease of the EQI air, water, land, social, and built environment subdomains ranged from an increase of 2.6%, 1.5%, 2.9%, 3.3%, and 1.7% to a decrease of 2.9%, 1.4%, 2.4%, 2.4%, and 0.8% across U.S. counties, respectively. Given the substantial heterogeneities in the environmental determinants of physical inactivity, locally customized physical activity interventions are warranted to address the most concerning area-specific environmental issue.

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Prevalence of occupational exposure to asbestos and crystalline silica according to phenotypes of lung cancer from the CaProMat study: A case-only study

Background

The objective of the study was to compare the prevalence of occupational exposure to asbestos and crystalline silica according to histological types of lung cancer and age at diagnosis.

Methods

CaProMat study is a pooled case-only study conducted between 1996 and 2011. The current study consisted of 6521 lung cancer cases. Occupational exposure to asbestos and crystalline silica was assessed by two Job-Exposure Matrices. A weighted prevalence of exposure was derived and compared according to histological types and age at diagnosis.

Results

There was no difference of weighted prevalence of exposure to asbestos and crystalline silica according to histological types of lung cancer. There was a statistically significant difference of weighted prevalence of exposure to asbestos and crystalline silica according to age at diagnosis.

Conclusions

Due to the limited clinical importance of the difference, neither the histological type, nor the age at diagnosis can be used as an indicator for the occupational exposure to asbestos or crystalline silica.

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IJERPH, Vol. 14, Pages 1320: Maternal Mental Health Disorders and Reports to Child Protective Services: A Birth Cohort Study

IJERPH, Vol. 14, Pages 1320: Maternal Mental Health Disorders and Reports to Child Protective Services: A Birth Cohort Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111320

Authors: Ivy Hammond Andrea Eastman John Leventhal Emily Putnam-Hornstein

Background. Existing literature has documented a strong relationship between parental mental illness and child maltreatment, but little is known about the prevalence of mental illness among childbearing women. In the present study, linked administrative records were used to identify the prevalence of maternal mental health (MH) disorders documented at birth and determine the associated likelihood of maltreatment reports during infancy. Materials and Methods. Vital records for California’s 2006 birth cohort were linked to hospital discharge and Child Protective Services (CPS) records. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) billing codes from the mother’s delivery hospitalization were used to determine diagnosed maternal MH disorders for 551,232 infants born in 2006, and reports of alleged maltreatment were documented from CPS records. Vital birth records were used to control for sociodemographic factors. Finally, the associated risk of reported maltreatment during the first year of life was examined using generalized linear models. Results. Among infants in this statewide birth cohort, 2.8% were born to a mother with a documented MH disorder, of which 41.3% had documented maternal substance abuse issues versus less than 0.5% of infants born to mothers without a diagnosed MH disorder. Further, 34.6% of infants born to mothers with a MH disorder were reported to CPS within one year, and a majority of those reports were made within the first month of life (77.2%). In contrast, among children born to mothers without a MH disorder, 4.4% were reported to CPS during infancy. After controlling for sociodemographic factors, the rate of CPS reports during infancy for infants born to mothers with a MH disorder but no substance use disorder was 2.6 times that of infants born to mothers without a MH disorder (95% CI = 2.47, 2.73). Among infants born to mothers with MH and substance use disorders, the rate of CPS reports during infancy was 5.69 times that of infants born to mothers without a MH disorder (95% CI = 5.51, 5.87). Conclusions. Administrative records provide a method for identifying infants born to mothers with MH disorders, enabling researchers to track rates over time and generate population-level data to inform policy development and improve service delivery.

http://ift.tt/2hpDVut

IJERPH, Vol. 14, Pages 1319: New Instrument to Measure Hospital Patient Experiences in Flanders

IJERPH, Vol. 14, Pages 1319: New Instrument to Measure Hospital Patient Experiences in Flanders

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111319

Authors: Luk Bruyneel Else Tambuyzer Ellen Coeckelberghs Dirk De Wachter Walter Sermeus Dirk De Ridder Dirk Ramaekers Ilse Weeghmans Kris Vanhaecht

Implementing a standardized patient experience survey may initiate a process to apply pressure on hospitals to attend to improving patient experiences. In Flanders, Belgium, the Flemish Patient Survey was developed between 2011 and 2015. A preliminary version was developed from a scoping review and patient and expert focus groups, and included 27 items for eight hypothesized dimensions: ‘preparing for hospital stay’, ‘information and communication’, ‘coordination’, ‘respect’, ‘privacy’, ‘safe care’, pain management’, and ‘participation’. Exploratory factor analysis for 1076 patients in 17 hospitals found that the data did not fit the dimensions. Adaptations in item wording and response categories were based on the US Hospital Consumer Assessment of Healthcare Providers and Systems. The revised version showed excellent model fit in 22,143 patients in 37 hospitals. Multiple group analysis pointed to evidence of measurement invariance over time across mode of administration, type of nursing unit, and various patient characteristics. Fostering a collaborative approach thus proved successful in implementing a standardized patient experience survey. The most recent findings (2016) illustrate substandard performance and a need for patient-mix adjustment. The Flemish government developed a dedicated website to make findings publicly available and the federal government currently considers patient experiences in devising a pay-for-quality scheme.

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IJERPH, Vol. 14, Pages 1323: Prevalence and Determinants of Current Smoking and Intention to Smoke among Secondary School Students: A Cross-Sectional Survey among Han and Tujia Nationalities in China

IJERPH, Vol. 14, Pages 1323: Prevalence and Determinants of Current Smoking and Intention to Smoke among Secondary School Students: A Cross-Sectional Survey among Han and Tujia Nationalities in China

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111323

Authors: Xianglong Xu Dengyuan Liu Manoj Sharma Yong Zhao

Objectives: This study examined the patterns and determinants of current smoking and intention to smoke among secondary school students of Han and Tujia nationalities in China. Methods: A cross-sectional survey was conducted in three regions, namely, Chongqing, Liaocheng, and Tianjin, of China in 2015. A structured self-administered questionnaire was used for data collection. Results: Of the total subjects (n = 1805), 78.9% were ethnic Han and 21.1% were ethnic Tujia. Overall 9.4% (Han: 7.7%; Tujia: 15.5%) secondary school students were smokers and 37.28% smoked more than once per day. Of the non-smoker students (n = 1636), 17.4% have an intention to smoke. A total of 81.1% of students reportedly had never been taught throughout school about smoking or tobacco prevention. When compared to the students who were taught in the school about smoking or tobacco prevention (18.90%) students who were never taught were more likely to smoke (OR = 2.39; 95% CI = 1.14–5.01). As compared to Han nationality students who were from Tujia nationality were more likely to smoke (OR = 2.76; 95% CI = 1.88–4.04) and were more likely to have a higher frequency of smoking (95% CI (0.88, 0.88), p = 0.010). Non-smokers who were high school students (OR = 4.29; 95% CI = 2.12–8.66), whose academic performance were situated in the last 25% (OR = 2.23; 95% CI = 1.48–3.34) and lower than 50% (OR = 1.50; 95% CI = 1.02–2.20) were more likely to have an intention of smoking. Conclusions: About one in ten secondary school students was a smoker, one in three smokers smoked more than one time per day, and a quarter of non-smokers had an intention of smoking in China. Smoking rate was higher among students from Tujia than the Han nationality. This study provided some important information for future tobacco control programs among secondary school students in the ethnic minority autonomous region and minority settlements in a multi-ethnic country.

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IJERPH, Vol. 14, Pages 1318: Molecular Analysis of the SRD5A1 and SRD5A2 Genes in Patients with Benign Prostatic Hyperplasia with Regard to Metabolic Parameters and Selected Hormone Levels

IJERPH, Vol. 14, Pages 1318: Molecular Analysis of the SRD5A1 and SRD5A2 Genes in Patients with Benign Prostatic Hyperplasia with Regard to Metabolic Parameters and Selected Hormone Levels

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111318

Authors: Aleksandra Rył Iwona Rotter Anna Grzywacz Iwona Małecka Karolina Skonieczna-Żydecka Katarzyna Grzesiak Marcin Słojewski Aleksandra Szylińska Olimpia Sipak-Szmigiel Małgorzata Piasecka Kinga Walczakiewicz Maria Laszczyńska

Introduction: The etiology of benign prostatic hyperplasia (BPH) has not so far been fully explicated. However, it is assumed that changes in the levels of hormones associated with aging can contribute to the development of prostatic hyperplasia. Dihydrotestosterone combines with the androgen receptor (AR) proteins of the prostate gland. Enzyme activity is based on two isoenzymes: type 1 and type 2. 5α-reductase type 1 is encoded by the SRD5A1 gene, and type 2 is encoded by the SRD5A2 gene. The aim of our study was to determine the frequency of the SRD5A1 (rs6884552, rs3797177) and SRD5A2 (rs523349, rs12470143) genes’ polymorphisms, and to assess the relationships between the genotypes of the tested mutations, and the levels of biochemical and hormonal parameters in patients with BPH. Material and Methods: The study involved 299 men with benign prostatic hyperplasia. We determined the serum levels of particular biochemical parameters—fasting plasma glucose (FPG), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and triglycerides (TG)—by the spectrophotometric method, using ready reagent kits. The ELISA method was used to determine the levels of the following hormonal parameters and proteins: total testosterone (TT), free testosterone (FT), insulin (I), luteinizing hormone (LH), and sex hormone binding protein (SHBG). Metabolic syndrome was diagnosed. Genotyping was performed by real-time PCR. Results: We analyzed the relationships between the incidence of particular diseases and the genotypes of the SRD5A1 and SRD5A2 polymorphisms among patients with BPH. The BPH patients with the CC genotype of the SRD5A2 rs523349 and rs12470143 polymorphisms were considerably less frequently diagnosed with metabolic syndrome (MetS) (p = 0.022 and p = 0.023 respectively). Our analysis revealed that homozygotes with the CC of the SDR5A2 rs12470143 polymorphism had visibly higher HDL levels than those with the TT and CT genotypes (p = 0.001). Additionally, we found that the patients with the CC genotype of the SDR5A2 rs12470143 polymorphism had considerably higher FT levels (p = 0.001) than the heterozygotes with the CT and the homozygotes with the TT of the genetic variant analyzed in our study. Furthermore, the patients with at least one G allele of the SRD5A2 rs523349 polymorphism had significantly lower SGBG levels (p = 0.022) compared with the homozygotes with the CC genotype. The presence of at least one A allele (AA + AG genotypes) of the SRD5A1 rs3797177 polymorphism entailed notably lower serum insulin levels than those observed in homozygotes with the GG genotype (p = 0.033). Conclusions: The study described in this article shows that selected SRD5A1 and SRD5A2 polymorphisms can alter the levels of metabolic and hormonal parameters in patients with BPH. Special attention should be paid to the SDR5A2 rs12470143 polymorphism, which is associated with a change in lipid profile, as well as with the inheritance and incidence rate of MetS among these patients. An analysis of the frequency of this polymorphism among BPH patients could be useful in estimating the risk of getting ill, and planning therapies of concomitant diseases for BPH patients.

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IJERPH, Vol. 14, Pages 1322: Association between Eating Out and Socio-Demographic Factors of University Students in Chongqing, China

IJERPH, Vol. 14, Pages 1322: Association between Eating Out and Socio-Demographic Factors of University Students in Chongqing, China

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111322

Authors: Ping Hu Tingting Wu Fan Zhang Yan Zhang Lu Lu Huan Zeng Zu-min Shi Manoj Sharma Lei Xun Yong Zhao

(1) Objective: We aimed to explore the current situation of eating out and the association with socio-demographic factors of university students in Chongqing, China. (2) Methods: We used self-administered questionnaires to collect information. There are 14 universities in Chongqing; four (Chongqing Medical University, Chongqing University, Chongqing Normal University, and Chongqing University of Science & Technology) were randomly selected. In each selected university, two disciplines were randomly selected. (3) Results: 4595 university students participated in the study. The frequency of eating out was relatively high. The frequency of eating out among females was higher than that among males during weekdays. The two main reasons for eating out were having an opportunity to meet friends (56.0%) and improving diet (39.6%). Bistros (61.7%) and hot-pot restaurants (41.1%) were the favorite places for eating out. Only 36.0% of the participants said they considered nutrition and food safety when selecting restaurants. The majority of the participants demonstrated a high demand for nutrition and food safety knowledge when eating out (77.7%). (4) Conclusions: The higher the monthly living expenses were, the higher the frequency of eating out was. An intervention strategy to reduce the frequency or change the behavior of eating out should be formulated by considering the students’ perspectives.

http://ift.tt/2z2zFuc

IJERPH, Vol. 14, Pages 1321: Spatiotemporal Changes in Fine Particulate Matter Pollution and the Associated Mortality Burden in China between 2015 and 2016

IJERPH, Vol. 14, Pages 1321: Spatiotemporal Changes in Fine Particulate Matter Pollution and the Associated Mortality Burden in China between 2015 and 2016

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111321

Authors: Luwei Feng Bo Ye Huan Feng Fu Ren Shichun Huang Xiaotong Zhang Yunquan Zhang Qingyun Du Lu Ma

In recent years, research on the spatiotemporal distribution and health effects of fine particulate matter (PM2.5) has been conducted in China. However, the limitations of different research scopes and methods have led to low comparability between regions regarding the mortality burden of PM2.5. A kriging model was used to simulate the distribution of PM2.5 in 2015 and 2016. Relative risk (RR) at a specified PM2.5 exposure concentration was estimated with an integrated exposure–response (IER) model for different causes of mortality: lung cancer (LC), ischaemic heart disease (IHD), cerebrovascular disease (stroke) and chronic obstructive pulmonary disease (COPD). The population attributable fraction (PAF) was adopted to estimate deaths attributed to PM2.5. 72.02% of cities experienced decreases in PM2.5 from 2015 to 2016. Due to the overall decrease in the PM2.5 concentration, the total number of deaths decreased by approximately 10,658 per million in 336 cities, including a decrease of 1400, 1836, 6312 and 1110 caused by LC, IHD, stroke and COPD, respectively. Our results suggest that the overall PM2.5 concentration and PM2.5-related deaths exhibited decreasing trends in China, although air quality in local areas has deteriorated. To improve air pollution control strategies, regional PM2.5 concentrations and trends should be fully considered.

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IJERPH, Vol. 14, Pages 1316: Sensitizing Black Adult and Youth Consumers to Targeted Food Marketing Tactics in Their Environments

IJERPH, Vol. 14, Pages 1316: Sensitizing Black Adult and Youth Consumers to Targeted Food Marketing Tactics in Their Environments

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111316

Authors: Katherine Isselmann DiSantis Shiriki Kumanyika Lori Carter-Edwards Deborah Rohm Young Sonya Grier Vikki Lassiter

Food marketing environments of Black American consumers are heavily affected by ethnically-targeted marketing of sugar sweetened beverages, fast foods, and other products that may contribute to caloric overconsumption. This qualitative study assessed Black consumers’ responses to targeted marketing. Black adults (2 mixed gender groups; total n = 30) and youth (2 gender specific groups; total n = 35) from two U.S. communities participated before and after a sensitization procedure—a critical practice used to understand social justice concerns. Pre-sensitization focus groups elicited responses to scenarios about various targeted marketing tactics. Participants were then given an informational booklet about targeted marketing to Black Americans, and all returned for the second (post-sensitization) focus group one week later. Conventional qualitative content analysis of transcripts identified several salient themes: seeing the marketer’s perspective (“it’s about demand”; “consumers choose”), respect for community (“marketers are setting us up for failure”; “making wrong assumptions”), and food environments as a social justice issue (“no one is watching the door”; “I didn’t realize”). Effects of sensitization were reflected in participants’ stated reactions to the information in the booklet, and also in the relative occurrence of marketer-oriented themes and social justice-oriented themes, respectively, less and more after sensitization.

http://ift.tt/2yV1qCW

IJERPH, Vol. 14, Pages 1313: Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

IJERPH, Vol. 14, Pages 1313: Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111313

Authors: Berta Schnettler Germán Lobos Edgardo Miranda-Zapata Marianela Denegri Gastón Ares Clementina Hueche

Family is a major determinant of children’s and adolescents’ eating behavior. The objectives of the present study were to assess diet quality, eating habits, satisfaction with life, family life, and food-related life in mother–father–adolescent triads, and to identify profiles of families according to family members’ diet quality. Questionnaires were administered to a sample of 300 two-parent families with one child over the age of 10 in the city of Temuco (Chile), including the Adapted Healthy Eating Index (AHEI), Satisfaction with Life Scale (SWLS), Satisfaction with Food-related Life (SWFoL) scale, Satisfaction with Family Life (SWFaL) scales, and questions relating to their eating habits. Positive relationships were found between the diet quality of the family members, particularly between mothers and adolescents. Three family profiles with different diet qualities were identified: “families with an unhealthy diet” (39.3%), “families in which mothers and adolescents have healthy diets, but the fathers’ diets require changes” (14.3%), and “families that require changes in their diet” (46.4%). These findings stress the key role of mothers in determining family diet quality and suggest a positive relationship between diet quality and satisfaction with life.

http://ift.tt/2gL3Pbe

IJERPH, Vol. 14, Pages 1317: Seasonal Patterns of Japanese Encephalitis and Associated Meteorological Factors in Taiwan

IJERPH, Vol. 14, Pages 1317: Seasonal Patterns of Japanese Encephalitis and Associated Meteorological Factors in Taiwan

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111317

Authors: Che-Liang Lin Hsiao-Ling Chang Chuan-Yao Lin Kow-Tong Chen

The persistent transmission of Japanese encephalitis virus (JEV) in Taiwan necessitates exploring the risk factors of occurrence of Japanese encephalitis (JE). The purpose of this study was to assess the relationship between meteorological factors and the incidence of JE in Taiwan. We collected data for cases of JE reported to the Taiwan Centers for Disease Control (Taiwan CDC) from 2000 to 2014. Meteorological data were obtained from the Taiwan Central Weather Bureau. The relationships between weather variability and the incidence of JE in Taiwan were determined via Poisson regression analysis and a case-crossover methodology. During the 15-year study period, a total of 379 cases of JE were reported. The incidence of JE showed significant seasonality, with the majority of cases occurring in summertime (for oscillation, p < 0.001). The number of JE cases started to increase at temperatures of 22 °C (r2 = 0.88, p < 0.001). Similarly, the number of JE cases began to increase at a relative humidity of 70–74% (r2 = 0.75, p < 0.005). The number of JE cases was positively associated with mean temperature and relative humidity in the period preceding the infection. In conclusion, the occurrence of JE is significantly associated with increasing temperature and relative humidity in Taiwan. Therefore, these factors could be regarded as warning signals indicating the need to implement preventive measures.

http://ift.tt/2xvUryJ

IJERPH, Vol. 14, Pages 1315: Who Participates in Running Events? Socio-Demographic Characteristics, Psychosocial Factors and Barriers as Correlates of Non-Participation—A Pilot Study in Belgium

IJERPH, Vol. 14, Pages 1315: Who Participates in Running Events? Socio-Demographic Characteristics, Psychosocial Factors and Barriers as Correlates of Non-Participation—A Pilot Study in Belgium

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111315

Authors: Delfien van Dyck Greet Cardon Ilse de Bourdeaudhuij Lisa de Ridder Annick Willem

In Western countries, the popularity of running events has increased exponentially during the last three decades. However, little is known about the profile of non-participants. This knowledge is crucial to tailor promotional actions towards people who are currently not participating. Therefore, this study aimed: (1) to examine which socio-ecological factors are related to participation in running events, (2) to give an overview of the barriers towards participation, and (3) to examine differences in barriers depending on gender, age and educational level. Flemish adults (n = 308) completed an online questionnaire about their socio-demographic and psychosocial characteristics, physical activity levels, participation in running events and barriers towards participation. Results showed that motivation, family social support, knowledge about running events and physical activity levels were associated with participation in running events. Among non-participants, the main barriers were bad physical condition, lack of time and lack of interest. In participants, lack of time, distance to the event and financial barriers were most prevalent. With some exceptions, barriers were relatively similar across socio-demographic subgroups. This study confirmed a democratization among participants of running events and provided evidence about which barriers should be tackled to increase participation among population subgroups that are currently underrepresented in such events.

http://ift.tt/2ib7aki

IJERPH, Vol. 14, Pages 1314: Executive Function Capacities, Negative Driving Behavior and Crashes in Young Drivers

IJERPH, Vol. 14, Pages 1314: Executive Function Capacities, Negative Driving Behavior and Crashes in Young Drivers

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111314

Authors: Elizabeth Walshe Chelsea Ward McIntosh Daniel Romer Flaura Winston

Motor vehicle crashes remain a leading cause of injury and death in adolescents, with teen drivers three times more likely to be in a fatal crash when compared to adults. One potential contributing risk factor is the ongoing development of executive functioning with maturation of the frontal lobe through adolescence and into early adulthood. Atypical development resulting in poor or impaired executive functioning (as in Attention-Deficit/Hyperactivity Disorder) has been associated with risky driving and crash outcomes. However, executive function broadly encompasses a number of capacities and domains (e.g., working memory, inhibition, set-shifting). In this review, we examine the role of various executive function sub-processes in adolescent driver behavior and crash rates. We summarize the state of methods for measuring executive control and driving outcomes and highlight the great heterogeneity in tools with seemingly contradictory findings. Lastly, we offer some suggestions for improved methods and practical ways to compensate for the effects of poor executive function (such as in-vehicle assisted driving devices). Given the key role that executive function plays in safe driving, this review points to an urgent need for systematic research to inform development of more effective training and interventions for safe driving among adolescents.

http://ift.tt/2yT1zH9

Is objectively measured sitting at work associated with low back pain? A cross sectional study in the DPhacto cohort

Objectives Low-back pain (LBP) is a substantial health challenge due to the risk for long-term sickness absence and early retirement. Several biomechanical exposures at work, including sitting, have been suggested to increase the risk for LBP. The objectives of this study were to determine (i) the extent to which temporal patterns and total amount of objectively measured sitting is associated with LBP intensity and (ii) whether selected modifiers influence these associations. Methods This cross sectional study uses baseline data from the Danish PHysical ACTivity cohort with Objective measurements (DPhacto) of physical activities in the cleaning, transport and manufacturing sectors. Peak intensity of LBP was collected by questionnaire on a 0–10 scale and sitting was expressed in terms of total duration and temporal pattern, ie, time spent in brief bursts (≤5 minutes), moderate periods (>5–≤20 minutes), and prolonged periods of sitting (>20 minutes); both during work and whole day (waking hours only). Associations were determined using linear regression in models accounting for moderation and confounding. Factors evaluated as moderators or confounders were assessed by questionnaire. Results The population consisted of 704 participants. No significant associations were found between total duration or temporal patterns of sitting and LBP intensity, neither during work nor for the whole day. Body mass index (BMI) significantly moderated the association between sitting and LBP; participants with a high and low BMI showing a negative and positive association, respectively. Conclusion Sitting was not independently associated with peak LBP intensity, suggesting other exposures are more powerful risk factors for LBP. by Korshøj M, Hallman DM, Mathiassen SE, Aadahl M, Holtermann A, Jørgensen MB. doi:10.5271/sjweh.3683

http://ift.tt/2gHCK8G

Can illegitimate job tasks be reduced by a participatory organizational-level workplace intervention? Results of a cluster randomized controlled trial in Danish pre-schools

Objectives We examined whether a cluster randomized controlled participatory organizational-level workplace intervention affected the level of unnecessary, unreasonable, and illegitimate tasks. Methods A cluster randomized controlled trial was implemented in municipal pre-schools. The intervention used a participatory approach and aimed improving the psychosocial working environment by focusing on core tasks. The sample consisted of 41 pre-schools with 404 employees in the intervention group and 30 pre-schools with 230 employees in the control group. We measured unnecessary and unreasonable tasks at baseline and at two-year follow-up by one item on unnecessary and one item on unreasonable tasks, respectively, and combined both items into a measure of illegitimate tasks. We analyzed within- and between-groups changes in unnecessary and unreasonable tasks and in the combined measure of illegitimate tasks. Results The scores for unnecessary, unreasonable, and illegitimate tasks remained virtually unchanged in the intervention group and increased in the control group. The different development in the two groups was statistically significant for unreasonable tasks (+0.02 versus +0.13, P=0.04) and the combined measure of illegitimate tasks (+0.01 versus +0.11, P=0.04) but not for unnecessary tasks (+0.00 versus +0.08, P=0.16). Conclusion A comprehensive participatory organizational-level intervention with a focus on core job tasks may protect against an increase in illegitimate tasks in Danish pre-schools. by Framke E, Sørensen OH, Pedersen J, Rugulies R. doi:10.5271/sjweh.3684

http://ift.tt/2gHD47o

IJERPH, Vol. 14, Pages 1305: Examination of the Relationship between In-Store Environmental Factors and Fruit and Vegetable Purchasing among Hispanics

IJERPH, Vol. 14, Pages 1305: Examination of the Relationship between In-Store Environmental Factors and Fruit and Vegetable Purchasing among Hispanics

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111305

Authors: Jennifer Sanchez-Flack Julie Pickrel George Belch Shih-Fan Lin Cheryl Anderson Maria Martinez Elva Arredondo Guadalupe Ayala

Retail food environments have received attention for their influence on dietary behaviors and for their nutrition intervention potential. To improve diet-related behaviors, such as fruit and vegetable (FV) purchasing, it is important to examine its relationship with in-store environmental characteristics. This study used baseline data from the “El Valor de Nuestra Salud” study to examine how in-store environmental characteristics, such as product availability, placement and promotion, were associated with FV purchasing among Hispanic customers in San Diego County. Mixed linear regression models indicated that greater availability of fresh FVs was associated with a $0.36 increase in FV purchasing (p = 0.01). Placement variables, specifically each additional square foot of display space dedicated to FVs (p = 0.01) and each additional fresh FV display (p = 0.01), were associated with a $0.02 increase and $0.29 decrease, respectively, in FV purchasing. Introducing FV promotions in the final model was not related to FV purchasing. Exploratory analyses indicated that men reported spending $3.69 fewer dollars on FVs compared to women, controlling for covariates (p = 0.02). These results can help inform interventions targeting in-store environmental characteristics to encourage FV purchasing among Hispanics.

http://ift.tt/2iDGTyS

IJERPH, Vol. 14, Pages 1311: An Improved Graph Model for Conflict Resolution Based on Option Prioritization and Its Application

IJERPH, Vol. 14, Pages 1311: An Improved Graph Model for Conflict Resolution Based on Option Prioritization and Its Application

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111311

Authors: Kedong Yin Li Yu Xuemei Li

In order to quantitatively depict differences regarding the preferences of decision makers for different states, a score function is proposed. As a foundation, coalition motivation and real-coalition analysis are discussed when external circumstance or opportunity costs are considering. On the basis of a confidence-level function, we establish the score function using a “preference tree”. We not only measure the preference for each state, but we also build a collation improvement function to measure coalition motivation and to construct a coordinate system in which to analyze real-coalition stability. All of these developments enhance the applicability of the graph model for conflict resolution (GMCR). Finally, an improved GMCR is applied in the “Changzhou Conflict” to demonstrate how it can be conveniently utilized in practice.

http://ift.tt/2iEITH9

IJERPH, Vol. 14, Pages 1308: Does Parental Migration Have Negative Impact on the Growth of Left-Behind Children?—New Evidence from Longitudinal Data in Rural China

IJERPH, Vol. 14, Pages 1308: Does Parental Migration Have Negative Impact on the Growth of Left-Behind Children?—New Evidence from Longitudinal Data in Rural China

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111308

Authors: Xu Tian Caicui Ding Chong Shen Hui Wang

The soaring number of left-behind children (LBC) in China has raised concerns about whether or not they can receive adequate care. This study investigated the impact of parents’ migration on LBC’s growth. LBC were divided into father-left children (F-LBC) and at least mother left children (M-LBC), both of which were compared with non-left-behind children (non-LBC) in terms of growth indicators. Data of 466 children with two continuous measurements were obtained from the four recent waves of the China Health and Nutrition Survey (CHNS). Anthropometric measures and 24-h recall of three consecutive days of dietary intake were extracted. The disparity of growth and nutrition status were compared by the difference-in-difference (DID) method. Results showed that LBC had significantly worse height and weight than non-LBC at baseline, respectively (p = 0.006, p = 0.003). This disadvantage was improved after parental migration, especially for M-LBC. However, the impact on growth status caused by parents’ migration was statistically insignificant once the pre-treatment disparity was removed. Further analysis on nutrition status indicated that fathers’ migration had a significant negative impact on F-LBC’s calorie intake (p = 0.014), which was mainly caused by the decline of carbohydrates (p = 0.008). This study indicated that the negative impact detected in previous studies might be caused by the retarded growth of LBC before parents’ migration.

http://ift.tt/2zJEJAQ

IJERPH, Vol. 14, Pages 1306: Risk Perception and Anxiety Regarding Radiation after the 2011 Fukushima Nuclear Power Plant Accident: A Systematic Qualitative Review

IJERPH, Vol. 14, Pages 1306: Risk Perception and Anxiety Regarding Radiation after the 2011 Fukushima Nuclear Power Plant Accident: A Systematic Qualitative Review

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111306

Authors: Yoshitake Takebayashi Yuliya Lyamzina Yuriko Suzuki Michio Murakami

The purpose of this study was to provide a review of the publications of the risk perceptions or anxiety regarding radiation among people living in Japan after the 2011 Fukushima nuclear power plant accident. Two database (MEDLINE and PsycINFO) and hand-searched the references in identified publications were searched. For each identified publication, the measurements and time related-change of risk perception and anxiety regarding radiation were summarized. Twenty-four publications were identified. Quantitative measures of risk perception or anxiety were roughly divided into two types: single-item Likert scales that measure anxiety about radiation; and theoretical, or model-based measures. Rates of Fukushima residents with radiation-related anxiety decreased from 2012 to 2015. Factors governing risk perception or radiation-related anxiety were summarized by demographics, disaster-related stressors, trusted information, and radiation-related variables. The effects of risk perception or anxiety regarding radiation were summarized as severe distress, intention to leave employment or not to return home, or other dimensions. This review provides summary of current findings on risk perception or anxiety regarding radiation in Japan after the accident. Further researches are needed about detailed statistical analysis for time-related change and causality among variables.

http://ift.tt/2zK0lNp

IJERPH, Vol. 14, Pages 1312: Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study

IJERPH, Vol. 14, Pages 1312: Long-Lasting Insecticide Net Ownership, Access and Use in Southwest Ethiopia: A Community-Based Cross-Sectional Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111312

Authors: Dinberu Seyoum Niko Speybroeck Luc Duchateau Patrick Brandt Angel Rosas-Aguirre

Introduction:A large proportion of the Ethiopian population (approximately 68%) lives in malaria risk areas. Millions of long-lasting insecticide treated nets (LLINs) have been distributed as part of the malaria prevention and control strategy in the country. This study assessed the ownership, access and use of LLNs in the malaria endemic southwest Ethiopia. Methods: A community-based cross-sectional study was conducted in southwest Ethiopia during October–November 2015, including 836 households from sixteen villages around Gilgel-Gibe dam area. Indicators of ownership, access and use of LLINs were derived following the Roll Back Malaria (RBM) guidelines. Factors associated with failure for both LLIN access and use were analysed at household level using a multivariate logistic regression model. Results: The proportion of households with at least one LLIN was 82.7% (95% CI: 80.0, 85.1). However, only 68.9% (95% CI: 65.6, 71.9) had enough LLINs to cover all family members (with ≥one LLIN for every two persons). While 75.3% (95% CI: 68.4, 83.0) of the population was estimated to have accessed to LLINs, only 63.8% (95% CI: 62.3, 65.2) reported to have used a LLIN the previous night. The intra-household gap (i.e., households owning at least one LLIN, but unable to cover all family members) and the behavioral gap (i.e., household members who did not sleep under a LLIN despite having access to one) were 16.8% and 10.5%, respectively. Age, marital status and education of household heads, as well as household size and cooking using firewood were associated with the access to enough LLINs within households. Decreased access to LLINs at households was the main determinant for not achieving ≥80% household members sleeping under a LLIN the previous night. Other associated factors were household size and education level of household head. Conclusions: LLIN coverage levels in study villages remain below national targets of 100% for ownership and 80% for use. The access to enough LLINs within the households is the main restriction of LLIN use in the study area.

http://ift.tt/2zK0r7J

IJERPH, Vol. 14, Pages 1307: Water Pollution Prediction in the Three Gorges Reservoir Area and Countermeasures for Sustainable Development of the Water Environment

IJERPH, Vol. 14, Pages 1307: Water Pollution Prediction in the Three Gorges Reservoir Area and Countermeasures for Sustainable Development of the Water Environment

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111307

Authors: Yinghui Li Shuaijin Huang Xuexin Qu

The Three Gorges Project was implemented in 1994 to promote sustainable water resource use and development of the water environment in the Three Gorges Reservoir Area (hereafter “Reservoir Area”). However, massive discharge of wastewater along the river threatens these goals; therefore, this study employs a grey prediction model (GM) to predict the annual emissions of primary pollution sources, including industrial wastewater, domestic wastewater, and oily and domestic wastewater from ships, that influence the Three Gorges Reservoir Area water environment. First, we optimize the initial values of a traditional GM (1,1) model, and build a new GM (1,1) model that minimizes the sum of squares of the relative simulation errors. Second, we use the new GM (1,1) model to simulate historical annual emissions data for the four pollution sources and thereby test the effectiveness of the model. Third, we predict the annual emissions of the four pollution sources in the Three Gorges Reservoir Area for a future period. The prediction results reveal the annual emission trends for the major wastewater types, and indicate the primary sources of water pollution in the Three Gorges Reservoir Area. Based on our predictions, we suggest several countermeasures against water pollution and towards the sustainable development of the water environment in the Three Gorges Reservoir Area.

http://ift.tt/2yQeImM

IJERPH, Vol. 14, Pages 1304: Vaccines as Epidemic Insurance

IJERPH, Vol. 14, Pages 1304: Vaccines as Epidemic Insurance

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111304

Authors: Mark Pauly

This paper explores the relationship between the research for and development of vaccines against global pandemics and insurance. It shows that development in advance of pandemics of a portfolio of effective and government-approved vaccines does have some insurance properties: it requires incurring costs that are certain (the costs of discovering, developing, and testing vaccines) in return for protection against large losses (if a pandemic treatable with one of the vaccines occurs) but also with the possibility of no benefit (from a vaccine against a disease that never reaches the pandemic stage). It then argues that insurance against the latter event might usefully be offered to organizations developing vaccines, and explores the benefits of insurance payments to or on behalf of countries who suffer from unpredictable pandemics. These ideas are then related to recent government, industry, and philanthropic efforts to develop better policies to make vaccines against pandemics available on a timely basis.

http://ift.tt/2yPq5cf

IJERPH, Vol. 14, Pages 1309: Using the D-DANP-mV Model to Explore the Continuous System Improvement Strategy for Sustainable Development of Creative Communities

IJERPH, Vol. 14, Pages 1309: Using the D-DANP-mV Model to Explore the Continuous System Improvement Strategy for Sustainable Development of Creative Communities

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111309

Authors: Lei Xiong Cheng-Lein Teng Bo-Wei Zhu Gwo-Hshiung Tzeng Shan-Lin Huang

With globalization, the notion of “creative city” has become a core concept of many cities in the world development policies, with real properties being upgraded or used to change, renewal is being conducted, and creative industries are emerging. This trend has reached its peak in the past decade, with different forms and scales gathering global development momentum among the creative communities to promote the development of creative economies. In recent years, however, there was still skepticism about the sustainability of the current creative communities. Many scholars have pointed out that signs of unsustainability have begun to appear in many creative communities. To overcome these obstacles, the development of rational and highly effective improvement strategy requires a dynamic thinking process. Therefore, this study employs the DEMATEL-based ANP with modified VIKOR (D-DANP-mV) model in presenting an assessment framework for the sustainability of creative communities. This system is used to assess the sustainability of current creative communities and determine how to solve their problems. Thus, continuous and systemic improvement strategies can be developed to achieve the aim of sustainable development. Two creative communities in Taiwan, Taichung Cultural and Creative Industries Park (TCCIP), and Shen-Ji New Village (SJNV), are used as case studies in this study. Based on the concept of systematic improvement from fundamental issues, the results indicate that the improvement priorities can be determined by applying the D-DANP-mV model. This approach is different from those found by a conventional method with the hypothesis of independent criteria (e.g., diversification of creative talents in TCCIP), and cannot use for performance improvement (e.g., only can be used for ranking and selection among alternatives). Considering these points, unreasonable premises, biased errors, and lack of some real application functions in the process of resource allocation could be more efficient improvement strategies generated in this proposed model.

http://ift.tt/2yWfVII

IJERPH, Vol. 14, Pages 1310: Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and/or Depression

IJERPH, Vol. 14, Pages 1310: Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and/or Depression

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111310

Authors: Patrik Grahn Anna María Pálsdóttir Johan Ottosson Ingibjörg H. Jonsdottir

The global burden of depression and stress-related mental disorders is substantial, and constitutes a major need for effective rehabilitation. Can nature-based rehabilitation help people return to work? Objective: To study if the length of a nature-based rehabilitation program affects the outcome with regard to return to work one year after the onset of the program, in a group of patients with long-term reactions to severe stress and/or depression. Methods: A prospective, quasi-experimental study comparing results from 8-, 12-, and 24-week periods of rehabilitation. The rehabilitation of 106 participants was carried out by a multimodal rehabilitation team in a specially designed rehabilitation garden. Return to work data were collected before the intervention and one year after the start of rehabilitation. In addition, data were collected regarding self-assessed occupational competence, personal control, and sense of coherence. As many as 68% of the participants returned to work or participated in job training or work-oriented measures, full- or part-time, after one year. Participants with a longer period of rehabilitation reported better results on occupational competence, and were more likely to participate in paid work, full-time or part-time, one year after rehabilitation. Study outcomes indicate that a longer rehabilitation period in a rehabilitation garden increases the possibility of a return to paid work.

http://ift.tt/2yOHL7D

Parental occupational exposures and the risk of childhood sporadic retinoblastoma: a report from the Childrens Oncology Group

Objectives

We examined associations between parental occupational chemical exposures up to 10 years before conception and the risk of sporadic retinoblastoma among offspring.

Methods

In our multicentre study on non-familial retinoblastoma, parents of 187 unilateral and 95 bilateral cases and 155 friend controls were interviewed by telephone. Exposure information was collected retroactively through a detailed occupational questionnaire that asked fathers to report every job held in the 10 years before conception, and mothers 1 month before and during the index pregnancy. An industrial hygienist reviewed all occupational data and assigned an overall exposure score to each job indicating the presence of nine hazardous agents.

Results

We estimated elevated ORs for unilateral and bilateral retinoblastoma among offspring of fathers who were exposed to polycyclic aromatic hydrocarbons or paints in the 10 years before conception. However, only for exposure to paints did confidence limits exclude the null for bilateral disease (OR: 8.76, 95% CI: 1.32 to 58.09). Maternal prenatal exposure to at least one of the nine agents was related to increased risk of unilateral disease in their children (OR: 5.25, 95% CI: 1.14 to 24.16). Fathers exposed to at least one of the nine agents and who were ≥30 years of age were at increased risk of having a child diagnosed with bilateral retinoblastoma (OR: 6.59, 95% CI: 1.34 to 32.42).

Conclusions

Our results suggest a role for several hazardous occupational exposures in the development of childhood retinoblastoma.

http://ift.tt/2zH6Wsd

Systematic review of universal and targeted workplace interventions for depression

Depression is increasingly being recognised as a significant mental health problem in the workplace contributing to productivity loss and economic burden to organisations. This paper reviews recently published randomised controlled trials (RCTs) of universal and targeted interventions to reduce depression in the workplace. Studies were identified through searches of EMBASE, MEDLINE/PubMed, PsycINFO, PsycARTICLES Full Text, and Global Health and Social Policy and Practice databases. Studies were included if they included an RCT of a workplace intervention for employees targeting depression as the primary outcome. Twenty-two published RCTs investigating interventions utilising various therapeutic approaches were identified. The cognitive behavioural therapy (CBT) approach is the most frequently used in the workplace, while interventions that combine different therapeutic approaches showed the most promising results. A universal intervention in the workplace that combines CBT and coping flexibility recorded the highest effect size (d=1.45 at 4 months’ follow-up). Most interventions were delivered in group format and showed low attrition rates compared with other delivery formats. Although all studies reviewed were RCTs, the quality of reporting is low. Interventions using different therapeutic approaches with different modes of delivery have been used. Most of these interventions were shown to reduce depression levels among employees in the workplace, particularly those that combine more than one therapeutic approaches.

http://ift.tt/2hcdZlJ

Occupational exposures and mammographic density in Spanish women

Objectives

The association between occupational exposures and mammographic density (MD), a marker of breast cancer risk, has not been previously explored. Our objective was to investigate the influence of occupational exposure to chemical, physical and microbiological agents on MD in adult women.

Methods

This is a population-based cross-sectional study based on 1476 female workers aged 45–65 years from seven Spanish breast cancer screening programmes. Occupational history was surveyed by trained staff. Exposure to occupational agents was assessed using the Spanish job-exposure matrix MatEmESp. Percentage of MD was measured by two radiologists using a semiautomatic computer tool. The association was estimated using mixed log-linear regression models adjusting for age, education, body mass index, menopausal status, parity, smoking, alcohol intake, type of mammography, family history of breast cancer and hormonal therapy use, and including screening centre and professional reader as random effects terms.

Results

Although no association was found with most of the agents, women occupationally exposed to perchloroethylene (e^β=1.51; 95% CI 1.04 to 2.19), ionising radiation (e^β=1.23; 95% CI 0.99 to 1.52) and mould spores (e^β=1.44; 95% CI 1.01 to 2.04) tended to have higher MD. The percentage of density increased 12% for every 5 years exposure to perchloroethylene or mould spores, 11% for every 5 years exposure to aliphatic/alicyclic hydrocarbon solvents and 3% for each 5 years exposure to ionising radiation.

Conclusions

Exposure to perchloroethylene, ionising radiation, mould spores or aliphatic/alicyclic hydrocarbon solvents in occupational settings could be associated with higher MD. Further studies are needed to clarify the accuracy and the reasons for these findings.

http://ift.tt/2zHbfDV

IJERPH, Vol. 14, Pages 1302: Toward an Asbestos Ban in the United States

IJERPH, Vol. 14, Pages 1302: Toward an Asbestos Ban in the United States

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111302

Authors: Richard Lemen Philip Landrigan

Many developed countries have banned the use of asbestos, but not the United States. There have, however, been multiple efforts in the US to establish strict exposure standards, to limit asbestos use, and to seek compensation through the courts for asbestos-injured workers’ In consequence of these efforts, asbestos use has declined dramatically, despite the absence of a legally mandated ban. This manuscript presents a historical review of these efforts.

http://ift.tt/2zRPfXQ

IJERPH, Vol. 14, Pages 1298: Application of Circular Bubble Plume Diffusers to Restore Water Quality in a Sub-Deep Reservoir

IJERPH, Vol. 14, Pages 1298: Application of Circular Bubble Plume Diffusers to Restore Water Quality in a Sub-Deep Reservoir

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111298

Authors: Chen Lan Jingan Chen Jingfu Wang Jianyang Guo Jia Yu Pingping Yu Haiquan Yang Yong Liu

Circular bubble plume diffusers have been confirmed as an effective technology for the restoration of the deep water system, but have never been applied in sub-deep water system. In this study, circular bubble plume diffusers were used, for the first time, to restore water quality in the Aha Reservoir, a typical sub-deep reservoir in Southwest China. Axisymmetric intrusive gravity currents were formed with a horizontal radius of 250 m at the equilibrium depth and the intrusion of oxygen-enriched water occurred within the depth of 10–14 m, while thermal stratification remained intact. A total of 95% of the imported oxygen was dissolved, but most was consumed by organic matter and other reduced substances within the hypolimnion. The oxygen consumption of organic matter, NH4+ and remaining reduced materials, accounted for 41.4–52.5%, 25% and 13.3–24.4% of the total imported oxygen, respectively. Compared with the control sites, dissolved oxygen level in the hypolimnion increased 3–4 times, and concentrations of NH4+, total Fe and total Mn were reduced by 15.5%, 45.5% and 48.9%, respectively. A significant decrease in total phosphorus and nitrogen concentrations was observed in the experimental zone (0.04–0.02 mg/L and 1.9–1.7 mg/L, respectively). This indicates that circular bubble plumes have great potential for oxygenation of the hypolimnion and improving water quality in the sub-deep water system. Nevertheless, further efforts are needed to improve the discrete bubble model to elaborate the oxygen transmission dynamics and the plume formation processes in sub-deep water systems, incorporating oxygen consumption processes.

http://ift.tt/2xpvwx0

De Gruyter announces the Joshua A. Fishman Award 2018

Award to recognize sociolinguists in the early stages of their careers

http://ift.tt/2iE0TBz

De Gruyter ruft den Joshua-A.-Fishman-Preis 2018 aus

Der Preis fördert Sprachsoziologen am Beginn ihrer Publikationslaufbahn

http://ift.tt/2lmk7wv

IJERPH, Vol. 14, Pages 1296: Presence of Legionella spp. in Hot Water Networks of Different Italian Residential Buildings: A Three-Year Survey

IJERPH, Vol. 14, Pages 1296: Presence of Legionella spp. in Hot Water Networks of Different Italian Residential Buildings: A Three-Year Survey

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111296

Authors: Michele Totaro Paola Valentini Anna Costa Lorenzo Frendo Alessia Cappello Beatrice Casini Mario Miccoli Gaetano Privitera Angelo Baggiani

Although the European reports highlight an increase in community-acquired Legionnaires’ disease cases, the risk of Legionella spp. in private houses is underestimated. In Pisa (Italy) we performed a three-year survey on Legionella presence in 121 buildings with an independent hot water production (IB); 64 buildings with a central hot water production (CB); and 35 buildings with a solar thermal system for hot water production (TB). From all the 220 buildings Legionella spp. was researched in two hot water samples collected either at the recirculation point or on the first floor and on the last floor, while the potable water quality was analysed in three cold water samples collected at the inlet from the aqueduct network, at the exit from the autoclave, and at the most remote tap. Legionella pneumophila sg1, Legionella pneumophila sg2–16, and non-pneumophila Legionella species were detected in 26% of the hot water networks, mostly in CB and TB. In these buildings we detected correlations between the presence of Legionella and the total chlorine concentration decrease and/or the increase of the temperature. Cold water resulted free from microbiological hazards, with the exception of Serratia liquefaciens and Enterobacter cloacae isolated at the exit from two different autoclaves. We observed an increase in total microbial counts at 22 °C and 37 °C between the samples collected at the most remote taps compared to the ones collected at the inlet from the aqueduct. The study highlights a condition of potential risk for susceptible categories of population and supports the need for measures of risk assessment and control.

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IJERPH, Vol. 14, Pages 1300: Nutrient Content and Nutritional Water Productivity of Selected Grain Legumes in Response to Production Environment

IJERPH, Vol. 14, Pages 1300: Nutrient Content and Nutritional Water Productivity of Selected Grain Legumes in Response to Production Environment

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111300

Authors: Tendai Chibarabada Albert Modi Tafadzwanashe Mabhaudhi

There is a need to incorporate nutrition into aspects of crop and water productivity to tackle food and nutrition insecurity (FNS). The study determined the nutritional water productivity (NWP) of selected major (groundnut, dry bean) and indigenous (bambara groundnut and cowpea) grain legumes in response to water regimes and environments. Field trials were conducted during 2015/16 and 2016/17 at three sites in KwaZulu-Natal, South Africa (Ukulinga, Fountainhill and Umbumbulu). Yield and evapotranspiration (ET) data were collected. Grain was analysed for protein, fat, Ca, Fe and Zn nutrient content (NC). Yield, ET and NC were then used to compute NWP. Overall, the major legumes performed better than the indigenous grain legumes. Groundnut had the highest NWPfat. Groundnut and dry bean had the highest NWPprotein. For NWPFe, Zn and Ca, dry bean and cowpea were more productive. Yield instability caused fluctuations in NWP. Water treatments were not significant (p > 0.05). While there is scope to improve NWP under rainfed conditions, a lack of crop improvement currently limits the potential of indigenous grain legumes. This provides an initial insight on the nutrient content and NWP of a limited number of selected grain legumes in response to the production environment. There is a need for follow-up research to include cowpea data. Future studies should provide more experimental data and explore effects of additional factors such as management practices (fertiliser levels and plant density), climate and edaphic factors on nutrient content and NWP of crops.

http://ift.tt/2i7uX4j

IJERPH, Vol. 14, Pages 1303: Exploring Perception of Vibrations from Rail: An Interview Study

IJERPH, Vol. 14, Pages 1303: Exploring Perception of Vibrations from Rail: An Interview Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111303

Authors: Laura Maclachlan Kerstin Persson Waye Eja Pedersen

Rail transport is an environmentally responsible approach and traffic is expected to increase in the coming decades. Little is known about the implications for quality of life of populations living close to railways. This study explores the way in which vibrations from rail are perceived and described by these populations. The study took place in the Västra Götaland and Värmland regions of Sweden. A qualitative study approach was undertaken using semi-structured interviews within a framework of predetermined questions in participants’ homes. A 26.3% response rate was achieved and 17 participants were interviewed. The experience of vibrations was described in tangible terms through different senses. Important emerging themes included habituation to and acceptance of vibrations, worry about property damage, worry about family members and general safety. Participants did not reflect on health effects, however, chronic exposure to vibrations through multimodal senses in individual living environments may reduce the possibility for restoration in the home. Lack of empowerment to reduce exposure to vibrations was important. This may alter individual coping strategies, as taking actions to avoid the stressor is not possible. The adoption of other strategies, such as avoidance, may negatively affect an individual’s ability to cope with the stressor and their health.

http://ift.tt/2i6f6mO

IJERPH, Vol. 14, Pages 1299: An Integrated Pest Management Intervention Improves Knowledge, Pest Control, and Practices in Family Child Care Homes

IJERPH, Vol. 14, Pages 1299: An Integrated Pest Management Intervention Improves Knowledge, Pest Control, and Practices in Family Child Care Homes

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111299

Authors: Michelle Stephens Kimberly Hazard Debra Moser Dana Cox Roberta Rose Abbey Alkon

To reduce young children’s exposure to pesticides when attending family child care homes (FCCHs), we developed an integrated pest management (IPM) intervention for FCCH directors. First, we developed IPM educational materials and resources to provide the foundation for an IPM educational intervention for FCCHs. Next, we conducted and evaluated a six-month nurse child care health consultant (CCHC)-led education and consultation IPM intervention to increase IPM knowledge, IPM practices, IPM policies, and decrease the presence or evidence of pests. The pilot intervention study was conducted by three CCHCs in 20 FCCHs in three counties in California. Pre- and post-intervention measures were completed by the FCCH directors and observation measures were completed by the CCHCs. Results indicated significant increases in IPM knowledge, (t-statistic (degrees of freedom), (t(df) = 2.55(10), p < 0.05), increases in IPM practices (t(df) = −6.47(17), p < 0.05), and a 90% reduction in the prevalence of pests. There were no significant differences in changes in IPM practices based on director education, FCCH county, or IPM intervention intensity or duration. A nurse-led IPM education and consultation intervention can reduce exposures of young children attending family child care homes to harmful chemicals.

http://ift.tt/2gEIobD

IJERPH, Vol. 14, Pages 1301: Preparation and Application of Carboxylated Graphene Oxide Sponge in Dye Removal

IJERPH, Vol. 14, Pages 1301: Preparation and Application of Carboxylated Graphene Oxide Sponge in Dye Removal

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111301

Authors: Lianqin Zhao Sheng-Tao Yang Shicheng Feng Qiang Ma Xiaoling Peng Deyi Wu

Spongy graphene is a newly developed adsorbent of high performance for water treatment. Proper functionalization is an efficient approach to improve the adsorption capacity of graphene adsorbents. In this study, we prepared graphene oxide (GO), functionalized it with carboxyl groups to produce carboxylated GO (GO-COOH) dispersion, and lyophilized the GO-COOH dispersion to obtain the GO-COOH sponge. The adsorption isotherm, kinetics, thermodynamics, influencing factors, and regeneration of the adsorption of dye methylene blue (MB) on GO-COOH sponge were evaluated in batch experiments. The adsorption capacity of GO-COOH sponge was measured as 780 mg/g, which was nearly twice that of GO sponge (446 mg/g). The adsorption isotherm could be well described by the Freundlich model with a KF of 508 (L/mg)1/n. The adsorption kinetic was nicely fitted by pseudo-first-order model with a k1 of 0.00157·min−1. In thermodynamics analysis, the negative ΔG indicated the spontaneous nature of adsorption on GO-COOH sponge. The adsorption process was endothermic and was driven by the increase of entropy. Higher pH benefited the removal of MB by GO-COOH sponge and the ionic strength had no meaningful effect. The regeneration was poor due to the strong electrostatic interaction between MB and the GO-COOH sponge. The results collectively suggested that carboxylation increased the adsorption performance of GO sponge.

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IJERPH, Vol. 14, Pages 1294: Frequency of Loud Snoring and Metabolic Syndrome among Korean Adults: Results from the Health Examinees (HEXA) Study

IJERPH, Vol. 14, Pages 1294: Frequency of Loud Snoring and Metabolic Syndrome among Korean Adults: Results from the Health Examinees (HEXA) Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111294

Authors: Claire Kim Sangah Shin Hwi-Won Lee Jiyeon Lim Jong-Koo Lee Daehee Kang

Studies regarding the association between snoring and metabolic abnormalities have been inconsistent. We examine whether snoring frequency and obstructive sleep apnea markers are associated with metabolic syndrome (MetS) among Koreans aged 40–69 years. A total of 72,885 subjects (24,856 men, 48,029 women) from the Health Examinees Gem study between 2009 and 2013 were included. Snoring frequency was grouped into five categories (never, 1–3/month, 1–3/week, 4–5/week, 6+/week). Obstructive sleep apnea markers included breathing interruptions and awakenings. Adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) were calculated through logistic regression. Compared with non-snorers, those who snore 6+/week were associated with increased odds for MetS (OR: 2.07, 95% CI: 1.91–2.25, p-trend < 0.0001 among men; OR: 1.45, CI: 1.33–1.58, p-trend < 0.0001 among women). Snoring frequency is associated with MetS and its components in both men and women. Snoring and obstructive sleep apnea markers are important indicators of sleep quality, which may facilitate early detection of sleep disorders and further complications such as MetS.

http://ift.tt/2z7VERo

IJERPH, Vol. 14, Pages 1295: The Combined Influence of Air Pollution and Home Learning Environment on Early Cognitive Skills in Children

IJERPH, Vol. 14, Pages 1295: The Combined Influence of Air Pollution and Home Learning Environment on Early Cognitive Skills in Children

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111295

Authors: Lanair Lett Jeanette Stingone Luz Claudio

Cognitive skills are one component of school readiness that reflect a child’s neurodevelopment and are influenced by environmental and social factors. Most studies assess the impact of these factors individually, without taking into consideration the complex interactions of multiple factors. The objective of this study was to examine the joint association of markers of environmental pollution and of social factors on early cognitive skills in an urban cohort of children. For this, we chose isophorone in ambient air as a marker of industrial air pollution. Low quality home learning environments was chosen as a marker of the social factors contributing to cognitive development. Using a subpopulation from the Early Childhood Longitudinal Study, Birth Cohort (N = 4050), isophorone exposure was assigned using the 2002 National Air Toxics Assessment. Home learning environment was assessed with a modified version of the Home Observation for Measurement of the Environment (HOME) Inventory, and standardized math assessment scores were used as a measure of early cognitive skills. Multiple linear regression was used to estimate the effect of both exposures on math scores. After adjustment for confounders, children living in areas with ambient isophorone in the upper quintile of exposure (>0.49 ng/m3) had math scores that were 1.63 points lower than their less exposed peers [95% CI: −2.91, −0.34], and children with lower HOME scores (at or below 9 out of 12) had math scores that were 1.20 points lower than children with better HOME scores [95% CI: −2.30, −0.10]. In adjusted models accounting for identified confounders and both exposures of interest, both high isophorone exposure and low HOME score remained independently associated with math scores [−1.48, 95% CI: −2.79, −0.18; −1.05, 95% CI: −2.15, 0.05, respectively]. There was no statistical evidence of interaction between the two exposures, although children with both higher isophorone exposure and a low HOME score had a decrement in math scale score beyond the additive effect of each exposure. This was primarily observed among male children. These findings suggest that aspects of both the physical and social environments are independently associated with children’s early cognitive skills. Future research aiming to improve children’s early cognitive skills and subsequent school readiness should address both domains.

http://ift.tt/2iyWMq7

IJERPH, Vol. 14, Pages 1297: Environmental Pollution by Benzene and PM10 and Clinical Manifestations of Systemic Sclerosis: A Correlation Study

IJERPH, Vol. 14, Pages 1297: Environmental Pollution by Benzene and PM10 and Clinical Manifestations of Systemic Sclerosis: A Correlation Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111297

Authors: Alice Borghini Andrea Poscia Silvia Bosello Adele Teleman Mario Bocci Lanfranco Iodice Gianfranco Ferraccioli Daniele La Milìa Umberto Moscato

Atmospheric air pollution has been associated with a range of adverse health effects. The environment plays a causative role in the development of Systemic Sclerosis (SSc). The aim of the present study is to explore the association between particulate (PM10) and benzene (B) exposure in Italian patients with systemic sclerosis and their clinical characteristics of the disease. A correlation study was conducted by enrolling 88 patients who suffer from SSc at the Fondazione Policlinico “A. Gemelli” in Rome (Italy) in the period from January 2013 to January 2014. The average mean concentrations of B (in 11 monitoring sites) and PM10 (in 14 sites) were calculated using data from the Regional Environmental Protection Agency’s monitoring stations located throughout the Lazio region (Italy) and then correlated with the clinical characteristics of the SSc patients. Of the study sample, 92.5% were female. The mean age was 55 ± 12.9 years old and the mean disease duration from the onset of Raynaud’s phenomenon was 13.0 ± 9.4 years. The Spearman’s correlation showed that concentrations of B correlate directly with the skin score (R = 0.3; p ≤ 0.05) and inversely with Diffusing Lung Carbon Monoxide (DLCO) results (R = −0.36; p = 0.04). This study suggests a possible role of B in the development of diffuse skin disease and in a worse progression of the lung manifestations of SSc.

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IJERPH, Vol. 14, Pages 1287: Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver, Vehicle, Roadway and Crash Characteristics

IJERPH, Vol. 14, Pages 1287: Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver, Vehicle, Roadway and Crash Characteristics

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111287

Authors: Shin Oh Chang Liu Joyce Pressley

There are large disparities in American Indian pediatric motor vehicle (MV) mortality with reports that several factors may contribute. The Fatality Analysis Reporting System for 2000–2014 was used to examine restraint use for occupants aged 0–19 years involved in fatal MV crashes on Indian lands (n = 1667) and non-Indian lands in adjacent states (n = 126,080). SAS GLIMMIX logistic regression with random effects was used to generate odds ratios (OR) with 95% confidence intervals (CI). Restraint use increased in both areas over the study period with restraint use on Indian lands being just over half that of non-Indian lands for drivers (36.8% vs. 67.8%, p < 0.0001) and for pediatric passengers (33.1% vs. 59.3%, p < 0.0001). Driver restraint was the strongest predictor of passenger restraint on both Indian and non-Indian lands exerting a stronger effect in ages 13–19 than in 0–12 year olds. Valid licensed driver was a significant predictor of restraint use in ages 0–12 years. Passengers in non-cars (SUVs, vans and pickup trucks) were less likely to be restrained. Restraint use improved over the study period in both areas, but disparities failed to narrow as restraint use remains lower and driver, vehicle and crash risk factors higher for MV mortality on Indian lands.

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IJERPH, Vol. 14, Pages 1276: A Study of The Effect of Demand Uncertainty for Low-Carbon Products Using a Newsvendor Model

IJERPH, Vol. 14, Pages 1276: A Study of The Effect of Demand Uncertainty for Low-Carbon Products Using a Newsvendor Model

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111276

Authors: Shaojian Qu Yongyi Zhou

This paper studies the effect of uncertain demand on a low-carbon product by using a newsvendor model. With two different kinds of market scales, we examine a game whereby a manufacturer produces and delivers a single new low-carbon product to a single retailer. The retailer observes the demand information and gives an order before the selling season. We find in the game that if the retailer shares truthful (or in contrast unreal or even does not share) forecast information with the manufacturer, the manufacturer will give a low (high) wholesale price through the sequence of events. In addition, as a policy-maker, the government posts a subsidy by selling the low-carbon product per unit. The manufacturer creates a new contract with a rebate for the retailer. We also take the consumer aversion coefficient and truth coefficient as qualitative variables into our model to study the order, pricing, and expected profit for the members of supply chain. The research shows that uncertain demand causes a the major effect on the new low-carbon product. Thereby, we suggest the retailer should share more truthful information with the manufacturer.

http://ift.tt/2yNBvyO

IJERPH, Vol. 14, Pages 1292: Assessment of SIP Buildings for Sustainable Development in Rural China Using AHP-Grey Correlation Analysis

IJERPH, Vol. 14, Pages 1292: Assessment of SIP Buildings for Sustainable Development in Rural China Using AHP-Grey Correlation Analysis

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111292

Authors: Libiao Bai Hailing Wang Chunming Shi Qiang Du Yi Li

Traditional rural residential construction has the problems of high energy consumption and severe pollution. In general, with sustainable development in the construction industry, rural residential construction should be aimed towards low energy consumption and low carbon emissions. To help achieve this objective, in this paper, we evaluated four different possible building structures using AHP-Grey Correlation Analysis, which consists of the Analytic Hierarchy Process (AHP) and the Grey Correlation Analysis. The four structures included the traditional and currently widely used brick and concrete structure, as well as structure insulated panels (SIPs). Comparing the performances of economic benefit and carbon emission, the conclusion that SIPs have the best overall performance can be obtained, providing a reference to help builders choose the most appropriate building structure in rural China.

http://ift.tt/2y6SbO7

IJERPH, Vol. 14, Pages 1289: Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

IJERPH, Vol. 14, Pages 1289: Interdisciplinary eHealth Practice in Cancer Care: A Review of the Literature

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111289

Authors: Anna Janssen Melissa Brunner Melanie Keep Monique Hines Srivalli Nagarajan Candice Kielly-Carroll Sarah Dennis Zoe McKeough Tim Shaw

This review aimed to identify research that described how eHealth facilitates interdisciplinary cancer care and to understand the ways in which eHealth innovations are being used in this setting. An integrative review of eHealth interventions used for interdisciplinary care for people with cancer was conducted by systematically searching research databases in March 2015, and repeated in September 2016. Searches resulted in 8531 citations, of which 140 were retrieved and scanned in full, with twenty-six studies included in the review. Analysis of data extracted from the included articles revealed five broad themes: (i) data collection and accessibility; (ii) virtual multidisciplinary teams; (iii) communication between individuals involved in the delivery of health services; (iv) communication pathways between patients and cancer care teams; and (v) health professional-led change. Use of eHealth interventions in cancer care was widespread, particularly to support interdisciplinary care. However, research has focused on development and implementation of interventions, rather than on long-term impact. Further research is warranted to explore design, evaluation, and long-term sustainability of eHealth systems and interventions in interdisciplinary cancer care. Technology evolves quickly and researchers need to provide health professionals with timely guidance on how best to respond to new technologies in the health sector.

http://ift.tt/2yNiU5I

IJERPH, Vol. 14, Pages 1291: Reply to the Letter of Terracini B. et al. “Comment on Piscitelli et al. Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health”. Int. J. Environ. Res. Public Health 2017, 14, 495

IJERPH, Vol. 14, Pages 1291: Reply to the Letter of Terracini B. et al. “Comment on Piscitelli et al. Hospitalizations in Pediatric and Adult Patients for All Cancer Type in Italy: The EPIKIT Study under the E.U. COHEIRS Project on Environment and Health”. Int. J. Environ. Res. Public Health 2017, 14, 495

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111291

Authors: Prisco Piscitelli Immacolata Marino Andrea Falco Matteo Rivezzi Cosimo Neglia Giulia Della Rosa Giuseppe Militerno Adriana Bonifacino Gaetano Rivezzi Roberto Romizi Giuseppe Miserotti Maurizio Montella Fabrizio Bianchi Alessandra Marinelli Antonella De Donno Giovanni De Filippis Giuseppe Serravezza Gianluca Di Tanna Valerio Gennaro Mario Ascolese Alessandro Distante Ernesto Burgio Annamaria Colao

A letter to the IJERPH Editor was submitted by Terracini B. et al. as a comment to our latest paper “Hospitalizations in Pediatric and Adult Patients for all Cancer Type in Italy:[...]

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IJERPH, Vol. 14, Pages 1288: Health in All Policies in South Australia—Did It Promote and Enact an Equity Perspective?

IJERPH, Vol. 14, Pages 1288: Health in All Policies in South Australia—Did It Promote and Enact an Equity Perspective?

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111288

Authors: Helen van Eyk Elizabeth Harris Fran Baum Toni Delany-Crowe Angela Lawless Colin MacDougall

Mobilising cross-sectoral action is helpful in addressing the range of social determinants that contribute to health inequities. The South Australian Health in All Policies (SA HiAP) approach was implemented from 2007 to stimulate cross-sector policy activity to address the social determinants of health to improve population wellbeing and reduce health inequities. This paper presents selected findings from a five year multi-methods research study of the SA HiAP approach and draws on data collected during interviews, observation, case studies, and document analysis. The analysis shows that SA HiAP had dual goals of facilitating joined-up government for co-benefits (process focus); and addressing social determinants of health and inequities through cross-sectoral policy activity (outcomes focus). Government agencies readily understood HiAP as providing tools for improving the process of intersectoral policy development, while the more distal outcome-focused intent of improving equity was not well understood and gained less traction. While some early rhetorical support existed for progressing an equity agenda through SA HiAP, subsequent economic pressures resulted in the government narrowing its priorities to economic goals. The paper concludes that SA HiAP’s initial intentions to address equity were only partially enacted and little was done to reduce inequities. Emerging opportunities in SA, and internationally, including the UN Sustainable Development Goals, may revive interest in addressing equity.

http://ift.tt/2h6RVJ4

IJERPH, Vol. 14, Pages 1290: Interplay of Socioeconomic Status and Supermarket Distance Is Associated with Excess Obesity Risk: A UK Cross-Sectional Study

IJERPH, Vol. 14, Pages 1290: Interplay of Socioeconomic Status and Supermarket Distance Is Associated with Excess Obesity Risk: A UK Cross-Sectional Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111290

Authors: Thomas Burgoine Joreintje Mackenbach Jeroen Lakerveld Nita Forouhi Simon Griffin Søren Brage Nicholas Wareham Pablo Monsivais

U.S. policy initiatives have sought to improve health through attracting neighborhood supermarket investment. Little evidence exists to suggest that these policies will be effective, in particular where there are socioeconomic barriers to healthy eating. We measured the independent associations and combined interplay of supermarket access and socioeconomic status with obesity. Using data on 9702 UK adults, we employed adjusted regression analyses to estimate measured BMI (kg/m2), overweight (25 ≥ BMI < 30) and obesity (≥30), across participants’ highest educational attainment (three groups) and tertiles of street network distance (km) from home location to nearest supermarket. Jointly-classified models estimated combined associations of education and supermarket distance, and relative excess risk due to interaction (RERI). Participants farthest away from their nearest supermarket had higher odds of obesity (OR 1.33, 95% CI: 1.11, 1.58), relative to those living closest. Lower education was also associated with higher odds of obesity. Those least-educated and living farthest away had 3.39 (2.46–4.65) times the odds of being obese, compared to those highest-educated and living closest, with an excess obesity risk (RERI = 0.09); results were similar for overweight. Our results suggest that public health can be improved through planning better access to supermarkets, in combination with interventions to address socioeconomic barriers.

http://ift.tt/2iw94j9

IJERPH, Vol. 14, Pages 1293: Turkey National Mesothelioma Surveillance and Environmental Asbestos Exposure Control Program

IJERPH, Vol. 14, Pages 1293: Turkey National Mesothelioma Surveillance and Environmental Asbestos Exposure Control Program

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph14111293

Authors: Selma Metintaş Hasan Fevzi Batırel Hasan Bayram Ülkü Yılmaz Mehmet Karadağ Güntülü Ak Muzaffer Metintaş

Malignant mesothelioma (MM) is an important health problem due to ongoing asbestos exposure. Environmental asbestos exposure leads to a high risk of MM in Turkey. The Turkish Mesothelioma Working Group and the Turkish Public Health Institute designed and performed the Turkey National Mesothelioma Surveillance and Environmental Asbestos Exposure Control Program (TUNMES-EAECP). The aim of this study was to analyze the results of the TUNMES-EAECP. Patients diagnosed with MM (code C45.0–C45.9) between 2008 and 2012 were identified. The “from case to the field” method was used to determine the villages with current or previous asbestos exposure. Special public health teams took soil samples from these villages, which were then examined using an X-ray diffractometer. Direct Standardized Average Annual Mesothelioma Incidence Rate (AMIR) and relative risk (RR) of MM were calculated. Finally, a projection on the incidence of MM between 2013 and 2033 was made. The number of confirmed MM cases was 5617 with a male to female ratio of 1.36. Mean age was 61.7 ± 13.4 (20–96) years. The median survival was eight (95% CI 7.6–8.4) months. Asbestos exposure continues in 379 villages, with 158,068 people still living in high risk areas. The standardized AMIR was 2.33/100,000 per year. The risk of MM was higher in males, in both sexes over the age of 40, in asbestos-containing provinces, and in those where the TUNMES was organized. Among the population with continuing asbestos exposure in rural areas, the number of MM cases between 2013 and 2033 was estimated as 2511. As such, the incidence of MM in Turkey is as high as in industrialized countries. Asbestos exposure in rural areas continues to be a serious problem in Turkey, which obviates the necessity for effective preventive measures.

http://ift.tt/2h6Tebi