Association of social isolation and loneliness with the risk of hypertension in middle aged and older adults: Findings from a national representative longitudinal survey

Journal of Affective Disorders, Год журнала: 2024, Номер 349, С. 577 - 582

Опубликована: Янв. 8, 2024

Язык: Английский

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The Impact of Accelerated Digitization on Patient Portal Use by Underprivileged Racial Minority Groups During COVID-19: Longitudinal Study

Journal of Medical Internet Research, Год журнала: 2023, Номер 25, С. e44981 - e44981

Опубликована: Июнь 29, 2023

Background Prior research on the digital divide has documented substantial racial inequality in using web-based health resources. The recent COVID-19 pandemic led to accelerated mass digitization, raising alarms that underprivileged minority groups are left further behind. However, it is unclear what extent use of information and communications technology by affected. Objective We have considered disruption as a rare exogenous shock estimated impact digitization quantity variety patient portal use. In this study, we aimed answer following 2 key questions. Did patients alter their owing COVID-19–induced acceleration? Does effect differ across lines? Methods used longitudinal data set gathered from large urban academic medical center explore gap care. limited sample period our study same periods (March 11 August 30) 2019 2020. Our final consisted 25,612 belonging 1 3 groups: Black or African American (n=5157, 20.13%), Hispanic (n=253, 0.99%), White (n=20,202, 78.88%) patients. panel regression different models: pooled ordinary least squares (OLS), random (RE), fixed (FE). Results yielded 4 findings. First, confirmed remains significant issue for telehealth; group had lower than before (Minority: OLS, β=−.158; P<.001; RE, β=−.168; P<.001). Second, found regarding frequency between shrinking rather widening after started (COVID_Period×Minority: β=.028; P=.002; β=.037; FE, β=.043; Third, foremost driven access through mobile (vs desktop) devices web, β=−.020; P=.02; mobile, Finally, expanded functionalities faster during (COVID_Period×Minority [for functionality]: β=−.004; β=−.003; P=.001). Conclusions Using natural experiment, offer empirical evidence shrunk telehealth, trend mostly devices. These findings provide new insights into behaviors among digitization. They also policy makers an opportunity identify strategies help close postpandemic world.

Язык: Английский

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Mapping trends and hotspots regarding the use of telenursing for elderly individuals with chronic diseases: A bibliometric analysis

Medicine, Год журнала: 2024, Номер 103(9), С. e37313 - e37313

Опубликована: Март 1, 2024

Background: Telenursing is receiving extensive attention from scholars and medical staff. However, there are few studies on the knowledge structure of telenursing for elderly individuals with chronic diseases. This study aims to demonstrate current research status development trend diseases through a visual analysis CiteSpace, so as provide more comprehensive perspective future researches. Methods: Literature about patients 2002 2022 was retrieved Web Science Core Collection using CiteSpace 6.1.R3. Results: A total 375 records were obtained. Annual publication citation frequency gradually increased over investigated period, reaching peak in 2022. Journal Telemedicine Telecare most prolific cited journal. The United States productive country, University Melbourne institution, author CHEN C ranked highest number publications. popular keywords “care,” “telemedicine,” “management,” “older adult,” “chronic disease,” “health,” “heart failure,” which had high centrality. “telehealth,” “randomized controlled trail,” obstructive pulmonary “implementation” “time” showed strongest burst. clustered form 10 labels. article published 2010 by Chaudhry SI most. top 3 journals all special journal telemedicine. Conclusion: revealed bibliometric expands field telemedicine provides new insights into management

Язык: Английский

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A grounded theory study on medical students’ proxy online health information seeking behavior

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 27, 2025

Although Internet has become the main way of access to health and medical information for most young people today, it might not be case with older people. The elderly that have difficulty using rely largely on their family members obtain evaluate online information. purpose this study is investigate students' proxy seeking behavior members, look into how they search, evaluate, even apply from Internet. paper going explore influencing factors students as well concerns difficulties encounter during searching process. Based grounded theory, conducted semi-structured interviews 30 students, whom data were collected analysis. Through procedure three-level coding, theoretical framework was constructed. Findings include student' seeking, emotional attitudes interviewees, results behavior. Students' individual traits, itself search platform all exercise influences Interviewees mainly stay doubtful about authenticity feel concerned over parents' physical conditions. Proxy are generally marked by positive feedback negative feedback. It satisfies members' demand seek them, such a impact condition. Still, quality remains major challenge face. Only through joint efforts both related departments could high obtained. Besides, effective delivery information, should also patient while communicating members.

Язык: Английский

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Global, Regional, and National Burden Of Cardiomyopathy and Myocarditis: Deaths, Prevalence, and Dalys from 1990 to 2021 Based on the Global Burden of Disease Study

Опубликована: Янв. 1, 2025

Язык: Английский

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Age, gender and socioeconomic disparities in human papillomavirus (HPV) awareness and knowledge among Japanese adults after a 7-year suspension of proactive recommendation for the HPV vaccine: A nationally representative cross-sectional survey

Vaccine, Год журнала: 2023, Номер 41(48), С. 7147 - 7158

Опубликована: Окт. 20, 2023

Язык: Английский

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eHealth literacy and online health information-seeking behaviors on COVID-19 in Japan: An Internet-based mixed methods study (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e57842 - e57842

Опубликована: Май 29, 2024

Background During the COVID-19 pandemic, much misinformation and disinformation emerged spread rapidly via internet, posing a severe public health challenge. While need for eHealth literacy (eHL) has been emphasized, few studies have compared difficulties involved in seeking using information between adult internet users with low or high eHL. Objective This study examines association eHL web-based information–seeking behaviors among Japanese users. Moreover, this qualitatively shed light on encountered examined its relationship Methods cross-sectional internet-based survey (October 2021) collected data from 6000 who were equally divided into sample groups by gender, age, income. We used version of Scale (eHEALS). also Digital Health Literacy Instrument (DHLI) adapted to pandemic assess after we translated it Japanese. Web-based assessed 10-item list web sources evaluating 10 topics participants searched regarding COVID-19. Sociodemographic other factors (eg, health-related behavior) selected as covariates. Furthermore, explored using. The descriptive contents responses analyzed an inductive qualitative content analysis approach. Results Participants eHEALS DHLI scores searching, adding self-generated information, reliability, determining relevance, operational skills more likely use all about than those scores. However, there negative associations navigation privacy protection when several sources, such YouTube (Google LLC), search information. half reported no difficulty any difficulties, including discernment, incomprehensible overload, disinformation, had lower score. expressed significant concerns “information quality credibility,” “abundance shortage relevant information,” “public trust skepticism,” “credibility COVID-19–related information.” Additionally, they disclosed specific concerns, “privacy security concerns,” retrieval challenges,” “anxieties panic,” “movement restriction.” Conclusions Although higher total actively various cautiously proficiency. highlighted increased discernment social networking sites “Health 2.0” era. identified categories themes analysis, suggest framework addressing myriad challenges anticipated future infodemics.

Язык: Английский

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Prevalence and Correlates of Dietary and Nutrition Information Seeking Through Various Web-Based and Offline Media Sources Among Japanese Adults: Web-Based Cross-Sectional Study

JMIR Public Health and Surveillance, Год журнала: 2023, Номер 10, С. e54805 - e54805

Опубликована: Дек. 22, 2023

Background The advent of the internet has changed landscape available nutrition information. However, little is known about people’s information-seeking behavior toward healthy eating and its potential consequences. Objective We aimed to examine prevalence correlates information seeking from various web-based offline media sources. Methods This cross-sectional study included 5998 Japanese adults aged 20 79 years participating in a questionnaire survey (February March 2023). dependent variable was regular use as reliable source main independent variables health literacy, food diet quality, which were assessed using validated tools, well sociodemographic factors (sex, age, education level, nutrition- health-related occupations). Results top television (1973/5998, 32.89%), followed by web searches (1333/5998, 22.22%), websites government medical manufacturers (997/5998, 16.62%), newspapers (901/5998, 15.02%), books magazines (697/5998, 11.62%), video sites (eg, YouTube; 634/5998, 10.57%). Multivariable logistic regression showed that higher literacy associated with odds all individual sources examined; ratios (ORs) for 1-point score increase ranged 1.27 (95% CI 1.09-1.49) 1.81 1.57-2.09). By contrast, inversely (OR 0.65, 95% 0.55-0.77), whereas it positively 1.98, 1.62-2.44), 2.09, 1.64-2.66), 1.53, 1.19-1.96). Furthermore, quality 1.02, 1.01-1.03) 1.03, 1.02-1.04). Being female magazines, being male manufacturers, newspapers, sites. Age People more likely refer but less Dietitians than general public Conclusions identified regularly used when information, their varied widely. A lack positive associations between 2 major (television searches) or highlighted. These findings provide useful insights into developing disseminating evidence-based promotion materials.

Язык: Английский

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Association between Internet Use and Locomotive Syndrome, Frailty, and Sarcopenia among Community-Dwelling Older Japanese Adults

Nursing Reports, Год журнала: 2024, Номер 14(2), С. 1402 - 1413

Опубликована: Май 31, 2024

In the lives of those who are target community health nursing, it is important to collaborate with individuals and communities improve their quality life. Herein, we aimed determine association between Internet use among older locomotive syndrome (LS), frailty, sarcopenia. this cross-sectional study conducted July 2022 March 2023, recruited 105 community-dwelling Japanese adults participated in a care prevention project called “Kayoi-no-ba”. All participants were divided into non-Internet user groups according classification previous study. We assessed LS (standing test, two-step five-question Geriatric Locomotive Function Scale), frailty (through Questionnaire for Medical Checkup Old-Old), sarcopenia (grip strength, normal walking speed, skeletal muscle mass index) made group comparisons users non-users. Binomial logistic regression analyses performed as independent variable or dependent variables. The had 69 36 participants, respectively. comprised 65.7% all which was similar that reported same age group. Between-group showed significant differences items, whereas adjusted binomial analysis use. summary, LS, sarcopenia, highest Older without having good physical functions, such grip index, more likely used Internet; while less Internet. This implied may be associated function.

Язык: Английский

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Nutrients and Foods Recommended for Blood Pressure Control on Twitter in Japan: Content Analysis

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e49077 - e49077

Опубликована: Июнь 20, 2024

Background Management and prevention of hypertension are important public health issues. Healthy dietary habits one the modifiable factors. As Twitter (subsequently rebranded X) is a digital platform that can influence eating behavior, there knowledge gap regarding information about foods nutrients recommended for blood pressure control who disseminates them on Twitter. Objective This study aimed to investigate nature people exposed control. Methods A total 147,898 Japanese tweets were extracted from January 1, 2022, December 31, 2022. The final sample 2347 with at least 1 retweet was manually coded into categories food groups, nutrients, user characteristics, themes. number percentage tweets, retweets, themes in each category calculated. Results Of 80% (n=1877) mentioned foods, which categorized 17 different groups. Seasonings spices, including salt, most frequently (1356/1877, 72.2%). followed by vegetable fruit 15 kinds 1566 sodium being largest proportion 83.1% (n=1301), potassium 8.4% (n=132). There misinformation salt intake hypertension, accounting 40.8% (n=531) referring recommendations lower pressure. In total, 75% (n=21) “doctors” reduction effective control, while 31.1% (n=74) “health, losing weight, beauty-related users,” 25.9% (n=429) “general public,” 23.5% (n=4) “dietitian or registered dietitian” denied hypertension. antisalt accounted 31.5% (n=106) disseminated related Conclusions large this indicates high interest Misinformation asserting posted primarily general self-proclaimed experts. nutritionists, dietitians, doctors expected correct promote relatively low, their messages not always positive toward reduction. need communication strategies combat misinformation, reduction, train care professionals effectively communicate evidence-based topic.

Язык: Английский

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