A health promoting-lifestyle prediction model for dementia prevention among chinese adults: based on the health belief model.

BACKGROUND: People's health belief is an important factor affecting health behavior. However, there has been little use of the health belief model (HBM) in determining the pathway effect of patients' beliefs on health behavior in dementia prevention in China. The aim of our study was to evaluate the impact of dementia prevention beliefs on health promoting lifestyle among Chinese adults. METHODS: A cross-sectional study was conducted on line by convenience sampling from January to March 2020. A survey about dementia prevention knowledge, health belief of dementia prevention and health-promoting lifestyle was completed by 1201 adults in China. Data was analyzed using a structural equation model with the analysis of moment program. RESULTS: The participants were aged 40.50 ± 12.72 years. About 70.3% of participants were female. The purposed model fit the data from the study well. Perceived barriers (total effect-0.322, P < 0.01) and perceived susceptibility (total effect -0.242, P < 0.01) had negative effects on lifestyle. Self-efficacy had promoting effects on lifestyle (total effect 0.207, P < 0.01). Perceived severity had positive effects both on perceived benefits (total effect 0.137, P < 0.01) and perceived barriers (total effect 0.202, P < 0.01), which had a contradictory effect in the formation of health belief. Perceived benefits, cues to action and self-efficacy played a partial mediating role between knowledge and health behavior. The belief of changing lifestyle to reduce the risk of dementia could explain 24.5% of health behavior (P < 0.05). CONCLUSIONS: The findings indicate that in dementia prevention, dementia prevention health belief has important influences on health behavior. Community medical staff can develop targeted dementia prevention interventions based on the health belief model in the future.

Significant Decrease in Heavy Metals in Surface Sediment after Ten-Year Sustainable Development in Huaxi Reservoir Located in Guiyang, Southwestern China.

In the Karst area of southwestern China, the heavy metals in the sediment of a reservoir are determined by both human activities and the high background values. Thus, this study explores the change of heavy metals in surface sediment after ten-year sustainable development in the upstream areas of a reservoir, Huaxi Reservoir, located in Guiyang of southwestern China, then evaluates the risk of these heavy metals to water environment systematically and finally identifies the sources in both 2019 and 2009. The results reveal that all of the measured heavy metals decrease dramatically and their spatial distributions change from the increase-decrease pattern to decrease-increase pattern, implying different locations of main source input. The risk indices based on the total or average content and relative or reference values have decreased to the lowest level. However, those indices calculated from the absolute content of each metalloid still show a low or a moderate risk because of the high background value, such as As and Cr. Moreover, although only one main source of heavy metals is identified in both 2019 and 2009, the risk from human activities still cannot be neglected because agricultural production and infrastructure construction would promote the weathering of soil and then these heavy metals from the soil will be brought into the reservoir with the rainfall-runoff process. The high background value of specific heavy metals, e.g., As and Cr would still exert some challenges to the water environment protections because the non-point source input of heavy metal cannot be controlled easily by promulgating a series of bans. These results provide important reference for creating the policies of water environment protection, especially in some Karst area of southwestern China that exhibits high background value of heavy metals.

General practitioners' knowledge of ageing and attitudes towards older people in China.

AIM: To explore general practitioners (GPs)knowledge of ageing, attitudes towards older people and factors affecting their knowledge and attitudes in a Chinese context. METHODS: Four hundred GPs were surveyed using the Chinese version of the Aging Semantic Differential (CASD) and the Chinese version of the Facts on Aging Quiz (CFAQ1) scale. RESULTS: The CASD scores indicated that GPs had a neutral attitude towards older people. The CFAQ1 scores indicated a low level of knowledge about ageing. GPs' awareness of the mental and social facts of ageing was poorer compared to that of physical facts. Male GPs had a significantly higher negative bias score than female GPs. No other variables had a statistically significant influence on knowledge and attitudes. CONCLUSIONS: The findings suggest the need for education interventions for GPs regarding knowledge of ageing and also provide evidence to guide future development of continuing medical programs for this group of medical doctors.