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1.
Eur J Public Health ; 33(3): 430-434, 2023 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-36952280

RESUMEN

BACKGROUND: Few large-scale, comparative studies have examined both the positive mental well-being outcomes of work-life balance and the broader socio-economic context by which it is shaped. Therefore, the aim of this study was to investigate the association between work-life balance and work engagement across a wide range of European welfare states, as well as to examine whether work-life balance varies across European countries and whether this variance can be explained by welfare regime, controlling for individual-level factors. METHODS: This study utilized data from the 2015 European Working Conditions Survey. In total, 35 401 workers from 30 European countries could be classified into the adopted welfare regime typology. Work engagement was measured using an ultra-short version of the Utrecht Work Engagement Scale, and work-life balance with a question on the fit between working hours and family or social commitments. Due to the hierarchical structure of the data, multilevel regression models were applied. RESULTS: A statistically significant positive association between work-life balance and work engagement across the European workforce was found. Between-country variance in work-life balance was demonstrated and this can in part be explained by welfare regime. CONCLUSIONS: While it has long been recognized that occupational stress and work-related mental health problems are shaped by the socio-economic context and thus regarded as public health concerns in Europe, our results suggest that this applies to well-being at work and related support factors as well.


Asunto(s)
Compromiso Laboral , Equilibrio entre Vida Personal y Laboral , Humanos , Salud Mental , Encuestas y Cuestionarios , Bienestar Social , Europa (Continente)
2.
Scand J Public Health ; 50(3): 381-388, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-33588643

RESUMEN

AIM: The aim was to explore the association between internet use, the use of specific internet-based activities and perceiving life as meaningful, among older adults in two regions in Finland and Sweden. METHODS: The data was collected through a population-based survey (N = 9386) as part of the GERDA project conducted in 2016. In order to analyse the associations between perceiving life as meaningful and internet use and related activities, odds ratios with a 95% confidence interval were calculated using binary logistic regression analysis, where socio-demographic factors and health status were controlled for. RESULTS: Statistically significant associations were found between perceiving life as meaningful and internet use in later life. When looking further at the specific internet-based activities under study, activities related to leisure and entertainment showed a statistically significant connection to perceived meaningfulness in later life, after controlling for socio-demographic factors and health status. CONCLUSIONS: The results indicated that there was a statistically significant positive association between internet use and perceiving life as meaningful in later life. Online activities related to leisure and entertainment seem to be especially associated with perceived meaningfulness. Although causal direction could not be determined, the results suggest that internet use may support the experience of wellbeing in everyday life among older persons, through the unlimited access to interest-driven activities that it provides.


Asunto(s)
Uso de Internet , Actividades Recreativas , Anciano , Anciano de 80 o más Años , Finlandia , Estado de Salud , Humanos , Internet , Encuestas y Cuestionarios , Suecia
3.
Scand J Prim Health Care ; 39(3): 305-314, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34138659

RESUMEN

OBJECTIVE: This study explores the views of Finnish school personnel representatives regarding substance use prevention responsibilities. DESIGN: Twenty-two focus groups were conducted within the scope of a regional intervention study in 2019. Qualitative content analysis was performed. SETTING: Focus group interviews were conducted in the school setting. SUBJECTS: Focus group participants included representatives for educational personnel and student welfare personnel working in basic education, general upper secondary education or vocational education settings. MAIN OUTCOME MEASURES: Views and experiences concerning roles and responsibilities in primary prevention of substance use. RESULTS: Findings highlight the need for intersectoral efforts and intra-school collaboration in primary prevention efforts, but also in mental health promotion - on which the informants placed great emphasis. The health promotion leadership in schools, structural guidelines and the school curriculum could both challenge and support school personnel in their roles. An increased need to focus on the early years of life and related responsibilities of the homes was emphasized, along with the need to place more emphasis on health education in the first years of basic education, and responsibilities related to early risk identification. CONCLUSION: The findings highlight a need to develop structures and role clarity among school personnel, which can advance further development of intra-school and inter-sectoral collaboration in primary substance use prevention and mental health promotion. In the Finnish context, the successful implementation of relevant legislation, which some school representatives view as unclear or contravening, could be further supported.Key pointsViews regarding responsibilities in primary substance use prevention in the school setting have been less researched in the Nordic countries:The importance of inter-sectoral and intra-school collaboration is emphasized among school personnel representatives, including the role of the homesPrimary prevention and mental health promotion responsibilities are viewed as less clear than secondary and tertiary prevention responsibilitiesStructural guidelines concerning e.g. confidentiality aspects and curriculum features can both support and challenge school representatives in their roles.


Asunto(s)
Instituciones Académicas , Trastornos Relacionados con Sustancias , Curriculum , Finlandia , Educación en Salud , Humanos , Trastornos Relacionados con Sustancias/prevención & control
4.
Aging Ment Health ; 25(7): 1191-1205, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-32496810

RESUMEN

OBJECTIVE: The aim of this study is to identify and appraise existing instruments to evaluate mental well-being in old age. METHOD: Systematic literature searches in PubMed, PsycINFO, ProQuest Research Library, AgeLine and CINAHL databases were performed. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guideline was used to assess the measurement properties, reported according to the Preferred Reporting Items for Systematic Reviews and meta-Analysis (PRISMA) statement. For each measurement property, results were classified as positive, negative or indeterminate. The quality level of evidence was rated as high, moderate, low or very low following the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. RESULTS: A total of 28 instruments were found. Most instruments evaluated different dimensions of mental well-being, including various subscales. The quality was adequate overall. Six instruments showed high quality (Perceived Well-Being Scale-PWB, Salamon-Conte Life Satisfaction in the Elderly Scale-SCLSES, Herth Hope Scale-HHS, Life Satisfaction Index Third Age-LSITA, Meaning in Life Scale-MLS, and SODdisfazione dell'Anziano-SODA), and other six a moderate level (Scale of Happiness of the Memorial University of Newfoundland-MUNSH, Six Scales of Psychological Well-Being-PWBS, Valuation Of Life-VOL, Life Satisfaction Scale for Chinese Elders-LSS-C, Meaningful Activity Participation Assessment-MAPA and Will To Life-WTL). CONCLUSION: This review provides the first comprehensive synthesis of instruments assessing mental well-being in older populations. The PWB, SCLSES, HHS, LSITA, MLS and SODA were the most appropriated instruments. An instrument that specifically measures mental well-being in the oldest old age group (aged 80 plus) and that considers its multidimensional nature is needed.


Asunto(s)
Salud Mental , Anciano , Anciano de 80 o más Años , Consenso , Humanos , Psicometría
5.
Soc Psychiatry Psychiatr Epidemiol ; 54(2): 135-144, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30498846

RESUMEN

PURPOSE: Improved life expectancy imposes new challenges for policy-makers. The growing oldest-old age group (defined as 80 and over) is often characterised by increased support needs. Greater attention to wellbeing in this population group is necessary, and may well require a shift in social policy focus. The current review seeks to explore current research on determinants of mental wellbeing for the oldest old. METHODS: An iterative rapid review approach was used to review existing literature in line with four dimensions of mental wellbeing defined by the European Welfare Models and Mental Wellbeing in Final Years of Life (EMMY) study; functional, social, personal and environmental. A specific focus on articles employing multidimensional definitions of mental wellbeing was adopted. RESULTS: Multidimensional indicators reflect the multifaceted and multidirectional dynamics of wellbeing in very old age. Considerable variety in both measures and terminology was found within the literature making precise comparison difficult. The current review takes steps towards comparability by focusing on studies implementing multiple measures of mental wellbeing including evaluative, hedonistic and eudaimonic factors. Clearly defined and multifaceted measures of mental wellbeing are needed to sharpen evidence used in policy development, appraisal and evaluation in light of the considerable diversity of health and functional states experienced in later life. CONCLUSIONS: Previous studies appear to line up the four main dimensions of mental wellbeing identified in the EMMY study. Actively improving opportunities for older adults to produce benefits to society can be done via a stronger focus on resources such as mental wellbeing.


Asunto(s)
Envejecimiento Saludable/psicología , Salud Mental , Bienestar Social , Anciano de 80 o más Años , Femenino , Humanos , Esperanza de Vida , Masculino
6.
Health Promot Int ; 33(6): 1042-1054, 2018 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-28973587

RESUMEN

This systematic review explored the effectiveness of technology-based interventions in promoting the mental health and wellbeing of people aged 65 and over. Data were collected as part of a wider review commissioned by the National Institute for Health and Care Excellence (NICE) in England on the effectiveness of different actions to promote the mental wellbeing and independence of older people. All studies identified through this review were subject to a detailed critical appraisal of quality, looking at internal and external validity. Twenty-one papers covering evaluations of technological interventions were identified. They examined the psychosocial effects of technologies for education, exposure to, and/or training to use, computers and the internet, telephone/internet communication and computer gaming. Few studies took the form of randomized controlled trials, with little comparability in outcome measures, resulting in an inconsistent evidence base with moderate strength and quality. However, three out of six studies with high or moderate quality ratings (all focused on computer/internet training) reported statistically significant positive effects on psychosocial outcomes, including increased life satisfaction and experienced social support, as well as reduced depression levels among intervention recipients. The review results highlight the need for more methodologically rigorous studies evaluating the effects of technology-based interventions on mental wellbeing. Well-performed technology-based interventions to promote various aspects of mental wellbeing, as identified in this review, can serve as best practice examples in this emerging field.


Asunto(s)
Computadores , Promoción de la Salud/métodos , Salud Mental , Enseñanza , Anciano , Anciano de 80 o más Años , Actitud hacia los Computadores , Inglaterra , Femenino , Humanos , Internet , Masculino , Satisfacción Personal , Calidad de Vida , Apoyo Social
7.
BMC Public Health ; 16: 542, 2016 07 11.
Artículo en Inglés | MEDLINE | ID: mdl-27400659

RESUMEN

BACKGROUND: Previous studies of loneliness have largely focused on establishing risk factors in specific age groups such as in later life or in young people. Researchers have paid less attention to the link between social capital and loneliness across different age groups. The aim of this study was to examine the association between social capital and experienced loneliness in different age groups in a Finnish setting. METHODS: The data originates from a population-based cross-sectional survey conducted among 4618 people aged 15-80 in Western Finland in 2011. The response rate was 46.2 %. The association between social capital, measured by frequency of social contacts, participation in organisational activities, trust and sense of belonging to the neighbourhood and loneliness was tested by logistic regression analyses stratified by four age groups. RESULTS: Frequent loneliness (defined as experienced often or sometimes) was higher among younger people (39.5 %) compared to older people (27.3 %). Low levels of trust were linked to loneliness in all four age groups. The association between other aspects of social capital and loneliness varied across age groups. CONCLUSIONS: Frequent loneliness is common among the general adult population and could be seen as a public health issue. Our findings imply that low social capital, especially in terms of low trust, may be a risk factor for loneliness. However, further research is needed to assess the influence of poor health and reverse causality as explanations for the findings.


Asunto(s)
Soledad/psicología , Capital Social , Adolescente , Adulto , Factores de Edad , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Finlandia , Humanos , Masculino , Persona de Mediana Edad , Apoyo Social , Factores Socioeconómicos , Adulto Joven
8.
Scand J Public Health ; 43(16 Suppl): 66-72, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26311802

RESUMEN

The field of public mental health has been defined by an expert group convened by the Nordic School of Public Health (NHV) as encompassing the experience, occurrence, distribution and trajectories of positive mental health and mental health problems and their determinants; mental health promotion and prevention of mental disorders; as well as mental health system policies, governance and organization. The mental health priorities of the Nordic Council of Ministers in 2010 signalled a mutual Nordic exchange of knowledge in the following thematic areas: child and adolescent mental health; working life and mental health; mental health in older people; strengthening the role of primary care in mental health service provision; stronger involvement of users and carers; and reduction of use of coercion in psychiatric care. Efforts to realize these priorities included commissioning the Nordic Research Academy for Mental Health, an NHV-based network of research institutions with a common interest in mental health research across the Nordic countries, to develop, organize and follow-up projects on public mental health. The research initiatives included mental health policy analysis, register-based research and research focused on the users' perspective in a Nordic context, as well as EU-level research policy analysis. The public mental health research conducted at the NHV highlighted the complexity of mental health and emphasized that the broad determinants of mental health need to be increasingly addressed in both public health research and practice. For example, health promotion actions, improved access to health care, a healthy alcohol policy and prevention of suicides and violence are all needed to reduce the life expectancy gap - a red flag indicator of public health inequalities. By exchanging knowledge and best practice, the collaboration between the Nordic countries contributes to the welfare of the region. The expertise and traditions developed at the NHV are of significant importance in this work.


Asunto(s)
Investigación Biomédica/historia , Salud Mental/historia , Salud Pública/historia , Escuelas de Salud Pública/historia , Política de Salud/historia , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Salud Mental/educación , Salud Pública/educación , Sistema de Registros , Países Escandinavos y Nórdicos , Escuelas de Salud Pública/organización & administración
9.
Eur J Public Health ; 25(2): 249-54, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25678606

RESUMEN

BACKGROUND: The ROAdmap for MEntal health Research in Europe project aimed to create an integrated European roadmap for mental health research. Leading mental health research experts across Europe have formulated consensus-based recommendations for future research within the public mental health field. METHODS: Experts were invited to compile and discuss research priorities in a series of topic-based scientific workshops. In addition, a Delphi process was carried out to reach consensus on the list of research priorities and their rank order. Three web-based surveys were conducted. Nearly 60 experts were involved in the priority setting process. RESULTS: Twenty priorities for public mental health research were identified through the consensus process. The research priorities were divided into summary principles-encompassing overall recommendations for future public mental health research in Europe-and thematic research priorities, including area-specific top priorities on research topics and methods. The priorities represent three overarching goals mirroring societal challenges, that is, to identify causes, risk and protective factors for mental health across the lifespan; to advance the implementation of effective public mental health interventions and to reduce disparities in mental health. CONCLUSIONS: The importance of strengthening research on the implementation and dissemination of promotion, prevention and service delivery interventions in the mental health field needs to be emphasized. The complexity of mental health and its broader conceptualisation requires complementary research approaches and interdisciplinary collaboration to better serve the needs of the European population.


Asunto(s)
Trastornos Mentales/prevención & control , Salud Pública/métodos , Investigación , Europa (Continente) , Humanos
10.
BMC Evol Biol ; 14: 242, 2014 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-25471117

RESUMEN

BACKGROUND: Life-history studies of wild bird populations often focus on the relationship between an individual's condition and its capacity to mount an immune response, as measured by a commonly-employed assay of cutaneous immunity, the PHA skin test. In addition, haematocrit, the packed cell volume in relation to total blood volume, is often measured as an indicator of physiological performance. A multi-year study of a wild population of house wrens has recently revealed that those exhibiting the highest condition and strongest PHA responses as nestlings are most likely to be recruited to the breeding population and to breed through two years of age; in contrast, intermediate haematocrit values result in the highest recruitment to the population. Selection theory would predict, therefore, that most of the underlying genetic variation in these traits should be exhausted resulting in low heritability, although such traits may also exhibit low heritability because of increased residual variance. Here, we examine the genetic and environmental variation in condition, cutaneous immunity, and haematocrit using an animal model based on a pedigree of approximately 2,800 house wrens. RESULTS: Environmental effects played a paramount role in shaping the expression of the fitness-related traits measured in this wild population, but two of them, condition and haematocrit, retained significant heritable variation. Condition was also positively correlated with both the PHA response and haematocrit, but in the absence of any significant genetic correlations, it appears that this covariance arises through parallel effects of the environment acting on this suite of traits. CONCLUSIONS: The maintenance of genetic variation in different measures of condition appears to be a pervasive feature of wild bird populations, in contradiction of conventional selection theory. A major challenge in future studies will be to explain how such variation persists in the face of the directional selection acting on condition in house wrens and other species.


Asunto(s)
Variación Genética , Piel/inmunología , Pájaros Cantores/genética , Pájaros Cantores/inmunología , Animales , Animales Salvajes , Femenino , Hematócrito/veterinaria , Masculino , Linaje , Selección Genética , Análisis para Determinación del Sexo , Pájaros Cantores/fisiología
11.
Ecology ; 95(11): 3027-3034, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25505800

RESUMEN

Measures of body condition, immune function, and hematological health are widely used in ecological studies of vertebrate populations, predicated on the assumption that these traits are linked to fitness. However, compelling evidence that these traits actually predict long-term survival and reproductive success among individuals in the wild is lacking. Here, we show that body condition (i.e., size-adjusted body mass) and cutaneous immune responsiveness to phytohaemagglutinin (PHA) injection among neonates positively predict recruitment and subsequent longevity in a wild, migratory population of house wrens (Troglodytes aedon). However, neonates with intermediate hematocrit had the highest recruitment and longevity. Neonates with the highest PHA responsiveness and intermediate hematocrit prior to independence eventually produced the most offspring during their lifetime breeding on the study site. Importantly, the effects of PHA responsiveness and hematocrit were revealed while controlling for variation in body condition, sex, and environmental variation. Thus, our data demonstrate that body condition, cutaneous immune responsiveness, and hematocrit as a neonate are associated with individual fitness. Although hematocrit's effect is more complex than traditionally thought, our results suggest a previously underappreciated role for this trait in influencing survival in the wild.

12.
Eur J Public Health ; 24(6): 955-60, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25428662

RESUMEN

BACKGROUND: As part of the ROAMER (ROAdmap for MEntal health Research in Europe) project, aiming to create an integrated European roadmap for mental health research, we set out to map the hitherto unmapped territory of public mental health research in Europe. METHODS: Five electronic databases (CINAHL, Health Management, Medline, PsycINFO, Social Services Abstracts) were used for identifying public mental health research articles published between January 2007 and April 2012. The number of publications for each European country in five research domains (i.e. mental health epidemiology, mental health promotion, mental disorder prevention, mental health policy and mental health services) was analysed by population size and gross domestic product (GDP), and mean impact factors were compared. RESULTS: In all, 8143 unique publications were identified. Epidemiology research dominates public mental health research, while promotion, prevention and policy research are scarce. Mental health promotion is the fastest growing research area. Research targeting older adults is under-represented. Publications per capita were highest in northwestern Europe, and similar trends were found also when adjusting the number of publications by GDP per capita. The most widely cited research origins from Italy, Switzerland, the UK, the Nordic countries, the Netherlands, Greece and France. CONCLUSION: In Europe, public mental health research is currently a matter of the affluent northern and western European countries, and major efforts will be needed to promote public mental health research in south and east Europe. In spite of a smaller public mental health research output, some Mediterranean countries produce highly cited public mental health research.


Asunto(s)
Investigación Biomédica , Salud Mental , Salud Pública , Europa (Continente) , Política de Salud , Promoción de la Salud , Humanos , Servicios de Salud Mental
13.
Evolution ; 78(6): 1054-1066, 2024 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-38441178

RESUMEN

Bird song is a classic example of a sexually selected trait, but much of the work relating individual song components to fitness has not accounted for song typically being composed of multiple, often-correlated components, necessitating a multivariate approach. We explored the role of sexual selection in shaping the complex male song of house wrens (Troglodytes aedon) by simultaneously relating its multiple components to fitness using multivariate selection analysis, which is widely used in insect and anuran studies but not in birds. The analysis revealed significant variation in the form and strength of selection acting on song across different selection episodes, from nest-site defense to recruitment of offspring to the breeding population. Males that sang more song typically employed in close communication sired more offspring that were subsequently recruited to the breeding population than those that sang more far-communication song. However, this relationship was not consistent across earlier selection episodes, as evidenced by non-linear selection acting on these song components in other contexts. Collectively, our results present a complex picture of multivariate selection on male song structure that would not be evident using univariate approaches and suggest possible trade-offs within and among song components at different points of the breeding season.


Asunto(s)
Pájaros Cantores , Vocalización Animal , Animales , Masculino , Pájaros Cantores/fisiología , Pájaros Cantores/genética , Selección Genética , Migración Animal , Femenino , Selección Sexual
14.
Scand J Public Health ; 41(8): 792-8, 2013 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-23985725

RESUMEN

AIM: To assess if older people with higher levels of social capital experience higher levels of sense of mastery than those with lower levels of social capital and to assess whether this association is stronger for retired older people than for older workers. METHODS: The data originates from a general population mental health survey conducted among 2610 older people (50 years of age or older) in Finland in 2011. The response rate was 57.1%. The association between sense of mastery, measured by Pearlin's Sense of Mastery Scale, and social capital, measured by social networks, organisational activities, trust, and sense of belonging, were tested by logistic regression analyses. RESULTS: The results showed that older workers experienced greater sense of mastery than retired older people. Trust and neighbourhood belonging were positively associated with sense of mastery. CONCLUSIONS: Inequalities in mental wellbeing between older people included in or excluded from the workforce are a public health challenge. Our findings imply that social capital needs to be prioritised as a means for enhancing mental health. More attention should be paid to promote mental wellbeing in retired older people.


Asunto(s)
Empleo/estadística & datos numéricos , Salud Mental , Jubilación/estadística & datos numéricos , Apoyo Social , Anciano , Anciano de 80 o más Años , Femenino , Finlandia , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Características de la Residencia , Identificación Social , Confianza
15.
Aging Ment Health ; 17(4): 394-410, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23186534

RESUMEN

Social capital has previously been reviewed in relation to mental health. However, none have focused specifically on positive aspects of mental health such as mental well-being. This review aimed to explore the relationship between social capital and mental well-being in older people. Ten relevant databases were systematically searched using an extensive search strategy for studies, analyzing the link between social capital and mental well-being. Criteria for inclusion in the systematic review were: the study sample included older people (≥50 years); the study reported a mental well-being outcome; social capital was an exposure variable; and empirical research using quantitative methods and published in English, between January 1990 and September 2011. Eleven studies met the inclusion criteria. Each study was assessed against seven possible exposure measures (structural, cognitive; bonding, bridging, linking; individual, collective). The results showed that all included studies found positive associations between parts of social capital and aspects of mental well-being. Typically, the relationship between social capital and mental well-being differed within as well as between studies. Our results highlight that there is no 'gold standard' of how to measure social capital or mental well-being. Social capital is generated in the interaction between individual and collective life. A possibility for future research is therefore to follow Bronfenbrenner's classical division into macro, meso, and micro levels. We consider family and friends at the micro level to be the key factors in generating social capital and well-being in older people.


Asunto(s)
Salud Mental , Apoyo Social , Anciano , Redes Comunitarias , Humanos , Calidad de Vida , Identificación Social
16.
Front Public Health ; 11: 1193422, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37469692

RESUMEN

Introduction: Sexual ill-health is an urgent public health issue with subsequent social and economic costs. There is, therefore, a need for more effective sexual health promotion interventions in an early stage of life. Previous research has focused on preventive sexual health interventions applying a risk perspective, and the limited and scattered evidence concerning school-based sexual health promotion interventions employing a health-resource perspective has not been compiled and synthesized. Hence, this study aimed to systematically review the current evidence on the effects of sexual health promotion interventions conducted in schools in Europe. Method: A systematic review based on the JBI and PRISMA standards was performed, encompassing searches in seven databases to identify sexual health promotion interventions conducted in European schools between 2012 and 2022. Data coding was performed according to a predetermined protocol and included information on study characteristics, intervention content, methods, and outcomes relevant to the current review. A narrative synthesis of the included studies was performed, highlighting the collective results. Result: Seventeen records were included in the review, reporting on 16 individual studies conducted in 7 European countries. Of the 16 included studies, 13 had a quantitative research design, and three had a qualitative design. All three studies with a qualitative research design described positive effects experienced by the participants. Six of thirteen quantitative studies showed statistically significant positive effects on at least one of the outcomes of interest. The outcomes of interest were grouped into five areas, and most studies focused on the area of attitudes toward sexual health. Conclusion: The findings indicate promising evidence of effect for interventions with a health promotion approach, highlighting the importance of strengthening sexual health resources related to respect, communication skills, attitudes, and other positive psycho-social aspects of sexual health. Most sexual health promotion intervention studies have focused on sexual health resource outcomes connected to attitudes and skills, whereas a comprehensive focus on the multi-dimensional sexual health literacy concept is less common and can be recommended to be included in future intervention research.


Asunto(s)
Salud Sexual , Humanos , Promoción de la Salud/métodos , Instituciones Académicas , Conducta Sexual , Europa (Continente)
17.
Gerontol Geriatr Med ; 9: 23337214231179819, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37457398

RESUMEN

In this paper we sought to explore health and social care professionals' self-rated confidence in helping older adults with mental ill-health in non-psychiatric care settings. A cross-sectional survey study was performed exploring the participants' (n = 480) confidence in helping. Confidence in helping was analyzed together with background characteristics and selected explanatory variables, such as the workplace and work experience of the participants, their personal experiences of and attitudes to mental ill-health, as well as their knowledge in mental ill-health among older adults, by means of descriptive statistics and logistic regression analysis. We found that approximately half (55%) of the participants were confident in helping older adults with mental ill-health. The odds ratios for being confident in helping were significantly associated to the workplace of the professionals, professionals' attitude to and experience of mental ill-health, and knowledge of mental health among older adults. To increase confidence in helping older adults with mental ill-health, we recommend confidence-building interventions, for example, educational programs, through which knowledge of mental health among older adults is increased and negative attitudes are challenged, especially within the context of specialist somatic healthcare.

18.
BMC Prim Care ; 24(1): 196, 2023 09 23.
Artículo en Inglés | MEDLINE | ID: mdl-37741972

RESUMEN

BACKGROUND: Childhood is a critical period for promoting mental wellbeing and previous research suggests that various family-focused mental health promotion and early prevention initiatives are effective. The aim of the study was to explore Finnish health and social care practitioners' views and experiences of mental health promotion practice targeting families with young children. METHODS: Individual semi-structured interviews with 14 practitioners representing various municipal services, faith-based and third sector organizations were conducted in 2021 and analysed using thematic analysis. RESULTS: Various challenges and opportunities for supporting mental health related to both structural features of the health and social care landscape and the varying needs of families were identified. The lack of resources as well as the social stigma associated with mental health problems and with public welfare services, hindered proactive work approaches and timely support. However, low-threshold initiatives and adapted information to families as well as further training about mental health for practitioners together with multi-professional collaboration and teamwork were suggested as potential enablers for mental health promotion. CONCLUSIONS: The study highlights the importance of reaching families in a timely manner in order to promote mental wellbeing and prevent mental health problems. The findings, bringing to the fore the practitioners' own experiences and views, suggest how current practice could be developed in order to safeguard mental health and wellbeing for all families with young children. The practitioners' views and experiences are key components when building future sustainable and proactive health and social care services.


Asunto(s)
Período Crítico Psicológico , Salud Mental , Humanos , Niño , Preescolar , Finlandia , Impulso (Psicología) , Investigación Cualitativa
19.
Sch Psychol ; 2023 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-37902704

RESUMEN

Studies investigating students' social interactions and related experiences have mostly relied on retrospective methodologies-techniques known to be subject to recall bias that threaten ecological validity. This article is the second part of a systematic review of experience sampling studies on students' social interactions. This article focuses on exploring associations between interpersonal contexts, positive emotions, and related experiences assessed by intensive repeated measurement techniques in naturalistic environments. A systematic literature search was conducted for experience sampling studies between 1996 and 2020. Details of the literature search process and results were reported in the companion (Part I) of the study (Mölsä et al., 2022; Frontiers in Psychology 2022; 13: 844698). Using a narrative synthesis, the associations of interpersonal contexts and positive emotionality in school students were analyzed. Findings suggest that school students experience higher levels of positive emotions during peer, teacher, and family interactions than when they are not being with someone. The overall findings indicate that positive emotionality in children and adolescents is dependent on the characteristics of the interpersonal contexts, although the multilevel associations vary. This review contributes to experience sampling research on students' social interactions. The systematic review concludes with discussion of the main findings, theoretical implications, and an analysis of limitations. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

20.
Artículo en Inglés | MEDLINE | ID: mdl-35886417

RESUMEN

Working families commonly struggle with reconciling work and family demands. While the Nordic welfare states have been regarded as forerunners in family-friendly policies, worldwide trends threaten work-family reconciliation also in this context. Therefore, this study aimed to examine the associations between family interference with work (FIW)/work interference with family (WIF) and selected psychosocial risk and support factors in the work and family settings of Finnish working families. Data from the Finnish Quality of Work Life Survey 2018 collected by Statistics Finland were utilized to conduct binary logistic regression analyses (N = 1431). Risk factors in the work setting emerged as key covariates as all of them showed statistically significant associations with WIF or both WIF and FIW. Another key finding was that occasional conflicts within the family were beneficial in the context of both WIF and FIW. To conclude, both distinct and mutual psychosocial risk and support factors of FIW and WIF were identified, at the same time as two socio-demographic factors as well as one workplace factor were identified as covariates specifically of FIW. This study showed that work-family reconciliation is a considerable challenge among Finnish working families, and especially to women.


Asunto(s)
Estrés Psicológico , Lugar de Trabajo , Familia/psicología , Femenino , Finlandia , Humanos , Factores de Riesgo , Estrés Psicológico/psicología , Encuestas y Cuestionarios
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