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1.
Proc Natl Acad Sci U S A ; 121(37): e2321965121, 2024 Sep 10.
Article in English | MEDLINE | ID: mdl-39226358

ABSTRACT

The transition to adolescence is a critical period for mental health development. Socio-experiential environments play an important role in the emergence of depressive symptoms with some adolescents showing more sensitivity to social contexts than others. Drawing on recent developmental neuroscience advances, we examined whether hippocampal volume amplifies social context effects in the transition to adolescence. We analyzed 2-y longitudinal data from the Adolescent Brain Cognitive Development (ABCD®) study in a diverse sample of 11,832 youth (mean age: 9.914 y; range: 8.917 to 11.083 y; 47.8% girls) from 21 sites across the United States. Socio-experiential environments (i.e., family conflict, primary caregiver's depressive symptoms, parental warmth, peer victimization, and prosocial school environment), hippocampal volume, and a wide range of demographic characteristics were measured at baseline. Youth's symptoms of major depressive disorder were assessed at both baseline and 2 y later. Multilevel mixed-effects linear regression analyses showed that negative social environments (i.e., family conflict, primary caregiver's depressive symptoms, and peer victimization) and the absence of positive social environments (i.e., parental warmth and prosocial school environment) predicted greater increases in youth's depressive symptoms over 2 y. Importantly, left hippocampal volume amplified social context effects such that youth with larger left hippocampal volume experienced greater increases in depressive symptoms in more negative and less positive social environments. Consistent with brain-environment interaction models of mental health, these findings underscore the importance of families, peers, and schools in the development of depression during the transition to adolescence and show how neural structure amplifies social context sensitivity.


Subject(s)
Depression , Hippocampus , Humans , Hippocampus/diagnostic imaging , Female , Male , Adolescent , Child , Social Environment , Longitudinal Studies , Magnetic Resonance Imaging , United States
2.
Front Public Health ; 12: 1341213, 2024.
Article in English | MEDLINE | ID: mdl-39228850

ABSTRACT

Objectives: This article studied the single-factor causal relationships between the social environment, health cognition, and health behavior of the individuals with non-fixed employment and their adverse health outcomes, as well as the complex causal relationships of multiple factors on these outcomes. Methods: Partial Least Squares Structural Equation Modeling (PLS-SEM) and Fuzzy-Set Qualitative Comparative Analysis (fsQCA) are employed. Data is collected from the results of an open questionnaire Psychology and Behavior Investigation of Chinese Residents 2021. Results: PLS-SEM analysis reveals that health risk behaviors and cognition play a mediating role in impact of the social environment on adverse health outcomes, indicating that individuals with non-fixed employment susceptible to adverse health outcomes. fsQCA analysis identifies that weak social support is a core condition leading to outcomes of depression and anxiety. There are shared configurations and causal pathways between the outcomes of physical health and depression. Conclusion: The study supports the social determinants theory of health and suggests that the fundamental reason for people being trapped in adverse health outcomes is the health inequality caused by social stratification, and the external shock of uncertainty in the era of VUCA (Volatility, Uncertainty, Complexity, and Ambiguity).


Subject(s)
Cognition , Health Behavior , Social Environment , Humans , China , Female , Male , Adult , Surveys and Questionnaires , Middle Aged , Employment/statistics & numerical data , Latent Class Analysis , Least-Squares Analysis , Fuzzy Logic , Social Determinants of Health
3.
Adv Child Dev Behav ; 67: 200-235, 2024.
Article in English | MEDLINE | ID: mdl-39260904

ABSTRACT

Our goal in this chapter is to describe young children's experiences with language by examining three domains-people, places, and things-that define and influence their language input. We highlight how features of each of these three domains could provide useful learning opportunities, as well as how differences in infants' and toddlers' experiences may affect their long-term language skills. However, we ultimately suggest that a full understanding of early environments must move beyond a focus on individual experiences and include the broader systems that shape young children's lives, including both tangible aspects of the environment, such as physical resources or locations, and more hidden factors, such as cultural considerations, community health, or economic constraints.


Subject(s)
Language Development , Social Environment , Humans , Infant , Child, Preschool , Environment
4.
PLoS One ; 19(9): e0307560, 2024.
Article in English | MEDLINE | ID: mdl-39240900

ABSTRACT

To deepen the development of positive affect during early adolescence and shed new light on its predictors, this study adopts an exploratory network approach to first identify the main domains that describe the variability of children's psychological, environmental, and behavioral characteristics, and then use these domains to longitudinally predict positive affect and its development within a latent growth framework. To this aim, we considered 10,904 US participants (9 years old at baseline; 13 years old 42 months later), six measurement occasions of positive affect, and 46 baseline indicators from the ABCD study. Our results not only confirm that positive affect declines between 9 and 13 years old, but also show that among the five domains identified (behavioral dysregulation, cognitive functioning, psychological problems, supportive social environment, and extracurricular activities), only a supportive social environment consistently predicts positive affect. This is crucial for practitioners and policymakers, as it can help them focus on the elements within our complex network of psychological, social, and environmental variability.


Subject(s)
Affect , Social Environment , Humans , Child , Adolescent , Female , Male , Affect/physiology , Happiness , Longitudinal Studies , Social Support
5.
Philos Trans R Soc Lond B Biol Sci ; 379(1912): 20220523, 2024 Oct 21.
Article in English | MEDLINE | ID: mdl-39230455

ABSTRACT

Animals simultaneously navigate spatial and social environments, and their decision-making with respect to those environments constitutes their spatial (e.g. habitat selection) and social (e.g. conspecific associations) phenotypes. The spatial-social interface is a recently introduced conceptual framework linking these components of spatial and social ecology. The spatial-social interface is inherently scale-dependent, yet it has not been integrated with the rich body of literature on ecological scale. Here, we develop a conceptual connection between the spatial-social interface and ecological scale. We propose three key innovations that incrementally build upon each other. First, the use-availability framework that underpins a large body of literature in behavioural ecology can be used in analogy to the phenotype-environment nomenclature and is transferable across the spatial and social realms. Second, both spatial and social phenotypes are hierarchical, with nested components that are linked via constraints-from the top down-or emergent properties-from the bottom up. Finally, in both the spatial and social realms, the definitions of environment and phenotype depend on the focal scale of inquiry. These conceptual innovations cast our understanding of the relationships between social and spatial dimensions of animal ecology in a new light, allowing a more holistic understanding and clearer hypothesis development for animal behaviour. This article is part of the theme issue 'The spatial-social interface: a theoretical and empirical integration'.


Subject(s)
Ecosystem , Social Behavior , Animals , Behavior, Animal/physiology , Phenotype , Ecology/methods , Social Environment
6.
Philos Trans R Soc Lond B Biol Sci ; 379(1912): 20220522, 2024 Oct 21.
Article in English | MEDLINE | ID: mdl-39230453

ABSTRACT

Even in our highly interconnected modern world, geographic factors play an important role in human social connections. Similarly, social relationships influence how and where we travel, and how we think about our spatial world. Here, we review the growing body of neuroscience research that is revealing multiple interactions between social and spatial processes in both humans and non-human animals. We review research on the cognitive and neural representation of spatial and social information, and highlight recent findings suggesting that underlying mechanisms might be common to both. We discuss how spatial factors can influence social behaviour, and how social concepts modify representations of space. In so doing, this review elucidates not only how neural representations of social and spatial information interact but also similarities in how the brain represents and operates on analogous information about its social and spatial surroundings.This article is part of the theme issue 'The spatial-social interface: a theoretical and empirical integration'.


Subject(s)
Brain , Social Behavior , Humans , Animals , Brain/physiology , Space Perception/physiology , Social Environment , Cognition
7.
JAMA Netw Open ; 7(9): e2433724, 2024 Sep 03.
Article in English | MEDLINE | ID: mdl-39283641

ABSTRACT

This cross-sectional study characterizes the prevalence of cancer screening across geographic clusters of social risk factors, environmental burden, and compounded social-environmental injustice in densely-populated urban areas of the US.


Subject(s)
Early Detection of Cancer , Humans , Female , Early Detection of Cancer/statistics & numerical data , Male , Middle Aged , Prevalence , Aged , Adult , United States/epidemiology , Neoplasms/epidemiology , Neoplasms/diagnosis , Social Justice , Social Environment
8.
Ecol Evol Physiol ; 97(4): 220-229, 2024.
Article in English | MEDLINE | ID: mdl-39270326

ABSTRACT

AbstractThe social environment can drive female birds to alter their investment in reproduction in the form of greater incubation behavior, more parental care, and greater allocation of physiological mediators to yolks. However, less is known about how social variables impact the speed at which females grow ovarian follicles in preparation for ovulation. We hypothesized that the social environment would influence how long ovarian follicles remain in rapid yolk deposition before reaching the size necessary for ovulation. For 8 d, we tested the effects of three types of social interactions: no social engagement (control), engagement with the same four females (social group 1), or engagement with the same four females plus six randomly selected roosters (social group 2). Starting on day 5 of engagement, we collected eggs and measured egg and yolk masses and yolk diameters. Then we stained the yolks with potassium dichromate to quantify the number of days the ovarian follicle spent accumulating yolk. We compared the results of the treatment groups with those of the control hens that were kept in individual laying cages throughout the study. The number of eggs laid, the yolk mass, and the yolk diameter did not differ among any of the three groups, but hens exposed to both females and males produced yolks with significantly more rings than hens in the other groups. Thus, the presence of males appeared to lengthen the time it took for ovarian follicles to reach the size needed for ovulation but did not result in larger or heavier yolks.


Subject(s)
Chickens , Egg Yolk , Animals , Female , Egg Yolk/metabolism , Egg Yolk/chemistry , Male , Social Environment , Ovarian Follicle/metabolism , Time Factors
9.
Sci Rep ; 14(1): 20921, 2024 09 09.
Article in English | MEDLINE | ID: mdl-39251706

ABSTRACT

Neural consequences of social disparities are not yet rigorously investigated. How socioeconomic conditions influence children's connectome development remains unknown. This paper endeavors to gauge how precisely the connectome structure of the brain can predict an individual's social environment, thereby inversely assessing how social influences are engraved in the neural development of the Adolescent brain. Utilizing Adolescent Brain and Cognition Development (ABCD) data (9099 children residing in the United States), we found that social conditions both at the household and neighborhood levels are significantly associated with specific neural connections. Solely with brain connectome data, we train a linear support vector machine (SVM) to predict socio-economic conditions of those adolescents. The classification performance generally improves when the thresholds of the advantageous and disadvantageous environments compartmentalize the extreme cases. Among the tested thresholds, the 20th and 80th percentile thresholds using the dual combination of household income and neighborhood education yielded the highest Area Under the Precision-Recall Curve (AUPRC) of 0.8224. We identified 8 significant connections that critically contribute to predicting social environments in the parietal lobe and frontal lobe. Insights into social factors that contribute to early brain connectome development is critical to mitigate the disadvantages of children growing up in unfavorable neighborhoods.


Subject(s)
Brain , Connectome , Humans , Adolescent , Male , Female , Brain/diagnostic imaging , Brain/growth & development , Child , Socioeconomic Factors , Support Vector Machine , United States , Cognition/physiology , Magnetic Resonance Imaging , Social Environment
10.
PLoS One ; 19(9): e0308726, 2024.
Article in English | MEDLINE | ID: mdl-39269954

ABSTRACT

As the world around us changes, so too do the bonds that people have with their environment. These environmental bonds, or Senses of Place (SoP), are a key component of social-ecological systems (SESs). SoP has social, psychological and economic value, it impacts how people use and behave in an environment and how they respond to changes such as those caused by anthropogenic pressures. Despite this connection, the consideration and application of SoP in the management of SESs remains relatively under explored. This study takes the first step in addressing that gap by investigating the perceptions of researchers in the field. We achieve this by interviewing SoP researchers from around the globe to elucidate whether they see SoP as valuable for the management of SES. We also identify their perspectives on the barriers to, and enablers of, incorporating SoP into policy and management. Results show while researchers do see the value in incorporating SoP into policy, there are a range of barriers that impact this, most notably, the intangible nature of the phenomena and shortcomings of current governance systems. Results also identify a range of enablers that could improve the incorporation of SoP into policy-particularly through improved engagement and communication between stakeholders. These findings represent a first step in the formal inclusion of this social value into the management of SES.


Subject(s)
Research Personnel , Humans , Research Personnel/psychology , Social Environment
11.
Philos Trans R Soc Lond B Biol Sci ; 379(1910): 20230286, 2024 Sep 23.
Article in English | MEDLINE | ID: mdl-39114990

ABSTRACT

Behaviour settings are sociocultural places defined by three main ecological aspects: the affordances of material structures, typical patterns of skilful action and socially situated norms. These aspects explain the observed regularities of human behaviour associated with the material characteristics of places. However, the focus of ecological theories on how individual agents attune their actions to the pre-established order of behaviour settings neglects the agents' active role in sustaining or motivating transformations in this order. We therefore propose an alternative enactive approach to behaviour settings that accounts for the role of agents as active supporters and transformers of behaviour settings. Based on the enactive concepts of agency, normativity and dialectics, we argue that agents, as participants of behaviour settings, simultaneously respond to multiple normative dimensions (e.g. biological, sensorimotor and interactive). To sustain the order of behaviour settings, agents sometimes need to inhibit other normative responses of their bodies, which sometimes is detrimental to one or many aspects of their lives. Nonetheless, agents can collectively trigger the transformation of behaviour settings. This transformation can occur dialectically as tensions between two or more norms to which human bodies respond are resolved, even if new tensions arise and the process of changing behaviour setting continues. This article is part of the theme issue 'People, places, things and communities: expanding behaviour settings theory in the twenty-first century'.


Subject(s)
Social Behavior , Humans , Social Norms , Social Environment
12.
JMIR Public Health Surveill ; 10: e55461, 2024 Aug 08.
Article in English | MEDLINE | ID: mdl-39115929

ABSTRACT

BACKGROUND: Studies investigating the impact of racial segregation on health have reported mixed findings and tended to focus on the racial composition of neighborhoods. These studies use varying racial composition measures, such as census data or investigator-adapted questions, which are currently limited to assessing one dimension of neighborhood racial composition. OBJECTIVE: This study aims to develop and validate a novel racial segregation measure, the Pictorial Racial Composition Measure (PRCM). METHODS: The PRCM is a 10-item questionnaire of pictures representing social environments across adolescence and adulthood: neighborhoods and blocks (adolescent and current), schools and classrooms (junior high and high school), workplace, and place of worship. Cognitive interviews (n=13) and surveys (N=549) were administered to medically underserved patients at a primary care clinic at the Barnes-Jewish Hospital. Development of the PRCM occurred across pilot and main phases. For each social environment and survey phase (pilot and main), we computed positive versus negative pairwise comparisons: mostly Black versus all other categories, half Black versus all other categories, and mostly White versus all other categories. We calculated the following validity metrics for each pairwise comparison: sensitivity, specificity, correct classification rate, positive predictive value, negative predictive value, positive likelihood ratio, negative likelihood ratio, false positive rate, and false negative rate. RESULTS: For each social environment, the mostly Black and mostly White dichotomizations generated better validity metrics relative to the half Black dichotomization. Across all 10 social environments in the pilot and main phases, mostly Black and mostly White dichotomizations exhibited a moderate-to-high sensitivity, specificity, correct classification rate, positive predictive value, and negative predictive value. The positive likelihood ratio values were >1, and the negative likelihood ratio values were close to 0. The false positive and negative rates were low to moderate. CONCLUSIONS: These findings support that using either the mostly Black versus other categories or the mostly White versus other categories dichotomizations may provide accurate and reliable measures of racial composition across the 10 social environments. The PRCM can serve as a uniform measure across disciplines, capture multiple social environments over the life course, and be administered during one study visit. The PRCM also provides an added window into understanding how structural racism has impacted minoritized communities and may inform equitable intervention and prevention efforts to improve lives.


Subject(s)
Social Environment , Humans , Male , Female , Surveys and Questionnaires , Adult , Middle Aged , Adolescent , Racial Groups/statistics & numerical data , Racial Groups/psychology , Residence Characteristics/statistics & numerical data , Reproducibility of Results , Aged
13.
Psychol Sport Exerc ; 75: 102719, 2024 Nov.
Article in English | MEDLINE | ID: mdl-39182749

ABSTRACT

The study explores motivational profiles for physical activity, using self-determination theory's full continuum of motivational regulations, and examines their stability over three months. Furthermore, it investigates whether physical environment and community characteristics are associated with transitioning between profiles, as well as the sociodemographic differences in these motivational transition pathways. Data were collected from 305 U.S. residents at three time points. The three profiles-'low in motivation' (23.5 % of the sample in wave 1), 'self-determined motivation' (41.4 %), and 'ambivalent motivation' (35.0 %)-were relatively stable. Staying in the low-in-motivation profile was negatively associated with being active in social settings, community support, perceived environmental restorativeness, and availability of physical activity opportunities. Having a higher education and income, being male, employed, married or in a partnership, and identifying as White were associated with being in a motivationally positive profile in the last wave of the study. These profiles reported higher activity and life satisfaction.


Subject(s)
Exercise , Motivation , Humans , Male , Female , Adult , Middle Aged , Exercise/psychology , Social Environment , United States , Personal Autonomy , Aged , Young Adult , Residence Characteristics , Adolescent , Social Support , Personal Satisfaction , Environment
14.
Dev Cogn Neurosci ; 69: 101428, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39180930

ABSTRACT

Research has highlighted the relevance of biological measures in explaining antisocial behavior, but the inclusion of such measures in clinical practice is lagging behind. According to the integrative biopsychosocial model, biological measures should be studied together with psychological and social-environmental factors. In this data-driven study, we applied this comprehensive model to explain non-violent and violent delinquency of 876 at-risk youth (715 male, 9-27 years), by combining nine biological (autonomic-nervous-system; endocrinological), nine psychological, and seven social-environmental measures. Using latent-class-regression analysis we uncovered four distinct psychologically-driven biological clusters, which differed in non-violent and violent delinquency-risk, moderated by social-environmental variables: a biological-psychopathic traits; low problem; high problem; and biological-reactive group. Individual vulnerabilities to (non-)violent delinquency depended on social-environmental context that differed between clusters. These findings highlight the importance of biological and psychological factors, in the context of social-environmental factors, in explaining (non)-violent delinquency.


Subject(s)
Juvenile Delinquency , Violence , Humans , Juvenile Delinquency/psychology , Male , Adolescent , Violence/psychology , Female , Child , Young Adult , Adult , Social Environment , Models, Psychological , Risk Factors
15.
Dev Cogn Neurosci ; 69: 101429, 2024 Oct.
Article in English | MEDLINE | ID: mdl-39208687

ABSTRACT

The HEALthy Brain and Child Development (HBCD) Study, a multi-site prospective longitudinal cohort study, will examine human brain, cognitive, behavioral, social, and emotional development beginning prenatally and planned through early childhood. The charge of the HBCD Social and Environmental Determinants (SED) working group is to develop and implement a battery of assessments to broadly characterize the social and physical environment during the prenatal period and early life to characterize risk and resilience exposures that can impact child growth and development. The SED battery consists largely of measures that will be repeated across the course of the HBCD Study with appropriate modifications for the age of the child and include participant demographics, indicators of socioeconomic status, stress and economic hardship, bias and discrimination (e.g., racism), acculturation, neighborhood safety, child and maternal exposures to adversity, environmental toxicants, social support, and other protective factors. Special considerations were paid to reducing participant burden, promoting diversity, equity, and inclusion, and adopting trauma-informed practices for the collection of sensitive information such as domestic violence exposure and adverse childhood experiences. Overall, the SED battery will provide essential data to advance understanding of child development and approaches to advance health equity across infant and child development.


Subject(s)
Child Development , Social Determinants of Health , Humans , Female , Pregnancy , Child, Preschool , Longitudinal Studies , Infant , Prenatal Exposure Delayed Effects , Prospective Studies , Child , Male , Brain/growth & development , Adverse Childhood Experiences , Social Environment , Adult
16.
Proc Biol Sci ; 291(2028): 20241158, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39106956

ABSTRACT

Much is known about how the maternal environment can shape offspring traits via intergenerational effects. It is less clear, however, whether such effects may reach adult offspring sexual traits, with potential consequences for sexual selection and speciation. Here, we report effects of adult female aggregation density on the mating signals and mate preferences of their offspring in an insect that communicates via plant-borne vibrational signals. We experimentally manipulated the density of aggregations experienced by egg-laying mothers, reared the offspring in standard densities, and tested for corresponding differences in their signals and preferences. We detected a strong effect in male signals, with sons of mothers that experienced low aggregation density signalling more. We also detected a weak effect on female mate preferences, with daughters of mothers that experienced low aggregation density being less selective. These adjustments may help males and females find mates and secure matings in low densities, if the conditions they encounter correspond to those their mothers experienced. Our results thus extend theory regarding adjustments to the social environment to the scale of intergenerational effects, with maternal social environments influencing the expression of the sexual traits of adult offspring.


Subject(s)
Hemiptera , Mating Preference, Animal , Animals , Female , Male , Hemiptera/physiology , Animal Communication , Social Environment , Population Density , Sexual Behavior, Animal
17.
BMC Public Health ; 24(1): 2137, 2024 Aug 07.
Article in English | MEDLINE | ID: mdl-39112968

ABSTRACT

BACKGROUND: The physical and the social environment are important predictors of healthy weight, especially in low socioeconomic position (SEP) neighborhoods. Many Dutch municipalities have implemented a healthy weight approach (HWA). Yet, there is room for improvement. This system science study examined what influences the utilization of HWA facilities and activities, and what aspects can help to achieve a desired systems change (also called leverage point themes (LPTs)) in the HWA system as perceived by citizens living in low SEP neighborhoods. METHOD: All research phases were performed with four citizens co-researchers. Forty-seven citizens living in low SEP neighborhoods were semi-structurally interviewed about the neighborhood HWA facilities and municipal HWA activities. A rapid coding qualitative analysis approach was applied per topic. The topics were citizens' healthy living description, personal circumstances, and satisfaction with foot and cycle paths, sports facilities, playgrounds, green spaces, museums and theaters, community centers, churches, healthcare, school, food supplies, contact with neighborhood, unfamiliar and/or unused activities, familiar and used activities, unavailable but desired (lacking) activities, and reaching citizens. RESULTS: The utilization of HWA facilities and activities was influenced by the overarching themes of social cohesion, familiarity, reaching citizens, maintenance, safety, physical accessibility, financial accessibility, social accessibility, fit with personal context, and fit with the neighborhood's specific needs. Different overarching themes stood out across different facilities and activities. LPTs indicated the overarching themes needed in combination with one another for a specific activity or facility to increase utilization. For example, the LPT regarding foot and cycle paths was "accessible, safe, and maintained foot and cycle paths". The LPTs regarding familiar and used activities were "customized activities; information provision (e.g., about possibilities to join without paying); social contact, meeting others, and everyone feels included". CONCLUSION: Conducting inclusive qualitative research from a systems perspective among citizens living in low SEP neighborhoods has contributed valuable insights into their needs. This enables practical implementation of HWAs by providing a deeper understanding of the LPTs within the HWA system. LPTs can help HWA stakeholders to further develop current HWAs toward systems approaches. Future research could study the leverage points that may contribute to LPT implementation.


Subject(s)
Qualitative Research , Residence Characteristics , Humans , Male , Female , Adult , Middle Aged , Netherlands , Health Promotion/methods , Aged , Social Environment , Systems Analysis , Young Adult , Interviews as Topic
18.
BMC Public Health ; 24(1): 2190, 2024 Aug 13.
Article in English | MEDLINE | ID: mdl-39134996

ABSTRACT

BACKGROUND: Globally, the majority of kindergarten-aged children face obesity issues and insufficient physical activity (PA) engagement. Regular PA participation can provide various health benefits, including obesity reduction, for kindergarten-aged children. However, limited studies have investigated the factors influencing kindergarten-aged children's PA engagement from the perspective of their teachers. This qualitative study aimed to identify factors that could help promote PA among kindergarten-aged children from teachers' perspectives, including facilitators, barriers, and teachers' recommendations. METHODS: Fifteen kindergarten teachers (age range: 28-50 years; mean age: 38.53 years) with teaching experience ranging from 2 to 31 years (mean: 16.27 years) were recruited from Shanghai municipality, Henan, and Jiangsu provinces in China. One-on-one semi-structured interviews were conducted via face-to-face (n = 7) or telephone (n = 8) to gather insights into factors influencing PA promotion among kindergarten-aged children. The interviews were audio-recorded, transcribed, and analyzed using a constant comparison approach based on grounded theory, which involved open, axial, and selective coding processes. RESULTS: The study revealed mutual theoretical support between themes and the social-ecological model (SEM), as factors identified in the study are distributed at various levels of the SEM. Twelve factors were identified at four levels of the SEM: (1) intrapersonal level (children's personality and skills), (2) interpersonal level (family, peers, and teachers influence), (3) organizational level (school environment and resources, opportunities for kindergarten teachers' training and children's PA, design and organization of PA, and PA that children need), (4) community level (family-school partnerships). CONCLUSION: Various factors at different levels can influence kindergarten-aged children's PA. The study's findings revealed that these factors are distributed across the first four levels of SEM, with the majority being at the organizational level. These multilevel findings are expected to assist in developing and implementing more effective PA interventions for kindergarten-aged children. Future research is warranted to identify strategies for promoting PA among kindergarten-aged children at the policy level of the SEM.


Subject(s)
Exercise , Health Promotion , Qualitative Research , School Teachers , Humans , China , School Teachers/psychology , Female , Exercise/psychology , Male , Health Promotion/methods , Adult , Middle Aged , Child, Preschool , Interviews as Topic , Social Environment , Child
19.
Health Lit Res Pract ; 8(3): e130-e139, 2024 Jul.
Article in English | MEDLINE | ID: mdl-39136216

ABSTRACT

BACKGROUND: Research is needed to understand the impact of social determinants of health on health literacy throughout the life course. This study examined how racial composition of multiple past and current social environments was related to adults' health literacy. METHODS: In this study, 546 adult patients at a primary care clinic in St. Louis, Missouri, completed a self-administered written questionnaire that assessed demographic characteristics and a verbally administered component that assessed health literacy with the Rapid Estimate of Adult Literacy in Medicine - Revised (REALM-R) and Newest Vital Sign (NVS), and self-reported racial composition of six past and four current social environments. Multilevel logistic regression models were built to examine the relationships between racial composition of past and current social environments and health literacy. RESULTS: Most participants identified as Black or multiracial (61%), had a high school diploma or less (54%), and household income <$20,000 (72%). About 56% had adequate health literacy based on REALM-R and 38% based on NVS. In regression models, participants with multiple past white environments (e.g., locations/conditions in which most of the people who live, go to school, work, and have leisure time are White) and (vs. 0 or 1) were more likely to have adequate health literacy based on REALM-R (adjusted odds ratio [aOR] = 1.79; 95% confidence interval [CI]: 1.04-3.07). Similarly, participants who had multiple past white social environments were more likely (aOR = 1.94, 95% CI: 1.15-3.27) to have adequate health literacy based on NVS than those who had not. The racial composition of current social environments was not significantly associated with health literacy in either model. CONCLUSIONS: Racial composition of past, but not current, educational and residential social environments was significantly associated with adult health literacy. The results highlight the importance of examining the impact of social determinants over the life course on health literacy. The findings suggest that policies ensuring equitable access to educational resources in school and community contexts is critical to improving equitable health literacy. [HLRP: Health Literacy Research and Practice. 2024;8(3):e130-e139.].


PLAIN LANGUAGE SUMMARY: We studied how the racial make-up of past and current places where people live, work, and go to school were related to their health literacy as adults. We found that the racial make-up of past places, but not current places, was related to health literacy. Our results show the need to study the impact of childhood places on health literacy.


Subject(s)
Health Literacy , Social Environment , Humans , Health Literacy/statistics & numerical data , Male , Female , Middle Aged , Adult , Surveys and Questionnaires , Missouri , Aged , Social Determinants of Health/statistics & numerical data , Racial Groups/statistics & numerical data , Racial Groups/psychology
20.
BMJ Open ; 14(8): e079987, 2024 Aug 28.
Article in English | MEDLINE | ID: mdl-39209497

ABSTRACT

OBJECTIVES: The social environment (SE), that is, the social relationships and social context in which groups of people live and interact, is an understudied element of the broader living environment which impacts health. We aim to summarise the available evidence on the associations between SE and cardiometabolic disease (CMD) outcomes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: PubMed, Scopus and Web of Science Core Collection were searched from inception to 28 February 2024. ELIGIBILITY CRITERIA: We included studies for which determinants were SE factors such as area-level deprivation and social network characteristics and outcomes were type 2 diabetes mellitus and cardiovascular diseases incidence and prevalence. DATA EXTRACTION AND SYNTHESIS: Titles and abstracts and full text were screened in duplicate. Data appraisal and extraction were based on the study protocol published in PROSPERO. Methodological quality was assessed with the Newcastle-Ottawa Scale. We synthesised the data through vote counting and meta-analyses. RESULTS: From 10 143 records screened, 281 studies reporting 1108 relevant associations are included in this review. Of the 384 associations included in vote counting, 271 (71%) suggested that a worse SE is associated with a higher risk of CMD. 14 meta-analyses based on 180 associations indicated that worse SE was associated with increased odds of CMD outcomes, with 4 of them being statistically significant. For example, more economic and social disadvantage was associated with higher heart failure risk (OR 1.58, 95% CI 1.08 to 1.61; n=18; I2=95%). With the exception of two meta-analyses for men, meta-analysed sex-specific associations consistently showed results in the same direction as the overall meta-analyses. CONCLUSION: Worse SE seems to be associated with increased odds of CMD outcomes, although certain SE dimensions are underexplored in relation to CMD. PROSPERO REGISTRATION NUMBER: CRD42021223035.


Subject(s)
Cardiovascular Diseases , Diabetes Mellitus, Type 2 , Social Environment , Humans , Cardiovascular Diseases/epidemiology , Diabetes Mellitus, Type 2/epidemiology
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