Tendency to Avoid Physical Activity and Sport:Associations with Weight Stigma,and Psychological Distress in a Two-Wave Longitudinal Study

Background:Physical inactivity is a major public health problem worldwide that results in physical and mental health problems.One major issue for physical inactivity is weight stigma(WS),especially perceived WS,which could lead to a tendency to avoid physical activity(PA).To better understand the association between perceived WS and PA,knowledge of the likely mediators in this association such as weight bias internalization(WBI)and psychological distress were investigated in the present study.Methods:Using a two-wave longitudinal study and convenient sampling,388 Taiwan residents participants(55%females;mean age=29.7 years[SD±6.3])completed two surveys six months apart.Body mass index(BMI),Perceived Weight Stigma Scale(PWSS),Weight Bias Internalization Scale(WBIS),Depression,Anxiety,Stress Scale(DASS-21),and Tendency to Avoid Physical Activity and Sport Scale(TAPAS)were assessed.Results:A mediation model controlling for age,gender,and BMI with 5000 bootstrapping resamples was performed.Perceived WS exerted significant direct effects on WBI(β=0.25;p<0.001),psychological distress(β=0.15;p=0.003),and tendency to avoid PA(β=0.10;p=0.027);WBI exerted a significant direct effect on tendency to avoid PA(β=0.47;p<0.001).Standardized indirect effects of WBI and psychological distress on the association between perceived WS and tendency to avoid PA were 0.12 and 0.01,respectively.Conclusion:Given the direct association of perceived WS on the tendency to avoid PA and the mediating role of WBI in this association,interventions addressing perceived WS and WBI may contribute to promoting PA.Therefore,health interventionists(both when planning and executing PA programs)need to consider weight stigmawhen encouraging physical activity.

Tobacco use among population sub-groups: A gender analysis

Women comprise 20% of world’s billion smokers. Especially troubling is raising prevalence of tobacco use among girls. In fact, it is expected that 20% of women in developing/developed countries will be smokers by 2025. This study analytically compares knowledge, attitudes, and practices of tobacco use, by gender, among 4 sub-populations in Alexandria, Egypt. Methods: A cross sectional approach was used for 4 subgroups (high school students, university students, shopping malls/clubs’ attendees, employees of health-related facilities), 1000 each (total sample size = 4000). A modified version of WHO questionnaire was used for data collection. Results: Smoking prevalence was generally higher among males (29%-44%) compared to females (2% - 9%) in the studied groups. Cafeterias were preferable smoking places for both genders, especially among high school/university students. Most smokers in the 4 subgroups reported that most or all their friends were smokers. Mean knowledge scores were found to be higher among male employees/high school students, compared to females in the same sub-groups. Mean attitude scores towards smoking were higher among females (i.e. against smoking) in the 4 sub-samples. Conclusion & Recommendations: Tobacco use among males is generally higher among males, but females seem to be catching up. Social gatherings seem to attract many youngsters, of both genders, to smoke in public, especially waterpipe (which is a growing epidemic of tobacco use in our communities). Mass community- and gender-based health awareness campaigns are needed, using different channels, including school-based health education interventions, at the earliest age possible.

Obstacles for Iranian rural population to participate in health education programmes:a qualitative study

Objective To explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.Design This was a qualitative study with conventional content analysis approach which was carried out March to October 2016.setting Data collected using semistructured interviews that were digitally recorded,transcribed and analysed until data saturation.MAXQDA 10 software was used to manage the textual data.Participant Participants were twenty-two seven clients from a rural community in Ardabil,Iran who were receiving health services from health centres.result The main obstacles to participate in health education programmes in rural settings were‘Lack of trust to the rural health workers’,‘Adherence to neighbourhood social networks in seeking health information’and‘Lack of understanding on the importance of health education’.Conclusion Rural health education programmes in Iran are encountered with a variety of obstacles.We need to enhancing mutual trust between the rural health workers and villagers,and developing community-based education programmes to promote health information seeking behaviours among villagers.The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.

Types of community health services selected by urban and suburban residents in Nanjing and influencing factors

Objective:The purpose of the current study was to determine the types of community health services selected by urban and suburban residents in Nanjing and the influencing factors in an ef-fort to improve the community health services to better meet the residents’demands.Methods:Between 15 May 2013 and 15 June 2013,eight community health service centers from four districts in Nanjing(Gulou District and Baixia District in urban areas and Jiangning District and Pukou District in suburban areas;two centers from each district)were selected using a stratified random sampling method of investigation sites.After an intercept interview with 487 community residents,univariate and multivariate analyses were performed by means of logistic regression.Results:Among the 487 users of community health services,there were 241 residents from urban areas(49.5%)and 246 residents from suburban areas(50.5%).Among the respondents,there were 191(39.2%)who usually received medical treatment from community health service institutions,including 74(38.7%)from urban areas and 117(61.3%)from suburban areas.The analysis showed that the factors which influenced urban residents in Nanjing to choose community health services for medical treatment included income,payment terms of medical fees,reasonable prices,medical fees,and expenses for medications,while factors influencing suburban residents to choose community health services for medical treatment included income,level of education,carrier,medical institutions selected when feeling severely ill,availability of preventive health services,availability of health counseling services,medical fees,and expenses for medications.Based on an analysis of the results by means of unconditioned binary logistic stepwise regression,the factors influencing whether or not the urban residents chose community health services for medical treatment included gender,age,level of education,payment terms of medical fees,treat-ment environment,and expenses for medications,while the factors influencing suburban residents included availability of preventive health services and expenses for medications.Conclusion:There was a difference between the types of community health services selected by residents in urban and suburban areas of Nanjing and factors influencing the selection of ser-vices were different.Community health service institutions in different areas should strengthen their own service capability according to the local residents’health demands.

Essential Oil from Citrus aurantium Alleviates Anxiety of Patients Undergoing Coronary Angiography: A Single-Blind, Randomized Controlled Trial

Objective To determine the effectiveness and safety of essential oil from Citrus aurantium on anxiety in patients undergoing coronary angiography.Methods A single-blind,randomized controlled trial was conducted in 80 patients experiencing coronary angiography in Imam Ali Hospital in Kermanshah,Iran from April to November in 2016.All patients were randomly divided into intervention and control groups by a random number table,40 cases in each group.The patients in the intervention group inhaled Citrus aurantium essential oil for 15–20 min about 60 min before angiography.Following the same procedure,distilled water was used instead of Citrus aurantium in the control group.Spielbergers State-Trait Anxiety Inventory(STAI)was filled in and vital signs including systolic blood pressure(SBP),diastolic blood pressure(DBP),respiratory and pulse rate were recorded before and 20 min after the intervention.Adverse reactions after intervention were observed.Results In the intervention group,the mean scores of STAI,SBP,DBP,respiratory and pulse rate were 53.30±10.13,134.82±11.75 mm Hg,84.49±6.99 mm Hg,17.87±1.73 times/min,and 76.48±12.55 beats/min at baseline and significantly decreased to 42.37±10.15,124.49±10.48 mm Hg,79.23±6.62 mm Hg,14.54±1.43 times/min,and 70.03±13.66 beats/min respectively 20 min after intervention(all P<0.05);however,in the control group,neither anxiety scores nor vital signs changed significantly(P>0.05).All subjects reported no adverse reactions.Conclusion Inhalation of the essential oil from Citrus aurantium was effective in reducing anxiety and stress levels in patients undergoing coronary angiography.