Preparedness,knowledge,and perception of nursing students about climate change and its impact on human health in India

Higher education plays an important role in all aspects of sustainability.Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health systems.In this study,we evaluated the preparedness,knowledge,and perception regarding climate change and its impact on human health among Indian nursing students.A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern,northern,and western parts of India.We used a structured online questionnaire with established validity and reliability to collect data.The data were analyzed using Statistical Package for the Social Sciences version 26 software.The results showed that more than half of the students reported experiencing excessive increase(362;56.2%)and decrease(374;58.1%)in temperature in recent years.Though more than three quarters of the students(494;76.7%)accepted the general truth that climate change is mainly caused by human activities,only less than half of the students(309;48.0%)perceived the impact of climate change to be high.Three quarters of the students(483;75.0%)had a high level of knowledge regarding climate change.The students who had a high level of knowledge about climate change exerted a high perceived impact of climate change(χ^(2)=75.47;P<0.01).More than half of the students(50.9%)felt that they needed information about climate change to be included in the nursing curriculum,and only one sixth of the students(16.1%)were highly confident about engaging in climate change-related conversation with patients.Most of the students who participated in the study had basic knowledge about climate change and its impact on human health.However,there is an observed gap between knowledge and their preparedness and confidence to engage in climate change actions.Hence,we propose to strengthen the nursing curriculum by integrating various curricular and co-curricular activities related to climate change,so that future nurses are empowered to become climate change advocates.

A Bibliometric Analysis of Positive Mental Health Research and Development in the Social Science Citation Index

Background:This study aimed to conduct a bibliometric analysis of positive mental health,focusing on citation performance,article title,abstract,author keywords,Keyword Plus,and their development trends.The novelty of this study is a pioneer within the field of positive mental health.Therefore,it delivered new ideas for researchers and practitioners who had concerns about positive mental health in terms of trends research which covered recommended articles and the research focus in recent years.Methods:The data were retrieved on 30 April 2024 from the Social Sciences Citation Index(SSCI)of Clarivate Analytics’Web of Science Core Collection for studies published between 1992 and 2023.Results:The distribution of keywords in the article title and keywords chosen by the authors were used to assess research trends.1391 documents in SSCI were found during the search;1221 of these were document-type“articles.”524 journals published these publications.The most frequently used keywords by the writers,according to the articles’analysis,are“depression,”“resilience,”“COVID-19,”“anxiety,”and“social support.”Kristin D.Neff wrote the most frequently cited paper in 2003.Most articles came from Europe(five countries),America(two countries),Asia(two countries),and Oceania(one country),and were published in English.The majority of the research in the field of positive mental health is conducted in Europe and America,two regions where English is the primary language.The main research topics in positive mental health were related to adolescents,children,and college students.Conclusion:Trends research through bibliometric analysis by using data from Web of Science Core Collection should be followed by manual inspection to avoid errors.Therefore,scientists need more careful data examination in bibliometric analysis.

Association between Mental Health Literacy and Workplace Well-Being of Chinese Grassroots Civil Servants:The Chain Mediating Effects of Regulatory Emotional Self-Efficacy and Resilience

This study aimed to investigate the relationship between mental health literacy(MHL)and workplace well-being(WWB)of Chinese grassroots civil servants,with regulatory emotional self-efficacy(RESE)and resilience as mediating variables.A questionnaire survey was conducted among Chinese grassroots civil servants,with a valid sample size of 2673 after excluding missing values and conducting relevant data processing.The PROCESS was used to examine the relationship between MHL,RESE,resilience,and WWB.The study found that MHL among grassroots civil servants was positively and significantly correlated with WWB(r=0.73,p<0.01).RESE partially mediated the relationship between MHL and WWB(β=0.25,95%CI[0.22,0.28]).Resilience partially mediated the relationship between MHL and WWB(β=0.22,95%CI[0.19,0.26]).MHL had a positive effect on WWB through the chain mediating effect of RESE and resilience(β=0.05,95%CI[0.03,0.07]).There is a close relationship between MHL and WWB,where Chinese grassroots civil servants with higher levels of MHL can develop stronger RESE and resilience,leading to higher WWB.The results of this study remind organizational institutions of Chinese grassroots civil servants that enhancing MHL,RESE,and resilience is an important pathway to promoting their WWB.

Advancing One Health education:integrative pedagogical approaches and their impacts on interdisciplinary learning

One Health is an integrative approach that emphasizes the interconnectedness of human,animal,and environmental health,advocating for collaborative,multidisciplinary efforts to address health challenges,particularly amid globalization and emerging threats.This paper examines the integration of One Health principles into global health education,highlighting the importance of interdisciplinary collaboration and innovative pedagogical approaches.It evaluates various teaching methods,including problem-based learning(PBL),team-based learning(TBL),simulation-based education(SBE),case-based learning(CBL),interdisciplinary workshops and seminars(IWS),and service-learning(SL),analyzing their strengths and weaknesses in fostering interdisciplinary understanding and practical application of One Health concepts.While these methods enhance learning by promoting critical thinking,collaboration,and real-world application,they also face challenges such as resource constraints,variability in group dynamics,and the complexity of assessing long-term learning outcomes.The paper also discusses the role of global partnerships,such as the Global One Health Research Partnership(GOHRP),in advancing One Health education through collaborative research and educational initiatives.Addressing challenges in curriculum integration and interdisciplinary collaboration is crucial for the effective implementation of One Health education,ensuring that future health professionals are equipped to tackle complex global health challenges.

义务教育体育与健康课程中运动技能教学若干关键问题审思

运动技能是体育与健康课程中的主要教学内容,包括基本运动技能内容和专项运动技能内容。如何根据学生身心发展规律、运动技能形成规律和学生体育学习特点进行运动技能的教学设计和实施,对于学生更好地掌握和运用运动技能,发挥运动技能对培养核心素养、增进身心健康的作用具有重要意义。分析小学是否应采用自主运动选项教学和走班制形式、基本运动技能是否应在整个义务教育阶段进行专门教学、专项运动技能是否应按照年级划分等级3个理论和实践问题,认为,小学不应采用自主运动选项教学和走班制形式,基本运动技能在小学1~2年级进行专门教学更科学合理,按照年级划分专项运动技能等级不符合课程标准的精神和学生体育学习特点。正确认识和理解这3个问题,有助于提升体育与健康课程运动技能教学和评价的科学性和有效性,提高体育与健康教育教学质量,促进学生享受运动乐趣、掌握运动技能、实现健康发展。

The Criticism and Amendment for the Dual-Factor Model of Mental Health: From Chinese Psychological Suzhi Research Perspectives

Aiming at the limitations of psychopathology (PTH), the dual-factor model of mental health (DFM) was proposed as a new mental health concept and methodology under the background of positive psychology trend. In this paper we propose giving an overview of DFM, and doubt, criticize, and modify DFM from the perspective of Chinese psychological suzhi research. The available literature from 1983 to 2012 that is related to DFM and concerning psychological suzhi research in the past 20 years has been reviewed. In addition, we also absorbed the idea of positive psychology and Traditional Chinese Medicine (TCM) Constitution theory to develop theoretically the relationship model between psychological suzhi and mental health. The relationship model between psychological suzhi and mental health modifies and transcends PTH and DFM. It will be the new research area of mental health research.

Fear of missing out: A brief overview of origin, theoretical underpinnings and relationship with mental health

Fear of missing out(FoMO)is a unique term introduced in 2004 to describe a phenomenon observed on social networking sites.FoMO includes two processes;firstly,perception of missing out,followed up with a compulsive behavior to maintain these social connections.We are interested in understanding the complex construct of FoMO and its relations to the need to belong and form stable interpersonal relationships.It is associated with a range of negative life experiences and feelings,due to it being considered a problematic attachment to social media.We have provided a general review of the literature and have summarized the findings in relation to mental health,social functioning,sleep,academic performance and productivity,neuro-developmental disorders,and physical well-being.We have also discussed the treatment options available for FoMo based on cognitive behavior therapy.It imperative that new findings on FoMO are communicated to the clinical community as it has diagnostic implications and could be a confounding variable in those who do not respond to treatment as usual.

Primary and secondary school mental health teachers in professional identity of intervention programs

To explore the impact of teacher training on the professional identity of primary and secondary school mental health teachers, this study conducted a half-month professional development training program to 54 primary and secondary school mental health teachers, and performed measurement on the professional identity of the teachers in the experimental group and the control group with “Teachers’ Professional Identity Questionnaire”. The result shows that after the training there is a significant improvement in the professional identity of the teachers in the experimental group, and the teachers’ scores on the four dimensions of profession identity: the sense of role, the professional behavioral tendency, the occupational values, and the sense of belonging, all increased significantly. This indicates that the curriculum intervention for the primary and secondary school mental health teachers could effectively improve the teachers’ professional identity.

The Health and Well-Being among Children with Diabetes and Low HbA1c—A Qualitative Study in Sweden

Aims and objectives: To examine health and well-being, as well as the need for support among children and parents where the child has T1DM with low HbA1c (Introduction: Studies have shown that children with diabetes type 1 (T1DM) rate their lives as worse than healthy peer ratings. In Sweden, views have been expressed that children, as well as their parents, feel pressurized by the diabetes teams to achieve low HbA1c values, which can lead to poorer mental health for the family. Design: A qualitative study. Methods: A consecutive sample of 11 children and their parents (one father, ten mothers) was interviewed together but individually guided by a semi structured interview guide. Interviews were analyzed using thematic content analysis. Results: Four main categories were consistent across children and their parents;1) attitude to the illness, 2) sadness about diabetes, 3) the importance of the social network, and 4) the importance of the diabetes team. Worries about hyperglycemia were more prominent than worries about hypoglycemia in both children and parents. A distinguishing feature of the interviewed children was that they were responsible, strict and targeted. Many of them were competitive and took part in various sports, even at a very advanced level. Conclusions: This study shows that children with low HbA1c values experience good health and good well-being. Family support, good planning, and high acceptance of their illness contributed to this.

Potentially traumatic events,coping strategies and associations with mental health and well-being measures among conflict-affected youth in Eastern Democratic Republic of Congo

Background:Youth in conflict and post-conflict settings are exposed to a variety of potentially-traumatic events that impact their mental health and well-being.The purposes of this study were to examine coping strategies among conflict-affected youth exposed to potentially-traumatic events and the relationship to psychological symptoms and well-being in the Democratic Republic of Congo(DRC).Methods:A total of 434 male and female youth(ages 10–15 years)completed data collection with a trained Congolese interviewer.The survey instrument included measures of exposure to potentially traumatic events,an adapted coping strategies checklist,and measures of psychosocial distress and well-being.Exploratory factor analyses was used to identify coping strategies and Hierarchical regression was used to assess how coping strategies were associated with psychological symptoms including internalizing and externalizing problems and well-being outcomes including prosocial behavior and self-esteem.Results:Exploratory Factor analysis suggested four coping strategies;problem-focused,emotion-focused,avoidance and faith-based strategies.Problem-focused coping strategies were associated with greater internalizing and externalizing problems and lower prosocial behavior in both boys and girls.However,when problem-focused strategies were used with emotion-focused coping strategies,the result was fewer internalizing problems in girls and fewer externalizing problems in boys and girls.Emotion-focused,avoidance and faith based strategies were associated with better self-esteem.Conclusion:These results suggest a complex relationship between coping strategies,psychological symptoms and well-being and contradict evidence that problem-focused strategies benefit mental health while emotion-focused strategies harm mental health,particularly in conflict and post-conflict settings.The results suggest coping flexibility,or use of multiple coping strategies may be particularly useful to improving mental health and well-being.The need for context specific understandings of coping strategies in conflict-affected populations is highlighted by the results of the study.

Exploration of functional health, mental well-being and cross-sex hormone use in a sample of Thai male-to-female transgendered persons （kathoeys）

Transgender people sometimes use cross-sex hormones without medical supervision. The use of cross-sex hormones, as well as the functional health and mental well-being, among male-to-female transgendered people （＇kathoeys＇） in Chiang Mai, Thailand, was studied. Sixty kathoeys were interviewed regarding their use of cross-sex hormones and their familyrelationships. Individuals also completed the Life Orientation Test Revised （LOT-R） to assess dispositional optimism, the Social Functioning Questionnaire （SFQ） and the Short Form Health Survey 36 （SF-36）. Three categories were established as follows： those who never cross-dress, those who sometimes cross-dress and those who always cross-dress in public. Of the 60 subjects, 44 had used hormones for prolonged periods （9.7＋6.1 years）. Their use was related to the permanence of cross-dressing but unrelated to functional health and mental well-being. Fifty percent of subjects had overdosed on commonly used oral contraceptives. Three people used injectable oestrogen in a higher-than-recommended dose. Self-acceptance was high or reasonably good （83%） compared to no acceptance （17%）, and neither was related to the permanence of cross-dressing. Their acceptance by parents and siblings was also relatively high （85% and 89%, respectively）. The permanence of cross-dressing had no effect on the scores of optimism, SF-36 scores and social functioning. Acceptance by oneself or one＇s parents did not seem to affect most aspects of functional health and mental well-being, but non-acceptance by siblings generated lower scores on the social functioning and general mental health subscales. Stressors tended to include physical rather than social factors. In conclusion, the unsupervised use of cross-sex hormones was common among kathoeys, and 50% of the sample had overdosed on them. Acceptance was relatively good, except by siblings. New strategies are needed for a more responsible use of cross-sex hormones.

Perception of Student Life as Promoting Mental Health and Well-Being. A Study of First-Year Students in a Norwegian University

In Norway,300,000 people attend higher education.Elsewhere in Europe,student numbers are also high.In Great Britain,1.9 million people attended higher education in the academic year 2018–2019.This is a substantial part of the population,and the mental health and well-being of students are of prime importance.Thefirst year as a university student is a transitional period characterized by significant changes and constitutes an essential fundament for students in their student life and later.An increasing number of students report having mental health problems to various degrees.Identifying the variety of perceptions of what may promote mental health and well-being is therefore of importance.This study aims to explore whetherfirst year students in higher education perceive student life as promoting their mental health and well-being.Twenty students were interviewed(n=20).Phenomenographic analysis was used to reveal variation in the students’perceptions.Two descriptive categories were constructed,“The need to belong”and“The need for support,”withfive conceptions:the importance of the sponsorship week,small groups as a place to belong,being patient,a supportive environment and the university as a facilitator.How a sense of belonging and a sense of support was achieved varied among the participants,and the solution for how to achieve this lies in the students themselves,the way the university organizes the programmes and how the students are met by the administration,lecturers and fellow students.

Competency-based curriculum education in mental health nursing

Introduction: The essential problems in providing quality and safety services to patients, rapid changes in health care settings as well as information technology require educational revision. Competency-based curriculum focuses on set of skills that students should achieve. This study reviewed characteristics of competency-based curriculum in psychiatric nursing. Methods: A literature review about a competency-based curriculum in psychiatric mental health nursing was carried out by searching databases including Iran Medex, Iran Doc, and Pub Med with key words such as competency-based education, competency-based curriculum, and competency-based curriculum in psychiatric mental health nursing. No time limitation was considered. Results: Results revealed that over 30 literatures have been done about nursing curriculum, but just several studies were done regarding competency-based curriculum and just a few about competency-based curriculum in psychiatric mental health nursing. Conclusion: Competency-based curriculum development is one of the essential steps to facilitate teaching-learning process. The revision of curriculum may decrease theory-practice gap and pave the way for graduates to have essential competences for their roles.

Exploring the Impact of Crisis and Trauma on the Mental Health and Psychological Well-Being of University Students in Northern Haiti

In recent decades,Haiti has been subject to man-made and natural disasters that have left its citizens vulnerable to a range of shocks.With a weak state unable to protect its populace,Haitians are exposed to some of the highest levels of poverty and violence in the Western Hemisphere.In recent years,Haitians have experienced two crises that this study analyzes:the instability and political violence of“peyi lòk”as well as the global pandemic of COVID-19.This community-based assessment explores the impact of these two crises on the mental health and psychological well-being of 38 Haitian university students in the understudied northern part of the country.Results indicate that both crises had similarities related to their psychological effects on young people,most notably in terms of traumatic experiences related to threats or violence,forced confinement,and large increases in population-wide uncertainty.Additionally,the extreme violence of“peyi lòk”and the widespread unpredictability of COVID-19 and its effects in the early days of the pandemic resulted in high levels of stress and fear.Both crises also resulted in extreme economic hardship for students,with many reporting difficulties accessing basic needs such as food and water.This study highlights how converging population-level crises in“complex emergencies”can heighten trauma and compromise mental health.

Communicating Different and Higher across the Praxis of Bloom’s Taxonomy While Shifting toward Health at Every Size (HAES)

The majority of recent studies on prevention and control of childhood obesity focus on methods for achieving weight loss. In contrast, the Health at Every Size (HAES) paradigm fosters improved health behaviors for people of all sizes by emphasizing natural diversity of body type and attention to social, emotional, and spiritual factors in addition to physical ones. This study examined introduction of the HAES paradigm to student teachers using different communication models while moving across the learning domains of Bloom’s Taxonomy. The qualitative research tested a face-to-face verbal communication model and a Computer-Mediated Communication (CMC) module and its blog. It was also based upon reflection diaries recorded by participants using both models. Participants included Druze, Jewish, and Bedouin students at a teacher training program in northern Israel. The student teachers succeeded in developing the HAES concepts further while demonstrating the higher domain levels across Bloom’s Taxonomy. These higher levels emerged when engaging with theoretical concepts and practical dilemmas relating to the HAES concepts of health promotion, body image, well-being, and self-worth. Challenging the appreciation of HAES using different communication models can be translated into diverse contexts of Health Education Practices.

Determinants of Positive Mental Health in Adolescents–A Cross-Sectional Study on Relationships between Positive Mental Health, Self-Esteem, Character Strengths and Social Inclusion

Adolescence is a crucial time period with especial vulnerability for development of mental health problems.Growing interest is focusing on the determinants of positive mental health in order to find the key concepts that could be influenced in the promotion of mental well-being of adolescents.In this study we aim to explore the relations between self-esteem,character strengths and experience of social inclusion as determinants of adolescents’positive mental health controlled for selected sociodemographic background factors.The study population(n=195)consisted of comprehensive school students who filled in an electronic questionnaire of adolescent’s mental well-being in Fall 2019.The questionnaire included measures of Warwick-Edinburgh Mental Well-being Scale(WEMWBS),VIA Youth-measure 96,Rosenberg Self-Esteem Scale and Experience of Social Inclusion Scale.The methods included group comparisons and General Linear Model computed by SPSS 24.0.The strongest association was found between positive mental health and self-esteem(β=0.789,p<0.001),followed by character strengths of hope and kindness and experience of social inclusion.Interestingly,family’s socioeconomic factors did not associate significantly with positive mental health in the final statistical model.In terms of our results,it seems that self-esteem,character strengths and experience of social inclusion might have stronger association with adolescents’mental well-being than family’s socioeconomic determinants.Therefore,it should be discussed whether psychological determinants overcome the individual effect of poor socioeconomic status as factors that influence positive mental health.Further studies are needed to establish these results more firmly.

A Modern Framework of Adolescence Health Programs

Adolescence represents a sensitive time period during an individual’s development during which physical, psychological, and social risk factors for non-communicable diseases are established. As such, there is a necessity to engage adolescents in planning and decision-making processes that will affect their future health. This paper describes the need for more innovative and transversal actions, starting from the utility of a multidisciplinary and systemic approach to health. One way in which this can be achieved is by shifting adolescent health programs (AHPs) from a clinically oriented to an education-based model. In particular, AHPs need to consider a personalized and systemic approach to the well-being of adolescents in order to potentiate their strengths and improve weaknesses, enhancing self-esteem, empowerment, and resilience. This is in line with the complexity of human physiology and psychology, as well as scientific evidence showing that several factors significantly influence health status including lifestyle, social context, emotional experiences, and cognitive skills, as demonstrated by the AVATAR Project (“A new purpose for promotion and eVAluation of healTh and well-being Among healthy teenageRs”). This project—which provides a new framework for AHPs—was carried out in Italy and enrolled healthy students as subjects, and aimed to promote well-being in adolescents using a systemic and multistake-holder approach that involved creating a network composed of the different figures and environments around adolescents and moving toward a more school-based and student-centered approach to adolescent health education.

Clinical, Hematological and Biochemical Health Benefit Effects of Hibiscus sabdariffa Lin Dried Calyces Beverage in Human

Background/Objective: This study was carried out to investigate the health benefit effects of Hibiscus sabdariffa Lin (H. sabdariffa L.) dried calyces beverage on some clinical, biochemical and hematological parameters in humans. Methods: The dried calyces were harvested in the two regions (Adamaoua and West) of Cameroon. The proximate, mineral composition and phytochemical screening were evaluated. A standardized extraction procedure was set up and from the calyces;we prepared a drink for 32 male volunteers’ subjects aged from 21 to 32 years, specially recruited for the experiment. Each participant consumed 500 mL twice a day (in the morning and in the evening) as supplement beverage during two weeks. The anthropometrics (age, height, weight, body mass index (BMI)), clinical (systolic and diastolic blood pressure), hematological (RBC, Hb, PCV, MCV, MCH, MCHC, WBC, Lymphocytes, MID cells, Granulocytes, platelet and MPV) and biochemical (TC, HDL-C, LDL-C, TG, serum iron, blood glucose, creatinine, urea, ASAT and ALAT) parameters were determined in the blood on days 0 and at the end of each week. Results: Crude protein, lipid, fiber and ash content of calyx ranged respectively from 4.57 - 5.98, 10.10 - 11.33, 20.39 - 22.30 and 9.15% - 10.38% while the levels of minerals were ranged from 512.0 - 740.6, 77.8 - 177.7, 52.84 - 52.85, 1.10 - 2.10, 41.2 - 119.5, 3.25 - 8.20 and 0.56 - 17.5 mg/100g respectively for Ca, Mg, K, Na, P, Fe and Zn. The phytochemical screening tests revealed the presence of alkaloids, flavonoids, tannins, phenols and anthocyanins on methanol and aqueous extracts. A significant increase of RBC, Hb, PCV, MPV, HDL-C, TG and creatinine and a significant decrease of WBC, MID cells, LDL-C and TC (p < 0.05) were observed during the study period. Furthermore, there was no significant change on BMI, MCV, MCH, MCHC, lymphocyte, granulocyte, platelet, serum iron, blood glucose, ASAT, ALAT and urea levels. Conclusion: H. sabdariffa L. dried calyces from Cameroon are rich sources of crude fibers and minerals. The H. Sabdariffa L. dried calyces drink can be safely used for people suffering for anemia. It also revealed good cholesterol lowering potential. No hepatoxicity and no kidney damage have been observed as far as serum enzymes were concerned.

Effects of a Food Supplement with a Wild Thyme (Thymus serpyllum L.) Extract on Gut Health and the Microbiome in Humans: A Randomized, Double-Blinded, Placebo-Controlled Clinical Trial

Background: Based on the scientific and traditional knowledge, benefits for gut and digestive health were expected from Wild Thyme (Thymus serpyllum L.) extract (WThE) consumption, but no controlled human studies were performed yet to prove the proposed health benefits. Method: The aim of this human randomized, double-blind parallel arm pilot study was to explore the impact of aqueous Wild Thyme extract, a food supplement, in a healthy but overweight study collective (N = 40). In detail, the impact on digestion, gastrointestinal symptoms, gut microbiome, and quality of life by employing an essential oil-free WThE preparation or a matching placebo was investigated. Results: The study results indicate that WThE has the potential to improve gastrointestinal symptoms and increase stool frequency, thus an improved quality of life was observed. The stool microbiome of study collective was characterized by a high Firmicutes to Bacteroidetes ratio. A decrease in the mean Firmicutes/Bacteroidetes ratio was seen in WThE group. Conclusion: The data support the potential applications of WThE as a food supplement with benefits on gut health.

Social demographic factors and leisure time physical activity influencing the self-rated health and happiness of Chinese people

Background and aims:The holistic definition of health is not merely the absence of disease or infirmity,but a state of complete physical,mental,and social well-being.However,related research on the influencing factor of self-rated health and happiness have generally remained separate.Therefore,this study aimed to 1)find individual level determinants of the two facets of health;and 2)investigate the covariance of the two facets of health within individual levels.Methods:Multivariate multilevel analysis of self-rated health and happiness at level 1,were nested within 10,968 people at level 2.Data were obtained from the 2015 Chinese General Social Survey.Results:Lower happiness and self-rated health were found in 1)females;2)the elderly;3)people with a lower educational level;4)people who were presently single;5)people with a lower self-rated economic status;6)people who resided in urban areas;and 7)people with sedentary lifestyles as compared to those in other categories of the same variable.After adjusting the related individual level determinants,the correlation coefficient of two facets of health at the individual level is 0.19,which indicates that no robust covariance was observed.Conclusions:The current study indicates the existence of disparity in the subjective physical and psychological dimensions of health among the elderly in China.Our findings emphasize the importance of paying attention to different aspects of health simultaneously in investigations and the benefits of leisure time activities.