Meaning in Life and Mental Health Issues in Older Adults:A Meta-Analysis

This study aims to be the first to use meta-analysis to explore the relationship between meaning in life(MIL)and mental health issues among older adults.A meta-analysis was conducted using six databases,resulting in 16 studies with 5,074 participants in total.The“metacor”and“forestplot”packages in R-Studio were used for data analysis.The total effect was calculated using a random-effects model,with I2=86%in the heterogeneity test.The results showed a moderate negative correlation between MIL and mental health issues among older adults,with an average effect of−0.37.Five potential moderating variables were examined:the conceptualization of MIL(value vs.purpose),region(Asian vs.Western countries),residence status(community vs.nursing home vs.hospital),types of mental health issues,and evaluation methods(clinical vs.non-clinical).The first four had no significant moderating effect.The mean correlation coefficients between mental health issues and value/purpose were−0.49/−0.33;the mean correlation coefficients in Asian countries and Western countries were−0.48 and−0.34;the mean correlation coefficients among participants living in community/nursing home/mixed status were−0.33/−0.40/−0.40;the mean correlation coefficients between MIL and depression/others were−0.37/−0.35;however,the negative relationship between MIL and mental health issues was stronger when non-clinical evaluations(self-report only)were used.Specifically,the mean correlation coefficient for non-clinical evaluations was−0.42 and for clinical evaluations was−0.29.This study is the first meta-analysis to identify the negative correlation between older adults’MIL and mental health issues.Significant moderating effects of evaluation methods were found.

Qualitative Assessment of Table Salt Production Techniques in Southern Benin Republic, and Related Mangrove Destruction and Health Issues

This research was conducted in the framework of the feasibility study related to FOCUSED-Benin project, the 5th work package of the YES-PV NIG BEN project financed by the German Government through its Ministry of Research and High Education (BMBF). The FOCUSED Benin project’s major objective is to protect the environment through the utilization of solar energy for drying agricultural products and table salt harvesting. Salt is important in human daily life. It is used for conservation of food, softening water, industrial processes, road de-icing, food seasoning, etc. Seawater evaporation, salt mining, and salt brine are the major sources of salt production worldwide. However, in West Africa, particularly in Benin Republic, table salt is produced using methods that negatively impact the ecology of the mangrove. This study aimed at investigating the current status of salt production in Benin Republic, its impact on the mangrove and its related health issues. Field visits, meeting with associations of women salt producers in the coastal region of the country, allowed to quantify the number of women associations dealing with salt production, their difficulties, and the impacts on the mangrove. Salt is a seasonal activity and is produced from January to May. One kilogram salt production, along with health issues reported by salt producers, requires approximately 1 kg of firewood obtained by cutting down mangrove. Salt price varies from 250CFA (€0.38) to 400FCFA (€0.61) per kg depending on the season. The women salt producers are not aware of the ecological consequences of mangrove destruction. Sources of firewood are becoming increasingly scarce and prices prohibitive. Sensitization is not efficient. An alternative method of harvesting salt by solar drying and new ideas for implementing this activity in a participatory approach was discussed with the different associations of salt producers.

Increased alcohol consumption during the COVID-19 pandemic:A cross-sectional study

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic has significantly impacted health,mental well-being,and societal functioning,particularly for individuals with psychiatric conditions and substance use disorders.Recent evidence highlights a concerning increase in alcohol consumption during the pandemic,with a study spanning 2015-2020 indicating heightened usage,especially among young and middle-aged adults,for relaxation and tension relief.Additionally,addressing challenges exacerbated by the pandemic,another study underscored persistent barriers to healthcare access,resulting in increased alcohol and tobacco use rates and limited healthcare options.These findings shed light on the unique vulnerabilities exposed by the pandemic,emphasizing the need to investigate further its impact on alcohol consumption in diverse non-urban American communities.AIM To investigate the impact of the COVID-19 pandemic on alcohol abuse using socioeconomic and medical parameters in diverse non-urban community in America.METHODS Based on a cross-sectional analysis of 416 participants the United States in 2021,the study utilized The Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition criteria to categorize alcohol consumption levels.Participants aged 21 years and above were surveyed through an online platform due to COVID-19 challenges.The survey was conducted from January 14 to January 31,2022,recruiting participants via social media and ensuring anonymity.Informed consent was secured,emphasizing the voluntary nature of participation,and participants could only take the survey once.RESULTS Out of 416 survey respondents,396 met eligibility criteria,with 62.9%reporting increased alcohol consumption during COVID-19.Males(68.8%)and ages 21-29 years(34.6%)predominated.Low alcohol consumption decreased by 2.8%(P=0.237),moderate by 21.4%(P<0.001),and heavy increased by 14.9%(P<0.001).Alcohol abuse rose by 6.5%(P=0.0439),with a 7%increase in self-identified alcohol abusers/alcoholics.Seeking treatment during COVID-19 rose by 6.9%.Easier alcohol access(76.0%)was reported,while 80.7%found it harder to access medical care for alcohol-related issues.These findings highlight the pandemic's impact on alcohol consumption and healthcare access,emphasizing the need for targeted interventions during public health crises.CONCLUSION The COVID-19 pandemic exacerbated alcoholism and abuse,with increased heavy consumption(P<0.001)and abuse(P=0.0439).Access to medical programs for addressing alcohol abuse declined,highlighting the need for targeted intervention.

Expanding telemedicine to reduce the burden on the healthcare systems and poverty in Africa for a post-coronavirus disease 2019 (COVID-19) pandemic reformation

The coronavirus disease 2019(COVID-19)global public health emergency,has exposed the fragility of health systems.Access to healthcare became a scarce commodity as healthcare providers and resource-poor popula­tions became victims of the novel corona virus.Therefore,this study focuses on Africa’s readiness to integrate telemedicine into the weak health systems and its adoption may help alleviate poor healthcare and poverty after COVID-19.We conducted a narrative review through different search strategies in Scopus on January 20,2021,to identify available literature reporting implementation of various telemedicine modes in Africa from January 1,2011 to December 31,2020.We summarized 54 studies according to geographies,field,and implementation methods.The results show a willingness to adopt telemedicine in the resource-poor settings and hard-to-reach populations,which will bring relief to the inadequate healthcare systems and alleviate poverty of those who feel the burden of healthcare cost the most.With adequate government financing,telemedicine promises to enhance the treating of communicable and non-communicable diseases as well as support health infrastructure.It can also alleviate poverty among vulnerable groups and hard-to-reach communities in Africa with adequate government financing.However,given the lack of funding in Africa,the challenges in implementing telemedicine require global and national strategies before it can yield promising results.This is especially true in regards to alleviating the multidimensionality of poverty in post-COVID-19 Africa.

A Comparison of Three Surrogacy Agreement Cases Using AHP

This paper builds on the previous work of Knott, Ninassi and Eisenhardt＇s 2009 paper, ＂Using the Analytic Hierarchy Process （AHP） to Look at the Tradeoffs Among Stakeholders in the Case of Surrogacy, when the Initial Intention of the Parties Involved Change After the Pregnancy Has Ensued＂. This paper proposes a new methodology for analyzing cases involving stakeholders in disputed surrogacy arrangement. The methodology utilized is the Analytic Hierarchy Process, which allows users to weigh different criteria based on their own opinions and background. Three case studies involved a surrogacy arrangement among three stakeholders： the biological mother, the biological father and the surrogate mother. The base for the model was that all parties had entered into an agreement, and that after the agreement had been made, a situation changed, such that a decision as to who had parental rights over the fetus became an issue. The criteria used in the decision making process in the three case studies were legal, health and ethical. The criteria differed based upon each stakeholder＇s point of view. In this paper, the three models were developed using the AI-tP methodology and judgments were gathered for each of the three cases to derive the priorities for the criteria in each model. Each author took the role of one of the three stakeholders.

Pesticide Contamination in Land Reform Settlements in Brazil： Empirical Evidences from Caiaponia, Goias State

Brazil is the largest consumer of pesticides worldwide. Public health studies in Brazil show that inadequate use of pesticides increases the incidence of accidents and contamination of poor rural communities. This study sought to identify factors that determine the occurrence of problems with pesticides in a typical Brazilian land reform settlement. The study was carried out in Caiaponia, Goias state. In the empirical analysis, the econometric model pro bit was used. The dependent variable was the existence of health problems in the family setting that are caused by pesticides. The independent variables were the family size; the attendance to any church, whether Catholic or Protestant; if farmers received any technical assistance; the current health condition of the family, and if there are exacerbated erosion problems on the farm. Data from 28 farmers were collected through a structured questionnaire. Among the main findings, larger families have a higher probability of accidents involving pesticides. The current healthy conditions of family and the problems of soiled gradation in the farm imply are duction in the likelihood of contamination with pesticides. These two results indicate that rural households that have good health condition and have experienced environmental degradation on their farm have higher environmental awareness.