兒童早期長時間在綠自然戶外環境活動,對其腦結構發展有顯著的幫助,而幼稚園與小學期間多從事運動,在其小學與青少年階段的腦部工作記憶表現功能顯著高於運動量過低者。也有研究指出每天戶外活動2小時,光線進入眼球時會促進視網膜分泌多巴胺(Dopamine),這種神經傳導物質會抑制眼球的眼軸變長機制,因而避免或降低近視產生。
而下篇研究也發現在綠色戶外環境活動能顯著降地過動症症狀。
A Potential Natural Treatment for Attention-Deficit/Hyperactivity Disorder: Evidence From a National Study. October 2004, American Journal of Public Health 94(9):1580-6
Abstract
Objectives. We examined the impact of relatively “green” or natural settings on attention-deficit/hyperactivity disorder (ADHD) symptoms across diverse subpopulations of children.
Methods. Parents nationwide rated the aftereffects of 49 common after-school and weekend activities on children’s symptoms. Aftereffects were compared for activities conducted in green outdoor settings versus those conducted in both built outdoor and indoor settings.
Results. In this national, nonprobability sample, green outdoor activities reduced symptoms significantly more than did activities conducted in other settings, even when activities were matched across settings. Findings were consistent across age, gender, and income groups; community types; geographic regions; and diagnoses.
Conclusions. Green outdoor settings appear to reduce ADHD symptoms in children across a wide range of individual, residential, and case characteristics.
abstract sample 在 Roger Chung 鍾一諾 Facebook 的最佳解答
【最新學術文章】雖然香港政府的官方醫療政策是「確保市民不會因經濟困難而無法獲得適當的醫療服務」,我們的研究發現8.4%的受訪者因缺乏經濟能力而未在過去一年中尋求醫療服務!
標題:貧窮、患病、殘疾人士在香港獲取醫療服務的過程中,有甚麼經濟障礙呢?
摘要
雖然香港是世界上最富裕的城市之一,並擁有一些全球最佳的健康結果,如最長預期壽命,但目前對於因缺乏經濟能力而無法獲取醫療服務的人知之甚少。從第一波「香港貧窮與社會弱勢的趨勢及影響」問卷調查中,我們收集了2,233名18歲或以上參加者的橫斷面數據,並利用前向逐步邏輯回歸分析,評估了社會人口因素、生活模式、以及生理和心理健康,與因為缺乏經濟能力而無法獲取醫療服務的相關性。在2,233名受訪者當中,8.4%因缺乏經濟能力而未在過去一年中尋求醫療服務,而且這些人較大機會是貧窮人士。在生理和心理健康方面,與香港普遍人群相比,儘管他們患有多重病症的可能性較小,但他們的焦慮和壓力水平都較高,生理和心理健康相關的生活質素也較差,並且患有更嚴重的殘疾和的疼痛症狀,影響日常活動。因經濟障礙而無法獲取醫療服務的人士比香港普遍人士的生理和心理健康較差,這意味著一些有更大醫療需要的人士在接受及時和適當的醫療服務可能面對更大的經濟困難,這些研究結果顯示了香港面對醫療服務獲取不公的問題。
【New Academic Publication】Prof Samuel Wong and I along with the HK Poverty, Deprivation and Health Inequality Team has just published our new findings in Plos One -- 8.4% of people in HK did not seek medical care due to lack of financial means!!
Title: What are the financial barriers to medical care among the poor, the sick and the disabled in the Special Administrative Region of China?
Abstract
Although Hong Kong is one of the richest cities in the world and has some of the best health outcomes such as long life expectancy, little is known about the people who are unable to access healthcare due to lack of financial means. Cross-sectional data from a sample of 2,233 participants aged 18 or above was collected from the first wave of the “Trends and Implications of Poverty and Social Disadvantages in Hong Kong” survey. Socio-demographic factors, lifestyle factors, and physical and mental health conditions associated with people who were unable to seek medical services due to lack of financial means in the past year were examined using forward stepwise logistic regression analyses. Of the 2,233 participants surveyed, 8.4% did not seek medical care due to lack of financial means during the past year. They were more likely to be income-poor. With respect to physical and mental health, despite having less likelihood to have multimorbidity, they tended to have higher levels of both anxiety and stress, poorer physical and mental health-related quality of life, and suffer from more severe disability and pain symptoms affecting their daily activities, when compared to the rest of the Hong Kong population. People who were denied of medical care due to financial barriers are generally sicker than people in the general Hong Kong population, implying that those with greater healthcare needs may have financial difficulties in receiving timely and appropriate medical care. Our findings suggest that inequity in healthcare utilization remains a critical issue in Hong Kong.
abstract sample 在 Roger Chung 鍾一諾 Facebook 的最佳貼文
【公共衛生系列 -- 長達七年的研究終有成果!】我與Prof Samuel Wong、黃洪教授、我的博士學生及研究團隊的一篇有關貧窮與健康的文章在學術期刊"Quality of Life Research" (【生活質素研究】) 面世!我們將會從這研究項目出版一連串的研究結果,而這是打頭陣的第一篇。
My new academic paper on poverty and health has been published! After 7 years of hard work for this longitudinal study with Prof Samuel Wong, Prof Wong Hung, My PhD student Gary Chung and other research teammates, this is the first paper that comes out from the study!
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標題:匱乏貧窮與較差的身心健康有顯著關係:以人口為基礎的香港家庭調查
摘要
目的:雖然很多研究經常以收入來定義貧窮,但這實際上忽略了非金錢的資源及社會障礙對生活水平帶來的影響。有見及此,我們這個研究針對去測試在個人層面上對於物質及社會必需品的匱乏(而不只是收入貧窮)與一般身心健康之間的關係。
方法:2014至2015年間,我們以兩階段分層樣本方式隨機抽出2,282位居住在香港社區的成人。我們以收入貧窮與匱乏貧窮作為模型的主要自變數(即風險因素),而我們使用SF-12第二版來量度一般身心健康。
結果:我們的多分類順序變項邏輯迴歸模型顯示出,就算調整了收入貧窮、社會人口因素及生活方式後,匱乏貧窮與較差的身體健康(勝算比=1.66; 置信區間=1.25-2.20)及心理健康 (勝算比=1.83; 置信區間=1.43-2.35)仍然有顯著關係。而調整了匱乏貧窮、社會人口因素及生活方式後,收入貧窮與較差的心理健康(勝算比=1.63; 置信區間=1.28-2.09)仍然有顯著關係,但與較差的身體健康則只有邊緣關係(勝算比=1.34; 置信區間= 1.00-1.80)。
結論:收入未能解釋所有貧窮對於較差健康的影響,而對於物質及社會必需品的匱乏在收入貧窮之上也與較差的身心健康有顯著關係。政策不應該只集中派錢形式,而是需要考慮到貧窮的多元性(即包括金錢與非金錢的匱乏)來處理貧富之間的健康不平等問題。
Title: Deprivation is associated with worse physical and mental health beyond income poverty: a population-based household survey among Chinese adults.
Abstract
PURPOSE:
In studying health inequality, poverty as measured by income is frequently used; however, this omits the aspects of non-monetary resources and social barriers to achieving improved living standard. Therefore, our study aimed to examine the associations of individual-level deprivation of material and social necessities with general physical and mental health beyond that of income poverty.
METHODS:
A territory-wide two-stage stratified random sample of 2282 community-dwelling Hong Kong adults was surveyed between 2014 and 2015. Income poverty and a Deprivation Index were used as the main independent variables. General health was assessed using the validated 12-item Short-Form Health Survey version 2, from which physical component summary and mental component summary were derived.
RESULTS:
Our results in multivariable ordinal logistic regressions consistently showed that, after adjusting for income poverty, socio-demographic and lifestyle factors, being deprived was significantly associated with worse physical (OR 1.66; CI 1.25-2.20) and mental health (OR 1.83; CI 1.43-2.35). Being income poor was also significantly associated with worse mental health (OR 1.63; CI 1.28-2.09) but only marginally with physical health (OR 1.34; CI 1.00-1.80) after adjustments.
CONCLUSIONS:
Income does not capture all aspects of poverty that are associated with adverse health outcomes. Deprivation of non-monetary resources has an independent effect on general health above and beyond the effect of income poverty. Policies should move beyond endowment and take into account the multidimensionality of poverty, in order to address the problem of health inequality.
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