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Objectives: To measure rates of detection via screening, perceived self-imposed delays in seeking medical attention, and support seeking in a sample of regional and remote people with a cancer diagnosis and to test whether an association exists between these behaviours and minimising problems and resignation, a need for self-control and reliance and fatalism. Correlations and binary logistic regressions were conducted to test the associations between demographic characteristics, attitudes and behaviours.
Results: Females were more likely to have had their cancer detected via screening (OR = 10.02, CI = 3.49-28.78). Younger participants (r = -0.103, p = 0.009) were slightly more likely to seek at least one form of support and online support was sought more often by younger patients (r = -0.269, p < 0.001), females (r = 0.152, p < 0.001), those from higher socio-economic (SES) areas (r = 0.100, p = 0.012), and those with higher education levels (r = 0.247, p < 0.001). Younger (r = -0.161, p < 0.001), and female (r = 0.82, p = 0.013), participants were also slightly more likely to seek support specifically through cancer support groups. No significant relationships between minimising problems and resignation, needs for control and self-reliance or fatalism and detection via screening, support seeking, or perceived self-imposed delays to seeking medical attention were apparent, with the exception that those with higher fatalism (predetermined health) were slightly less likely to report seeking support or information online (OR = 0.79, CI = 0.65-0.95) and slightly more likely to report using Cancer Council's support services (OR = 1.24, CI = 1.02-1.52).
Conclusions: Strategies to improve the accessibility and appropriateness of support available for regional and remote cancer patients should consider interventions that remove barriers to access associated with age, gender, and education as opposed to those which address the attitudinal traits measured here.
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http://dx.doi.org/10.1002/pon.5643 | DOI Listing |
Huan Jing Ke Xue
January 2025
Institute of Mountain Resource of Guizhou Province, Guizhou Academy of Sciences, Guiyang 550001, China.
Exploring the trend of long time-series ecological quality evolution and spatial differentiation of influencing factors in Guiyang is of great significance for realizing regional ecological protection and high-quality development strategies. Based on the 7-period Landsat remote sensing images from 1991 to 2020, the remote sensing ecological index (RSEI) of Guiyang from 1991 to 2020 was calculated using the GEE remote sensing big data platform, and a geodetector, Hurst index, and coefficient of variation with different random sampling quantities and classification strategies were used to analyze the evolutionary pattern of ecological quality, change trends, and spatial differentiation influencing factors. The results showed that ① The ecological quality of Guiyang in the past 30 years was mainly medium and good, showing a wave-like pattern of change, with the highest and lowest values occurring in 2020 (mean value 0.
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College of Oceanography and Ecological Science, Shanghai Ocean University, Shanghai, 201306, China.
The COVID-19 lockdown created a unique opportunity to study the impact of reduced human activities on water quality. This study aimed to explore how changes in human activities, specifically reduced traffic emissions, influenced water quality in the San Francisco Bay Area from 2019 to 2021. Using chlorophyll-a (Chl-a) concentration as an indicator of water quality and NO₂ concentration as a proxy for traffic emissions, we analyzed the effects of reduced emissions on water quality across different regions of the Bay.
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