Cancer patients tend to have a high psychological burden. Half of cancer patients suffer from severe affective disorders and anxiety disorders, while one-third struggle with mild forms of these. The COVID-19 pandemic is damaging the mental health of the population due to social restrictions. A growing number of studies note the role of COVID-19 anxiety in the health and quality of life of cancer patients. The purpose of this study is to estimate the level of COVID-19 anxiety among oncology patients and to test the utility of the FCV-19S scale in a population study of cancer patients. The study included 600 respondents (300 oncology patients and 300 control subjects not undergoing oncological treatment). The FCV-19S scale and the GAD-7 scale were used in the study. The results were interpreted according to the following verbal scale: 76–100%, high anxiety; 56–75%, moderate anxiety; 26–55%, low COVID-19 anxiety; <25%, no COVID-19 anxiety. In the analysis of the GAD-7 questionnaire results, the mean score obtained was 8.21 (min. 0; max. 21; SD 5.32). For 81% of respondents in the group of oncology patients, the total score indicated the presence of anxiety symptoms with varying degrees of severity; in the control group, this proportion was 55% of respondents. The FCV-19S scale score as a percentage was 57.4% for oncology patients, indicating a moderate level of fear of the SARS-CoV-2 virus, and 30.3% for the control group, indicating a low level of fear of the SARS-CoV-2 virus. One-fifth of oncology patients were afraid of losing their lives due to the SARS-CoV-2 virus; in the control group, this proportion was 13% of respondents. Oncology patients were characterized by a higher prevalence of sleep disturbance than control group respondents, which was associated with greater anxiety. The study, therefore, shows that oncology patients have moderate levels of anxiety associated with the COVID-19 pandemic, and non-oncology patients show lower levels of anxiety.
The aim of this study was to create a Polish adaptation of the Tampa Scale of Kinesiophobia considering fatigue, and to verify the usefulness of the scale in the context of pain in cancer patients. The study was conducted at the Breast Cancer Unit, operating at the Greater Poland Cancer Centre, and at the Poznan Centre for Specialist Medical Services in Poznan. After considering the exclusion criteria, 100 people qualified for the interviews for the final study: 50 breast cancer patients and 50 healthy respondents (without cancer). Statistical analysis of the CFA score showed that the chi-square test was not significant (χ2 = 10.243, p = 0.332), indicating an acceptable fit of items across scales. The reliability of the internal consistency of the scales was tested by examining the Cronbach’s alpha scores for each question/statement. The mean values for this indicator were 0.74 for the pain-related scale and 0.84 for the fatigue-related scale. Construct validity was confirmed for the scales; AVE for the pain-related scale was 0.64 and for the fatigue-related scale was 0.68. The results suggest the validity of examining kinesiophobia in the context of pain- and fatigue-related mobility anxiety among breast cancer patients in Poland, and that the Tampa Scale of Kinesiophobia can be adapted for different dimensions of the condition. Both versions of the scale demonstrated adequately prepared parametric constructs, and all correlations showed a statistically significant relationship (p < 0.05). The use of the Tampa Scale of Kinesiophobia in oncology patient studies in Poland may ultimately improve rehabilitation programs and enable the development of strategies to assist patients in supporting treatment to reduce movement anxiety.
The growing incidence and prevalence of civilization diseases is prompting national and transnational entities to seek instruments that would reverse epidemiological trends. Not without significance is the need to design such solutions that are going to provide an improved relation between the costs incurred to maintain health or recovery and the profit for citizens of continuing to function in good health. In its strategic documents, the European Union indicates the most important development goals in each financial perspective and the tools necessary to achieve them. In the Europe 2020 strategy, a cohesion policy was indicated as an important tool for the implementation of development goals, focusing on supporting activities leading to the equalisation of economic and social conditions in all regions of EU countries. The implementation of one of the three basic priorities of the Europe 2020 strategy, which is inclusive growth—supporting an economy with a high level of employment and ensuring social and territorial cohesion—assumes, among others, that in 2020, the population at risk of poverty and social exclusion will decrease by 20 million and that the employment rate in the EU will increase to 75%. Meeting the objectives will not be possible without a holistic coordinated approach to healthcare at the national and regional level in accordance with the principle of “health in all policies”. It also requires the involvement of various sources of financing, including structural funds. The EU’s prioritisation of the problems related to ensuring decent conditions for achieving health resulted in the mobilisation of structural funds for actions taken in the healthcare sector. Of particular importance are those actions which are taken to prevent, alleviate, and prevent oncological diseases. An additional contribution to undertaking actions aimed at preventing oncological diseases are the high and often neglected social costs incurred by societies. The goal of the article was to identify and evaluate actions taken in this area in Poland. It was achieved by analysing the literature on the subject and statistical data, and conducting induction based on the above-mentioned sources.
In addition to low birth weight and intrauterine growth restriction, prematurity is a major problem in modern neonatology. The etiology of premature delivery is multifactorial, but maternal obesity has been indicated as an important risk factor for preterm birth. This study aimed to assess the relationship between early pregnancy body mass index (BMI) and the risk of preterm delivery according to gestational age. In the cohort of 2794 firstborns, preterm deliveries accounted for 9.1%. Of all deliveries, 16, 48, and 189 were classified as extremely preterm, very preterm, and moderately preterm deliveries, respectively. The risk of extremely, very, and moderately preterm deliveries increased with the increasing BMI, with the highest overweight and obesity-related risk for extremely and very preterm delivery. The rate of extremely and very preterm delivery among normal-weight women (BMI 18.5 ≤ 25) was 1.8%, while that among overweight and obese women (BMI ≥ 25) was 2.36%. The rate of all preterm deliveries (22 ≤ 37 weeks) was 8% for normal-weight women and 10.3% for overweight and obese women. Compared with normal-weight women, the adjusted odds ratio (95% CI) for preterm delivery in overweight and obese women was 1.33 (0.98–1.79). In Poland, being overweight and obese during pregnancy was associated with an increased risk of preterm delivery, especially extremely and very preterm delivery. This relationship should be assessed in other populations.
Introduction: The COVID-19 pandemic has significantly affected local governments involved in sports and recreation in designated areas. The unprecedented scale of the spread of the disease has led to increased research in the area of the disease, considering various correlations. However, little has been written about the impact of the pandemic on local government spending on recreation and sports services in Poland. Objective: The purpose of the article is to assess the level of local government involvement in the implementation of sports and recreation in Poland compared to other European Union countries, as well as changes in this level in connection with the emergence of the COVID-19 pandemic in the opinion of respondents. Methodology: In the study, the data regarding expenditures of local government units on recreational and sporting services collected in the Statistical Office of the European Union (EURO-STAT) for 2015–2020 were used. The survey portion was conducted among 1600 respondents who provided answers on a 5-item scale that addressed local government involvement in promoting physical activity among residents during COVID-19. Results and conclusion: Local government spending on recreational and sporting services in Poland between 2015 and 2019 increased by about 38%, from EUR 1524.7 million in 2015 to EUR 2103.5 million in 2019. This spending in 2019 was about 40% higher than the average for European Union countries. In contrast, in 2020 it amounted to more than EUR 1886 million and was more than 10% lower compared to the previous year (2019)—the pre-pandemic period. Despite the obstacles caused by the COVID-19 pandemic and budgetary constraints, cities in Poland took several measures in 2020 to maintain the current pace of development and strived to maintain the status of modern, green, and open, betting on balanced development also in aspects related to sports or culture. It was shown that the opinion of respondents mostly coincided with the existing financial state—in voivodeships where there had been a decrease in spending related to sports and recreation compared to the pre-pandemic period, residents are worse at assessing the activities of local governments related to promoting physical activity.
25 May 2022 in Journal of Education, Health and Sport
Physical inactivity is a major public health issue. For the prevention and management of noncommunicable diseases (NCDs), such as cardiovascular disease, type-2 diabetes, and a number of malignancies, regular physical activity is a critical protective factor. Along with helping to maintain a healthy weight and overall wellbeing, physical activity has positive effects on mental health, including the avoidance of cognitive decline and the symptoms of despair and anxiety. Local governments all across the world have responded to this problem by launching population-level projects that give locals access to exercise opportunities. Local governments, through the implementation of their own tasks of health promotion and protection, carry out public health tasks as defined by the Law of 11 September 2015 on Public Health. These tasks include activities in the area of physical activity. The aim of the article was to show the role of local government in promoting physical activity among the local community. The article discusses such issues as WHO recommendations for physical activity as well as activities undertaken by local governments in the area of health promotion in the form of health policy programs and activities carried out in cooperation with NGOs.