ABSTRACT Background Climate change poses serious risks to public health and psychosocial well‐being. Understanding the emotional and cognitive factors associated with climate‐related behaviors is essential for developing effective public health and nursing interventions. Purpose The study aimed to determine adults’ levels of climate change concern, hope for prevention, and disaster literacy, and to examine the relationships among these variables. Methods This descriptive correlational study was conducted with 615 adults selected through convenience sampling. Data were collected using the Climate Change Worry Scale, the Climate Change Hope Scale, and the Disaster Literacy Scale. Descriptive statistics, Pearson's correlation, and multiple linear regression analyses were performed. Results Participants reported moderate levels of concern, hope, and disaster literacy. Positive but weak correlations were found among the three variables ( r ≈ 0.23–0.35, p < 0.01). Hope for prevention (β = 0.30, p < 0.001) and climate change worry (β = 0.13, p = 0.001) were positively associated with disaster literacy in multiple linear regression analysis. The model explained 13.1% of the variance in disaster literacy. Conclusions Relationships among climate change concern, hope for prevention, and disaster literacy were statistically significant but weak. Enhancing public knowledge in this area may positively influence individuals’ perceptions and emotional responses to climate change. Implications for Public Health Nursing Public health nurses familiar with community contexts should take an active role in raising awareness about disaster preparedness and climate‐related risks. Community education initiatives should address disaster literacy alongside climate change worry and hope for prevention, and their effects should be evaluated in future intervention studies.
ABSTRACT Background Perceived accessibility of living environment dimensions can influence social participation. Objective This study investigated the association between perceived living environment accessibility and different aspects of social participation among community‐dwelling older adults. Methods A questionnaire was administered to 495 older adults using several validated scales. Measurements Social participation factors included social integration, social relationships, and electronic social networking. Environmental factors included immediate home, neighborhood, and environmental health. A scale measuring perceived accessibility of living environment was used. Correlation and hierarchical multiple regression analyses were performed. Social relationships and electronic social networking had the highest and lowest social participation scores, respectively. Results Significant associations were observed between most independent and dependent variables, especially “Environmental health.” When controlling for confounding variables, all prediction models were statistically significant. Among the independent variables, only “Environmental health” significantly predicted all community social participation variables. “Immediate environment” significantly predicted social integration and electronic social networking. “Neighbourhood accessibility” did not predict any social participation types. Conclusions Environmental Health is the strongest contributor to social participation. To promote older adults' health and well‐being, public health nurses, geriatric specialists and policymakers should focus more on environmental factors such as accessibility and safety, as well as on activity opportunities.
ABSTRACT This study aimed to map, identify, and synthesize women's experiences with human papillomavirus (HPV) self‐sampling in cervical cancer screening programs. The study was conducted as a scoping review, reported in accordance with PRISMA‐ScR. Studies involving women of all nationalities who had been offered HPV self‐sampling were included, of any qualitative study design, and published at any date in either English or a Scandinavian language. Systematic searches were conducted in the PubMed, CINAHL, PsycInfo, and EMBASE databases in May 2023, in September 2024, and in August 2025. Data were systematically charted by study characteristics, and the main findings were reported narratively. A total of 25 studies reporting qualitative or mixed methods were included. The synthesis resulted in three themes generated from the women's perspective: Women's perceptions of HPV self‐sampling , Women's experiences of health professionals’ HPV sampling , and Women's perceptions of community HPV sampling . Women experienced self‐sampling to be highly acceptable with feelings of control over their own bodies, comfort in the procedure, and time‐saving benefits. Some women experienced a lack of confidence in taking the sample themselves. The experience was influenced by the relationship with health professionals, for example, due to previous traumatic experiences, and by the women's immediate community, for example, relationships with other women or partners.
ABSTRACT This scoping review mapped and synthesized multilevel interventions that may mitigate disparities in prostate cancer early detection, guideline‐concordant treatment, and survival among Black men aged 40–75 in underserved Memphis communities. PubMed/MEDLINE, CINAHL, Embase, and Web of Science were searched for English‐language evidence published from January 1990 through September 2025. Two reviewers independently screened citations and extracted data, and findings were synthesized narratively following PRISMA‐ScR. Eight sources were included. Socioeconomic instability, insurance gaps, transportation constraints, limited health literacy and numeracy, medical mistrust, and clinician underrepresentation were associated with delayed or inequitable care. The evidence supported five connected themes: population and context, equity‐focused multilevel strategies, beliefs and psychosocial mechanisms, care processes and behaviors, and clinical and equity outcomes. Community‐embedded, equity‐focused strategies led by nurses and community health workers may help reduce prostate cancer disparities among Black men in Memphis. Direct evidence for Memphis‐specific interventions and Black male nurse representation remains limited.
