Background: Allergic rhinitis (AR) is a worldwide health problem with rising prevalence. To enhance the estimation of AR prevalence in epidemiological studies, the Score for AR (SFAR), a screening tool, has been developed and widely used. An 8-item SFAR is a handy, self-administered instrument assessing the information on nasal and eye symptoms, seasonal increase in symptoms, skin test results, and previous AR diagnoses. This study aimed to adapt the SFAR to the Chinese population (CSFAR) and validate it by testing its psychometric properties and diagnostic accuracy. Methods: This methodological study involved translation and validation phases. Different batches of participants were recruited for the above purposes. Results: In phase 1, the CSFAR obtained satisfactory item (80-100%) and scale level (97.8%) semantic equivalence, content validity index (96.7%), comprehensibility (100%), cross-language testing (κ = 0.44-0.83 for item-to-item agreement; intraclass correlation coefficient [ICC] = 0.95, p < 0.05-0.001). In phase 2, CSFAR showed satisfactory internal consistency (α = 0.83), 1-month (ICC = 0.88) and 1-year stability (ICC = 0.85), and construct validity (significant correlation between CSFAR and impairments induced by AR: r = 0.47, p < 0.001). Based on the receiver-operating characteristic curve, comparing the CSFAR with diagnosis made by specialists, an optimal cutoff value was 6 (sensitivity 81.8% and specificity 80.3%). Conclusion: SFAR was translated into a Chinese version, the CSFAR. Satisfactory results were obtained for its equivalence, appropriateness, comprehensibility, and relevance, as well as its reliability and validity. A cutoff value of 6 was recommended to increase the diagnostic accuracy in environments with less pollen. This study provides evidence that the SFAR we adapted for the Chinese population is a valuable tool in AR screening.

Attempts to meet the increasing demand for long-term care (LTC) services have been hindered by acute staff shortages and high turnover. Distinct from previous studies, a descriptive phenomenological approach with van Kaam's controlled explication method was adopted in this study, to delineate how attributes of the LTC work environment shape the workforce crisis. Individual interviews were conducted with 40 LTC workers from 10 facilities in Hong Kong. The results suggest that the work environment in LTC facilities is not only characterized by organization- and job-related attributes that influence staff outcomes but also is a socially constructed concept with derogatory connotations that can influence staff recruitment and retention. Concerted efforts from facility administrators and policy makers are needed to improve the quality of the work environment. Future initiatives should focus on developing a vision and strategic plan to facilitate the rise of the LTC sector as a profession.

Developing a healthy lifestyle during adulthood is one of the essential factors to prepare for healthy aging. This cross-sectional descriptive study investigated the daily walking steps of 893 working adults from nine occupation categories in Hong Kong. Their daily walking steps were measured using a pedometer. Analysis of variance (ANOVA) was used to compare the difference in daily walking steps between participants in different occupation category. Chi-square test was used to compare the difference in proportion of working adults in each occupation category who walked and did not walk 10,000 steps per day. Results reveal that the participants in average walked 8661 steps per day. "Plant and machine operators and assemblers" and "clerks" were the two least active groups. Participants from the nine occupation categories demonstrated a significant difference in the number of daily walking steps. Post hoc analysis revealed a significant difference between "plant and machine operators and assemblers" and "service workers and shop sales workers" (p < 0.01), as well as between "plant and machine operators and assemblers" and "craft and related workers" (p < 0.01). Participants from the nine occupation categories also demonstrated a significant difference in the proportion of those who walked and did not walk 10,000 steps per day. Owing to a large difference in number of participants in the nine occupation categories and other study limitations, further systematic investigation is indicated to confirm the study results. To summarize, working adults in Hong Kong are only somewhat active. Identifying the factors that deter the working adults from walking and the ways to promote walking among working adults is necessary to prepare a healthy older population of the future.

This study aims to assess the relationship of the levels of physical activities among working adults over a period of seven consecutive days, between working days and days off. This cross-sectional study used a sealed pedometer to measure the physical activity of working adults in terms of their number of daily walking steps on working days and days off. A voluntary sample of 745 working adults aged 18-64, who were recruited from different occupational categories in Hong Kong, had completed the study. The participants were fairly active when compared against the recommended levels of physical activity. The average daily walking steps reached 8,400 over a period of seven consecutive days. A significant difference was found between the number of walking steps on working days and that on days off. Two groups of working adults who walked less at work were plant and machine operators and assemblers, and clerks. A significant positive correlation was also found between physical activities on working days and those on days off. One's walking steps on working days were found to significantly increase one's walking steps on days off when the effect of age and gender were controlled in the analysis of multiple regressions. Physical activities on a working day are likely to determine those on a day off. Sedentary work habits may induce sedentary activities on days off. The results inform us that health promotion campaigns, for allowing exceptional levels of activities at workplaces should be undertaken to encourage working adults in Hong Kong.