B. Patel, Bhumi G. Khanpara, Prakash I. Mehta, Kishan Patel, Nidhi Marvania
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has notably changed the working and community environment for health-care workers (HCWs) leading to burnout and feeling of being stigmatized by the community due to their work. This study aims at assessing the prevalence of burnout, perceived social stigma, and their demographic and work-related predictors. Methods: A cross-sectional study using Oldenburg Burnout Inventory and perceived stigma scale was carried out among 348 HCWs in COVID-19 designated hospital at Ahmedabad about 6 months after the onset of the outbreak in September 2020. The prevalence of burnout was assessed in two dimensions: disengagement and exhaustion. Severity of each was measured on low, moderate, and high levels. Results: Total 348 HCWs participated in study with a mean age of 28.05 ± 6.75 years. Two hundred and sixty-five (76.15%) HCWs experienced burnout and 200 (57.47%) high levels of perceived stigma. The level of burnout was measured on three severities. Factors which predict high burnout are female gender, lower education, unmarried status, living in a nuclear family, and high perceived stigma. Work characteristics such as duty hours, days of working, monthly income, and work experience does not predict burnout. Intern doctors had high burnout (87.25%, χ2 = 28.067, P < 0.001) while nurses had high perceived stigma (70.97%, χ2 = 14.307, P < 0.05). Perceived stigma is positively correlated with burnout (r = 0.26, P < 0.001) with its both components, disengagement (r = 0.19, P < 0.001) and exhaustion (r = 0.30, P < 0.001). Conclusion: Burnout and stigmatization are prevalent among HCWs. Psychological interventions needed to reduce their burden and improve quality care during pandemic.
{"title":"Evaluation of perceived social stigma and burnout, among health-care workers working in covid-19 designated hospital of India: A cross-sectional study","authors":"B. Patel, Bhumi G. Khanpara, Prakash I. Mehta, Kishan Patel, Nidhi Marvania","doi":"10.4103/shb.shb_54_21","DOIUrl":"https://doi.org/10.4103/shb.shb_54_21","url":null,"abstract":"Introduction: The coronavirus disease 2019 (COVID-19) pandemic has notably changed the working and community environment for health-care workers (HCWs) leading to burnout and feeling of being stigmatized by the community due to their work. This study aims at assessing the prevalence of burnout, perceived social stigma, and their demographic and work-related predictors. Methods: A cross-sectional study using Oldenburg Burnout Inventory and perceived stigma scale was carried out among 348 HCWs in COVID-19 designated hospital at Ahmedabad about 6 months after the onset of the outbreak in September 2020. The prevalence of burnout was assessed in two dimensions: disengagement and exhaustion. Severity of each was measured on low, moderate, and high levels. Results: Total 348 HCWs participated in study with a mean age of 28.05 ± 6.75 years. Two hundred and sixty-five (76.15%) HCWs experienced burnout and 200 (57.47%) high levels of perceived stigma. The level of burnout was measured on three severities. Factors which predict high burnout are female gender, lower education, unmarried status, living in a nuclear family, and high perceived stigma. Work characteristics such as duty hours, days of working, monthly income, and work experience does not predict burnout. Intern doctors had high burnout (87.25%, χ2 = 28.067, P < 0.001) while nurses had high perceived stigma (70.97%, χ2 = 14.307, P < 0.05). Perceived stigma is positively correlated with burnout (r = 0.26, P < 0.001) with its both components, disengagement (r = 0.19, P < 0.001) and exhaustion (r = 0.30, P < 0.001). Conclusion: Burnout and stigmatization are prevalent among HCWs. Psychological interventions needed to reduce their burden and improve quality care during pandemic.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"156 - 162"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42720945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Hasannia, F. Mohammadzadeh, Mitra Tavakolizadeh, Najmeh Davoudian, Mostafa Bay
Introduction: The psychological impacts of the coronavirus disease 2019 (COVID-19) on health-care workers (HWs) are undeniable, especially that knowledge on the disease is limited, and the credibility of some existing sources of information is questionable. We aimed to assess the level of anxiety and trust in information resources among Iranians' HWs. Methods: A web-based cross-sectional survey was conducted on 1199 HWs between March and April 2020 in Iran. Data on demographic variables, sources of information about the COVID-19, and the trust level to them were collected using online self-administered questionnaires. The anxiety severity level was assessed using the Zung self-rating anxiety scale. Data were analyzed using simple and multiple linear regression models. Results: The mean age of participants was 32.5 ± 8.79, and 65.7% (n = 763) were male. 30.4% (95% confidence interval (CI) (CI: 27.8%–33.1%) of HWs had mild to moderate, and 21.3% (95% CI: 18.9%–23.7%) had severe and extremely severe levels of anxiety. TV (83.7%) and social media networks (58.2%) were the most frequent information sources. The lowest trust level and highest anxiety levels, and in contrast, the highest trust level and lowest anxiety levels were observed among social media users and TV viewers, respectively. The results of the multiple linear analysis showed that less work experience (P = 0.003), master's degree or above (P = 0.006), being divorced or widowed (P < 0.001), higher levels of exposure to COVID-19 patients (P < 0.05), having a history of mental illness (P < 0.001), and having underlying medical conditions (P < 0.001) were associated with higher anxiety levels. Conclusion: The study results revealed that the anxiety level among the HWs is relatively significant, and the trust level in social media networks was the lowest. Further psychological assessments and more investigations regarding the reasons for the reduction of trust and the development of the appropriate approaches to improve it are required.
{"title":"Assessment of the anxiety level and trust in information resources among iranian health-care workers during the pandemic of coronavirus disease 2019","authors":"E. Hasannia, F. Mohammadzadeh, Mitra Tavakolizadeh, Najmeh Davoudian, Mostafa Bay","doi":"10.4103/shb.shb_68_21","DOIUrl":"https://doi.org/10.4103/shb.shb_68_21","url":null,"abstract":"Introduction: The psychological impacts of the coronavirus disease 2019 (COVID-19) on health-care workers (HWs) are undeniable, especially that knowledge on the disease is limited, and the credibility of some existing sources of information is questionable. We aimed to assess the level of anxiety and trust in information resources among Iranians' HWs. Methods: A web-based cross-sectional survey was conducted on 1199 HWs between March and April 2020 in Iran. Data on demographic variables, sources of information about the COVID-19, and the trust level to them were collected using online self-administered questionnaires. The anxiety severity level was assessed using the Zung self-rating anxiety scale. Data were analyzed using simple and multiple linear regression models. Results: The mean age of participants was 32.5 ± 8.79, and 65.7% (n = 763) were male. 30.4% (95% confidence interval (CI) (CI: 27.8%–33.1%) of HWs had mild to moderate, and 21.3% (95% CI: 18.9%–23.7%) had severe and extremely severe levels of anxiety. TV (83.7%) and social media networks (58.2%) were the most frequent information sources. The lowest trust level and highest anxiety levels, and in contrast, the highest trust level and lowest anxiety levels were observed among social media users and TV viewers, respectively. The results of the multiple linear analysis showed that less work experience (P = 0.003), master's degree or above (P = 0.006), being divorced or widowed (P < 0.001), higher levels of exposure to COVID-19 patients (P < 0.05), having a history of mental illness (P < 0.001), and having underlying medical conditions (P < 0.001) were associated with higher anxiety levels. Conclusion: The study results revealed that the anxiety level among the HWs is relatively significant, and the trust level in social media networks was the lowest. Further psychological assessments and more investigations regarding the reasons for the reduction of trust and the development of the appropriate approaches to improve it are required.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"163 - 168"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45765972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coronavirus disease-19 vaccine inequity and gross domestic product","authors":"Zainab Alimoradi, Chung-Ying Lin, A. Pakpour","doi":"10.4103/shb.shb_100_21","DOIUrl":"https://doi.org/10.4103/shb.shb_100_21","url":null,"abstract":"","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"129 - 130"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48717235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Sleep is one of the main occupations defined in the occupational therapy (OT) Practice Framework-4. Methods: A survey link was sent to registered OT practitioners in Florida (N = 14,978) in September 2019 through E-mail addresses obtained from the Florida Department of Health website. A convenience sample of 213 OT practitioners responded; the majority were female (87%), with 56% reporting over 10 years of experience treating patients with neurological disorders. The person-environment-occupation-performance (PEOP) OT process provided the guiding framework for the proposed model. Spearman's rho correlation coefficients determined the correlations between the variables of interest. Regression coefficients attained through hierarchical ordinal logistic regression estimated the log odds between the variables. Results: Therapists who wrote more sleep-oriented goals were predicted to use a greater variety of sleep-related assessments (odds ratio [OR] = 1.256; 95% confidence interval [CI] = 1.171–1.347). Furthermore, a greater repertoire of sleep interventions was predicted when more types of sleep assessments were utilized (OR = 2.134 (95% CI = 1.750–2.602); more clients expressed sleep-related concerns to the OT practitioners (OR = 1.207; 95% CI = 1.044–1.395); and when the OT practitioners worked in a greater number of clinical settings (OR = 1.308; 95% CI = 1.113–1.539). Conclusion: The findings confirmed that the PEOP model might guide the OT service process when addressing sleep-related problems in neurorehabilitation. However, variations between settings and environmental facilitators/barriers may also play a role in sleep-related interventions.
引言:睡眠是职业治疗(OT)实践框架中定义的主要职业之一。方法:通过从佛罗里达州卫生部网站获取的电子邮件地址，于2019年9月向佛罗里达州注册的OT医生(N = 14,978)发送调查链接。213名门诊医生的便利样本作出了回应;大多数是女性(87%)，56%报告有超过10年治疗神经系统疾病患者的经验。人-环境-职业-绩效(PEOP) OT过程为该模型提供了指导框架。斯皮尔曼相关系数决定了感兴趣的变量之间的相关性。通过层次有序逻辑回归获得的回归系数估计变量之间的对数赔率。结果:撰写更多睡眠导向目标的治疗师预计会使用更多种类的睡眠相关评估(优势比[OR] = 1.256;95%置信区间[CI] = 1.171-1.347)。此外，当使用更多类型的睡眠评估时，预测更多的睡眠干预措施(OR = 2.134 (95% CI = 1.750-2.602);更多的病人向门诊医生表达了与睡眠有关的担忧(OR = 1.207;95% ci = 1.044-1.395);当门诊医生在更多的临床环境中工作时(OR = 1.308;95% ci = 1.113-1.539)。结论:本研究结果证实了PEOP模型对神经康复患者睡眠相关问题的治疗具有一定的指导作用。然而，环境和环境促进因素/障碍之间的差异也可能在睡眠相关干预中发挥作用。
{"title":"Using occupational therapy process addressing sleep-related problems in neurorehabilitation: A cross-sectional modeling study","authors":"Chia-Wei Fan, K. Drumheller","doi":"10.4103/shb.shb_83_21","DOIUrl":"https://doi.org/10.4103/shb.shb_83_21","url":null,"abstract":"Introduction: Sleep is one of the main occupations defined in the occupational therapy (OT) Practice Framework-4. Methods: A survey link was sent to registered OT practitioners in Florida (N = 14,978) in September 2019 through E-mail addresses obtained from the Florida Department of Health website. A convenience sample of 213 OT practitioners responded; the majority were female (87%), with 56% reporting over 10 years of experience treating patients with neurological disorders. The person-environment-occupation-performance (PEOP) OT process provided the guiding framework for the proposed model. Spearman's rho correlation coefficients determined the correlations between the variables of interest. Regression coefficients attained through hierarchical ordinal logistic regression estimated the log odds between the variables. Results: Therapists who wrote more sleep-oriented goals were predicted to use a greater variety of sleep-related assessments (odds ratio [OR] = 1.256; 95% confidence interval [CI] = 1.171–1.347). Furthermore, a greater repertoire of sleep interventions was predicted when more types of sleep assessments were utilized (OR = 2.134 (95% CI = 1.750–2.602); more clients expressed sleep-related concerns to the OT practitioners (OR = 1.207; 95% CI = 1.044–1.395); and when the OT practitioners worked in a greater number of clinical settings (OR = 1.308; 95% CI = 1.113–1.539). Conclusion: The findings confirmed that the PEOP model might guide the OT service process when addressing sleep-related problems in neurorehabilitation. However, variations between settings and environmental facilitators/barriers may also play a role in sleep-related interventions.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"149 - 155"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45232022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: There is a lack of research in investigating functional disability (FD) among middle-aged populations. The aim of the study was to estimate the prevalence and correlates of FD among middle-aged persons in India. Methods: The national cross-sectional sample consisted of 34,098 persons (45–59 years) from the Longitudinal Aging Study in India Wave 1 in 2017–2018. FD was assessed with difficulties of six items in activities in daily living (ADL) and seven items in instrumental activities in daily living (IADL). Results: The prevalence of 0 ADL/IADL was 70.7%, 1 ADL/IADL 10.4%, and 2 or more ADL/IADL 18.9%. The overall prevalence of ADL difficulty was 9.9% and IADL difficulty 26.5%. In the adjusted logistic regression analysis, older age (55–59 years) (adjusted relative risk ratio: 1.45, 95% confidence interval [CI] 1.23–1.70), having no education (adjusted odds ratio [AOR]: 1.79, 95% CI: 1.54–2.07), poor or fair self-rated health status (AOR: 2.06, 95% CI: 1.81–2.34), 2 or more chronic conditions (AOR: 1.67, 95% CI: 1.39–2.01), insomnia symptoms (AOR: 1.86, 95% CI: 1.57–2.20), major depressive disorder (AOR: 1.66, 95% CI: 1.39–1.99), physical pain (AOR: 1.42, 95% CI: 1.22–1.65), poor distant vision (AOR: 1.37, 95% CI: 1.17–1.62), hearing or ear problem (AOR: 1.39, 95% CI: 1.10–1.74), falls (AOR: 1.34, 95% CI: 1.15–1.55), and poor word recall (AOR: 1.60, 95% CI: 1.30–1.97) were positively associated with 2 or more ADL/IADL. In addition, male sex (AOR: 0.37, 95% CI: 0.31–0.45), and urban residence (AOR: 0.70, 95% CI: 0.58-0.84) were negatively associated with 2 or more ADL/IADL. Conclusion: Almost two in five middle-aged adults in India had 2 or more ADL/IADL and several associated factors were identified.
{"title":"Functional disability among middle-aged adults in India: Prevalence and correlates of a national study","authors":"K. Peltzer","doi":"10.4103/shb.shb_43_21","DOIUrl":"https://doi.org/10.4103/shb.shb_43_21","url":null,"abstract":"Introduction: There is a lack of research in investigating functional disability (FD) among middle-aged populations. The aim of the study was to estimate the prevalence and correlates of FD among middle-aged persons in India. Methods: The national cross-sectional sample consisted of 34,098 persons (45–59 years) from the Longitudinal Aging Study in India Wave 1 in 2017–2018. FD was assessed with difficulties of six items in activities in daily living (ADL) and seven items in instrumental activities in daily living (IADL). Results: The prevalence of 0 ADL/IADL was 70.7%, 1 ADL/IADL 10.4%, and 2 or more ADL/IADL 18.9%. The overall prevalence of ADL difficulty was 9.9% and IADL difficulty 26.5%. In the adjusted logistic regression analysis, older age (55–59 years) (adjusted relative risk ratio: 1.45, 95% confidence interval [CI] 1.23–1.70), having no education (adjusted odds ratio [AOR]: 1.79, 95% CI: 1.54–2.07), poor or fair self-rated health status (AOR: 2.06, 95% CI: 1.81–2.34), 2 or more chronic conditions (AOR: 1.67, 95% CI: 1.39–2.01), insomnia symptoms (AOR: 1.86, 95% CI: 1.57–2.20), major depressive disorder (AOR: 1.66, 95% CI: 1.39–1.99), physical pain (AOR: 1.42, 95% CI: 1.22–1.65), poor distant vision (AOR: 1.37, 95% CI: 1.17–1.62), hearing or ear problem (AOR: 1.39, 95% CI: 1.10–1.74), falls (AOR: 1.34, 95% CI: 1.15–1.55), and poor word recall (AOR: 1.60, 95% CI: 1.30–1.97) were positively associated with 2 or more ADL/IADL. In addition, male sex (AOR: 0.37, 95% CI: 0.31–0.45), and urban residence (AOR: 0.70, 95% CI: 0.58-0.84) were negatively associated with 2 or more ADL/IADL. Conclusion: Almost two in five middle-aged adults in India had 2 or more ADL/IADL and several associated factors were identified.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"142 - 148"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49159987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Shirali, Z. Rahimi, M. Araban, M. Mohammadi, B. Cheraghian
Introduction: Social distancing is a public health tool that seeks to reduce opportunities for an infectious agent to spread among individuals. The current study aimed at investigating the social-distancing compliance among pedestrians in Ahvaz city, South-west Iran during the COVID-19 pandemic. Methods: This cross-sectional study was conducted in Ahvaz, South-west Iran, from 2 to August 11, 2020. The data collection was performed based on observation of passers-by in the streets. Chi-square, Fisher's exact test, Chi-square for trend, and logistic regression were used for the data analysis. Results: The overall compliance rate of social distancing was 16.3%. There was a statistically significant difference between age groups and social distancing (P < 0.001), but this relationship was not seen in gender (P = 0.12). The compliance rate of social distancing was significantly higher during morning hours than evening hours (P < 0.001). A significant inverse association was founded between the number of observed group members and the compliance rate of social distancing so that the odds of social distancing compliance among two members groups were 59% higher than the group of 6 and more members (odds ratio = 1.59; 95% confidence interval, 1.47–1.72; P = 0.003). Conclusion: We found that the overall compliance rate of social distancing among the participants was very low and inefficient. This can make disease control difficult and leads the city to a critical situation in terms of coronavirus outbreaks. The findings can help health policymakers and health workers to plan and conduct preventive interventions.
{"title":"Social-distancing compliance among pedestrians in Ahvaz, South-West Iran during the Covid-19 pandemic","authors":"G. Shirali, Z. Rahimi, M. Araban, M. Mohammadi, B. Cheraghian","doi":"10.4103/shb.shb_74_21","DOIUrl":"https://doi.org/10.4103/shb.shb_74_21","url":null,"abstract":"Introduction: Social distancing is a public health tool that seeks to reduce opportunities for an infectious agent to spread among individuals. The current study aimed at investigating the social-distancing compliance among pedestrians in Ahvaz city, South-west Iran during the COVID-19 pandemic. Methods: This cross-sectional study was conducted in Ahvaz, South-west Iran, from 2 to August 11, 2020. The data collection was performed based on observation of passers-by in the streets. Chi-square, Fisher's exact test, Chi-square for trend, and logistic regression were used for the data analysis. Results: The overall compliance rate of social distancing was 16.3%. There was a statistically significant difference between age groups and social distancing (P < 0.001), but this relationship was not seen in gender (P = 0.12). The compliance rate of social distancing was significantly higher during morning hours than evening hours (P < 0.001). A significant inverse association was founded between the number of observed group members and the compliance rate of social distancing so that the odds of social distancing compliance among two members groups were 59% higher than the group of 6 and more members (odds ratio = 1.59; 95% confidence interval, 1.47–1.72; P = 0.003). Conclusion: We found that the overall compliance rate of social distancing among the participants was very low and inefficient. This can make disease control difficult and leads the city to a critical situation in terms of coronavirus outbreaks. The findings can help health policymakers and health workers to plan and conduct preventive interventions.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"131 - 136"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45057548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Kazemi, M. Rajabi, S. Hashemi, M. Mirzadeh, Faezeh Zahedian
Introduction: Readmission after discharge is recognized as one of the major indicators of the quality of care provided in hospitals. Recurrent hospitalization is common among patients in psychiatric wards and is caused by a myriad of factors. The present study aimed to identify the causes of readmission and associated risk factors in patients with a history of recurrent hospitalization in 22 Bahman Psychiatric Hospital in Qazvin, Iran. Methods: This retrospective cross-sectional study was performed by the census method in Psychiatric Hospital in Qazvin, Iran, on all the patients who were admitted at least three times from 2015 to 2019. The following data were extracted from patient profiles using certain checklists: age, gender, educational level, residential location, occupation, marital status, clinical diagnosis, number of hospitalizations, duration of disease, intervals between admissions, substance abuse, regular outpatient visits, and regular use of medications. Data were analyzed in SPSS software (version 22). A P < 0.05 was considered statistically significant. Results: The current study was conducted on 182 patients with a history of readmission who were selected by the census method. The majority of subjects (n = 131) were male, and their mean age score was reported as 39.96 ± 10.41 years. Furthermore, the most frequent clinical diagnosis based on which the patients were admitted included bipolar I disorder (manic phase) (29.7%) and schizophrenia (22.2%), respectively. The number of hospitalizations was significantly correlated with education level (0.013), marital status (0.012), residential location (0.049), intervals between admissions (0.009), follow-up pattern (<0.001), and treatment pattern (<0.001). Conclusion: As evidenced by the results of the present study, clinical diagnosis, education level, marital status, residential location, intervals between admissions, treatment patterns, and follow-up patterns of patients were effective in the frequency of recurrent hospitalization in patients with mental disorders.
{"title":"Frequency of psychiatric readmission causes and associated risk factors: A retrospective cross-sectional study in Qazvin, Iran","authors":"F. Kazemi, M. Rajabi, S. Hashemi, M. Mirzadeh, Faezeh Zahedian","doi":"10.4103/shb.shb_25_21","DOIUrl":"https://doi.org/10.4103/shb.shb_25_21","url":null,"abstract":"Introduction: Readmission after discharge is recognized as one of the major indicators of the quality of care provided in hospitals. Recurrent hospitalization is common among patients in psychiatric wards and is caused by a myriad of factors. The present study aimed to identify the causes of readmission and associated risk factors in patients with a history of recurrent hospitalization in 22 Bahman Psychiatric Hospital in Qazvin, Iran. Methods: This retrospective cross-sectional study was performed by the census method in Psychiatric Hospital in Qazvin, Iran, on all the patients who were admitted at least three times from 2015 to 2019. The following data were extracted from patient profiles using certain checklists: age, gender, educational level, residential location, occupation, marital status, clinical diagnosis, number of hospitalizations, duration of disease, intervals between admissions, substance abuse, regular outpatient visits, and regular use of medications. Data were analyzed in SPSS software (version 22). A P < 0.05 was considered statistically significant. Results: The current study was conducted on 182 patients with a history of readmission who were selected by the census method. The majority of subjects (n = 131) were male, and their mean age score was reported as 39.96 ± 10.41 years. Furthermore, the most frequent clinical diagnosis based on which the patients were admitted included bipolar I disorder (manic phase) (29.7%) and schizophrenia (22.2%), respectively. The number of hospitalizations was significantly correlated with education level (0.013), marital status (0.012), residential location (0.049), intervals between admissions (0.009), follow-up pattern (<0.001), and treatment pattern (<0.001). Conclusion: As evidenced by the results of the present study, clinical diagnosis, education level, marital status, residential location, intervals between admissions, treatment patterns, and follow-up patterns of patients were effective in the frequency of recurrent hospitalization in patients with mental disorders.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"4 1","pages":"169 - 174"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43225340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Kadavala, D. Vasavada, Parveen Kumar, R. Bhatt, V. Patel, D. Tiwari
Introduction: Internet pornography use is a sexual behavior, and it comprises a variety of online sexual activities, including watching pornography, online pornography exchange, and engaging in sex chats. Due to rise in Internet access and technologies, online pornography and other type of repetitive behaviors have increased. The current study was aimed to estimate the prevalence of problematic pornography consumption among undergraduate medical students. Methods: A multicenter, cross-sectional study was carried out at seven different centers of Gujarat from October 2020 to December 2020. Online structured questionnaire in two different parts: (1) Demographic details and usage pattern of pornography among students, (2) Problematic Pornography Consumption Scale was prepared and shared with all undergraduate students through designated faculty. Logistic regression analysis was used for problematic pornography consumption (as dependent variable) and other categorical variables as independent variables. Results: A total of 1926 participants completed the study. The prevalence of problematic pornography consumption among participants was 14.6% (95% confidence interval 12.4–16.1). Male participants and participants who are in a romantic relationship have higher problematic pornography consumption. Participants' gender (odds ratio OR = 3.562), relationship status (OR = 1.636), weekly (OR = 1.749), and daily (OR = 1.733) pornography consumption emerged as statistically significant with the problematic pornography consumption from the logistic regression analysis. Conclusion: Problematic pornography consumption is more prevalent among male under graduate medical students than females. It is important to educate the students about the potential harmful adverse effects of pornography and to develop a positive attitude toward sex.
{"title":"A multicenter study on problematic pornography consumption: prevalence and correlates among undergraduate medical students","authors":"B. Kadavala, D. Vasavada, Parveen Kumar, R. Bhatt, V. Patel, D. Tiwari","doi":"10.4103/shb.shb_18_21","DOIUrl":"https://doi.org/10.4103/shb.shb_18_21","url":null,"abstract":"Introduction: Internet pornography use is a sexual behavior, and it comprises a variety of online sexual activities, including watching pornography, online pornography exchange, and engaging in sex chats. Due to rise in Internet access and technologies, online pornography and other type of repetitive behaviors have increased. The current study was aimed to estimate the prevalence of problematic pornography consumption among undergraduate medical students. Methods: A multicenter, cross-sectional study was carried out at seven different centers of Gujarat from October 2020 to December 2020. Online structured questionnaire in two different parts: (1) Demographic details and usage pattern of pornography among students, (2) Problematic Pornography Consumption Scale was prepared and shared with all undergraduate students through designated faculty. Logistic regression analysis was used for problematic pornography consumption (as dependent variable) and other categorical variables as independent variables. Results: A total of 1926 participants completed the study. The prevalence of problematic pornography consumption among participants was 14.6% (95% confidence interval 12.4–16.1). Male participants and participants who are in a romantic relationship have higher problematic pornography consumption. Participants' gender (odds ratio OR = 3.562), relationship status (OR = 1.636), weekly (OR = 1.749), and daily (OR = 1.733) pornography consumption emerged as statistically significant with the problematic pornography consumption from the logistic regression analysis. Conclusion: Problematic pornography consumption is more prevalent among male under graduate medical students than females. It is important to educate the students about the potential harmful adverse effects of pornography and to develop a positive attitude toward sex.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49352134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel K. Sarku, D. Ahorsu, E. Adjaottor, Frimpong-Manso Addo
Introduction: People with traumatic brain injury (TBI) have been found to have significant cognitive challenges which negatively impact their psychosocial life. This calls for efficient supportive systems and coping mechanisms to enable them to function in the society. This study, therefore, examined the (1) supportive systems that affect people with TBI and (2) essential coping mechanisms for psychosocial activities among people with TBI. Methods: A total of forty participants with a mean age of 35.30 (standard deviation = 11.90) years, mostly males (70%) and married (55%) were recruited for this cross-sectional study. They completed measures on TBI severity, coping strategies, social support, religious coping activities, and psychosocial activities. Results: There were significant interrelationships between coping strategies, social support, religious coping activities, psychosocial activities, and severity of TBI. Coping strategies, religious coping, and psychosocial activities were the supportive systems that affect people with TBI. Coping strategies was the only factor that affects the psychosocial activities of people with TBI. Conclusion: Based on these findings, different supportive systems may be needed for different functional abilities of people with TBI. Hence, clinicians may have to individualize assessment in order to offer bespoke support systems needed for improvement.
{"title":"Supportive systems needed for the functioning of people with traumatic brain injury: An exploratory study","authors":"Emmanuel K. Sarku, D. Ahorsu, E. Adjaottor, Frimpong-Manso Addo","doi":"10.4103/shb.shb_13_21","DOIUrl":"https://doi.org/10.4103/shb.shb_13_21","url":null,"abstract":"Introduction: People with traumatic brain injury (TBI) have been found to have significant cognitive challenges which negatively impact their psychosocial life. This calls for efficient supportive systems and coping mechanisms to enable them to function in the society. This study, therefore, examined the (1) supportive systems that affect people with TBI and (2) essential coping mechanisms for psychosocial activities among people with TBI. Methods: A total of forty participants with a mean age of 35.30 (standard deviation = 11.90) years, mostly males (70%) and married (55%) were recruited for this cross-sectional study. They completed measures on TBI severity, coping strategies, social support, religious coping activities, and psychosocial activities. Results: There were significant interrelationships between coping strategies, social support, religious coping activities, psychosocial activities, and severity of TBI. Coping strategies, religious coping, and psychosocial activities were the supportive systems that affect people with TBI. Coping strategies was the only factor that affects the psychosocial activities of people with TBI. Conclusion: Based on these findings, different supportive systems may be needed for different functional abilities of people with TBI. Hence, clinicians may have to individualize assessment in order to offer bespoke support systems needed for improvement.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":"104 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41277096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：