scholarly journals Chronic illness, life style and emotional health in adolescence: results of a cross-sectional survey on the health of 15-20-year-olds in Switzerland

2003 ◽  
Vol 162 (10) ◽  
pp. 682-689 ◽  
Author(s):  
Lise Miauton ◽  
Fran�oise Narring ◽  
Pierre-Andr� Michaud
Keyword(s):  
Chronic Illness ◽  
Life Style ◽  
Emotional Health ◽  
Cross Sectional Survey ◽  
Cross Sectional

Tetrahydrocannabinol and Cannabidiol Use in an Outpatient Palliative Medicine Population

2020 ◽  
Vol 37 (8) ◽  
pp. 589-593 ◽  
Author(s):  
Bridget H. Highet ◽  
Elizabeth R. Lesser ◽  
Patrick W. Johnson ◽  
Judith S. Kaur
Keyword(s):  
Palliative Care ◽  
Chronic Illness ◽  
Side Effects ◽  
Patient Population ◽  
Palliative Medicine ◽  
Daily Basis ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample

Background: Palliative medicine physicians are challenged by lack of guidance regarding effectiveness and dosing of cannabis products in the setting of their emerging popularity. Objective: The aim of this study was to describe early patterns of tetrahydrocannabinol (THC) and cannabidiol (CBD) use in Florida following passage of the state’s first medical marijuana law. We describe here the perceived benefits, side effects, and beliefs expressed by patients in a single outpatient academic palliative medicine practice. Methods: A cross-sectional survey was performed of a sequential convenience sample of patients who presented to an outpatient academic palliative medicine clinic over a 3-month period. Results: In all, 24% (14/58) of respondents reported THC use, with half using THC on a daily basis. Patients reported improvements in pain, appetite, and nausea. In all, 71% (10/14) began using THC after the diagnosis of their chronic illness, and the most common form of usage was vaping. In all, 24% (14/58) of patients reported CBD use. Patients reported improvements in pain, and the most common form of usage was topical application. None of the patients had used CBD prior to the onset of their chronic illness. In all, 21% (3/14) of THC users and 21% (3/14) of CBD users thought that their substance was helping to cure their illness. Individual reported side effects in both groups were minimal. Conclusions: Approximately a quarter of outpatient palliative care patients use THC or CBD, often on a daily basis. Palliative care providers should be aware of the frequency, diverse usage, and beliefs behind cannabis product use in this patient population.

scholarly journals Emotional health concerns of oncology physicians in the United States: fallout during the COVID-19 pandemic

2020 ◽  
Author(s):  
Lauren Thomaier ◽  
Deanna Teoh ◽  
Patricia Jewett ◽  
Heather Beckwith ◽  
Helen Parsons ◽  
...  
Keyword(s):  
United States ◽  
Cancer Care ◽  
Emotional Health ◽  
Well Being ◽  
The United States ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated

AbstractIntroductionCancer care is significantly impacted by the Coronavirus Disease 2019 (COVID-19) pandemic. Our objective was to evaluate the effect of the pandemic on the emotional well-being of oncology providers across the United States and explore factors associated with anxiety and depression symptoms.Methods and MaterialsA cross-sectional survey was administered to United States cancer-care physicians recruited over a two-week period (3/27/2020 – 4/10/2020) using snowball-convenience sampling through social media. Symptoms of anxiety and depression were measured using the Patient Health Questionnaire (PHQ-4).ResultsOf 486 participants, 374 (77.0%) completed the PHQ-4: mean age 45.7±9.6 years; 63.2% female; all oncologic specialties were represented. The rates of anxiety and depression symptoms were 62.0% and 23.5%, respectively. Demographic factors associated with anxiety included female sex, younger age, and less time in clinical practice. Perception of inadequate PPE (68.6% vs. 57.4%, p=0.03) and practicing in a state with more COVID-19 cases (65.8% vs. 51.1%, p=0.01) were associated with anxiety symptoms. Factors significantly associated with both anxiety and depression included: degree to which COVID-19 has interfered with the ability to provide treatment to cancer patients and concern that patients will not receive the level of care needed for non-COVID-19 illness (all p-values <0.01).ConclusionThe prevalence of anxiety and depression symptoms among oncology physicians in the United States during the COVID-19 pandemic is high. Our findings highlight factors associated with and sources of psychological distress to be addressed to protect the well-being of oncology physicians.

scholarly journals Social status and living with a chronic illness: An exploration of assessment and meaning attributed to work and employment

2014 ◽  
Vol 10 (4) ◽  
pp. 273-290 ◽  
Author(s):  
Ivaylo Vassilev ◽  
Anne Rogers ◽  
Caroline Sanders ◽  
Sudeh Cheraghi-Sohi ◽  
Christian Blickem ◽  
...  
Keyword(s):  
Chronic Illness ◽  
Social Status ◽  
Labour Market ◽  
Qualitative Interviews ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
North West ◽  
Term Condition ◽  
Management Interventions

Background Traditional measures of social status are predicated on position in the labour market. There has been less attention directed to the meanings of social position for people with a long-term condition whose relationship to employment is precarious. Previous research has demonstrated that the MacArthur scale is capable of capturing contextualised aspects of social status, which makes it a useful tool for exploring changes in meaning. Aims The paper explores the meanings and experiences of social status of people living with a long-term condition with particular reference to employment status. Methods A sample of 300 participants was drawn from diabetes and chronic heart disease registers of General Practices in North West England. A cross-sectional survey with nested qualitative interviews was used in collecting and analysing the data. Findings Having financial independence and participating in valued activities are more important for people with chronic illness than power and status mediated through the labour market. Income and the lack and loss of employment were given a central role in respondents’ narratives reflecting the absence of acceptable alternative routes through which social status for those with a long-term condition can realistically be rebuilt outside of participation in the labour market. Conclusion Social participation, where people with chronic illness feel valued and of tangible utility to other people, might offer some opportunities for rebuilding social status outside the labour market. Chronic illness management interventions need to focus on improving people’s engagement with such activities.

Abstract WP237: Facilitators and Barriers to Medication Adherence Among Stroke Survivors in India

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Shani SD ◽  
Vr Kutty ◽  
Rp Varma ◽  
Jissa VT ◽  
Sylaja PN
Keyword(s):  
Medication Adherence ◽  
Life Style ◽  
Structured Interview ◽  
Stroke Survivors ◽  
Care Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Daily Routines ◽  
Post Stroke ◽  
Facilitators And Barriers

Background: Medication nonadherence is a major problem and is an important mediator between the treatment and the outcome. Strict compliance with medication and life style modification are integral to secondary stroke prevention. Methods: Cross sectional survey among 240 stroke survivors within a post-stroke period of three months to one year was conducted. Interview based self-reported medication adherence was defined as consumption at least more than 80% of their medication, based on their last prescription. Medication adherence was calculated for five categories of medication; antiplatelets, antihypertensives, antidiabetics, statin and anticoagulants. Overall adherence was defined as adherence to all the categories of medications prescribed. Structured interview using pretested interview schedule was done to collect sociodemographic data, health care seeking behaviour, life style, facilitators and barriers to medication adherence. Results: Stroke survivors [n=240; mean age 58.64 ±10.96 years); 25.4% females; post-stroke period of 6.65±3.36 months] were interviewed. Patients with diabetes, hypertension and dyslipidaemia constituted 64.2%, 88.8% and 96.7% and optimal control was achieved in 26%, 36.2% and 72.9% respectively. Overall medication adherence was 43.8% (n=240). Adherence to antiplatelet was 62.24% (n=196). Medication adherence was 34.4% (n=134), 52.6% (n=190) and 56.7% (n=224) for antidiabetics, antihypertensives and statins respectively and was associated with risk factor control (Diabetes: Odds Ratio(OR)=4.85;95% Confidence Interval(CI) 2.12-11.08, Hypertension: OR=3.42; 95% CI 1.83-6.4, Dyslipidaemia: OR=3.88;95% CI 1.96-7.69). Having daily routines (OR=2.82;95% CI 1.52-5.25), perceived need of medication (OR= 2.33;95% CI 1.04-5.2) and perceived poor state of health (OR= 3.09; 95% CI 1.44-6.62) as facilitators. Memory problem (OR 0.32; 95% CI 0.51-0.66), experiencing side effects (OR 0.24; 95% CI 0.11-0.53) and belonging to below poverty line (OR 0.46; 95% CI 0.24-0.91) were barriers to medication adherence. Conclusion: Establishing daily routines, periodic reminders, and financial supports to buy medicines and patient education can enhance medication adherence to prevent future strokes.

scholarly journals Assessment of cardiovascular behavioural risk factors in medical student

2015 ◽  
Vol 30 (2) ◽  
pp. 1-8
Author(s):  
Manoj Bundela ◽  
Jayant Kumar ◽  
ND Soni ◽  
Raghuveer Choudhary ◽  
Rajnee
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Medical Students ◽  
Life Style ◽  
Dietary Habits ◽  
Eating Habits ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical College ◽  
Exercise Counseling

It is an established fact that life-style related behavioral factors are mainly responsible for cardiovascular diseases. Doctors are playing very important role in imparting knowledge to the society as to how to stay away from diseases by adopting preventive measures. We studied the prevalence of life-style related risk behavior in medical students and to determine the effect of these factors on blood pressure. The study was conducted on 249 medical students, from which 182 were boys and 67 were girls of age group 16-29 years. In a random cross-sectional survey of medical students were interviewed for anthropometric measurements, BMI, dietary habits, physical activity and cardiovascular parameters. Cardiovascular risk factors in boys of medical college are more than girls. Out of 182 boys studied 48 [26.37%] were having their blood pressure values higher than 130/90 mm Hg. because of their faulty living/eating habits. Junk food, cola, alcohol and smoking is on rising trend with predominance of physical inactivity and overweight and as a consequence rise in the blood pressure. Dietary and exercise counseling is required for such students. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22675 Bangladesh J Physiol Pharmacol 2014; 30(2):1-8

Chronic Illness with Complexity

2016 ◽  
Vol 77 (4) ◽  
pp. 364-385 ◽  
Author(s):  
Joanne Hash ◽  
Susan Bodnar-Deren ◽  
Elaine Leventhal ◽  
Howard Leventhal
Keyword(s):  
Chronic Illness ◽  
End Of Life ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Life Study ◽  
Perceived Burden ◽  
Advance Care ◽  
Chronic Illness With Complexity ◽  
Study Participants

The present study examines how different chronic illnesses and mental illness comorbidity (chronic illness with complexity [CIC]) associate with components of advance care planning (ACP). We also explore the role self-perceived burden plays in the relationship between illness and ACP. Data were gathered from a cross-sectional survey of 305 elderly participants from the New Jersey End-of-Life study. Participants with diabetes and those with cardiovascular disease (CVD) are less likely, while participants with CIC are more likely, to plan for the end-of-life. Participants with diabetes are less likely to make formal plans, whereas those with CVD are less likely to hold informal discussions. CIC is associated with increased odds of having an advance directive, but no other form of ACP. Self-perceived burden did not appear to be the gateway by which illness groups differentially engaged in ACP. Future research should investigate what aspects of illnesses drive ACP.

Challenges confronting African Americans and Hispanics living with chronic illness in their families

2016 ◽  
Vol 12 (4) ◽  
pp. 281-291 ◽  
Author(s):  
Loren Saulsberry ◽  
Robert J Blendon ◽  
John M Benson
Keyword(s):  
Health Care ◽  
African American ◽  
Chronic Illness ◽  
African Americans ◽  
Health Problem ◽  
Care Delivery ◽  
Financial Economic ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Hispanic Adults

Objective To examine the life experiences of African American and Hispanic adults whose personal chronic illness and/or that of a family member is the biggest health problem for their families. Data source Telephone (landline and cell phone) interviews of random, nationally representative samples of 1081 African-American and 1478 Hispanic adults, age 18 and older. We evaluated the responses of 757 African-American and 697 Hispanic participants who reported a chronic illness as the biggest health problem in their families. Methods Weighted analysis of cross-sectional survey responses from African-American and Hispanic adults. Results African Americans and Hispanics with chronic illness in their families reported experiencing challenges with the health care delivery system, with financial/economic insecurity, and with their communities that may influence how they live with chronic disease. Discussion Policymakers and clinicians should be aware that some African-American and Hispanic patients face obstacles within and beyond the health care system that are relevant to how they live with chronic conditions affecting their families. Additional tools and supports may need to be identified and supplied to effectively manage chronic illness in these communities. The payment system for physicians should account for the supplementary supports and services these patients might require.

scholarly journals Emotional impact of COVID-19 lockdown and mitigation options: A cross-sectional survey of households in Ebonyi State, Nigeria

2021 ◽  
Vol 9 ◽  
pp. 205031212110324
Author(s):  
Nwamaka A Elom ◽  
Ignatius O Nwimo ◽  
Sampson Omena Elom ◽  
Deborah N Alegu ◽  
Eunice N Afoke ◽  
...  
Keyword(s):  
Social Media ◽  
Emotional Health ◽  
Family Members ◽  
Emotional Impact ◽  
Video Conference ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Mitigation Options ◽  
Significant Difference ◽  
The Impact

Background: Coronavirus disease 19 (COVID-19) has continued to plague households, leading to lockdown problems. Adopting appropriate mitigation strategies can reduce the impact on family members. Purpose: To assess the emotional impact of COVID-19 epidemic lockdown and mitigation measures among households in Ebonyi State. Methods: Cross-sectional survey design was used to study 516 participants. Emotional impact of COVID-19 lockdown ( r = 0.73) and mitigation options ( r = 0.92) questionnaire was used for data collection. Of the 516 copies of the questionnaire distributed, 493 copies (95.5% return rate) were used for data analysis. Data were analysed using descriptive statistics, standard deviations, and t-tests. Results: The data showed the emotional impact of the COVID-19 epidemic was high (2.97 ± 0.48) on households. They embraced friendly communication and communication with their partners, maintaining regular contact with their loved ones by phone, email, social media, or video conference to alleviate the COVID-19 lockdown. No significant differences were found in the emotional impact for location ( p > 0.05). Significant differences were not observed in many gender-based mitigation options. Conversely, a significant difference existed in the mitigation options based on location ( t = 3.143, p < 0.05). However, there was no significant difference in friendly interactions and communication with partners ( t = 0.354, p > 0.05), finding opportunities to develop excellent and promising news and images ( t = 0.770, p > 0.05) and maintaining regular communication with loved ones via phone, email, social media, and video conference ( t = 0.448, p > 0.05). Conclusion: The emotional impact of COVID-19 confinement was significant on family life and was more prevalent among men and urban dwellers. There is need to organise an awareness campaign on fundamental ways to overcome emotional distress using media targeting family members to promote emotional health.

scholarly journals Demographic, life-style and physiological determinants of serum per- and polyfluoroalkyl substance (PFAS) concentrations in a national cross-sectional survey of Swedish adolescents

2022 ◽  
pp. 112674
Author(s):  
Jennifer Nyström ◽  
Jonathan P. Benskin ◽  
Merle Plassmann ◽  
Oskar Sandblom ◽  
Anders Glynn ◽  
...  
Keyword(s):  
Life Style ◽  
Cross Sectional Survey ◽  
Cross Sectional
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