Does marital status influence TMD-related chronic pain? A cross-sectional study

Background: Developing countries, including Zambia, account for larger share of child morbidities and mortalities due to common childhood illnesses. Studies on wider determinants of behaviour pertaining to treatment seeking for childhood febrile illnesses in poor resource settings are limited. This study investigated health seeking behaviours of mothers in poor resource settings of Zambia and identified associated factors.Methods: Secondary data from a community cross sectional study design from the Health for the Poorest Population (HPP) Project was analysed between March and May 2019. Data was collected between May and August, 2013. It was collected by means of administering a structured questionnaire from the mothers of under-five children. The survey took place in Samfya and Chiengi of Luapula province while in Northern Province, Luwingu and Mungwi were settled for. A total of 1 653 mothers of under 5 years who had an episode of diarrhoea, malaria, pneumonia or a combination of any of them not more than 14 days before the interview were included in the study. A sample size was arrived at using A Lot Quality Assurance Sampling (LQAS) method. In order to determine the associations between respondent's demographic characteristics and health seeking behaviour, chi square test of independence was carried out. Multivariable logistic regression was also done to identify predictors of health seeking behaviours for common childhood illnesses in children aged <5 years old in poor resource settings.Results: Among the mothers interviewed, 64.6% were married while 35.4% were unmarried. Their mean age was 32 years. Mothers who took their sick children to the health facilities for the purpose of seeking health care for their child for either of the illnesses accounted for 75.2%, [95% CI: 0.62–0.96], while 24.8% did not seek health care for their sick child. Factors typically associated with health seeking behaviours were mothers' marital status [aOR = 0.74; 95% CI: 0.58–0.94], and mothers ‘education level [aOR = 1.47; 95% CI: 1.13–1.92].Conclusion: It was established in this study that health care seeking behaviours for these common childhood illnesses in poor resource settings was relatively high and could be predicted by mother's education level and mothers' marital status. Integrating interventions targeted at increasing utilisation of maternal and child health services with basic education to women and moral support counselling to families may potentially maximise health seeking behaviours in marginalised communities.

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A INFLUÊNCIA DOS CONTEXTOS SOCIODEMOGRÁFICOS NO BONDING PATERNO

International Journal of Developmental and Educational Psychology Revista INFAD de psicología ◽

10.17060/ijodaep.2017.n1.v3.1019 ◽

2017 ◽

Vol 3 (1) ◽

pp. 489

Author(s):

Carla Cruz ◽

Paula Nelas ◽

Emília Coutinho ◽

Cláudia Chaves ◽

Odete Amaral

Keyword(s):

Marital Status ◽

Cross Sectional Study ◽

Bonding Process ◽

Nurse Specialist ◽

Sectional Study ◽

Cross Sectional ◽

The Social ◽

Sample Characterization ◽

Social Demographic ◽

The Relationship

Abstract.THE INFLUENCE OF SOCIODEMOGRAPHIC CONTEXT ON PARENT/BABY BONDINGBackground: The bonding process is essential to favors and/or determines the future relationship between parent and baby and influences the cognitive and social development of the child. The bonding is conditioned by a set of interrelated factors with parental and situational conditions that may assist or prevent the establishment of bonding (Pereira, 2009).Objective: Establish the relationship between the sociodemographic context (age, marital status, educational qualifications and length of relationship) and bonding parent/baby.Methods: This study is a cross-sectional study, correlational descriptive, quantitative, attended by 349 parents, aged between 19 and 55, with an average age of 31,84 (sd=6,067). To providing a reliable sample characterization the social-demographic we applied questionnaires and Bonding Scale (Figueiredo et al., 2005).Results: This study reveals that positive bonding is influenced by age (p=0,010), being higher in parents aged 30 years or less. With regard to qualifications, it was found that the smaller the educational level of the parents, the greater the bonding positive (p=0,045). On the other hand the marital status and the length of the relationship did not influence the bonding.Conclusion: Given the importance of the bonding process between parent and baby, whose involvement should exist from the beginning of pregnancy, it’s imperative that the Nurse Specialist in maternal health take responsibility to educate and stimulate the paternal bonding supporting and integrating the father in the process of adaptation to parenthood.Keywords: Father, Baby, Bonding; Pregnancy.Resumo. Enquadramento: O processo de vinculação é indispensável pois favorece e/ou determina a futura relação entre a díade: pai/bebé e influencia o desenvolvimento cognitivo e social da criança. Este processo de vinculação (bonding) é condicionado por um conjunto de fatores interligados com as condições parentais e situacionais que poderão coadjuvar ou impedir o estabelecimento do proceso de vinculação (Pereira, 2009).Objetivo: Estabelecer a relação entre o contexto sociodemográfico (idade, estado civil, habilitações literárias e duração do relacionamento) e a vinculação (bonding) entre o pai e o bebé.Método: Trata-se de um estudo transversal, descritivo-correlacional, de natureza quantitativa, com uma amostra de 349 pais com média de idade de 31,84 anos (dp= 6,067). O instrumento de colheita de dados foi o questionário que permitiu caracterizar a amostra nas variáveis sociodemográficas e a Escala de Bonding (Figueiredo et al., 2005).Resultados: Os resultados demonstram que o bonding positivo é influenciado pela idade (p=0,010), sendo mais elevado nos pais com idade igual ou inferior a 30 anos. No que concerne às habilitações literárias, verificou-se que quanto menor é a escolaridade dos pais, maior é o bonding positivo (p=0,045).Por outro lado o estado civil e a duração do relacionamento não influenciam o bonding.Conclusão: Face à importância do processo de vinculação pai/bebe, cujo envolvimento debe existir desde o início da gravidez, é imprescindível que o Enfermeiro especialista em saúde materna assuma a responsabilidade de educar e estimular o bonding paterno apoiando e integrando o pai no processo de adaptação à parentalidade.Palavras-chave: Pai; Bebé; Bonding; gravidez

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