scholarly journals Psychiatrists and physical health competencies: a cross-sectional survey

Author(s):  
Muireann O’Donnell ◽  
Vishnu Pradeep ◽  
Colum P Dunne ◽  
David Meagher ◽  
Brendan D Kelly ◽  
...  
BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e018729 ◽  
Author(s):  
Francesca Solmi ◽  
Mariya Melnychuk ◽  
Stephen Morris

ObjectiveIn the UK, families of disabled children are entitled to receive disability benefits to help meet costs associated with caring for their child. Evidence of actual costs incurred is scant, especially for mental health disability. In this study, we aimed to quantify the cost of mental and physical health disability in childhood and adolescence to families in the UK using the concept of compensating variation (CV).DesignRepeated cross-sectional survey.SettingThe UK general populationParticipants85 212 children drawn from 8 waves of the Family Resources Survey.OutcomesUsing propensity score matching we matched families with a disabled child to similar families without a disabled child and calculated the extra income the former require to achieve the same living standards as the latter, that is, their CV. We calculated the additional costs specifically associated with several definitions of mental health and physical health disability.ResultsFamilies of a child with any mental health disability, regardless of the presence of physical health comorbidity, needed an additional £49.31 (95% CI: 21.95 to 76.67) and, for more severe disabilities, an additional £57.56 (95% CI: 17.69 to 97.44) per week to achieve the same living standards of families without a disabled child. This difference was greater for more deprived families, who needed between £59.28 (95% CI: 41.38 to 77.18) and £81.26 (95% CI: 53.35 to 109.38) more per week depending on the extent of mental health disability. Families of children with physical health disabilities, with or without mental health disabilities, required an additional £35.86 (95% CI: 13.77 to 57.96) per week, with economically deprived families requiring an extra £42.18 (95% CI: 26.38 to 57.97) per week.ConclusionsMental and physical health disabilities among children and adolescents were associated with high additional costs for the family, especially for those from deprived economic backgrounds. Means testing could help achieve a more equitable redistribution of disability benefit.


BJGP Open ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. bjgpopen19X101643 ◽  
Author(s):  
Nat MJ Wright ◽  
Philippa Hearty ◽  
Victoria Allgar

BackgroundThe size and mean age of the prison population has increased rapidly in recent years. Prisoners are a vulnerable group who, compared with the general population, experience poorer health outcomes. However, there is a dearth of research quantifying the prevalence of non-communicable diseases (NCDs) among prisoner populations.AimTo explore both the prevalence of NCDs and their risk factors.Design & settingA cross-sectional survey was undertaken that was compared with clinical records in two male prisons in the north of England.MethodSelf-report surveys were completed by 199 prisoners to assess sociodemographic characteristics, general health, NCD prevalence, and risk factor prevalence. Data were checked against that retrieved from prison clinical records.ResultsIt was found that 46% reported at least one NCD and 26% reported at least one physical health NCD. The most common self-reported NCD was 'anxiety and depression' (34%), followed by 'respiratory disease' (17%), and 'hypertension' (10%). Having a physical health NCD was independently associated with increasing age or drug dependence.The level of agreement between clinical records and self-report ranged from 'fair' for alcohol dependence (kappa 0.38; P<0.001) to 'very good' for diabetes (kappa 0.86; P<0.001).ConclusionCompared with mainstream populations and despite high prevalence of risk factors for NCDs physical illness NCDs, with the exception of respiratory disease, are less common. However, poor mental health is more common. These differences are possibly owing to the younger average age of prison populations, since prevalence of risk factors was reported as high.Secondary data analysis of clinical records is a more methodologically robust way of monitoring trends in prisoner population disease prevalence.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Alexander Willem Copper ◽  
Rolf Scharfbillig ◽  
Thuy Phuong Nguyen ◽  
Cassandra Collins

Abstract Background The Australian wine industry is a valuable part of the wider Australian economy worth approximately A$45 billion annually and employs 163,790 people either full time or part time. Australian agricultural industries are amongst the nation’s most dangerous workplaces with joint, ligament, muscle and tendon injuries being commonplace along with wounds, lacerations and musculoskeletal diseases. It is therefore important to try and minimise the risk of injuries to workers. The aims of this study were to (1) identify whether lower limb problems occur in the Australian wine industry and (2) identify the types of safety footwear worn. Methods Participants were recruited from the Australian wine industry. The study was a cross-sectional anonymous survey of 82 questions with n = 207 respondents. Questions related to job role performed, types of lower limb problems experienced, level of pain, restriction of activities, types of footwear worn, general health and physical health. Results The main working roles were winery (73.4%), vineyard (52.2%), laboratory (39.6%), cellar door (32.4%) and office (8.2%), with 63.3% of participants working in more than one role. Lower back pain was the most commonly reported problem at 56% followed by foot pain (36.7%), knee pain (24.6%), leg pain (21.3%), ankle pain (17.9%), hip pain (15.5%), toe pain (13%) and heel pain (11.1%). The most popular footwear used by participants were elastic sided safety boots, followed by high cut lace up safety boots with side zip. Overall, although the pain experienced was moderate, it did not impact the workers ability to perform their duties and the majority self-reported as being in very good general and physical health. Conclusion To date no data have been published on the types of lower limb problems or the types of safety footwear worn in the Australian wine industry. This study is the first to demonstrate that elastic sided safety boots were the most popular amongst respondents and that lower limb problems occur with workers. Therefore, further research into the safety footwear used in the Australian wine industry is needed to better support workers health while working in their varied roles and conditions.


2020 ◽  
Author(s):  
Chris Keyworth ◽  
Tracy Epton ◽  
Lucie Byrne-Davis ◽  
Jessica Leather ◽  
Chris Armitage

AimsAdherence to government COVID-19-related instructions is reported to be high, but the psychosocial impacts of measures such as self-isolation and physical distancing could undermine adherence in the longer term. The first step in designing interventions to mitigate the impacts of adhering to COVID-19 related instructions is to identify what are the most prevalent challenges and what characterises the people facing them.MethodA cross-sectional survey was administered to a representative sample of the UK population (N=2,252), of whom n=2,139 (94.9%) reported adhering to the UK government's COVID-19-related instructions, and were included in the final analysis. Data were analysed using descriptive statistics and binary logistic regression.ResultsOf the people who reported adhering to UK government's COVID-19-related instructions, 80.3% reported experiencing challenges. Adults aged 55 years or over (OR=1.939, 95%CI 1.331-2.825) and men (OR=0.489, 95%CI 0.393-0.608) were least likely to report challenges. Adjusting to changes in daily routine (reported by 48.7% of the sample), mental health (reported by 41.4% of the sample) and physical health (reported by 31.5% of the sample) were the most prevalent challenges. ConclusionsFor the first time, the present study quantifies the extent to which people experienced challenges in relation to adhering to government COVID-19-related instructions. Few people reported experiencing no challenges when adhering to COVID-19-related instructions. Interventions to address the effects of changes in daily routine, mental health challenges, and physical health challenges should be prioritised, with a focus on women and adults aged younger than 55 years.


2020 ◽  
Author(s):  
Na Du ◽  
Yingjie Ouyang ◽  
Yunge Li ◽  
Manxi He ◽  
Ting Geng ◽  
...  

Abstract Background: Assessing the psychological status of public from different areas after the COVID-19 outbreak in China and analyzing the risk factors. Methods: A cross-sectional survey via online questionnaires was conducted. Occurrence of pressure, anxiety and depression were measured with Perceived Stress Scale (PSS), Generalized Anxiety Scale (GAD-7), and Patient Health Questionnaire-9 (PHQ-9), respectively. Results: The study included 3300 participants, with 1644 from Hubei and 1656 from outside Hubei. The rates of anxiety and depression among subjects from Hubei were 59.6% and 52.3%, while the corresponding rates for those outside Hubei were 44.4% and 46.6%. The scores of PSS, GAD-7, and PHQ-9 in Hubei were significantly higher than those in other areas (t = 3.823, 5.860, 2.211; P < 0.05). Multiple linear regression analysis indicated that among the participants from Hubei, the higher the educational background, the history of psychosis, the worse their physical health, the COVID-19 infected, isolated, and their families infected with the COVID-19, their mental health was relatively poor. In the participants outside Hubei, the more unstable their marriage status, the worse their physical health, isolated, and their families infected with the COVID-19, the worse their mental health level. Conclusions: The stress, anxiety, and depression of the public in Hubei are more prominent and the factors that affect their mental health are more complex. When conducting psychological intervention on the general public, we still need to formulate special intervention plans according to the different characteristics of different groups of people to provide them with appropriate crisis intervention services.


2021 ◽  
Author(s):  
Alexander Copper ◽  
Rolf Scharfbillig ◽  
Thuy Phuong Nguyen ◽  
Cassandra Collins

Abstract Background: The Australian wine industry is a valuable part of the wider Australian economy worth approximately AUD$45billion annually and employs 163,790 people either full time or part time. Australian agricultural industries are amongst the nation’s most dangerous workplaces with joint, ligament, muscle and tendon injuries being commonplace along with wounds, lacerations and musculoskeletal diseases. It is therefore important to try and minimise the risk of injuries to workers as much as possible. The aims of this study were to (1) identify the types of lower limb problems that occur in the Australian wine industry and (2) identify the types of safety footwear used. Methods: Participants were recruited from the Australian wine industry. The study was a cross sectional anonymous survey of 82 questions with n=207 respondents. Questions related to job role performed, types of lower limb problems experienced, level of pain, restriction of activities, types of footwear worn, general health and physical health.Results: The main working roles were 73.4% winery, 52.2% vineyard, 39.6% laboratory, 32.4% cellar door and 8.2% office, with 63.3% of participants working in more than one role. Lower back pain was the most commonly reported problem at 56% followed by foot pain 36.7%, knee pain 24.6 %, leg pain 21.3%, ankle pain 17.9%, hip pain 15.5%, toe pain 13% and heel pain 11.1%. The most popular footwear used by participants was the elastic sided safety boot, followed by a high cut lace up safety boot with side zip. Overall, although the pain experienced was moderate to severe, it did not impact the workers ability to perform their duties and the majority self-reported as being in very good general and physical health.Conclusion: To date no data has been published on the frequency of lower limb problems or the types of safety footwear worn in the Australian wine industry. This study demonstrated that elastic sided safety boots were the most popular amongst respondents and with that, certain lower limb problems can occur. Therefore, further research into the safety footwear used is needed to better support workers health while working in varied roles and conditions.


2012 ◽  
Vol 110 (3) ◽  
pp. 781-790 ◽  
Author(s):  
Leif W. Rydstedt ◽  
Stephen A. Stansfeld ◽  
Jenny Head ◽  
Davina Woodley-Jones

Associations between the quality of social relationships at work and mental and self-reported health were examined to assess whether these associations were independent of job strain. The study was based on cross-sectional survey data from 728 employees (response rate 58%) and included the Demand-Control-(Support) (DC-S) model, six items on the quality of social relationships at the workplace, the General Health Questionnaire (30), and an item on self-reported physical health. Logistic regression analyses were used. A first set of models were run with adjustment for age, sex, and socioeconomic group. A second set of models were run adjusted for the dimensions of the DC-S model. Positive associations were found between the quality of social relationships and mental health as well as self-rated physical health, and these associations remained significant even after adjustment for the dimensions. The findings add support to the Health and Safety Executive stress management standards on social relationships at the workplace.


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