scholarly journals Mental Health Symptoms Among Veteran VA Users by Tinnitus Severity:A Population-based Survey

2021 ◽  
Vol 186 (Supplement_1) ◽  
pp. 167-175
Author(s):  
Austin Prewitt ◽  
Graham Harker ◽  
Tess A Gilbert ◽  
Elizabeth Hooker ◽  
Maya E O’Neil ◽  
...  
Keyword(s):  
Mental Health ◽  
Regression Models ◽  
Population Based ◽  
Service Members ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Tinnitus Severity ◽  
Multivariable Regression ◽  
Multivariable Regression Models ◽  
Population Based Survey

ABSTRACT Introduction Tinnitus is prevalent among Service members and Veterans and is often comorbid with mental health disorders. Associations between the severity of individuals’ tinnitus and mental health symptoms are not well described. Materials and Methods We conducted a population-based survey of a stratified random sample of 1,800 Veterans diagnosed with tinnitus. We used the Tinnitus Functional Index to measure tinnitus severity and the Primary Care-Posttraumatic Stress Disorder (PTSD) screen and the Hospital Anxiety and Depression Scale to assess PTSD, depression, and anxiety. Descriptive statistics and bivariable and multivariable regression models were used to estimate associations between Veterans’ tinnitus severity and mental health symptoms. Inverse probability weights were used to account for sample stratification and survey non-response. Multivariable odds ratios (ORs) and 95% confidence intervals (CIs) controlled for Veterans’ demographics, military history, and health diagnoses. Results A total of 891 Veterans completed surveys (adjusted response rate = 53%). Large proportions rated their tinnitus as severe (29.4%; 95% CI: 27.2-31.6) or very severe (18.7%; 95% CI: 16.8-20.5). In multivariable regression models, and compared with Veterans with none/mild tinnitus, the likelihood of screening positive for PTSD was increased for those who reported moderate (OR = 4.0; 95% CI: 1.6-10.3), severe (OR = 7.5; 95% CI: 3.1-18.5), or very severe (OR = 17.5; 95% CI: 4.4-70.0) tinnitus. Similarly, Veterans’ likelihood of positive depression screens were elevated for those with moderate (OR = 2.6; 95% CI: 1.1-5.9), severe (OR = 3.0; 95% CI: 1.4-6.5), or very severe (OR = 15.5; 95% CI: 4.3-55.5) tinnitus, as was the likelihood of positive anxiety screens for those with severe (OR = 2.6; 95% CI: 1.1-6.3) or very severe (OR = 13.4; 95% CI: 4.0-44.3) tinnitus. Conclusions Mental health symptoms are strongly associated with Veterans’ tinnitus severity. A better understanding of the interplay between these conditions may help improve the provision of interdisciplinary (Audiology and Mental Health) care for Service members and Veterans.

scholarly journals Mental health symptoms in relation to socio-economic conditions and lifestyle factors – a population-based study in Sweden

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Anu Molarius ◽  
Kenneth Berglund ◽  
Charli Eriksson ◽  
Hans G Eriksson ◽  
Margareta Lindén-Boström ◽  
...  
Keyword(s):  
Mental Health ◽  
Population Based ◽  
Lifestyle Factors ◽  
Economic Conditions ◽  
Mental Health Symptoms ◽  
Population Based Study ◽  
Health Symptoms

scholarly journals Exposure to Second-Hand Smoke in Public Places and Barriers to the Implementation of Smoke-Free Regulations in The Gambia: A Population-Based Survey

2021 ◽  
Vol 18 (12) ◽  
pp. 6263
Author(s):  
Bai Cham ◽  
Noreen Dadirai Mdege ◽  
Linda Bauld ◽  
John Britton ◽  
Umberto D’Alessandro
Keyword(s):  
Population Based ◽  
The Gambia ◽  
Second Hand Smoke ◽  
Urban Residence ◽  
Public Places ◽  
Adolescents And Adults ◽  
Multivariable Regression ◽  
Multivariable Regression Models ◽  
Lower Household Income ◽  
Population Based Survey

Introduction: Second-hand smoke is associated with more than 1.2 million deaths per year among non-smokers. Smoking in public places is prohibited in The Gambia but there is no information on the level of exposure to second-hand smoke among adolescents and adults 15–64 years. The aim of this study was to assess the level and predictors of exposure to second-hand smoke in public places and compliance with smoke-free regulations in The Gambia. Methods: A population-based survey was conducted in an established Health and Demographic Surveillance System (HDSS). A total of 4547 participants (15–64 years) from households within the Farafenni HDSS were interviewed at their homes but only 3343 were included in our analysis. Factors associated with exposure to second-hand smoke in public places were assessed by three different multivariable regression models. Results: Exposure to tobacco smoke in public places was high (66.1%), and higher in men (79.9%) than women (58.7%). Besides being male, less education, lower household income, urban residence and not aware of smoke-free regulations were strongly associated with exposure to second-hand smoke. Conclusion: Despite existing smoke-free regulations, reported exposure to second-hand smoke remains high in public places in The Gambia. The Ministry of Health should continue to strengthen their advocacy and sensitization programs to ensure smoke-free regulations are fully implemented. Some population subgroups are at a higher risk of exposure and could be targeted by interventions; and settings where these subgroups are exposed should be targeted by enforcement efforts.

Low back pain, mental health symptoms, and quality of life among injured service members.

2020 ◽  
Vol 39 (7) ◽  
pp. 549-557 ◽  
Author(s):  
Jessica R. Watrous ◽  
Cameron T. McCabe ◽  
Gretchen Jones ◽  
Shawn Farrokhi ◽  
Brittney Mazzone ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Low Back Pain ◽  
Back Pain ◽  
Service Members ◽  
Low Back ◽  
Mental Health Symptoms ◽  
Health Symptoms

Mental Health Symptoms Among Student Service Members/Veterans and Civilian College Students

2014 ◽  
Vol 63 (7) ◽  
pp. 459-472 ◽  
Author(s):  
Sandi D. Cleveland ◽  
Adam J. Branscum ◽  
Viktor E. Bovbjerg ◽  
Sheryl Thorburn
Keyword(s):  
Mental Health ◽  
College Students ◽  
Service Members ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Student Service

scholarly journals Caregiving burden and mental health problems among family caregivers of people with dementia in rural Uganda

2020 ◽  
Vol 7 ◽  
Author(s):  
Herbert E. Ainamani ◽  
Paul E. Alele ◽  
Godfrey Z. Rukundo ◽  
Samuel Maling ◽  
Edith K. Wakida ◽  
...  
Keyword(s):  
Mental Health ◽  
Family Caregivers ◽  
Regression Models ◽  
Depression And Anxiety ◽  
Caregiving Burden ◽  
Symptoms Of Depression ◽  
Health Burden ◽  
People With Dementia ◽  
Multivariable Regression ◽  
Multivariable Regression Models

Abstract Background Alzheimer's disease and related dementias are associated with increasing health burden in low- and middle-income countries. Less well-recognized is the potential health burden experienced by other affected individuals, such as family caregivers. In this study, we sought to profile the burden of care and its association with symptoms of depression and anxiety among informal caregivers of people living with dementia in rural southwestern Uganda. Method We conducted a cross-sectional study of 232 family caregivers of people with dementia. The key measured variables of interest were caregiving burden (Zarit Burden Index) and symptoms of depression and anxiety (Depression Anxiety Stress Scales). We fitted multivariable regression models specifying depression and anxiety symptoms as the primary outcomes of interest and caregiving burden as the primary explanatory variable of interest. Results Family caregivers of people with dementia experience significant caregiving burden, with each item on the Zarit Burden Index endorsed by more than 70% of study participants. Nearly half [108 (47%)] of caregivers had Zarit Burden Interview scores >60, suggestive of severe caregiving burden. In multivariable regression models, we estimated a statistically significant positive association between caregiving burden and symptoms of both depression [b = 0.42; 95% confidence interval (CI) 0.34–0.49] and anxiety (b = 0.37; 95% CI 0.30–0.45). Conclusion Family caregivers of people with dementia in rural Uganda experience a high caregiving burden, which is associated with symptoms of depression and anxiety. Interventions aimed at reducing caregiving burden may have important collateral mental health benefits.

scholarly journals Examining the effects of low back pain and mental health symptoms on healthcare utilisation and costs: a protocol for a population-based cohort study

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031749 ◽  
Author(s):  
Jessica J Wong ◽  
Pierre Côté ◽  
Andrea C Tricco ◽  
Laura C Rosella
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Healthcare Utilisation ◽  
Population Based ◽  
Community Dwelling ◽  
Low Back ◽  
Mental Health Symptoms ◽  
Health Symptoms

IntroductionLow back pain (LBP) is a leading cause of disability associated with high healthcare utilisation and costs. Mental health symptoms are negative prognostic factors for LBP recovery; however, no population-based studies have assessed the joint effects of LBP and mental health symptoms on healthcare utilisation. This proposed study will characterise the health system burden of LBP and help identify priority groups to inform resource allocation and public health strategies. Among community-dwelling adult respondents of five cycles of the Canadian Community Health Survey (CCHS) in Ontario, we aim to assess the effect of self-reported LBP on healthcare utilisation and costs and assess whether this effect differs between those with and without self-reported mental health symptoms.Methods and analysisWe designed a dynamic population-based cohort study using linkages of survey and administrative data housed at ICES. The Ontario sample of CCHS (2003–2004, 2005–2006, 2007/2008, 2009/2010, 2011/2012; total of ~1 30 000 eligible respondents) will be used to define the cohort of adults with self-reported LBP with and without mental health symptoms. Healthcare utilisation and costs will be assessed by linking health administrative databases. Follow-up ranges from 6 to 15 years (until 31 March 2018). Sociodemographic (eg, age, sex, education) and health behaviour (eg, comorbidities, physical activity) factors will be considered as potential confounders. Poisson and linear (log-transformed) regression models will be used to assess the association between LBP and healthcare utilisation and costs. We will assess effect modification with mental health symptoms on the additive and multiplicative scales and conduct sensitivity analyses to assess the impact of misclassification and residual confounding.Ethics and disseminationThis study is approved by the University of Toronto Research Ethics Board. We will disseminate findings using a multifaceted knowledge translation strategy, including scientific conference presentations, publications in peer-reviewed journals and workshops with key knowledge users.

scholarly journals Knowledge of mental health symptoms and help seeking attitude in a population-based sample in Hong Kong

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ada Wai Tung Fung ◽  
Linda Chiu Wa Lam ◽  
Sandra Sau Man Chan ◽  
Sing Lee
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Help Seeking ◽  
Health Knowledge ◽  
Population Based ◽  
Mental Health Symptoms ◽  
Professional Help ◽  
Poor Knowledge ◽  
Health Symptoms ◽  
Mental Health Knowledge

Abstract Background Mental health symptoms can be subtle, resulting in delaying treatment. A prompt identification of mental signs and symptoms is important for preventing mental disorders in the public. This study examined whether local public have adequate knowledge to identify mental health symptoms and the need to get timely professional help. Methods The population-based telephone surveys were conducted in 2015 and 2018. It involved a random sample of 4033 respondents aged 12–75 years. Mental health knowledge and help seeking attitude were assessed using six vignettes depicting subtle and obvious symptoms of anxiety disorders, mixed anxiety and depressive disorders, and dementia. Logistic regression models were performed to examine association between mental health knowledge and help-seeking attitude. Results Individuals with poor knowledge in subtle symptoms were more likely to be males (t =  − 5.0, p < .001), younger (F = 15.0, p < .001), have tertiary education (F = 15.0, p < .001), and employed (t =  − 2.1, p = .037). The knowledge scores of subtle and obvious symptoms were 1.5 and 2.3 respectively. Binary logistic regression found that poor knowledge of subtle symptoms was associated with reluctance to professional help seeking. Conclusions Poorly identified subtle mental health symptoms is a major barrier to early professional help in highly educated working males. Future research should explore specific interventions to increase knowledge and professional help seeking in this group.

scholarly journals Public Knowledge of Mental Health Symptoms and Help Seeking Attitude in a Population-based Sample in Hong Kong

2021 ◽  
Author(s):  
Ada Fung ◽  
Linda CW Lam ◽  
Sandra SM Chan ◽  
Sing Lee
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Help Seeking ◽  
Health Knowledge ◽  
Population Based ◽  
Mental Health Symptoms ◽  
Professional Help ◽  
Major Barrier ◽  
Health Symptoms ◽  
Mental Health Knowledge

Abstract BackgroundMental health symptoms can be subtle, resulting in delaying treatment. A prompt identification of mental signs and symptoms is important for preventing mental disorders in the public. This study examined whether local public have adequate knowledge to identify mental health symptoms and the need to get timely professional help.MethodsA population-based telephone surveys based on 4033 respondents aged 12 to 75 years were conducted in 2015 and 2018. Mental health knowledge and help seeking attitude were assessed using six vignettes depicting subtle and obvious symptoms of anxiety disorders, mixed anxiety and depressive disorders, and dementia. Logistic regression models were performed to examine association between mental health knowledge and help-seeking attitude.ResultsPoor knowledge in subtle symptoms are more likely to be males (t=-5.0, p<.001), younger (F=15.0, p<.001), have tertiary education (F= 15.0, p<.001), and employed (t=-2.1, p=.037). Binary logistic regression found that poor knowledge of subtle symptoms was associated with reluctance to professional help seeking.ConclusionsHighly educated working males are less proficiently in identifying subtle mental health symptoms. Poorly identified subtle symptoms is a major barrier to early professional help. Future research should explore specific interventions to increase knowledge and professional help seeking in this group.

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