scholarly journals Factors Associated with Psychiatric Comorbidity in Depression Patients in Primary Health Care in Chile

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Alfredo Cancino ◽  
Marcelo Leiva-Bianchi ◽  
Carlos Serrano ◽  
Soledad Ballesteros-Teuber ◽  
Cristian Cáceres ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Life Events ◽  
Psychiatric Comorbidity ◽  
Stressful Life Events ◽  
Clinical Severity ◽  
Stressful Life ◽  
Psychiatric Comorbidities ◽  
Factors Associated ◽  
Primary Health

Objective. To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. Methods. 394 patients with a diagnosis of major depression being treated in a Chilean PHC were evaluated using a sociodemographic and clinical interview, the mini-international neuropsychiatric interview (MINI), a childhood trauma events (CTEs) screening, the intimate partner violence (IPV) scale, the Life Experiences Survey (LES), and the Hamilton Depression Rating Scale (HDRS). Results. Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms (r = 0.358), frequency of CTEs (r = 0.228), frequency of IPV events (r = 0.218), frequency of recent stressful life events (r = 0.188), number of previous depressive episodes (r = 0.340), and duration of these (r = 0.120). Inverse correlations were determined with age at the time of the first consultation (r = -0.168), age of onset of depression (r = -0.320), and number of medical comorbidities (r = -0.140). Of all associated factors, early age of the first depressive episode, CTEs antecedents, and recent stressful life events explain 13.6% of total variability in psychiatric comorbidities. Conclusions. A higher prevalence of psychiatric comorbidity among subjects seeking help for depression in Chilean PHCs is associated with early onset of depression, clinical severity, chronicity, and interpersonal adversity experienced since childhood.

The Prevalence and Correlates of Depressive Symptoms among Arab Women in a Primary Health Care Setting

2008 ◽  
Vol 38 (4) ◽  
pp. 453-467 ◽  
Author(s):  
Aisha Hamdan ◽  
Sana Hawamdeh ◽  
Amal Hussein
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Life Events ◽  
Stressful Life Events ◽  
Family Income ◽  
Stressful Life ◽  
Arab Women ◽  
Primary Health ◽  
Primary Health Care Centers

Background: Depression is one of most common mental illnesses in the world, with a high prevalence in primary health care settings. Some research has been conducted in the Arab region, but this research has been limited. This study investigated the prevalence of depression in a primary health care setting in the United Arab Emirates as well as possible socio-demographic and stressful life event correlates of depression. Methods: Arabic versions of the Beck Depression Inventory (BDI), a Stressful Life Events Inventory, and socio-demographic form were used for the study. Data were collected from 224 Arab women, aged 18 and above, in the primary health care centers of Sharjah, using a convenience sampling method. Results: Approximately 33% of women were found to be either moderately (14.7%) or severely (18%) depressed. The following socio-demographic variables were found to be correlated with scores on the BDI ( p < .05): marital status (being single, widowed or divorced), working status (working full- or part-time), and family income (lower family income). The number of stressful life events that a woman had experienced in the past year was also correlated with depression. Conclusions: Depressive symptoms are common in women attending primary health care centers in the Emirate of Sharjah. Stressful life events, in particular, are related to the level of depressive symptoms experienced by these women. It will be important to consider the social, psychological, and economic variables that impact emotional health in the region. This research is considered to be an initial step in developing prevention and intervention programs to address the mental health needs of Arab women.

Stressful life events and psychiatric comorbidity in acne–a case control study

2018 ◽  
Vol 11 (1) ◽  
pp. e12340 ◽  
Author(s):  
Swapna Bondade ◽  
Abhineetha Hosthota ◽  
Vinay Basavaraju
Keyword(s):  
Life Events ◽  
Psychiatric Comorbidity ◽  
Stressful Life Events ◽  
Case Control Study ◽  
Case Control ◽  
Stressful Life ◽  
Control Study

scholarly journals Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

2014 ◽  
Vol 22 (6) ◽  
pp. 1048-1055 ◽  
Author(s):  
Ana Carine Arruda Rolim ◽  
Gracyelle Alves Remigio Moreira ◽  
Sarah Maria Mendes Gondim ◽  
Soraya da Silva Paz ◽  
Luiza Jane Eyre de Souza Vieira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Demographic Data ◽  
Cross Sectional Study ◽  
Graduate Studies ◽  
Cross Sectional ◽  
Topic Identification ◽  
Factors Associated ◽  
Primary Health

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION: the study's results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

Factors Associated With Psychotropic Medication Use in Individuals in Brazilian Primary Health Care Units: A Descriptive, Cross-Sectional Study

2017 ◽  
Vol 55 (3) ◽  
pp. 38-45
Author(s):  
Paulo Celso Prado Telles Filho ◽  
Tatiana Longo Borges ◽  
Assis do Carmo Pereira ◽  
Kelly Graziani Giacchero Vedana ◽  
Rebecca O. Shasanmi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Psychotropic Medication ◽  
Medication Use ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health

scholarly journals Service Level Factors Associated with Cervical Screening in Aboriginal and Torres Strait Islander Primary Health Care Centres in Australia

2019 ◽  
Vol 16 (19) ◽  
pp. 3630 ◽  
Author(s):  
Abbey Diaz ◽  
Brenda Vo ◽  
Peter D. Baade ◽  
Veronica Matthews ◽  
Barbara Nattabi ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Primary Health Care ◽  
Torres Strait Islander ◽  
Cervical Screening ◽  
Service Level ◽  
Factors Associated ◽  
Primary Health ◽  
Screening Coverage ◽  
Torres Strait

Aboriginal and Torres Strait Islander women have significantly higher cervical cancer incidence and mortality than other Australian women. In this study, we assessed the documented delivery of cervical screening for women attending Indigenous Primary Health Care (PHC) centres across Australia and identified service-level factors associated with between-centre variation in screening coverage. We analysed 3801 clinical audit records for PHC clients aged 20–64 years from 135 Indigenous PHC centres participating in the Audit for Best Practice in Chronic Disease (ABCD) continuous quality improvement (CQI) program across five Australian states/territories during 2005 to 2014. Multilevel logistic regression models were used to identify service-level factors associated with screening, while accounting for differences in client-level factors. There was substantial variation in the proportion of clients who had a documented cervical screen in the previous two years across the participating PHC centres (median 50%, interquartile range (IQR): 29–67%), persisting over years and audit cycle. Centre-level factors explained 40% of the variation; client-level factors did not reduce the between-centre variation. Screening coverage was associated with longer time enrolled in the CQI program and very remote location. Indigenous PHC centres play an important role in providing cervical screening to Aboriginal and Torres Strait Islander women. Thus, their leadership is essential to ensure that Australia’s public health commitment to the elimination of cervical cancer includes Aboriginal and Torres Strait Islander women. A sustained commitment to CQI may improve PHC centres delivery of cervical screening; however, factors that may impact on service delivery, such as organisational, geographical and environmental factors, warrant further investigation.

scholarly journals Prenatal evaluation in primary care in Northeast Brazil

2019 ◽  
Vol 53 ◽  
pp. 43 ◽  
Author(s):  
Esther Pereira da Silva ◽  
Antônio Flaudiano Bem Leite ◽  
Roberto Teixeira Lima ◽  
Mônica Maria Osório
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Educational Strategies ◽  
Cross Sectional ◽  
Factors Associated ◽  
Primary Health ◽  
Logistic Regression Method

OBJECTIVE: To characterize prenatal care and verify possible factors associated with its adequacy. METHODS: This is a cross-sectional study based on interviews with health care professionals and consultations on official documents of women attending prenatal of the primary health care in the city of João Pessoa, capital of Paraíba, in the Northeast region of Brazil. Prenatal care was evaluated by an index with criteria referring to aspects of structure, process and outcome, denominated IPR/Prenatal. The multivariate logistic regression method revealed that demographic, socioeconomic, reproductive and maternal morbidity variables were possible determinants for prenatal adequacy. RESULTS: The survey involved 130 services and 1,625 primary health care patients. Prenatal care was adequate in approximately 23% of the cases. Low prevalence of referral to maternity, educational strategies and examinations were observed. The analysis showed that nonadolescent women (OR = 1,390), with a longer period of schooling (OR = 1.750), higher per capita income (OR = 1,870) and primiparous women (OR = 1,230) were more likely to have an adequate prenatal. CONCLUSIONS: Prenatal care, when evaluated by broader criteria, showed a low percentage of adequacy. Strategies should be developed to ensure the referral to the maternity where the birth will take place and health education activities and examinations to provide adequate prenatal care in the municipality under study. In addition, factors associated with adequacy must be considered by managers and health professionals.

Factors Associated with Potential Drug–Drug Interactions in Patients Attended in Primary Health Care: A Focus on Mental Health

2017 ◽  
Vol 38 (9) ◽  
pp. 769-774 ◽  
Author(s):  
Tatiana Longo Borges ◽  
Kelly Graziani Giacchero Vedana ◽  
Ellen Carolina Dias Castilho ◽  
Adriana Inocenti Miasso
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Drug Interactions ◽  
Potential Drug ◽  
Factors Associated ◽  
Primary Health
Sign in / Sign up

Export Citation Format

Share Document