scholarly journals Does Current General Mental Health Status Relate to Current Smoking Status in Pregnant Women?

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Diane Liu ◽  
Emily Younger ◽  
Stacy Baker ◽  
Stephanie Touch ◽  
Tamara Willmoth ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Pregnant Women ◽  
Tobacco Use ◽  
Smoking Status ◽  
Mental Health Status ◽  
Current Smoking Status ◽  
Current Smoking ◽  
General Mental Health ◽  
Current Tobacco

Purpose. Research shows that smoking during pregnancy is related to mental health diagnoses. The purpose of this study was to assess whether current general mental health status is related to current smoking status in pregnant women after controlling for other factors related to both mental health and tobacco use during pregnancy. Methods. This cross-sectional analysis used 2017 Behavioral Risk Factor Surveillance Survey (BRFSS) data for 621 pregnant women aged 18-38 from Florida (N=136), Kansas (N=116), Minnesota (N=105), Nebraska (N=90), New York (N=78), and Utah (N=96). Multiple logistic regression analysis was used to assess the relationship between current mental health status and current tobacco use, while controlling for state, depression diagnosis, routine checkup, healthcare plan, age, marital status, ethnicity/race, education level, income level, and employment status. Results. Overall, very few participants reported current smoking (6%) and about one-third reported low or moderate mental health status in the past 30 days. Adjusted results indicated that those who reported high mental health status were about 3 times less likely (OR=0.29, 95% CI=0.09, 0.88) to report current smoking status compared to those who reported low mental health status. Conclusions. Overall, current mental health status was highly related to current smoking status in pregnant women. Clinicians in obstetrics may expect a very low proportion of pregnant women to report smoking and up to one-third to report low or moderate current general mental health status. Given that current mental health issues and current tobacco use may harm both mother and child, be highly related in pregnant women, and change throughout the pregnancy, pregnant women should be screened automatically for both at each visit.

Mental Health Status of Pregnant Women and Breastfeeding Mothers During COVID-19 Outbreak in Bangladesh

2021 ◽  
Author(s):  
Nusrat Sharmin ◽  
Zakia Lubna ◽  
Fatema Akhter Hiramoni ◽  
Tanima Sharker ◽  
Md Zahir Ahmed
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Pregnant Women ◽  
Mental Health Status

scholarly journals Treatable traits qualifying for nonpharmacological interventions in COPD patients upon first referral to a pulmonologist: the COPD sTRAITosphere

2020 ◽  
Vol 6 (4) ◽  
pp. 00438-2020
Author(s):  
Alex J. van ’t Hul ◽  
Eleonore H. Koolen ◽  
Jeanine C. Antons ◽  
Marianne de Man ◽  
Remco S. Djamin ◽  
...  
Keyword(s):  
Health Status ◽  
Depressed Mood ◽  
Smoking Status ◽  
Self Management ◽  
Current Smoking Status ◽  
Current Smoking ◽  
Copd Patients ◽  
Severe Fatigue ◽  
Poor Nutritional Status ◽  
Impaired Health

IntroductionThe present study assessed the prevalence of nine treatable traits (TTs) pinpointing nonpharmacological interventions in patients with COPD upon first referral to a pulmonologist, how these TTs co-occurred and whether and to what extent the TTs increased the odds having a severely impaired health status.MethodsData were collected from a sample of 402 COPD patients. A second sample of 381 patients with COPD was used for validation. Nine TTs were assessed: current smoking status, activity-related dyspnoea, frequent exacerbations <12 months, severe fatigue, depressed mood, poor physical capacity, low physical activity, poor nutritional status and a low level of self-management activation. For each TT the odds ratio (OR) of having a severe health status impairment was calculated. Furthermore, a graphic representation was created, the COPD sTRAITosphere, to visualise TTs prevalence and OR.ResultsOn average 3.9±2.0 TTs per patient were observed. These TTs occurred relatively independently of each other and coexisted in 151 unique combinations. A significant positive correlation was found between the number of TTs and Clinical COPD Questionnaire total score (r=0.58; p<0.001). Patients with severe fatigue (OR: 8.8), severe activity-related dyspnoea (OR: 5.8) or depressed mood (OR: 4.2) had the highest likelihood of having a severely impaired health status. The validation sample corroborated these findings.ConclusionsUpon first referral to a pulmonologist, COPD patients show multiple TTs indicating them to several nonpharmacological interventions. These TTs coexist in many different combinations, are relatively independent and increase the likelihood of having a severely impaired health status.

scholarly journals The Association of Poor Mental Health Status and Sociocultural Factors in Men: A Population-Based Study in Tehran, Iran

2016 ◽  
Vol 12 (1) ◽  
pp. 96-103 ◽  
Author(s):  
Jafar Hassanzadeh ◽  
Mohsen Asadi-Lari ◽  
Haleh Ghaem ◽  
Aziz Kassani ◽  
Mohsen Niazi ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Capital ◽  
Logistic Regression ◽  
Health Status ◽  
Family Size ◽  
Smoking Status ◽  
Program Planning ◽  
Poor Mental Health ◽  
Mental Health Status ◽  
Poor Mental Health Status

Mental ill-health has increased among Iranian men in the recent years. Mental health is complexly determined by sociocultural, psychological, demographic characteristics, and some health-risk behaviors such as smoking. This study aimed to explore the association(s) between demographic factors, smoking status, social capital, and poor mental health status in a sample of Iranian men. The data were derived from a survey titled “Urban Health Equity Assessment and Response Tool–2” in Tehran, Iran ( n = 11,064). A multistage sampling method was applied in the study. The General Health Questionnaire–28 was used to assess poor mental health status (range = 0-84, scores higher than 23 indicated poor mental health status). The data were analyzed using t test, chi-square test, and multivariate logistic regression. The means of age and family size were 47.14 ± 17.26 years (range = 20-91) and 3.54 ± 1.32 individuals (range = 1-15), respectively. The majority of the participants were employed (57%, n = 6,361). The prevalence of poor mental health was 36.36%, 95% confidence interval (CI) [35.46, 37.26]. The components of social capital were positively associated with poor mental health status. Family size (adjusted odds ratio [AOR] = 0.93; 95% CI [0.90, 0.96]), job status (unemployed vs. employed, AOR = 1.34; 95% CI [1.16, 1.55]), marital status (widowed and divorced vs. single, AOR = 1.09; 95% CI [1.02, 1.17]), education level (illiterate vs. academic, AOR = 1.18; 95% CI [1.09, 1.29]), and smoking status (smokers vs. nonsmokers, AOR = 1.46; 95% CI [1.31, 1.62]) were directly associated with poor mental health status in the logistic regression model. These results suggest that social capital could be an important approach for men to attain suitable mental health and reduce mental disorders. The high prevalence of poor mental health in men merits more attention in mental health policy and program planning.

scholarly journals An epidemiological study to assess the mental health status of pregnant women in a tertiary care hospital, Srinagar, Jammu and Kashmir, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2580
Author(s):  
Bilal Ur Rehman ◽  
Javid Ahmad ◽  
Rauf Ur Rashid Kaul ◽  
Mohammad Kaleem ul Haque
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Health Status ◽  
Depressive Disorder ◽  
Pregnant Women ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Antenatal Clinic ◽  
Mental Health Status ◽  
Care Hospital

Background: Pregnancy is a major psychological, as well as physiological event; women may find themselves unable to cope with additional demands of pregnancy. Mental illness during pregnancy-whether anxiety, depression or more severe psychiatric disorders-can have a significant negative impact on a mother and her baby. Poor psychological health has been associated with low birth weight, premature birth, perinatal and infant death, postnatal depression, as well as long term behavioural and psychological impacts on the child. Depressive disorders are a common source of disability among women. Mental health problems during pregnancy and postpartum periods are one of the alarming health issue among women. Community-based epidemiological data on antenatal depression from developing countries is scarce. This study was conducted to assess the mental health status of pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar (J and K).Methods: A cross sectional study was conducted over a period of six months from 1stSeptember 2016 to 28th February 2017 among randomly selected pregnant women attending antenatal clinic of tertiary care hospital, SKIMS, Srinagar. A total of 200 pregnant women formed the study subjects. Data was collected by interviewing the pregnant women using pre-designed, pre-tested, semi-structured questionnaire. Data was analysed using Statistical Programme for the social science (SPSS) version 19.0.Results: Amongst the study population, prevalence of depressive disorder was 26%. The depression was significantly increasing with advancing pregnancy and advancing age. Socio-economic status and depression was associated statistically significant (p=0.024). Women with bad relationship with in laws had significantly more depression compared to those who had good relationship with in laws (P=0.0037). The association between parity and depressive disorder was statistically insignificant(P=0,7144).Conclusions: When we care for mother we care for two live and live without psychological consideration is completely materialistic. A depressive symptom occurs commonly during 2nd and 3rd trimester of pregnancy, drawing attention to a need to screen for depression during antenatal care. Maternal health policies, a priority in developing countries, must integrate maternal depression as a disorder of public health importance. Intervention should target women in the early antenatal period.

scholarly journals Smoking Assessment and Current Smoking Status Among Adolescents in Primary Care Settings

2020 ◽  
Vol 22 (11) ◽  
pp. 2098-2103
Author(s):  
Steffani R Bailey ◽  
Katie Fankhauser ◽  
Miguel Marino ◽  
Teresa Schmidt ◽  
Sophia Giebultowicz ◽  
...  
Keyword(s):  
Primary Care ◽  
Tobacco Use ◽  
Odds Ratio ◽  
Respiratory Symptoms ◽  
Smoking Status ◽  
Asthma Diagnosis ◽  
Current Smoking Status ◽  
Current Smoking ◽  
Patient Demographics ◽  
Primary Care Settings

Abstract Introduction Initiating tobacco use in adolescence increases the risk of nicotine dependence and continued use into adulthood. Primary care visits provide opportunities for the assessment and treatment of tobacco use; however, little is known about prevalence and correlates of assessing smoking status and current use among adolescents in these settings. Aims and Methods Using electronic health record data from the OCHIN network, we identified adolescents with greater than or equal to one primary care visit to a study clinic (n = 366 clinics from 15 US states) during January 1, 2016 to December 31, 2017. We estimated odds ratios of smoking assessment and current smoking status by patient covariates. Results Of 140 887 patients, 87.4% were assessed for smoking. Being Latino or Black (adjusted odds ratio = 1.22, 95% confidence interval: 1.13–1.32; adjusted odds ratio = 1.17, 95% confidence interval: 1.07–1.29, respectively, vs. non-Hispanic White), publicly insured, having more visits, and having an asthma diagnosis or other respiratory symptoms were associated with higher odds of assessment. Odds were lower if the patient was male and uninsured. Of those assessed, 1.6% identified as current smokers. Being older, having more visits, an asthma diagnosis, other respiratory symptoms, and lower household income was associated with higher odds of being a current smoker. Latinos and Blacks had lower odds than non-Hispanic Whites. Conclusions Although some commonly reported tobacco-related disparities were not present, smoking assessment and current smoking status differed significantly by most patient demographics. Implementation of adolescent tobacco assessment protocols and the development of interventions to target subpopulations of adolescents with higher rates of smoking could mitigate disparate rates of assessment and smoking, respectively. Implications Clinical guidelines recommend screening adolescents for tobacco use in primary care settings. We found that most adolescents seen in US safety-net primary care clinics were assessed for smoking. We also found that smoking assessment and current smoking status differed significantly by most patient demographics. Implementing tobacco assessment protocols specific to adolescents could mitigate disparate rates of assessment and ensure accurate documentation of all forms of tobacco use, given the evolution of alternative tobacco products and poly use among adolescents. Interventions to target subpopulations of adolescents with higher smoking rates are needed to prevent the negative health effects of continued smoking.

scholarly journals The mental health status and access to antenatal care information among pregnant women during COVID-19 epidemic: a cross-sectional study in China (Preprint)

2020 ◽  
Author(s):  
Hong Jiang ◽  
Longmei Jin ◽  
Xu Qian ◽  
Xu Xiong ◽  
Xuena La ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Health Status ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Perceived Stress ◽  
Mental Health Status ◽  
Anxiety And Depression ◽  
Social Media Platforms ◽  
Care Information

BACKGROUND China is the first country experienced the large scale of COVID-19 epidemic. To interrupt the transmission, social distancing strategies were required. Many routine health care services were severely disrupted, including antenatal care services. The mental health status as well as how pregnant women reacted to the situation, where and how did they obtain antenatal care information are unknown. OBJECTIVE This study aimed to determine mental health status by measuring perceived stress, anxiety and depression, to explore approaches of obtaining antenatal health information and to determine their associations with the mental health status among pregnant women during COVID-19 epidemic in China. METHODS We conducted an online survey to assess mental health status among pregnant women and collected information on approaches of accessing antenatal care information during the COVID-19 epidemic from February 5 to 28, 2020. RESULTS A total of 1,873 women from 22 provinces/regions of China participated in the survey. The occurrence of experiencing perceived stress, anxiety and depression among pregnant women was 89.1% (95% CI: 87.6%, 90.4%), 18.1% (95% CI: 16.4%, 19.9%) and 45.9% (95% CI: 43.6%, 48.1%), respectively. Hospitals’ official accounts in the Chinese social media platforms WeChat and Weibo were the most popular channels for pregnant women to obtain antenatal care information. Access to antenatal care information and services via the hospitals’ official social media accounts were associated with a significantly lower risk of suffering from stress (adjusted odds ratio (aOR)=0.47, 95% confidence interval (CI): 0.30 to 0.73, P=0.001), anxiety (aOR=0.52, 95% CI: 0.40 to 0.68, P<0.001) and depression (aOR=0.72, 95% CI: 0.58 to 0.90, P=0.003). CONCLUSIONS During the COVID-19 epidemic, occurrence of experiencing perceived stress, anxiety and depression was high in Chinese pregnant women. Mental health care in the current pandemic is urgently needed to reassure and support pregnant women. Developing specific contents for pregnant women on how to cope in emergency and major disease outbreak via social media platforms could be an effective way to mitigate mental health disorders in future epidemic preparedness and response. CLINICALTRIAL NA

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