Substance Abuse and Mental Health Status of Homeless and Domiciled Low-Income Users of a Medical Clinic

1990 ◽  
Vol 41 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Lawrence S. Linn ◽  
Lillian Gelberg ◽  
Barbara Leake
2021 ◽  
pp. 1-47
Author(s):  
Joana Abou-Rizk ◽  
Theresa Jeremias ◽  
Georgiana Cocuz ◽  
Lara Nasreddine ◽  
Lamis Jomaa ◽  
...  

Abstract Syrian refugees in Lebanon are facing vulnerabilities that are affecting their food insecurity levels. The objectives of this study were to measure dietary diversity, food insecurity (FI), and mental health status of Syrian refugee mothers in Lebanon and to explore its associations with their anemia and nutritional status. A cross-sectional study was conducted among mothers with children under 5 years (n=433) in Greater Beirut, Lebanon. Dietary diversity was measured using the Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) and FI using the global Food Insecurity Experience Scale (FIES) at the individual level. Depression and post-traumatic stress disorder (PTSD) were measured to assess the maternal mental health status. Data on socio-economic characteristics, anthropometric measurements, and hemoglobin concentrations were collected. Overall, 63.3% of the mothers had a low dietary diversity (LDD) and 34.4% were moderately to severely food insecure, with 12.5% being severely food insecure. The prevalence of PTSD, moderate depression, and severe depression were 13.2%, 11.1%, and 9.9%, respectively. A significant correlation was found between LDD and FI (P<0.001). A low-income was significantly associated with LDD and FI. Poor mental health was significantly associated with FI. LDD and FI were not associated with anemia and nutritional status of mothers. Low-income households had significantly higher intakes of grains and refined starchy staples, whereas high-income households consumed more nutritious foods and sweets. Evidence of inadequate diet quality, FI, and poor mental health among Syrian refugee mothers in Lebanon are presented. Multifaceted actions are needed to reduce FI and improve dietary diversity.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohammadreza Heydari ◽  
Morteza Mehraeen ◽  
Parisa Keshani ◽  
Marjan Faghih

Background: Various factors, like mental disorders, may affect the desire for medication and adherence in HIV/AIDS patients. Objectives: The present study aimed to determine levels of neurotic disorders and associations of disorders level and HAART medication adherence in HIV/AIDS patients. Patients and Methods: Finally, 150 patients of Behavioral Disease Counseling Center of Shiraz were selected by a convenience method and were evaluated by Symptom Checklist-25 (SCL-25) and Medication Adherence Questionnaire (MAQ). Results: Seventy-eight percent of patients had normal mental health status. Also, 83% had very good medication adherence. Female gender, single or divorced, and working in temporary and low-income jobs were associated with decreased mental health status. Higher age and education were associated with increased adherence. Anxiety was the most common and effective disorder. Decreased mental health' status was shown to reduce drug adherence. Conclusions: Treatment of mental disorders, particularly anxiety, can be one of the most effective ways to increase drug compliance in HIV/AIDS patients.


2021 ◽  
pp. 105413732110340
Author(s):  
Ru Gao ◽  
Liuxiu Xu ◽  
Rong Yu ◽  
Jing-Zhen Bai ◽  
Zaijing Zheng ◽  
...  

Objective: To understand the mental health status and its influencing factors of the elderly in the disaster area 5 years after the Lushan earthquake. Methods: A total of 2,579 cases of Ya’an residents aged 60 years or above were selected by using cluster sampling method. From January to May 2019, self-compiled questionnaire for basic information of affected residents and 12 General Health Questionnaire were used to assess the mental health status of the elderly. Results: 2,561 (99.3%) valid samples were collected. The positive rate of mental health was 220 (8.6%) cases. The binary logistic regression analysis showed that in the city, no chronic diseases, no body pain, and self-rated health status good in last one month was the protective factor for mental health of the elderly. Age group 60 years and above was the risk factor. Conclusions: Five years after the Lushan earthquake, there is a certain degree of mental health problems in the elderly in the disaster area, and corresponding intervention measures should be formulated. In particular, the researchers should pay more attention to the mental health of the rural elderly who were with low income, young age, and chronic diseases (or pain).


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A423-A424
Author(s):  
J Moore ◽  
A Seixas ◽  
G Casimir ◽  
J Nunes ◽  
F Matadiaby ◽  
...  

Abstract Introduction Inadequate sleep has been found to be associated with poor mental health. This is especially true in low-income and minority populations, who are concentrated in cities. It is not understood to what degree living in a city vs. a rural environment affects sleep and resulting mental health outcomes. This study seeks to understand how living in an urban environment affects the relationship between inadequate sleep and mental health. Methods The study used data from the 2018 US Behavioral Risk Factor Surveillance System (BRFSS,) a nationwide health dataset collected by telephone. Respondents were classified as living in either an urban or rural environment based on their zip code. Respondents reported hours of sleep per night and mental health status. This study classified mental health status based on whether the respondent reported one or more incidences of poor mental health in the previous 30 days. Results After filtration, 348,540 respondents were split into urban and rural groups. Binary logistic regression was run in each group to compare how much living in an urban environment contributed to the relationship between sleep duration and mental health. Sleep in the analysis was found to significantly contribute to both models; urban X2(15, N=295,796) = 11,485.70, p &lt;0.001 rural X2(15, N=52,744) = 2,465.64, p &lt;0.001. The estimated odds ratio resulted in a decrease of 13.9% [Exp(B) = 0.861] in reported poor mental health for every unit increase of sleep in the urban population, and decrease of 14.9% [Exp(B) = 0.851] in the rural population. Conclusion In urban and rural dwellers, sleep duration predicted poor mental health. Contrary to expectations, sleep was more strongly tied to mental health in rural than urban populations. This was true even after controlling for sex, income, and education level. Further research should seek to understand how environment affects sleep and mental health. Support This study was supported by funding from the NIH: R01MD007716, R01HL142066, R01AG056531, K01HL135452, and K07AG052685.


2019 ◽  
Vol 11 (2) ◽  
pp. 129-134
Author(s):  
Farshid Shamsaei ◽  
Mohammad Baanavi ◽  
Zahra Marzieh Hassanian ◽  
Fatemeh Cheraghi

Background: Effects of substance abuse frequently expand beyond the nuclear family. Extended family members can experience feelings of abandonment, anxiety, fear, anger, concern, embarrassment, or guilt. Thus, they may wish to ignore or cut ties with the person involved in substance abuse. The aim of this study was to compare the mental health status of families with and without substance abusers. Methods: This cross sectional study was conducted among 114 family members with substance abusers (case group) and 114 without substance abusers (control group) in Hamadan city of Iran, in a time period from October to December 2016. Data collection tools included demographic and SCL-90-R questionnaires. Data were analyzed by t- test using SPSS software version 16. The significance level was considered less than 0.05. Results: The mean age of participants in the case and control groups was 33±4.7 and 35±5.2 years. There was a significant difference in the mean of subscales which included somatization, interpersonal sensitivity, depression, anxiety and phobia in families with and without substance abusers (p< 0.001). In other words, the mental health status of family members with a substance abuser was lower than in the control group. Overall, 29.4% of family members with substance abusers and 16% without substance abusers were suspected to have mental disorders. Conclusion: Substance abuse is a disorder that can impact families in countless ways. Therefore, it is recommended that more attention should be given to this group toward planning mental health programs. Also, families should be screened by health professionals in regard to psychological needs and improvement of their mental health conditions.


2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Luisa R Blanco ◽  
Jessica A Baker ◽  
Julie A Friedman ◽  
Karen T Singh ◽  
Arleen F Brown ◽  
...  

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