A Review of Psychosocial Protective and Risk Factors for the Mental Well-Being of Rural LGBTQ+ Adolescents

2021 ◽  
pp. 0044118X2110359
Author(s):  
Kayla J. Elliott ◽  
Jeanne-Marie R. Stacciarini ◽  
Isidro A. Jimenez ◽  
Andrea P. Rangel ◽  
Dany Fanfan

Lesbian, gay, bisexual, transgender, questioning/queer, and other gender diverse (LGBTQ+) adolescents face daunting hardships within the rural contexts they navigate (e.g., community, school), and these onerous demands make it difficult for them to maintain optimal mental well-being. This scoping review described the psychosocial protective and risk factors that shape mental well-being for rural LGBTQ+ adolescents and identified the mental health issues commonly reported by them. About 30 articles published between 2005 and 2020 were examined. A myriad of factors indicated protection of or risks to LGBTQ+ rural adolescents’ mental well-being through the social-ecological levels: individual (e.g., pressure to conform to gender norms, sexual exploration, coming out), interpersonal (e.g., connectedness, fear of rejection, religious beliefs), institutional/school (e.g., bullying victimization, social exclusion, peer/teacher intervention), and rural community (e.g., community size, local ties, social isolation). More research is needed to better understand and address rural mental health disparities for this vulnerable group.

Author(s):  
Johanna Andrea Navarro-Espinosa ◽  
Manuel Vaquero-Abellán ◽  
Alberto-Jesús Perea-Moreno ◽  
Gerardo Pedrós-Pérez ◽  
Pilar Aparicio-Martínez ◽  
...  

Stress can result in psychopathologies, such as anxiety or depression, when this risk factor continues in time. One major stressor was the COVID-19 pandemic, which triggered considerable emotional distress and mental health issues among different workers, including teachers, with another stressor: technology and online education. A mixed-method approach is presented in this research, combining a cross-sectional study of university teachers from Ecuador and Spain with a medium of twenty years of working experience (N = 55) and a bibliometric analysis carried out in three databases (161 documents). The levels of anxiety and depression, and therefore the risk of developing them as mental disorders, were high. The lack of training (p < 0.01), time (p < 0.05), or research regarding the use of technology in education (p < 0.01) and stress caused by COVID-19 (p < 0.001) were linked to frequency. The most relevant observational study obtained through the bibliometric analysis (138 citations and over 65% of methodological quality) indicated that previous training and behavioral factors are key in the stress related to technology. The combination of the results indicated that mental health in STEM teachers at university is related to diverse factors, from training to the family and working balance.


BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e014075 ◽  
Author(s):  
Rose Lima Van Keer ◽  
Reginald Deschepper ◽  
Luc Huyghens ◽  
Johan Bilsen

ObjectivesTo investigate the state of the mental well-being of patients from ethnic minority groups and possible related risk factors for the development of mental health problems among these patients during critical medical situations in hospital.DesignQualitative ethnographic design.SettingOneintensive care unit (ICU) of a multiethnic urban hospital in Belgium.Participants84 ICU staff members, 10 patients from ethnic-minority groups and their visiting family members.ResultsPatients had several human basic needs for which they could not sufficiently turn to anybody, neither to their healthcare professionals, nor to their relatives nor to other patients. These needs included the need for social contact, the need to increase comfort and alleviate pain, the need to express desperation and participate in end-of-life decision making. Three interrelated risk factors for the development of mental health problems among the patients included were identified: First, healthcare professionals’ mainly biomedical care approach (eg, focus on curing the patient, limited psychosocial support), second, the ICU context (eg, time pressure, uncertainty, regulatory frameworks) and third, patients’ different ethnocultural background (eg, religious and phenotypical differences).ConclusionsThe mental state of patients from ethnic minority groups during critical care is characterised by extreme emotional loneliness. It is important that staff should identify and meet patients’ unique basic needs in good time with regard to their mental well-being, taking into account important threats related to their own mainly biomedical approach to care, the ICU’s structural context as well as the patients’ different ethnocultural background.


2020 ◽  
Author(s):  
Salman Muhammad Soomar

UNSTRUCTURED Health is the state of overall well-being which includes physical, mental, and social wellbeing. Good health is a resource for living everyday life. It is central for functioning properly, handling stress, living a longer and more active life. Physical well-being includes a healthful lifestyle to decrease the risk of disease. Mental health is equally important as physical health, it is integral and important component of health, it provides strength and enhance a person’s ability to complete regular tasks . Differences in socioeconomic and other living conditions can lead to health inequities which can impact on a person’s health especially mental health though this is not the case in every situation, however the risk to an individual’s mental health determine how the person is going to suffer with mental health issues as these risk factors are not only bounded to poor socio-economic class . Violence, rapid social change, stressful work conditions, gender discrimination, social exclusion, physically ill health, sexual abuse, and persistent socio-economic pressures are recognized as risk factors for poor mental health. Moreover, there are some personality factors and genetic factors that also make people vulnerable to mental health disorders . Mental health issues alone add a lot in the global burden of disease however it is associated with other diseases and conditions as well. Mental health disorders in different forms and intensities a large number of people in their lifetime which not only impact on their health but it causes economic burden on the person and family as well . Despite a greater population is affected from mental health illness, the estimates produced through research regarding are still underestimated the reasons may be overlapping between psychiatric and neurological disorder and keeping suicide behaviors associated with self-harm a separate category other than mental illness . The major reason of underestimation can be less no reporting for these illness due to stigma associated with it. Stigma is the negative attitude towards the illness which creates discrimination and is the main obstacle in seeking help and care .


2018 ◽  
Vol 14 (1) ◽  
pp. 96-105 ◽  
Author(s):  
Pratik Adhikary ◽  
Zoë A. Sheppard ◽  
Steven Keen ◽  
Edwin van Teijlingen

Purpose Although South Asia is a growing supplier of migrant labour, there is a paucity of research on the health and well-being of male Nepalese migrant workers. The purpose of this paper is to assess the health and mental well-being of Nepalese construction and factory workers employed in Malaysia, Qatar and Saudi Arabia. Design/methodology/approach A structured questionnaire administered, in and around Nepal’s international airport, to 403 migrants who had worked for over six months in their host countries. Logistic regression was used to investigate factors associated with self-reported health status and mental health symptoms. Findings Over 13 per cent reported poor or very poor health and nearly a quarter reported mental health issues. Whilst age and exercise were significantly associated with health status, poor work environments and perceived health risks were associated with both mental health issues and health status. Research limitations/implications The study is limited to males only and those working in the factories and the construction industry. To improve migrant health and mental well-being, Nepalese and host governments should consider mandatory health insurance and a range of pre-departure and arrival education around general literacy, mental health assessments and workplace health and safety. Originality/value There have been no known studies on the health and well-being of Nepalese migrant construction and factory workers in the Middle East and Malaysia. The strong association between self-reported poor health and perceived work environment is an important issue that policy makers in Nepal and destination countries should address.


2021 ◽  
pp. 002076402110577
Author(s):  
Zane Asher Green ◽  
Farkhonda Faizi ◽  
Rahmatullah Jalal ◽  
Zarifa Zadran

Background: Academic stress experienced during the COVID-19 pandemic has triggered high levels of anxiety and depression and other severe mental health issues among university students around the globe. In Afghanistan, there is a paucity of research on the academic and mental health issues of Afghan university students and none pertaining to their academic stress and mental well-being amid the pandemic. Aim: This research examines the potential stress-buffering role of emotional support received between academic stress and mental well-being in a sample of Afghan university students during the COVID-19 outbreak. Method: The study sample comprised 508 Afghan university students. An online survey was developed for data collection. Model 1 of the PROCESS macro was used to conduct the moderation analysis. Results: These indicate that moderate and high levels of emotional support received may protect against the negative effects of higher levels of academic stress on mental well-being. Conclusion: This research makes an important contribution to the literature on social support. It may be inferred from the results that Afghan university students who experience academic stress, but have strong emotional support are able to attain greater mental well-being during the COVID-19 outbreak as compared to those with weak emotional support. Results may encourage mental health practitioners, university counselors, education administrators, and faculty to jointly formulate strategies for offering emotional support to Afghan university students.


2021 ◽  
Vol 40 ◽  
pp. 03019
Author(s):  
Vivek More ◽  
Viren Koli ◽  
Vignesh Vijaykumar ◽  
Vimla Jethani

With the world becoming more and more competitive every passing day, the number of people suffering from stress and other mental health issues is exponentially increasing. Even school children and senior citizens are becoming victims of stress and pressure in today's world. The mental health of an individual is as important as physical health is. But unfortunately, there is a lack of awareness and proper mental health facilities in today's society, which demands the individuals to fight against their odds without any support. Therefore, we propose a solution in the form of a chatbot that will act as a medium for the users to communicate with, let out their feelings and thus get relieved of the stress that is clogged up. A chatbot application will be available at all times at the user's expense and will also keep track of the user's mood over a span of time.


2020 ◽  
Vol 2 (1) ◽  
pp. 26-36 ◽  
Author(s):  
Jagruti R. Wandrekar ◽  
Advaita S. Nigudkar

Background: The period from 2009 to 2019 has seen a lot of conversation about issues of LGBTQIA+ (lesbian, gay, bisexual, transgender, queer/ questioning, intersex, asexual, and others) individuals in India, but they continue to be a group showing poor health equity. Objective: This descriptive content review attempted to explore 5 questions: what is the nature of existing research on mental health of LGBTQIA+ individuals, what are the pathways that contribute to mental health issues, whether the existing health facilities mitigate or facilitate these pathways, what are the interventions proposed for this group, and what are the gaps in research that can be addressed in the next decade. Method: “Mental health aspects” were described as variables relevant to understanding individuals’ cognitions, emotions, and behavior. We searched for literature in online journal databases, in archives of the most prominent journals, on websites of prominent LGBTQIA+ organizations, and through cross-referencing of papers obtained. The data were abstracted and coded into themes and subthemes. We found 22 reviews and reports, 4 viewpoints and comments, 7 editorials, 1 conference proceeding, and 60 original articles. Conclusions: Prevalence studies reveal that LGBTQIA+ individuals were found to show high rates of mental health concerns, and that the adapted minority stress model may be a crucial pathway for the same. Lived experiences, factors related to mental well-being, and societal attitudes have also been studied. Intervention studies are relatively fewer, and certain subgroups of LGBTQIA+ identities are less represented in research. Gaps in research were identified and recommendations for research in the coming decade were proposed.


2021 ◽  
Author(s):  
Martin Jensen Mækelæ ◽  
Niv Reggev ◽  
Natalia Bezerra Dutra ◽  
Ricardo M. Tamayo ◽  
Renata Pereira de Felipe ◽  
...  

The ongoing COVID-19 pandemic outbreak has affected all countries with more than 100 million confirmed cases and over 2.1 million casualties by the end of January 2021 worldwide. A prolonged pandemic can harm global levels of optimism, regularity, and sense of meaning and belonging of people, yielding adverse effects on individual's mental health as represented by worry, paranoia, and distress. Here we studied resilience, a successful adaptation despite risk and adversity, in five countries: Brazil, Colombia, Germany, Israel and Norway. In April 2020, over 2500 participants were recruited for an observational study measuring protective and obstructive factors for mental health. More than 800 of these participants also completed a follow-up study in July.We found that thriving, keeping a regular schedule, engaging in physical exercise and less procrastination served as factors protecting mental well-being. Risk factors were financial worries and a more negative mindset, e.g. feeling a lack of control. Longitudinally, we found no increase in distress or paranoia despite an increase in expectation how long the outbreak and the restrictions will last, suggesting respondents engaged in healthy coping and adapting their life to the new circumstances. Thus, our data shines some light on the mostly depressive news during the pandemic. Humans adapt and despite adversity there are protective factors that policy makers should leverage on.


Author(s):  
Israel Escudero-Castillo ◽  
Fco. Javier Mato-Díaz ◽  
Ana Rodriguez-Alvarez

As a consequence of the Spring 2020 lockdown that occurred in Spain due to the COVID-19 pandemic, many people lost their jobs or had to be furloughed. The objective of this study is to analyse the influence of the latter changes in labour market status on psychological well-being. For this purpose, an ad-hoc questionnaire featuring socio-demographic and mental health criteria was created. Granted that the pandemic can be viewed as an exogenous shock, the bias caused by the bidirectional problems between the work situation and mental well-being can be tackled. Results indicate that the lockdown exerted a greater negative effect on the self-perceived well-being of unemployed and furloughed persons than on those in employment. Moreover, among those in continuous employment, teleworkers experienced a lesser degree of self-perceived well-being post lockdown as compared to those people remaining in the same work location throughout the COVID-19 crisis. Finally, the lockdown provoked worse effects on the self-perceived well-being of women as compared to men, a result that appears to be related to gender differences in household production. In conclusion, these results could be especially relevant given that the evolution of the pandemic is having ongoing effects on employment and, therefore, on the mental health of workers.


Author(s):  
Kris Vanhaecht ◽  
Deborah Seys ◽  
Luk Bruyneel ◽  
Bianca Cox ◽  
Gorik Kaesemans ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) may aggravate workplace conditions that impact health-care workers’ mental health. However, it can also place other stresses on workers outside of their work. This study determines the effect of COVID-19 on symptoms of negative and positive mental health and the workforce’s experience with various sources of support. Effect modification by demographic variables was also studied. Methods A cross-sectional survey study, conducted between 2 April and 4 May 2020 (two waves), led to a convenience sample of 4509 health-care workers in Flanders (Belgium), including paramedics (40.6%), nurses (33.4%), doctors (13.4%) and management staff (12.2%). About three in four were employed in university and acute hospitals (29.6%), primary care practices (25.7%), residential care centers (21.3%) or care sites for disabled and mental health care. In each of the two waves, participants were asked how frequently (on a scale of 0–10) they experienced positive and negative mental health symptoms during normal circumstances and during last week, referred to as before and during COVID-19, respectively. These symptoms were stress, hypervigilance, fatigue, difficulty sleeping, unable to relax, fear, irregular lifestyle, flashback, difficulty concentrating, feeling unhappy and dejected, failing to recognize their own emotional response, doubting knowledge and skills and feeling uncomfortable within the team. Associations between COVID-19 and mental health symptoms were estimated by cumulative logit models and reported as odds ratios. The needed support was our secondary outcome and was reported as the degree to which health-care workers relied on sources of support and how they experienced them. Results All symptoms were significantly more pronounced during versus before COVID-19. For hypervigilance, there was a 12-fold odds (odds ratio 12.24, 95% confidence interval 11.11–13.49) during versus before COVID-19. Positive professional symptoms such as the feeling that one can make a difference were less frequently experienced. The association between COVID-19 and mental health was generally strongest for the age group 30–49 years, females, nurses and residential care centers. Health-care workers reported to rely on support from relatives and peers. A considerable proportion, respectively, 18 and 27%, reported the need for professional guidance from psychologists and more support from their leadership. Conclusions The toll of the crisis has been heavy on health-care workers. Those who carry leadership positions at an organizational or system level should take this opportunity to develop targeted strategies to mitigate key stressors of health-care workers’ mental well-being.


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