Mental Health Status and Influencing Factors of the Elderly in Ya’an Area After 5 years’ Lushan Earthquake

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).

2021 ◽  
Author(s):  
Azadeh Lak ◽  
Parichehr Rashidghalam

Abstract Background: Today, the beneficial impact of public open spaces(POS) on the mental and physical health of the elderly is considered worldwide. However, the knowledge about these effects on the mental health of older adults in disadvantaged urban neighborhoods, especially in developing countries, is still insufficient.Methods: This study investigates the relationship between POS use and the mental health status of elderly residents in the disadvantaged neighborhoods of Tehran, the capital of Iran. The data on the frequency of use of public open spaces and the health status include ten items collected from 420 older adults of disadvantaged neighborhoods in District 10 of Tehran. We used exploratory factor analysis to explore the main factors of the elderly mental health in the disadvantaged neighborhood. Finally, the multivariate multiple regression model was used to determine the relationship between the frequency of POS use and mental health status among older seniors.Results: These ten items identified two fundamental characteristics of mental health status, including “feeling worthless” and “social interaction,” using exploratory factor analysis. “Feeling of worthlessness” was negatively significantly associated with the level of gender, marital, occupation, and education, as well as frequently attending in POS. “Social interaction” was influenced by gender, occupation, and marital status, as well as frequent use of POS. The results showed that the frequency of public open space use has a negative correlation with the feeling of worthlessness and a positive correlation with the older residents’ social interactions and contacts.Conclusion: According to the findings, increasing the more senior residents’ access to public open spaces through planning can improve their mental health as well as their social interactions, especially in disadvantaged neighborhoods.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yin Yang ◽  
Hui Deng ◽  
Qingqing Yang ◽  
Xianbin Ding ◽  
Deqiang Mao ◽  
...  

Abstract Background China has the largest elderly population in the world; little attention has been paid to the mental health of elderly in areas of extreme poverty. This is the first study to investigate the mental health of the rural elderly in poverty state counties in Chongqing and was part of the Chongqing 2018 health literacy promotion project. Methods In 2019, a cross-sectional study was conducted to investigate the mental health status of the rural elderly in fourteen poverty state counties of Chongqing, in which a total of 1400 elderly aged ≥ 65 years were interviewed, where mental health status was measured by the ten-item Kessler10 (K10) scale. Ordered multivariate logistic regression was performed to evaluate the influencing factors related to mental health of the elderly in these areas. Results The average score of K10 in 14 poverty state counties was 17.40 ± 6.31, 47.6% was labeled as good, 30.2% was moderate, 17.0% was poor, and lastly 5.1% was bad, and the mental health status of the elderly in the northeastern wing of Chongqing was better than the one in the southeastern wing of Chongqing. A worse self-rated health was the risk factor for mental health both in the northeastern and southeastern wings of Chongqing (all P < 0.001). Lower education level (OR (95% CI) = 1.45 (1.12–1.87), P = 0.004) was a risk factor in the northeastern wing, whereas older age (OR (95% CI) = 1.33 (1.13–1.56), P = 0.001) was a risk factors in the southeastern wing. Conclusions The results showed that mental health of the elderly in poverty state counties was poor, especially in the southeastern wing of Chongqing. Particular attention needs to be paid to the males who were less educated, older, and single; female with lower annual per capital income; and especially the elderly with poor self-rated health.


Author(s):  
Min-Young Kim ◽  
Yun-Yi Yang

The mental health of nurses participating in patient care is under threat amid the coronavirus disease 2019 (COVID-19) pandemic. This study aimed to identify the mental health status (depression, anxiety, and stress) and its influencing factors on nurses who provided patient care at a specialized hospital for COVID-19 in South Korea. Of the 180 nurses who participated in this study, 30.6% had moderate or higher levels of depression, 41% had moderate or higher anxiety levels, and 19.4% had moderate or higher stress levels. In this study, stigma influenced nurses’ mental health, such that the higher the stigma, the higher the nurses’ depression, anxiety, and stress. Depression was higher in female nurses than in male nurses, and stress was higher in charge nurses than nurses in other job positions. Therefore, a management program should be designed to improve the mental health of nurses during the current pandemic. In particular, a solution to reduce stigma is required, and the mental health of female nurses and nurses in leadership roles requires special attention.


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 12 ◽  
Author(s):  
Rui Zhou ◽  
Hao Chen ◽  
Lin Zhu ◽  
Ying Chen ◽  
Boyan Chen ◽  
...  

Background: COVID-19 not only threatened the public's physical health but also brought unbearable psychological pressure, especially for those vulnerable groups like the elderly. However, studies on the psychological status of older adults during this public health emergency remained scant. This study aims to investigate the mental health status among the elderly Chinese population during COVID-19 pandemic and determine the influencing factors of psychological symptoms.Methods: From February 19 to March 19, 2020, an online survey was administered to Chinese older adults using a convenience sampling method. Information on demographic data, health status and other epidemic related factors were collected. Specifically, the study defined the psychological status as five primary disorder–depression, neurasthenia, fear, anxiety, and hypochondria–which were assessed by the Psychological Questionnaire for Emergent Event of Public Health (PQEEPH). Standard descriptive statistics and multiple logistic regression analyses were conducted to analyze the data.Results: Of 1,501 participants recruited from 31 provinces in China, 1,278 were valid for further analysis. Participants' scores on each sub-scale were described in median and interquartile [M(Q)]: depression [0.00 (0.33)], neurasthenia [0.00 (0.40)], fear [1.00 (0.83)], anxiety [0.00 (0.17)], hypochondria [0.00 (0.50)]. Chronic diseases (depression p = 0.001; neurasthenia p &lt; 0.001; fear p = 0.023; anxiety p &lt; 0.001; hypochondria p = 0.001) and the BMI index (depression p = 0.015; neurasthenia p = 0.046; fear p = 0.016; anxiety p = 0.015; hypochondria p = 0.013) had significant impacts on all of the five sub-scales. Specifically, the rural dwellers had a higher level of neurasthenia, fear, and hypochondria. Besides, education level (p = 0.035) and outbreak risk level (p = 0.004) had significant impacts on the depression. Higher household monthly income per capita (p = 0.031), and the community-level entry/exit control (p = 0.011) are factors against anxiety.Conclusions: Most elderly residents reported mild negative emotions during COVID-19 and more attention should be paid to the recognition and alleviation of fear. Our findings also identified factors associated with the mental health status of the elderly, which is of practical significance in the design and implementation of psychological interventions for this vulnerable population during COVID-19 and future emerging diseases.


2020 ◽  
Author(s):  
Dan Su

Abstract BACKGROUND: China is one of the countries facing the most serious population aging. Empty-nesters accounted half of the total old adults in China, improving mental health status of old people is necessary. This cross-sectional study aimed to compare the subjective well-being and depression comprehensively between empty-nesters and non-empty-nesters in Anhui, China.METHODS: 1452 participants were surveyed by using the demographic characteristics questionnaire, the subjective well-being (SWB) single-choice facial expression questionnaire and the 30-item Geriatric Depression Scale (GDS-30).RESULTS: Education level and depression were risk factors for both groups ( P <0.05), but age, marital status, living mode, and religious belief were main risk factors for empty-nesters ( P <0.05). Monthly individual income and SWB were risk factors for both groups( P <0.05), but living mode, religious belief and physical exercise were main risk factors for elderly empty-nesters, whereas economy situation was the main risk factor for non-empty-nesters( P <0.05).CONCLUTION: The influencing factors of two groups had similarities and differences. With the aging population of China, improving mental health status of old people was necessary. We should implement targeted interventions addressing mental health influencing factors of older adults.


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