scholarly journals Mental health of clinic-attending Syrian refugee women in Jordan: associations between social ecological risks factors and mental health symptoms

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mohamad Adam Brooks ◽  
Melissa Meinhart ◽  
Luma Samawi ◽  
Trena Mukherjee ◽  
Ruba Jaber ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Social Ecology ◽  
Health Conditions ◽  
Factors Associated ◽  
Mental Health Conditions ◽  
Refugee Women ◽  
Syrian Refugee ◽  
Social Ecological ◽  
The Social

Abstract Background The mental health of refugee women is often affected by multiple risk factors in their social ecology. Assessing these risk factors is foundational in determining potential areas for intervention. We used the social ecological model to examine risk factors associated with self-reported mental health symptoms among clinic-attending Syrian refugee women in Jordan. We hypothesize that individual (older age, unmarried, have more children under 18, difficulty reading/writing with ease), interpersonal (intimate partner violence [IPV]), community and societal level risk factors (greater number of postmigration stressors), will be associated with depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms. Methods We surveyed 507 women using a cross-sectional clinic-based systematic sampling approach between April and November 2018. We used multivariable regressions to examine associations between different risk factors in the social ecology on depression, anxiety, and PTSD. Additional multivariable regressions explored associations between specific postmigration stressors and mental health conditions. Results We found rates of depression among our sample to be 62.92%; anxiety 57.46%; and PTSD 66.21%. Our hypothesis was partially supported. At the individual level, age was directly associated with anxiety (aOR 1.04, 95% CI [1.02, 1.06]) and PTSD (aOR 1.03, 95% CI [1.01, 1.06]), while marriage decreased odds for depression (aOR 0.41, 95% CI [0.19, 0.92]) and PTSD (aOR 0.36, 95% CI [0.15, 0.87]). IPV was associated with depression (aOR 2.78, 95% CI [1.72, 4.47]); anxiety (aOR 3.30, 95% CI [2.06, 5.27]); and PTSD (aOR 5.49, 95% CI [3.09, 9.76]). Each additional community and societal risk factor (postmigration stressor) increased the odds for depression (aOR 1.32, 95% CI [1.22, 1.42]), anxiety (aOR 1.28, 95% CI [1.19, 1.39]), and PTSD (aOR 1.46, 95% CI [1.33, 1.60]). Conclusion Understanding social ecological risk factors associated with mental health conditions of Syrian refugee women is vital to addressing their mental health needs. IPV and postmigration stressors are consistently impactful with all mental health conditions. IPV resulted in the largest odds increase for all mental health conditions. Multilevel interventions are needed to address mental health risk factors at multiple levels of the social ecology.

scholarly journals Factors Associated to Health Needs from Homeless Perspective in Spain

2016 ◽  
Vol 1 (1) ◽  
pp. 61
Author(s):  
David Martin-Baena ◽  
Isabel Montero-Pinar ◽  
Maria Isabel Fuertes-Lanzuela
Keyword(s):  
Mental Health ◽  
Homeless People ◽  
Poor Mental Health ◽  
Health Needs ◽  
Health Conditions ◽  
Coordinated Care ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mental Health Conditions

<p>Purpose: This pilot study aims to identify factors associated to roofless own health self-perception.<br />Design: Cross-sectional study with a sample of homeless people (n=68) who come for help to one of the homeless service centers founded by a non-profit organization. Socio-demographic characteristics, years living on streets, unhealthy habits, chronic morbidity, basic needs and self-reported physical and mental health were described. To identify factors related to mental and physical health from roofless own perspective, a binary logistic analysis was held. <br />Findings: The majority of participants were under 40 years, male and Spanish, alcohol or drug consumers, 80% have lived in the street for one to five years with high levels of pain and poor mental health conditions. Living on the street over a year, exposure to violence, lack of hygiene and female gender, affect negatively the own perception of physical and mental health conditions.<br />Conclusions: Our results show the different and complex homeless health needs. Given the duration of homelessness affected their health condition, recent roofless homeless should be identified as soon as possible.<br />Clinical relevance and further research: Those providing care for homeless people must promote a more coordinated care, maximizing flexibility and fostering relationships to better response to the multiple and different needs of this one vulnerable population. Further study is needed to allow identify the different experiences of homeless women and men.</p>

The Prevalence of Mental Health Conditions Among High School and Collegiate Student-Athletes: A Systematic Review

2021 ◽  
pp. 1-22
Author(s):  
James E. Kaishian ◽  
Regina M. Kaishian
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
High School ◽  
Systematic Review ◽  
Mental Health Treatment ◽  
Depressive Disorders ◽  
Health Conditions ◽  
Athletic Departments ◽  
Addictive Disorders ◽  
Mental Health Conditions

The physical impacts of overtraining, sport specification, and burnout are well documented in the literature; however, the state of the student-athlete’s (SA’s) mental health is something that needs to be investigated more comprehensively. Literature on SA mental health has gained prevalence within the last 5 years. The combination of pressure from sport and academics, as well as the stigmatization of clinical mental health treatment, can have a significant effect on the SA’s psyche. This review explores the prevalence of mental health conditions (MHCs) in high school and collegiate SAs. This includes signs and symptoms of mental health diagnoses to include substance- and alcohol-related addictive disorders and risk factors of such. A systematic review of the CINAHL, ERIC, SPORTDiscus, APA PsycINFO, and Rehabilitation & Sports Medicine resource databases was conducted. The initial search yielded 855 results. Following double screening, 22 studies were included, all of which were deemed medium to high quality. The findings indicate an alarming presence of MHCs ranging from risk factors of alcohol use and major depressive disorders among SAs. There was a high prevalence of mental health issues among SAs who are Black, Indigenous, people of color (BIPOC), and Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ). In most cases, participation in competitive athletics (varsity) did not contribute to additional MHCs for SAs. Sport psychologists should play a role in mental health programming within athletic departments. Athletic departments should develop proactive, targeted strategies to address MHCs for SAs.

COVID-19 risk: Adult Medicaid beneficiaries with autism, intellectual disability, and mental health conditions

Autism ◽  
2021 ◽  
pp. 136236132110396
Author(s):  
Whitney Schott ◽  
Sha Tao ◽  
Lindsay Shea
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Intellectual Disability ◽  
High Risk ◽  
Autism Spectrum ◽  
Health Conditions ◽  
Residential Facility ◽  
Severe Illness ◽  
Mental Health Conditions ◽  
Autistic Adults

Adults on the autism spectrum and those with intellectual disability or mental health conditions may be at increased risk of contracting COVID-19 or experiencing more severe illness if infected. We identified risk factors for COVID-19 among adults enrolled in Medicaid with an autism spectrum disorder diagnosis, intellectual disability, or mental health conditions. We examined adults ages 20–64 years with 9-month continuous enrollment over 2008–2012 using Medicaid Analytic eXtract data. There were 83,150 autistic adults and 615,607 adults with intellectual disability meeting inclusion criteria; of a random sample of 1 million beneficiaries without autism spectrum disorder or intellectual disability, 35.3% had any mental health condition. Beneficiaries on the spectrum, those with intellectual disability, and those with mental health conditions all had higher odds of risk factors for becoming infected with COVID-19 (living in a residential facility, receiving services in the home from outside caregivers, having had a long hospitalization, and having had avoidable hospitalizations) and higher odds of comorbidities associated with severe illness from COVID-19. Clinicians should anticipate high prevalence of comorbidities and risk factors for severe illness from COVID-19 among these populations. Health officials and non-governmental organizations should target these groups with outreach for the COVID-19 vaccine and support continued efforts for appropriate mitigation measures. Lay abstract Autistic adults, adults with intellectual disability, and adults with other mental health conditions may have higher risk of contracting COVID-19 or experiencing more severe illness from COVID-19 if infected. We used data from Medicaid to look at whether autistic adults and other adults with intellectual disability and other mental health conditions were more likely to have risk factors for COVID-19, such as living in a residential facility, receiving services regularly in the home from outside caregivers, having had a long hospitalization, having had avoidable hospitalizations, and having high-risk health conditions. We found that autistic adults had higher odds of living in a residential facility, receiving in-home services from outside caregivers, having had an avoidable hospitalization, and having a high-risk health condition, compared to neurotypical adults without mental health conditions. Adults with intellectual disability had similar odds of having these conditions. Adults with other mental health conditions were also more likely to live in a residential facility, receive services from outside caregivers, and have had avoidable hospitalizations compared to the neurotypical population without mental health conditions. They had three times higher odds of having a high-risk health condition. High risk of COVID-19 among autistic adults and adults with intellectual disability and mental health conditions should be recognized by clinicians, and these groups should be prioritized for vaccine outreach.

scholarly journals Dismantling the social safety net: social security reforms, disability and mental health conditions

2020 ◽  
Vol 44 (5) ◽  
pp. 208-212
Author(s):  
Jed Boardman
Keyword(s):  
Mental Health ◽  
Safety Net ◽  
Health Conditions ◽  
Social Safety Net ◽  
Long Term Conditions ◽  
Mental Health Conditions ◽  
The Social ◽  
Social Policy Reform ◽  
Social Security Reforms

SummaryThis article examines the effects of UK welfare reform since 2008 on people with mental health conditions and disabilities. The results have been profound, particularly during a time of economic austerity, damaging the social safety net and pushing many vulnerable people into poverty and hardship. It has perpetuated inequalities and increased the social exclusion of disabled groups. The holes in the safety net require repair, alongside extensive social policy reform to both protect and empower people with disabilities and long-term conditions.

Risk Factors for Assault and Physical Aggression Among Medically Hospitalized Adult Patients Who Had a Behavioral Emergency Call: A Descriptive Study

2021 ◽  
pp. 107839032098344
Author(s):  
Della J. Derscheid ◽  
Judith E. Arnetz ◽  
Christine Lohse
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Health Care ◽  
Emergency Response ◽  
Physical Aggression ◽  
Descriptive Study ◽  
Health Conditions ◽  
Care Providers ◽  
Mental Health Conditions ◽  
Behavioral Emergencies

BACKGROUND: Health care settings are a primary location for workplace violence that involves clients, but risk factors for behavioral emergencies in medical settings are largely unknown. AIM: This study proposed to identify risk factors for assault and physical aggression among medically hospitalized patients who needed a behavior emergency response team. METHOD: This descriptive study, conducted at a large Midwestern academic medical center, used univariable and multivariable logistic regression to assess relationships between demographic, medical, mental health, and contextual variables with assault and physical aggression. Predictive ability was summarized using area under the receiver operating characteristic curve. RESULTS: Among patients who received a behavior emergency response ( N = 820), 86 (10%) were assaultive. Physical aggression was the most significant predictor of assault. Physical aggression was predicted by older age, male gender, and verbal threats to others. Conversely, internalizing mental health conditions of anxiety, depression, and suicidal ideation were significant for decreased risk of assault and/or physical aggression. Contextual factors, identified as wanting to smoke or leave the hospital, were significantly associated with decreased risk of both assault and physical aggression. CONCLUSION: Health care providers are encouraged to (1) consider the demonstration of physical aggression as a sign to urgently implement precautionary measures for safety, (2) avoid predicting violent situations based on particular medical or mental health conditions alone, and (3) understand that not all disruptive behavior leads to violent situations.

scholarly journals Epidemiology of Suicide in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 625-625
Author(s):  
Jane Pearson
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Older Adults ◽  
Functional Disability ◽  
Healthcare Access ◽  
Health Conditions ◽  
Physical And Mental Health ◽  
Limited Mobility ◽  
Mental Health Conditions ◽  
Loss Of Spouse

Abstract This individual symposium abstract will focus on the epidemiology of suicide in older adults, with particular focus on risk factors, changing demographics, and population shifts with the baby-boomers aging. Epidemiologically, older men aged 75 and older have a suicide rate of 39.7 deaths per 100,000 in 2017, compared to the general population of 14.0 deaths per 100,000. Risk factors for suicide in older adults include functional disability, multiple chronic physical conditions, and social isolation. In addition, older adults often face stressors such as relationship issues, life crises (loss of spouse), and social factors (employment and financial challenges, housing stress, and legal issues). Limited mobility, physical and mental health conditions, and lack of social support can affect healthcare access and utilization. Many older adults do not routinely seek behavioral health treatment, with reported under-detection of mental health conditions such as depression, substance use disorders, and suicidal ideation.

scholarly journals Risk Factors for Incident Postdeployment Mental Health Conditions Among U.S. Air Force Medical Service Personnel

2017 ◽  
Vol 182 (S1) ◽  
pp. 251-257 ◽  
Author(s):  
Genny M. Maupin ◽  
Anthony P. Tvaryanas ◽  
Edward D. White ◽  
Heather J. Lysfjord
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Air Force ◽  
Medical Service ◽  
Health Conditions ◽  
Service Personnel ◽  
Mental Health Conditions ◽  
Air Force Medical Service
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