scholarly journals Mental Health Determinants in Turkey: Investigating an Extensive List of Variables

2021 ◽  
Vol 11 (2) ◽  
pp. 47-69
Author(s):  
Abdullah Tirgil ◽  
Aygün Hızıroğlu Aygün

Bu çalışma ruh sağlığı belirleyicilerini; sosyodemografik faktörleri, bireylerin sağlık ve yaşam tarzı seçimlerini,ev ve çevresel faktörleri, sosyal sermayeyi ve çalışma ortamını da işin içerisine katarak geniş bir perspektifle elealmaktadır. Bu çalışmada, lineer regresyon modelleri kullanılarak ruh sağlığıyla ilişkili faktörler yetişkin bireyleriçin incelenmektedir. Bunun için Türkiye İstatistik Kurumu tarafından yapılan, 2008-2012 yılları arasını kapsayanve bütün Türkiye için temsil gücü bulunan Türkiye Sağlık Araştırması anketi verileri temel alınmıştır. Bulgularımızagöre, erkeklerin kadınlara kıyasla ruh sağlığı bakımından daha yüksek skora sahip oldukları ortaya çıkmaktadır.Çevredeki ses ve gürültü, ev veya çevredeki şiddet ve suçların özellikle kadınlarda düşük ruh sağlığı skoruyla ilişkiliolduğu gözlemlenmiştir. Bunun yanında iş sahibi olmanın sadece erkeklerin ruh sağlığını olumlu etkilediği görülmüştür. Diğer önemli bir sonuç ise, hane halkı gelirinin, kişinin sağlığı ve çevresinde güvenebileceği insanlarınolması gibi parasal olmayan faktörlere nazaran ruh sağlığını çok az ölçüde etkilediğinin gözlemlenmesidir. Ayrıcaişyerinde maruz kalınan ayrımcılık ve kaba davranışların her iki cinsiyetin ruh sağlığını olumsuz yönde etkilediğigözlemlenmiştir. Araştırmamızdan çıkan sonuçlar başkalarına güven, sağlık, evde, iş yerinde ve çevrede huzurlubir ortamın oluşturulması gibi maddi olmayan değerlerin kişilerin hayatında fark yaratacağı sonucuna işaret eder.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 412-412
Author(s):  
Chao-Yi Wu ◽  
Lyndsey Miller ◽  
Rachel Wall ◽  
Zachary Beattie ◽  
Jeffrey Kaye ◽  
...  

Abstract Many older adults remain inactive despite the known positive health implications of physical activity (e.g. improved mood, reduced mortality risk). Physical inactivity is a known interdependent phenomenon in couples, but the majority of research identifies determinants of physical inactivity at the individual level. We estimated the average amount of physical inactivity for older adult couples and, using dyadic analysis, identified physical and mental health determinants thereof. Forty-eight heterosexual older adult couples (mean age=70.6, SD=6.63) from the Veterans Integrated Service Network 20 cohort of the Collaborative Aging Research using Technology (CART) initiative were included in this study. Both dyad members wore actigraph devices for a month. The average number per day of inactive periods (defined as no movement or sleep activity for ≥ 30 minutes) was estimated. Multilevel modeling revealed that, within couples, there was no difference between partners in the average number of inactive periods, but on average across couples, males had more inactive periods per day (13.4, SD=4.43) than females (12.3, SD=4.87). For males, older age was the only variable associated with more inactive periods (β=0.13, p=.013). For females, more depressive symptoms in men were associated with fewer inactive periods (β=-0.37, p=.002), and more dependence in completing their own IADLs predicted more inactive periods (β=2.80, p<.001). All models were adjusted for covariates. Viewing couples’ activity as a unit, rather than as separate individuals, provides a novel approach to identifying pathways to reduce inactivity in older adults, especially when focusing on mental health issues and decreased independence within the couple.


Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.


Sociologija ◽  
2011 ◽  
Vol 53 (2) ◽  
pp. 213-230
Author(s):  
Ljiljana Milosevic

Current media campaigns, realized within national campaigns and actions on mental health prevention and promotion, are considered in this paper, in the context of expert public relation, as well as the whole society, towards mental health. Mental health promotion is determined as a range of activities by which individuals, community and society are being enabled to take control over mental health determinants and to improve it, but also as an action for improvement of mental health position on individual and social value scale. Characteristics and approach to mental health protection of citizens in Serbia are introduced in the paper, with reference to high incidence and prevalence of mental health disorders, as well as actual challenges to mental health of individuals, but also to modern society. Outcomes of the Survey: ?Radio and television and prevention of addictive diseases?, realized by the Radio-television of Serbia for the purpose of establishing informative-educational role of electronic media in the field of health, are also considered. Project ?Mental Capital and Wellbeing? and TV campaign for mental health promotion, realized in England, are quoted as an illustration of necessary strategic and multidisciplinary approach to mental health promotion, in which media represent an important complementary strategy.


Author(s):  
E. Golberstein ◽  
S.H. Busch

2014 ◽  
Vol 7 (3) ◽  
pp. 146-156 ◽  
Author(s):  
Sharon D. Koehn ◽  
Pavlina Jarvis ◽  
Sharanjit K. Sandhra ◽  
Satwinder K. Bains ◽  
Madeleine Addison

Purpose – The purpose of this paper is to explore if and how community organizations providing services to late-in-life Punjabi immigrants in British Columbia, Canada, offer services with the potential to promote their mental health or well-being. The authors also wanted to know how Punjabi seniors perceived available services and if they supported their mental well-being. Design/methodology/approach – To guide the research, the authors used the VicHealth Framework, which identifies three overarching social and economic determinants of mental health: social inclusion (SI), freedom from violence and discrimination, and access to economic resources and participation. This mixed methods study combines descriptive survey and qualitative focus group data with input from Punjabi seniors and community service providers. Findings – All three mental health determinants were identified as important by service providers and seniors, with SI as the most important. Family dynamics (shaped by migration and sponsorship status) influence all three determinants and can promote or diminish mental well-being. Research limitations/implications – The pilot study is limited in sample size and scope and further inquiry with different groups of immigrant older adults is warranted. Practical implications – Service providers assert that more outreach and sustainable funding are needed to reach the majority of potential beneficiaries unable to participate in community programmes. Information on mental well-being of seniors should be targeted at both seniors and their families. Originality/value – The VicHealth Framework provided a unique lens through which to explore the contributions of community organizations to mental health promotion for immigrant older adults.


Author(s):  
Giuseppina Lo Moro ◽  
Emma Soneson ◽  
Peter B. Jones ◽  
Julieta Galante

The increasing prevalence of mental health disorders and psychosocial distress among young people exceeds the capacity of mental health services. Social and systemic factors determine mental health as much as individual factors. To determine how best to address multi-level risk factors, we must first understand the distribution of risk. Previously, we have used psychometric methods applied to two epidemiologically-principled samples of people aged 14–24 to establish a robust, latent common mental distress (CMD) factor of depression and anxiety normally distributed across the population. This was linearly associated with suicidal thoughts and non-suicidal self-harm such that effective interventions to reduce CMD across the whole population could have a greater total benefit than those that focus on the minority with the most severe scores. In a randomised trial of mindfulness interventions in university students (the Mindful Student Study), we demonstrated a population-shift effect whereby the intervention group appeared resilient to a universal stressor. Given these findings, and in light of the COVID-19 pandemic, we argue that population-based interventions to reduce CMD are urgently required. To target all types of mental health determinants, these interventions must be multi-level. Careful design and evaluation, interdisciplinary work, and extensive local stakeholder involvement are crucial for these interventions to be effective.


2020 ◽  
Author(s):  
Rick Jansen ◽  
Josine Verhoeven ◽  
Laura KM Han ◽  
Karolina A Aberg ◽  
Edwin CGJ van den Oord ◽  
...  

ABSTRACTBiological clocks have been developed at different molecular levels and were found to be more advanced in the presence of somatic illnesses and mental disorders. However, it is unclear whether different biological clocks reflect similar aging processes and determinants. In ~3000 subjects, we examined whether 5 biological clocks (telomere length, epigenetic, transcriptomic, proteomic and metabolomic clocks) were interrelated and associated to somatic and mental health determinants. Correlations between biological clocks were small (all r<0.2), indicating little overlap. The most consistent associations with the advanced biological clocks were found for male sex, higher BMI, metabolic syndrome, smoking and depression. As compared to the individual clocks, a composite index of all five clocks showed most pronounced associations with health determinants. The large effect sizes of the composite index and the low correlation between biological clocks, indicate that one’s biological age is best reflected by combining aging measures from multiple cellular levels.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Martinez-Donate ◽  
J Tellez Lieberman ◽  
L Bakely ◽  
C Correa ◽  
C Valdez ◽  
...  

Abstract Background In the United States (U.S.), over 4 million citizen children live with an unauthorized immigrant parent who is at risk of deportation. Children of Mexican immigrants are disproportionately represented among this population, as 1 out of 3 deported immigrants are from Mexico. Parental deportation can have profound and long-lasting consequences for children, yet research on this topic is sparse. We present preliminary findings from an ongoing, longitudinal study examining changes in health, well-being, behavior, and environmental factors among U.S. citizen children of recently deported Mexican immigrants. Methods Forty-eight deported Mexican parents were recruited from deportation processing stations on the Mexican border region. We completed phone interviews with one of their U.S.-based, citizen children and an adult caregiver, collecting retrospective information on health, health behavior, household, academics, and socio-ecological health determinants from a year earlier, as well as shortly after deportation of their parent. Pre-post analyses of caregivers' survey data were conducted to assess changes in outcomes associated with parental deportation. Results Following deportation of their parents, children were reported to have more frequent health problems (p=.008), including mental health problems (p=.002), externalizing (p=.040) and internalizing (p=.011) behaviors, school absences (p=.092), and experiences of food insecurity (p=.007) than a year before. Academic expectations were also significantly worse (p=.006) than those prior to parental deportation. Conclusions Children are the unintended victims of indiscriminate immigration enforcement. Deportation of parents is associated with significant deterioration of physical and mental health, behavior, academics, and home environment for their U.S. citizen children. Our results call for immigration policy reform and interventions to support families affected by the deportation of a parent. Key messages Immigration policies that separate families can have significant detrimental impacts on the health and well-being of U.S. citizen children. Policies must be revised to keep families together and protect children in mixed-legal status families.


2021 ◽  
Vol 74 (11) ◽  
pp. 2768-2773
Author(s):  
Oksana V. Boriak ◽  
Anna V. Chobanian ◽  
Oleksandr V. Kolyshkin ◽  
Yurij Y. Kosenko ◽  
Tetiana M. Dehtiarenko ◽  
...  

The aim: The aim of the study is to identify correlations between mental health indicators for preschoolers with intellectual disabilities and specifics of their prenatal, natal and postnatal development. Materials and methods: Analysis of special medical, psychological and pedagogical literature; comparison and systematization of research material to determine mentalhealth indicators for preschoolers with mild and moderate degrees of intellectual disability; mathematical methods of statistics. Results: Empirical research, delineating formation of mental health indicators for senior preschoolers with intellectual disabilities, specified in low level of formation of both criteria, has been conducted. In general, we can conclude that the formation of mental health against the background of intellectual disability of preschool children is associatedwith low levels of self-awareness as a member of a social group; below age expectations’ ability to perceive self and produce information about themselves, their preferences and meaningful adults; inability to adhere to social norms and values in behavior; high levels of anxiety; aggressive tendencies; lack of independence; helplessness concerning helping others; expectation of help from adults; content inappropriate emotional outbursts accompanied by frequent mood swings; and desire for solitude. Conclusions: The obtained results confirm the conditionality of intellectual disability on negative factors in the perinatal period of development and strong correlation withmental disorders. It is important to correctly diagnose the existing manifestations of comorbid mental health disorders at preschool age and earlier, in order to implement appropriate measures for intervention and development.


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