scholarly journals Maternal health and health-related behaviours and their associations with child health: Evidence from an Australian birth cohort

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257188
Author(s):  
Kabir Ahmad ◽  
Enamul Kabir ◽  
Syed Afroz Keramat ◽  
Rasheda Khanam
Keyword(s):  
Mental Health ◽  
Chronic Illness ◽  
Physical Health ◽  
General Health ◽  
Chronic Condition ◽  
Medical Condition ◽  
Physical And Mental Health ◽  
Poor General Health ◽  
Health Related ◽  
Outcome Index

Objective This study investigates the associations between maternal health and health-related behaviours (nutrition, physical activity, alcohol consumption and smoking) both during pregnancy and up to 15 months from childbirth and children’s health outcomes during infancy and adolescence (general health, presence of a chronic illness, and physical health outcome index). Methods This study used Wave 1 (2004) and Wave 7 (2016) data from the Longitudinal Survey of Australian Children (LSAC). We measured mothers’ general health, presence of a medical condition during pregnancy and mental health during pregnancy or in the year after childbirth. We subsequently measured the children’s general health, presence of a medical condition, and physical health outcome index at ages 0–1 (infancy) and 12–13 (adolescence). Binary logistic and linear regression analyses were performed to examine the association between the mothers’ health-related variables and their children’s health. Results Our results showed that poor general health of the mother in the year after childbirth was associated with higher odds of poor health in infants and adolescents in all three dimensions: poor general health (OR: 3.13, 95% CI: 2.16–4.52 for infants; OR: 1.39, 95% CI: 0.95–2.04 for adolescents), presence of a chronic condition (OR: 1.47, 95% CI: 1.19–1.81 for adolescents) and lower physical health score (b = −0.94, p-value <0.05 for adolescents). Our study also revealed that the presence of a chronic condition in mothers during pregnancy significantly increased the likelihood of the presence of a chronic condition in their offspring during infancy (OR: 1.31, 95% CI: 1.12–1.54) and during adolescence (OR: 1.45, 95% CI: 1.20–1.75). The study found that stressful life events faced by mothers increase the odds of poor general health or any chronic illness during adolescence, while stress, anxiety or depression during pregnancy and psychological distress in the year after childbirth increase the odds of any chronic illness during infancy. Conclusions The present study found evidence that poor maternal physical and mental health during pregnancy or up to 15 months from childbirth has adverse health consequences for their offspring as measured by general health, presence of chronic health conditions, and physical health index scores. This suggests that initiatives to improve maternal physical and mental health would not only improve child health but would also reduce the national health burden.

scholarly journals Relationship Between General Health and Health-Related Quality of Life in Educational Hospitals' Nurses in Ahvaz

2021 ◽  
Author(s):  
Mehdi Rezaei Far ◽  
Farzad Faraji-Khiavi
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
General Health ◽  
Pearson Correlation ◽  
P Value ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Background: Nurses face a lot of stress in their jobs, and the quality of life has a significant impact on the quality of their services. Therefore, the purpose of this study was to determine the relationship between general health and the quality of life conditions in nurses working in hospitals affiliated with Jundishapur University of Medical Sciences in Ahvaz. Methods: This cross-sectional descriptive-analytic study was conducted in 2017 on nurses working in educational hospitals in Ahvaz. The sample size was 265. A categorized random sampling was used for the research The collected data were analyzed using mean, standard deviation, independent t-test, ANOVA, regresson and Pearson correlation tests. Data collection tools included the general health questionnaire (GHQ) and the questionnaire on health-related quality of life (HRQOL). Results: Nurses had fairly good general health (23.9 ± 12.4) and their health-related quality of life was moderate (60.29 ± 16.07). Their physical health (63.4 ± 22.5) was found better than their mental health (61.7 ± 20.3) as a factor in the health-related quality of life states. General health had a strong and negative correlation with the quality of life associated with physical health (P-value < 0.001 and r = - 0.61) and the quality of life associated with mental health (P-value < 0.001 and r = - 0.68). Conclusion: Many aspects of health-related quality of life are influenced by general health factors. Therefore, it is recommended that prevention, identification, and treatment of physical and psychological problems and factors affecting the quality of life be considered as a priority, leading to an improvement in nurses’ quality of life.

Abstract 252: Trust in the Medical Profession is Associated with Medication Adherence and Health-Related Quality of Life in Hispanic Adults with Hypertension

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Lilia S Meltzer ◽  
Ron D Hays
Keyword(s):  
Mental Health ◽  
Medication Adherence ◽  
Physical Health ◽  
Medical Profession ◽  
Physical And Mental Health ◽  
Related Quality ◽  
Health Related ◽  
Fit Index ◽  
The Relationship

Background: Nonadherence to blood pressure lowering medication is a main contributor to poor hypertension control. While trust in the medical profession has been found to be associated with health behaviors such as treatment adherence, it has rarely been examined in Hispanics with hypertension and its relationship with health-related quality of life (HRQOL) is unknown. Objective: We evaluated a priori hypotheses positing that trust in the medical profession would be associated with greater medication adherence, resilience, and, in turn, better HRQOL in patients with hypertension. The three specific aims of this study were to: 1) examine the overall association (total effect) of trust in the medical profession and HRQOL (self-reported physical and mental health); 2) assess whether the association of trust with HRQOL is mediated by medication adherence and resilience; and 3) evaluate whether these associations vary by ethnicity (Hispanic vs. non-Hispanic). Methods: A cross-sectional survey that included the PROMIS® global physical and mental health scales and Morisky Medication Adherence Scale-8 was conducted with 201 adults (101 Hispanics and 100 non-Hispanics) under treatment for hypertension at a practice with seven cardiologists. A structural equation model was estimated to examine hypothesized associations (direct and indirect effects) among variables. Model fit was assessed via the chi-square statistic and three fit indices (Root Mean Square Error of Approximation; Comparative Fit Index; Non-Normed Fit Index). Results: The proposed model fit the data well and explained 37% of the variance in mental health and 15% of the variance in physical health. Trust was positively associated with physical health (β = 0.32, P < 0.001) and mental health (β = 0.43, P < 0.001). Trust was also positively associated with resilience (β = 0.18, P < 0.05), and medication adherence (β = 0.25, P < 0.05). Resilience was not significantly associated with physical health, but it was positively associated with mental health (β = 0.34, P < 0.001). Medication adherence was not significantly associated with either physical or mental health. Additionally, resilience partially mediated the relationship between trust and physical and mental health. And medication adherence partially mediated the relationship between trust and mental health, but did not significantly mediate the relationship between trust and physical health. A simultaneous group analysis indicated that Hispanic ethnicity did not moderate the associations between trust, medication adherence, resilience, and HRQOL. Conclusions: Findings suggest that trust in the medical profession serves as a protective mechanism for improving health in patients with hypertension by enhancing medication adherence, resilience, and global health irrespective of Hispanic ethnicity.

The successful impact of adapting CBT in IAPT for people with complex long-term physical health conditions

2020 ◽  
Vol 13 ◽  
Author(s):  
Rupal Panchal ◽  
Brian Rich ◽  
Carly Rowland ◽  
Tessa Ryan ◽  
Sarah Watts
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Clinical Supervision ◽  
Healthcare Professionals ◽  
Medical Condition ◽  
Good Practice ◽  
List Type ◽  
Physical And Mental Health ◽  
Medical Healthcare

Abstract It is widely recognised that a diagnosis of a long-term physical health condition (LTC) is likely to have a significant impact on a person’s mental health. This is highlighted in the Five Year Forward View for Mental Health (NHS England, 2016) where significant numbers of patients projected to be seen through the expansion of Improving Access to Psychological Therapies (IAPT) services are to come from within the LTC community. IAPT services offer evidence-based therapeutic interventions for common mental health issues – anxiety disorders and depression. The South East Staffordshire IAPT services have developed an integrated pathway as a Wave 2 site for the delivery of cognitive behavioural therapy (CBT) adaptations for LTC. The main themes outlined in this paper focus on the innovations and service developments of IAPT-LTC including: the importance of engagement between mental health and medical healthcare professionals, identifying the key professionals in medical healthcare to enhance engagement, extended training for clinicians with in-house continued professional development, as an extension to the National IAPT-approved top-up training for LTC, and developments in clinical supervision structures and practice, along with future developments in the field of IAPT-LTC. These themes have direct relevance to CBT practitioners working within the LTC community in IAPT services. The four contrasting case studies demonstrate how the application of CBT can successfully be adapted to condition related beliefs and behaviours, despite the complexity of the medical condition. Findings show how integrated services and engaging with medical healthcare professionals had profound benefits for the patients, IAPT therapists and medical healthcare professionals. Key learning aims (1) The good practice points in the development of the IAPT-LTC pathway within South East Staffordshire IAPT services. (2) The successful design and implementation of the IAPT-LTC pathway within South East Staffordshire IAPT services. (3) The key considerations of the interaction for patients between their physical and mental health symptoms. (4) The application of CBT adaptations for people with complex LTCs can be effective in improving psychological wellbeing and physical condition management.

scholarly journals Time Trends and Seasonal Patterns of Health-Related Quality of Life among U.S. Adults

2009 ◽  
Vol 124 (5) ◽  
pp. 692-701 ◽  
Author(s):  
Haomiao Jia ◽  
Erica I. Lubetkin
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Seasonal Effect ◽  
Health Related Quality ◽  
Physical And Mental Health ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Objectives. Although numerous studies have examined health-related quality of life (HRQOL) longitudinally, little is known about the impact of seasonality on HRQOL. We examined trend and seasonal variations of population HRQOL. Methods. We used data from the monthly Behavioral Risk Factor Surveillance System (BRFSS). We examined monthly observed mean physically and mentally unhealthy days from January 1993 to December 2006, using the structural time-series model to estimate the trend and seasonality of HRQOL. Results. We found overall worsening physical and mental health during the time period and a significant and regular seasonal pattern in both physical and mental health. The worst physical health was during the winter and the best physical health was during the summer. The mean number of physically unhealthy days in January was 0.63 days higher than in July. The worst mental health occurred during the spring and fall, but the magnitude of the seasonal effect was much smaller. The difference between the best and worst months of mentally unhealthy days was approximately 0.23 days. We found significant differences in unadjusted and season-adjusted unhealthy days in many counties. Conclusions. Our findings can be used to examine time-varying causal factors and the impact of interventions, such as policies designed to improve population health. Our findings also demonstrated the need for calculating season-adjusted HRQOL scores when examining cross-sectional factors on the population HRQOL measures for continuous surveys or longitudinal data.

scholarly journals Health related quality of life of diabetic patients visited in Koshi Zonal Hospital, Biratnanar

2015 ◽  
Vol 4 (3) ◽  
pp. 13-16 ◽  
Author(s):  
R K Mehta ◽  
S Subedi ◽  
S Bohora
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Short Form ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Physical And Mental Health ◽  
Related Quality ◽  
Health Related

Globally, diabetes is ranked as the 4th leading cause of death in terms of disease and places a huge strain on public health funding. Quality of life (QOL) is an important and understudied topic in the diabetes. Most studies reports that quality of life among people with diabetes is worse than QOL in general population. Thus, this study is aimed to assess health related quality of life of diabetic patients. We conducted a hospital- based non experimental prospective study. Total 50 diabetic patients were enrolled in this study by using purposive sampling technique. Short-Form 36 questionnaire was used to assess the QOL of diabetic patients. Among 50 respondents, 27 were female and 23 were male. In physical health, 56% respondents had obtained score above 50, 2% respondents had obtained score 50 and 42% respondents had obtained score below 50.Similarly, in mental health, 56% respondents had obtained score above 50 and 44% respondents had obtained score below50. This result indicates that majority of respondents (56%) had better QOL. It concludes that majority (56%) of respondents had better QOL in both physical and mental health and in physical health 2% had average QOL and 42% had poor QOL and in mental health 44% had poor QOL. So, the family, physician, nurses and policy makers can use this finding to identify and implement appropriate interventions for better management and ultimately improving QOL of diabetic patients.DOI: http://dx.doi.org/10.3126/jcmc.v4i3.11933Journal of Chitwan Medical College 2014; 4(3): 13-16 

scholarly journals Perceived Social Support Attenuates the Association between Stress and Health-Related Quality of Life among Adults Experiencing Homelessness

2021 ◽  
Vol 18 (20) ◽  
pp. 10713
Author(s):  
Midhat Z. Jafry ◽  
Jayda Martinez ◽  
Tzuan A. Chen ◽  
Michael S. Businelle ◽  
Darla E. Kendzor ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Social Support ◽  
Physical Health ◽  
Perceived Stress ◽  
Health Related Quality ◽  
Physical And Mental Health ◽  
Related Quality ◽  
Health Related

Health-related quality of life (HRQoL) is defined as a multidimensional subjective assessment of one’s physical and mental health. Homelessness is associated with numerous stressors that can reduce HRQoL. Social support is defined as the availability of individuals, or resources provided by individuals, to cope with stress. Interpersonal social support may be important in buffering HRQoL from the negative implications of stress. Here, we examine this association in a marginalized group known for high rates of physical and mental health comorbidities: adults experiencing homelessness. Participants (N = 581; 63.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Social support was measured with the 12-item Interpersonal Support Evaluation List (ISEL). HRQoL was measured by the Behavioral Risk Factor Surveillance System (BRFSS) survey using self-rated health, the number of poor mental and poor physical health days over the preceding 30 days, as well as the number of limited activity days as the result of poor mental and/or physical health. Perceived stress was assessed using the 4-item Perceived Stress Scale (PSS). The potential moderation effect of social support was examined by assessing the interaction term of social support and stress in a series of linear regression analyses, controlling for sex, age, months homeless, race, education, health insurance status, serious mental illness diagnosis, and recruitment agency/site. There was a significant interaction effect of social support and stress on the prediction of days of poor physical health, days of poor mental health, and days of limited activity (p in all cases ≤ 0.05). Results add to a growing literature on the potentially protective benefits of social support for HRQoL, extend them to a large sample of adults experiencing homelessness in the South, and demonstrate the significance of this moderating effect of social support over and above the influence of several prominent sociodemographic and diagnostic variables. Future work should determine if interventions designed to enhance social support can buffer HRQoL from the deleterious effects of stress among this vulnerable population.

Assessing the Quality of Physical and Psychological Health of Retired Elderly People in Saravan City

2021 ◽  
Author(s):  
Azizolah Mojahed ◽  
Behzad Rigi Kooteh ◽  
Iman Mahmoodi
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
Elderly People ◽  
Psychological Health ◽  
General Health ◽  
Population Distribution ◽  
P Value ◽  
Physical And Mental Health ◽  
Health Score

Background: Aging is a critical period of human life. The aim of this study was to evaluate the quality of physical and mental health of retired elderly in Saravan (Sistan and Baluchestan province). Methods: The present descriptive-analytical-cross-sectional study was performed on 150 elderly people in Saravan. The sampling method was cluster based on urban population distribution. Using the Physical Health and General Health Questionnaire (GHQ), different dimensions of their health were assessed. Data were analyzed using at descriptive and inferential levels. Results: 75% of the population were men and 25% were women. The mean of the overall physical health score (212.09 ± 70.89) which indicated moderate health. The overall general health score was (43.31 ± 19.73) which is in the moderate disorder group in the qualitative evaluation. There was also a significant relationship between physical and mental health of the evaluated retirees (p value < 0.001). Conclusion: The physical health of the retirees was moderately expressed and evaluated. Also, the general health studied in this group had moderate problems. Since there is a close relationship between mental health and physical health, and since the retired class is very vulnerable, these problems should be carefully evaluated.

scholarly journals Self-Rated Health and Psychological Distress among Emerging Adults in Italy: A Comparison between Data on University Students, Young Workers and Working Students Collected through the 2005 and 2013 National Health Surveys

2021 ◽  
Vol 18 (12) ◽  
pp. 6403
Author(s):  
Isabella Giulia Franzoi ◽  
Fabrizio D’Ovidio ◽  
Giuseppe Costa ◽  
Angelo d’Errico ◽  
Antonella Granieri
Keyword(s):  
Mental Health ◽  
University Students ◽  
Physical Health ◽  
Emerging Adults ◽  
Lower Risk ◽  
Health Surveys ◽  
Poor General Health ◽  
Working Students ◽  
Increased Risk ◽  
National Health Surveys

Background. The present study aimed at comparing self-reported physical health and mental health among university students, workers, and working students aged between 19 years and 29 years. Method. Using data from National Health Surveys held in 2005 and 2013, a cross-sectional study was conducted on 18,612 Italian emerging adults grouped into three groups: university students, workers, and working students. The odds ratios of self-reported anxiety or depression, poor general health, and poor mental health and physical health (as assessed through SF-12) were estimated through logistic regression models adjusted for potential confounders. Results. Compared with workers, students showed an increased risk of anxiety or depression and a lower risk of poor general health. Students and working students showed an increased risk of reporting weak mental health compared with that in workers, while students displayed a lower risk of poor physical health. Significant differences were not found between the 2005 and 2013 surveys. Conclusions. These results are of considerable importance for psychologists as well as educational and occupation-based institutions for planning prevention programs and clinical interventions.

Relationship Between Extracurricular Occupations and Health in College Students: A Longitudinal Study

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505178p1-7512505178p1
Author(s):  
Buwen Yao ◽  
Sandy Takata ◽  
Shawn C. Roll
Keyword(s):  
Mental Health ◽  
College Students ◽  
Longitudinal Study ◽  
Physical Health ◽  
Extracurricular Activities ◽  
Positive Mental Health ◽  
Student Health ◽  
Physical And Mental Health ◽  
Primary Author

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. We examined the relationships between participation in different extracurricular activities and the overall physical and mental health in college students across a 2-year period. Participation in certain occupations was associated with positive mental health, whereas other occupations were linked to poorer physical health. Exploration and promotion of participation in extracurricular occupations should be considered to support student health. Primary Author and Speaker: Buwen Yao Contributing Authors: Sandy Takata, Shawn C. Roll

Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors

2021 ◽  
Vol 30 (3) ◽  
pp. 176-184
Author(s):  
Bernadette Mazurek Melnyk ◽  
Alai Tan ◽  
Andreanna Pavan Hsieh ◽  
Kate Gawlik ◽  
Cynthia Arslanian-Engoren ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Critical Care ◽  
Physical Health ◽  
Medical Errors ◽  
Odds Ratio ◽  
Care Quality ◽  
Critical Care Nurses ◽  
Worksite Wellness ◽  
Physical And Mental Health

Background Critical care nurses experience higher rates of mental distress and poor health than other nurses, adversely affecting health care quality and safety. It is not known, however, how critical care nurses’ overall health affects the occurrence of medical errors. Objective To examine the associations among critical care nurses’ physical and mental health, perception of workplace wellness support, and self-reported medical errors. Methods This survey-based study used a cross-sectional, descriptive correlational design. A random sample of 2500 members of the American Association of Critical-Care Nurses was recruited to participate in the study. The outcomes of interest were level of overall health, symptoms of depression and anxiety, stress, burnout, perceived worksite wellness support, and medical errors. Results A total of 771 critical care nurses participated in the study. Nurses in poor physical and mental health reported significantly more medical errors than nurses in better health (odds ratio [95% CI]: 1.31 [0.96-1.78] for physical health, 1.62 [1.17-2.29] for depressive symptoms). Nurses who perceived that their worksite was very supportive of their well-being were twice as likely to have better physical health (odds ratio [95% CI], 2.16 [1.33-3.52]; 55.8%). Conclusion Hospital leaders and health care systems need to prioritize the health of their nurses by resolving system issues, building wellness cultures, and providing evidence-based wellness support and programming, which will ultimately increase the quality of patient care and reduce the incidence of preventable medical errors.

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