scholarly journals Characterizing multidimensional poverty in Migori County, Kenya and its association with depression

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259848
Author(s):  
Joseph R. Starnes ◽  
Chiara Di Gravio ◽  
Rebecca Irlmeier ◽  
Ryan Moore ◽  
Vincent Okoth ◽  
...  
Keyword(s):  
Multidimensional Poverty ◽  
Depression Score ◽  
Dose Effect ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Multidimensional Poverty Index ◽  
Multidimensional Indices ◽  
Heads Of Household ◽  
Patient Health ◽  
Rural Kenya

Introduction Narrow, unidimensional measures of poverty often fail to measure true poverty and inadequately capture its drivers. Multidimensional indices of poverty more accurately capture the diversity of poverty. There is little research regarding the association between multidimensional poverty and depression. Methods A cross-sectional survey was administered in five sub-locations in Migori County, Kenya. A total of 4,765 heads of household were surveyed. Multidimensional poverty indices were used to determine the association of poverty with depression using the Patient Health Questionnaire (PHQ-8) depression screening tool. Results Across the geographic areas surveyed, the overall prevalence of household poverty (deprivation headcount) was 19.4%, ranging from a low of 13.6% in Central Kamagambo to a high of 24.6% in North Kamagambo. Overall multidimensional poverty index varied from 0.053 in Central Kamagambo to 0.098 in North Kamagambo. Of the 3,939 participants with depression data available, 481 (12.2%) met the criteria for depression based on a PHQ-8 depression score ≥10. Poverty showed a dose-response association with depression. Conclusions Multidimensional poverty indices can be used to accurately capture poverty in rural Kenya and to characterize differences in poverty across areas. There is a clear association between multidimensional poverty and depressive symptoms, including a dose effect with increasing poverty intensity. This supports the importance of multifaceted poverty policies and interventions to improve wellbeing and reduce depression.

scholarly journals Measuring Vulnerability to Multidimensional Poverty

2019 ◽  
Vol 148 (1) ◽  
pp. 67-103 ◽  
Author(s):  
Mauricio Gallardo
Keyword(s):  
Multidimensional Poverty ◽  
Risk Behaviour ◽  
Poverty Measurement ◽  
Multidimensional Space ◽  
Poverty Index ◽  
Cross Sectional ◽  
Multidimensional Poverty Index ◽  
Wide Range ◽  
Vulnerability Indicators ◽  
Vulnerability To Poverty

Abstract A method to measure vulnerability to multidimensional poverty is proposed under a mean–risk behaviour approach. We extend the unidimensional downside mean–semideviation measurement of vulnerability to poverty towards the multidimensional space by incorporating this approach into Alkire and Foster’s multidimensional counting framework. The new approach is called the vulnerability to multidimensional poverty index (VMPI), alluding to the fact that it can be used to assess vulnerability to poverty measured by the multidimensional poverty index (MPI). The proposed family of vulnerability indicators can be estimated using cross-sectional data and can include both binary and metric welfare indicators. It is flexible enough to be applied for measuring vulnerability in a wide range of MPI designs, including the Global MPI. An empirical application of the VMPI and its related indicators is illustrated using the official MPI of Chile as the reference poverty measurement. The estimates are performed using the National Socioeconomic Characterisation Survey (CASEN) for the year 2017.

scholarly journals “It Is Like Medicine”: Using Sports to Promote Adult Women’s Health in Rural Kenya

2021 ◽  
Vol 18 (5) ◽  
pp. 2347
Author(s):  
Francis Barchi ◽  
Millan A. AbiNader ◽  
Samantha C. Winter ◽  
Lena M. Obara ◽  
Daniel Mbogo ◽  
...  
Keyword(s):  
Access To Health Care ◽  
Sleep Problems ◽  
Health Benefits ◽  
Adult Women ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Middle Income ◽  
Aerobic Activity ◽  
Effective Interventions ◽  
Rural Kenya

Despite the well-documented health benefits of recreational sports, few opportunities exist in lower- and middle-income countries for adult women to participate in recreational physical activities. An explanatory sequential mixed methods approach was used to explore associations between an innovative soccer program for adult women and self-reported health status. Cross-sectional survey data were collected in 2018–2019 from 702 women in the Nikumbuke Project, a health and literacy program in southeastern rural Kenya, followed by focus group discussions with 225 women who also participated in the Project’s soccer program. Quantitative findings suggest that women who participated in soccer had 67% greater odds of reporting good or excellent health than their non-soccer playing peers. Thematic analysis of qualitative data indicated that women credited soccer with less pain, fatigue, and stress, as well as weight loss and reduced dependence on medicine for hypertension, pain, and sleep problems. Women equated health benefits with greater ease and efficiency in completing chores, reduced worries, youthful energy, male-like strength, and pleased husbands. Soccer programs for adult women may be particularly effective interventions in settings where access to health care is limited and where lack of opportunity to engage in physical aerobic activity increases women’s risks for poor health outcomes.

Socioeconomic Variation of Multimorbidity in Colombian Older Adults

2021 ◽  
Author(s):  
Silvia Marcela Ballesteros ◽  
José Moreno-Montoya ◽  
Wilhelmus Johannes Andreas Grooten ◽  
Pedro Barrera-López ◽  
José A. De la Hoz-Valle
Keyword(s):  
Mortality Rate ◽  
Rural Areas ◽  
Urban Areas ◽  
Structural Equation ◽  
Strong Association ◽  
High Body Mass Index ◽  
Multidimensional Poverty ◽  
The Elderly ◽  
Cross Sectional ◽  
Multidimensional Poverty Index

Abstract BackgroundMultimorbidity prevalence in the elderly is increasing worldwide. Variations regarding the socioeconomic characteristics of the individuals and their context have been described, mostly in high-income scenarios. This study aims to assess the magnitude and the socioeconomic factors associated with variations on multimorbidity in Colombia.MethodsA cross-sectional multilevel study with a nationally representative sample of 23 694 Colombian adults aged 60 years and older was conducted. Individual socioeconomic, demographic, childhood and health related characteristics, as well as group level variables (multidimensional poverty index and infectious diseases mortality rate) were analyzed. A two-level stepwise structural equation model was used to simultaneously adjust the individual and contextual effects. ResultsMultimorbidity prevalence was 62.3% (95% CI 61.7–62.9). In the multilevel adjusted models, age, female sex, having functional limitations, non-white ethnicity, high body mass index, higher income, physical inactivity, poverty during childhood and living in urban areas were associated with multimorbidity. The mediation analysis showed that living in rural areas was significantly associated with infectious disease mortality rate and other individual associations with multimorbidity were mediated by the multidimensional poverty variable. ConclusionsThis paper demonstrates a strong association between multimorbidity and poverty in a low-middle income country. Differences in the factors involved in the etiology of multimorbidity are expected among wealthy and poor countries regarding availability and prioritization of health services.

scholarly journals The prevalence of smartphone addiction and its correlation with depression among higher college of technology students, Oman

2020 ◽  
Vol 8 (5) ◽  
pp. 1833
Author(s):  
Adil M. AL Mahrooqi ◽  
Talal A. AL Agbari ◽  
Asma S. AL Shidhani
Keyword(s):  
Severe Depression ◽  
Cross Sectional Study ◽  
Depression Score ◽  
Smartphone Addiction ◽  
Short Version ◽  
Mild Depression ◽  
Cross Sectional ◽  
Technology Students ◽  
College Of Technology ◽  
Patient Health

Background: The aim of this study is to identify the prevalence of smartphone addiction and its correlation with depression among Higher College of Technology students in Oman.Methods: A cross-sectional study was conducted in the Higher College of Technology, Oman. A self-reported questionnaire was distributed electronically to students between January and February 2017. The questionnaire contained a validated short version of the smartphone addiction scale (SAS-SV) and a validated Arabic version of the Patient Health Questionnaire-9 (PHQ-9), along with a single question to self-assess smartphone addiction.Results: With a response rate of 86.2%, a total of 376 students were considered, of whom 34.6% were males and 65.4% were females, with an overall mean age of 20.9 years. This study showed that the prevalence of smartphone addiction in the study population using the SAS-SV was 63.8%; 88.3% of students were using their smartphones for four hours or more per day and 80% had been using smartphones for more than four years. The overall depression rate was 32.2%. As the total depression score increased by 1 point, the smartphone addiction score increased by 0.428 points (p<0.005). The prevalence of smartphone addiction was 54.9% among those who had no depression, 80.3% among those who had mild depression, 75.9% among those who had moderate depression, and 96.2% among those who have severe depression (p<0.005).Conclusions: This study shows high smartphone addiction levels based on SAS-SV scores and found a significant positive correlation between smartphone addiction score and depression scores.

scholarly journals Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study

2021 ◽  
Vol 18 (16) ◽  
pp. 8569
Author(s):  
Siu-Ling Chan ◽  
Naomi Takemura ◽  
Pui-Hing Chau ◽  
Chia-Chin Lin ◽  
Man-Ping Wang
Keyword(s):  
Higher Education ◽  
Psychological Impact ◽  
Cross Sectional Study ◽  
Full Time ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brief Cope ◽  
Resilience Scale ◽  
Patient Health ◽  
Part Time

Frontline nurses face an unpreceded situation with the coronavirus disease (COVID-19) pandemic, and many report suffering from physical and psychological stress. This online, cross-sectional survey used questionnaires, such as the Generalized Anxiety Disorder (GAD-7) questionnaire, the Patient Health Questionnaire (PHQ-2), the Connor–Davidson Resilience Scale, stress-related questions, and Brief Coping Orientation to Problems Experienced (Brief-COPE), to determine the psychological impact of COVID-19 on licensed full-time practicing nurses undertaking part-time studies in higher education. Recruitment commenced from August to September 2020; 385 students were approached, and 124 completed the survey (response rate: 32%). Most of the respondents were frontline nurses working in public sectors (89.5%), 29% of whom reported symptoms of depression, and 61.3% reported mild to severe levels of anxiety. The GAD-7 was significantly associated with the resilience score (β = −0.188; p = 0.008) and exhaustion (β = 0.612; p < 0.001). The PHQ-2 was significantly associated with ‘anxiety about infection’ (β = 0.071; p = 0.048). A lower anxiety level was significantly associated with a higher resilience level and a lower level of exhaustion, and a lower depression level was significantly associated with a lower anxiety about infection. Nursing programs incorporating resilience building may mitigate psychological distress of the study population.

scholarly journals Community Pharmacists’ Perceptions, Barriers, and Willingness for Offering Sexual and Reproductive Health Services

2021 ◽  
Vol 18 (20) ◽  
pp. 10735
Author(s):  
Ali Mofleh Alshahrani ◽  
Mona Y. Alsheikh
Keyword(s):  
Reproductive Health ◽  
Sex Education ◽  
Professional Education ◽  
Sexual And Reproductive Health ◽  
Community Pharmacists ◽  
Reproductive Health Services ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Patient Health

The role of community pharmacists is crucial for promoting health and providing consultation related to sexual and reproductive health. This study measured the perception of community pharmacists in the Kingdom of Saudi Arabia (KSA) towards the provision of counselling services on sex education and reproductive health, including barriers to and proficiency in the delivery of services. A cross-sectional survey was developed and distributed electronically to pharmacists, and responses were analyzed using SPSS version 26. Graphical representations for various opinions on perception, proficiency and barriers were created. More than 80% of pharmacists placed a high value on counselling patients on sex and reproductive health, about 90% counselled their patients very often (74.6%) or often (22.2%), and 3.2% of pharmacists did not counsel patients. Most respondents believed counselling was very important (65.3%) or important (15.1%), with only 19.6% of respondents indicating it was not important. Barriers to offering services included fear from responsibility and liability (M = 4.8), lack of information about patient health (M = 4.7), gender differences (M = 4.7), and lack of social acceptability (M = 4.6). Community pharmacists in KSA possessed positive attitudes, professional education, and willingness to provide counselling to patients on sex education and reproductive health. Apart from the existing barriers that require augmented community pharmacists’ soft skills, clear policies and authorization for offering this type of service are also needed.

Depression and Anxiety Plus Levels of Stress among Secondary School Students during the COVID-19 Lockdown: an Online CrossSectional Survey

2021 ◽  
Author(s):  
Gunn Pungpapong ◽  
Rasmon Kalayasiri
Keyword(s):  
Substance Use ◽  
Secondary School ◽  
Secondary School Students ◽  
Female Gender ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Increased Risk ◽  
Patient Health

Objective: To assess prevalence and factors associated with depression, anxiety and stress among adolescents experiencing lockdown during the 2019 coronavirus disease 2019 (COVID-19) in both Asian and Western countries. Material and Methods: From May-June 2020, secondary school students were enrolled in an online cross-sectional survey, through social media; including, but not limited to, Instagram, Snapchat, WhatsApp and LINE. We assessed the presence and severity of depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder Scale-7) and stress (Perceived Stress Scale-10) within the last month, and assessed significant associations with demographics, degree of social distancing, and other associated issues using univariate and multivariate logistic regression analyses.Results: From 392 respondents (56.4% male, 43.1% female), from Thailand (59.2%), the United Kingdom (26.5%) and other countries (14.3%), we identified depressive symptoms in 58.7%, anxiety in 40.3% and high levels of stress in 9.7%. By multivariate analysis, we found significant associations between being female and depression and anxiety, being in late secondary school years and depression, and changes in patterns of substance use and anxiety and stress. Participants not located in Thailand had increased risk of depression.Conclusion: Our study demonstrated depression, anxiety and stress in six, four and one out of ten adolescents, respectively, who were experiencing lockdowns due to the COVID-19 pandemic. We found female gender, older school years, and changes in substance use patterns to be significantly associated with these mental health conditions.

scholarly journals Predictors, help-seeking behaviour and treatment coverage for depression in adults in Sehore district, India

BJPsych Open ◽  
2017 ◽  
Vol 3 (5) ◽  
pp. 212-222 ◽  
Author(s):  
Rahul Shidhaye ◽  
Tanica Lyngdoh ◽  
Vaibhav Murhar ◽  
Sandesh Samudre ◽  
Thomas Krafft
Keyword(s):  
Help Seeking ◽  
Severe Depression ◽  
Population Based ◽  
Madhya Pradesh ◽  
Point Prevalence ◽  
Treatment Gap ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Health ◽  
Log Linear

BackgroundNational Mental Health Survey found that in India, the point prevalence of major depressive disorder (MDD) was 2.7% and the treatment gap was 85.2%, whereas in Madhya Pradesh the point prevalence of MDD was 1.4% and the treatment gap was 80%.AimsTo describe the baseline prevalence of depression among adults, association of various demographic and socioeconomic variables with depression and estimation of contact coverage for the same.MethodPopulation-based cross-sectional survey of 3220 adults in Sehore district of Madhya Pradesh, India. The outcome of interest was a probable diagnosis of depression that was measured using the Patient Health Questionnaire (PHQ-9) and the proportion of individuals with depression (PHQ-9>9) who sought care for the same. The data were analysed using simple and multiple log-linear regression.ResultsLow educational attainment, unemployment and indebtedness were associated with both moderate/severe depression (PHQ-9 score >9) and severe depression only (PHQ-9 score >14), whereas age, caste and marital status were associated with only moderate or severe depression. Religion, type of house, land ownership and amount of loan taken were not associated with either moderate/severe or only severe depression. The contact coverage for moderate/severe depression was 13.08% (95% CI 10.2–16.63).ConclusionsThere is an urgent need to bridge the treatment gap by targeting individuals with social vulnerabilities and integrating evidence-based interventions in primary care.

Difference in mental state between Internet-addicted and non-addicted Japanese undergraduates

2015 ◽  
Vol 27 (3) ◽  
pp. 307-310 ◽  
Author(s):  
Kazuki Hirao
Keyword(s):  
Depressive Symptoms ◽  
Internet Addiction ◽  
Depression Scale ◽  
Mental States ◽  
Flow Experience ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Health ◽  
Flow Experiences

Abstract Background: Internet addiction (IA) is a common disorder among adolescents throughout most of the industrialized world. The purpose of this study was to compare mental states between Japanese undergraduates with IA and those without IA. Methods: In a cross-sectional survey, 165 healthy participants were assessed for IA using the Internet Addiction Test (IAT), for the frequency and quality of flow experiences in daily life using the Flow Experience Checklist (FEC), and for depressive symptoms using the Patient Health Questionnaire (PHQ-9), Beck Depression Inventory-II (BDI-II), and Zung Self-Rating Depression Scale (SDS). Results: The results showed that the prevalence of IA in the participants of this study was 15% and the frequencies of flow experience and depressive symptoms were significantly higher in the IA group. Conclusion: The results indicate that IA affects a significant number of Japanese university students and is associated with higher rates of depressive symptoms, suggesting a need for intervention programs as part of student mental health services.

scholarly journals Do rates of depression vary by level of alcohol misuse in Australian general practice?

2017 ◽  
Vol 23 (3) ◽  
pp. 263 ◽  
Author(s):  
Breanne Hobden ◽  
Jamie Bryant ◽  
Rob Sanson-Fisher ◽  
Christopher Oldmeadow ◽  
Mariko Carey
Keyword(s):  
General Practice ◽  
Alcohol Use ◽  
Alcohol Misuse ◽  
Sociodemographic Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevalence Of Depression ◽  
Patient Health ◽  
Australian General Practice ◽  
Disorder Identification

Limited data exist regarding co-occurring alcohol misuse and depression among general practice patients. This study examined the prevalence of depression by level of alcohol misuse, and the sociodemographic factors associated with depression and increased alcohol misuse severity. A cross-sectional survey was administered to 3559 Australian general practice patients. Patients completed their demographic details, the Patient Health Questionnaire (9-item) and the Alcohol Use Disorder Identification Test (Consumption items). The prevalence of alcohol misuse and depression was 6.7%, and depression prevalence varied significantly according to level of alcohol misuse (P<0.001). Age, gender, Aboriginality and number of chronic diseases were associated with depression and higher levels of alcohol misuse. These findings may assist General Practitioners in identifying those at risk of experiencing co-morbid depression and alcohol use, and aid in effective treatment and referral.

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