Risk behaviors screening in Thai adolescents with acute and chronic illnesses

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Lalit Leelathipkul ◽  
Suwanna Ruangkanchanasetr ◽  
Jiraporn Arunakul
Keyword(s):  
Chronic Illness ◽  
Health Risk ◽  
Risk Behaviors ◽  
Screen Time ◽  
Transition Period ◽  
Young Patients ◽  
Chronically Ill ◽  
Self Esteem ◽  
Chronic Illnesses ◽  
Learning Problems

Abstract Background Adolescence is considered as a transition period from childhood to adulthood. This transition leads to various types of risk behaviors. Ten percent of adolescents suffer from a chronic illness that can limit their daily activities and which may exhibit higher rates of risk behaviors than those without chronic illnesses. Objective To evaluate the prevalence of risk behaviors in chronically ill adolescents compared to adolescents without chronic illnesses and their associated risk factors. Methods We enrolled 312 patients aged 10–20 years who visited Ramathibodi Hospital from January 2015 to December 2017. There were 161 adolescents with chronic illnesses and 151 without a chronic illness. We used a computer-based program for the Youth Risk Behaviors Survey as well as a confidentiality interview. Statistical analyses included the chi-squared (χ2) and Student’s t-tests as appropriate. Results The risk behaviors in chronically ill adolescents were the following: learning problems, 86.3%; excessive screen time, 62.3%; unintentional injuries, 60.2%; depression, 38.5%; low self-esteem, 18.1%; substance abuse, 13% and sexual behavior, 6.2%. Youths with a chronic illness were more likely to report significantly higher risk of excessive screen time (62.3% vs. 48%, p = 0.01), depression (38.5% vs. 15.9%, p < 0.01) and, also low self-esteem (18.1% vs. 8.6%, p = 0.01) compared to those without chronic illness. Conclusions These results indicated that adolescents with chronic illnesses engage more in health risk behaviors and are prone to mental health and learning problems. These data emphasize the importance of health risk behavior screening and preventive counseling for young patients with chronic illnesses where these risks might worsen their disease.

scholarly journals Associations of Psychosocial Factors with Multiple Health Behaviors: A Population-Based Study of Middle-Aged Men and Women

2020 ◽  
Vol 17 (4) ◽  
pp. 1239 ◽  
Author(s):  
Kristin Thomas ◽  
Evalill Nilsson ◽  
Karin Festin ◽  
Pontus Henriksson ◽  
Mats Lowén ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Risk ◽  
Health Behaviors ◽  
Psychosocial Factors ◽  
Risk Behaviors ◽  
Health Behavior Change ◽  
Self Esteem ◽  
Health Risk Behaviors ◽  
Vital Exhaustion ◽  
Multiple Health

Background: The health behaviors smoking, risky alcohol consumption, insufficient physical activity, and poor diet constitute the main contributors to non-communicable diseases. Clustering of risk behaviors is common and increases the risk of these diseases. Despite health benefits, it is difficult to change health behaviors. Psychosocial factors could play a role in health behavior change, with research showing relationships between unfavorable psychosocial factors and health risk behaviors. However, many studies only investigated one or two health behaviors at a time. The present study, therefore, aimed to investigate associations between a broad range of psychosocial factors and multiple health risk behaviors in a general middle-aged population in Sweden. Methods: A cross-sectional design was used to investigate a random sample from the general population in Sweden (n = 1007, 45–69 years, 50% women). Questionnaire data on health behaviors (smoking, alcohol consumption, physical activity, and fruit/vegetable intake) and psychosocial factors, with both psychological and social resources (social integration, emotional support, perceived control, self-esteem, sense of coherence and trust) and psychological risk factors (cynicism, vital exhaustion, hopelessness and depressiveness), were analyzed. Logistic and ordinal logistic regression were used to analyze associations between psychosocial factors and multiple (0–1, 2 or 3–4) health risk behaviors. Results: A total of 50% of the sample had two health risk behaviors and 18% had three health risk behaviors. After adjusting for age, sex, education, employment status, and immigrant status, eight out of 10 psychosocial factors (exceptions: social integration and self-esteem) showed significant odds ratios (ORs) in the expected directions; low levels of psychosocial resources and high levels of psychosocial risk factors were associated with multiple risk behaviors. The strongest associations with multiple risk behaviors were seen for vital exhaustion (adjusted (adj.) OR 1.28; confidence interval (CI) 1.11–1.46), depressiveness (adj. OR 1.32, CI 1.14–1.52), and trust (adj. OR 0.80, CI 0.70–0.91). When controlling for all psychosocial factors in the same model, only the association with trust remained statistically significant (adj. OR 0.89, CI 0.73–1.00, p = 0.050). Associations with individual health behaviors were fewer and scattered, with no psychosocial factor being related to all four behaviors. Conclusions: Examining associations between a broad range of psychosocial factors and multiple health risk behaviors revealed consistent and significant associations for almost all psychosocial factors. These associations were stronger compared to associations to single health risk behaviors. Our findings support the relevance of considering psychosocial aspects in interventions aimed at health behavior change, especially for people with multiple health risk behaviors.

scholarly journals Chronically Ill, Critically Crip?: Poetry, Poetics and Dissonant Disabilities

2016 ◽  
Vol 36 (4) ◽  
Author(s):  
Emilia Nielsen
Keyword(s):  
Chronic Illness ◽  
Common Sense ◽  
Chronically Ill ◽  
Chronic Illnesses ◽  
Creative Commons ◽  
Mind And Body ◽  
Crip Theory ◽  
The Common ◽  
Author Request ◽  
A Site

In this hybrid critical-creative paper, I explore disability poetry and crip poetics via my manuscript, Body Work. Poetry provides a site to explore crip experience because, as Petra Kuppers (2007) argues, "poems and their performance of meaning clasp something of crip culture's force" (p. 103). Here, the "instability of language" (Kuppers, p. 89) provides a way of understanding chronic illnesses as "dissonant disabilities" (Driedger & Owen, 2008). In placing chronic illness in a disability studies framework, and via crip theory, which critiques the common sense naturalness of ability and heterosexuality, I investigate how chronic illness demands ways of understanding that intelligently address mind and body unpredictability. In close, I will revisit Robert McRuer's notion of "critically crip" arguing that any claim to crip be enacted with intentional criticality.© 2016 Nielsen. All rights reserved. By author request, this article is excluded from Creative Commons licensing. 

Self-esteem and health-risk behaviors among college students

2010 ◽  
Author(s):  
Tamara Calnan ◽  
Brittany Weaver ◽  
Cura Benally ◽  
Autumn Santiago
Keyword(s):  
College Students ◽  
Health Risk ◽  
Risk Behaviors ◽  
Self Esteem ◽  
Health Risk Behaviors

Turkish Adolescent Health Risk Behaviors and Self-Esteem

2011 ◽  
Vol 39 (2) ◽  
pp. 219-227 ◽  
Author(s):  
Emine Geçkil ◽  
Özlem Dündar
Keyword(s):  
Physical Activity ◽  
Substance Abuse ◽  
Health Risk ◽  
Risk Behaviors ◽  
School Performance ◽  
Risky Behavior ◽  
Self Esteem ◽  
Health Risk Behaviors ◽  
Strong Impact ◽  
School Grade

We examined health risk behaviors and self-esteem of 1,361 adolescents in Adiyaman, Turkey. The data were obtained using the Health Risk Behaviors Scale (HRBS; Çimen & Savaşer, 2003) and the Rosenberg Self-Esteem Scale (SES; Rosenberg, 1965). The most frequent predictor of risky behavior in adolescents was physical activity. Nutrition, psychosocial, hygiene, and substance abuse issues were also significant predictors of risky behavior. The results indicated that age, year at school (grade), gender, self-esteem, and school performance all had a strong impact on health risk behaviors. Adolescents must be made aware of health risk issues associated with physical activity, nutrition, hygiene, and substance abuse.

scholarly journals A Qualitative Study of Dyadic Coping among Couples Dealing with Burden of Chronic Illness

2020 ◽  
Vol V (III) ◽  
pp. 191-201
Author(s):  
Misbah Arshad ◽  
Bushra Bibi
Keyword(s):  
Chronic Illness ◽  
Qualitative Study ◽  
Chronically Ill ◽  
Chronic Illnesses ◽  
Dyadic Coping ◽  
Transactional Model ◽  
Interview Guide ◽  
Therapeutic Assistance ◽  
Depth Interviews

The present qualitative study aimed in-depth exploration of dyadic coping among couples dealing with chronic illness. There were 12 couples (six females and six males) with chronic illness and their healthy partners were interviewed. The in-depth interviews were conducted through interview guide based on Systematic Transactional Model (STM) (Bodenmann, 1995) and lived experiences of participants. The results were analyzed by using (Braun & Clarke, 2006) method of thematic analysis. The results revealed that female diagnosed partners showed less supportive dyadic coping to deal with physical and emotional burden of their chronic illnesses as compared to chronically ill male partners. However, the economic hardships is equally stressful for both members of the couples resulted in negative dyadic coping. The therapeutic assistance should be given to improve the dyadic coping among couples to deal with burden of chronic illness and live with better quality of life.

Health Risk Behaviors and Self-Esteem Among College Students: Systematic Review of Quantitative Studies

2020 ◽  
Vol 27 (2) ◽  
pp. 142-159 ◽  
Author(s):  
Julie Arsandaux ◽  
Ilaria Montagni ◽  
Melissa Macalli ◽  
Vincent Bouteloup ◽  
Christophe Tzourio ◽  
...  
Keyword(s):  
College Students ◽  
Systematic Review ◽  
Health Risk ◽  
Risk Behaviors ◽  
Self Esteem ◽  
Health Risk Behaviors ◽  
Quantitative Studies

scholarly journals DETERMINANTS OF GENERAL WELL-BEING IN BLACK MALES WITH CHRONIC ILLNESS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S394-S394
Author(s):  
Darlingtina Atakere
Keyword(s):  
Ethnic Identity ◽  
Chronic Illness ◽  
African American Males ◽  
Black Males ◽  
Well Being ◽  
Self Esteem ◽  
Active Coping ◽  
Chronic Illnesses ◽  
Black African

Abstract Over the last decades, considerable attention has been directed towards examining the well-being of people living with chronic illness. The presence of one or more chronic illnesses challenges their quality of life and general well-being, thus, impacting their abilities to function physically, psychologically, and socially. I investigated reports of general well-being in Black males with chronic illness(es) in a sample of N=242 participants. The males were aged 35–63 and identified as Black/African American males. The participants responded to items assessing general well-being; ethnic identity; self-esteem; active coping; the presence of chronic illness(es); and additional demographic, social and ecological characteristics. Analyses of responses indicated that marital status, ethnic identity, self-esteem are significant determinants of general well-being in Black males with chronic illness(es). Data further showed active coping to be negatively correlated with well-being. I discuss the implications of results for the understanding of health outcomes among this marginalized population.

scholarly journals General Well-Being in Adult Black Males With Chronic Illness

2019 ◽  
Vol 5 ◽  
pp. 233372141985566
Author(s):  
Darlingtina Esiaka ◽  
Pegah Naemi ◽  
Araba Kuofie ◽  
Riley Hess
Keyword(s):  
Ethnic Identity ◽  
Chronic Illness ◽  
Black Males ◽  
Well Being ◽  
Self Esteem ◽  
Active Coping ◽  
Chronic Illnesses ◽  
Black African ◽  
Functional Capacities

As individuals age, they witness a decline in physical health and functional capacities. The presence of one or more chronic illnesses challenges their quality of life and general well-being, thus, impacting their abilities to function physically, psychologically, and socially. We investigated reports of general well-being in older Black males with chronic illness(es) in a study of N = 145 participants, aged 35 to 63, and identified as Black/African American male. Participants responded to items assessing general well-being; ethnic identity; self-esteem; active coping; the presence of chronic illness(es); and additional demographic, social and ecological characteristics. Analyses of responses indicated that marital status (β = –.17, p < .05), ethnic identity (β = –.34, p = .00), self-esteem (β = .22, p = .03) are significant determinants of general well-being in Black males with chronic illness(es). Data further showed active coping ( β = –.41 p = .09) to be negatively correlated with well-being. We discuss the implications of results for the understanding of health outcomes among this marginalized population.

Is HEADS in our heads? Health risk behavior is not routinely discussed with young people with chronic conditions

2016 ◽  
Vol 28 (4) ◽  
pp. 429-435 ◽  
Author(s):  
Kirsten A. Boisen ◽  
Pernille Grarup Hertz ◽  
Charlotte Blix ◽  
Grete Teilmann
Keyword(s):  
Health Care ◽  
Young People ◽  
Health Risk ◽  
Risk Behaviors ◽  
Health Care Professionals ◽  
Young Patients ◽  
Health Risk Behaviors ◽  
Home Education ◽  
Illegal Drugs ◽  
Usual Practice

Abstract Background: Outpatient clinic visits are a window of opportunity to address health risk behaviors and promote a healthier lifestyle among young people. The HEADS (Home, Education, Eating, Activities, Drugs [i.e. substance use including tobacco, alcohol, and illegal drugs], Sexuality [including contraception], Safety, Self-harm) interview is a feasible way of exploring health risk behaviors and resilience. Objective: The purpose of this study was to evaluate how often HEADS topics were addressed according to young patients and staff in pediatric and adult outpatient clinics. Methods: We conducted a questionnaire survey among young patients and health care professionals at a tertiary university hospital. Young patients reported on their cumulative experience and staff reported on their usual practice. Results: A total of 290 young patients aged 12–22 years (78% having a chronic condition) and 97 health care professionals participated. We found only small reported differences between staff and young patients regarding whether home, education, and activity were addressed. However, staff reported twice the rate of addressing smoking, alcohol, illegal drugs, sexuality, and contraception compared to young patients. Young patients reported that smoking, alcohol, illegal drugs, sexuality, and contraception were addressed significantly more at adult clinics in comparison to pediatric clinics. After controlling for age, gender and duration of illness, according to young patients, adjusted odds ratios for addressing smoking at adult vs. pediatric clinics was 2.47 (95% confidence interval [CI]: 1.26–4.83), alcohol 2.84 (95% CI:1.45–5.57), illegal drugs 4.20 (95% CI:1.69–10.44), sexuality 3.54 (95% CI: 1.67–7.50), contraception 3.68 (95% CI:1.61–8.41), and any of the above 2.95 (95% CI: 1.47–5.91). Conclusion: According to young patients, smoking, alcohol, illegal drugs, sexuality, and contraception were not routinely addressed at a tertiary hospital, and especially at paediatric clinics, these issues were seldom addressed.

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