Psychological distress in the COVID-19 pandemic: prevalence and associated factors at a nursing college

ABSTRACT Objective: to analyze the prevalence and factors associated with psychological distress in students and workers at a public nursing college during the COVID-19 pandemic. Methods: this is a cross-sectional study, carried out by a structured survey based on the internet with a sample of 477 students and workers. Prevalence ratios were calculated and adjusted Prevalence Ratios were obtained by Poisson Regression, with robust variance control and stepwise backward technique. Results: the prevalence of psychological distress was 19.29% (95%CI: 15.98-23.09). Testing (PR 1.55; p-value 0.026) and belonging to the COVID-19 risk group (1.71; p-value 0.005), perception of family atmosphere (PR 3.10; p-value <0.001), feelings of loneliness (PR 2.64; p-value <0.001) and family violence (PR 2.21; p-value 0.005) were associated with distress. Conclusions: the high magnitude of the event and its association with COVID-19, loneliness and family dynamics arouse the need to build strategies that promote a place of protection for schools.

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Frailty in the elderly: prevalence and associated factors

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0633 ◽

2017 ◽

Vol 70 (4) ◽

pp. 747-752 ◽

Cited By ~ 22

Author(s):

Jair Almeida Carneiro ◽

Rafael Rodrigues Cardoso ◽

Meiriellen Silva Durães ◽

Maria Clara Araújo Guedes ◽

Frederico Leão Santos ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Robust Variance ◽

The North ◽

History Of ◽

Prevalence Ratios ◽

Use Of Health Services

ABSTRACT Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly.

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Psychometric evaluation of the modified Kessler seven-item version (K7) for measuring psychological distress using Rasch analysis: a cross-sectional study in a rural district of Bangladesh

BMJ Open ◽

10.1136/bmjopen-2019-034523 ◽

2020 ◽

Vol 10 (2) ◽

pp. e034523

Author(s):

Mohammed Nazim Uddin ◽

Fakir M Amirul Islam

Keyword(s):

Psychological Distress ◽

Rural Population ◽

Rasch Analysis ◽

Psychometric Evaluation ◽

Cross Sectional Study ◽

P Value ◽

Financial Instability ◽

Sectional Study ◽

Cross Sectional ◽

Distress Scale

ObjectivesThis investigation expected to validate the psychometric properties of the modified seven-item Kessler psychological distress scale (K7) for measuring psychological distress in healthy rural population of Bangladesh.DesignCross-sectional study.SettingNarail district, Bangladesh.ParticipantsA random sample of 300 adults of age 18–90 years were recruited. Face-to-face interviews were conducted between July and August 2018 using an Android phone installed with a mobile data collection application known as CommCare.Outcome measureValidation of the K7 was the major outcome. Sociodemographic factors were measured to assess for Differential Item Functioning to check if the tool functions equally in different factors. Rasch analysis was carried out for the validation of the K7 scale in the healthy rural population of Bangladesh. RUMM2030 was used for the analyses.ResultsResults showed good overall fit, as indicated by a non-significant item-trait interaction (χ2=44.54, df=28, p=0.0245) compared with a Bonferroni adjusted p value of 0.007. Both item fit (mean=0.30, SD 1.22) and person fit residuals (mean=–0.18, SD 0.85) showed perfect fit. Reliability was very good as indicated by a Person Separation Index=0.85 and Cronbach’s alpha=0.89. All individual items were ordered thresholds. The K7 scale showed adequate reliability, unidimensionality and was free from local dependency. The K7 scale also showed similar functioning for adults and older adults, males and females, no education and any level of education, and at least some financial instability versus no financial instability.ConclusionsValidation of K7 scale confirmed that the tool is suitable for measuring psychological distress among the rural Bangladeshi population. Further research should validate the K7 scale in different rural settings in Bangladesh to determine a valid cut-off score for assessment of severity levels of psychological distress. The K7 scale should also be tested in other developing countries where sociodemographic characteristics are similar to those of Bangladesh.

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A study of the factors affecting the receding age of onset of menarche in young girls

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182887 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2813

Author(s):

Noor Dharmarha ◽

Anuradha Konda

Keyword(s):

Age Of Onset ◽

Strong Association ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Age At Menarche ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Urban Indian ◽

Age Of Menarche

Background: Present study highlights that the worldwide trend of declining age at menarche is also seen in urban Indian girls. The aim of the study was to evaluate the age of menarche and to find out the factors associated with the timing of menarche.Methods: The study was an observational cross sectional study. 258 healthy, menstruating, adolescent girls aged 10-16 years, were selected by simple random sampling. Pre-designed structured questionnaires were distributed after taking informed consent. Anthropometric measurements were taken using standard techniques. The average age of menarche was calculated. The association of the age at menarche with the proposed factors was analyzed using chi square test and Pearson’s correlation coefficient. “P value” less than 0.05 was considered as significant.Results: The mean age at menarche was found to be 12.23±1.09 years. The study found a strong association between the respondent’s age at menarche and her sister’s age at menarche (p=0.002). The study also found a strong association between age at menarche and the socioeconomic status (p=0.021). This study however found no association of menarcheal age with factors like birth weight, type of diet, frequency of milk intake, body mass index, waist hip ratio, amount of exercise, unstable environment at home and psychosocial stress.Conclusions: The worldwide trend of declining age at menarche is also seen in urban Indian girls. This trend underlines the importance of investigating the factors associated with it and studying the future implications of a lower age at menarche.

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Protective and risk factors associated with psychological distress in cancer-bereaved parents: A cross-sectional study

European Journal of Oncology Nursing ◽

10.1016/j.ejon.2021.101929 ◽

2021 ◽

Vol 51 ◽

pp. 101929

Author(s):

Omid Rasouli ◽

Malin Aarseth Bø ◽

Trude Reinfjell ◽

Unni Karin Moksnes ◽

Mary-Elizabeth B. Eilertsen

Keyword(s):

Risk Factors ◽

Psychological Distress ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Bereaved Parents

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Factors Associated with the Occurrence of Distoclusion in the Primary Dentition: A Hierarchical Analysis

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-40.1.88 ◽

2016 ◽

Vol 40 (1) ◽

pp. 88-93 ◽

Cited By ~ 6

Author(s):

Carlos Alberto Feldens ◽

Renata Prestes Martins ◽

Renata Rocha Maciel ◽

Fabiana Vargas-Ferreira ◽

Paulo Floriani Kramer

Keyword(s):

Preschool Children ◽

Cross Sectional Study ◽

Southern Brazil ◽

Maxillary Canine ◽

Cross Sectional ◽

Factors Associated ◽

Robust Variance ◽

Distal Surface ◽

The City ◽

Pacifier Use

Objective: The aim of the present study was to identify factors associated with the occurrence of distoclusion among preschool children in southern Brazil. Study Design: A cross-sectional study was carried out with a sample of 1026 children aged two to five years enrolled at public preschools in the city of Canoas, Southern Brazil. Interviews were held with parents/caregivers to acquire demographic, socioeconomic and behavioral data. Six examiners who had undergone a training and calibration exercise performed the oral examinations. Distoclusion was recorded when the cusp of the maxillary canine was in an anterior relation to the distal surface of the mandibular canine during centric occlusion. Statistical analysis involved simple and multivariate Poisson regression with robust variance. Results: The prevalence of distoclusion was 36.5% (375/1026). This condition was more frequent in younger children, those classified as white or brown, those who were breastfed for a shorter period of time, those who used a pacifier and those who were bottle fed. The multivariate analysis demonstrated that the likelihood of exhibiting distoclusion was greater among two-year-olds (P=0.038), three-year-olds (P=0.023), those classified as white (P=0.016), those who used a pacifier (P<0.001) and those who used to use a pacifier (P<0.001). Conclusion: Counseling with regard to the duration of pacifier use could contribute toward reducing the prevalence of distoclusion and its consequences in preschool children.

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Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

10.21203/rs.3.rs-226920/v1 ◽

2021 ◽

Author(s):

Henry Sembatya ◽

Justine Namuli ◽

Judith Ajeani ◽

Sam Ononge

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Antenatal Care ◽

Pregnant Women ◽

Public Health Problem ◽

Antenatal Clinic ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

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Faktor-faktor yang Berhubungan Dengan Unmet Need KB Pasca-Salin IUD post-placenta di Kamar Rawat Pasca-bersalin RSUP DR. M. Djamil periode Januari-Maret 2013

Jurnal Kesehatan Andalas ◽

10.25077/jka.v2i3.158 ◽

2013 ◽

Vol 2 (3) ◽

pp. 158

Author(s):

Sari Handayani Utami ◽

Desmiwati Desmiwati2 ◽

Endrinaldi Endrinaldi

Keyword(s):

Post Partum ◽

Unmet Need ◽

Cross Sectional Study ◽

Survey Study ◽

P Value ◽

Significant Relation ◽

Cross Sectional ◽

Factors Associated ◽

The Subject ◽

Cross Sectional Design

AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001), sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222), faktor status ekonomi (p value = 1,000), dan faktor konseling KB (p value = 0,583).Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were women of fertile age couple who give birth per vaginam and selected by accidental sampling. This study had 88 respondents consists of 50 as not IUD Post-placenta acceptors and 38 respondents as IUD post-placenta acceptors. The data collected by using questionnaire through guided interview and analyzed through univariate and bivariate.The result of analysis showed that the factor had significant relation to unmet need of IUD post-placenta is knowledge (p value = 0,001), while another factors did not have significant relation are education level (p value = 0,222), economic level (p value=1,000), and family planning counselling (p value=0,583).Keywords:the relating factors, unmet need, post-partum contraception, IUDpost-placenta

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Factors associated with health facility delivery in Kitui County: a cross sectional study

F1000Research ◽

10.12688/f1000research.23419.1 ◽

2020 ◽

Vol 9 ◽

pp. 522

Author(s):

Mathew Munyamaara Mutiiria ◽

Gabriel Gatimu Mbugua ◽

Doris Marwanga

Keyword(s):

Multivariate Analysis ◽

Maternal Mortality ◽

Health Facility ◽

Cross Sectional Study ◽

Facility Delivery ◽

P Value ◽

Sectional Study ◽

Health Facility Delivery ◽

Cross Sectional ◽

Factors Associated

Background: High maternal mortality rate is a major public health concern in developing countries. Skilled birth delivery is central to reducing maternal mortality, yet health facility delivery remains low in Kitui County, Kenya. Our study estimated prevalence of unskilled delivery and identified factors associated with health facility delivery in Kitui County. Methods: A cross-sectional study was conducted December 2017-February 2018. 245 women from five administrative wards were interviewed. A structured questionnaire was used to collect data. Variables that had p value ≤0.05 in bivariate analysis were included in multivariable regression model to assess for confounders. Variables with a p value of ≤0.05 in multivariate analysis were considered statistically significant at 95% CI. Results: We interviewed 245 (240 analyzed) women from the five wards; the majority were 16-25 years age group (45.5%; 110/240). Mean age was 27±6.6 years. Prevalence of health facility delivery was 50.4%. Distance from a health facility, number of children in a household, occupation of the respondent’s partner, number of antenatal clinic (ANC) visits and means of transport were significant factors for not delivering in a health facility. On multivariate analysis, women who lived >5km from health facility were less likely to deliver in a health facility (AOR =0.36; 95% CI 0.15- 0.86). Women who attended ≥ 4 ANC visits were 4 times more likely to deliver in a health facility (95% CI 2.01-8.79). Conclusions: More than half of the respondents delivered in a health facility. A long distance from the health facility is a hindrance to accessing ANC services. Inadequate ANC visits was associated with home delivery. Improving accessibility of health care services and health education on family planning would increase delivery at a health facility. We recommend Kitui County introduce five satellite clinics/ambulatory services for expectant women to access ANC and maternal services.

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Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04256-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alexandra Doncarli ◽

Lucia Araujo-Chaveron ◽

Catherine Crenn-Hebert ◽

Virginie Demiguel ◽

Julie Boudet-Berquier ◽

...

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

Lower Probability ◽

Medical Monitoring ◽

Poisson Regression Model ◽

Sectional Study ◽

Cross Sectional ◽

Robust Variance ◽

The Impact ◽

Prevalence Ratios

Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.

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Prevalence and Associated Factors of Utero-Vaginal Prolapse in AddisAbaba, Ethiopia: A Cross-Sectional Study.

10.21203/rs.3.rs-144888/v1 ◽

2021 ◽

Author(s):

Zelalem Mekuria ◽

Abdu Mengesha ◽

Girma Seyoum

Keyword(s):

Risk Factors ◽

Addis Ababa ◽

Cross Sectional Study ◽

Home Delivery ◽

Health Concern ◽

Uterovaginal Prolapse ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.

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