scholarly journals Education in a new place and social support are needed to improve the health of North Korean defectors: A cross-sectional study

2020 ◽  
Author(s):  
Jihyun Lee ◽  
Yui Park ◽  
DONGHUN HAN ◽  
Ji Won Yoo ◽  
Wenlian Zhou ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
South Korea ◽  
Regular Education ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Korean Society ◽  
Assistance Programs ◽  
Self Rated Health ◽  
North Korean Defectors

Abstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the effects of education and social support on the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support with their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR=5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education is important for the health status of NKDs. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.

scholarly journals The association of education in a new society and social support from the education with the health of North Korean defectors: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jihyun Lee ◽  
Yui Park ◽  
Dong-Hun Han ◽  
Ji Won Yoo ◽  
Wenlian Zhou ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
South Korea ◽  
Regular Education ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Korean Society ◽  
Assistance Programs ◽  
Self Rated Health ◽  
North Korean Defectors

Abstract Background The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the associations of education and social support with the self-rated health status among NKDs. Methods This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support on their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables. Results NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR = 5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions Participation in regular education in South Korea is important for the health status of NKDs. Moreover, social support has an important role in the association between education and self-rated health. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.

scholarly journals Education in A New Place and Social Support Are Needed to Improve The Health of North Korean Defectors: A Cross-Sectional Study

2020 ◽  
Author(s):  
Jihyun Lee ◽  
Yui Park ◽  
Dong-Hun Han ◽  
Ji Won Yoo ◽  
Wenlian Zhou ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
South Korea ◽  
Regular Education ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Korean Society ◽  
Assistance Programs ◽  
Self Rated Health ◽  
North Korean Defectors

Abstract Background: The number of North Korean defectors (NKDs) escaping to South Korea has increased. The health status of NKDs is an essential factor for a successful settlement into South Korean society. However, no studies have been conducted on the health status of NKDs in terms of education and social support. The aim of this study was to determine the effects of education and social support on the self-rated health status among NKDs.Methods: This study utilized data gained from face-to-face interviews with 126 NKDs. A multivariable logistic regression and path analysis were performed to assess the effects of education in South Korea and social support with their self-rated health status and to explore the complex relationships between direct and indirect effects of the variables.Results: NKDs who did not experience regular education in South Korea responded that they were in poor health compared to their counterpart (OR=5.78). Although a direct association between education in South Korea and self-rated health was not shown, there was an indirect path from education in South Korea to self-rated health through social support. Conclusions: Participation in regular education is important for the health status of NKDs. Social policies and NKD assistance programs should consider and reflect the combination of education and social support interventions relevant to the health status of NKDs.

scholarly journals Suicide attempt and its associated factors amongst women who were pregnant as adolescents in Bangladesh: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jie Li ◽  
Syeda Zerin Imam ◽  
Zhengyue Jing ◽  
Yi Wang ◽  
Chengchao Zhou
Keyword(s):  
Social Support ◽  
Health Status ◽  
Adolescent Pregnancy ◽  
Young Women ◽  
Associated Factors ◽  
Suicide Attempts ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Adolescent pregnancy is a risk factor for suicide. We aimed to assess the prevalence of suicide attempts among young women with adolescent pregnancy in Bangladesh and to explore its associated factors. Methods In this cross-sectional study, we surveyed young women with adolescent pregnancy in urban and rural areas in Bangladesh to assess suicide attempts, socio-demographic and pregnancy-related characteristics, perceived health status, and perceived social support. Binary logistic regression analysis was conducted to explore the relationship between potentially related factors and suicide attempts. Results Of the participants, 6.5% (61/940) reported suicide attempts in the past 12 months, and the majority (88.5%) of the attempts happened within one year after the pregnancy. Participants with more years after first pregnancy (odds ratio (OR) = 0.47, 95% CI: 0.37–0.61) and more perceived social support from friends (OR = 0.69, 95% CI: 0.55–0.86) were less likely to have suicide attempts, and those perceived bad health status compared with good/fair health status (OR = 8.38, 95% CI: 3.08–22.76) were more likely to attempt suicide. Conclusions Women with adolescent pregnancy were at high risk of suicide attempts, especially those during the first postnatal year. The risk of suicide attempts attenuated with the time after pregnancy, and perceived social support from friends was a protective factor and perceived bad health status was a risk factor for suicide attempts among young women who have experienced adolescent pregnancy.

scholarly journals Self-rated health among undocumented and newly regularized migrants in Geneva: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julien Fakhoury ◽  
Claudine Burton-Jeangros ◽  
Idris Guessous ◽  
Liala Consoli ◽  
Aline Duvoisin ◽  
...  
Keyword(s):  
Social Support ◽  
Social Networks ◽  
Cross Sectional Study ◽  
Future Research ◽  
Undocumented Migrants ◽  
Long Term Effects ◽  
Residence Permit ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Self Rated Health

Abstract Background In Europe, knowledge about the social determinants of health among undocumented migrants is scarce. The canton of Geneva, Switzerland, implemented in 2017–2018 a pilot public policy aiming at regularizing undocumented migrants. We sought to test for associations between self-rated health, proven eligibility for residence status regularization and social and economic integration. Methods This paper reports data from the first wave of the Parchemins Study, a prospective study whose aim is to investigate the effect of residence status regularization on undocumented migrants’ living conditions and health. The convenience sample included undocumented migrants living in Geneva for at least 3 years. We categorized them into those who were in the process of receiving or had just been granted a residence permit (eligible or newly regularized) and those who had not applied or were ineligible for regularization (undocumented). We conducted multivariate regression analyses to determine factors associated with better self-rated health, i.e., with excellent/very good vs. good/fair/poor self-rated health. Among these factors, measures of integration, social support and economic resources were included. Results Of the 437 participants, 202 (46%) belonged to the eligible or newly regularized group. This group reported better health more frequently than the undocumented group (44.6% versus 28.9%, p-value < .001), but the association was no longer significant after adjustment for social support and economic factors (odds ratio (OR): 1.12; 95% confidence interval (CI): 0.67–1.87). Overall, better health was associated with larger social networks (OR: 1.66; 95% CI: 1.04–2.64). This association remained significant even after adjusting for health-related variables. Conclusion At the onset of the regularization program, access to regularization was not associated with better self-rated health. Policies aiming at favouring undocumented migrants’ inclusion and engagement in social networks may promote better health. Future research should investigate long-term effects of residence status regularization on self-rated health.

Race/Ethnic Variations in Predictors of Health Consciousness Within the Cancer Prevention Context

2020 ◽  
Vol 34 (7) ◽  
pp. 740-746
Author(s):  
Lucinda Nevarez ◽  
Shelly R. Hovick ◽  
Kimberly R. Enard ◽  
Stacy M. Lloyd ◽  
Lee Ann Kahlor
Keyword(s):  
Social Support ◽  
Health Status ◽  
Cancer Prevention ◽  
Race And Ethnicity ◽  
Cross Sectional Study ◽  
Stepwise Multiple Regression ◽  
Cross Sectional ◽  
Factors Associated ◽  
Health Consciousness ◽  
The Individual

Purpose: Although the literature establishes a link between health consciousness (HC) and prevention behavior, less explored are the individual, social, and health characteristics that are associated with increased HC. Similarly, underexamined is the influence of race and ethnicity on the relationship of these characteristics to higher levels of HC. Design: This cross-sectional study aims to identify and assess the relative importance of factors associated with higher levels of HC, highlighting the role of race and ethnicity. Participants: Participants came from a national research panel survey (N = 1007). Measures: Participants completed a 4-item scale capturing key concepts of HC as well as questionnaires capturing demographic profiles, social support, social networking activities, and health status. Analysis: A stepwise multiple regression was used to identify significant predictors of HC. Results: Female and more educated participants report higher levels of HC. African American and Hispanic participants report higher levels of HC compared to white participants. Findings indicate social support, social network participation, education, cancer survivorship, and health status were positively associated with higher HC for the collective sample. However, results revealed variations in factors associated with higher HC when stratified by race/ethnicity. Conclusion: Findings suggest that interventions aiming to motivate cancer prevention behaviors within at-risk communities may find more success by incorporating factors that are aligned with increased HC among culturally diverse populations.

scholarly journals What Are the Risk Factors of Negative Patient Experience? A Cross-Sectional Study in Chinese Public Hospitals

2019 ◽  
Vol 56 ◽  
pp. 004695801984786 ◽  
Author(s):  
Jinzhu Xie ◽  
Yinhuan Hu ◽  
Chuntao Lu ◽  
Qiang Fu ◽  
Jason T. Carbone ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Status ◽  
Patient Experience ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Sectional Study ◽  
Cross Sectional ◽  
Negative Patient ◽  
Self Rated Health

Hospitals are struggling to involve patients and learn from their experience. The risk factor of patient experience is increasingly recognized as a critical component in improving patient experience. Our study explored risk factors of negative patient experience in order to improve the health-service quality of public hospitals. We conducted a cross-sectional study in Hubei province, China. A total of 583 respondents were surveyed by the Outpatient Experience Questionnaire with good validity and reliability in July 2015. T-tests were conducted to compare the experience scores among different outpatient groups. Multiple linear regression was performed to determine the significant factors that influenced the outpatient experience. Outpatients between 18 and 44 years old had the lowest experience scores (65.89 ± 0.79), whereas outpatients completely paying out-of-pocket had the lowest experience scores (64.68 ± 0.81) among all participants. Outpatients with poor self-rated health status had the lowest experience scores (66.14 ± 1.61) among different self-rated health status groups. While age, type of payment, and self-rated health status were significantly risk factors that influenced outpatient experience in the multiple linear regression. Thus, health-care providers should pay more attention to outpatients who are young (age <45), completely out-of-pocket and poor health status, and provide precision health care to improve outpatient experience.

scholarly journals Health status, lifestyle habits, and perceived social support in long-term cancer survivors: a cross-sectional study

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Beatriz León-Salas ◽  
Edurne Zabaleta-del-Olmo ◽  
Joan Llobera ◽  
Bonaventura Bolíbar-Ribas ◽  
Tomás López-Jiménez ◽  
...  
Keyword(s):  
Social Support ◽  
Health Status ◽  
Cancer Survivors ◽  
Perceived Social Support ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Lifestyle Habits ◽  
Cross Sectional

scholarly journals Mental health and related influencing factors among rural elderly in 14 poverty state counties of Chongqing, Southwest China: a cross-sectional study

2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yin Yang ◽  
Hui Deng ◽  
Qingqing Yang ◽  
Xianbin Ding ◽  
Deqiang Mao ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factor ◽  
Health Status ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Rural Elderly ◽  
Mental Health Status ◽  
Sectional Study ◽  
Cross Sectional ◽  
Self Rated Health

Abstract Background China has the largest elderly population in the world; little attention has been paid to the mental health of elderly in areas of extreme poverty. This is the first study to investigate the mental health of the rural elderly in poverty state counties in Chongqing and was part of the Chongqing 2018 health literacy promotion project. Methods In 2019, a cross-sectional study was conducted to investigate the mental health status of the rural elderly in fourteen poverty state counties of Chongqing, in which a total of 1400 elderly aged ≥ 65 years were interviewed, where mental health status was measured by the ten-item Kessler10 (K10) scale. Ordered multivariate logistic regression was performed to evaluate the influencing factors related to mental health of the elderly in these areas. Results The average score of K10 in 14 poverty state counties was 17.40 ± 6.31, 47.6% was labeled as good, 30.2% was moderate, 17.0% was poor, and lastly 5.1% was bad, and the mental health status of the elderly in the northeastern wing of Chongqing was better than the one in the southeastern wing of Chongqing. A worse self-rated health was the risk factor for mental health both in the northeastern and southeastern wings of Chongqing (all P < 0.001). Lower education level (OR (95% CI) = 1.45 (1.12–1.87), P = 0.004) was a risk factor in the northeastern wing, whereas older age (OR (95% CI) = 1.33 (1.13–1.56), P = 0.001) was a risk factors in the southeastern wing. Conclusions The results showed that mental health of the elderly in poverty state counties was poor, especially in the southeastern wing of Chongqing. Particular attention needs to be paid to the males who were less educated, older, and single; female with lower annual per capital income; and especially the elderly with poor self-rated health.

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