scholarly journals One Hundred Children and Adolescents Consulting General Practice With Musculoskeletal Pain.

2021 ◽  
Author(s):  
Negar Pourbordbari ◽  
Martin Bach Jensen ◽  
Jens Lykkegaard Olesen ◽  
Sinead Holden ◽  
Michael Skovdal Rathleff
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Children And Adolescents ◽  
Musculoskeletal Pain ◽  
Social Impact ◽  
Child And Adolescent ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Cross Sectional ◽  
Sport Activities

Abstract BackgroundEach year, 8% of all child and adolescent consultations in general practice are due to musculoskeletal conditions, with pain as the most frequent symptom. Despite the commonality of musculoskeletal pain, limited knowledge exists about care-seeking children and adolescents with musculoskeletal pain. The purpose of this study was to describe characteristics of children and adolescents consulting their general practitioner with musculoskeletal pain.MethodsThis is a cross-sectional study based on the baseline data from the child and adolescent musculoskeletal (ChiBPS) pain cohort study, carried out in 17 Danish general practice clinics. Patients aged 8-19 years with musculoskeletal pain complaints when consulting their GP completed a questionnaire on demographics, physical activity, pain impact, psychosocial factors, and expectations of their general practitioner. Descriptive statistics were used to summarize data. Normally distributed continuous data are described using mean and standard deviations while non-normally data are described using median and interquartile range. ResultsWe included 100 participants (54% female, median age 13 [12-16] years). The most frequent activity limiting pain regions were knee (56%), back (20%), ankle (19%), and neck (13%). The majority (63%) consulted their general practitioner because they were not able to use their body as usual due to pain. At time of consultation the median pain duration was 5 months [3 weeks-1 year]. Above a third were often or sometimes nervous (34%), worried or anxious (33%), and took pain medication when in pain (33%). Pain made it difficult to participate in sport activities at school (79%) and disturbed spare time activities (88%). Pain made it difficult to concentrate (58%) and to fall asleep (38%) and only 38% expected a pain free long-term future.ConclusionThis study demonstrates the bio-psycho-social impact of musculoskeletal pain in care-seeking children and adolescents. Demographics, pain characteristics, psychosocial characteristics, and physical characteristics should be included in addressing children and adolescents with musculoskeletal pain.Trial registrationThe ChiBPS study where the participants in this study are from, was pre-registered before recruitment (ClinicalTrials.gov Identifier: NCT03678922) date: 09.20.18.

scholarly journals Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

2020 ◽  
Vol 17 (16) ◽  
pp. 5914 ◽  
Author(s):  
Marie-Pierre Tavolacci ◽  
Pierre Déchelotte ◽  
Joel Ladner
Keyword(s):  
College Students ◽  
Eating Disorders ◽  
Eating Disorder ◽  
General Practitioner ◽  
Help Seeking ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Cross Sectional ◽  
Restrictive Eating ◽  
The University

The aim of this paper was to identify the characteristics of broader categories of eating disorders (ED) and help- and care-seeking among college students. An online cross-sectional study was conducted among students of the University of Rouen-Normandy, France. The Expali-validated algorithmic tool, combining SCOFF test (Sick, Control, One stone, Fat, Food) and body mass index, was used to screen eating disorders into three diagnostic categories: restrictive eating disorders, bulimic eating disorders, and hyperphagic eating disorders. A total of 1493 college students were included; mean age was 20.1 years (SD = 1.9). The prevalence of likely cases of eating disorder was 24.8% (95% CI, 22.6–27.0). Percentage distributions of bulimic eating disorders, hyperphagic eating disorders, and restrictive eating disorders were 13.3%, 8.6%, and 2.9%, respectively. The two main resources for help-seeking in emotional stress situations were friends and family, whatever the ED. Students with eating disorders consulted their general practitioner more often for stress or anxiety than students without eating disorders: hyperphagic eating disorders (44.9%), restrictive eating disorders (35.1%), bulimic eating disorders (30.2%), and no eating disorder (20.4%) (p < 0.0001). The prevalence of healthcare renunciation was 21.9%, with a higher risk among students with bulimic eating disorders (AOR CI 95% 1.91 (1.34–2.72). The findings show one quarter of students screened positive for an eating disorder. Stress management was not necessarily different between students with eating disorders and students without eating disorders, but the former had a greater risk of renouncing treatment, especially related to a fear of seeing a general practitioner.

scholarly journals Identification of factors related to behaviors associated with musculoskeletal pain among elementary students

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Forouzan Rezapur-Shahkolai ◽  
Elham Gheysvandi ◽  
Akram Karimi-Shahanjarini ◽  
Leili Tapak ◽  
Rashid Heidarimoghadam ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Musculoskeletal Pain ◽  
Self Efficacy ◽  
Health Belief ◽  
Cross Sectional Study ◽  
Predisposing Factors ◽  
Perceived Barriers ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Perceived Susceptibility

Abstract Background Musculoskeletal pains are among evident health problems in children and adolescents. Backpack carrying behaviors and the sitting postures are among behavioral factors associated with musculoskeletal pain in schoolchildren. Therefore, this study aims to identify the factors related to these important musculoskeletal behaviors, using Health Promotion Models. Methods In this cross-sectional study, a questionnaire was created based on PRECEDE Model and Health Belief Model and was administered to 673 Iranian students, whom were selected randomly from elementary schools of Hamadan, Iran, in 2018. Results The findings of the study revealed that proper sitting postures and backpack carrying were 42 and 33%, respectively. The findings also showed that predisposing factors including perceived susceptibility (p < 0.05, β = 0.219), perceived severity (p < 0.05, β = 0.166), perceived barriers (p < 0.05, β = − 0.191), perceived self-efficacy (p < 0.05, β = 0.188) and also enabling factors (p < 0.05, β = 0.329) were significantly related to sitting behaviors. Moreover, backpack carrying behaviors had significant relationships with predisposing factors of perceived susceptibility (p < 0.05, β = 0.198), perceived barriers (p < 0.05, β = − 0.258), perceived self-efficacy (p < 0.05, β = 0.185) and reinforcing factors (p < 0.05, β = 0.208). Conclusions It seems necessary for future preventive programs to take factors of musculoskeletal pains among children and adolescents into account.

scholarly journals “Fitness and Fatness” in Children and Adolescents: An Italian Cross-Sectional Study

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 762
Author(s):  
Matteo Vandoni ◽  
Valeria Calcaterra ◽  
Vittoria Carnevale Pellino ◽  
Annalisa De Silvestri ◽  
Luca Marin ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Fat Mass ◽  
Muscle Power ◽  
Cross Sectional Study ◽  
Upper Body ◽  
Sedentary Behaviors ◽  
Cross Sectional ◽  
Sport Activities ◽  
And Performance ◽  
High Level

Children with obesity tend to have lower level of physical activity compared to non-obese peers. In fact, sedentary behaviors are prevalent in obese children causing difficulties to perform motor tasks and engaging in sport activities. This, in turn, has direct repercussions on adiposity and related comorbidities. The aim of the study was to investigate several components of fitness and their relationship with the degree of fatness in children. We considered 485 Italian schoolchildren (9.5 ± 1.12 years). BMI and prediction modelling outputs of fat mass were employed as markers of body fatness. Physical fitness (PF) was assessed by the 9-item test battery (explosive power, leg muscle power, arm muscle power, upper body power, coordination, agility, speed and endurance). Differences between groups in the PF tests (p < 0.05) were noted. A similar pattern was reflected in both genders. The relationship between anthropometrics’ characteristics and PF tests showed that weight and fat mass had a high level of correlation with different PF tests. Our findings highlight the importance of investigating the degree of fatness in relation with different components of fitness, in children and adolescents. This combination of proxies may cover an unexpectedly helpful screening of the youth population, for both health and performance.

scholarly journals Social impact and healthcare- seeking behavior for urinary incontinence among perimenopausal women attending gynae out patient department in BSMMU

2016 ◽  
Vol 8 (1) ◽  
pp. 37
Author(s):  
Fahmida Zabin ◽  
Nigar Sultana ◽  
Kazi Farhana Begum ◽  
Selima Kawser ◽  
Halima Akter
Keyword(s):  
Urinary Incontinence ◽  
Social Impact ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Medical Attention ◽  
Care Seeking ◽  
Cross Sectional ◽  
Cultural Attitudes ◽  
Seeking Behavior ◽  
Patient Department

<p><strong>Background:</strong> Urinary incontinence (UI) is a highly prevalent and burdensome condition among women.However,fewer than half of women with symptoms consult with a physician about incontinence, and determinant of treatment seeking are not well understood.</p><p><strong>Objectives:</strong> The aim of this study was to determine the prevalence, awareness and determinants of urinary incontinence (UI) among women attending GOPD in BSMMU and the sociodemographic factors involved in their health care-seeking behaviour.</p><p><strong>Methods:</strong> Cross-sectional study was carried out in Gynaeout patient department of Bangabandhu Sheikh Mujib Medical University with a sample of 800 women aged 45 yrs and above.</p><p><strong>Results:</strong> A total of 1000 women were recruited for the study by purposive sampling,among them 800 agreed to participate and completed the questionnaire. Of these, 165 (20.6%) were found to have UL Overall, the reason for not seeking medical attention was mainly embarrassment (40.6%) at having to speak with doctor. Of the total study sample, 566 subjects (70.6%) believed that UI was abnormal and worth reporting to a doctor. Coping mechanisms among incontinent women included frequent washing (58.3%) and wearing a protective perineal pad (42.4%), changing underwear frequently (41.3%), decreasing fluid intake (19.8%) and stopping all work (4.9%). Sufferers were most troubled by their inability to pray (64%) maintain marital relationship (47%), limitation of their social activities (20%), difficulty in doing housework (14%) and inconven­ience during shopping (13%). Most (56%) found it most embarrassing to discuss UI with their husbands. The majority of women (51.9%) believed child birth to be the major cause ofUI, followed by ageing (49.5%), menopause (34.2%) and paralysis (25.3%). Most of the subjects (62.3%) believe that UI can cause infection, some (20.5%) believe that it can cause skin allergy and very few think that it can cause cancer or other disorders.</p><p><strong>Conclusions:</strong> Our findings indicate that although UI is relatively common ,it is undereported by the women because of social and cultural attitudes. This findings suggest that strategies to promote care-seeking for incontinence must be developed and employed in the community.</p>

scholarly journals Religion: Interrelationships and Opinions in Children and Adolescents. Interaction between Age and Beliefs

Religions ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 357
Author(s):  
Rafael López Cordero ◽  
Francisca Ruiz Garzón ◽  
Lourdes Medina Martínez ◽  
María del Carmen Olmos-Gómez
Keyword(s):  
Children And Adolescents ◽  
Current Trend ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Experimental Methodology ◽  
Cross Sectional ◽  
Younger Age ◽  
Religious Issue ◽  
Quasi Experimental ◽  
Quantitative Descriptive

The current trend of secularization seems to be leading to a gradual withdrawal of religion from public spaces. However, in an increasingly internationalized world, it is becoming more and more important to study the roles of religion and religiosity and their potential in relation to dialogue and social conflicts and tensions. Education is a vital field within which to address this religious issue and create an educational dialogue in order to promote coexistence. By following a quantitative, descriptive, cross-sectional study, based on a quasi-experimental methodology with a social–analytical character, our aim is to assess the existing connections between religion, interrelation and opinion in Spanish children and adolescents. Special attention is paid to the interaction between age and beliefs. We carried out our study with the use of a questionnaire distributed to eleven secondary schools, with students aged between 11 and 16 years old, in three regions of southern Spain (Andalusia, Ceuta, and Melilla) characterized by high religious diversity and multiculturalism. The multivariate analysis carried out in this study identifies the effects of variance on the influence of age and religion, highlighting the interaction between the two. It is observed that the youngest students are those who express their opinions about religion the least, while those belonging to younger age groups and majority religions are those who express a greater religious coexistence, with Muslims externalizing their religious condition the most.

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