The Prevalence and Correlates of Depressive Symptoms among Arab Women in a Primary Health Care Setting

2008 ◽  
Vol 38 (4) ◽  
pp. 453-467 ◽  
Author(s):  
Aisha Hamdan ◽  
Sana Hawamdeh ◽  
Amal Hussein
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Depressive Symptoms ◽  
Life Events ◽  
Stressful Life Events ◽  
Family Income ◽  
Stressful Life ◽  
Arab Women ◽  
Primary Health ◽  
Primary Health Care Centers

Background: Depression is one of most common mental illnesses in the world, with a high prevalence in primary health care settings. Some research has been conducted in the Arab region, but this research has been limited. This study investigated the prevalence of depression in a primary health care setting in the United Arab Emirates as well as possible socio-demographic and stressful life event correlates of depression. Methods: Arabic versions of the Beck Depression Inventory (BDI), a Stressful Life Events Inventory, and socio-demographic form were used for the study. Data were collected from 224 Arab women, aged 18 and above, in the primary health care centers of Sharjah, using a convenience sampling method. Results: Approximately 33% of women were found to be either moderately (14.7%) or severely (18%) depressed. The following socio-demographic variables were found to be correlated with scores on the BDI ( p < .05): marital status (being single, widowed or divorced), working status (working full- or part-time), and family income (lower family income). The number of stressful life events that a woman had experienced in the past year was also correlated with depression. Conclusions: Depressive symptoms are common in women attending primary health care centers in the Emirate of Sharjah. Stressful life events, in particular, are related to the level of depressive symptoms experienced by these women. It will be important to consider the social, psychological, and economic variables that impact emotional health in the region. This research is considered to be an initial step in developing prevention and intervention programs to address the mental health needs of Arab women.

scholarly journals Factors Associated with Psychiatric Comorbidity in Depression Patients in Primary Health Care in Chile

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Alfredo Cancino ◽  
Marcelo Leiva-Bianchi ◽  
Carlos Serrano ◽  
Soledad Ballesteros-Teuber ◽  
Cristian Cáceres ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Life Events ◽  
Psychiatric Comorbidity ◽  
Stressful Life Events ◽  
Clinical Severity ◽  
Stressful Life ◽  
Psychiatric Comorbidities ◽  
Factors Associated ◽  
Primary Health

Objective. To identify the clinical and psychosocial factors associated with psychiatric comorbidity in patients consulting for depression in Primary Health Care (PHC) in Chile. Methods. 394 patients with a diagnosis of major depression being treated in a Chilean PHC were evaluated using a sociodemographic and clinical interview, the mini-international neuropsychiatric interview (MINI), a childhood trauma events (CTEs) screening, the intimate partner violence (IPV) scale, the Life Experiences Survey (LES), and the Hamilton Depression Rating Scale (HDRS). Results. Positive correlations were established between higher number of psychiatric comorbidities and severity of depressive symptoms (r = 0.358), frequency of CTEs (r = 0.228), frequency of IPV events (r = 0.218), frequency of recent stressful life events (r = 0.188), number of previous depressive episodes (r = 0.340), and duration of these (r = 0.120). Inverse correlations were determined with age at the time of the first consultation (r = -0.168), age of onset of depression (r = -0.320), and number of medical comorbidities (r = -0.140). Of all associated factors, early age of the first depressive episode, CTEs antecedents, and recent stressful life events explain 13.6% of total variability in psychiatric comorbidities. Conclusions. A higher prevalence of psychiatric comorbidity among subjects seeking help for depression in Chilean PHCs is associated with early onset of depression, clinical severity, chronicity, and interpersonal adversity experienced since childhood.

Risk Factors for Adolescent Pregnancy in Bali: Case Control Study

2016 ◽  
pp. 201
Author(s):  
Dewi Aprelia Meriyani ◽  
D.P. Yuli Kurniati ◽  
P.P. Januraga
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Adolescent Pregnancy ◽  
Family Income ◽  
Negative Influence ◽  
Case Control ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background and purpose: Adolescents pregnancy is a public health problem in Indonesia. The 2012 Demographic and Health Survey Indonesia showed that 9.5% women age 15-19 years had given birth. The aims of this study was to identify risk factors associated with adolescent pregnancy.Methods: The study was conducted in Kintamani District, Bangli, Bali Province. Design of the study was case control with a total of 96 respondents. The cases were 32 pregnant woman age <20 years and the controls were 64 non married and non pregnant woman age <20 years. The cases were taken from register of pregnant women in Kintamani I and VI primary health care centers. The controls were randomly taken from a list of women in the youth group at the same working area of both primary health care centers. The data collection was conducted by interview in the house of each respondent. The data were analyzed using bivariate (chi square test) and multivariate logistic regression.Results: Risk factors that found associated with adolescents pregnancy were respondents with peer negative influence (AOR=71.6; 95%CI: 9.4-545.2), respondents who had opportunity to have sexual relationship (AOR=17.7: 95%CI: 3.2-98.2), lack of knowledge about reproductive health and adolescent pregnancy (AOR=12.8; 95%CI: 2.5-66.5) and higher family income (AOR=5.8: 95%CI: 1.3-26.6). Level of education and exposure to pornography was not significantly found associated with adolescent pregnancy.Conclusion: The negative influence with their peers, opportunity to have sexual intercourse, lack of knowledge and higher family income were found as risk factors of adolescents pregnancy.

Antibiotics Prescription Patterns in Primary Health Care in Qatar – A Population based study from 2017 to 2018

2020 ◽  
Author(s):  
Hanan Khudadad ◽  
Lukman Thalib
Keyword(s):  
Health Care ◽  
Antibiotic Resistance ◽  
Primary Health Care ◽  
Respiratory System ◽  
Population Based ◽  
Antibiotics Resistance ◽  
Prescription Patterns ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: Antibiotics are antimicrobial drugs used in the treatment and prevention of bacterial infections. They played a pivotal role in achieving major advances in medicine and surgery (1). Yet, due to increased and inappropriate use of antibiotics, antibiotic resistance (AR) has become a growing public health problem. Information on antibiotic prescription patterns are vital in developing a constructive approach to deal with growing antibiotic resistance (2). The study aims to describe the population based antibiotic prescriptions among patients attending primary care centers in Qatar. Methodology: A population based observational study of all medications prescribed in the all Primary Health Care Centers during the period of 2017-2018 in Qatar. Records with all medication prescriptions were extracted and linked to medical diagnosis. Antibiotics prescriptions records were compared to non- antibiotics records using logistic regression model in identifying the potential predictors for antibiotic prescriptions. Results: A total of 11,069,439 medication prescriptions given over a period of two-years, we found about 12.1% (n= 726,667) antibiotics prescriptions were antibiotics, and 65% of antibiotics are prescribed and received by the patients at the first visits. Paracetamol (22.3%) was the first highest medication prescribed followed by antibiotics (12.1 %) and vitamin D2 (10.2 %). More than half of all antibiotics prescribed during the period of January 2017 to December 2018 were Penicillin (56.9%). We found that half of the antibiotics (49.3 %) have been prescribed for the respiratory system comparing to the other body system. We found that males were 29% more likely be given an antibiotic compared to females (OR=1.29, 95% CI= 1.24- 1.33). Implications: The study provides a baseline data to enable PHCC management to design effective intervention program to address the problem of antibiotics resistance. Furthermore, it will help the policymakers to comprehend the size of the issue and develop a system to manage the antibiotics therapy. Conclusion: Antibiotics was the second highest medication prescribed in the Primary Health Care Centers in Qatar after paracetamol and most of the patients received it at the first visit. Most of the prescriptions in Primary Health Care Centers in Qatar were for the respiratory system, and Penicillin was the highest class prescribed. Male visitors were prescribed antibiotics more than female visitors.

scholarly journals Herbal medicine use and its associated factors in the region of Sousse (Tunisia)

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Limam ◽  
J Sahli ◽  
I Khalfallah ◽  
M Mellouli ◽  
M Ghardallou ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Herbal Medicine ◽  
Medicinal Plants ◽  
Associated Factors ◽  
Medicine Use ◽  
Toxic Dose ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Health Care Centers

Abstract Background Patients use medicinal plants as the first-line treatment for many chronic and acute medical conditions. The lack of access to conventional health care, historical, cultural and economic considerations contributes to the important use of these plants. The purpose was to identify medicinal plants used by primary Health Care Centers' visitors in the region of Sousse (Tunisia) and to assess its associated factors. Methods A cross-sectional descriptive study was conducted among Primary health care centers' visitors of the region of Sousse (Tunisia) in 2018. We randomly selected 18 primary health centers and 50 participants were chosen from each center. Data were collected using a pre-tested questionnaire, filled through a direct interview with participants which explores: socio-demographic variables and medicinal plants' use (name of plants, symptoms, methods of preparation, routes of administration, plant source, tolerance and side effects). Results 900 persons were included with a female predominance (72.4%). The median age of participants was 48 years ranging from 18 to 93. 65.2% (n = 587) of them report using medicinal plants to heal. The most common sources of information were family (90.5%), beliefs and traditions (56.4%). Fifty-three (53) plants were used to treat different disorders. The most used plants are: verbena (81.6%), rosemary (53.3%), mint (52%) and thyme (45.1%). The most reported treated symptoms were: flu and gastro-intestinal disorders. Plants utilization was associated to: lower age, female gender, marital status, high level of education and social existence of protection coverage. Conclusions Plants use should be based on well-conducted scientific results specifying the mechanism of action of plants, the therapeutic and toxic dose through researches on local plants samples and extracts. Key messages It seems essential to train health professionals on herbal therapy during their studies and practice. The further step after this picture of the herbal medicine use in the Region of Sousse, is to evaluate the safety and the efficacy of their use.

scholarly journals Barriers Facing Primary Health Care Physicians When Dealing with Emergency Cases in Jeddah, Saudi Arabia

2015 ◽  
Vol 8 (8) ◽  
pp. 192 ◽  
Author(s):  
Majed A. Aloufi ◽  
Marwan A. Bakarman
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Emergency Services ◽  
Fine Tuning ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers ◽  
Primary Health Care Physicians ◽  
Health Care Centers

<p><strong>OBJECTIVES:</strong> To estimate the prevalence of emergency cases reporting to Primary Health Care centers (PHC), Jeddah, Saudi Arabia and to explore the barriers facing PHC physicians when dealing with such emergency cases.<strong></strong></p><p><strong>METHODS:</strong> A cross-sectional analytic study, where all physicians working in the PHC of the Ministry of Health (MOH) in Jeddah; were invited to participate (n=247). The study period was from July 2013 till December 2013. Data were collected through two sources. 1- A self-administered questionnaire used to determine the physicians’ perceived competence when dealing with emergency cases. 2- A structured observation sheet used to evaluate availability of equipment, drugs, ambulances and other supporting facilities required to deal with emergency cases.</p><p><strong>RESULTS:</strong> The response rate was 83.4%. The physicians’ age ranged between 25 and 60 years with a mean ±SD of 34.4±7.5 years. Majority of them (83.5%) did not attend ATLS courses at all whereas 60.7% never attended ACLS courses. The majority (97.1%) had however attended BLS courses. Physicians in the age group 36-45 years, non-Saudi, those who had SBFM, those who reported experience in working in emergency departments and physicians who reported more working years in PHCCs (&gt;5 years) had a significant higher score of perceived level of competence in performing emergency skill scale than others (P&lt;0.05). The prevalence of emergency cases attending PHC in Jeddah (2013) was 5.2%.</p><p><strong>CONCLUSION:</strong> Emergency services at PHC in Jeddah are functioning reasonably well, but require fine tuning of services and an upgrade in their quality.</p>

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