scholarly journals Frequency and Factors Associated with Foregone and Delayed Medical Care due to COVID-19 Among Non-Elderly US Adults from August to December 2020

2021 ◽  
Author(s):  
Theodoros Giannouchos ◽  
John M. Brooks ◽  
Elena Andreyeva ◽  
Benjamin Ukert
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Mental Health Problems ◽  
Age Groups ◽  
Healthcare Provision ◽  
Income Levels ◽  
Factors Associated ◽  
Final Sample ◽  
The Us ◽  
Self Reported Health Status

Objectives: To estimate the frequency and factors associated with foregone and delayed medical care attributed to the COVID-19 pandemic among non-elderly adults from August to December 2020 in the US. Methods: We used three survey waves from the Urban Institute’s Household Pulse Survey (HPS) collected between August 19 to 31, October 14 to 26, and December 9 to 21. The final sample included 155,825 non-elderly (18 to 64) respondents representing 135,835,598 million individuals in the US. We used two multivariable logistic regressions to estimate the association between respondents’ characteristics and foregone and delayed care. Results: The frequency of foregone and delayed medical care were 26.9% and 35.9%, respectively. Across all income levels, around 60% of respondents reported difficulties in paying for usual household expenses in the last 7 days. More than half reported several days of mental health issues. The regression results indicated that foregone or delayed care were significantly associated with difficulties in paying usual household expenses (across all income levels) (P<.001), worse self-reported health status (P<.001), increased mental health problems (P<.001), Veterans Affairs (P<.001) or Medicaid (P=.002) coverage compared to private healthcare coverage, and older age groups. Individuals who participated in the latter two waves of the survey (October, December) were less likely to report foregone and delayed care compared to those who participated in wave 1 (August). Conclusion: Overall, the frequency of foregone and delayed medical care remained high from August to December 2020 among non-elderly US adults. Our findings highlight that pandemic-induced access barriers are major drivers of reduced healthcare provision during the second half of the pandemic and highlight the need for policies to support patients in seeking timely care.

scholarly journals Factors Associated with Mental Health Problems among Malaysian Children: A Large Population-Based Study

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 119
Author(s):  
Norhafizah Sahril ◽  
Noor Ani Ahmad ◽  
Idayu Badilla Idris ◽  
Rajini Sooryanarayana ◽  
Mohamad Aznuddin Abd Razak
Keyword(s):  
Mental Health ◽  
Formal Education ◽  
Mental Health Problems ◽  
Large Population ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Health Problems ◽  
Public Health Issue ◽  
Factors Associated ◽  
Lower Socioeconomic

Mental health problems are a major public health issue, particularly among children. They impair children’s development, academic achievement, and ability to live a productive life. The present study aimed to determine the prevalence and factors associated with mental health problems among children aged 5 to 15 years old in Malaysia. Data from the National Health and Morbidity Survey (NHMS) 2015 were analyzed. A validated Strengths and Difficulties Questionnaire (SDQ) was used. The overall prevalence of mental health problems among children in Malaysia was 11.1%. Multiple logistic regression analysis revealed that for every year increment in age, mental health problems decreased by 5%. Further analysis found that children who had fathers with a non-formal education and worked in the private sector, had parents who were widowed or divorced, and had either parent with mental health problems were more likely to have mental health problems themselves. Children from the lower socioeconomic group and who had either parent with mental health problems had higher odds of having mental health problems in Malaysia.

scholarly journals COVID-19 pandemic related long-term chronic stress on the prevalence of depression and anxiety in the general population

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tian Qi ◽  
Ting Hu ◽  
Qi-Qi Ge ◽  
Xiao-Na Zhou ◽  
Jia-Mei Li ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Chronic Stress ◽  
Protective Factor ◽  
Mental Health Problems ◽  
Anxiety Symptoms ◽  
Binary Logistic Regression Analysis ◽  
Depression And Anxiety ◽  
Factors Associated

Abstract Background The COVID-19 pandemic has lasted for more than 1 year, causing far-reaching and unprecedented changes in almost all aspects of society. This study aimed to evaluate the long-term consequences of the COVID-19 pandemic on depression and anxiety, and explore the factors associated with it. Methods A cross-sectional study using an online survey was conducted to assess mental health problems from February 2 to February 9, 2021 by using patient health questionnaire-9 (PHQ-9) and generalized anxiety disorder-7 (GAD-7). The insomnia severity index (ISI), demographic data and COVID-19 related variables were measured by a self-designed questionnaire. The factors associated with depressive and anxiety symptoms were identified by Pearson chi-square test and binary logistic regression analysis. Results In the study that 1171 participants enrolled, the overall prevalence of depressive and anxiety symptoms among general people was 22.6 and 21.4% respectively in the present study. Living alone was a potential risk factor for depressive symptoms, while regular exercises was a potential protective factor. The prevalence of depressive and anxiety symptoms was significantly associated with the severity of insomnia symptoms and the negative feelings about pandemic. Conclusion COVID-19 pandemic- related chronic stress has brought about profound impacts on long-term mental health in the general population. The level of insomnia and a negative attitude towards the pandemic are significantly correlated with unfavorable mental health. However, we failed to found a significant association of age and gender with the mental health symptoms, although they were recognized as well-established risk factors during the outbreak by some other studies. This discrepancy may be because the acute and chronic effects of the pandemic are influenced by different factors, which reminds that more attention should be paid to the intrinsic psychological factors and physical reactions towards COVID-19.

scholarly journals Licensing and Physician Mental Health: Problems and Possibilities

2007 ◽  
Vol 93 (2) ◽  
pp. 6-11
Author(s):  
Herbert Hendin ◽  
Charles Reynolds ◽  
Dan Fox ◽  
Steven I. Altchuler ◽  
Phillip Rodgers ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Medical Care ◽  
Help Seeking ◽  
Psychiatric Care ◽  
Mental Health Problems ◽  
Health Related ◽  
Seeking Help ◽  
Medical License

ABSTRACT A number of factors appear to discourage physicians from seeking help for mental illness. This reluctance may be exacerbated by fears – well-founded or imagined – that by seeking help, physicians may put their medical license in jeopardy. To examine this risk, an analysis of all state medical board (SMB) license applications was followed by a seven-item survey mailed to SMB executive directors, and 70 percent responded. Follow up interviews were conducted with a sample of those not responding and also with a small group of directors whose responses were problematic. Thirteen of the 35 SMBs responding indicated that the diagnosis of mental illness by itself was sufficient for sanctioning physicians. The same states indicated that they treat physicians receiving psychiatric care differently than they do physicians receiving medical care. In follow-up interviews all 13 indicated that without evidence of impairment or misrepresentation any such sanctioning was likely to be temporary. A significant percentage (37 percent) of states sanction or have the ability to sanction physicians on the basis of information revealed on the licensing application about the presence of a psychiatric condition rather than on the basis of impairment. The same percentage state they treat physicians receiving psychiatric care differently than they do those receiving medical care. Physicians’ perceptions of this apparent discrimination is likely to play a role in their reluctance to seek help for mental health-related conditions. Suggestions are made for how SMBs and state physician health programs and state and county medical societies might collaborate in ways that while protecting patients decreases barriers to physicians help seeking.

Treatment Services in the Juvenile Justice System: Examining the Use and Funding of Services by Youth on Probation

2017 ◽  
Vol 17 (1) ◽  
pp. 62-87 ◽  
Author(s):  
Clair White
Keyword(s):  
Mental Health ◽  
Juvenile Justice ◽  
Justice System ◽  
Juvenile Justice System ◽  
Mental Health Problems ◽  
Ethnic Disparities ◽  
Service Needs ◽  
Factors Associated ◽  
Treatment Services ◽  
Using Data

Youth enter the juvenile justice system with a variety of service needs, particularly for mental health problems. Research has examined the extent to which youth have mental health disorders, primarily among detained youth, and factors associated with treatment referrals, but little research has examined youth on probation and the actual use of services. Using data obtained from the Maricopa County Juvenile Probation Department from July 2012 through August 2014 ( N = 3,779), the current study examines (1) the factors associated with receiving treatment services while on probation and (2) the factors associated with receiving treatment services through different funding streams. Findings reveal that only about 25% of the sample of youth on probation received treatment services, suggesting the underservicing of youth. Consistent with prior research, there were also racial and ethnic disparities concerning treatment use, with Blacks and Latinos less likely to receive services. Additionally, certain characteristics of youth and their background influenced the funding source for treatment services. Implications for policy and research are discussed in light of these findings.

Primary care management of older people with mental health problems

2013 ◽  
Author(s):  
Louise Robinson ◽  
Carolyn Chew-Graham
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Older People ◽  
Care Management ◽  
Mental Health Problems ◽  
Age Groups ◽  
Real Life ◽  
Health Problems ◽  
Care Systems ◽  
Primary Care Management

This chapter discusses the presentation and primary care management of the commonest mental health problems in older people; these include delirium, delusions, depression and anxiety, and dementia. Primary care is on the front line in dealing with older people who have mental health problems, supporting their families to care for them and managing people with complex co-morbidities in addition to mental health issues. Older people consult their GP almost twice as often as other age groups and up to 40% may have a mental health problem. Cases drawn from the authors’ real-life practice are presented firstly to represent clinical presentations and management within primary care and secondly to demonstrate how primary care links with secondary care and the wider services. The management of patients is discussed largely within reference to UK primary care systems and policy, but the international readership should find parallels within their own healthcare systems.

scholarly journals Nursing Staff Members Mental’s Health and Factors Associated with the Work Process: An Integrative Review

2016 ◽  
Vol 12 (1) ◽  
pp. 167-176 ◽  
Author(s):  
Selene Cordeiro Vasconcelos ◽  
Sandra Lopes de Souza ◽  
Everton Botelho Sougey ◽  
Elayne Cristina de Oliveira Ribeiro ◽  
José Jailson Costa do Nascimento ◽  
...  
Keyword(s):  
Mental Health ◽  
Nursing Staff ◽  
Mental Health Problems ◽  
Integrative Review ◽  
Post Traumatic Stress ◽  
Work Process ◽  
Related Factors ◽  
Factors Associated ◽  
Staff Members ◽  
Mesh Terms

Background: The mental health of nursing staff members influences the work process outcomes. Objective: Identify the work related factors that harms the nursing team’s mental health. Methods: Databases PubMed, Scopus, CINAHL and MEDLINE, by mating between the indexed descriptors in MeSH terms “mental health” and “occupational health nursing”. 783 articles were rescued to give a final sample of 18 articles. Integrative review in order to identify factors associated with the work process of the nursing staff that negatively affects mental health. Results: The main associated factors were work demands, psychological demands, violence, aggression, poor relationships with administrators, accidents involving the risk of exposure to HIV, stress and errors in the execution of labor activities. The main findings regarding the nursing staff’s mental health were post-traumatic stress disorder, depression, stress, major depressive episode and generalized anxiety disorder. Conclusion: Occupational nurses need to understand the complexities of mental health problems and substance use among nursing staff members to recognize, identify and care for workers at risk and offer adequate mental health care. Although the researches interests in this theme have increased, proving that all these factors contribute to the risk to mental health of nursing professionals, the protective measures and care are being neglected by managers in both private and public network . The health of nursing workers in question here is one more challenge for a profession that takes care of others in need, therefore, requires some caring with their own health.

scholarly journals Home foreclosure and risk of psychiatric morbidity during the recent financial crisis

2011 ◽  
Vol 42 (7) ◽  
pp. 1441-1448 ◽  
Author(s):  
K. A. McLaughlin ◽  
A. Nandi ◽  
K. M. Keyes ◽  
M. Uddin ◽  
A. E. Aiello ◽  
...  
Keyword(s):  
Mental Health ◽  
Major Depression ◽  
Family Income ◽  
Mental Health Problems ◽  
Psychiatric Morbidity ◽  
Density Ratio ◽  
Health Study ◽  
Incidence Density ◽  
The Us ◽  
Home Foreclosure

BackgroundA defining feature of the US economic downturn of 2008–2010 was the alarming rate of home foreclosure. Although a substantial number of US households have experienced foreclosure since 2008, the effects of foreclosure on mental health are unknown. We examined the effects of foreclosure on psychiatric symptomatology in a prospective, population-based community survey.MethodData were drawn from the Detroit Neighborhoods and Health Study (DNHS), waves 1 and 2 (2008–2010). A probability sample of predominantly African-American adults in Detroit, Michigan participated (n=1547). We examined the association between home foreclosure between waves 1 and 2 and increases in symptoms of DSM-IV major depression and generalized anxiety disorder (GAD).ResultsThe most common reasons for foreclosure were an increase in monthly payments, an increase in non-medical expenses and a reduction in family income. Exposure to foreclosure between waves 1 and 2 predicted symptoms of major depression and GAD at wave 2, controlling for symptoms at wave 1. Even after adjusting for wave 1 symptoms, sociodemographics, lifetime history of psychiatric disorder at wave 1 and exposure to other financial stressors between waves 1 and 2, foreclosure was associated with an increased rate of symptoms of major depression [incidence density ratio (IDR) 2.4, 95% confidence interval (CI) 1.6–3.6] and GAD (IDR 1.9, 95% CI 1.4–2.6).ConclusionsWe provide the first prospective evidence linking foreclosure to the onset of mental health problems. These results, combined with the high rate of home foreclosure since 2008, suggest that the foreclosure crisis may have adverse effects on the mental health of the US population.

scholarly journals Mental Health of People in State Quarantine during COVID-19 Situation in Thailand

2021 ◽  
Vol 13 (9) ◽  
pp. 1
Author(s):  
Sukjai Charoensuk ◽  
Kanyawee Mokekhaow ◽  
Duanphen Channarong ◽  
Chariya Sonpugdee
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Chronic Diseases ◽  
Mental Health Problems ◽  
Female Gender ◽  
Health Problems ◽  
Health Condition ◽  
Eastern Region ◽  
Cross Sectional ◽  
Factors Associated

When the COVID-19 outbreak spread across the globe, Thailand was the first country to report a COVID patient outside of China. We conducted a cross-sectional descriptive study to examine the mental health condition and the risk factors associated with the mental health problems of people in state quarantine. Our study sample included 4,069 people who were in state quarantine in the eastern region of Thailand. We administered a stress assessment test, a depression screening questionnaire, a suicidal risks screening tool and a COVID-19 anxiety screening scale, which were developed by the Department of Mental Health, Thailand. We found that most people in state quarantine reported a moderate level of COVID-19 anxiety, a mild level of stress, and no current risk of suicide. The risk factors associated with stress were female gender (OR = 2.290, p &lt; 0.001, 95% CI [1.687, 3.109]) and having chronic diseases (OR = 2.443, p &lt; 0.001, 95%CI [1.720, 3.470]). The factor associated with depression was female gender (OR = 1.380, p &lt; 0.001, 95%CI [1.201, 1.586]). The factors associated with risks for suicide were female gender (OR = 2.059, p &lt; 0.001, 95%CI [1.553, 2.729]) and having chronic diseases (OR = 2.128, p &lt; 0.001, 95%CI [1.510, 2.998]). The factors associated with COVID-19 anxiety were female gender (OR = 1.469, p &lt; 0.001, 95%CI [1.294, 1.669]) and having chronic diseases (OR = 1.329, p = 0.011, 95%CI [1.066, 1.657]). A system to screen for mental health problems and rapid assistance offered to people in state quarantine who are at risk of mental health problems are recommended to reduce the severity of the problems.

scholarly journals Vietnamese People’s Well-Being During the COVID-19 Pandemic: An Online Survey

2020 ◽  
Author(s):  
Tuyen Dinh Hoang ◽  
Robert Colebunders ◽  
Joseph Nelson Siewe Fodjo ◽  
Nhan Phuc Thanh Nguyen ◽  
Trung Dinh Tran ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Mental Health Problems ◽  
Preventive Measures ◽  
Well Being ◽  
Factors Associated ◽  
Preventive Behaviour ◽  
Restrictive Measures ◽  
Underlying Diseases ◽  
Vulnerable Persons

Abstract BackgroundThe COVID-19 pandemic, alongside the restrictive measures implemented for its control, may considerably affect people’s lives particularly vulnerable persons such as children, elderly and people with underlying diseases. This study aimed to assess the well-being of Vietnamese people after COVID-19 lockdown measures were lifted and life gradually returned to normal in Vietnam.MethodsAn online survey was organized from 21st to 25th April 2020 among Vietnamese residents aged 18 and over. Data were collected concerning the participants’ health status, COVID-19 preventive behaviour, and consequences of the preventive measures. The WHO-5 Well-Being Index was used to score participants’ well-being.ResultsA total of 1922 responses were analyzed (mean age was 31 years; range: 18-76). Factors associated with a high well-being score included older age, eating healthy food, practising physical exercise, working from home, and adherence to the COVID-19 preventive measures. Female participants, persons worried about their relatives’ health, and smokers were more likely to have a low well-being score.ConclusionsThe Vietnamese people continued to follow COVID-19 preventive measures even after the lockdown was lifted. Most respondents scored high on the well-being scale. However, the emergence of a new COVID-19 outbreak with an epicenter in Da Nang city is expected to increase public anxiety and mental health problems. It is clear that together with preventive measures, developing strategies to guarantee the well-being of the Vietnamese people’s is equally important.

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