scholarly journals Assessment of Marital Dissatisfaction and Its Association with Sexual Dysfunction and Psychiatric Morbidities among Primary Health Attenders in Malaysia

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Ahmad Faizal S ◽  
Hatta Sidi ◽  
Suzaily Wahab ◽  
Leny Ss ◽  
Nora Mat Zin ◽  
...  

Introduction: Marital satisfaction is vital to the wellbeing and functioning of the individual and family. Marital dissatisfaction can lead to detrimental effects on mental, physical and family health. The study aimed to determine the proportion of marital dissatisfaction in outpatient setting and its association with sexual functioning and psychiatric morbidity in Kuala Lumpur, Malaysia. Materials & Methods: A crosssectional study was conducted in selected primary care using purposive sampling. Data collection was done using socio-demographic questionnaire and several validated Malay version of self-administered questionnaires. Marital satisfaction was measured by the Malay version of Golombok–Rust Inventory of Marital State (Mal-GRIMS). Results: The prevalence of marriage dissatisfaction in sample population was about 37.3% with almost equal prevalence in both, 36.5% (male) and 37.8% (female). Using a regression analysis, the significant factors that affect marital dissatisfaction were respondent’s age group between 31- 40 years old (Adjusted Odds Ratio, AOR. =11.4, 95% Confidence Interval, CI. =1.2-110.9), spouse’s salary of RM1000-RM2000 (lower income category) (AOR=7.3, 95% CI= 1.9-28.1), anxiety case (AOR= 4.8, 95% CI=1.1- 21.5), depression case (AOR= 4.8, 95% CI=1.0-22.8), female sexual dysfunction in term of arousal function (AOR= 0.01, 95% CI=0.0-0.7), satisfaction dysfunction (AOR= 9.4, 95% CI= 1.5-58) and pain function (AOR=43.7, 95% CI=1.28 - 1489.2). Conclusion: Marital dissatisfaction can be influenced by financial factor, sexual dysfunction and presence of psychiatric morbidity. Hence, in management of marital discord, thorough screening of these factors should be prioritized in clinical setting.

2015 ◽  
Vol 4 ◽  
pp. 18-25
Author(s):  
Dipendra Kumar Khatri

This article summarizes the study conducted to find out the effectiveness of guided writing in teaching composition. Fifty-two students of grade nine studying at Khelnechour Secondary School, Surkhet were the sample population of this research. The researcher requested one of the teachers to involve in the practical teaching for carrying out the research. The tests (pre-test and post test) were the major tools for data collection. The students were ranked from the first to the fifty-second position based on the results of the pre-test. They were divided into two groups based on odd-even ranking of the individual scores. Then, experimental group was taught through guided writing activities whereas controlled group was taught without guided writing activities. Each groups attended thirty lessons. Then the post-test was administered. The results of these two tests (Pre and Post) were compared and found that guided writing activities were more effective in teaching composition. Journal of NELTA Surkhet Vol.4 2014: 18-25


2011 ◽  
Vol 43 (5) ◽  
pp. 513-533 ◽  
Author(s):  
SUNITA BOSE

SummaryThis study uses the third National Family Health Survey (2005–06) in India to investigate whether differences in women's status, both at the individual and community levels, can explain the persistent gender differential in nutritional allocation among children. The results show that girls are less likely than boys to receive supplemental food and more likely to be malnourished. In general it appears that higher women's status within a community, as well as higher maternal status, have beneficial effects on a daughter's nutritional status. Further, the moderating effects of community appear to be more consistent and stronger than the individual-level characteristics. A positive relationship between the percentage of literate women in a community and the gender differential in malnutrition appears to be an exception to the general findings regarding the beneficial nature of women's status on a daughter's well-being, showing the need for more than just basic adult literacy drives in communities to overcome the problem of daughter neglect.


10.3823/2331 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rosângela Alves Almeida Bastos ◽  
Georgiana De Sousa Garrido ◽  
Francisca Das Chagas Alves de Almeida ◽  
Gutenberg Alves Pequeno ◽  
Joberto De Carvalho Farias ◽  
...  

Objective: The study aimed to identify the occupational hazards to which workers are exposed in nursing working in immunization room of the family health strategy of the municipality of Conde-Paraíba. Methods: this was an exploratory study, descriptive and qualitative. The survey was conducted in basic health units of the municipality of Conde-PB, using a semi-structured interview script, as a tool for data collection, with objective and subjective questions that addressed the topic. Have been followed all ethical and legal precepts of research involving humans. Results and discussion: Nursing workers working in immunization of the said rooms municipality do not have enough knowledge about the occupational hazards to which they are exposed in their work environment, use the individual protection equipment making them vulnerable to a variety of risk situations and contributing to the increase in the number of occupational accidents. Conclusion: The present research demonstrated through the lines of the participants that they are exposed to various occupational hazards to act in vaccine, and that the recognition of these risks is necessary to the development of action for prevention, elimination or control of them. Permanent education is the primary tool for nursing workers acquire knowledge about occupational accidents, their causes and ways to avoid them, thus minimizing the risks that may exist in the workplace. Keywords: Nursing; Occupational Hazards; Immunization.


2020 ◽  
pp. 088626052095768
Author(s):  
Debashree Sinha ◽  
Pradeep Kumar

It is a common belief that microfinance plays a dual role of poverty alleviation and socioeconomic upliftment of its women participants. However, there are enough researches that negates the positive impact of microfinance loans on spousal violence. Recognized as one of the most predominant social evils, violence against women is not only a violation of their human rights but also an act of exploitation and denial of freedom. In the present study, we have tried to investigate if microfinance loan takers experience more spousal violence as compared to their counterparts by analyzing the National Family Health Survey IV, 2015–16. Our results indicate that 40.8% of women microfinance participants experience spousal violence. Additionally, the likelihood of microfinance participants to experience spousal violence is much higher than the non-microfinance participants (odds ratio = 1.35, p value = .000). Microfinance programs are designed to increase the individual agencies of women participants, which, in turn, reduce the chances of them becoming victims of spousal violence. However, if the credit program participation induces the woman to be a victim of spousal violence together with becoming financially autonomous, then such hidden costs need to be taken into account while evaluating the effectiveness of the gendered policy design.


Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 342-352 ◽  
Author(s):  
Erica Lima Costa de Menezes ◽  
Magda Duarte dos Anjos Scherer ◽  
Flávia Regina Souza Ramos

ABSTRACT Objective: to analyze how the work of four family health teams, in Brazilian Midwest and South regions, influences the capacity of the services in guaranteeing access. Methods: this is a descriptive study with a qualitative approach. Results: the results were systematized in nine elements, namely: (I) formation/ Knowledge of standards; (II) experience; (III) affinity of professionals with a particular theme, grievance or group of people; (IV) professional satisfaction; (V) workload; (VI) management and organization of the work process (VII) teamwork; (VIII) actions carried out with the participation of the community and; (IX) respect for the autonomy of people and different knowledge and cultures. Conclusion: the identified elements related to the individual issues, the organization of the service and the relationship and participation of the community in the actions of the health unit should be considered both in the training of new health workers and in the formulation of public policies.


2001 ◽  
Vol 33 (4) ◽  
pp. 603-622 ◽  
Author(s):  
PAULA GRIFFITHS ◽  
ANDREW HINDE ◽  
ZOË MATTHEWS

Using cross-sectional, individual-level survey data from Maharashtra, Tamil Nadu and Uttar Pradesh collected under the Indian National Family Health Survey programme of 1992–93, statistical modelling was used to analyse the impact of a range of variables on the survival status of children during their first 2 years of life. Attention was focused on the potential impact of the mother’s autonomy. The strongest predictors of mortality were demographic and biological factors, breast-feeding behaviour, and use and knowledge of health services. Variables that can be interpreted as being related to maternal autonomy, such as the presence of a mother-in-law in the household, did not have a significant direct effect on child survival at the individual level, and their indirect effects were very limited.


1996 ◽  
Vol 1 (2) ◽  
pp. 77-80 ◽  
Author(s):  
Karen Fairhurst ◽  
Christopher Dowrick

Objectives: To evaluate the effectiveness of counselling in the management of minor psychiatric morbidity in general practice, and to explore the reasons for difficulties in recruiting patients to such an evaluation. Methods: We attempted to conduct a randomized controlled trial of counselling in eight general practices in one NHS family health services authority area in England. Having experienced significant problems recruiting patients, we conducted semi-structured telephone interviews ( n = 8) with participating GPs to explore the reasons for these difficulties. Results: Five months after the start of the study only one patient had been recruited. The main reasons identified as contributing to the recruitment problems were: General practitioners' motivation for involvement in the study; their ethical doubts about the randomization process; the perceived lack of a viable non-counselling intervention; and their existing practical commitment to counselling. Conclusion: Although methodological modification might enhance the potential for success in future studies of this sort, more fundamental difficulties concerning general practitioners' attitudes to research and their professional responsibilities lie at the heart of our recruitment problems.


1996 ◽  
Vol 6 (1) ◽  
pp. 1-21 ◽  
Author(s):  
David Oppenheim ◽  
Frederick S. Wamboldt ◽  
Leslie A. Gavin ◽  
Andrew G. Renouf ◽  
Robert N. Emde

Abstract Recent research showing links between family narratives and emotional adaptation has raised questions regarding the significance of the coherence of marital narratives for couple adaptation, the important distinction between the narratives couples co-construct and the dyadic process during the co-construction, and the roles of individual psychological functioning and marital functioning in co-constructed narratives. In order to address these questions, we investigated the associations between couples' narratives about the birth of their child and their marital satisfaction and individual psychological wellbeing at the time the narrative was constructed as well as 1 and 2 years later. Results show that the emotional coherence of couples' narratives was associated with their marital satisfaction at the time the narrative was constructed as well as 1 and 2 years later, and similar results were found regarding the emotional expressiveness of the narratives. These associations remained significant when the individual psychological distress of marital partners was held constant and suggest that co-constructed marital narratives are important windows into marital relationships. (Psychology)


2016 ◽  
Vol 33 (S1) ◽  
pp. S399-S399
Author(s):  
A. Channa

Marriage is one of the principal facets when it comes to interpersonal context of depression. There is evidence supporting bidirectional casual effect between depression and marital satisfaction. However the phenomenon of marital adjustment and its related variable has not been given much attention in the Pakistan.ObjectiveTo determine the frequency of marital adjustment in patients with depression.MethodDepressed patients, who were aged between 15–65 were included. Patients who had documented co morbid of substance use or any unstable serious general medical condition were excluded. The severity of depression was evaluated by using Urdu validated Hamilton Depression Rating Scale. Marital adjustment is determined by using Urdu validated version of Kansas Marital Satisfaction Scale.ResultOnly 8.6% were well adjusted in their marital life, and all were females. The association of marital adjustment and severity of depression and difference in both genders on KANSAS was insignificant. The longer duration of illness was positively interrelated to the marital adjustment with odd ratio of 7.6. Being employed and above 30 years of age were inversely related to marital satisfaction with odd ratio of 6.1 and 5.4 respectively. However, the correlation between other independent variables and marital adjustment were insignificant in both genders.ConclusionThis study confirms the presence of high frequency i.e. 91.4% of marital dissatisfaction in depression in both male and females, irrespective of their severity of depression.Disclosure of interestThe author has not supplied their declaration of competing interest.


Sign in / Sign up

Export Citation Format

Share Document