The relationship between the Wealth Index and Pregnancy-Related Anxiety in each trimester of pregnancy and their effect on sexual dysfunction

2021 ◽  
Vol 20 (2) ◽  
pp. 401-408
Author(s):  
Farzane Alidost ◽  
Mahrokh Dolatian ◽  
Jamal Shams ◽  
Malihe Nasiri ◽  
Hadi Reisabdollahi ◽  
...  

Introduction: Sexual relationships change due to the physical and psychological changes occurring during pregnancy. Physical, emotional and economic anxieties in pregnancy often affect the couple’s marital relationship and their sexual responses to each other and can thus adversely affect their overall relationship and the family’s mental health. The present comparative study was conducted to examine the relationship between the wealth index and pregnancy-related anxiety in each trimester of pregnancy and their effect on sexual dysfunction. Methods: This cross-sectional study was conducted on 450 pregnant Iranian women in 2016. Data were collected using the Female Sexual Function Index (FSFI), the Pregnancy-Related Anxiety Questionnaire, the Wealth Index and a demographic questionnaire. Data were analyzed in SPSS-23. Results: As gestational age increased, sexual dysfunction increased too. The highest degree of sexual dysfunction was reported in the first and third trimesters. Sexual arousal disorders were reported in all the trimesters and dyspareunia was reported in the second trimester. The greatest pregnancy concerns were reported in the third trimester. As the age of the subjects and their spouse increased, the prevalence of sexual dysfunction also increased and the level of pregnancy-related concerns decreased. A higher wealth index was associated with a reduced pregnancy-related anxiety. Sexual dysfunction was less observed in those with higher levels of education (P<0.05). Discussion and Conclusion: The wealth index can affect sexual performance through the mediating effects of pregnancy-related anxiety. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.401-408

2020 ◽  
Author(s):  
Wen I Liu ◽  
Wen Ling Hsieh ◽  
Shih Kai Lee ◽  
Kuen-Tai Lee

Abstract Background: Functional degradation among community-dwelling patients with schizophrenia can negatively influence their recovery. Given the importance of patient empowerment during recovery, the current study aimed to examine the mediating effects of patient empowerment on the relationship between global function and recovery among such patients.Methods: This cross-sectional study recruited community-dwelling patients with schizophrenia from northern and central Taiwan. Questionnaires with verified reliability and validity were provided and collected on site by trained nurses. The causal steps approach proposed by Baron and Kenny and the Sobel test were utilized to verify the mediation effect.Results: A total of 373 participants completed the survey. After controlling for factors associated with recovery, empowerment was determined to exert “full mediation” over the effects of global function on patient recovery, with the mediation effect reaching 85.9% and the Sobel test indicating significant mediation.Conclusions: Although improving the global function of community-dwelling patients with schizophrenia could likely encourage recovery, the present study suggested that offering empowerment-oriented care services may be more effective than global function improvement on recovery among these patients.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  

ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-sectional study.SettingThe study was conducted in the Wuhan Jinyintan Hospital in China.ParticipantsIn total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.MethodsA serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.ResultsThe autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.ConclusionThe findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.


2020 ◽  
Vol 2 (1) ◽  
pp. 87-92
Author(s):  
Suvarna Jyothi Kantipudi ◽  
Navina Suresh ◽  
Poornima Ayyadurai ◽  
Sathianathan Ramanathan

Background: Sexual dysfunction is common in females with schizophrenia and is attributed to multiple causes, including individual psychopathology and antipsychotics. Understanding the impact of relationship satisfaction on sexual functioning is not widely studied in schizophrenia. Women caregivers also experience sexual problems and were not studied in the past. Aim: To assess the nature and occurrence of sexual dysfunction in women with schizophrenia in comparison to caregivers of males without severe mental disorder. Methods: A cross-sectional study was conducted. A total of 30 women with schizophrenia were recruited as cases and 26 age-matched controls were recruited from female caregivers. All subjects were assessed using standardized tools such as Female Sexual Function Index (FSFI) and Relationship Assessment Scale along with sociodemographic questionnaire. Results: There was a significant difference in FSFI scores and relationship scores between women with schizophrenia and caregiver control subjects. The relationship quality was better in patients with schizophrenia when compared to caregivers unlike sexual functioning. Conclusion: Sexual functioning in women is a complex phenomenon. A holistic biopsychosocial approach is necessary to understand women’s sexual function.


2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Nunung Nurhayati ◽  
Utami Nur Ulsiyah ◽  
Suci Noor ◽  
Dewi Marfuah ◽  
Linlin Lindayani

<p>Women with gynaecological problems are at high risk of having sexual dysfunction because the problems could affect the marital relationship and sexual satisfaction. The purpose of this study is to determine the relationship between sexual dysfunction and marital relationships in women with gynaecological problems. This study was conducted using a cross-sectional study. The samples were women with gynaecological problems, aged above 18 years old, married, and able to communicate well. Patients with mental disorders were excluded from this study. Convenience sampling was used to select participants. The marital relationship was measured using a validated instrument, namely, Revised Dyadic Adjustment Scale (RDAS) and the Female Sexual Function Index (FSFI). A total of 82 women with gynaecological problems joined our study. The majority of the respondents experienced sexual dysfunction (90.2%) and more than half of the respondents (52.4%) experienced distress in marital relationships.  There was a relationship between sexual dysfunction and marital relationship among women with gynaecological problems (<em>p</em> value &lt; 0.005) and the coefficient correlation was 0.326. Sexual dysfunction may affect marital relationships in women with gynaecological problems. Healthcare professionals need to provide appropriate intervention to women with gynaecological problems as well as facilitate them to express their sexual activity.</p>


2020 ◽  
Vol 20 (2) ◽  
pp. e00476-e00476
Author(s):  
Ahmad Mehri ◽  
Nasrin Jafari ◽  
Isa Akbarzadeh ◽  
Fatemeh Hadavand Siri ◽  
Nategh Abbassgholizadeh

Background: The objective of this study was to investigate the relationship between Students' nutrition literacy and the existence of health care providers in Iranian schools. Study design: A cross-sectional study. Methods: This study was conducted on 504 students in Ardebil City, northwestern Iran from Oct 2017 to Jan 2018. The FLINT questionnaire was used to assessment the food and nutrition literacy. Socio-demographic characteristics and the existence of health care providers were collected using demographic questionnaire. Results: Nearly 75% of students had not a health care provider. Most students had a low FNLIT (62% males and 58.1% females). The probability of low FNLIT was lower in students with health care providers than those without them (OR=0.46, CI 95%; 0.10, 0.91). Conclusion: One of the reasons for the low nutritional literacy of students may be due to the lack of health care providers in schools. Health educational administrators employ specialized health care providers in Iranian schools.


Author(s):  
Batool Pouraboli ◽  
Faroukh Abazari ◽  
Tahere Abbasi ◽  
Ali Mehdizadeh ◽  
Yunes Jahani

Abstract Introduction Adolescence is associated with physical, social and personality changes. Adolescents usually face some fears during this period, the removal and adjustment of which requires family and teachers’ support and the lack of attention to the issues of maturity will have negative effects on their health, awareness and self-esteem. The aim of this study was to investigate the relationship between anxiety and social support among male and femaille students in high schools in the southeast of Iran. Materials and methods In this cross-sectional study that was conducted as a descriptive comparison, 452 students who were studying in the first period of high school in Kerman (junior high schools) were selected as the entire population by the cluster sampling method and the data collection instruments were: a demographic questionnaire, Philips Social Support Scale and the Cattle Anxiety Scale. As well as descriptive statistics, to test the hypothesis of this study by SPSS software, and in the case of abnormal distribution of each variable, non-parametric tests were used. Results The results showed that anxiety in girls is great than in boys, also data analysis through Pearson’s test showed that there is a negative and significant relationship between anxiety and social support in girls (r = −0.428, n = 226, p < 0.001) and boys (r = −0.378, n = 226, p < 0.001). Conclusion The results of research showed that by increasing perceptions of social support in students, their anxiety decreases. Therefore, paying attention to the social determinants of health such as social support is important and necessary to reduce the anxiety of students.


2017 ◽  
Vol 16 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Ayesha Ahmad ◽  
Arifa Anwar Elahi ◽  
Aruna Nigam ◽  
Rohan Kapoor

Objectives: To evaluate the response to mentoring amongst medical students after introduction of a structured mentorship programme.Methods: This was a cross sectional study conducted at Hamdard Institute of Medical Sciences and Research, [HIMSR] New Delhi. A pre validated confidential questionnaire, designed as both open and closed ended questions was utilised to obtain responses from a sample size of 300 students, both males and females. Our questionnaire solicited the following information: clarity of the concept to the mentee, duration of being involved in the programme, preferred mentoring model, comments on intended benefits and those obtained, frequency of meetings, forms of communication used and preferred place of interaction. All students in 1st, 2nd and 3rd year at HIMSR who agreed to participate in the study were included.Results: A total of 231 students returned their questionnaire, making the response rate of 77%. Different forms of communication were being used, of which personal meeting was most frequent. Both males and females were contacting their mentors in person. Majority of students preferred the mentorship model to be 1:1 and faculty members as mentors instead of senior students. Most of the students wanted the relationship to be mutual on both the sides, with both mentors and mentees having a say in the allocation process. There was no preference to gender for most of the students.Conclusions: The mentorship programme found good acceptance with medical students.Bangladesh Journal of Medical Science Vol.16(1) 2017 p.29-34


2020 ◽  
Vol 5 (2) ◽  
pp. 104-116
Author(s):  
Eva Nurhidayati ◽  
Emdat Suprayitno

Background: K4 is the fourth prenatal check-up visit for health workers to obtain antenatal care according to standards and to detect complications as early as possible during pregnancy. The K4 coverage in Batang-Batang Daya village, the working area of ​​the Batang-Batang Puskesmas is still below the target in 2018. The purpose of this study was to determine the relationship between husband's support and the decision of pregnant women in carrying out K4 examinations. Methods: The design of this study is analytic correlational with a cross-sectional study approach, the population of pregnant women in the third trimester of pregnancy in Batang-Batang Daya Village in 2019 was 27 respondents, using total sampling techniques, husband's support data was collected using a valid and reliable questionnaire. K4 examination data used a checklist in the KIA book, and the statistical test used was Chi-Square with an expected value of less than 5. Result: The results showed that most of the pregnant women received support from their husbands as many as 20 people (74.1). Most of the pregnant women underwent a K4 examination (4th pregnancy visit), as many as 20 people (74.1%). The analysis result from the Chi-Square test shows the value (ρ) = 0.000. Conclusion: It can be concluded that the husband's support is related to the decision by pregnant women to carry out K4 examinations. Husbands should always provide support to their wives to carry out routine checks so that pregnant women are motivated to carry out K4 examinations, and are more confident about carrying out their pregnancy.


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