scholarly journals Surveillance of Parenting Outcomes, Mental Health and Social Support for Primiparous Women among the Rural-to-Urban Floating Population

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1516
Author(s):  
Jiemin Zhu ◽  
Ziwen Ye ◽  
Qiyu Fang ◽  
Lingling Huang ◽  
Xujuan Zheng

China has the largest population of floating rural-to-urban women worldwide, most of whom are of childbearing age. However, few studies have been conducted to monitor the changing trends in parenting outcomes, mental health and social support for these women in the early postpartum period. In this quantitative longitudinal study, 680 primiparous women among the floating population were recruited in Shenzhen, China. Face-to-face collection of socio-demographic questionnaires was completed by researchers in maternity wards on the third postnatal day. Follow-up electronic questionnaires were dispatched to women via email or WeChat at 6 weeks and 12 weeks following childbirth, including the Self-efficacy in Infant Care Scale (SICS), Edinburgh Postnatal Depression Scale (EPDS) and Postnatal Social Support Scale (PSSS), to measure maternal self-efficacy (MSE), postpartum depression (PPD) and social support, respectively. The mean scores of MSE for these floating women were 67.16 (14.35) at 6 weeks postpartum and slightly increased to 68.71 (15.00) at 12 weeks postpartum. The mean scores of EPDS remained almost stable, from 11.19 (4.89) to 11.18 (5.34) at the two time points. The prevalence of mild and severe PPD among floating women at 6 and 12 weeks after childbirth decreased from 54.4% to 40.1% and from 50.6% to 35.4%, respectively. The mean score of social support was 37.04 (10.15) at 6 weeks postpartum and slightly improved to 38.68 (10.46) at 12 weeks postpartum. Primiparous women among the rural-to-urban migrant population had an obviously negative status of parenting outcomes and mental health; and there was a lack of social support after childbirth. In future, tailored evidence-based interventions are highly needed to promote floating women’s parenting outcomes, mental wellbeing and social support in the early stages of motherhood. As a higher-risk group of PPD, primiparous women among the floating population require effective and accessible mental health care after childbirth, such as early PPD screening and timely therapeutic methods.

Author(s):  
Qun Wang ◽  
Yao Zhang ◽  
Xilin Li ◽  
Ziwen Ye ◽  
Lingling Huang ◽  
...  

(1) Background: China has the highest number of rural-to-urban floating women in the world, and the majority of them are of childbearing age. However, few studies have focused on maternal self-efficacy (MSE) for these women. This research aims to explore MSE and its influencing factors for primiparous women among the rural-to-urban floating population in China. (2) Methods: A quantitative longitudinal study was conducted, and primiparous women from the floating population were recruited in China. Face-to-face demographic questionnaires were collected from obstetric wards by the researchers, three days postpartum. The 6-week and 12-week questionnaires, including the Self-efficacy in Infant Care Scale (SICS), the Edinburgh Postnatal Depression Scale (EPDS), and the Postpartum Social Support Scale (PSSS), were sent to participants by wechat or email to measure MSE, postnatal depression, and social support, respectively. The completed 6-week and completed 12-week questionnaires were returned to the researchers. (3) Results: The mean MSE scores at 6 and 12 weeks postpartum were 67.16 (SD = 14.35) and 68.71 (SD = 15.00). The variables of social support, postnatal depression, whether women attended parenting training, baby fussiness, baby health, maternal educational level, occupation, and family income affected MSE at the two time points. (4) Conclusions: Primiparous women among the rural-to-urban floating population had a low MSE level. As a vulnerable and special group, more attention should be paid to the negative parenting status of floating women by health workers and family members. Effective measures must be taken to improve the floating women’s accessibility to parenting training from health services to strengthen their social support and alleviate postpartum depression. Health professionals should be more concerned with floating women with relatively low MSE levels, such as new mothers with lower education, poor working and living conditions, unhealthy babies, and babies with fussy temperaments.


BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e026995 ◽  
Author(s):  
Daisy Fancourt ◽  
Katey Warran ◽  
Saoirse Finn ◽  
Theresa Wiseman

ObjectiveThe mental health challenges facing people who care for somebody with cancer are well documented. While many support interventions focus on provision of information or cognitive behavioural therapy, the literature suggests that psychosocial interventions could also be of value, especially given the low social support frequently reported by carers. Singing is a psychosocial activity shown to improve social support, increase positive emotions, and reduce fatigue and stress. This study explored whether weekly group singing can reduce anxiety, depression and well-being in cancer carers over a 6-month period.DesignA multisite non-randomised longitudinal controlled study.SettingThe Royal Marsden National Health Service Trust in Greater London.Participants62 adults who currently care for a spouse, relative or close friend with cancer who had not recently started any psychological therapy or medication.InterventionsOn enrolment, participants selected to join a weekly community choir for 12 weeks (n=33) or continue with life as usual (n=29).Outcome measuresThe primary outcome was mental health using the Hospital Anxiety and Depression Scale. The secondary outcome was well-being using the Warwick Edinburgh Mental Wellbeing Scale. Using linear mixed effects models, we compared the change in mental health and well-being over time between the two groups while adjusting for confounding variables including demographics, health-related variables, musical engagement and length of time caring.ResultsParticipants in the choir group showed a significantly greater decrease in anxiety over time than participants in the control group (B=−0.94, SE=0.38, p=0.013) and a significantly greater increase in well-being (B=1.25, SE=0.49, p=0.011). No changes were found for depression. Sub-group analyses showed carers with anxiety or below-average well-being were most likely to benefit.ConclusionsThis study builds on previous research showing the mental health benefits of singing for people with cancer by showing that weekly singing can also support anxiety and well-being in cancer carers.


2000 ◽  
Vol 28 (5) ◽  
pp. 413-422 ◽  
Author(s):  
Siu-kau Cheung ◽  
Stephen Y. K. Sun

The present study examined the effects of self-efficacy and social support on the mental health of 65 members of a mutual-aid organization in Hong Kong. Participants had anxiety and depressive problems and had received cognitive-behavioral treatment before they joined the mutual-aid groups in the organization. A three-wave design was adopted, and participants filled in measures including the General Health Questionnaire, the State Anxiety Inventory, the Centre of Epidemiologic Studies Depression Scale, the General Self-efficacy Scale, and the Medical Outcomes Study Social Support Survey. Regression analyses showed that residualized self-efficacy was a strong predictor of the mental health variables. Effects of social support, both functional and structural, were mainly mediated by self-efficacy.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249538
Author(s):  
Yeliz Mercan ◽  
Kevser Tari Selcuk

Objective The study was aimed at investigating the association between postpartum women’s breastfeeding self-efficacy levels and their depression levels, social support levels, and breastfeeding attitudes in early postpartum period. Methods The cross-sectional study was carried out in Kirklareli in Turkey. The population of the study consisted of 398 women aged 15–49 in the first 42 days of the postpartum period who presented to eight family health centers. The study data were collected face-to-face using the Personal Information Form, Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Edinburgh Postnatal Depression Scale (EPDS), Multidimensional Scale of Perceived Social Support (MSPSS), and Breastfeeding Attitudes of the Evaluation Scale (BAES). Results The mean age of the participants was 28.61±5.72 (Min:18, Max: 44), and the mean score they obtained from the BSES-SF was 55.13±8.39. Statistically significant differences were detected between the participants’ BSES-SF scores and age groups, employment status, perceived income level, and the number of living children (p < 0.05). No statistically significant differences were detected between marital status, educational status and BSES-SF scores (p > 0.05). In the multivariate regression analysis adjusted according to the sociodemographic characteristics, BAES, EPDS and MSPSS accounted for 48.3% of the BSES-SF. A negative association was found between BSES-SF scores and EPDS scores (β = −0.178, 95% CI:−0.349, −0.006), and a positive relation between the BAES scores (β = 0.194, 95% CI: 0.163, 0.226) and the MSPSS scores (β = 0.114, 95% CI: 0.037, 0.191). Conclusion As the level of depression of women increases in the postpartum period, the level of breastfeeding self-efficacy decreases. The breastfeeding self-efficacy increases as the level of social support increases and as the attitudes that drive breastfeeding behavior change positively.


2021 ◽  
pp. 089198872199681
Author(s):  
Kerry Hanna ◽  
Clarissa Giebel ◽  
Hilary Tetlow ◽  
Kym Ward ◽  
Justine Shenton ◽  
...  

Background: To date, there appears to be no evidence on the longer-term impacts caused by COVID-19 and its related public health restrictions on some of the most vulnerable in our societies. The aim of this research was to explore the change in impact of COVID-19 public health measures on the mental wellbeing of people living with dementia (PLWD) and unpaid carers. Method: Semi-structured, follow-up telephone interviews were conducted with PLWD and unpaid carers between June and July 2020. Participants were asked about their experiences of accessing social support services during the pandemic, and the impact of restrictions on their daily lives. Results: 20 interviews were conducted and thematically analyzed, which produced 3 primary themes concerning emotional responses and impact to mental health and wellbeing during the course of the pandemic: 1) Impact on mental health during lockdown, 2) Changes to mental health following easing of public health, and 3) The long-term effect of public health measures. Conclusions: The findings from this research shed light on the longer-term psychological impacts of the UK Government’s public health measures on PLWD and their carers. The loss of social support services was key in impacting this cohort mentally and emotionally, displaying a need for better psychological support, for both carers and PLWD.


2016 ◽  
Vol 118 (2) ◽  
pp. 372-386
Author(s):  
Takahiro Yoshizumi ◽  
Seiko Mizutani ◽  
Soshiro Yamada

Although many Western studies examining the mental health of welfare recipients exist, Japanese welfare recipients have been overlooked. This study investigated mental health among welfare recipients in Japan and relations with a sense of deprivation of life's necessities and social support. Participants ( n = 305) completed the General Health Questionnaire-12 (GHQ-12), Proportional Deprivation Index, and a social support scale. Participants' GHQ-12 scores exceeded those of the general public, as 54.9% scored above the cut-off, suggesting poorer mental health among welfare recipients than the general population. Proportional Deprivation Index and emotional support from relatives and friends were associated with GHQ-12 scores. These results suggest that while chronic deprivation is associated with poorer mental health among welfare recipients, receiving emotional support may help cope with distress and maintain mental health.


Salud Mental ◽  
2017 ◽  
Vol 40 (5) ◽  
pp. 201-208
Author(s):  
Ma Asunción Lara ◽  
◽  
Pamela Patiño ◽  
Laura Navarrete ◽  
Zaira Hernández ◽  
...  

Introduction. Teenage pregnancy is a national health priority. Having to deal with pregnancy during adolescence can cause the mother, at an already vulnerable age, to doubt her maternal capacity to cope with a challenge of this magnitude. The teenage mother’s assessment of her maternal self-efficacy is associated with her performance, in other words, the way she relates and responds to the needs of her infant, which has major implications for the latter’s development. Objective. To study the association between personal (depressive symptoms, self-esteem) and environmental characteristics (social support, partner satisfaction) and those of the infant (problems with infant care, the infants’s temperament) and the perception of maternal self-efficacy (PME) in adolescent mothers. Method. Cross-sectional study. The following instruments were applied: Center for Epidemiologic Studies Depression Scale (CES-D), Post-partum Depression Predictors Inventory-Revised (PDPI-R), and Maternal Efficacy Questionnaire to 120 mothers under 20 during the first six months postpartum. Bivariate lineal regression and hierarchical linear regression analyses were used for the data analysis. Results. When adjusting for other variables, symptoms of depression and difficult infant temperament were associated with lower PME. Social support was only associated with increased PME in the bivariate analysis. Discussion and conclusion. These findings contribute to the limited literature on the subject and provide elements for designing strategies to improve adolescent mothers’ PME to encourage behaviors that are more relevant and sensitive to infants’ physical and emotional needs.


2016 ◽  
Vol 22 (1) ◽  
pp. 72
Author(s):  
Sarah Shahed ◽  
Zahida Ilyas ◽  
Ali Madeeh Hashmi

AbstractObjective:The present study investigated the relationship between academic performance, self efficacy and perceived social support of visually impaired students.Sample:A purposive sample consisting of 60 visually impaired students was selected from three institutions in Lahore, comprising boys and girls in equal number.Instruments: Translated versions of Multidimensional Perceived Social Support Scale by Zimet, Dehlam and Farley and Generalized Self Efficacy Scale by Jerusalem were used for the purpose of data collection.Results:Significant correlation was found between academic performance, self efficacy, and perceived social support. Gender differences were found in academic achievement. Girls secured a higher percentage of marks than boys.Conclusion:Visually impaired students can make King Edward Medical University/ Mayo Hospital, Lahore significant educational attainments if they are provided support. This in turn will add to their self efficacy which may lead to even greater achievement. Educational institutions need to design and set up support networks by involving faculty and students for promoting higher achievement and selfreliance in visually impaired students.


2020 ◽  
Vol 2 (1) ◽  
pp. 56-62
Author(s):  
Sabrina Agrivita Saragih ◽  
Asih Menanti ◽  
Zuhdi Budiman

The purpose of this study is to see the relationship between self-efficacy and social support with coping stress on horticulture farmers. The study was conducted in Saribudolok sample random sampling with 160 horticultural farmers for vegetable farmers as sample. The methods of data collections is through coping stress scale (focused coping stress), self-efficacy scale, and social support scale (sosial support). The data analysis technique used multiple regression with the following results: 1) There is a positive relationship between self-efficacy with coping stress with Rxy = 0,464 with p 0,05; with 21.6% contribution 2) There is a positive relationship between social support relationship with coping stress with Rxy = 0,180 with p 0,05; with 3.2% contribution 3) There is a positive relationship between self-efficacy and social support with coping stress with F 23,072 and Rxy = 0,477 while R2 = 0,227 with p 0,05. The total effective contribution of self-efficacy variables and social support with stress coping is 22.7%. This means that there is still 77.3% influence from other factors to coping stress


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