scholarly journals Social Support between Diabetes Patients and Non-Diabetes Persons in Yangon, Myanmar: A Study Applying ENRICHD Social Support Instrument

Author(s):  
Ei Thinzar Khin ◽  
Myo Nyein Aung ◽  
Satomi Ueno ◽  
Ishtiaq Ahmad ◽  
Tint Swe Latt ◽  
...  

Diabetes patients, due to the chorionic nature of the disease, need complex and long-term care for control and prevention of complications. The patients themselves find it difficult to adopt appropriate disease management after diagnosis and they need social support from family, friends, and their environment, especially in lower- and middle-income countries where medical service is limited, and they need self-care of disease and lifestyle modification. In Myanmar, however, the study for social support among diabetes patients is still limited. Therefore, we conducted a case-control study to investigate the social support among diabetes patients and the association between socioeconomic factors in Yangon, which has the highest prevalence of diabetes in Myanmar. Social support between diabetes patients who came to diabetes special clinics and non-diabetes community control was assessed by applying transculturally translated ENRICHD Social Support Instrument (ESSI). Among the diabetes patients’ group, more than 70% had high perceived social support, specifically higher level of informational and emotional social support. Robust multiple regression models revealed significant positive associations between total social support and independent variables: p value < 0.001 for monthly household income and being married, and p value < 0.05 for household number and frequency of having meals together with family. These findings suggest that perceived social support among patients with diabetes may be mainly affected by the patients’ family conditions, such as household income and living with a spouse, in Myanmar culture.

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Mekdes Beze Demoze ◽  
Dessie Abebaw Angaw ◽  
Haregwoin Mulat

Background. Orphan adolescents are a special group of people who are generally deprived and prone to develop psychiatric disorder even if reared in a well-run institution. Objective. To assess the prevalence and associated factors of depression among orphan adolescents living in Addis Ababa orphan centers, Addis Ababa, Ethiopia. Method. A cross-sectional study was conducted in 2016 among 453 orphan adolescents in Ethiopia. All orphan adolescents who were living in the selected orphan centers were included in the study. The data was collected by interviewing the orphan adolescents at the orphan center by using a structured questionnaire. Kocher adolescent depression scale and MSPSS scale were used to measure orphan level of depression and their perceived social support. After appropriate coding, the collected data had been entered into EPI info version 7 and it was exported to SPSS version 20 for further analysis. The OR with 95% CI was used to measure association and p value < 0.05 was used as statistically significant value in multivariable binary logistic regressions. Result. The overall prevalence of depression among the orphan adolescents was found to be 36.4%. The majority of the respondents, 302 (66.7%), were within the age range of 15-19 years. Perceived social support (OR 5.86; 95% CI 3.47, 9.91), community discrimination (OR 2.68; 95% CI 1.58, 4.56), length of stay (OR 1.90; 95% CI 1.08, 3.35), age of entrance (OR 2.21; 95% CI 1.32, 3.69), and presence of visitors (OR 3.62; 95% CI 2.06, 6.37) were the main variables associated with depression. Conclusion. The prevalence of depression among orphan adolescents was found to be high. Low level of social support, higher length of stay, community discrimination, the presence of visitors, and younger age of entrance were statistically significant variables to develop depression.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256690
Author(s):  
Olakunle Ayokunmi Oginni ◽  
Ibidunni Olapeju Oloniniyi ◽  
Olanrewaju Ibigbami ◽  
Victor Ugo ◽  
Ayomipo Amiola ◽  
...  

Despite the greater adverse economic impacts in low and middle-income (LAMI) compared to high-income countries, fewer studies have investigated the associations between COVID-19-related stressor and mental health in LAMI countries. The objectives of this study were to determine the associations between COVID-19-related stressors and anxiety and depressive symptoms while controlling for known risk and protective factors and to investigate any sex differences. An online survey was carried out to assess sociodemographic, psychosocial (previous mental health conditions, sexual orientation, intimate partner violence and perceived social support) and COVID-19-related variables. Hierarchical linear regression was carried out with anxiety and depressive symptoms as separate outcomes. Of the COVID-19-related factors, testing positive for COVID-19 infection, having COVID-19 symptoms, having other medical conditions, self-isolating due to COVID-19 symptoms, worry about infection, perception of the pandemic as a threat to income and isolation during the lockdown were significantly associated with higher anxiety and depressive symptoms. Of these, worry about infection, isolation during lockdown and disruption due to the pandemic retained independent associations with both outcomes. The variance in anxiety and depressive symptoms explained by COVID-19-related factors was larger in women (11.8%) compared to men (6.1% and 0.8% respectively). COVID-19-related stressors are associated with higher anxiety and depressive symptoms, with these effects being larger in men compared to women. Enhancing social support can be an affordable strategy to mitigate this risk but this needs to be investigated using appropriate designs.


2019 ◽  
Vol 7 (1) ◽  
pp. 107
Author(s):  
Alifia Salsabhilla ◽  
Ria Utami Panjaitan

Mahasiswa rantau mengalami berbagai perubahan dalam kehidupannya. Dimulai dari perbedaan kebudayaan, perpisahan dengan keluarga, serta adaptasi dengan lingkungan kampus. Ketidakmampuan mahasiswa untuk beradaptasi dapat berdampak pada masalah kesehatan jiwa seperti ide bunuh diri. Dukungan sosial yang rendah dapat menjadi salah satu faktor yang dapat menyebabkan munculnya ide bunuh diri pada mahasiswa rantau. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan ide bunuh diri pada mahasiswa rantau Universitas Indonesia khususnya yang berasal dari daerah Jawa Tengah. Metode penelitian menggunakan desain penelitian analitik korelatif dengan pendekatan cross sectional pada 239 mahasiswa rantau. Instrumen pada penelitian ini adalah kuesioner Multidimensional Scale of Perceived Social Support (MSPSS) untuk sumber dukungan sosial serta Suicide Ideation Scale (SSI) untuk ide bunuh diri. Analisis data yang digunakan yaitu analisa univariat dan bivariat dengan uji korelasi gamma. Uji korelasi gamma digunakan untuk melihat ada tidaknya hubungan serta kekuatan hubungan pada dua variabel yang setingkat. Hasil penelitian menunjukkan ada hubungan signifikan dengan kekuatan sedang antara dukungan sosial dengan ide bunuh diri pada mahasiswa rantau dengan nilai p value yaitu 0,000 (p value ≤ 0,05, r= -0,533). Skrining kesehatan mental, pendidikan kesehatan, dan meningkatkan dukungan sosial perlu dilakukan untuk mempertahankan status kesehatan mental serta mencegah munculnya masalah ide bunuh diri pada mahasiswa rantau. Kata kunci: Dukungan sosial, ide bunuh diri, mahasiswa rantau SOCIAL SUPPORT AND ITS RELATIONSHIP WITH THE SUICIDE IDEAS AMONG MIGRANT STUDENTS ABSTRACTMigrant students experience various changes in their lives. Starting from cultural differences, separation from family, and also adaptation to the campus environment. The inability of students to adapt can have an impact on mental health problems such as suicide ideas. Low social support can be one of the factors that can lead to the idea of suicide in migrant students. This research was conducted to find the correlation between social support and suicide ideas among migrant students at Universitas Indonesia,, especially those from Central Java. The methodology of this research is correlative analytic research design with a cross sectional approach to 239 migrant students. The instrument in this study was Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire for sources of social support and the Suicide Ideation Scale (SSI) for suicide ideas. Data analysis used is univariate and bivariate analysis with gamma correlation test. The gamma correlation test is used to see whether there is a correlation and the strength of the correlation on two equal variables. The result of this research shows the significant correlation with medium strength between social support and suicide ideas among migrant students with a p value of 0,000 (p value ≤ 0.05, r=0,533). Mental health screening, health education, and increasing social support need to be done to maintain mental health status and prevent the suicide ideas problems among migrant students. Keywords:social support, suicide ideas, migrant students


2021 ◽  
Author(s):  
Olakunle Ayokunmi Oginni ◽  
Ibidunni O Oloniniyi ◽  
Olanrewaju Ibigbami ◽  
Victor Ugo ◽  
Ayomipo Amiola ◽  
...  

Despite the greater adverse economic impacts in low and middle-income (LAMI) compared to high-income countries, fewer studies have investigated the associations between COVID-19-related stressor and mental health in LAMI countries. The objectives of this study were to determine the associations between COVID-19-related stressors and anxiety and depressive symptoms while controlling for known risk and protective factors and to investigate any sex differences. An online survey was carried out to assess sociodemographic, psychosocial (previous mental health conditions, sexual orientation, intimate partner violence and perceived social support) and COVID-19-related variables. Hierarchical linear regression was carried out with anxiety and depressive symptoms as separate outcomes. Of the COVID-19-related factors, testing positive for COVID-19 infection, having COVID-19 symptoms, having other medical conditions, self-isolating due to COVID-19 symptoms, worry about infection, perception of the pandemic as a threat to income and isolation during the lockdown were significantly associated with higher anxiety and depressive symptoms. Of these, worry about infection, isolation during lockdown and disruption due to the pandemic retained independent associations with both outcomes. The variance in anxiety and depressive symptoms explained by COVID-19-related factors was larger in women (6.1% and respectively) compared to men (6.1% and respectively). COVID-19-related stressors are associated with higher anxiety and depressive symptoms, with these effects being larger in men compared to women. Enhancing social support can be an affordable strategy to mitigate this risk but this needs to be investigated using appropriate designs.


2021 ◽  
Author(s):  
Kenneth Kalani ◽  
Janet Nakigudde ◽  
Caroline Birungi ◽  
Joy Gumikiriza- Onoria ◽  
Nelson Mukiza ◽  
...  

Abstract Background Alcohol use disorder (AUD) is a problem globally and Uganda has one of the highest per capita alcohol consumption rates in sub-Saharan Africa. Relapse is a distressing aspect in the treatment of AUD and it is mediated by self-efficacy and perceived social support besides other psychosocial factors. In Uganda, there is paucity of data regarding relapse of AUD and the association with self-efficacy and perceived social support hence the need to carry out this study. Objective To determine the prevalence of relapse of AUD and the association with self-efficacy and perceived social support at Butabika hospital. Methods A cross-sectional study design was used and 269 participants that received treatment for AUD at hospital in the period between 1st /01/2016 and 31st /12/2017 were consecutively recruited. Participants were assessed for relapse of AUD using the SCID-5 substance use disorder section. Data was collected using a socio-demographic questionnaire, the general self-efficacy scale and the multidimensional scale for perceived social support. Data was entered in Epidata 3.0 and imported into STATA version 14 for analysis. Chi square test and logistic regression were used at bi-variable and multivariable analysis respectively to determine associations. Results The prevalence of relapse of AUD among the 269 participants was 63.3% (170). Of those who relapsed, 98% (167) had severe AUD. Participants with a marital status of single were less likely to relapse into alcohol use than those with a marital status of; separated or divorced (OR = 6.81; 95% CI = 1.53–30.32; p-value = 0.012) and married (OR = 2.86; 95% CI = 1.07–7.65; p-value = 0.037). Male participants were more likely to relapse into AUD than the females (OR = 0.19; 95%CI = 0.04–0.86; p-value = 0.03). Participants with higher perceived social support (OR = 0.85; 95% CI = 0.81–0.9; p-value = < 0.001) were less likely to relapse into AUD. Self-efficacy (OR = 0.93; 95% CI = 0.85-1; p-value = 0.061) was not significantly associated with relapse of AUD. Conclusion The prevalence of relapse of AUD is high and is associated with perceived social support, marital status of; separated, divorced or married, and female gender. Relapse prevention programs should emphasize the importance of social support in the management of patients with AUD. Further research to assess the relationship between relapse of AUD among married people is recommended.


2013 ◽  
Vol 1 (2) ◽  
pp. 72-77
Author(s):  
Soheila Riahinejad ◽  
Hamidreza Nikyar ◽  
Mahnoush Salem ◽  
Fereshteh Haghighat ◽  
Maryam Riahinejad ◽  
...  

Introduction: Psychological factors play an important role in post-partum period and they may cause some disorders such as post-partum depression. These disorders may be correlated with delivery modes. This study was designed to evaluated depression and social support in women who underwent elective or non-elective Cesarean delivery. Methods and Materials: This case-control study was conducted on 140 pregnant women who referred to Shairaaty Hospital, Isfahan, between 2011 and 2012. Seventy participants had a maternal request for Cesarean. Multi-dimensional Scale of Perceived Social Support (MSPSS-P) questionnaire and Beck Depression Inventory (BDI) were used for social support and depression evaluation in the subjects. Result: Mean age in the elective Cesarean group was 27.48 ± 4.25 years and mean age in group B was 27 + 4.16 years. 31.5% of the women who underwent elective Cesarean and 27.2% of the participants who underwent Cesarean with a medical reason had depression according to the BDI (p value =0.515) and there was no significant difference between the groups in the social support subscales (p value >0.05). Conclusion: According to our results and previous reports, there was no association between the delivery mode and post-partum psychological disorders; however, family support may decrease these disorders.[GMJ. 2012;1(2):72-77]


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ferdinand C. Mukumbang ◽  
Lucia Knight ◽  
Caroline Masquillier ◽  
Anton Delport ◽  
Neo Sematlane ◽  
...  

Abstract Background HIV remains a major public health challenge in many low- and middle-income countries (LMICs). The initiation of a greater number of people living with HIV (PLHIV) onto antiretroviral therapy (ART) following the World Health Organization’s ‘universal test and treat’ recommendation has the potential to overstretch already challenged health systems in LMICs. While various mainstream and community-based care models have been implemented to improve the treatment outcomes of PLHIV, little effort has been made to harness the potential of the families or households of PLHIV to enhance their treatment outcomes. To this end, we sought to explore the characteristics and effectiveness of household-focused interventions in LMICs on the management of HIV as measured by levels of adherence, viral suppression and different dimensions of HIV competence. Additionally, we sought to explore the mechanisms of change to explain how the interventions achieved the expected outcomes. Methods We systematically reviewed the literature published from 2003 to 2018, obtained from six electronic databases. We thematically analysed the 11 selected articles guided by the population, intervention, comparison and outcome (PICO) framework. Following the generative causality logic, whereby mechanisms are postulated to mediate an intervention and the outcomes, we applied a mechanism-based inferential reasoning, retroduction, to identify the mechanisms underlying the interventions to understand how these interventions are expected to work. Results The identified HIV-related interventions with a household focus were multi-component and multi-dimensional, incorporating aspects of information sharing on HIV; improving communication; stimulating social support and promoting mental health. Most of the interventions sought to empower and stimulate self-efficacy while strengthening the perceived social support of the PLHIV. Studies reported a significant positive impact on improving various aspects of HIV competent household – positive effects on HIV knowledge, communication between household members, and improved mental health outcomes of youths living in HIV-affected households. Conclusion By aiming to strengthen the perceived social support and self-efficacy of PLHIV, household-focused HIV interventions can address various aspects of household HIV competency. Nevertheless, the role of the household as an enabling resource to improve the outcomes of PLHIV remains largely untapped by public HIV programmes; more research on improving household HIV competency is therefore required. Trial registration PROSPERO registration: CRD42018094383.


2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Mehtap ŞAHİNGÖZ TAHTA ◽  
Elçin BALCI

The people providing care for relatives always need support and accompaniment from their families and friends. This study aimed to evaluate the correlation among the care burden, mental health and social support perceptions of the patients’ relatives that provide long-term care for patients receiving service from the home care service (HCS) unit in one city. This descriptive study was carried out with the relatives of patients receiving service from home health units. Among the relatives providing care for a total of 859 patients, those that did not comply with the inclusion criteria were excluded, which made a total population of 309 people. Individual information form, burden interview, brief symptom inventory and multidimensional scale of perceived social support were used for the assessment of the data. Descriptive statistics and Spearman’s correlation coefficient were used for data analysis. The result showed a positive moderate significant correlation among the burden score, brief symptom inventory subscale and global index scores while, a negative moderate significant correlation was discovered between the family, significant other and multidimensional scale of perceived social support scores. Consequently, as the perceived social support level in the patients’ relatives providing care increased, their care burden and mental health problems decreased.


Author(s):  
Selda Celik ◽  
Feride Taskin Yilmaz ◽  
Sultan Yurtsever Celik ◽  
Gulden Anataca ◽  
Elif Bulbul

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