scholarly journals Social Support and Adjustment During COVID-19 Epidemic, A Community-Based Study in Iran

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Samaneh Torkian ◽  
Elham Akhlaghi ◽  
Vahid Khosravi ◽  
Reza Etesami ◽  
Ali Ahmadi ◽  
...  

Background: Coronavirus disease 2019 (COVID-19) epidemic is neither the first nor the last epidemic in human societies. Epidemic control requires cooperation and adherence to health and prevention protocols in the whole community. Social support and social adjustment may be effective in epidemic control. Objectives: This study aimed to investigate the level of social support, social adjustment, and related factors during the COVID-19 epidemic in Iran. Methods: A nationwide cross-sectional study, including 1,145 individuals, was conducted from April to May 2020 in Iran. Social adjustment and social support were measured using the Bell Adjustment Inventory and Philips Social Support questionnaires. Each province was assumed as a cluster, and Generalized Estimating Equations (GEE) (GEE) models were used to determine the demographic variables that were related to social support and social adjustment during the COVID-19 outbreak. All analyses were conducted with SPSS26. Results: In this study, 58.9% of people were in the moderate and 39.9% in the high social support group. About 57.6% of people were in moderate and 30.8% in the high social adjustment group. People with a good [(OR = 3.81, 95% CI: 2.29, 6.34)] and moderate [(OR = 2.02, 95% CI: 1.40, 2.92)] financial situation had significantly higher social support scores. Master or doctorate graduates [(OR = 2.38, 95% CI: 1.80, 3.15)], and people with a good [(OR = 1.83, 95% CI: 1.20, 2.79)] and moderate [(OR = 1.40, 95% CI: 1.17, 1.69)] financial situation had significantly higher social adjustment scores. Conclusions: The participants of this study have mainly moderate to high levels of social support and adjustment; however, they may not represent the whole Iranian society. Social support and adjustment are low in people with a poor financial situation and low education. These groups need more attention to epidemics.

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Maryam Kazemi ◽  
Behnam Honarvar ◽  
S. Taghi Heydari ◽  
Hassan Joulaei ◽  
Mohammad Reza Rahmanian Haghighi ◽  
...  

Abstract Background Happiness has multiple levels and determinants in different communities, cultures, and social groups. The current study aimed to investigate happiness and its main determinants in slums in south central Iran. Methods This community-based, cross-sectional study was conducted with the participation of adults at least 18 years of age living in the biggest slum area in Shiraz, south central Iran. To determine levels of happiness, participants were asked to complete the Persian version of the GHQ28 questionnaire and a checklist based on the 2017 World Happiness Report. Data was analyzed using SPSS software version 19. A p-value less than 0.05 was considered significant. Results The mean age of the participants was 42.06 ± 16.34 years. Overall, 542 participants (45 %) were females, 257 (21.3 %) were illiterate, 678 (56.3 %) were married, and 495 (41.1 %) were unemployed and lived with their household. The happiness score, according to the Cantril ladder score, was 6.41 ± 2 (out of a total score of 10). Happiness was not correlated with gender (p = 0.37) or immigration (p = 0.06). Lower levels of happiness were seen in older adults (r=− 0.12, p < 0.001), illiterates (p = 0.03), the unemployed (p < 0.001), and people separated from their spouses (p < 0.001). Job satisfaction (p < 0.001, r = 0.47), total general health (p < 0.001, r=-0.36) and hope (p < 0.001, r = 0.41) were significantly correlated with happiness. Social support (< 0.001) and sufficient income and satisfaction (p < 0.001) were related with a higher score of happiness. Conclusions Marital status, smoking, employment and job satisfaction, social support and trust, feelings of insecurity in the neighborhood, hope for the future, facing violence, and income satisfaction were the main determinants of happiness in the Sang Siah slum area.


Author(s):  
Chandrashekhar R. ◽  
Shashidhar S. Basagoudar ◽  
Shivappa Hatnoor ◽  
Rahul C. Kirte

Background: In December 2014, Ministry of Health and Family Welfare of India launched Mission Indradhanush with the aim to ensure that all children are fully vaccinated against seven vaccine-preventable diseases before they reach an age of two years.Methods: A cross sectional, community based study was conducted among parents attending Indradhanush Vaccination Centre (IVC) along with their partial and unimmunized children aged 0-23 months. Study was conducted during Mission Indradhanush (MI) 2nd Phase from November 2015 to January 2016. Data consisting of information regarding the various demographic variables, immunization history, and reasons for partial and unimmunization was collected by interviewing the parents through a pre-tested, structured questionnaire.Results: A total of 153 children were studied involving 63 session sites. 50 (32.7%) children were residing in low coverage areas, 4 (2.6%) children in villages with migratory population, 4(2.6%) children in areas with missed session and 87(56.9%) children residing in village with vacant sub centre. Common reasons for not vaccination were, child was sick on the day of vaccination (32%), child migrated to other place (27.5%), Fear of AEFI (11.8%), ignorance (11.1%). Only 92 (60.1%) children were having MCP card.Conclusions: The reasons for partial and un immunization  were mainly lack of awareness of parents, sickness of children, fear of AEFI and migration to other places which would be solved by taking all efforts to raise the awareness of community about  need  of immunization along with providing complete information about the immunization services being  provided to them.


Author(s):  
Simone Márcia da Silva ◽  
Natalia Fernanda Braido ◽  
Ana Carolina Ottaviani ◽  
Gabriela Dutra Gesualdo ◽  
Marisa Silvana Zazzetta ◽  
...  

ABSTRACT Objective: to evaluate the instrumental and emotional social support of patients with chronic kidney disease on hemodialysis. Method: descriptive cross-sectional study. The sample was sized for convenience and included 103 participants under treatment in a Renal Replacement Therapy Unit. Data were collected through individual interviews, using the Social Support Scale. Results: the mean scores of the emotional and instrumental social support were 3.92 (± 0.78) and 3.81 (± 0.69) respectively, an indication of good support received. The most frequent sources of instrumental and emotional social support mentioned by participants were partners, spouse, companion or boyfriend and friends. Conclusion: patients with chronic kidney disease have high social support, both instrumental and emotional, and the main support comes from the family.


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Amália Ivine Santana Mattos ◽  
Tânia Maria de Araújo ◽  
Maura Maria Guimarães de Almeida

ABSTRACT OBJECTIVE To analyze the interaction between the psychosocial aspects of work and the occurrence of common mental disorders among health workers. METHODS This is a cross-sectional study conducted with a representative sample of workers of the primary health care of five municipalities of the State of Bahia, Brazil, in 2012. The variable of outcome were the common mental disorders evaluated by the SRQ-20, and the variables of exposure were high demand (high psychological demand and low control over the work) and low social support in the workplace. Interaction was checked by the deviation of the additivity of the effects for the factors studied from the calculation of excess risk from interaction, proportion of cases attributed to interaction, and the synergy index. RESULTS The global prevalence of common mental disorders was 21%. The group of combined exposure has shown higher magnitude (high demand and low social support), reaching 28% when compared to the 17% in the situation of no exposure (low demand and high social support). CONCLUSIONS The results strengthen the hypothesis of interaction between the factors investigated, directing to the synergy of the effects.


2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Bereket Duko ◽  
Asres Bedaso ◽  
Getinet Ayano ◽  
Zegeye Yohannis

Background. Tuberculosis is a historically stigmatized disease and the stigma associated with it affects the institution, community, and interpersonal factors. Therefore, understanding tuberculosis-related perceived stigma has importance in improving quality of the patients. Objective. The aim of this study was to assess prevalence and factors associated with perceived stigma among patients with tuberculosis attending Wolaita Sodo University Referral Hospital, Ethiopia. Methods. Institution based cross-sectional study was conducted among a total of 417 tuberculosis patients who had treatment follow-up at TB clinics and were recruited for the study. Systematic random sampling technique was used to recruit study participants. A 12-item perceived TB stigma scale was used to assess tuberculosis-related perceived stigma. In addition, Oslo social support scale was used to assess social support related factors. Results. Prevalence of tuberculosis-related perceived stigma by using perceived tuberculosis stigma scale was 42.4%. Patients who had pulmonary TB [AOR=2.49, (95% CI: 1.24, 4.87)], being intensive phase category [AOR=1.42, (95% CI: 1.19, 2.58)], TB/HIV coinfection [AOR= 3.54, (95% CI: 1.37, 9.12)], poor social support [AOR=2.45, (95% CI: 1.18, 5.09)], and using substance (alcohol, khat and cigarette) [AOR=1.78, (95% CI: 1.28, 3.17)] were more likely to have perceived TB stigma when compared to their counter parts. Conclusion. Health education programs should be conducted to reduce TB stigma and improve patients’ compliance.


2021 ◽  
Author(s):  
Khalil Maleki Chollou ◽  
Shayesteh Shirzadi ◽  
Soheila Ranjbaran ◽  
Saber Gaffari-fam ◽  
Towhid Babazadeh

Abstract Background: Cardiovascular disease significantly impairs quality of life. Inadequate social support has been associated with poor quality of life in patients with Cardiovascular. The aim of this study was to describe social support and explore its association with quality of life among cardiovascular patients.Methods: This cross sectional study was conducted in 2020 from September to January. We selected 150 cardiovascular patients through convenience sampling. The structured questionnaires included: the Persian version of the WHOQOL-BREF was used to obtain the necessary data on the quality of life, psychometric evaluation of the interpersonal support evaluation list–short form as well as demographic variables were included in each questionnaire. Hierarchical linear regression models were used to explore the association between perceived social support and quality of life.Results: The demographic variables were able to predict 12.2% of the variance of quality of life in the first step. In the second step, after adjusting control variables, dimensions of social support the predictability increased to 29% of the variance with the addition of variables. All dimensions of social support, excluding tangible assets support, were significant predictors of quality of life in addition to monthly income status. Self-esteem support (β= 0.387) was the higher level of predictor of quality of life in cardiovascular patients.Conclusion: Overall, the current study revealed that social support is one of the strategies that cardiovascular patients can utilize to improve their quality of life and overcome their disease. It is possible to say that enhancing social support in patients improves their health and quality of life.


2019 ◽  
Vol 27 (1) ◽  
pp. 5
Author(s):  
Blanca Ivett Franco Neri ◽  
Zuleyma Mendieta Ávila ◽  
Nancy Elizabeth Juárez Huicochea ◽  
Ricardo Castrejón Salgado

<p><strong>Objective:</strong> to know the prevalence of suicidal ideation and to determine the association between suicidal ideation and social support perceived by adolescents. <strong>Methods:</strong> analytical cross-sectional study. 267 adolescents between twelve and seventeen years old, both genders were evaluated, all beneficiaries of the General Regional Hospital with Family Medicine No.1, of the Mexican Institute of Social Security (imss), in Cuernavaca, Morelos, Mexico, who attended the external Family Medicine consultation for any reason other than a mental disorder. The information on the main variables of interest was obtained through Beck’s suicide ideation questionnaire and Vaux’s perceived social support scale. A descriptive analysis was carried out and a logistic regression model was adjusted to assess the strength of association between suicidal ideation and social support. <strong>Results:</strong> the prevalence of suicidal ideation was 16.48%. The estimated protection for suicidal ideation odds ratio (or) was or = 0.37 (ic 95% 0.16, 0.84, p = 0.018) and 0.30 (ic 95% 0.12, 0.71, p = 0.006) medium and high social support, respectively, in comparison to low social support. Additionally, it was noted that as more social support perceived by adolescents higher protection for suicidal ideation (p trending &lt;0.05). <strong>Conclusion:</strong> it was detected a high prevalence of suicidal ideation and also that the more perceived social support the less suicidal ideation in adolescents. These findings could help at the primary care level to support preventive programs that could be added to suicide prevention efforts.</p>


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