scholarly journals Relationship between impulsivity and suicide among the rural elderly in China: a case-control psychological autopsy study

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11801
Author(s):  
Yunfang Zhou ◽  
Zhenyu Ma ◽  
Cun-Xian Jia ◽  
Liang Zhou
Keyword(s):  
Life Events ◽  
Attempted Suicide ◽  
The Elderly ◽  
Case Control ◽  
Control Group ◽  
Case Group ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
History Of ◽  
The Relationship

Background The relationship between impulsivity and suicide is inconsistent in different populations. Hence, the relationship between impulsivity and suicide still needs to be studied among the elderly population. The present study intends to explore the relationship between impulsivity and suicide among the rural Chinese elderly. Methods A case-control psychological autopsy study was conducted from February 1, 2014 to December 18, 2015 among rural residents over the age of 60 who died by suicide. The sample consisted of 242 suicides as the case group and 242 living individuals as the control group. Data on demographic characteristics, impulsivity, previous history of suicide attempts, social support, negative life events, and suicidal behavior were collected. Results Our study found that impulsivity increased the risk of suicide. The case group showed a higher Barratt Impulsiveness Scale score compared with the control group (p < 0.001), which indicates that impulsivity was higher among the elderly suicides. In addition, regression analyses show that impulsivity (odds ratio: 1.03, 95% confidence interval: 1.01–1.06) is an independent risk factor of suicide, after controlling for the effects of marital status, education, family annual income, being left behind, social support, and negative life events. Finally, compared with elderly who do not have a history of attempted suicide, elderly with a history of attempted suicide showed higher impulsivity (p = 0.001).

scholarly journals The pattern of life events preceding suicide among the elderly in rural China: a national case-control psychological autopsy study

2019 ◽  
Author(s):  
Qiqing Mo ◽  
Guojun Wang ◽  
Cunxian Jia ◽  
Lu Niu ◽  
Liang Zhou ◽  
...  
Keyword(s):  
Life Events ◽  
Terminal Illness ◽  
Rural China ◽  
The Elderly ◽  
Case Control ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
Event Scale ◽  
Life Event

Abstract Background Life events associated with an increased risk of suicide and prior to the suicide in China different from those in Western countries. But there is a lack of summary of the elderly life event patterns on Chinese suicide. The aim of this study was to identify the pattern of life events which precede suicide among the elderly in a Chinese culture context.Methods A two-stage stratified cluster sampling method was used in order to select research sites and 12 counties were randomly selected to recruit cases within three provinces. A case-control psychological autopsy study was then adopted. The study population consisted of 242 suicide cases each with an age of 60 and above, and 242 age-, sex-, and location-matched community living controls. During face-to-face interviews, the information from subjects and proxy informants was obtained by standardized trained investigators. Life events were measured using a 46-item Life Event Scale for the Elderly (LESE).Results About 99.6% of suicides and 88.4% of controls resulted from the experience of at least one life event. The elderly who had committed suicide experienced more long-term life events. The top three most frequent life events were being diagnosed with chronic disease, hospitalization, and being diagnosed with terminal illness. Women more often experienced the death of spouse, while men experienced more hospitalization, and were more likely to be diagnosed with terminal illness and suffer family poverty. The risk of suicide among the elderly who experience life events was 12.8 times higher than that in people who did not experience life events. The elderly who were having unstable marital status, suffering from physical diseases and diagnosed with mental disorders, are more likely to commit suicide.Conclusions Understanding the pattern of life events which precede suicides among the elderly in rural China plays an important role in the prevention of suicide. Several different long-term life events can lead to suicidal behavior, and the effect of life events on suicide is cumulative. Being diagnosed with a serious disease may be one of the risk signals for suicide among the elderly.

Physical diseases and elderly suicide in rural China: A case–control psychological autopsy study

2021 ◽  
pp. 000486742199880
Author(s):  
Guojun Wang ◽  
Cunxian Jia ◽  
Zhenyu Ma ◽  
Liang Zhou
Keyword(s):  
Depressive Symptoms ◽  
Mental Disorders ◽  
Rural China ◽  
Severity Index ◽  
The Elderly ◽  
Case Control ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
Physical Diseases ◽  
The Relationship

Objectives: Physical diseases are well-established risk factor for suicide, particularly among older adults. However, little is known about the underlying mechanism of the association. This study aimed to describe the prevalence of physical diseases and their influences on the elderly in rural China and to examine the underlying mechanisms of the relationship between physical diseases and suicide. Methods: This matched case–control psychological autopsy study was conducted from June 2014 to September 2015. Consecutive suicide cases (242) among people aged 60 years or above were identified in three Chinese provinces. The suicide cases were 1:1 matched with living comparisons based on age, gender and residential area. Two informants for each participant were interviewed to collect data on their demographic characteristics, the severity index of physical diseases, depressive symptoms, feelings of hopelessness, mental disorders and social support. Results: A significant difference was found between suicide cases and living comparisons regarding the prevalence of physical diseases (83.5% vs 66.5%, p < 0.001) and their severity (11.3 ± 6.2 vs 6.7 ± 5.3, p < 0.001). Independent risks of suicide included the following: not currently married (OR = 2.81, 95% CI = [1.04, 7.62]), mental disorders (OR = 7.18, 95% CI = [1.83, 28.13]), depressive symptoms (OR = 1.15, 95% CI = [1.05, 1.26]) and feelings of hopelessness (OR = 1.51, 95% CI = [1.20, 1.90]). The structural equation model indicated that the relationship between the severity index of physical diseases and suicide was mediated by depressive symptoms, feelings of hopelessness and mental disorders. Conclusion: The severity and number of physical diseases were found to be correlated with suicide among the elderly in rural China, after controlling for demographic characteristics. Physical diseases elevate one’s suicide risk by increasing depressive symptoms, feelings of hopelessness and mental disorders. Efforts for suicide prevention should be integrated with strategies to treat physical diseases along with psychological interventions.

Faktor-Faktor Determinan yang melatar belakangi Kehamilan Remaja di Desa Pandansari Kecamatan Poncokusumo Kabupaten Malang

2020 ◽  
Vol 7 (2) ◽  
pp. 247-255
Author(s):  
Maria Magdalena Setyaningsih ◽  
Emy Sutiyarsih
Keyword(s):  
Sex Education ◽  
Teen Pregnancy ◽  
Teenage Pregnancy ◽  
Well Being ◽  
Case Control ◽  
Control Group ◽  
Case Group ◽  
The Family ◽  
History Of ◽  
First Time

Kehamilan remaja adalah kehamilan yang terjadi pada remaja berusia kurang dari 20 tahunan. Kehamilan remaja memberikan banyak kerugian bagi kesehatan, mental dan psikologis, kesejahteraan ekonomi dan peluang karier, kemiskinan dan prospek kehidupan masa depan remaja. Tujuan penelitian mengidentifikasi faktor determinan yang melatarbelakangi terjadinya kehamilan remaja. Jenis penelitian adalah penelitian analitik kategorik jenis survei kuantitatif dengan desain case control. Populasi semua perempuan yang bertempat tinggal di wilayah dusun Wonosari, Sukosari, dan Krajan Pandansari dan pernah/sedang hamil pertama kali pada usia kurang dari 20 tahun. Teknik pengambilan sampel cluster random sampling besar sampel 73. Berdasarkan hasil model akhir analisis multivariat, diketahui bahwa variabel pendidikan, riwayat kehamilan remaja pada keluarga dan usia menikah merupakan variabel yang berhubungan dengan kejadian kehamilan remaja setelah dikontrol oleh variabel akses informasi, responden berpendidikan rendah memiliki peluang 20,8 kali lebih tinggi, responden yang memiliki riwayat kehamilan remaja pada keluarga memiliki peluang 14,9 kali lebih tinggi, responden yang menikah pada usia <20 tahun memiliki peluang 12,1 kali lebih tinggi, responden dengan pemahaman yang kurang baik terkait penggunaan kondom memiliki peluang 5,9 kali lebih tinggi untuk terjadi kehamilan remaja. Oleh karena itu perlu dibangun karakter buiding, sosial karakter suport untuk para ibu remaja dan keluarga sehingga terbangun interaksi yang baik dalam keluarga yang dilandasi dengan pendidikan dan pemahaman yang baik tentang Pendidikan seksualitas. Teen pregnancy is a pregnancy that occurs in adolescents aged less than 20 years old. Teen pregnancy provides many disadvantages for health, mental, psychological, economic well-being, career opportunities, poverty, and the future life. The aim of the study was to identify the determinants underlying teen pregnancy incidence. This study was a quantitative study with categorical analytic method. The study design used a case control with two comparison groups. The groups were control group and case group. The population in this study was all women who lived in the Wonosari, Sukosari, and Krajan Pandansari district and had or were pregnant for the first time at the age of less than 20 years old. Seventy three respondents were recruited using cluster sampling technique. The case group consists of women who were or had pregnant for the first time at the age of less than 20 years old and their children are currently aged ≤ 1 years old. The control group consists of women who were pregnant for the first time at the age of > 20 years old. The data was collected using a questionnaire. The findings showed that education, history of teen pregnancy in family and the age of marriage were related to the incidence of teen pregnancy after being controlled by information access. Low-educated respondents had 20.8 times higher chance of experiencing teen pregnancy; respondents with a history of teen pregnancy in the family had 4.9 times higher chance of experiencing teen pregnancy; respondents who were married at the age of < 20 years old had 12.1 times higher chance of experiencing teen pregnancy; respondents with poor understanding of condom use had 5.9 times higher chance of teenage pregnancy. In conclusion, the findings suggest to build good interactions in the family based on education and a good understanding of sex education.

HUBUNGAN RIWAYAT SAKIT DENGAN KEJADIAN STUNTING PADA BALITA

2021 ◽  
Vol 3 (3) ◽  
pp. 213
Author(s):  
Hasanah Nurbawena ◽  
Martono Tri Utomo ◽  
Esti Yunitasari
Keyword(s):  
Case Control ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
Purposive Sampling ◽  
Group Data ◽  
Control Research ◽  
History Of ◽  
And Gender ◽  
Relationship Of

AbstrakLatar belakang : Kejadian stunting merupakan salah satu  masalah gizi pada anak yang memiliki prevalensi tinggi di Indonesia. Cut off point  kejadian stunting tidak boleh lebih dari 20%, sedangkan jumlah kejadian stunting di Surabaya sebanyak 22,8%. Salah satu penyebab tingginya kejadian stunting yaitu penyakit infeksi. Penelitian ini bertujuan untuk mengetahui hubungan riwayat sakit dengan kejadian stunting pada balita. Metode : Penelitian ini merupakan penelitian analitik observasional dengan menggunakan rancang penelitian case control. Jumlah sampel yang diteliti sebanyak 40 balita dengan usai 24-36 bulan di wilayah kerja Puskesmas Simomulyo Surabaya. Sampel penelitian balita stunting merupakan kelompok kasus dan balita non-stunting merupakan kelompok kontrol. Pengambilan data untuk kelompok kasus menggunakan purposive sampling dan pada kelompok kasus menggunakan matching sampling dengan menyesuaikan usia bayi dan jenis kelamin pada kelompok kasus. Pengumpulan data mengguanakan instrumen kuisioner. Uji statistik menggunakan chi square Hasil : Hasil penelitian ini didapatkan balita stunting memiliki riwayat sakit sebanyak 90%, sedangkan pada balita non-stunting sebanyak 45%. Uji statistik menggunakan mengenai hubungan riwayat sakit dengan kejadain stunting pada balita dengan uji Chi square didapatkan hasil yang signifikan yaitu p=0,002 (<0,05) dan OR 4,889. Kesimpulan : Balita stunting memiliki riwayat sakit lebih sering daripada balita non-stunting.AbstractBackground: . The incidence of stunting is one of the nutritional problems in children who have a high prevalence in Indonesia. The cut off point for stunting events should not be more than 20%, while the number of stunting events in Surabaya is 22.8%. One of the causes of the high incidence of stunting is an infectious disease. This study aimed to determine the relationship of a history of illnes with the incidence of stunting in infants. Method: This research was an observational analytic study using a case control research design. The number of samples were 40 toddlers (20 toodlers with stunting and 20 toodlers with non-stunting) aged 24-36 months in the working area of the Simomulyo Primary Health Care in Surabaya. The stunting toddlers belonged to a case group and non-stunting toddlers belonged to a control group. Data collection of case group had used purposive sampling and that control group used matching sampling by adjusting the baby's age and gender in the case group. Data was obtained by questionnaire instrument.Data was analysis by Chi square Results: The persentage of stunting toddlers who had a history of illness was 90%, while the non-stunting toddlers had a history of illness was 45%. There was relationship between the history of infectious diseases and the occurrence of stunting in toodler p=0,022 (<0,05) and OR=4,338. Conclusion: Stunting toddlers have a history of pain more often than non-stunting toddlers 

Prevalence of ADHD in children born by mothers consuming Frankincense during pregnancy

2021 ◽  
Author(s):  
Alimohammad Ranjbar ◽  
Elahe Kamali Ardakani ◽  
Rahele Zareshahi
Keyword(s):  
Data Gathering ◽  
Control Group ◽  
Case Group ◽  
Dsm V ◽  
History Of ◽  
The Difference ◽  
The Impact ◽  
The Relationship ◽  
The Brain ◽  
Positive Effect

Aims: In Iranian culture, due to some narratives from the prophet Mohammad about the use of frankincense during pregnancy for increasing IQ in children, some women consume frankincense during expectancy. This study's goal is to evaluate the relationship between frankincense used during pregnancy and the incidence of ADHD. Methods: In this study, the case group comprised children 4-17 years old referring to Shahid Chamran Pharmacy in Yazd from summer to winter 2018 for receiving Methylphenidate, those with whom a psychologist had identified ADHD based on DSM-V factors.  The control group included children of the same age group but without ADHD. For data gathering, a checklist was used with some questions on smoking, family history of ADHD, presence/absence of a specific disease during pregnancy, frankincense used during pregnancy, and a chemical medication consumed during pregnancy. Results: The main result demonstrated that the children whose mothers used frankincense during pregnancy were 0.67 times less likely to be affected by ADHD than those whose mothers did not use this substance. However, the difference failed to be statistically significant (P>0.05). Conclusion: Some studies report that frankincense can bear a positive effect on the development of the brain and possibly adequate formation of dendrites trees, axons and induce proper communication between them, so the impact of frankincense on the brain may be justified by its protective effect against the hyperactive child.

scholarly journals Being left-behind, mental disorder, and elderly suicide in rural China: a case–control psychological autopsy study

2018 ◽  
Vol 49 (3) ◽  
pp. 458-464 ◽  
Author(s):  
Liang Zhou ◽  
Guojun Wang ◽  
Cunxian Jia ◽  
Zhenyu Ma
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Mental Disorder ◽  
Life Events ◽  
Stressful Life Events ◽  
Case Control ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
Left Behind ◽  
Elderly Suicide

AbstractBackgroundSuicide rate among rural elderly is the highest among all age groups in China, yet little is known about the suicide risks in this rapidly growing vulnerable population.MethodsThis matched case–control psychological autopsy study was conducted during June 2014 to September 2015. Consecutive samples of suicides aged 60 or above were identified in three provinces (Shandong, Hunan, and Guangxi) in China. Living comparisons were 1:1 matched with the suicides in age (±3 years old), gender, and living location. Risk factors included demographic characteristics, being left-behind, mental disorder, depressive symptoms, stressful life events, and social support.ResultsA total of 242 suicides and 242 comparisons were enrolled: 135 (55.8%) were male, mean (s.d.) age was 74 (8) years. The most frequently used suicide means were pesticides (125, 51.7%) and hanging (95, 39.3%). Independent risks of suicide included unstable marital status [odds ratio (OR) 4.19, 95% confidence interval (CI) 1.61–10.92], unemployed (compared with employed, OR 4.43, 95% CI 1.09–17.95), depressive symptoms (OR 1.34, 95% CI 1.21–1.48), and mental disorder (OR 6.28, 95% CI 1.75–22.54). Structural equation model indicated that the association between being left-behind and suicide was mediated by mental disorder, depressive symptoms, stressful life events, and social support.ConclusionsUnstable marital status, unemployed, depressive symptoms, and mental disorder are independent risk factors for suicide in rural elderly. Being left-behind can elevate the suicide risk through increasing life stresses, depressive symptoms, mental disorder, and decreasing social support. Elderly suicide may be prevented by restricting pesticides, training rural physicians, treating mental disorders, mitigating life stress, and enhancing social connection.

scholarly journals The Relationship Between Personal Hygiene with Hepatitis a Incident in Students

2014 ◽  
Vol 2 (3) ◽  
pp. 331
Author(s):  
Dwika Sari Sasoka ◽  
Prijono Satyabakti
Keyword(s):  
Risk Factor ◽  
Random Sampling ◽  
Hepatitis A ◽  
Simple Random Sampling ◽  
Case Control ◽  
Personal Hygiene ◽  
Primary Data ◽  
Control Group ◽  
Case Group ◽  
The Relationship

ABSTRACTThe prevalence and distribution of Hepatitis A in Indonesia had been increased over past few years. It resulted in the endemic status of Hepatitis A in Indonesia. The purpose of this research is to analyze the relationship between personal hygiene and Hepatitis A incidence in Jember. This study use a case-control design, with quantitative approach using primary data. Population of this study is student that has been randomize using simple random sampling for case group and purposive random sampling for control group. Respondents of this study is 15 for case group and 30 for control group. Idependent variable of this study is personal hygiene behaviour. Analysis are performed using Chi-Square test and Odd Ratio (CI = 95%). The study showed that majority case group have poor personal hygiene (53,3% respondents) and majority of control group have healthy personal hygiene (83,3% respondents). There is a significant relationship (p= 0,016) between personal hygiene with the incidence of Hepatitis A. Personal hygiene is the risk factor of Hepatitis A incidence, OR = 5,71 (95% CI: 1,17–29,88). The conclusion is there is a relationship between personal hygiene with Hepatitis A incidence. In order to increase awareness of personal hygiene to prevent Hepatitis A, is by using eating and drinking equipments proprietary, washing hands with soap before meals and after defecating, drinking boiled water and buy food in hygiene and sanitary food vendors.Keywords: Hepatitis A, personal hygiene, students, risk factor, case control

scholarly journals Metabolic Syndrome Components and Acute Pancreatitis: A Case-Control Study in China

2020 ◽  
Author(s):  
Zhemin Shen ◽  
Xueqiao Wang ◽  
Zili Zhen ◽  
Yao Wang ◽  
Peilong Sun
Keyword(s):  
Metabolic Syndrome ◽  
Acute Pancreatitis ◽  
Case Control Study ◽  
Case Control ◽  
Control Group ◽  
Case Group ◽  
Inflammatory Disorder ◽  
Biliary Stones ◽  
History Of ◽  
Control Study

Abstract Background: Acute pancreatitis (AP) is a common inflammatory disorder of the pancreas. Recent evidence has shown that metabolic syndrome is positively correlated with the severity of AP. However, only a few studies have revealed the relationship between metabolic syndrome and the occurrence of AP. We therefore elucidated the association between metabolic syndrome and the occurrence of AP. Methods: A hospital-based case-control study was conducted. A total of 705 patients admitted to our hospital from January 2016 to December 2018 were included in the study. Subjects were divided into case and control groups according to their diagnosis: (1) According to the revised Atlanta classification from 2012, patients diagnosed with AP were enrolled in the case group. (2) Patients without a history of AP or any disease related to metabolic syndrome were allocated into the control group. Controls were matched to cases individually by sex and age (control/case ratio=1). Results: The incidence rate of metabolic syndrome in AP patients was 30.9%, which was more frequent than that in controls (13.2%) (OR=2.837; 95% CI 1.873-4.298, p<0.001). In the multivariate regression analysis, a history of smoking or alcohol consumption and biliary stones were significantly associated with AP (OR=2.441; 95% CI 1.865-5.172, p<0.001; OR=1.777; 95% CI 1.060-2.977, p=0.029; OR=28.995; 95% CI 13.253-63.435, p<0.001). In addition, the occurrence of AP was significantly associated with total cholesterol (TC) (OR=1.992; 95% CI 1.246-3.183, p=0.004), triglyceride (TG) (OR=2.134; 95% CI 1.403-3.245, p<0.001), hyperglycaemia (OR=2.261; 95% CI 1.367-3.742, p=0.001), and apolipoprotein A (Apo A) (OR=0.270; 95% CI 0.163-0.447, p<0.001). Conclusions: Metabolic syndrome and its components were associated with AP occurrence.

Risk Factors for Ectopic Pregnancy: A Multi-center Case Control Study

2021 ◽  
Author(s):  
Nooria Atta ◽  
Fahima Aram ◽  
Nafisa Naseri ◽  
Mahbooba Sahak
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Ectopic Pregnancy ◽  
Case Control Study ◽  
Case Control ◽  
Pelvic Surgery ◽  
Control Group ◽  
Case Group ◽  
History Of ◽  
Control Study

Abstract Background: Ectopic pregnancy (EP) is defined as a pregnancy in which fertilized oocyte implants outside the endometrial cavity. Although there is no known etiology for ectopic pregnancy, some risk factors of EP have been determined. It has been evident that ectopic pregnancy can be of multifactorial origin. This multicenter research aims to study risk factors associated with increased risk of ectopic pregnancy in women living in Kabul. Methods: A multicenter case control study was conducted in five tertiary maternity hospitals located in Kabul, Afghanistan. A total of 457 pregnant women were included in this study. In the case group, women with diagnosed ectopic pregnancy, while in control group women with intrauterine pregnancy were included. For each case in this study, two controls were enrolled. Results: The mean (SD) age of women in case group was 27.9 (6) years while in control group it was 26.4 (5.5) years. This difference was not statistically significant. We found a significant association between history of abortion and EP (Adj. OR=1.57; 95%CI: 1.02, 2.42). Having history of abdominal/pelvic surgery was a risk factor for EP with adjusted OR 1.94 (95%CI: 1.15, 3.30). In this study we found an increasing risk of EP in women of 35 years or older compared to younger women (Crude OR=2.26; p= 0.024). In women reporting prior EP, the chance of its recurrence was increased (Crude OR= 9.64; 95%CI: 1.1, 83.2). No association of gravidity and parity was found with EP incidence. Conclusions: In this study we found a statistically significant association between history of abdominal/pelvic surgery and EP. In addition, history of abortion was suggested as a risk factor for ectopic pregnancy. In case of having a previous EP probability of its recurrence will be increased. Women with advanced age having other potential risk factors will be facing higher risk of EP.

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