Comparison of Association Between Divorce and Access to Healthcare Services Among Married Immigrants

The number of married immigrants is increasing in Korea, and family dissolution is also growing in this population. Although divorce could impact immigrants' health status, it is unclear whether they have difficulties accessing healthcare and medical services. Thus, we examined whether divorce in married immigrants is independently associated with access to healthcare services. A retrospective analysis of 11,778 adults who participated in the 2018 National Multicultural Family Survey. We used three different covariate adjustment methods (multivariate logistic regression, inverse probability of treatment weighting, 1:1 greedy propensity score matching) to examine the association between divorce and access to healthcare services after accounting for various demographic and clinical characteristics. Overall, 5.8% (n = 691) of married immigrants reported a history of divorce. The divorce group included 107 (15.5%) males and 584 (84.5%) females, with an average age of 45.17 years (SD = 10.9). The non-divorced group included 1992 males (18.0%) and 9095 (82.0%) females, with an average age of 39.1 years (SD = 10.5). After propensity score matching, all variables were balanced (all p>0.05). Individuals who experienced divorce were more likely to have difficulties in healthcare service access than those who did not experience divorce (adjusted odds ratio 1.423, 95% CI [1.075, 1.882]). Our findings revealed that divorce increased the risk of limited healthcare services among immigrants in Korea. Healthcare policymakers should be aware of the healthcare access issues in this minority population. In addition, to improve the lifestyles of minority populations, it is necessary to study their overall lives.

Children’s Experiences of Stress in Joint Physical Custody

Background Joint physical custody is a parental care arrangement in which children live roughly an equal amount of time with each parent after family dissolution, residing alternately in each of the two parental households. Because joint physical custody is characterised by fathers’ continued involvement in their children’s lives, this care arrangement is believed to compensate for the negative effects of family dissolution, and to contribute to children’s well-being in post-separation families. Objective This study aims to investigate potential differences in the experiences of stress of children living in joint physical custody and sole physical custody arrangements, while considering both the proportion of time the children spend with each of their parents and the number of transitions the children make between the parental households. Methods Based on data from the Family Models in Germany (FAMOD) study, a national convenience sample, linear regression models were estimated for 297 children between the ages of 11 and 14. Results The statistical analysis suggests that there was no significant association between the physical custody type (sole physical custody vs. joint physical custody) and the children’s levels of stress. In addition, the results revealed that children’s experiences of stress did not depend on how often they moved between their parents’ households. Conclusions This study does not corroborate the assumption that joint physical custody has a protective effect on children, but instead suggests that different physical custody arrangements are associated with different stressors that lead to similar levels of stress in children living in different post-separation families.

COVID-19 pandemic decrease men’s mental health: background and consequence analysis

ABSTRACT Objective: To analyze, from the perspective of self-report of antecedents and consequences, how the COVID-19 pandemic decrease the health of men living in Brazil. Methods: Qualitative study, conducted with 200 men living in all regions of Brazil through the application of a semi-structured instrument, hosted on an online platform. The data were analyzed with the Collective Subject Discourse method and anchored in the theoretical framework of Dialectical Historical Materialism. Results: The COVID-19 pandemic decrease men’s mental health because it worsened the history of personal, affective, family, occupational, dysfunctional and/or morbid problems, causing consequences of psychic somatization, family dissolution, end of affective relationship, marital conflicts, social isolation, financial difficulty, vulnerability of the work situation and occupational exhaustion, sudden changes in behavior, barriers in access to health care and impaired experiences of death and grief. Conclusions: Social support networks need to be strengthened in order to minimize the direct and indirect impacts caused by the pandemic materiality for mental health and the various dimensions of life affected.

Family Disorganization - A Social Problem in Karnataka

The Family is as a basic unit of society. According to August Comte family is a primary unit of the society. It a has link between individual and community. It is made up with parents and their children, who come from the same ancestor and living together in the same household. Family disorganization means breaking family relations, family crisis, bracken of marriage relationships, family dissolution, marital maladjustment, dissertation, separation, divorce etc,. It is called the conflict in marriage between family members. It is global problem. Marital conflict is inevitable and become part and parcel of life today but should handle carefully. Many disorganized people do not have the social stigma. The main reason for this is lack of adoption and understanding between couples. It effects on families parents, dependents and children. Some children from disorganized homes grow up to become social misfits and later graduate into delinquents and criminals. They may be maladjusted with people. According to Tim and Joy Downs in their book, The Seven Conflicts, couples who never learn how to effectively manage their conflicts begin a series of stages in their relationship that can ultimately destroy it.