familial support
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2022 ◽  
pp. 0192513X2110588
Author(s):  
Deeksha Tayal ◽  
Aasha Kapur Mehta

The COVID-19 pandemic generated economic contraction across the world. In India, the stringent lockdown led to extreme distress. The unprecedented situation adversely affected the women’s efforts to balance professional life with family life because of a disproportionate increase in their domestic work burden and a shift in their workstation to home. Since every job cannot be performed remotely, women employed in healthcare services, banks and media witnessed additional risks of commuting and physical interaction at the workplace. Based on personal interviews of women in the Delhi-NCR region, the study aims to explore the commonalities and variances in the challenges experienced by the women engaged in diverse occupations. Using the qualitative methodology of flexible coding, the study finds that a relatively larger section of women travelling to their office during the pandemic, rather than those working from home, had an effective familial support system that helped them navigate this tough time.


2021 ◽  
pp. 001100002110463
Author(s):  
Annabelle L. Atkin ◽  
N. Keita Christophe ◽  
Hyung Chol Yoo ◽  
Abigail K. Gabriel ◽  
Christine S. Wu ◽  
...  

The purpose of this study was to develop a measure of familial support of Multiracial individuals’ unique racial experiences to advance the field’s understanding of how familial processes influence Multiracial development. A sample of 422 Multiracial college students (77.7% female, Mage = 20.05) from three different regions of the United States completed the survey. Exploratory factor analysis results suggested a two-factor measure. Multiracial Conscious Support, a 15-item subscale, represented support strategies unique to Multiracial individuals’ experiences of discrimination and identity exploration. The second 7-item subscale, Multiple Heritage Validation, represented validation of membership in multiple racial groups. The factor structure was supported by confirmatory factor analysis findings with a separate sample. Support was found for the reliability and validity of each subscale. This study provides evidence validating the first measure of familial support of Multiracial experiences, highlighting two themes of support addressing unique experiences of being Multiracial, and validating multiple racial group memberships.


2021 ◽  
pp. 104973232110642
Author(s):  
Chelsi W Ohueri ◽  
Alexandra A. García ◽  
Julie A. Zuñiga

Approximately 10–15% of people living with HIV are also diagnosed with diabetes. To manage their two chronic conditions, people must undertake certain activities and adopt behaviors. Due to overlapping symptoms, complex medication regimens, and heavy patient workloads, implementing these self-management practices can be difficult. In this focused ethnography, data were collected from semi-structured interviews and limited participant-observation with a selected subset of participants to gain insight into self-management challenges and facilitators. We conducted interviews and multiple observations with 22 participants with HIV+T2DM over the period of 9 months. Participants experienced numerous barriers to self-management in the areas of diet, medication adherence, and mental health. Social and familial support, as well as consistent access to care, were facilitators for optimal self-management. At the same time participants’ lives were in a unique flux shaped by the dual diagnoses, and therefore, required constant mental and physical adjustments, thus illustrating challenges of managing chronicity.


2021 ◽  
pp. 113-123
Author(s):  
Kayo Resende Dias e Almeida ◽  
Séphora Natércia Albuquerque Oliveira ◽  
Modesto Leite Rolim Neto

INTRODUCTION: Maternal death by suicide raises serious perplexities. The ICD-10 classifies maternal suicide as an indirect form of maternal death. Due to this current misclassification, a classificatory consensus of maternal suicide as a direct form of maternal death is urgent. OBJECTIVE: Analyze the psychological  that permeate the phenomenon of maternal suicide, to define the profile of mothers in the postpartum period and pregnant women who commit suicide, with the purpose of elucidating ways of preventing maternal suicide. METHOD: A systematic review was made following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). RESULTS: Twenty-one studies reported the urgent need to implement interventions in order to prevent or reduce mental health problems caused by mothers and pregnant women who commit suicide. Twenty studies demonstrate the need for interventions to organizational adjustments, especially related to the emotional conflicts involved suicide and maternity. CONCLUSION: Maternal suicide is mainly caused by severe psychiatric disorders, however, higher suicide rates are seen due to psychosocial factors, such as poor familial support and domestic violence, illegal substance abuse and alcoholism, history of sexual or physical violence, racial oppression, economic instability, unwanted pregnancy, difficulty in accessing intentional abortion, and trauma related to past maternity experiences.


2021 ◽  
pp. 197-215
Author(s):  
Crystal Cederna-Meko ◽  
Shannon L. Dennis ◽  
Rebecca E. H. Ellens

This chapter reviews the roles of pediatric psychologists in critical care settings. Assessment and intervention strategies are discussed while also highlighting the importance of interdisciplinary collaboration. Relevant literature is reviewed while also providing practical information regarding psychology practice in these complex settings. The authors summarize adverse psychiatric sequelae and risk factors during and after the critical care admission. The consultation and liaison roles of psychologists, including assessment and intervention, health promotion, interprofessional team support, and familial support through biopsychosocial and developmental frameworks, make a case for the value they bring to critical care teams. The chapter also reviews the key knowledge, skills, and attributes necessary for psychologists to function effectively within pediatric critical care settings.


2021 ◽  
pp. 69-81
Author(s):  
Rachel Cope ◽  
Amy Harris ◽  
Jane Hinckley
Keyword(s):  

2021 ◽  
Vol 23 (Supplement_6) ◽  
pp. vi107-vi108
Author(s):  
Priya Kumthekar ◽  
Madison Lyleroehr ◽  
Leilani Lacson ◽  
Roger Stupp ◽  
Rimas Lukas ◽  
...  

Abstract BACKGROUND Tumor Treating Fields (TTF) Therapy is an FDA-approved therapy in the first line and recurrent setting for glioblastoma. Despite Phase 3 evidence showing improved survival, it is not uniformly utilized despite its availability. This qualitative prospective study interviewed glioblastoma patients to better understand key driving factors for decision making. METHODS Adult glioblastoma patients who were offered TTF and who signed IRB approved consent were included. Patients participated in a one-time recorded interview with the researchers from the Northwestern University Department of Medical Social Sciences and were asked about factors shaping their decision to use or not use TTF. RESULTS 40 patients were enrolled with a mean age of 53 years, 92.5% were white and 60% were male. Of the 33 (82.5%) participants who accepted TTF, 23 (69.7%) reported their physician recommending TTF, 8 (24.2%) reported physician neutrality toward TTF, and 2 (6.1%) said their physician advised against TTF. Among the 7 (17.5%) participants who did not choose TTF, 4 (57.1%) reported physician neutrality, 2 (28.6%) reported that their physician advised against TTF, and 1 (14.3%) reported that their physician recommended TTF. Participants who decided against TTF stated that head shaving, appearing sick, and inconvenience of wearing/carrying the device most influenced their decision. For those choosing to use TTF, the most influential factors were extending life and following their doctor's opinion; other factors included level of familial support and the clinical evidence supporting TTF. DISCUSSION This clinical study was a collaboration with the Medical Social Sciences team to better understand the key factors that drive patient decision making with TTF. Findings suggest that physician support and positive Phase 3 results are among the key decision-making factors. Properly understanding the path to patients’ decision making is crucial in optimizing use of TTF and other therapeutic decisions for glioblastoma patients.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kailey Snyder ◽  
Emily Hulse ◽  
Holly Dingman ◽  
Angie Cantrell ◽  
Corrine Hanson ◽  
...  

Abstract Background Early breastfeeding cessation is a societal concern given its importance to the health of mother and child. More effective interventions are needed to increase breastfeeding duration. Prior to developing such interventions more research is needed to examine breastfeeding supports and barriers from the perspective of breastfeeding stakeholders. One such framework that can be utilized is the Socio-Ecological Model which stems from Urie Broffenbrenner’s early theoretical frameworks (1973–1979). The purpose of this study was to examine supports and barriers to breastfeeding across environmental systems. Methods A total of 49 representatives participated in a telephone interview in Nebraska, USA in 2019. Interviewees represented various levels of the model, based on their current breastfeeding experience (i.e., mother or significant other) or occupation. A direct content analysis was performed as well as a constant comparative analysis to determine differences between level representatives. Results At the Individual level, breastfeeding is a valued behavior, however, women are hindered by exhaustion, isolation, and the time commitment of breastfeeding. At the Interpersonal level, social media, peer-to-peer, and family were identified as supports for breastfeeding, however lack of familial support was also identified as a barrier. At the community level, participants were split between identifying cultural acceptance of breastfeeding as support or barrier. At the organizational level, hospitals had supportive breastfeeding friendly policies in place however lacked enough personnel with breastfeeding expertise. At the policy level, breastfeeding legislation is supportive, however, more specific breastfeeding legislation is needed to ensure workplace breastfeeding protections. Conclusion Future efforts should target hospital-community partnerships, family-centered education, evidence-based social media strategies and improved breastfeeding legislation to ensure breastfeeding women receive effective support throughout their breastfeeding journey.


2021 ◽  
Vol VI (II) ◽  
pp. 9-16
Author(s):  
Aftab Ahmed ◽  
Sarfraz Khan

Background: It is a matter of the fact that the ageing population is in serious need of public and private attention for their wellbeing in their everyday lives. Medical advancements able them to live longer, or medical science has enhanced the longevity of life, but it has led to certain socio-cultural implications which remain unaddressed. The present study focused on describing the prevalence of familial support for older persons of Sohan village, Islamabad. Methodology: A sample of 97 older persons having age 60 years and above were interviewed. Results: 73% OPs getting familial support: with 27.8% "strong support", 26.8% "moderate support" and 18.6% "low support". A significant relationship exists between age and familial support. The health profile of OPs compared with familial support shows most OPs with disease profiles attaining their family support. Conclusion: familial support will be increased for OPs with every passing year, or you may say with the high prevalence of familial support, chances to live longer can be increased.


Author(s):  
Joan Hanafin ◽  
Salome Sunday ◽  
Luke Clancy

Abstract Aim Electronic cigarette (e-cigarette) use among Irish teenagers has risen significantly. In 2019, prevalence of current use (last 30 days) among 15–17-year-olds was 17.3%. We examine social determinants of adolescent e-cigarette current use. Subject and methods A stratified random sample of 50 schools in Ireland was surveyed in 2019, part of the European School Survey Project on Alcohol and other Drugs (ESPAD), with 3495 students aged 15, 16, and 17. Bivariate and multivariable logistic regression [providing adjusted odds ratios (AORs)] analyses were performed using Stata version 16. Results Current e-cigarette users were more likely to be male (AOR = 0.55, 95% CI:0.32–0.96, p < .01), younger (AOR = 0.34, 95% CI: 0.17–0.67, p = < .05), to participate in sport (AOR = 2.21, 95% CI: 1.05–4.65, p < .05), to have higher-educated parents (maternal higher education: AOR = 27.54, 95% CI: 1.50–505.77, p = < .05, paternal higher education: AOR = 2.44, 95% CI: 1.00–5.91, p < .05), and less likely to consider their families better off (AOR = 0.29, 95% CI: 0.13–0.65, p < .01), or to report familial support (AOR = 0.78, 95% CI: 0.64–0.95, p < .05). They were more likely to be cigarette smokers (AOR = 7.22, 95% CI: 3.97–13.12, p < .001), to report problem cannabis use (AOR = 3.12, 95% CI: 1.40–6.93, p < .01), to be ‘binge’ drinkers (AOR = 1.81, 95% CI : 1.00–3.32, p = .054), and to have friends who get drunk (AOR = 5.30, 95% CI: 1.34–20.86, p < .05). Conclusion Boys, smokers, binge drinkers, problem cannabis users, and sport-playing teenagers from higher-educated families, are at particular risk. As the number of young people using e-cigarettes continues to rise, including teenagers who have never smoked, improved regulation of e-cigarettes, similar to other tobacco-related products, is needed urgently to prevent this worrying new trend of initiation into nicotine addiction.


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