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1.
Afr J Reprod Health ; 28(8): 108-121, 2024 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-39225510

RESUMO

Climate anxiety has a negative impact on the mental health and psychological wellbeing of the vulnerable population. The goal is to assess many factors that affect mental health and psychological wellbeing, as well as how climate change affects mental health in Pakistan's vulnerable population. This study provides evidence-based insights on the long- and medium-term impacts of extreme weather events on mental health. We conducted semi-structured interviews with a sample of 72 students aged 10-16 years, employing an exploratory qualitative design. The resulting process identified themes and questions for future research on climate change and its psychological effects on children's mental health. As a result, positive emotions embedded in children's climate strategic actions in parent and community contexts helped to mitigate children's perceptions of negative emotions (such as climate anxiety, phobias, fear, sleep disorders, depression, sadness, and substance abuse). Climate change's effects can have a significant impact on mental health. We will be discussing effective strategies to address the expected mental health issues among children caused by climate change. The discussion paper offers a set of recommendations for addressing the mental health impacts of climate change, including improving mental health support systems, integrating climate change education into services, and developing targeted interventions for vulnerable populations.


L'anxiété climatique a un impact négatif sur la santé mentale et le bien-être psychologique de la population vulnérable. L'objectif est d'évaluer de nombreux facteurs qui affectent la santé mentale et le bien-être psychologique, ainsi que la manière dont le changement climatique affecte la santé mentale de la population vulnérable du Pakistan. Cette étude fournit des informations fondées sur des données probantes sur les impacts à long et moyen terme des événements météorologiques extrêmes sur la santé mentale. Nous avons mené des entretiens semi-structurés avec un échantillon de 72 étudiants âgés de 10 à 16 ans, en utilisant une conception qualitative exploratoire. Le processus qui en a résulté a identifié des thèmes et des questions pour de futures recherches sur le changement climatique et ses effets psychologiques sur la santé mentale des enfants. En conséquence, les émotions positives intégrées dans les actions stratégiques climatiques des enfants dans les contextes parental et communautaire ont contribué à atténuer les perceptions des enfants concernant les émotions négatives (telles que l'anxiété climatique, les phobies, la peur, les troubles du sommeil, la dépression, la tristesse et la toxicomanie). Les effets du changement climatique peuvent avoir un impact significatif sur la santé mentale. Nous discuterons de stratégies efficaces pour résoudre les problèmes de santé mentale attendus chez les enfants causés par le changement climatique. Le document de travail propose un ensemble de recommandations pour faire face aux impacts du changement climatique sur la santé mentale, notamment en améliorant les systèmes de soutien en santé mentale, en intégrant l'éducation au changement climatique dans les services et en développant des interventions ciblées pour les populations vulnérables.


Assuntos
Ansiedade , Mudança Climática , Saúde Mental , Pesquisa Qualitativa , Populações Vulneráveis , Humanos , Feminino , Adolescente , Criança , Masculino , Populações Vulneráveis/psicologia , Ansiedade/epidemiologia , Ansiedade/psicologia , Paquistão/epidemiologia , Entrevistas como Assunto , Estudantes/psicologia
2.
Afr J Reprod Health ; 28(9): 73-84, 2024 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-39365214

RESUMO

The study aimed to qualitatively explore the relationship between intimate partner violence and early marriage, focusing on the psychological and physical health issues faced by married women in rural Pakistan. Specifically, it investigated how resilience moderates the effects of early marriage, physical health problems, intimate partner abuse, and psychological issues. Using an intrinsic qualitative approach, the research involved interviews with 20 household heads, 62 husbands, and 40 wives in Sindh province. The findings indicated significant differences related to early marriage, intimate partner abuse, physical health issues, stress, anxiety, and depression. The results align with other South Asian studies, highlighting early marriage as a major risk factor for physical health issues and intimate partner violence. Additionally, the study underscores the widespread nature of violence as a social problem affecting married couples' health in Pakistan.


L'étude visait à explorer qualitativement la relation entre la violence conjugale et le mariage précoce, en se concentrant sur les problèmes de santé psychologique et physique rencontrés par les femmes mariées dans les zones rurales du Pakistan. Plus précisément, elle a étudié comment la résilience atténue les effets du mariage précoce, des problèmes de santé physique, de la violence conjugale et des problèmes psychologiques. Utilisant une approche qualitative intrinsèque, la recherche a impliqué des entretiens avec 20 chefs de famille, 62 maris et 40 épouses dans la province du Sind. Les résultats ont indiqué des différences significatives liées au mariage précoce, à la violence conjugale, aux problèmes de santé physique, au stress, à l'anxiété et à la dépression. Les résultats concordent avec d'autres études sud-asiatiques, soulignant le mariage précoce comme un facteur de risque majeur de problèmes de santé physique et de violence conjugale. En outre, l'étude souligne le caractère répandu de la violence en tant que problème social affectant la santé des couples mariés au Pakistan.


Assuntos
Violência por Parceiro Íntimo , Casamento , Pesquisa Qualitativa , População Rural , Humanos , Feminino , Paquistão , Casamento/psicologia , Casamento/etnologia , Adulto , Violência por Parceiro Íntimo/psicologia , Cônjuges/psicologia , Saúde da Mulher , Maus-Tratos Conjugais/psicologia , Maus-Tratos Conjugais/estatística & dados numéricos , Masculino , Depressão/epidemiologia , Depressão/psicologia , Estresse Psicológico/psicologia , Pessoa de Meia-Idade , Entrevistas como Assunto , Criança
3.
Pediatr Neurol ; 138: 33-37, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36335840

RESUMO

BACKGROUND: There is dearth of information on the spectrum of neurological disorders among children less than 18 years of age. The aim of this study is to identify the commonly presenting neurological disorders among children aged ≤ 18 years in Pakistan. METHODS: We conducted a cross-sectional study at three tertiary care hospitals in Pakistan. RESULTS: A total of 17,176 children were included in our study; 61.8% were boys and 38.2% females. The most commonly presenting neurological disorder was epilepsy (36%), followed by behavior disorders (16%) and cerebral palsy (10.5%). There was significant difference between children less than 5 years and greater than 5 years age groups, with less than 5 years age group showing higher prevalence for behavioral disorders (P < 0.001), cerebral palsy (P < 0.001), infections (P = 0.014), sequalae (P < 0.001), and developmental disorders (P < 0.001). Gender-wise distribution showed epilepsy to be the most common neurological disorder among both genders, with a significant difference being reported between gender and epilepsy (P = 0.009), headache disorders (P < 0.001), neuroinflammatory disorders (P = 0.025), neurocutaneous syndromes (P < 0.001), behavioral diseases (P < 0.001), cerebral palsy (P = 0.009), and movement disorders (P < 0.001). CONCLUSIONS: The result of this analysis helps to assess the commonly presenting neurological disorders in children. This study will help health care workers in resource-poor settings within Pakistan to be mindful of the common neurological disorders while diagnosing a child with neurological symptoms in an outpatient setting. Health care providers need to be trained to identify and treat these common conditions; however, there is still a dire need for more trained neurologists across the country.


Assuntos
Paralisia Cerebral , Epilepsia , Criança , Humanos , Masculino , Feminino , Adolescente , Pré-Escolar , Estudos Transversais , Centros de Atenção Terciária , Paralisia Cerebral/diagnóstico , Paralisia Cerebral/epidemiologia , Paquistão/epidemiologia , Epilepsia/diagnóstico , Epilepsia/epidemiologia
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