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1.
BMC Psychol ; 9(1): 58, 2021 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-33892781

RESUMEN

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.


Asunto(s)
Felicidad , Satisfacción Personal , Adulto , Anciano , Estudios Transversales , Femenino , Humanos , Irán , Masculino , Persona de Mediana Edad , Esposos
2.
Artículo en Inglés | MEDLINE | ID: mdl-33799899

RESUMEN

This study aimed to explore the gender specificity of spousal concordance in the development of chronic diseases among middle-aged and older Chinese couples. Data of 3420 couples were obtained from the China Health and Retirement Longitudinal Study (CHARLS). Multivariate logistic regression was used to analyze the incidence of chronic disease development over 4 years, conditional on the spousal baseline chronic disease status; and stepwise adjusting for the couples' sociodemographic characteristics (i.e., age, education, retirement status and household income), and their individual lifestyle (i.e., smoking, drinking, exercise, social participation and BMI) all measured at baseline. The incidence of chronic diseases after 4 years of follow-up was 22.95% in the husbands (605/2636) and 24.71% in the wives (623/2521). Taking the couples' baseline sociodemographic and lifestyle covariates into account, husbands whose wife had chronic diseases at baseline showed an increased risk of developing chronic diseases over 4 years (ORadjusted = 1.24, 95%CI: 1.02, 1.51), but this risk was not statistically-significant for wives (ORadjusted = 0.88, 95%CI: 0.71, 1.08). Our study identified gender specificity of spousal concordance in the development of chronic diseases among middle-aged and older Chinese couples. This finding may contribute to the design of couple-based intervention for disease prevention and management for community-dwelling older adults.


Asunto(s)
Esposos , Anciano , China/epidemiología , Enfermedad Crónica , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Estudios Prospectivos
3.
J Clin Ethics ; 32(1): 77-82, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33656460

RESUMEN

The level of impairment shown by the 1.3 million residents of nursing homes in the United States varies significantly, and this raises considerable challenges for how to address the sexual and romantic interests and needs of these diverse individuals. Unfortunately, bright-line rules and a one-size-fits-all approach are often taken when addressing these challenges. This article proposes a novel taxonomy for classifying the potential sexual and romantic relationships of cognitively impaired nursing home residents that includes relationships between unmarried residents, relationships between residents and their own spouses, and adulterous relationships. We explore the ethical and logistical challenges distinctive to each category of relationship.


Asunto(s)
Eticistas , Ética Institucional , Hogares para Ancianos/organización & administración , Relaciones Interpersonales , Casas de Salud/organización & administración , Conducta Sexual/ética , Esposos , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Estados Unidos
4.
J Med Internet Res ; 23(4): e25502, 2021 04 06.
Artículo en Inglés | MEDLINE | ID: mdl-33729984

RESUMEN

Supportive couple relationships are associated with reduced risk of chronic illness development, such as cardiovascular disease, as well as improved secondary prevention. Healing Hearts Together (HHT) is an 8-week couples-based intervention designed to improve relationship quality, mental health, quality of life, and cardiovascular health among couples in which one partner has experienced a cardiac event. A randomized controlled trial began in October 2019 to test the efficacy of the in-person, group-based HHT program as compared to usual care. In March of 2020, all recruitment, assessments, and interventions halted due to the COVID-19 pandemic. Guided by optimal virtual care principles, as well as by Hom and colleagues' four-stage framework-consultation, adaptation, pilot-testing, and test launch-this paper is a tutorial for the step-by-step transition planning and implementation of a clinical research intervention from an in-person to a web-based format, using the HHT program as an example. Clinical and research considerations are reviewed, including (1) privacy, (2) therapeutic aspects of the intervention, (3) group cohesion, (4) research ethics, (5) participant recruitment, (6) assessment measures, (7) data collection, and (8) data analyses. This tutorial can assist clinical researchers in transitioning their research programs to a web-based format during the pandemic and beyond.


Asunto(s)
Intervención basada en la Internet , Infarto del Miocardio/terapia , Esposos , Telemedicina , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto
5.
Res Nurs Health ; 44(2): 365-375, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33651391

RESUMEN

Existing research on spousal care focuses on one spouse receiving care from the other, which fails to address the complexity that is created when both spouses experience some impairments. Our study included situations in which one or both spouses have functional impairments when examining the extent to which spouses from the same couple hold a (dis)similar level of functional impairment and whether such within-couple (dis)similarity has an impact on the spousal care arrangement. A subsample of 1170 older married couples was selected from the 2014 Health and Retirement Study. Descriptive statistics were used for describing the level of each spouse's functional impairment regarding the number of limitations in activities (activities of daily living [ADL]) or instrumental ADL (IADL). Logistic regressions were used to examine whether spousal dissimilarity in functional impairment (dissimilar, similarly low, similarly high) was associated with spousal care arrangement. Within couples with one functionally impaired spouse, the impaired spouse was more likely to receive spousal care when reporting a higher level of ADL/IADL impairment. Within couples with two functionally impaired spouses, the more impaired person was more likely to receive spousal care (without giving back) when spouses reported dissimilar level of IADL impairment; spouses were more likely to report mutual care when they had similarly high levels of IADL impairment. By documenting the role of spousal dissimilarities in functioning for determining spousal care arrangement, our study can inform couple-based interventions that capitalize on each spouse's capabilities and resources.


Asunto(s)
Actividades Cotidianas , Cuidadores , Esposos , Estrés Psicológico , Anciano , Femenino , Humanos , Entrevistas como Asunto , Masculino
7.
Dermatol Surg ; 47(2): 250-255, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33565778

RESUMEN

BACKGROUND: The rate of growth for male cosmetic treatments has slowed in the past 5 years. There is limited data on why men may not seek cosmetic treatments. OBJECTIVE: To evaluate women's perspectives on male cosmetic treatments. METHODS: Heterosexual female patients (single (n = 64); in a relationship/married (IR/M) (n = 136)) completed an online survey. RESULTS: 87.5% of single and 36.03% of IR/M women reported that men are bothered by signs of aging (p < .0001). However, both single and IR/M women reported that men are interested in (single: 77.78%, IR/M: 65.44%) and will benefit (single: 93.55%, IR/M: 67.31%) from cosmetic procedures. Both groups of women (single: 93.75%, IR/M: 83.82%, p < .0530) indicated, however, that men are reluctant to seek cosmetic treatments. Societal stigma/perception of masculinity was the number one cited reason (single: 87.1.75%, IR/M: 73.02%, p < .0264). However, 87.5% of single and 94.86% of IR/M women (p = .0659) reported that male cosmetic treatments will not affect their perceptions of masculinity. Furthermore, 95% of women (single: 95.31%, IR/M: 95.59%, p = .9292) reported that they will support their partners from pursuing cosmetic treatments. CONCLUSION: Women strongly believe that men can benefit from cosmetic treatments, do not believe cosmetic treatments affect masculinity, and are overwhelmingly supportive of male cosmetic treatments.


Asunto(s)
Actitud , Técnicas Cosméticas/psicología , Esposos , Mujeres/psicología , Acceso a la Información , Acné Vulgar/complicaciones , Adolescente , Adulto , Alopecia/terapia , Cicatriz/etiología , Cicatriz/terapia , Femenino , Heterosexualidad , Humanos , Masculino , Estado Civil , Masculinidad , Persona de Mediana Edad , Ritidoplastia , Envejecimiento de la Piel , Pigmentación de la Piel , Estigma Social , Encuestas y Cuestionarios , Adulto Joven
8.
Artículo en Inglés | MEDLINE | ID: mdl-33546134

RESUMEN

Previous studies have shown that marriage is related with people's health. Based on data from the Volume A of China Migrants Dynamic Survey (CMDS_A) in 2017 (N = 127,829), this study attempted to document the degree of educational assortative mating in Chinese internal migrants, as well as how it evolves over time, and further analyze the relationship between educational assortative mating and people's self-rated health (SRH). The results indicated that the proportion of educational homogamy kept increasing and gradient marriage kept decreasing over time both in male and female. "Educational homogamy" (58.8%) and "male more educated" (27.2%) were still the main marital education matching patterns in first-married couples of Chinese internal migrants. Educational homogamy was beneficial to promote people's SRH and educational hypogamy would impair their SRH, and the negative effects of educational hypogamy on SRH was stronger in female than in male. The gender equality of educational opportunities increases the degree of educational assortative mating in Chinese internal migrants. Educational attainment is playing a more and more important role in "love" marriages. "Likes attract likes" is not just about love, but also an important part of health.


Asunto(s)
Matrimonio , Reproducción , China , Escolaridad , Femenino , Humanos , Masculino , Esposos
9.
Health Psychol ; 40(3): 207-216, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33630642

RESUMEN

OBJECTIVE: Research has shown a beneficial influence of partner support on smoking cessation. Previous studies mainly focused on support and neglected negative behaviors. Less is known about differences in support perceptions between partners. This study aimed to examine how supportive as well as negative control behaviors relate to smoking and relationship satisfaction in single-smoking couples during a quit attempt. METHOD: Smokers and their nonsmoking partners (n = 170 cohabiting couples) participated in an intensive longitudinal study over 21 days with end-of-day diaries. A dyadic score model was used, emphasizing couple levels and differences for the explanatory variables (i.e., support and negative control) and the outcome variables (smoking [for smokers only]; relationship satisfaction). RESULTS: Smokers whose partner showed more supportive and less negative control behavior had a lower probability of smoking, and both partners had higher relationship satisfaction. On days with more supportive and less negative control behavior than usual, smokers had a lower probability of smoking and both partners had higher relationship satisfaction. For smokers who reported more support than their partner reported providing, the couples' relationship satisfaction was higher and the smokers' relationship satisfaction was higher than their partners'. Differences between received and provided support/control at the between-couple and daily level were unrelated to smoking. CONCLUSIONS: Support seems important during a quit attempt as it was related to a lower probability of smoking and higher relationship satisfaction in couples, while negative control behaviors should be avoided as they were associated with higher probability of smoking and lower relationship satisfaction. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Asunto(s)
Fumadores/psicología , Cese del Hábito de Fumar/métodos , Fumar/psicología , Esposos/psicología , Adolescente , Adulto , Anciano , Composición Familiar , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Satisfacción Personal , Método Simple Ciego , Apoyo Social , Fumar Tabaco , Adulto Joven
10.
Nutrients ; 13(2)2021 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-33572898

RESUMEN

Although adequate vitamin D status during pregnancy is essential for maternal health and to prevent adverse pregnancy outcomes, limited data exist on vitamin D status and associated risk factors in pregnant rural Bangladeshi women. This study determined the prevalence of vitamin D deficiency and insufficiency, and identified associated risk factors, among these women. A total of 515 pregnant women from rural Bangladesh, gestational age ≤ 20 weeks, participated in this cross-sectional study. A separate logistic regression analysis was applied to determine the risk factors of vitamin D deficiency and insufficiency. Overall, 17.3% of the pregnant women had vitamin D deficiency [serum 25(OH)D concentration <30.0 nmol/L], and 47.2% had vitamin D insufficiency [serum 25(OH)D concentration between 30-<50 nmol/L]. The risk of vitamin D insufficiency was significantly higher among nulliparous pregnant women (OR: 2.72; 95% CI: 1.75-4.23), those in their first trimester (OR: 2.68; 95% CI: 1.39-5.19), anaemic women (OR: 1.53; 95% CI: 0.99-2.35; p = 0.056) and women whose husbands are farmers (OR: 2.06; 95% CI: 1.22-3.50). The risk of vitamin deficiency was significantly higher among younger pregnant women (<25 years; OR: 2.12; 95% CI: 1.06-4.21), nulliparous women (OR: 2.65; 95% CI: 1.34-5.25), women in their first trimester (OR: 2.55; 95% CI: 1.12-5.79) and those with sub-optimal vitamin A status (OR: 2.30; 95% CI: 1.28-4.11). In conclusion, hypovitaminosis D is highly prevalent among pregnant rural Bangladeshi women. Parity and gestational age are the common risk factors of vitamin D deficiency and insufficiency. A husband's occupation and anaemia status might be important predictors of vitamin D insufficiency, while younger age and sub-optimal vitamin A status are risk factors for vitamin D deficiency in this population.


Asunto(s)
Complicaciones del Embarazo/epidemiología , Atención Prenatal/estadística & datos numéricos , Deficiencia de Vitamina D/epidemiología , Adulto , Bangladesh/epidemiología , Estudios Transversales , Dieta/efectos adversos , Dieta/estadística & datos numéricos , Empleo/estadística & datos numéricos , Femenino , Edad Gestacional , Humanos , Modelos Logísticos , Estado Nutricional , Paridad , Embarazo , Complicaciones del Embarazo/etiología , Primer Trimestre del Embarazo/sangre , Prevalencia , Factores de Riesgo , Población Rural/estadística & datos numéricos , Factores Socioeconómicos , Esposos/estadística & datos numéricos , Vitamina D/análogos & derivados , Vitamina D/sangre , Deficiencia de Vitamina D/etiología , Adulto Joven
11.
Medicina (Kaunas) ; 57(1)2021 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-33430175

RESUMEN

Background and objectives: To explore the impacts that Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) has on the patient and their family members using the WHOQOL-BREF (Abbreviated World Health Organisation Quality of Life questionnaire) and FROM-16 (Family Reported Outcome Measure-16) quality of life assessments. Materials and Methods: A quantitative research study using postal questionnaires was conducted. A total of 39 adult volunteers expressed an interest in participating in the study: 24 returned appropriately completed questionnaires. Patients with ME/CFS completed the WHOQOL-BREF and up to four of their family members completed the FROM-16 questionnaire. Results: ME/CFS negatively affects the quality of life of the patient (median scores WHOQOL-BREF: Physical health = 19, Psychological = 44, Social relationships = 37.5, Environment = 56, n = 24) and their family members' quality of life (FROM-16: Emotional = 9.5, Personal and social = 11.5, Overall = 20.5, n = 42). There was a significant correlation between the patient's reported quality of life scores and their family members' mean FROM-16 total scores. Conclusions: This study identifies the major impact that having an adult family member with ME/CFS has on the lives of partners and of other family members. Quality of life of ME/CFS patients was reduced most by physical health compared to the other domains. Quality of life of family members was particularly impacted by worry, family activities, frustration and sadness. This highlights the importance of measuring the impact on the lives of family members using tools such as the FROM-16 in the ME/CFS clinical encounter and ensuring appropriate support is widely available to family members.


Asunto(s)
Familia/psicología , Síndrome de Fatiga Crónica/fisiopatología , Calidad de Vida , Adolescente , Adulto , Niños Adultos/psicología , Anciano , Anciano de 80 o más Años , Costo de Enfermedad , Emociones , Síndrome de Fatiga Crónica/psicología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Padres/psicología , Esposos/psicología , Adulto Joven
12.
Health Qual Life Outcomes ; 19(1): 35, 2021 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-33499876

RESUMEN

OBJECTIVES: To determine the level of agreement between both proxy versions and the self-completed EQ-5D-5L. DESIGN: A randomized agreement study. SETTING AND PARTICIPANTS: We recruited 120 patients (compos mentis) and their proxies at the orthopaedic outpatient clinic. Patients completed the regular EQ-5D-5L and their proxy completed the proxy version of the EQ-5D-5L and rated the patients' health from their own (proxy-proxy) perspective (i.e. how do you rate the health of the patient), and from the patient's (proxy-patient) perspective (i.e. how do you think the patient would rate their own health if they were able to). MEASURES: The primary outcome was the agreement between patients and their proxy, quantified as the intra class correlation coefficient for the EQ-5D-5L Utility score. RESULTS: Average Utility scores were 0.65 with the self completed EQ-5D-5L, versus 0.60 with the proxy-patient version and 0.58 with the proxy-proxy version. The ICC was 0.66 (95% CI 0.523, 0.753) for the proxy-patient perspective and 0.58 (95% CI 0.411, 0.697) for the proxy-proxy perspective. The mean gold standard score of the VAS-Health was 69.7 whereas the proxy-proxy perspective was 66.5 and the proxy-patient perspective was 66.3. CONCLUSION AND IMPLICATIONS: The proxy-patient perspective yielded substantial agreement with the self completed EQ-5D-5L, while the agreement with the proxy-proxy perspective was moderate. In this study population of patients without cognitive impairment, proxies tended to underestimate the quality of life of their relative.


Asunto(s)
Apoderado , Calidad de Vida/psicología , Esposos/psicología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Ortopedia , Psicometría , Encuestas y Cuestionarios
13.
Mil Med ; 186(Suppl 1): 214-221, 2021 01 25.
Artículo en Inglés | MEDLINE | ID: mdl-33499525

RESUMEN

INTRODUCTION: Military spouses play a critical role in supporting military service members, and thus, their experiences may have a significant impact on the well-being, readiness, and resilience of the U.S. Armed Forces. Research suggests that military spouses experience unique stressors as a result of military life, but few studies have assessed demographic factors associated with their experiences of military life and perceived support. MATERIALS AND METHODS: Using data from the Millennium Cohort Family Study, a nationwide survey of 9,872 married spouses of service members with 2 to 5 years of military service, this study examined differences in experiences of military life and perceived support across multiple understudied subgroups of military spouses. Key outcomes included military-related stressors (e.g., deployment-related experiences), perceived social support, and perceived military efforts to provide support. RESULTS: Military life stress and perceived support differed across military spouse, service member, and family characteristics. Results indicated that spouses who are older than age 35 or are married to enlisted service members in the Army, Navy, or Marines are more likely to experience heightened military stress or less perceived social support. Dual-military couples reported experiencing less stress associated with military life and perceiving more social support and support from the military, compared with spouses who have never served in the military. CONCLUSION: These findings may help guide effective channeling of resources and outreach to potentially vulnerable military families.


Asunto(s)
Familia Militar , Personal Militar , Adulto , Humanos , Apoyo Social , Esposos , Estrés Psicológico/epidemiología
14.
PLoS One ; 16(1): e0238662, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33434205

RESUMEN

BACKGROUND: Understanding contraceptive use dynamics is critical to addressing unmet need for contraception. Despite evidence that male partners may influence contraceptive decision-making, few studies have prospectively examined the supportive ways that men influence women's contraceptive use and continuation. OBJECTIVE: This study sought to understand the predictive effect of partner influence, defined as partner's fertility intentions and support for contraception, and discussions about avoiding pregnancy prior to contraceptive use, on contraceptive use dynamics (continuation, discontinuation, switching, adoption) over a one-year period. METHODS: This study uses nationally representative longitudinal data of Ugandan women aged 15-49 collected in 2018-2019 (n = 4,288 women baseline; n = 2,755 women one-year follow-up). Two analytic sub-samples of women in union and in need of contraception at baseline were used (n = 618 contraceptive users at baseline for discontinuation/switching analysis; n = 687 contraceptive non-users at baseline for adoption analysis). Primary dependent variables encompassed contraceptive use dynamics (continuation, discontinuation, switching, and adoption); three independent variables assessed partner influence. For each sub-sample, bivariate associations explored differences in sociodemographic and partner influences by contraceptive dynamics. Multinomial regression models were used to examine discontinuation and switching for contraceptive users at baseline; logistic regression identified predictors of contraceptive adoption among non-users at baseline. RESULTS: Among users at baseline, 26.3% of women switched methods and 31.5% discontinued contraceptive use by follow-up. Multinomial logistic regression, adjusting for women's characteristics, indicated the relative risk of contraceptive discontinuation doubled when women did not discuss pregnancy avoidance with their partner prior to contraceptive use. Partner influence was not related to method switching. Among non-users at baseline, partner support for future contraceptive use was associated with nearly three-fold increased odds of contraceptive adoption. SIGNIFICANCE: These results highlight the potentially supportive role of male partners in contraceptive adoption. Future research is encouraged to elucidate the complex pathways between couple-based decision-making and contraceptive dynamics through further prospective studies.


Asunto(s)
Conducta Anticonceptiva/psicología , Conducta Anticonceptiva/tendencias , Esposos/psicología , Adolescente , Adulto , Estudios de Cohortes , Anticoncepción/métodos , Anticonceptivos/farmacología , Dispositivos Anticonceptivos/tendencias , Femenino , Fertilidad , Humanos , Estudios Longitudinales , Persona de Mediana Edad , Estudios Prospectivos , Uganda
15.
PLoS One ; 16(1): e0244696, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33471844

RESUMEN

Adverse Childhood Experiences (ACEs) are common and known to have consequences for individuals' adult health, leading to a higher risk of illness. The aims of the study were to investigate the ACEs in couples, to examine the extent of assortative mating and to investigate the association between the relationship of the load of ACEs within couples and health outcomes, one year after the birth of a common child. At antenatal clinics in Sweden 818 couples were recruited and investigated one year after the birth of a common child answering a questionnaire including the exposure to ten ACE categories and several outcome variables. In total, 59% of both mothers and partners reported exposure to at least one of the ten ACE categories. Among the mothers 11% and among the partners 9% reported exposure to ≥4 ACE categories (p = 0.12). There was a correlation between the numbers of ACE categories reported by the mothers and their partners (Spearman's ρ = 0.18, p<0.001). This association pertained to six of the ten ACE categories. In multiple logistic regression analyses, there were associations between the ACE exposure load and unfavourable outcomes among the mothers, the partners and within the couples. Unfavourable outcomes concerning health were most prominent in couples where both members reported exposures to ≥4 ACE categories (self-rated bad health (OR 13.82; CI 2.75-69.49), anxiety (OR 91.97; CI 13.38-632.07), depression (OR 17.42; CI 2.14-141.78) and perceived stress (OR 11.04; CI 2.79-43.73)). Mothers exposed to ACEs tend to have partners also exposed to ACEs. Exposure to ACEs was associated with bad health and unfavourable life conditions within the couples, especially among couples where both members reported exposure to multiple ACEs. These results should stimulate incentives to find, to support and to treat individuals and couples where both members report multiple ACEs. The consequences for the children should be further studied as well as how these families should be treated in health care and society.


Asunto(s)
Experiencias Adversas de la Infancia , Estado de Salud , Adulto , Experiencias Adversas de la Infancia/estadística & datos numéricos , Ansiedad/etiología , Estudios Transversales , Depresión/etiología , Femenino , Humanos , Lactante , Masculino , Madres , Embarazo , Esposos , Estrés Psicológico/etiología , Suecia
16.
Artículo en Inglés | MEDLINE | ID: mdl-33435308

RESUMEN

Prenatal depression is an important factor in predicting postpartum depression. Most studies have assessed factors affecting prenatal depression by focusing on pregnant wives. However, the emotional and psychological aspects of both expectant parents need to be considered. Therefore, the purpose of this study was to examine the effect of spouse-related stress in expectant couples on prenatal depression and investigate the mediating effects of marital intimacy on this relationship. A total of 120 expectant couples from two cities in Korea at more than 15 weeks of completed pregnancy participated in the study. Using a structured questionnaire, we assessed the general characteristics of the participants, spouse-related stress, prenatal depression, and marital intimacy. The results revealed that four actor effects and one partner effect were significant. Marital intimacy and prenatal depression among expectant parents were affected by spouse-related stress. Moreover, spouse-related stress in the husbands completely mediated marital intimacy in pregnant wives, demonstrating partner effects on prenatal depression in pregnant wives. Therefore, it was observed that paternal factors affect prenatal depression in pregnant wives. This warrants the inclusion of husbands in marital interventions and strategies to improve marital intimacy in pregnant wives.


Asunto(s)
Depresión , Esposos , Depresión/epidemiología , Femenino , Humanos , Matrimonio , Satisfacción Personal , Embarazo , República de Corea/epidemiología
17.
Artículo en Inglés | MEDLINE | ID: mdl-33430401

RESUMEN

Based on the work-family enrichment theory, this study analyzes the contribution of work-family and family-work enrichment to explain the military's well-being during a peacekeeping mission. The data used were collected in a sample of 306 Brazilian soldiers, who were married and/or had children, during the phase named "employment of troops" (i.e., when peacekeepers had been in the Haitian territory and, as a result, away from their families, for between three to five months). Data analysis was performed using the Structural Equations Model. It was observed that the military's perception of their spouses' support for their participation during the mission had a positive relationship with both family-to-work enrichment and work-to-family enrichment, and the work-to-family enrichment mediated the relationship between the perception of the spouses' support and the military's health perception and general satisfaction with life. Theoretical and practical implications were discussed and limitations and suggestions for future research were presented.


Asunto(s)
Personal Militar , Brasil , Niño , Empleo , Haití , Humanos , Psicología Positiva , Esposos
18.
BMC Palliat Care ; 20(1): 7, 2021 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-33419428

RESUMEN

BACKGROUND: For cancer patients and their family, an important factor that determines the choice to die at home is the caregivers' feeling of security when caring for the patient at home. Support to caregivers from healthcare professionals is important for the feeling of security. In rural areas, long distances and variable infrastructure may influence on access to healthcare services. This study explored factors that determined the security of caregivers of patients with advanced cancer who cared for the patients at home at the end of life in the rural region of Sogn og Fjordane in Norway, and what factors that facilitated home death. METHODS: A qualitative study using semi-structured in-depth interviews with bereaved with experience from caring for cancer patients at home at the end of life was performed. Meaning units were extracted from the transcribed interviews and divided into categories and subcategories using Kvale and Brinkmann's qualitative method for analysis. RESULTS: Ten bereaved caregivers from nine families where recruited. Five had lived together with the deceased. Three main categories of factors contributing to security emerged from the analysis: "Personal factors", "Healthcare professionals" and "Organization" of healthcare. Healthcare professionals and the organization of healthcare services contributed most to the feeling of security. CONCLUSION: Good competence in palliative care among healthcare professionals caring for patients with advanced cancer at home and well- organized palliative care services with defined responsibilities provided security to caregivers caring for advanced cancer patients at home in Sogn og Fjordane.


Asunto(s)
Aflicción , Cuidadores , Neoplasias/enfermería , Cuidados Paliativos , Población Rural , Cuidado Terminal , Niños Adultos , Femenino , Servicios de Atención de Salud a Domicilio , Humanos , Masculino , Noruega , Padres , Investigación Cualitativa , Esposos
19.
Nat Hum Behav ; 5(3): 399-406, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33318663

RESUMEN

Indirect genetic effects, the effects of the genotype of one individual on the phenotype of other individuals, are environmental factors associated with human disease and complex trait variation that could help to expand our understanding of the environment linked to complex traits. Here, we study indirect genetic effects in 80,889 human couples of European ancestry for 105 complex traits. Using a linear mixed model approach, we estimate partner indirect heritability and find evidence of partner heritability on ~50% of the analysed traits. Follow-up analysis suggests that in at least ~25% of these traits, the partner heritability is consistent with the existence of indirect genetic effects including a wide variety of traits such as dietary traits, mental health and disease. This shows that the environment linked to complex traits is partially explained by the genotype of other individuals and motivates the need to find new ways of studying the environment.


Asunto(s)
Interacción Gen-Ambiente , Genotipo , Estado de Salud , Patrón de Herencia , Estilo de Vida , Fenotipo , Adulto , Grupo de Ascendencia Continental Europea , Femenino , Humanos , Masculino , Factores Sexuales , Esposos
20.
J Obstet Gynaecol Res ; 47(4): 1253-1255, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33354868

RESUMEN

A screening of coronavirus disease 2019 (COVID-19) polymerase chain reaction (PCR) tests using saliva for pregnant women and their partners was performed at all 12 maternity facilities located in Himeji city between May 29 and September 5, 2020. Pregnant women at 37 or more weeks of gestation or who experienced threatened labor and their partners who cared for an infant underwent a saliva PCR test with informed consent. As a result, all of 1475 pregnant women and 1343 partners tested negative for COVID-19 PCR. There were no cases of false positive or false negative PCR tests. This cohort study revealed for the first time that a screening of COVID-19 PCR tests using saliva may be useful to sustain perinatal medical care during the pandemic period in Japan.


Asunto(s)
/diagnóstico , Complicaciones Infecciosas del Embarazo/diagnóstico , Saliva/virología , Estudios de Cohortes , Programas de Detección Diagnóstica , Reacciones Falso Negativas , Reacciones Falso Positivas , Femenino , Humanos , Japón , Masculino , Atención Perinatal , Embarazo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Esposos
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