Presence Of Health Problems Research Articles

Occupational stressors and associated factors among dentists in Erbil City, Kurdistan Region-Iraq

Background. The health and well-being of dentists are essential components of a successful dental practice. Many studies showing high levels of stress, burnout, and psychological distress reported by dental professionals. Objective. To assess the main occupational stressors among dentists practicing in Erbil city and to identify the associated factors that lead to or aggravate these stressors experienced in the work environment. Subjects, materials and methods. This was a cross-sectional study conducted from August to October 2023. Data were collected from private and two government dental teaching institutions, along with accessible dental clinical practices. A total of 220 dentists were recruited. A modified version of the Occupational Stress Indicator questionnaire was used to assess the stressors. The study was approved by the Research Ethics Committee of the Kurdistan Board for Medical Specialties. The questionnaire consisted of two sections, the first gathering demographic and professional data of the participants, while the second section contained 33 items assessing the causes of stress. Participants rated the frequency of stressors using a scale of “never”, “seldom”, “sometimes”, “often”, “very often”, and “always”. Results. The response rate was 199/220 (90.5%). 64.3% of participants were younger than 38 years. Males contributed for 57.3%. The mean total stress score was 90 ± 17.6. Higher stress score was significantly associated with the presence of health problems, (p<0.05). A lower mean stress score was reported among dentists who were practicing their job only in private clinics, (p<0.05). No other factors showed a significant correlation with stress scores. Conclusion. Dentistry is a stressful profession and there are significant stressors that dental professionals face in their daily work, which can have implications for their overall well-being and the quality of patient care. There is a significant association between stress levels and the presence of health problems, as well as the place of employment.

Health Problems and Disabilities Among the Postmenopausal Saudi Women in Bisha City Receiving Home Care: A Descriptive Cross-Sectional Study.

Postmenopausal women experience physical and psychological changes that may affect their health status. In Saudi Arabia, where the population of postmenopausal women is increasing, there is a need to examine the health problems and disabilities experienced by this group, particularly those who receive home care. This study aims to identify the common health problems and disabilities experienced by postmenopausal Saudi women in Bisha city who receive home care services. A cross-sectional study in Bisha city, Saudi Arabia, involved 155 postmenopausal women (age 60 years and above) receiving home care services. Data were collected using structured interviews and medical records. The study found that the most common health problems among postmenopausal women receiving home care were cardiovascular diseases in 85 women (54.84%), diabetes in 85 women (54.84%), and musculoskeletal disorders in 56 women (36.13%). There was a significant association between the number of health problems and disabilities, indicating that women with more health problems were more likely to experience disabilities (p-value ≤ 0.05). The results showed that age (OR=1.56, 95% CI 1.23-1.99, p=0.001), chronic diseases (OR=2.34, 95% CI 1.43-3.84, p=0.001), and lower education level (OR=1.45, 95% CI 1.01-2.08, p=0.045) were significantly associated with the presence of health problems and disabilities among postmenopausal Saudi women receiving home care in Bisha city. However, marital status and employment status were not found to be significant predictors. Postmenopausal women in Bisha city who receive home care services experience a range of health problems and disabilities, particularly related to hypertension, diabetes, and musculoskeletal disorders. The findings of this study can help healthcare providers develop effective interventions and strategies to improve the health outcomes of this population.

Attitude to the meaning of life and life satisfaction of elderly and senile people

The subject of the study is the attitude of the personality of elderly and senile people to the meaning of life and life satisfaction. The methodological basis of the study is the biopsychosocial approach, as a fundamental research model in medicine and medical psychology. Changes in the lives of older people are associated with retirement, changes in social status, loss of professional, interpersonal connections and financial stability, the presence of health problems, which leads to changes in values and meanings of life, and sometimes to maladaptation, which makes it relevant to study the characteristics of individual relationships old people. The purpose of the study is to identify the characteristics of the personality of elderly and senile people to the meaning of life and life satisfaction and to indicate the direction of psychological assistance. Scientific novelty of the study: empirical data were obtained on significant differences in the life-meaning orientations of elderly and senile people. The study was focused on studying the life-meaning orientations, life satisfaction, cognitive functions and emotional state of elderly and senile people. When analyzing the relationships between indicators, it was revealed that the meaningfulness of life of older people is associated with the consistency of achieving goals, which leads to positive self-esteem and satisfaction with life itself. Representatives of old age, due to physical and cognitive decline, distance themselves from activity in society, while maintaining satisfaction with life. The focus of psychological assistance programs requires a differentiated approach when working with elderly and senile people. Along with the correction of cognitive functions and the formation of new hobbies, it is important to include classes to develop communication skills among representatives of the older group. The results obtained can be used by specialists in medical and social institutions.

Presenteeism and psychosocial aspects of work among civil servants in leadership positions at a Brazilian federal university.

Presenteeism, defined as the physical presence of the worker in the work environment despite being sick, has been little investigated among public servants in leadership positions. Managers can suffer stress and even burnout, since the organizational environment is full of complex situations, which can generate strong tension. To evaluate the relationship between work stress and burnout syndrome with presenteeism among civil servants in management positions at a Brazilian federal university. A total of 106 managers responded to an online questionnaire, including questions about the psychosocial aspects of work. Associations between presenteeism, sociodemographic aspects, dimensions of job stress (demand, control and social support) and Burnout syndrome (emotional exhaustion, dehumanization, emotional distancing and professional achievement) were performed using logistic regression methods. In relation to presenteeism, 51.9% reported having worked in the presence of health problems, and 45.2% of presenteeist workers showed a drop in the performance of work activities due to presenteeism. Burnout syndrome was observed in 10.5% of the group. Regarding the stress at work, 42.9% showed high demand, 55.7% low control and 59.6% low social support. For presenteeists, associations were observed between decreased control, increased emotional exhaustion and dehumanization with greater chances of falling in work performance due to presenteeism. The characteristics of the management positions observed here are factors that can contribute to the greater occurrence of presenteeism and/or greater drop in work performance due to presenteeism.

Sedentary Behavior and School Bullying in Adolescents: An Analysis Based on a National Survey in Colombia.

Sedentarism has been associated with poorer mental health, greater likelihood of bullying and suicide risk; however, studies with national coverage are needed to characterize contexts and allow comparisons between nations. The aim of this study was to examine the association between sedentary lifestyles with bullying in the social context of Colombian adolescents. Cross-sectional study with 78,772 adolescents aged 13-17 years participating in the 2017 National School Health Survey. Sedentary behavior was defined as sitting for 3+ hours/day of leisure time, while bullying was identified by self-report of being victimized 1+ times/month. Relative frequencies were estimated and, using a log-binomial regression model, prevalence ratios (PR) were calculated. A total of 15.31% of students reported being victims of bullying. A higher probability to be bullied was estimated in sedentary adolescents (PR: 1.18; 95% CI: 1.09-1.29), as well as in females, ethnic minorities, those who went hungry in the last month due to lack of food, students with health problems, and private schools. Bullying was related with sedentary leisure time, gender, ethnicity, type of educational institution, and presence of health problems. Being a multicausal phenomenon, bullying demands policies and programs with a greater focus on the most vulnerable groups.

Prevalence of anemia and associated risk factors among pregnant women in Sana’a, Yemen

Objectives: Anemia in pregnancy is a serious public health problem in developing countries. The aim of this study was to determine the prevalence of anemia and associated risk factors among pregnant women in Sana’a, Yemen. Materials and Methods: This cross-sectional study included 260 pregnant women attended some government and private hospitals in Sana'a from November 2021 to January 2022. Sociodemographic data were collected using structured questionnaires Blood samples were collected and analyzed for hemoglobin (Hb) concentrations using a hematology Sysmex analyzer. The data was analyzed using SPSS version 26 software. Descriptive, bivariate chi-square and logistic regression analyses were done. Results and discussion: The prevalence of anemia among pregnant women was 44.2%. The prevalence of mild, moderate and severe anemias were 18.8%, 25.0%, and 0.4%., respectively. Moderate anemia was the most common anemia. Risk factors associated with anemia were low family monthly income, the presence of health problems, and lack of supplements taken. Conclusion: The prevalence of anemia was high and represents a severe problem among pregnant women. Identification of risk factors may help in the prevention and control of anemia.

A Three-Year Longitudinal Study of Risk Factors for Suicidality in North Korean Defectors.

This longitudinal study examined risk factors for future suicidality among North Korean defectors (NKDs) living in South Korea. The subjects were 300 NKDs registered with a regional adaptation center (the Hana Center) in South Korea. Face-to-face interviews were conducted using the North Korean version of the World Health Organization's Composite International Diagnostic Interview to diagnose mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Subjects were also asked about sociodemographic and clinical factors at baseline. At follow-up after three years, the NKDs (n = 172 respondents) were asked to participate in an online survey, responding to self-questionnaires about suicidality. Logistic regression analyses were used to explore associations between baseline variables and future suicidality among NKDs. Thirty (17.4%) of the 172 survey respondents reported suicidality at follow-up. The presence of health problems over the past year, any prior suicidality at baseline, a higher score on a trauma-related scale, and a lower score on a resilience scale at baseline were associated with greater odds of suicidality at follow-up after adjusting for age, sex, and educational level. Of all mental disorder categories, major depressive disorder, dysthymia, agoraphobia, and social phobia were also associated with significantly increased odds of suicidality at follow-up after adjusting for age, sex, educational level, and prior suicidality at baseline. Resilience, a previous history of suicidality, and the presence of lifetime depressive disorder and anxiety disorder should be given consideration in mental health support and suicide prevention in NKDs.

Prevalence and associated factors of self-reported halitosis among institutionalized adolescents: Cross-sectional study.

To assess the prevalence and associated factors of self-reported halitosis in institutionalized adolescents in a city in southern Brazil. This cross-sectional study involved male institutionalized adolescents, aged 15-19 years old, at the Socio-Educational Assistance Center in the city of Passo Fundo, Brazil. Data collection was performed by a research team composed of two interviewers, two clinical examiners of oral health and two examiners of salivary flow. A structured questionnaire was applied, which included demographical, socioeconomical, general health behaviour, presence of health problems and oral health self-perception variables. Decayed, Missing, Filled Index was used for the clinical examination. The salivary flow collection was performed using the mechanically stimulated total saliva method, in which only the liquid component was measured. The prevalence of self-reported halitosis in this sample was 51.5% (n=35). In the final multivariate analysis, halitosis was significantly associated with the non-white racial group (prevalence ratio [RP]:1.703; 95% confidence interval [95%CI]:1.101-2.634), use of crack (RP:1.857; 95%CI:1.270-2.714) and number of decayed teeth (PR: 1.123; 95%CI:1.008-1.252). The use of alcohol and access to dental care in the last 12months were not significantly associated with self-reported halitosis. It was concluded that non-white and crack-user youngsters had a high occurrence of self-reported halitosis. Higher rates of dental caries are also associated with halitosis.

The "Mask Effect" of the Emotional Factor in Nurses' Adaptability to Change: Mental Health in a COVID-19 Setting.

During healthcare catastrophes, such as the current COVID-19 pandemic, nurses are exposed to highly stressful situations derived from their work and personal activity. Development of coping strategies for such situations can improve nurses’ physical and mental health. This study analyzed nurses’ adaptability to change, with attention to socio-demographic variables in a COVID-19 setting, and identified the repercussions on their health. This quantitative, observational and cross-sectional study had a sample of 351 nurses aged 22 to 64 with a mean age of 40.91 (SD = 10.98). The instruments used for the study were the ADAPTA-10 questionnaire and the General Health Questionnaire (GHQ-28). It was observed that age, sex, and having a stable partner significantly influenced scores on the emotional, cognitive–behavioral, and adaptation to change factors. Finally, the emotional factor mediated between positive COVID-19 in someone close and the presence of health problems. Understanding the elements that help adapt better to change and adversity enable effective interventions to be developed for improving emotional health of nurses, especially for those in whom there are positive cases of COVID-19 in their personal or work environment.

The impact of Klinefelter syndrome on socioeconomic status: a multicenter study.

Klinefelter syndrome (KS) is associated with an increased risk of neuropsychological morbidity, such as learning disabilities, which may have a significant impact on socioeconomic status (SES). The objective of this study was to investigate the SES in men with KS and to associate this outcome with social participation, age at diagnosis, testosterone therapy and physical and mental health status. Men with KS were recruited in 14 clinical study centers in six European countries which participated in the European dsd-LIFE study. Two hundred five men with KS were eligible for inclusion. Male normative data from the European Social Surveys (ESS) were used for comparison. Data related to education, occupation, satisfaction with income and householding were collected. Compared to the ESS reference population, fewer men with KS achieved a high level of education (13% vs 25%, P < 0.001). There was a significant difference in having a paid job (55% vs 66%, P < 0.001), and the percentage of absence by sickness or disability was higher among men with KS (10% vs 3%, P < 0.001). Furthermore, satisfaction with current household’s income was lower (32% vs 42%, P < 0.01). Lower scores for subjective general health were associated with lower scores for these outcomes. Men with KS achieve on average lower levels of education, occupation and report less satisfaction with income compared to the ESS reference population. The presence of health problems and lower scores of subjective general health was related to lower levels of occupation and lower satisfaction with income in men with KS.

Factors linked to participant attrition in a longitudinal occupational health surveillance program.

For occupational medical screening programs focused on long-term health surveillance, participant attrition is a significant barrier to success. We investigate demographic, medical history, and clinical data from National Supplemental Screening Program (NSSP) examinees for association with likelihood of return for a second exam (rescreening). A total of 15,733 individuals completed at least one NSSP exam before December 31, 2016; of those, 4832 also completed a second exam on or before December 31, 2019. Stepwise logistic regression models were used to identify variables associated with whether a participant was rescreened in the NSSP. Individuals were less likely to return for rescreening if they had a history of any cancer; cardiovascular problems; diabetes or kidney disease; or if they used insulin. Age at time of first exam and job site category significantly influenced likelihood of return. Workers categorized as "guests" were more likely to return. Participants were less likely to return if they had an abnormal urinalysis, abnormal pulmonary function, pneumoconiosis, aortic atherosclerosis, or hearing loss at their initial exam. Participants who received a chest X-ray at their initial screening were more likely to return. The presence of health problems is strongly linked to screening program attrition. Participants who are older at the time of their initial screening exam are less likely to return. The discovery of several strong demographic, medical, and job associations reveals the importance for medical screening programs to understand and address factors that influence participant retention and, consequently, the effectiveness of long-term health surveillance activities.

The correlation between nursing students' healthy lifestyle behaviors, cardiovascular disease risk factors' knowledge level, and obsession symptoms

Nursing students have a role in the awareness of risk factors in the development of healthy lifestyle behaviors. Nursing students' awareness of disease risk factors plays a role in developing healthy lifestyle behaviors. Therefore, it was aimed to determine the relationship between the effect of nursing students' healthy lifestyle behaviors and cardiovascular disease risk factors' knowledge levels and obsessive-compulsive symptoms. This was a descriptive cross-sectional study. Two hundred and twenty-four students studying in the nursing departments of two foundation universities participated in the study between April and October 2020. Sociodemographic information form, Health Promoting Lifestyle Profile II (HPLP-II), Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL), and Maudsley Obsessive-Compulsive Inventory (MOCI) were applied to the students. It was found that the nursing students' healthy lifestyle behaviors (123.53 ± 25.78) and cardiovascular risk factors' knowledge level (21.08 ±± 2.70) were high. Obsessive-compulsive symptoms (16.12 ± 6.22) were moderate. In the correlation of sociodemographic characteristics, it was found that age correlated with the nutrition subdimension of CARRF-KL and HPLP-II, income level correlated with HPLP-II, place of residence correlated with HPLP-II, CARRF-KL, and MOCI, and having a health problem correlated with health responsibility. Income status, place of residence, and presence of health problems were found to be correlated with HPLP-II in all subdimensions in the regression analysis. In the regression analysis of HPLP-II with CARRF-KL and MOCI scales, it was found that it was significantly related to interpersonal relations, spiritual growth, stress management, and total score dimensions. Healthy lifestyle behaviors of nursing students are related to cardiovascular risk factors' knowledge level and obsession symptoms. In addition, some demographic characteristics affect healthy lifestyle behaviors.

Malnutrition and Influencing Factors in Aged Patients: A Hospital-Based Cross-Sectional Study

Malnutrition refers to a nutritional ailment that functionally and clinically distresses the body. It is very common in aged people. The nutritional status of this vulnerable group in low-income countries does not remain focused upon. Therefore, this study was designed to investigate the magnitude of malnutrition and to correlate different factors amongst aged patients administered in a reputed Medical College Hospital in Dinajpur district, Bangladesh. An observational cross-sectional study was conducted to evaluate the nutritional eminence of hospitalized aged patients through the original 18-item full Mini Nutritional Assessment (MNA) screening tool. We evaluated 238 patients in this study. Of whom, 144 (60.5%) were men and 94 (39.5%) were women, whose average age were 68.7 ± 7 years. MNA revealed a prevalence of 46.2% for risk of malnutrition, 31.9% for malnutrition, and 21.8% for within normal. Aged patients who lived alone were malnourished than the patients living with others (p &lt; 0.001). Laboratory investigation revealed that malnourished individuals had substantively decreased levels of serum albumin (2.5 ± 0.7 g/dl), hemoglobin (10.3 ± 1.7 g/dl), lymphocytes (1.4 ± 0.9×10^9/L), and cholesterol (150 ± 35.9 mg/dl). About forty-nine and 32.9 percent of individuals with malnutrition had a severe or a moderate decrease in food intakes respectively. Different health problems collectively had influenced malnutrition. Malnourished patients had a tendency to hospitalize for a longer period of time. Thus malnutrition in hospitalized aged patients was highly prevalent and was associated with low food intake, the presence of health problems, and prolonged length of hospital stay.

Sociodemographic Determinants, Health Conditions, and Mental Status as Predictors of the Functional Status of Older Saudi People

The increasing population of Saudi elderly demands adequate assessment of their functional health status and mental status to improve their health and quality of life. This study aimed to determine the functional status of older Saudi people in performing basic activities of daily living (ADLs) and instrumental activities of daily living (IADLs) and its influencing factors. This quantitative, descriptive-correlational study surveyed a total of 203 participants using the Mini-Mental State Examination, Katz Index of ADL, and Lawton IADL. Overall, the participants had moderate cognitive impairment and were able to perform basic ADLs and IADLs independently, but they needed assistance in doing housework. Functional status was sensitive to their sociodemographic characteristics, presence of health problems, and mental status. Mental status, education, employment, marital status, and source of support were significantly associated with their ability to perform basic ADLs and IADLs. This study suggests that more efforts are needed to understand the sociodemographic characteristics, presence of health problems, and mental status that support the development of evidence-based public health policy on the functional status among older Saudi people. The findings can be utilized by hospital and nursing administrators to initiate educational and training programs for healthcare professionals including nurses and to create healthcare policies so that the health concerns and functional difficulties of older patients are adequately addressed.

The role of physical health on the relationship between subjective memory complaints, anxiety, and depression in older adults during the COVID‐19 pandemic

BackgroundResearch demonstrates that subjective memory complaints (SMCs) are associated with anxiety and depression; however, few studies have longitudinally examined the relationship between SMCs and new onset of anxiety and depression symptoms in older adults. In the context of the COVID‐19 pandemic, it is also important to consider how existing health conditions may impact these associations. We examined (1) if SMCs predict new onset of anxiety and depression symptoms during the COVID‐19 pandemic in older adults and (2) if physical health problems exacerbate this association.MethodWe performed hierarchical linear regression analyses to evaluate associations between SMCs and depression and anxiety symptoms during the COVID‐19 pandemic, controlling for age, sex, education, income, baseline anxiety and depression, and cognition. Next, we assessed the interaction between SMCs and health conditions on anxiety and depression symptoms.ResultSMCs (β= 0.021, p= .017) and health (β=.165, p<0.001) were directly associated with increased anxiety symptoms; however, the interaction effect was not significant (β=0.002, p=0.697). SMCs (β=0.006, p=0.493) and health (β=0.075, p=0.069) were not directly associated with increased depression symptoms; however, the interaction was significant (β=0.017, p<0.001).ConclusionSMCs and health problems exert independent effects on the development of anxiety symptoms; whereas the effect of SMCs on the development of depression symptoms depends on the presence of health problems. These findings highlight the role health plays in the development of depression and anxiety symptoms in older adults during societal stressors such as the COVID‐19 pandemic.

Herbal medicines use and associated factors among pregnant women in Debre Tabor town, north West Ethiopia: a mixed method approach

BackgroundUse of herbal medicines during pregnancy has been increase in many developing and developed countries. In spite of the studies done on herbal medicine, no study has addressed use of herbal medicine among pregnant women in Debre Tabor Town. Hence, the major aim of this study was to assess the prevalence of herbal medicine use and associated factors.MethodsA community based explanatory sequential mixed methods was employed. The quantitative method used cross-sectional study design with a sample size of 267 women, also 12 participants in a group for focus group discussion and 6 in-depth interviews from focus group were included for a qualitative part using a purposive sampling technique. The data were coded and entered into Epidata 4.2.0.0 and analysis was done using SPSS version 25, while thematic analysis was used for qualitative data. Bivariate and multivariate logistic analyses were used to assess associations between dependent and independent variables.ResultsNinety-five (36.3%) of pregnant women used herbal medicine during pregnancy. Prior use of herbal medicine (AOR: 3.138; 95% CI: 1.375, 7.162), unable to read & write (AOR: 9.316; 95% CI: 2.339, 37.101), presence of health problems (AOR: 3.263; 95% CI: 1.502, 7.090), drug availability (AOR: 9.872; 95% CI: 4.322, 22.551) and distance to the health facilities (AOR 6.153; 95% CI 2.487, 15.226) were significantly associated with use of herbal medicine. Only 5(5.3%) of herbal medicine users disclosed their herbal medicine use to their healthcare providers. Zingiber officinale, Eucalyptus globulus, Rutachalepensis, Linumusitatissimum, and Moringa stenopetala were the most commonly used herbal medicines by pregnant women.ConclusionsThe use of herbal medicine during pregnancy is a common practice and significantly associated with educational status, prior use of herbal medicine, presence of health problems, drug availability and distance to the health facilities. Since there was high prevalence and low disclosure rate of herbal medicine use, it should be ensured that physicians/midwives establish a good level of communication with pregnant women.

Satisfaction of Early Intervention Programme among Parents of Children with Autism Spectrum Disorder (ASD): A Pilot Study in Malaysia

Early intervention services play an essential role in order to support families of the children with autism spectrum disorder (ASD). In Malaysia, initial development of early intervention services has started for children with ASD. In order to improve the quality of early intervention services, it is important to ascertain the perceptions of parents with children with ASD. Thus, this study was aimed to determine the correlation between demographic of parents with children with ASD related to parental satisfaction to the early intervention services at GENIUS Kurnia Centre, Malaysia. A total of 156 parents of children with ASD aged between 3 to 7 years old who were receiving the early intervention programme, participated through stratified random sampling completed the sociodemographic survey and Client Satisfaction Questionnaire (CSQ-8). All 156 respondents reported a high level of satisfaction through calculation of the mean score of CSQ-8, which was 28.69, with a range from 20 to 32 (SD = 3.17). Sociodemographic characteristics such as child's gender, child's current and diagnosis age, presence of health problems, parent's age and educational level, and family monthly income were found to be not related to satisfaction. Our pilot study suggested that this early intervention programme provides essential support for families of children with ASD regardless of their demographic background. In future research, it is recommended to explore other variables that are linked with parents’ satisfactions. Additionally, qualitative approaches such as interviews, should be used to measure parental satisfaction, as this will provide more insight on the parents’ experiences.

Prevalence and associated factors of anemia among pregnant women in Sana’a, Yemen

Objectives: According to the World Health Organization estimates, approximately half of the pregnant women suffer from anemia worldwide. Anemia prevalence during pregnancy ranges from 18% in developed countries to 75% in South Asia. This study aimed at determining the prevalence and associated factors of anemia among pregnant women in the second and third trimesters in Sho’ub District of Sana’a City, Yemen. Material and Methods: A cross-sectional study was conducted on 384 pregnant women aged between 15 and 49 years. Convenience sampling method was used to select the study participants. Information on the participants’ sociodemographic characteristics and nutritional and health status was collected using a structured questionnaire through face-to-face interview with participants. The hemoglobin level measurements were assessed using the Sysmex analyzer. Both descriptive and inferential analyses were utilized. Results: The prevalence of anemia among study participants was 25%; of which 70.83% had mild anemia, 28.13% had moderate anemia, and only 1.04% had severe anemia. Risk factors associated with anemia were low family monthly income (odds ratio [OR] = 0.357, 95% confidence interval [CI] = 0.215–0.590; p =0.001), short pregnancy spacing (OR = 3.106, 95% CI = 1.375–7.016; p = 0.06), never consumed liver (OR = 3.004; 95% CI = 1.528-5.790; p =0.001), and presence of health problems (OR = 2.260; 95% CI = 1.342–3.806; p = 0.002). Conclusion: Findings of the study revealed a high prevalence rate of anemia (25%) among pregnant women in Sana’a, Yemen, with low socioeconomic status, short pregnancy intervals, and having other health problems were the associated factors of anemia among the women studied. The findings suggest the need for implementing effective preventive strategies, especially advocacy and monitoring of the iron and folic acid supplementation.

Gender differences in the manifestation of burden among family caregivers of people with mental disorders.

This is a cross-sectional study conducted with 537 family caregivers of people with mental disorders. The objective was to quantify the degree of burden experienced by men and women, and identify the most affected dimensions of their lives and the factors associated with burden manifestation by gender. The Zarit Burden Interview (ZBI) scale was used to assess burden. Mean burden was 22.8 points (SD=6.3) for men and 27.8 points (SD=17.8) for women. The most affected dimensions among the two groups were the same; however, among the 22 items on the scale, 11 presented significantly higher means among women. The factors associated with the manifestation of burden in both groups were as follows: low income; use of psychotropic drugs; greater degree of dependence of the service user; not receiving family support; and dissatisfaction with family relationships. For men, manifestation of burden was also associated with age. For women, there were further associations of the outcome with the presence of health problems, not having someone to share care with, and caring for the assisted person for >10years. Our findings suggest that the degree of burden of family members caring for those with mental disorders is associated with gender, and this should be considered by services responsible for planning care shared by professionals and relatives. Guidelines for Strengthening the Reporting of Observational Studies in Epidemiology (STROBE Statement) were adhered to in this study.

Coping behavior in diadic relations for partners with normative and disturbed development

The study of the category of persons with impaired health is currently not sufficiently complete from a scientific point of view, but very significant from a social point of view. The article presents the results of a theoretical and empirical study of the coping behavior of individual and group subjects, namely dyads of partners of different health status: couples, including a partner with normative and impaired development; couples including both partners with developmental disabilities; couples consisting of normatively developing partners. The purpose of the study is a comprehensive analysis of the system of coping efforts in the dyad of partners in close relationships. The presence of a disease in one or both partners in a dyad is understood by us as stress, moreover, chronic, since we consider the status of disability in adults. At the same time, stress has the characteristics of both external and internal. Following foreign scientists, we believe that the disease represents general stress and is accompanied by specific functions, since the focus is on the physical illness of one partner, which adds dynamics to dyadic stress and the process of overcoming. We made an attempt to systematize the situation of the joint efforts of partners in tandem with impaired health. An analysis was made of the severity of individual and dyadic coping strategies in pairs of different groups, and a picture was analyzed of the correlation of the studied parameters with aspects of the quality of life, adaptation and cohesion of dyads, as well as the presence of health problems. A regression analysis of the impact of disability status on the complex of indicators studied was carried out. Thus, the specificity of coping behavior in dyads with different health status of partners is highlighted.