Psychosocial Risk Factors Research Articles

Analysis of Sociodemographic and Psychosocial Risk Factors for Teenage Pregnancy: A Cross-Sectional Study at The Teen Mom’s Clinic of Mariano Marcos Memorial Hospital and Medical Center Philippines

Introduction: Teenage pregnancy is a serious public health problem in the Philippines. This study aims to analyze sociodemographic and psychosocial risk factors associated with teenage pregnancy at the Teen Mom's Clinic of Mariano Marcos Memorial Hospital and Medical Center in the Philippines.
 Methods: A cross-sectional study was conducted on 152 adolescents who consulted at the clinic. Data were collected through a questionnaire that asked about sociodemographic and psychosocial characteristics. Univariate and bivariate statistical analyzes were used to identify risk factors associated with teenage pregnancy.
 Results: The prevalence of teenage pregnancy among consultation subjects at the clinic was 89%. Bivariate analysis showed that age, place of residence, education level, household income, source of income, parental relationship, sexual relationship, relationship status, source of information about sex, sexual experience, number of sexual partners, contraceptive use, STI information, sexual harassment, physical abuse, and verbal abuse were not significantly associated with teenage pregnancy.
 Conclusion: Sociodemographic and psychosocial risk factors do not play a significant role in teenage pregnancy in the Philippines.

The Application of Attribution Theory in Understanding Women Workers' Perception of Occupational Health and Safety in the Metal Industry: A Focus Group Investigation

With the advent of the industrial revolution, women have become integral participants in the workforce, facing occupational risks similar to men. However, due to societal gender roles, women often encounter heightened psychosocial risk factors in the workplace, impacting both their attitudes towards work and societal roles. This study explores women workers' awareness of psychosocial risk factors within the Turkish metal industry. Employing attribution theories from social psychology, the study investigates negative attitudes towards occupational health and safety practices. Utilizing qualitative methods, data was gathered through focus group discussions with 155 female members of the Turkish Metal Union in Bursa, Turkey. The study evaluates factors such as job satisfaction, job stress, wellness, and relationships with coworkers and managers. Findings suggest that work stress and communication issues are significant psychosocial risk factors contributing to job dissatisfaction.

Group-level workplace interventions to improve mental health in low control, high-demand office-based jobs. A scoping review.

Workplace psychosocial risk factors, including low autonomy and high demands, have negative consequences for employee mental health and wellbeing. There is a need to support employees experiencing mental health and well-being problems in these jobs. This scoping review aims to describe group-level workplace interventions and their approaches to improving the mental health and well-being of employees in office-based, low autonomy, and high demands jobs. Following PRISMA-ScR guidelines, a search was conducted across 4 databases (Medline, PsycINFO, CINAHL, ASSIA). We explored studies presenting group-level interventions, mode of implementation, facilitators and barriers, and intervention effectiveness. The search was restricted to include office-based, low autonomy, and high-demands jobs. Primary outcome of interest was mental health and secondary outcomes were work-related and other well-being outcomes. Group-level workplace interventions include an array of organizational, relational, and individual components. Almost all included a training session or workshop for intervention delivery. Several had manuals but theories of change were rare. Most workplace interventions did not use participatory approaches to involve employees in intervention development, implementation and evaluation, and challenges and facilitators were not commonly reported. Key facilitators were shorter intervention duration, flexible delivery modes, and formalized processes (e.g. manuals). A key barrier was the changeable nature of workplace environments. All studies employing behavioural interventions reported significant improvements in mental health outcomes, while no clear pattern of effectiveness was observed for other outcomes or types of interventions employed. Group-based interventions in low-autonomy office settings can be effective but few studies used participatory approaches or conducted process evaluations limiting our knowledge of the determinants for successful group-based workplace interventions. Involving stakeholders in intervention development, implementation, and evaluation is recommended and can be beneficial for better articulation of the acceptability and barriers and facilitators for delivery and engagement.

Workplace Psychosocial Factors, Work Organization, and Physical Exertion as Risk Factors for Low Back Pain Among US Workers: Data From the 2015 National Health Interview Survey.

To evaluate the association between workplace psychosocial, organization, and physical risk factors with low back pain (LBP) among US workers. 2015 National Health Interview Survey data were analyzed to calculate the prevalence rates and prevalence ratios for LBP across levels of workplace psychosocial and organizational risk factors among 17,464 US adult workers who worked ≥20 hours per week. Results were also stratified by workplace physical exertion. The adjusted prevalence rates of LBP were significantly elevated for workers reporting high job demand, low job control, work-family imbalance, bullying, job insecurity, working alternate shifts, and physical exertion. Job control and nonstandard shifts were significantly associated with LBP only among those who reported low/no physical exertion. LBP prevalence was associated with select workplace psychosocial and organization risk factors. Stratification by physical exertion modified multiple associations.

Cohort profile: BioMD-Y (biopsychosocial factors of major depression in youth) – a biobank study on the molecular genetics and environmental factors of depression in children and adolescents in Munich

PurposeBioMD-Y is a comprehensive biobank study of children and adolescents with major depression (MD) and their healthy peers in Germany, collecting a host of both biological and psychosocial information from...

Understanding the Behavioral Health Risk Factors that African American and Latinx Women Experience within a National Context

ABSTRACT In an effort to address social determinants of health and to reduce barriers to care, there have been increased attempts to understand and mitigate public health concerns in ethnic minority communities. As knowledge increases regarding the impact of health disparities on ethnic minority communities, social workers practice knowledge must expand to include intersectional approaches and methods that are inclusive of mechanisms that address inconsistencies in access to health care. Using the 2018 National Survey on Drug Use and Health (NSDUH), this study examined behavioral health and psychosocial risk factors that African American and Latinx women (n = 7008) experienced and identified how these factors are associated with self-reported overall health. Results indicated that overall health and wellbeing is linked to psychosocial risk factors, such as depression, substance use, and even age for African American and Latinx women.

The Relation of Maternal Psychosocial Risk Factors to Infant Safe Sleep Practices.

Sleep-related infant deaths are a common and preventable cause of infant mortality in the United States. Moreover, infants of color are at a greater risk of sleep-related deaths than are White infants. The American Academy of Pediatrics (AAP) published safe sleep guidelines to minimize the number of sleep-related infant deaths; however, many families face barriers to following these guidelines. Research on the role of psychosocial risk factors (i.e., depression, stress, domestic violence, substance use) in mothers' engagement in safe sleep practices is limited. The present study examined the role of maternal psychosocial risk factors on maternal safe sleep practices and the moderating effects of maternal race on this relationship. Participants in this study were mothers (N = 274) who were recruited from a Midwestern hospital postpartum. Data on the participants' psychosocial risk factors, and safe sleep practices were collected via telephone interview 2-4months following the birth of their infant. Predictive models indicated that depression and stress impacted mothers' engagement in following the safe sleep guidelines. Specifically, higher levels of maternal depression predicted greater likelihood of co-sleeping, regardless of mothers' race. Higher levels of maternal stress also predicted lower engagement in safe sleep behaviors for White mothers only. Early interventions to address stress and depression may help to increase maternal adherence to the AAP's safe sleep guidelines. Additional research on the underlying mechanisms of depression and stress on maternal safe sleep engagement is needed.

Trauma and Posttraumatic Stress Disorder as Important Risk Factors for Gestational Metabolic Dysfunction.

Gestational metabolic diseases adversely impact the health of pregnant persons and their offspring. Pregnant persons of color are impacted disproportionately by gestational metabolic disease, highlighting the need to identify additional risk factors contributing to racial-ethnic pregnancy-related health disparities. Trauma exposure and posttraumatic stress disorder (PTSD) are associated with increased risk for cardiometabolic disorders in nonpregnant persons, making them important factors to consider when identifying contributors to gestational metabolic morbidity and mortality health disparities. Here, we review current literature investigating trauma exposure and posttraumatic stress disorder as psychosocial risk factors for gestational metabolic disorders, inclusive of gestational diabetes, low birth weight and fetal growth restriction, gestational hypertension, and preeclampsia. We also discuss the physiological mechanisms by which trauma and PTSD may contribute to gestational metabolic disorders. Ultimately, understanding the biological underpinnings of how trauma and PTSD, which disproportionately impact people of color, influence risk for gestational metabolic dysfunction is critical to developing therapeutic interventions that reduce complications arising from gestational metabolic disease. KEY POINTS: · Gestational metabolic diseases disproportionately impact the health of pregnant persons of color.. · Trauma and PTSD are associated with increased risk for cardiometabolic disorders in nonpregnant per.. · Trauma and PTSD impact physiological cardiometabolic mechanisms implicated in gestational metabolic..

Comparative Association of Substance Use, Psychosocial Factors, and Suicidal Ideation in Turkish Youth

Objective: The existing literature on the contribution of substance use and psychosocial risk factors in the development of suicidal ideation in the Turkish youth provides limited information. This study aims to compare the relative association of substance use and psychosocial risk factors with suicidal ideation in a sample of high school students in Istanbul. Methods: High school students were administered a survey of 66 questions in the school setting. The total number of students surveyed was 31,604 by the Istanbul Department of Education, and the primary questions and their sub-questions generated dependent and independent variables that were used in this study. The relationship between substance use, psychosocial factors, and suicidal ideation was explored in this study. Logistic regression was used with independent variables, such as substance use, light users, and heavy users and dependent variable as suicidal ideation. The variation explained by this model was compared to the variation explained by the psychosocial factors (age, gender, school type, immigration status, perceived family affluence, parental education, school grades, self-esteem scale, faith scale, anomie scale, anxiety scale, depression scale, irritability scale, antisocial personality scale, time with peers, time with family, parental involvement, family substance use, and peer influence) while exploring the strength of the associations for each factor. Results: Psychosocial factors explained 33.8 % variance in the dependent variable, i.e., suicidal ideation, whereas substance use among those participants explained only 2.2 % variance in predicting suicidal ideation. Restricting analyses to heavy drug users found a consistently low explained variance of about 1.5 % of suicidal ideation in this population. Conclusion: The psychosocial factors are stronger predictors of suicidal ideation as compared to the substance use risk factors in a sample of Turkish youth.

Commentary on the power of predictability: patterns of signals in early life shape neurodevelopment and mental health trajectories.

As Davis and Glynn observe in the introduction to their review, early life adversity is a significant impediment to healthy child development. Whereas some theoretical accounts emphasize the sheer number of physical and psychosocial risk factors children experience (Evans, Li, & Whipple, Psychological Bulletin, 2013, 139, 1342), Davis and Glynn review a program of research that is aligned with models highlighting the types of adversity children encounter. They expand on accounts that differentiate threat from deprivation (McLaughlin & Sheridan, Current Directions in Psychological Science, 2016, 25, 239) to draw attention to the role of unpredictability in children's development.

How people with persistent pain experience in-person physiotherapy blended with biopsychosocial digital health - A qualitative study on participants' experiences with Back2Action

BackgroundA blended intervention consisting of in-person physiotherapy and psychologically-informed digital health, called Back2Action, was developed to optimise the management of people with persistent spinal pain who also have psychosocial risk factors associated with the development or maintenance of persistent pain. This study aimed to gain insights in how participants experienced this blended intervention. MethodsA qualitative study using semi-structured interviews was conducted. Eleven people with persistent non-specific spinal pain who received the blended intervention within a randomised clinical trial were included. All interviews were recorded, transcribed verbatim and analysed independently by two researchers. Data were analysed using a thematic analysis. ResultsThe analysis identified four themes: (1) Experiencing a better understanding of the relationship between own physical and mental health; (2) Importance of the physiotherapist's active involvement in biopsychosocial blended care, which describes the crucial role of physiotherapists in supporting participants in this; (3) Appreciation of digital health, to better understand persistent pain and make meaningful lifestyle changes; and (4) Trials and triumphs, revealing gains such as better coping, but also challenges with implementation of changes into long-term routines. ConclusionParticipants of the blended intervention experienced positive changes in thoughts and behaviours, which highlights the feasibility and acceptability of the blended intervention as a more holistic treatment within pain management. The differences in personal preferences for receiving psychologically-informed digital health poses challenges for implementation of blended biopsychosocial care in evidence-based practice.

Socioeconomic Disadvantage among Adolescents: Associations between Having Relatives with Severe Health Conditions, Parental Work Status, and Poor Mental Health

Psychosocial risk factors, such as socioeconomic disadvantage and having close relatives with severe health conditions (RSHCs), may negatively impact an adolescent’s life. This study aimed to investigate the associations between adolescent experiences with RSHCs (no, one or several RSHCs), parental working status (PWS) (both parents working (both PW) or having ≥1 parent not working (≥1 PNW)) and the composite variable of RSCHs/PWS in relation to self-reported poor mental health. In 2020, population-based data on 15–18-year-olds (n = 3509) were collected from schools in Sörmland, Sweden. Relationships between the composite variable of RSCHs/PW and poor mental health were determined through logistic regression analyses in three different models. Odds ratios (ORs) are separately reported for girls and boys. Girls reporting several RSHCs/≥1 PNW displayed an OR of 5.05 (95% CI 2.82–9.04) in comparison with the reference group with no RSCHs/both PW when adjusting for grade and ethnicity. The corresponding OR for boys was 2.26 (95% CI 1.46–3.49). Further adjustments for protective factors for mental health attenuated the associations with poor mental health. In conclusion, adolescents with RSHC experiences in combination with parental unemployment are at increased risk of developing their own poor mental health, making this group particularly vulnerable.

Sociodemographic and psychosocial risk factors of railway suicide a mixed-methods study combining data of all suicide decedents in the Netherlands with data from a psychosocial autopsy study

BackgroundRailway suicide has profound implications for the victims and their family, and affects train drivers, railway personnel, emergency services and witnesses. To inform a multilevel prevention strategy, more knowledge is required about psychosocial and precipitating risk factors of railway suicide.MethodsData from Statistics Netherlands of all suicides between 2017 and 2021 (n = 9.241) of whom 986 died by railway suicide and interview data from a psychosocial autopsy of railway suicide decedents (n = 39) were integrated. We performed logistic regression analyses to identify sociodemographic predictors of railway suicide compared to other methods of suicide. The Constant Comparative Method was subsequently employed on interview data from the psychosocial autopsy to identify patterns in psychosocial risk factors for railway suicide.ResultsThe strongest predictors of railway suicide compared to other suicide methods were young age (< 30 years old), native Dutch, a high educational level, living in a multi-person household (especially living with parents or in an institution), living in a rural area and a high annual household income of > 150.000 euros. Several subgroups emerged in the psychosocial autopsy interviews, which specifically reflect populations at risk of railway suicide. These subgroups were [1] young adult males with autism spectrum disorder who strived for more autonomy and an independent life, [2] young adult females with persistent suicidal thoughts and behaviours, [3] middle-aged males with a persistent mood disorder who lived with family and who faced stressors proximal to the suicide in personal and professional settings, [4] male out-of-the-blue suicides and [5] persons with psychotic symptoms and a rapid deterioration.Conclusionsbased on our findings we propose and discuss several recommendations to prevent railway suicide. We must continue to invest in a safe railway environment by training personnel and installing barriers. Additionally, we should adopt prevention strategies that align the needs of subgroups at increased risk, including young females who have attempted other methods of suicide and young males with autism spectrum disorder. Future research should determine the cost-effectiveness and feasibility of low-maintenance, automated interventions near crossings and psychiatric facilities.

Psychosocial risks and their consequences on health and job satisfaction among Spanish police officers.

Police officers are exposed to risk and violence, which makes their work highly stressful. According to the Job Demand-Resource model, the working conditions of police officers may affect their health and job satisfaction. The aims of this research were to evaluate the psychosocial factors at work in a sample of municipal police officers from the Valencian Community (Spain) to identify the prevalence of psychosocial risks and their consequences and analyse the influence of psychosocial factors (resource and demands) at work on job satisfaction and health. The Unidad de Investigación Psicosocial de la Conducta Organizacional (UNIPSICO) battery was used to evaluate the prevalence and distribution of different levels of risk and their consequences in police officers (n=103). The influence of psychosocial factors (resource and demands) at work on psychosomatic disorders and job satisfaction was examined using stepwise regression analysis. All considered variables showed moderate levels of psychosocial risk for the whole sample. As for the consequences of psychosocial risks, moderate levels of psychosomatic disorders and job satisfaction were also observed. Perceived stress levels and organizational stressors have a negative effect on health and job satisfaction. To create positive conditions for the health and well-being of police officers, real commitment is required when evaluating psychosocial risks in local police organizations and the establishment of prevention and intervention measures where psychosocial risk factors are detected.

Interplay of polygenic liability with birth-related, somatic, and psychosocial factors in anorexia nervosa risk: a nationwide study.

Although several types of risk factors for anorexia nervosa (AN) have been identified, including birth-related factors, somatic, and psychosocial risk factors, their interplay with genetic susceptibility remains unclear. Genetic and epidemiological interplay in AN risk were examined using data from Danish nationwide registers. AN polygenic risk score (PRS) and risk factor associations, confounding from AN PRS and/or parental psychiatric history on the association between the risk factors and AN risk, and interactions between AN PRS and each level of target risk factor on AN risk were estimated. Participants were individuals born in Denmark between 1981 and 2008 including nationwide-representative data from the iPSYCH2015, and Danish AN cases from the Anorexia Nervosa Genetics Initiative and Eating Disorder Genetics Initiative cohorts. A total of 7003 individuals with AN and 45 229 individuals without a registered AN diagnosis were included. We included 22 AN risk factors from Danish registers. Risk factors showing association with PRS for AN included urbanicity, parental ages, genitourinary tract infection, and parental socioeconomic factors. Risk factors showed the expected association to AN risk, and this association was only slightly attenuated when adjusted for parental history of psychiatric disorders or/and for the AN PRS. The interaction analyses revealed a differential effect of AN PRS according to the level of the following risk factors: sex, maternal age, genitourinary tract infection, C-section, parental socioeconomic factors and psychiatric history. Our findings provide evidence for interactions between AN PRS and certain risk-factors, illustrating potential diverse risk pathways to AN diagnosis.

Analysis of the relationship between the cognitive functions affected by work stress and the psychosocial risk factors of workers in companies in the tourism sector in Colombia: Sincelejo case

Analysis of the relationship between the cognitive functions affected by work stress and the psychosocial risk factors of workers in companies in the tourism sector in Colombia: Sincelejo case

Mental Health among the Elderly in Nepal: Special Emphasis on Depression

This paper discusses the impact of Depression on the aging population. It also tries to explore the psychosocial risk factors and burden associated with geriatric depression in low-and-middle-income (LAMI) countries. Nepal, a South Asian developing country, is resource-poor and research-naïve. Research, in general, and mental health studies, in particular, are the least prioritized in this country. The lack of culturally adapted psychiatric inventories is one of the possible reasons for the low number of mental health research in Nepal. However, recent studies done at the local and regional levels show a significant load of depressive symptoms among the elderly in Nepal.

Structured Multidisciplinary work Evaluation Tool (SMET) questionnaire: Translation, cultural adaptation and psychometric evaluation of the Persian version.

To assess relevant environmental conditions in any work-setting requires a multidisciplinary perspective that is practical, valid, and reliable. This includes the physical, environmental, and psychosocial risk-factors. The Structured Multidisciplinary work Evaluation Tool (SMET) questionnaire simultaneously considers multiple work-related demands. This study translated and culturally adapted the SMET into Persian and evaluated its psychometric properties in Persian industrial workers. Cross-sectional translation and cross-cultural adaptation in five standardized phases. A convenience sample (n = 211) recruited from an industrial-occupation setting completed: the SMET; and the Rapid Upper Limb Assessment (RULA), and National Aeronautics and Space Administration Task Load Index (NASA-TLX) criteria; plus light and noise levels were concurrently assessed. Psychometric properties included: validity, with face (from confirmed language clarity, simplicity, and readability), content (via the content validity index, CVI, for equivalency and relevancy), criterion (through Pearson's r correlation with relevant criteria), and construct (through known group validity between participants with/without work-related musculoskeletal disorders, WMSDs); internal consistency (Cronbach's α); and test-retest reliability (intraclass correlation coefficient, ICC2.1). Validity was confirmed with: face through the adaptation; content from suitable CVI values for items (CVI range = 0.78-1.0) and scale-total (CVI = 0.86); criterion from SMET associations with levels for light (r = - 0.42) and noise (r = 0.21), plus RULA (r = 0.42) and NASA-TLX (r = 0.39); and construct through participants with WMSD having significantly higher SMET total-scores (p = 0.01). Internal consistency (α= 0.89) and reliability (ICC2.1 = 0.87) were acceptable and strong. This study indicated that the SMET Persian version had acceptable psychometric properties in an industrial occupational setting. Further investigation in longitudinal populations is recommended.

Prevalence and Psychosocial Risk Factors Associated with Depression in Older People in A Rural Community

Depression is a multifactorial disease that globally impacts all ages and sectors of the population. In this sense, it has become a public health problem, since it affects 280 million people in the world, according to information from the World Health Organization. Older adults represent 5.7% of the population that experiences this disease, with the moderate to severe stage being the one that most impacts their health, and, therefore, quality of life. For this reason, the objective of the research is to know the prevalence and psychosocial risk factors associated with depression in older people in the community of Santa Cruz, Hecelchakán, Campeche. The methodology used is with a quantitative approach because information was collected, based on the application of the Yesavage scale of geriatric depression, and the sociodemographic registry of 60 older adults of both sexes, in order to measure the percentage of prevalence through its respective epidemiological formula. Likewise, it is cross-sectional because it collected data in a single time: November 2022 – October 2023. Results: 46.7% experienced mild depression, 41.7% moderate depression and 11.6% severe depression. 55% of those interviewed were male and 45% female. The actual prevalence of depression is 100%. Likewise, the psychosocial risk factors identified were: the absence of recreational activities and social support networks, the economy, health services and family disintegration. Finally, it is necessary to design and implement socio-health intervention projects in the locality and with a socio-cultural perspective that impacts this age group, the family and from an intergenerational perspective, with the promotion of mental health being a priority goal in their execution.

Stress-responsive Psychobiological Markers During Pregnancy and Fetal and Infant Outcomes Across Countries

The prenatal period is a sensitive window of development that is open to both opportunity and risk for predicting later developmental outcomes. There are multiple stress-responsive physiological systems during pregnancy that may mediate the link between stress exposure and physical and mental health. Alterations in these systems during gestation due to elevated stress exposure can lead to poorer health in both the gestational parent and the offspring. In this symposium, we examine stress-responsive psychobiological systems during pregnancy and their association with differential developmental outcomes during gestation, at birth, and in infancy by a multinational group of researchers. The first presentation by the symposium chair, Özlü Aran (University of Denver, USA), will focus on the trajectories of placental corticotropin-releasing hormone (pCRH), a stress-responsive hormone released by placenta, and their association with birth outcomes as well as infant socioemotional development at 6 months postpartum. In the second presentation, Dr. Elif Aysimi Duman (Boğaziçi University, Turkey) will highlight intergenerational associations of parental early life stress and gestational parent prenatal cortisol awakening response with infant development at 4 months postpartum. This study underscores psychosocial risk (i.e., pregnancy-related worries) and protective factors (i.e., fetal bonding) in addition to prenatal HPA activity during gestation. In the third presentation, Dr. Sameera Abuaish (Princess Nourah bint Abdulrahman University, Saudi Arabia) will extend research findings beyond HPA axis by demonstrating the association between gestational parent body mass index (BMI) and prenatal mood and immune functioning, while also linking BMI to both fetal and infant outcomes. Consistent with the ISPNE’s 2023 symposium translational psychoneuroendocrinology themes, these presentations apply basic scientific methods to understand better health outcomes for gestational parents and their offspring with a focus on stress-responsive physiological systems during pregnancy. Together, they underscore the importance of early life stressors as well as prenatal stressors and their potential impact over generations among individuals across countries and cultures. Finally, these presentations will be discussed by a leading investigator, Dr. Jenalee Doom (University of Denver, USA), who has expertise on early life stress and the biological embedding of early experiences across development with a special focus on mental and physical health.