Support Networks Research Articles

The relationship between LGBT older adults’ social network structure and function

Social prejudice, family nonacceptance, and lack of marriage or adoption rights often restrict the formation of conventional social ties among LGBT older adults. As a result, they often rely on families of choice constituted by other LGBT/age peers for support. Using a series of regression analyses with a national sample of LGBT older Americans, this study investigated how characteristics of social network structure (size and composition - LGBT vs. non-LGBT identity and age ≥50 vs. < 50) were related to LGBT older adults’ social network function (perceived social support). Larger social networks, especially those composed of LGBT members and older adults, were associated with more perceived social support. In subgroup analyses, larger social networks composed of more LGBT members and older adults were associated with more perceived social support among lesbian and gay respondents. For bisexual + older adults, larger social network size was associated with more perceived social support, but social network composition was not related to more perceived social support. For transgender older adults, neither social network size nor network composition were significantly associated with perceived social support. This study demonstrated that having more people with similar characteristics in their social networks cues LGBT older adults about the availability of social support. Findings may inform strategies for tailoring programs intended to maintain and strengthen LGBT older adults’ social support networks.

MSW Student Wellness, Training Satisfaction, and Readiness to Address Substance Misuse

Social work educators aim to increase the goodness of fit between student preparation and the needs of the community. Because working with individuals with substance use disorders (SUD) can be emotionally challenging, training MSW students to do this well does require not only development of skills and knowledge but also a capacity to maintain personal wellness. The purpose of this study is to better understand how wellness strategies affect MSW students’ preparation. This study examined two strategies to maintain wellness used by MSW students, pro-active stress management and classmate support network, and their relationship to training satisfaction and student readiness to assist clients struggling with substance use. Thirty-three MSW students in the final month of their degrees completed program evaluation surveys in Spring and Summer 2020. We conducted linear regressions to assess how proactive stress management and classmate support network contributed to student satisfaction and practice readiness. While both proactive stress management and supportive classmate networks were significantly predictive of training satisfaction, only pro-active stress management also predicted several measures of student readiness to address substance misuse. Findings highlight the importance of student wellness in preparing students for practice, particularly the value of fostering student capacity for proactive stress management.

Patient Information Leaflet Feedback on Delusional Infestation.

Delusional parasitosis, also known as Ekbom syndrome, is a poorly understood condition often surrounded by misinformation. Patients and their families frequently encounter skepticism regarding their experiences. This research aimed to create a patient information leaflet (PIL) with a patient centred approach and to gather feedback on its usefulness for sharing information and validating their experiences. To evaluate patient feedback on a newly developed PIL designed for individuals with delusional parasitosis, assessing its perceived usefulness and impact. A survey was administered to 18 patients before their appointments, incorporating the new PIL. The survey included questions on the leaflet's clarity, usefulness, ability to validate patient experiences and other pointers, measured on a 10-point Likert scale (0 = No answer, 1 = Strongly Disagree, 10 = Strongly Agree). Data was analysed using descriptive statistics and factor analysis. Additionally, the final question allowed for written feedback, which was examined through thematic analysis. The survey results revealed that the majority of patients were satisfied with the new PIL. Specifically, 94% agreed or strongly agreed that the leaflet was logical and easy to follow, 72% found it useful for understanding their condition, and 89% felt it validated their experiences. Mean scores for these concepts were 8.83, 7.61, and 7.78, respectively. Thematic analysis of written feedback highlighted themes of improved understanding but uncertainty around acknowledgement of experiences. This new patient-centered PIL for delusional parasitosis was well-received, indicating its potential as a valuable tool for patients and their support networks. By addressing the specific needs and experiences of patients, the leaflet can improve communication and reduce the stigma associated with the condition. Future research should explore long-term impacts and the effectiveness of similar resources in other patient populations.

Resilience rewritten: Ann’s journey from adversity to entrepreneurship

Research methodology None. Case overview/synopsis The case study follows Ann’s journey towards entrepreneurship, focusing on the challenges she faced and how early educational interventions influenced her life decisions. Despite numerous obstacles, Ann’s perseverance, bolstered by her family’s support and her passion, led to her successful reintegration into academia and the launch of an entrepreneurial venture in the UK. Her story highlights the dilemma of balancing educational attainment with entrepreneurial aspirations, especially for at-risk students. Ann’s experience prompts critical discussions about the intersection of education and entrepreneurship, the importance of experiential learning and the role of mentorship in realizing business ideas. The nurturing environment of her business school, through guest lectures and real-world success stories, played a significant role in shaping her academic and professional outlook. This case raises essential questions about the role of higher education in fostering entrepreneurial skills and integrating experiential learning within academic curricula. Ann’s journey exemplifies the power of resilience and determination in overcoming systemic and entrepreneurial challenges, particularly for women facing similar struggles. Her story illuminates the multifaceted process of turning a personal experience into an entrepreneurial opportunity, emphasizing the critical role of mentorship and support networks in developing a viable business idea. Complexity academic level This case study is best suited to undergraduate and graduate students enrolled in management and business-related courses that focus on entrepreneurship and entrepreneurial education. The case study is relevant in various business disciplines as it informs students of the process and challenges related to business start-ups and acquiring related capabilities. Instructors are encouraged to have students read the extensive reference list provided at the end to broaden their understanding and knowledge of entrepreneurship, including its processes, context and practices.

Understanding caregivers' needs: supporting families of autistic children

Parenting a child with autism spectrum disorder (ASD) poses significant emotional, financial, and social challenges to caregivers. This paper examines the experiences of caregivers, highlighting their increased stress, burnout, and mental health concerns. The importance of accessible information resources, respite care services, emotional support networks, and financial assistance programs is emphasized. Effective strategies for supporting caregivers include educating them about ASD symptoms, treatments, and therapies, teaching coping mechanisms for managing challenging behaviors, and promoting collaboration between healthcare providers and caregivers. Policy implications are discussed, including advocating for legislative modifications that prioritize caregiver needs, promoting inclusionary practices within educational systems, and increasing funding for early intervention programs and caregiver support services. The implementation of parent training programs, collaborative relationships between educators and caregivers, and professional development opportunities for educators are also recommended. This study aims to inform policymakers, healthcare professionals, and educators about the critical role of caregiver support in improving outcomes for children with ASD. By addressing caregiver needs and providing comprehensive support, we can enhance the well-being of both caregivers and children with ASD.

The to be, or not to be, of acting autistic.

Autistic characters are becoming more common in film and television, and a growing number of production companies are making efforts to hire autistic actors to play autistic characters. The purpose of this study is to learn about the experiences of professional autistic actors who have played autistic characters in professional media productions. We also explored autistic actors' impressions of the autistic characters they have seen on screen. We interviewed nine professional autistic actors, who discussed their experiences as professional actors playing autistic characters. Interviews revealed the following themes, including (1) the advantages and disadvantages of disclosing autism, (2) professional networks, and (3) windows and mirrors. Throughout the interviews, the actors discussed instances when they needed to identify as being autistic to take advantage of autism-focused employment opportunities, and other instances when they felt more comfortable not identifying as autistic. Actors' professional support networks were knowledgeable about autism and advocated for the inclusion and employment of autistic actors. They appreciated the growing number of autistic characters on screen but hoped more production companies invest in authentic casting initiatives. Actors compel production companies to move away from overplayed stereotypical and misleading portrayals. The actors' recommendations for future autistic characterizations are described.

Differences in Social Adaptation of Rural Children between Different Family Socioeconomic Status: The Coupling Effect of Family Intimacy and Social Support

This study analyzes the influence of family social-economic status on children's social adaptability in rural areas and analyzes its mechanism. Based on the survey data of rural children on social adaptation, this study examined the mediation effect of family intimacy and social support between family SES and social adaptation. Results: ① Children with different family socioeconomic status showed differences in family closeness, social support and social adaptation scores; ② Rural children showed a positive correlation between family socioeconomic status, social support and social adaptation(r = 0.178-0.62, P <0.001); ③ family closeness and social support played some intermediary role in family socioeconomic status and social adaptation, with the mediation effect values were 0.290 and 0.250 respectively;④ Family closeness and social support played a chain mediation role between family SES and social adaptation, with an effect value of 0.256. Under the objective conditions of rural families social and economic status, it is particularly important and necessary to promote the intimate relationship within families and strengthen the construction of social support network for rural children for their healthy growth and improve their social adaptability.

Factors influencing delay in cancer diagnosis: a qualitative study in Chile, Colombia and Ecuador

Abstract Background Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval, little is known about related factors. This study, part of EquityCancer-LA, aims to analyse the factors influencing access to cancer diagnosis from key stakeholders’ perspective in healthcare networks of Chile, Colombia, and Ecuador. Methods A qualitative, descriptive-interpretative study was conducted in two networks per country in 2023, using semi-structured individual interviews (n = 114) with a criterion sample of primary care (PC) (n = 40) and secondary/tertiary hospitals (n = 44) health/administrative professionals, managers, and policy makers (n = 30). Thematic analysis was performed, segmented by country. Results The analysis revealed interacting factors that cause cumulative delays, with differences between countries. In all, participants identified networks structural characteristics (deficits in diagnostic resources; geographical accessibility), organizational factors (long waiting times, especially after referral), and limited knowledge of PC doctors, which all lead to delayed referral. In Chile and Colombia, barriers related to care rationing/prioritization policies hampered access to tests, and in Chile, increased delays for non-prioritized conditions. Barriers related to the health system organization also emerged: in Chile, problems related to private services subcontracting and the voucher system for using them; in Colombia, the management of care by insurers (authorizations; fragmented and short-term contracting of providers); and in Ecuador, health system underfunding. The barriers mostly affected the elderly, those with low socioeconomic status, limited social support networks, and rural areas residents. Conclusions The results reveal significant barriers in access to timely cancer diagnosis, which can and should be addressed with specific cancer diagnosis policies and general measures that strengthen public healthcare systems and networks. Key messages • Key health system factors influencing provider delays in cancer diagnosis are identified. • Evidence is provided for the design of policies to improve timely cancer diagnosis in studied countries.

Loneliness and Social Isolation: qualitative study among youth in vulnerable situations

Abstract Background Loneliness and social isolation are increasing among young people, particularly those in vulnerable NEET (Not in Education, Employment or Training) situations, potentially leading to poor health and well-being outcomes. We aim to explore these challenges from the perspective of NEET youngsters and link workers who support them in co-creating individual action plans for their social and economic integration. Methods Data were collected through in-depth and semi-structured interviews with 15 young people in NEET situations, aged 18-34, and 7 link workers from several social organisations in rural and urban areas in Portugal. The young participants were selected based on their age, educational level, mental health needs, and urban/rural regions. Thematic analysis was used to analyse the interviews. Results The results showed a convergence between the perspectives of young people and link workers on the factors that influence social isolation and loneliness, including social and emotional skill deficits, excessive use of social media platforms, and mental health problems. Young people reported to being heavily involved in social media platforms, which often did not translate into meaningful relationships in real life. Youngsters also highlighted the lack of local support and community resources in rural areas. Link workers identified specific challenges young migrants face in community integration, including language barriers (for the youth with a migrant origin) and lack of familiarity with local resources. Conclusions This study highlights social media platforms, mental health and social and emotional skill deficits as main factors contributing to the social isolation and loneliness of young people in a NEET situation. This emphasizes the importance of integrated proximity-based interventions that incorporate community resource mapping and local support networks, including mental health support services, and promote multi-sector collaboration. Key messages • Social media platforms, mental health needs, and social and emotional skill deficits drive social isolation in NEET youth, stressing integrated, community-focused interventions. • Proximity-based strategies with community mapping and mental health support enhance NEET youths’ social integration, urging cross-sector collaboration.

Adolescent mental health literacy and help-seeking behaviours. Cross-Sectional survey in Barcelona

Abstract Background Adolescents’ mental health information and help-seeking is critical for preventing the development of mental disorders. This study aims to examine the relationship between mental health literacy and information and help-seeking behaviours, as well as the effects of age and gender. Methods A cross-sectional online survey on a representative sample of 2,240 secondary school students in Barcelona from 11 randomly selected schools. Participants are evenly distributed by age (25% each course) and gender. Results Most adolescents show good recognition of mental disorders and knowledge of mental health (M = 6.39/10; SD = 1.97 and M = 7.75/10; SD = 1.21 respectively). They report having good literacy (M = 3.25/5; SD = 0.71) to search and manage online health information (eHealth literacy), and around half of them affirm having enough knowledge about mental health for them. Search engines (35.7%) and talking to family/friends (31.8%) are preferred for mental health information-seeking, but 19.8% chose not to engage in active information-seeking behaviour. When having mental health concerns, they prefer seeking help (“I would not ask for help” M = 2.4/7; SD = 1.93), and turning to family (M = 4.7/7; SD = 2.4) and friends (M = 4/7; SD = 2.1), instead of health professionals (M = 2.5/7; SD = 3.5). Chi-square test reveals that: lower recognition of mental disorders is associated with not help-seeking; lower mental health knowledge is associated with beliefs that information for mental health promotion, prevention, and care is unnecessary; and higher eHealth literacy is related to information searching in social media, but not to active searching. The ANOVA test reveals a significant gender-age interaction in certain variables, particularly in the recognition of mental disorders, which is higher in girls and increases with age. Conclusions Higher eHealth literacy is related to information-seeking on social media, but not to active search. Girls have a higher level of recognition of mental disorders. Key messages • Adolescents need a support network to seek mental health help, as they often avoid seeking professional help. • Mental health promotion activities would benefit from further exploration of gender differences.

Improving RCCE-IM for LGBTQ+ migrants: Lessons learned from COVID-19 Pandemic

Abstract Background To foster equity during a pandemic event, public health practitioners must be mindful of social and political circumstances that inform poor health. This is especially true for populations who are exposed to several factors that structure health inequity, such as lesbian, gay, bisexual, transgender, or otherwise queer identifying (LGBTQ+) populations. We aim to report on the specific challenges of LGBTQ+ people, including those who belong to the migrant communities, during the COVID-19 pandemic and find out their needs in risk communication (RC), community engagement (CE) and infodemic management (IM). Methods We will first review findings of studies conducted in Portugal, UK, Italy, Brazil, Chile, and Sweden, between 2020-2023, in the context of “Project Global Queerantine”, then report on the additional challenges that LGBTQ+ people faced when living in migrant communities. Results LGBTQ+ individuals perceived their psychological wellbeing to have been greatly affected by the pandemic. Stressors included fear of the disease itself, and fear of spreading the virus, as well as the negative consequences of adhering to the recommendations of social distancing, which constantly interplayed with the marginalized position of being a LGBTQ+ person. Limited access to the LGBTQ+ community was a common stressor for trans individuals who faced prolonged waiting times for “gender dysphoria” assessment and hormone treatment. The intersectionality of vulnerability mechanisms experienced by LGBTQ+ migrants exacerbated all these issues, as did challenges in accessing and comprehending COVID-19-related information. Conclusions During health crises, it is critical for RCCE-IM efforts to consider the increased mental health issues and disruption of social support networks that LGBTQ+ people may face. Strategies and examples of good practices for RCCE-IM that are specifically tailored to LGBTQ+ migrants will be developed in collaboration with the workshop participants.

Beyond the games: How sport-based social networks support illness self-management for organ transplant recipients

For people living with a long-term health condition, it is important to engage in illness self-management to maintain both physical and psychosocial functioning. Illness self-management is now understood as a collective process whereby social networks can make a significant contribution to outcomes. This study investigated the role of sport-based social networks for illness self-management for organ transplant recipients. Sixteen participants completed 3 interviews each in the 12-months after attending a Transplant Games event for the first time. Using a qualitative social network mapping method, it was found that despite it being a relatively short sporting event, participants found it easy to gain an immediate sense of closeness to other Transplant Games participants due to their shared illness experiences. Indeed, being able to discuss ongoing health concerns with their new Transplant Games network meant that participants could avoid causing unnecessary anxiety for their close family and friends. Furthermore, two selected participant narratives illuminate that new relationships gained from attending the Transplant Games network can remain available over a 12- month period but this does not necessarily disrupt one's existing support network. Overall, this study emphasises the value of sport-based social support for individuals with long-term health conditions and deepens our understanding of how social networks contribute to psychosocial functioning.

Land of Shadow: Perceived maternal self-efficacy

Abstract Background In our society, often women arrive at the motherhood without community and family models, and without an effective support network from the services. The aim of the study is to investigate mothers’ perceived maternal competence (self -efficacy) and its possible correlations with pregnancy, birth and breastfeeding outcomes. Methods A retrospective observational study was conducted on a sample of mothers from all over Italy, using an online survey conducted from August to October2023.The questionnaire consisted of 26 questions including the Brief Parental Self-Efficacy Scale.The instrument used a score from 5 to 25; we used a score of 15 as cut-off for perceived low or high self-efficacy.Statistical analysis was performed with the chi-square test and subsequently, the Odds Ratio was calculated to define how statistically strong the association is between the BPSE score obtained and specific variables studied. Results The sample consisted of 4553 mothers.56.6% were women between the ages of 31 and 40 and 28.7% were women over 40 years old.20% of the women in our sample suffered from postpartum depression. The women in our sample report having received help in caring for their first child in 42% of the cases from their partner and in 30% of the cases from other family members.The mean BPSE score was 19.45.Women who obtained a BPSE Score >15 were more likely to have received support from their partner(O.R:1.4;C.I:1.1-2.0). Women who scored a BPSE Score<15 were less likely to have had support from partners/family members (OR:1.5;C.I:1.1-2.0).Women with a BPSE Score<15 were more likely to have experienced postpartum depression (OR:1.4;C.I:1.1-1.8). Conclusions Our study shows that the woman in particular who becomes a mother, cannot be left alone; she needs emotional and environmental support so that she can rediscover within herself the value, competence and power of motherhood. Key messages • Action must be taken so that, along with improved health care, the network of social interventions for new mothers and couples is strengthened. • The woman, in particular who becomes a mother, cannot be left alone.

Key Factors Influencing Quality of Life in the Disabled Based on Multifaceted Life Satisfaction

Abstract Background Healthy life of the disabled is considered a global social issue, and enhancing the quality of life (QoL) of the disabled is an important task. The disabled have lower multifaceted life satisfaction due to various daily restrictions, which negatively affects their QoL. Research on the QoL of the disabled is ongoing, but there are few comprehensive studies addressing multifaceted life satisfaction. To enhance the QoL of the disabled, it is essential to understand their multifaceted life satisfaction and investigate key factors influencing their QoL. Methods We used data from the 2021 Disability and Life Dynamics Panel (nationwide survey). On the base of Patrick’s model of disability health promotion, we analyzed the impact of multifaceted life satisfaction of the disabled on their QoL by using multiple regression analysis adjusted for gender, age, education level, daily living activities, type and severity of disability, and presence of multiple disabilities. Results The satisfaction with social relationships(β=.535, p<.0001), income(β=.146, p<.0001), housing environment(β=.132, p<.0001), occupation(β=.130, p<.0001), and health(β=.111, p<.0001) was found to have a significant positive impact on the QoL of the disabled. Particularly, satisfaction with social relationships exerted the greatest impact on their QoL. Conclusions Not only health satisfaction, but also social relations, income, housing environment, occupation had a substantial impact on the QoL of the disabled. These findings can support the government in prioritizing health policy development for the disabled and contribute to improving the QoL for the disabled through a comprehensive and integrated approach. The government should develop health policies to enhance social connections and support networks for the disabled, while also considering aspects for improving income, housing environment, occupation, and health. Key messages • Not only health satisfaction, but also social relations, income, housing environment, occupation had a substantial impact on the QoL of the disabled. • The government should prioritize developing health policies aimed at enhancing social relations for the disabled, while also considering income, housing environment, occupation, and health.

The economic and social burden of congenital thrombotic thrombocytopenic purpura (cTTP) in Italy

Background: Congenital thrombotic thrombocytopenic purpura (cTTP) is a rare genetic disorder characterized by an abnormal clotting process leading to serious health complications such as thrombocytopenia and hemolytic anemia. Despite its clinical significance, the estimated broader economic and social impacts in Italy on patients and society remain underexplored. Methods: A detailed questionnaire, developed and validated by a panel of cTTP experts, was distributed to healthcare professionals and patient associations to gather comprehensive data on the economic and social burden of cTTP in Italy. The study was focused on direct and indirect costs associated with the disease management of 15 patients with cTTP, as well as out-of-pocket expenses incurred by patients. Results: The analysis revealed that of the 15 patients diagnosed with cTTP in Italy, 60% were adults aged 40-55 years. Productivity loss and diminished quality of life dominated the economic burden of cTTP, accounting for 81.05% of total costs. Direct medical costs, while substantial, represented a smaller portion of the overall financial impact. Additionally, out-of-pocket expenses, though constituting the smallest fraction, underscored the financial contributions made by patients towards their own care management. Conclusion: The findings underscore the need for a multidisciplinary and holistic approach to cTTP management that extends beyond the clinical treatment. Addressing the economic and social implications of the disease is crucial for improving patient well-being and ensuring the sustainability of healthcare systems. The study advocates for increased awareness, research, and access to care for cTTP patients, highlighting the importance of comprehensive support networks to mitigate the disease’s broader societal impacts, estimated to be around 2 million euro for 15 patients in 10 years.

Multidimensional assessment and analysis of the mental health of teachers and police officers

Abstract Background The years-long COVID-19 pandemic, the proximity of the Russian-Ukrainian war, high inflation, and the economic recession are significant stressors for the Hungarian people. Numerous domestic and international surveys are prepared every year, in which the most stressful professions are ranked. In recent years, based on Hungarian, American and European surveys, teachers and police officers have always been included in the 10 most stressful jobs. They also rank the most valued jobs and highest paid jobs every year. In this relation, police and teaching jobs never made it into the top 10, despite the fact that both professions are very important on a social level. Methods 20 male and 20 female teachers and police officers completed a complex quality of life and psychological assessment using international tests with ethics approval. We measured pain syndromes, such as headache, neck and back pain, joint pain, assessed depression, anxiety, sleep quality, and gastrointestinal symptoms. Results For police officers and teachers, gender differences were not verified with regard to any parameter. None of the parameters differed significantly for male police officers and teachers. Many significant differences were confirmed between female police officers and female teachers, in all of them the results of the teachers were worse: depression (9,4±10,3 vs 2,9±4,3; p = 0.02) anxiety(43,3±12,2 vs 33±4,6; p = 0.01), sleep disorders(32,7±8,2 vs 24,3±7,8; p = 0.01), gastrointestinal complaints(24,7±9,4 vs 17,6±2,3; p = 0.01). Conclusions The sleep quality, depression and anxiety levels of female teachers are worse than those of female police officers who live at least as stressful a life. There is no difference between the mental and psychological state of male teachers and police officers. It is important to pay attention to the mental support of female teachers. Key messages • We consider the assessment of the mental state of police officers and teachers and the creation of primary prevention programs and a mental support network to be an important public health task. • In particular, the mental state of female teachers should be monitored and supported.

The Relationship between the Myers-Briggs Type Indicator (MBTI) Types and Psychological Well-being among College Students in China

Aim: This study explores the relationship between Myers-Briggs Type Indicator (MBTI) personality types and psychological well-being among Chinese college students, examining how cultural factors influence this relationship and identifying key factors impacting students' mental health. Methodology: A systematic literature review was conducted, focusing on peer-reviewed articles from the past decade. Databases such as PubMed, PsycINFO, and Google Scholar were searched using keywords like "MBTI," "psychological well-being," "college students," and "China." Inclusion criteria included studies on MBTI and psychological well-being among Chinese college students. Results: The review found that 64% of extraverted students reported high life satisfaction, compared to 42% of introverted students. Sensing students showed 58% academic satisfaction, while only 45% of intuitive students reported similar satisfaction levels. Thinkers (60%) and feelers (55%) displayed high psychological well-being linked to their respective environments. Judging types reported 70% life satisfaction, whereas only 45% of perceiving types expressed similar satisfaction. These findings underscore the significant impact of MBTI personality types on the psychological well-being of Chinese college students. Conclusion: MBTI types significantly influence psychological well-being among Chinese college students, moderated by cultural, social, and educational factors. Tailored mental health interventions and supportive environments are essential to address the diverse needs of students. Recommendations: Colleges should integrate MBTI-based counseling services, provide flexible learning options, and promote social support networks. These measures will accommodate varying personality types and improve overall student well-being. Implications: Understanding the interplay between MBTI types and psychological well-being within the Chinese cultural context offers valuable insights for educators and mental health professionals. These insights can inform the development of culturally sensitive interventions and support systems, enhancing the mental health and academic success of college students.

AVALIAÇÃO DA QUALIDADE DE VIDA E APOIO FAMILIAR NO PACIENTE DIAGNOSTICADO COM CÂNCER DE MAMA

Breast cancer is the main cause of death in the female population in almost all regions of Brazil, in addition to being an important global public health problem, due to high incidence and morbidity rates. The aim of the work is to evaluate the quality of life and psychosocial support of patients diagnosed with breast cancer. It refers to an observational study, in which interviews were carried out with women diagnosed with breast cancer treated at the Hospital Regional de Presidente Prudente. It was observed that the more negative the patients' self-perception was in relation to the support they received, their ability to carry out daily activities and their post-surgical mood, the worse their self-perception of quality of life was. This study highlights the importance of adopting multidisciplinary, patient-centered approaches and promoting a support network, which are essential for women to have a better quality of life.

Characteristics and Views of Young Unaccompanied Migrants Transitioning to Independent Living in the Catalan (Spain) Protection System

AbstractIn Spain, unaccompanied migrant minors receive care provision from the government. This article analyzes the experience of unaccompanied young migrants in the protection system of Catalonia (Spain) and their preparation for the transition to independent living. A survey with 90 unaccompanied migrant youths who were about to leave care was conducted. The results show that many of the participants were in non-specific transitional housing placements (67.7%), with scarce opportunities for developing basic independent living skills. Moreover, 29.4% of young people were not aware of the existence of an emancipation plan, and 10.3% felt that they had not received any preparation for independent living. Although only 24.4% had completed secondary education or higher, the majority were enrolled in some form of training (82.2%). Nevertheless, most of the young people had had some paid unskilled work experience (83.3%) in their countries of origin. Despite this, when interviewed, only 10% of the participants were working, and their prospects for emancipation were challenging. Their main concerns were their legal status (40.2%), finding a job (41.4%), and finding a place to live once they reached legal age (34.2%). Moreover, the youths’ social support networks were very precarious: 43.5% could count on only one person or no one at all when they needed material support, and their main source of support was educators. Implications for social work practice are discussed.

Beyond the Ire of Flames: Work Experiences of Bureau of Fire Protection (BFP) Station Chiefs

Fire occurrences have significantly risen in recent years. These fires endanger lives, cause economic damage, and harm the environment. Uncontrolled fires are a major reason for building collapses and injuries. Building fires cause trauma due to the loss of belongings and the building itself. Existing fire safety systems are failing due to unaddressed factors causing building fires (Rathnayake et al., 2020). This study explored the experiences of the station chiefs of the Bureau of Fire Protection in Iloilo Province, Philippines, through a qualitative research method. The participants of this study were the selected ten (10) BFP station chiefs. All participants were subjected to an individual in-depth interview. The findings of this study are described in emergent themes. Six (6) emergent themes described the positive and negative experiences of the informants in the performance of their duties. For the positive experiences, two (2) emergent themes were developed, namely Personal Satisfaction Through Job Fulfillment and Workplace Camaraderie and Support. For the negative experiences, four (4) emergent themes were also developed, namely: Inadequate Resources and Financial Challenges, Complexity of Leadership and Personnel Management, Bombarded with Public Dissatisfaction, and Operational Delays and Equipment Failures. Meanwhile, three (3) emergent themes were formulated to explain how the participants address the challenges encountered in the performance of their duties, namely: Empowering Collaboration and Support Networks, Bolstering Preventive Measures and Education, and Embodying Resilience and Adaptability. Finally, three (3) emergent themes were created to express the aspirations of participants to improve the quality of their services, namely Continuous Training and Professional Development, Adequate Fiscal Allocation and Service Facilities, and Improvement of Personnel and Staffing Issues. Based on the emergent themes identified, it is recommended that the fire station chiefs be enhanced by providing them with specialized training and career development programs. This can be accomplished by the successful integration of the latest firefighting technologies in the specialized training to enhance the response effectiveness of their station.