Personality Disorders and Physical Health: A Longitudinal Examination of Physical Functioning, Healthcare Utilization, and Health-Related Behaviors in Middle-Aged Adults

2012 ◽  
pp. 524-538 ◽  
Author(s):  
Abigail D. Powers ◽  
Thomas F. Oltmanns
Keyword(s):  
Physical Health ◽  
Personality Disorders ◽  
Healthcare Utilization ◽  
Physical Functioning ◽  
Middle Aged ◽  
Health Related Behaviors ◽  
Health Related ◽  
Middle Aged Adults ◽  
Longitudinal Examination

The Effect of Intimate Partner Violence on the Physical Health and Health-Related Behaviors of Women: A Systematic Review of the Literature

2021 ◽  
pp. 152483802098554
Author(s):  
Anita Stubbs ◽  
Cassandra Szoeke
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Health Outcomes ◽  
Physical Health ◽  
Partner Violence ◽  
Intimate Partner ◽  
Physical Health Outcomes ◽  
Health Related Behaviors ◽  
Health Related

Aim: The long-term effects of intimate partner violence (IPV) on physical health outcomes and health-related behaviors are underresearched in comparison to the effects on mental health and pregnancy. This systematic review examines the recent research in this area from 2012 through 2019. Methods: SCOPUS, PubMed, EBSCOhost, and gray literature were searched using the key words “intimate partner violence” and “health.” To meet inclusion criteria, studies needed to be original research and focus on IPV during adulthood and its effects on the physical health or health-related behaviors of women. Fifty-two studies were qualitatively analyzed, with results grouped into broad categories of effects, including cardiovascular, endocrine, infectious diseases, and health screening. Results: IPV was shown to have negative effects on physical health outcomes for women, including worsening the symptoms of menopause and increasing the risk of developing diabetes, contracting sexually transmitted infections, engaging in risk-taking behaviors including the abuse of drugs and alcohol, and developing chronic diseases and pain. It also has significant effects on human immunodeficiency virus outcomes, worsening CD4+ cell depletion. Results varied regarding the effects of IPV on cardiovascular health outcomes. Conclusion: The result of this review demonstrates that women who have experienced violence and abuse are at significantly increased risk of poor health outcomes in a variety of areas and so require specialized and tailored primary care. This review highlights significant gaps in this field of research, particularly in relation to cardiovascular disease, endocrine dysfunction, and neurological symptoms and conditions. It demonstrates a need for additional long-term studies in this field to better inform the health care of women who have experienced IPV and to establish the physiological mediators of these outcomes.

scholarly journals Impact of duration and treatment of arterial hypertension on health-related quality of life

Medicina ◽  
2009 ◽  
Vol 45 (5) ◽  
pp. 405 ◽  
Author(s):  
Vilma Raškelienė ◽  
Marija Babarskienė ◽  
Jūratė Macijauskienė ◽  
Arvydas Šeškevičius
Keyword(s):  
Quality Of Life ◽  
Arterial Hypertension ◽  
Physical Health ◽  
Physical Functioning ◽  
Health Related Quality ◽  
General Evaluation ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

Arterial hypertension (AH) is one of the most important risk factors for development of ischemic heart disease; thus, control of AH and effective treatment are of great importance. Since arterial hypertension is commonly referred as asymptomatic condition, the question whether hypertensive condition is associated with the change of well-being and health-related quality of life is still debatable. The aim of the study. To evaluate the impact of duration and treatment of AH on health-related quality of life. Material and methods. The contingent of the study consisted of patients who arrived for a cardiologist’s consultation at the Clinic of Cardiology, Hospital of Kaunas University of Medicine. The patients were randomly selected for the study. The inclusion criteria were as follows: diagnosed arterial hypertension, diabetes mellitus, and the metabolic syndrome. Diagnosed ischemic heart disease (chronic and acute coronary syndromes and their complications) and severe concomitant diseases were exclusion criteria. A total of 101 patients (19 males and 82 females) met the inclusion criteria and consented to participate in the study. Their mean age was 58.03±5.63 years. The patients’ quality of life was evaluated using the Medical Outcomes Study short form 36-item questionnaire (SF-36 questionnaire), which comprises 36 questions grouped into eight domains. The questionnaire was filled in by the subjects independently. Other methods applied to the study were inquiry (for the evaluation of risk factors, lifestyle, and medical history), analysis of medical documents (cholesterol levels and glycemia in blood), and objective examination (height, weight, waist circumference, and arterial blood pressure). Results. The subjects with AH showed lower values compared to normotensive patients in the following domains: physical functioning (P=0.014), role limitations due to physical health (P=0.012), energy/vitality (P=0.016), and general health evaluation (P=0.023). We have not determined the differences in quality of life of the patients whose AH was regulated if compared to those patients without AH. The patients whose treatment of AH was not effective reported lower quality of life in the following SF-36 domains: physical functioning (P=0.003), role limitations due to physical health (P=0.003), general evaluation of health (P=0.017), energy/vitality (P=0.008), and emotional status (P=0.015), if compared to the patients without AH. Conclusions. Patients with AH reported lower quality of life in the following domains: physical functioning, role limitations due to physical health, energy/vitality, and general evaluation of health. Compared to patients without AH, the quality of life of the patients who had the effective treatment did not differ, whereas patients with ineffective treatment had the lower quality of life. Functioning is more statistically significantly limited due to physical health in patients with AH.

scholarly journals Association of Childhood Socioeconomic Status with Edentulism Among Chinese Middle-aged Adults

2019 ◽  
Author(s):  
XIAONING ZHANG ◽  
SHUANG CHEN
Keyword(s):  
Socioeconomic Status ◽  
Directed Acyclic Graphs ◽  
Adult Health ◽  
Middle Aged ◽  
Childhood Health ◽  
Negatively Associated ◽  
Drinking Habits ◽  
Health Related Behaviors ◽  
Health Related ◽  
Childhood Socioeconomic Status

Abstract Objectives The purpose of this study was to examine the association between childhood socioeconomic status (SES) and edentulism using directed acyclic graphs (DAGs) for the selection of confounders, and after adjusting for childhood health, adult SES, adult health-related behaviors and father’s health-related behaviors. Methods Chinese respondents in a Health and Retirement Longitudinal Study (CHARLS) were assessed at age 45 and 59 years. Childhood SES was determined using the father’s education, parents’ occupation, father’s working status, family’s financial situation, self-perceived childhood health, relationship with the father, mother’s effort to care for her child, mother’s love and affection, parents quarrel and fight, residential community safety, primary residence, neighbors’ help, neighborhood relation, enough food availability and access to medical care and convenience. Father’ health-related behaviors were established by taking into account smoking and drinking habits. Childhood health was determined by considering childhood hospitalization and self-perceived childhood health status. Adult SES was established based on adulthood educational achievements. Adult health-related behaviors were determined by taking into account smoking and drinking habits, as well as physical activities and sleep time. Edentulism was determined using self-reported lost all of teeth. The mediators were selected using DAGs, cross-tabulation and binary logistic regression models based on DAGs. Model assessment of the regression equation was evaluated by Hosmer-Lemeshow goodness-of-fit test. Results Data from a total of 7,459 respondents were available, 140 of whom were edentulous (1.9%). The prevalence of edentulism at ages 45 and 59 years was substantially higher among those with low childhood SES. In all adjusted models based on DAGs, edentulism was negatively associated with father’s occupation as farmer (OR = 5.7, 95% CI = 1.3–25.0) and neighbor’s unwillingness to help (OR = 4.9, 95% CI = 1.6–15.4). Conclusion Childhood SES was associated with the prevalence of edentulism among middle-aged Chinese adults, whereas the father’s occupation, and neighbor’s help were negatively associated with edentulism. The experiences in early life associated with low SES contributes to poor dental health. Therefore, more attention needs to be paid to childhood SES in order to determine optimal recommendations and develop more effective intervention strategies.

scholarly journals The Role of Aging Anxiety, Ageism, and Health Locus of Control on Middle-Aged Adults Health Outcomes and Behaviors

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 607-607
Author(s):  
Hannah Bashian ◽  
Grace Caskie
Keyword(s):  
Mental Health ◽  
Locus Of Control ◽  
Health Behaviors ◽  
Physical Health ◽  
Health Locus Of Control ◽  
Middle Aged ◽  
Healthy Behaviors ◽  
Aging Anxiety ◽  
Middle Aged Adults ◽  
Mental And Physical Health

Abstract Older adults with more ageist attitudes and aging anxiety and who endorse an external health locus of control (HLOC) have poorer mental and physical health and less engagement in healthy behaviors than those who report less ageist attitudes, aging anxiety, and endorse an internal HLOC. However, middle-aged adults have not been examined in this literature. Using Terror Management Theory as a framework, this study examined the relationship of middle-aged adults’ aging anxiety, ageist attitudes, and HLOC with health behaviors and mental and physical health outcomes. 391 middle-aged participants (40-55 years) completed measures of ageist attitudes, aging anxiety, HLOC (Internal, External, and Powerful Other), engagement in health behaviors, mental health, and physical health. The path analysis model demonstrated acceptable fit, χ2(2)=7.794, p=.02, CFI=.99, TLI=.92, RMSEA=.09). For health behaviors, eight of the 10 paths were significant; higher aging anxiety, higher ageist attitudes, and less endorsement of internal HLOC were related to less engagement in healthy behaviors. For mental health and physical health, five of the 10 paths were significant; in general, higher aging anxiety, higher ageist attitudes, and less endorsement of internal HLOC were related to poorer mental and physical health. This study demonstrated that middle-aged adults’ aging anxiety, ageist attitudes, and health locus of control are related to their health behaviors and mental and physical health. Furthermore, higher endorsement of specific forms of ageist attitudes and aging anxiety were related to worse reported mental and physical health and to less engagement in health behaviors. Implications of these findings will be discussed.

Sign in / Sign up

Export Citation Format

Share Document