scholarly journals Household water insecurity, depression and quality of life among postnatal women living in urban Nepal

2015 ◽  
Vol 14 (2) ◽  
pp. 317-324 ◽  
Author(s):  
Yoko Aihara ◽  
Salina Shrestha ◽  
Jyoti Sharma

Objectives: This observational study aimed to assess distress related to the household water supply and to examine the relationship between household water insecurity and psychological health among Nepali postnatal women. Methods: In total, 300 women consented to participate in the study, of which 267 women were able to participate in a follow-up 1 month after discharge. We developed a household water insecurity scale (HWIS; total score range 0–24 points) by adapting the household food insecurity access scale. Results: The Cronbach's coefficient alpha for the HWIS was moderately acceptable. Psychological health was assessed in terms of postnatal depression and physical health-related quality of life (HRQOL). The median score of the HWIS was 8, and more than 60% of the participants answered that they sometimes or often worried about not having enough water, used only small amounts of water, had a lack of hygiene, and had insufficient time for childrearing. Multiple regression models showed that women with high levels of stress derived from household water insecurity had greater odds of probable depression and lower physical HRQOL scores than did women with low HWIS scores. Conclusion: The results suggest that improving water security is necessary to foster maternal psychological health in developing countries.

2015 ◽  
Vol 37 (4) ◽  
pp. 202-208 ◽  
Author(s):  
Bianca Schwab ◽  
Heloisa Silveira Daniel ◽  
Carine Lutkemeyer ◽  
João Arthur Lange Lins Neves ◽  
Louise Nassif Zilli ◽  
...  

Introduction: Health-related quality of life (HRQOL) assessment tools have been broadly used in the medical context. These tools are used to measure the subjective impact of the disease on patients. The objective of this study was to evaluate the variables associated with HRQOL in a Brazilian sample of patients followed up in a tertiary outpatient clinic for depression and anxiety disorders. Method: Cross-sectional study. Independent variables were those included in a sociodemographic questionnaire and the Hospital Anxiety and Depression Scale (HADS) scores. Dependent variables were those included in the short version of the World Health Organization Quality of Life (WHOQOL-BREF) and the scores for its subdomains (overall quality of life and general health, physical health, psychological health, social relationships, and environment). A multiple linear regression analysis was used to find the variables independently associated with each outcome. Results: Seventy-five adult patients were evaluated. After multiple linear regression analysis, the HADS scores were associated with all outcomes, except social relationships (p = 0.08). Female gender was associated with poor total scores, as well as psychological health and environment. Unemployment was associated with poor physical health. Conclusion: Identifying the factors associated with HRQOL and recognizing that depression and anxiety are major factors are essential to improve the care of patients.


2021 ◽  
Vol 141 (5) ◽  
pp. 81-89
Author(s):  
Tran Quynh Anh ◽  
Pham Thi Thu Trang ◽  
Do Vu Minh Ha

Caring for an aging population is an emerging public health problem, and the quality of life (QoL) among the elderly is a significant concern. Our study aimed to describe the health - related quality of life (HRQoL) and factors associated with good HRQoL among the elderly in three communes of Hanam province in Vietnam. A cross - sectional design was used with a sample size of 479 participants aged 60 and above. HRQoL was measured using the SF - 36. Comparison of characteristics between those with high HRQoL and those with low HRQoL was done using Pearson chi - square tests. Results were reported using descriptive statistics and odds ratios with 95% CI (Confidence Interval). Many of the elderly had moderate HRQoL (41.3%), and elderly men were more likely to have higher QoL in terms of physical health and psychological health than elderly women. Our findings also indicated that some factors including older age, low educational level, those not living with their spouse, poor financial condition, having more than two health problems and possessing unhealthy drinking behaviors were significantly positive associated with HRQoL. Findings suggest interventions are needed to improve the quality of life among the elderly in rural areas of Vietnam.


2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Sandeep Panchal ◽  
Monika Yadav

The aim of the current study was to examine the predictive strength of Perceived Stress among Youth. The variables used in the current study were Day Time Sleepiness, Quality of Life and Perceived Stress. The sample consists of 150 Youth (81Male & 69 Female) with in age range of 18-24 years. The Epworth Sleepiness Scale (ESS) (Johns, 1991), World Health Organization Quality of Life (WHO-BRIEF), and Perceived Stress Scale (PSS) (Cohen, Kamarck, & Mermelstein, 1983) were used. The data were analysed by using descriptive statistics i.e. Mean and SD, Pearson’s Product Moment correlation and step wise multiple regression analysis. The results indicated that Day Time Sleepiness (r = .56, p<.001) and Quality of Life (r = .52, p<.001) have significant positive relation with Perceived Stress among Youth. The step wise regression analysis found Day Time Sleepiness (R2 = .31, p<.001) and Psychological Health related Quality of Life (R2 = .39, p<.001) are the predictors of Perceived Stress. Both the variable accounts 39% of total variance in Perceived Stress among Youth.


2020 ◽  
Author(s):  
Gillian Yeowell ◽  
Danielle Burns ◽  
Francis Fatoye

Abstract Background Urea cycle disorders (UCD) are a group of conditions of inborn errors of metabolism, typically presenting neonatally. Excess ammonia builds rapidly within the body, risking hyperammonemic episodes and potentially death. Long-term management of the condition includes restrictive protein consumption, pharmacological interventions and, in extreme cases, liver transplantation. Pharmacological treatments such as sodium benzoate and sodium phenylbuturate have proven effective but not without a multitude of negative attributes including poor taste, elevated volume and associated gastrointestinal discomfort that impacts on health-related quality of life. Glycerol phenylbutyrate (GPB) has recently become a widely available pharmacological treatment with early reports of improved qualities. The following study aims to explore the burden of pharmacological treatment on health-related quality of life in people with a UCD. Results 9 carers of people living with a UCD were interviewed regarding their experiences of pharmacological treatment in relation to their, and their dependent’s health-related quality of life after transitioning to GPB. Three main themes were identified following data analysis: psychological health, physical health and social participation. Carers struggled with anxiety surrounding their dependent’s condition and the relentless battle of administering medication. Medication administration was perceived to have improved since the transition to GPB, alleviating distress for both carer and dependent. Issues involving schooling were commonly described, ranging from difficulties integrating their dependent into mainstream schooling and the impact of treatment on participation in school and extracurricular activities. Based upon participant’s experiences, it could be suggested that some burden had been relieved by the transition to GPB. However, it appeared that the burden would persist despite treatment, owing to the continuing nature of the condition. Conclusions Adhering to a strict pharmacological regime caused immense stress for both carers and dependents, severely impacting on typical social activities such as eating at a restaurant or going on holiday. GPB was perceived to have alleviated some burden in terms of administration. Practitioners should consider these findings when making clinical decisions for UCD patients and the effect of pharmacological treatment on health-related quality of life. Emotional support resources should be made readily available to families to assist with daily living.


2016 ◽  
Vol 43 (9) ◽  
pp. 670-677 ◽  
Author(s):  
S.-H. Choi ◽  
J.-S. Kim ◽  
J.-Y. Cha ◽  
K.-J. Lee ◽  
H.-S. Yu ◽  
...  

2021 ◽  
pp. 089011712110198
Author(s):  
Hui Xie ◽  
Yannan Li ◽  
Cailtin Turner

Purpose: To examine disparities in psychological health-related quality of life (HRQoL) among sexual minority women within racial/ethnic subgroups. Design: A secondary analysis of the 2018 Behavioral Risk Factor Surveillance Survey (BRFSS). Setting: United States. Subjects: Noninstitutionalized, cisgender, adult women in the U.S (unweighted n = 81,947). Measures: Socioeconomics, health behaviors, and healthcare access as risk factors, whereas 1 item measures psychological HRQoL as an outcome. Analysis: Weighted multivariable logistic regressions to estimate the odds of having adversely psychological HRQoL in relation to sexual orientation and other correlates within a racial/ethnic subgroup independently. Results: The prevalence of adverse psychological HRQoL was greater in bisexual and “other” sexual orientation women. Both bisexual (adjusted odds ratio [aOR] = 1.58; 95% confidence interval [CI] = 1.26-2.00) and “other” sexual orientation (Aor = 1.93; 95%CI = 1.26-2.96) had greater adjusted odds of adversely psychological HRQoLcompared to their heterosexual peers in non-Hispanic White women. Bisexual women (aOR = 3.42; 95%CI = 1.98-5.88) had greater adjusted odds of adversely psychological HRQoLcompared to their heterosexual peers in Latinas. No similar pattern was observed in non-Hispanic Black women. Conclusion: Disparities in psychological HRQoL varied by sexual orientation identities within different racial/ethnic subgroups. The magnitude of the association for Latina bisexual women was strong. Implications for bisexual health among people with intersecting identities are discussed.


2020 ◽  
Vol 20 (1) ◽  
pp. 102-113
Author(s):  
Chinwe Laura Onyekonwu ◽  
Tonia Chinyelu Onyeka ◽  
Nwatu Chidimma Brenda ◽  
Uchenna Nkemdilim Ijoma ◽  
Ngozichukwu Nneka Unaogu ◽  
...  

Background: Health-related quality of life reflects a patient’s general subjective perception of the effect of an illness or in- tervention on physical, psychological and social aspects of daily life. HIV infection is a major public health problem especially in developing countries where poor health infrastructure and poverty are prevalent. This paper addresses the quality of life in patients with chronic HIV infection in South East Nigeria and addresses issues that may help improve the current situation. Methods: A cross-sectional survey was carried out at the University of Nigeria Teaching Hospital, Enugu, to assess patients with HIV receiving antiretroviral therapy (ART) using a validated structured questionnaire (WHOQoL-BREF). Ethical clearance for the study was obtained. Study period was from October - December, 2017. Data obtained was analysed. Results: A total of 389 HIV patients consented to the study. Over 70% were aged 18- 45 years and majority were females. Females had a higher quality of life score with respect to the domain of psychological health while males had a higher score with respect to the environmental domain. Older age and presence of co-morbidities were significantly associated with affectation of physical health while younger age was associated with affectation of psychological health domain. Conclusion: HIV impairs the quality of life for affected individuals in South East Nigeria especially across the domains of physical and psychological health. No age group is spared. The presence of co-morbidities significantly reduces quality of life in these patients. Younger patients may require mental health services in the management of their disease. Keywords: HIV; quality of life; South East Nigeria.


2016 ◽  
Vol 9 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Sabita Mandal ◽  
Shantonu Kumar Ghosh ◽  
Mahbubur Rahman ◽  
Alpana Majumder ◽  
Redoy Ranjan ◽  
...  

Background: Coronary heart disease (CHD) is one of the leading causes of death in both developed and developing countries including Bangladesh. CHD endanger not only physical health but also psychological, environmental and social health of the patients seriously and many of them live without hope to improve. Thus evaluation of health related quality of life of such patients is very important.Methods: This descriptive cross sectional study was conducted among 217 CHD patients at the National Institute of Cardiovascular Diseases (NICVD), Sher-e-Bangla Nagar, Dhaka, during the period from January to December 2013. The study intended to assess their health related quality of life in terms of general health, physical health, psychological health, social relationship and environmental conditions. Data were collected by a semi-structured questionnaire based on WHOQOLBREF (26) scale.Results: Regarding level of quality of life and general health, majority (51.2%) had “average” quality of life while in respect of physical health, most (89.9%) of the patients had “average” quality of health. Regarding psychological health, majority (72.8%) had “average” quality while regarding social relationship, majority (53.9%) had “average” quality and by environmental conditions, majority (64.1%) had “average” quality. Overall health related quality of life by age of the CHD patients was statistically significant as most (391.3%) of the CHD patients with age 30-49 years had “average” while majority (53.3%) of the elderly (65-75 years) had “poor” quality of life [c2(4)=28.42, p<0.01]. Overall quality of life and general health was “average” among most (31.3%) of the middle aged patients while it was “poor” among majority (53.3%) of the elderly patients and this variation was statistically significant [c2(10)=35.89, p<0.01]. Overall quality of life and general health was “average” among most (91.3%) of the middle aged patients while it was “poor” among majority (53.3%) of the elderly patients and this variation was statistically significant (c2(4), p<0.01). All of the retired patients had “average” and most (94.0%) of the service-holder had “average” physical health.Conclusion: The study recommends effective measures to improve the overall health related quality of life of the CHD patients in the context of Bangladesh.Cardiovasc. j. 2016; 9(1): 43-48


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