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176 to 200 of 391Bajaj JS, Wade JB, Gibson DP, Heuman DM, Thacker LR, Sterling RK, Stravitz RT, Luketic V, Fuchs M, White MB, Bell DE, Gilles H, Morton K, Noble N, Puri P, Sanyal AJ (2011)MEDLINE-indexed journal, not yet read by usThe American journal of gastroenterology279 citations The multi-dimensional burden of cirrhosis and hepatic encephalopathy on patients and caregivers.
Objectives: Cirrhosis and hepatic encephalopathy (HE) can adversely affect survival, but their effect on socioeconomic and emotional burden on the family is not clear. The aim was to study the emotional and socioeconomic burden of cirrhosis and HE on patients and informal caregivers.
Methods: A cross-sectional study in two transplant centers (Veterans and University) of cirrhotic patients and their informal caregivers was performed. Demographics for patient/caregivers, model-for-end-stage liver disease (MELD) score, and cirrhosis complications were recorded. Patients underwent a cognitive battery, sociodemographic, and financial questionnaires. Caregivers were given the perceived caregiver burden (PCB; maximum=155) and Zarit Burden Interview (ZBI)-Short Form (maximum=48) and questionnaires for depression, anxiety, and social support.
Results: A total of 104 cirrhotics (70% men, 44% previ…
matched on Employment (mesh), unemployment (text)
Gender roles and their influence on life prospects for women in urban Karachi, Pakistan: a qualitative study.
Background: Pakistan is a patriarchal society where men are the primary authority figures and women are subordinate. This has serious implications on women's and men's life prospects.
Objective: The aim was to explore current gender roles in urban Pakistan, how these are reproduced and maintained and influence men's and women's life circumstances.
Design: Five focus group discussions were conducted, including 28 women representing employed, unemployed, educated and uneducated women from different socio-economic strata. Manifest and latent content analyses were applied.
Findings: TWO MAJOR THEMES EMERGED DURING ANALYSIS: 'Reiteration of gender roles' and 'Agents of change'. The first theme included perceptions of traditional gender roles and how these preserve women's subordination. The power gradient, with men holding a superior position in relation to women, distinctive features in the …
matched on Employment (mesh), unemployment (text)
Fischer MJ, Kimmel PL, Greene T, Gassman JJ, Wang X, Brooks DH, Charleston J, Dowie D, Thornley-Brown D, Cooper LA, Bruce MA, Kusek JW, Norris KC, Lash JP, AASK study group (2010)MEDLINE-indexed journal, not yet read by usKidney international49 citations Sociodemographic factors contribute to the depressive affect among African Americans with chronic kidney disease.
Depression is common in end-stage renal disease and is associated with poor quality of life and higher mortality; however, little is known about depressive affect in earlier stages of chronic kidney disease. To measure this in a risk group burdened with hypertension and kidney disease, we conducted a cross-sectional analysis of individuals at enrollment in the African American Study of Kidney Disease and Hypertension Cohort Study. Depressive affect was assessed by the Beck Depression Inventory II and quality of life by the Medical Outcomes Study-Short Form and the Satisfaction with Life Scale. Beck Depression scores over 14 were deemed consistent with an increased depressive affect and linear regression analysis was used to identify factors associated with these scores. Among 628 subjects, 166 had scores over 14 but only 34 were prescribed antidepressants. The mean Beck Depression score …
matched on Employment (mesh), unemployment (text)
Life satisfaction, distress, and resiliency across the life span of women.
Objective: This study aimed to determine (1) the relationship between life satisfaction, mental disorders, and aging in the female community and (2) to identify the impact of vulnerability factors, personal (resilience, self-esteem), and social resources on life satisfaction and distress.
Methods: A stratified random sample of the German female population (N = 2,540) was investigated using standardized questionnaires of life satisfaction (Questions on Life Satisfaction), depression, anxiety (Patient Health Questionnaire), resilience scale (RS-11), and self-esteem (Rosenberg Self-Esteem Scale).
Results: When participants were divided into six age groups (18-30, 31-40, 41-50, 51-60, 61-70, and >70 y), we found lower life satisfaction, satisfaction with partnership, and sexuality beyond the age of 50 years. Satisfaction with health was decreased already at early adulthood. Although the impo…
matched on Employment (mesh), unemployment (text)
Zielinski DS (2009)MEDLINE-indexed journal, not yet read by usChild abuse & neglect155 citations Child maltreatment and adult socioeconomic well-being.
Objective: Little empirical research has examined the impact that child maltreatment may have on victims' long-term socioeconomic well-being. The current study sought to address this gap by exploring the relationship between childhood experiences of abuse and neglect and several indicators of socioeconomic well-being in adulthood.
Method: Data from the nationally representative National Comorbidity Survey (NCS) (n=5004) were analyzed using logistic regression models to examine whether maltreatment in childhood (any maltreatment, physical abuse, sexual abuse, severe neglect, and multiple types of maltreatment) affected employment status, income, and health care coverage in adulthood. Several potential confounds of this relationship were included as covariates in the models, including race, sex, age, and several indicators of childhood socioeconomic status (SES).
Results: The results show …
matched on Employment (mesh), unemployment (text)
Demographic and illness-related variables associated with HIV-related fatigue.
Fatigue is one of the most debilitating symptoms suffered by those with HIV infection, yet little is known about its correlates. The primary aims of this study were to describe the degree to which fatigue affects daily functioning and the demographic and illness-related predictors of fatigue. The sample (n = 128) was composed of primarily poor, unemployed people of color. Fatigue most often interfered with the ability to think quickly, perform household chores, exercise, work, engage in recreational activities, walk, plan activities, and think clearly. The consequences of fatigue were highest for lowered motivation, difficulty concentrating, increased drowsiness, losing patience, and interference with work, family, and social life. Multiple linear regression analyses showed statistically significant associations of employment status, monthly income, current antidepressant use, and number…
matched on Employment (mesh), unemployment (text)
Cannabis use and later life outcomes.
Aim: To examine the associations between the extent of cannabis use during adolescence and young adulthood and later education, economic, employment, relationship satisfaction and life satisfaction outcomes.
Design: A longitudinal study of a New Zealand birth cohort studied to age 25 years.
Measurements: Measures of: cannabis use at ages 14-25; university degree attainment to age 25; income at age 25; welfare dependence during the period 21-25 years; unemployment 21-25 years; relationship quality; life satisfaction. Also, measures of childhood socio-economic disadvantage, family adversity, childhood and early adolescent behavioural adjustment and cognitive ability and adolescent and young adult mental health and substance use.
Findings: There were statistically significant bivariate associations between increasing levels of cannabis use at ages 14-21 and: lower levels of degree attainmen…
matched on Employment (mesh), unemployment (text)
Domestic violence prior to and during pregnancy among Pakistani women.
Objective: Abuse of women has been associated with adverse pregnancy outcomes. Data about abuse from developing countries are scarce, especially from Muslim societies. Our objective was to investigate domestic violence before and during pregnancy among women in an urban area of Pakistan.
Design: Population-based cohort study.
Setting: An urban community in Hyderabad, Pakistan.
Population: Thousand three hundred and twenty-four pregnant women at 20-26 weeks gestation.
Methods: Socio-demographic and reproductive history data were obtained through structured interviews. We used a modified World Health Organization screening instrument to assess women's experience of domestic violence.
Measures: Physical, sexual, and verbal abuse and demographic characteristics.
Results: The majority of women had received some schooling and in most households the husbands were employed; by Pakistani standard…
matched on Employment (mesh), unemployment (text)
Prevalence of mental disorders based on general population surveys.
Objective: In the last two decades, a multitude of investigations into the frequency of mental disorders in the population have emerged, making it difficult to keep track of recent findings and tasks. Building on a historical review, the present study provides a comprehensive overview of knowledge about the prevalence of mental disorders.
Method: The review is based on current national surveys with comparable methodology. Study selection, based on a consecutive literature search through August 2005, led to the inclusion of Australian, German, Dutch and US-American (NCS; NCS-R) surveys of mental disorders in the general population.
Results: A considerable proportion of the population is found to have a mental disorder. The most frequent disorders within the preceding 12 months are mood disorders (6.6-11.9%) and anxiety disorders (5.6-18.1%). Substance disorders (3.8-11.3%) and somatoform …
matched on Employment (mesh), unemployment (text)
Financial strain, social capital, and perceived health during economic recession: a longitudinal survey in rural Canada.
Although the health consequences of financial strain are well documented, less is understood about the health-protective role of social capital. Social capital refers to a sense of community embeddedness, which is in part reflected by group membership, civic participation, and perceptions of trust, cohesion, and engagement. We investigated whether perceptions of social capital moderate the relation between financial strain and health, both mental and physical. This longitudinal study surveyed adults in two communities in rural Ontario where significant job losses recently occurred. Data were collected on financial strain, social capital, perceived stress, symptoms of anxiety and depression, and physical health on three occasions over 18 months (N's = 355, 317, and 300). As expected, financial strain positively related to perceived stress, poor physical health and symptoms of anxiety and …
matched on Economic Recession (mesh), job loss (text)
A nationwide cross-sectional study of workers' mental health during the COVID-19 pandemic: Impact of changes in working conditions, financial hardships, psychological detachment from work and work-family interface.
Background: The COVID-19 disease has changed people's work and income. While recent evidence has documented the adverse impact of these changes on mental health outcomes, most research is focused on frontline healthcare workers and the reported association between income loss and mental health comes from high-income countries. In this study we examine the impact of changes in working conditions and income loss related to the COVID-19 lockdown on workers' mental health in Argentina. We also explore the role of psychological detachment from work and work-family interaction in mental health.
Methods: A total of 1049 participants aged between 18 and 65 who were working before the national lockdown in March 2020 were recruited using a national random telephone survey. Work conditions included: working at the usual workplace during the pandemic, working from home with flexible or fixed schedul…
matched on Unemployment (keyword), unemployment (text)
Acceleration of Anxiety, Depression, and Suicide: Secondary Effects of Economic Disruption Related to COVID-19.
The SARS-CoV-2 (COVID-19) pandemic has contributed to increasing levels of anxiety, depression and other symptoms of stress around the globe. Reasons for this increase are understandable in the context of individual level factors such as self-isolation, lockdown, grief, survivor guilt, and other factors but also broader social and economic factors such as unemployment, insecure employment and resulting poverty, especially as the impacts of 2008 recession are still being felt in many countries further accompanied by social isolation. For those who are actively employed a fear of job and income loss and those who have actually become ill and recovered or those who have lost family and friends to illness, it is not surprising that they are stressed and feeling the psychological impact. Furthermore, multiple uncertainties contribute to this sense of anxiety. These fears and losses are major …
matched on Unemployment (keyword), unemployment (text)
The Effects of Unemployment and Economic Distress on Depression Symptoms.
Introduction: The financial crisis in Greece had its strongest impact on unemployment, which led to exacerbation of shrinking incomes and depression symptoms.
Aim: To investigate the combined effects of unemployment and economic distress on the Greek population mental health in times of economic crisis.
Material and methods: A cross-sectional study was conducted in the Piraeus Manpower Employment Organization (OAED), during September-December 2017, with 21,600 unemployed people records. A random sample was selected among unemployed who attended this entity. A questionnaire was structured including questions on the unemployed' sociodemographic characteristics, the Index of Personal Economic Distress (IPED), and the CES-D (Center for Epidemiological Studies -Depression) scale. Descriptive and inductive statistics were performed in order to find the statistical significance of differences. …
matched on Unemployment (keyword), unemployment (text)
The Measure Matters: An Investigation of Evaluative and Experience-Based Measures of Wellbeing in Time Use Data.
Measures of subjective wellbeing (SWB) are used to understand how people think and feel about their lives and experiences. But the measure used matters to conclusions about how well people's lives are going. This research compares life evaluations and experienced SWB using nationally representative time use diaries, advancing previous research because diaries are less subject to recall biases than other, more popular methods. Analyses of over 20,000 US residents in 2012-2013 show life evaluations are more closely associated with positive and negative affect than experienced meaningfulness. Women have higher SWB than men except for negative affect, older age groups have higher SWB than middle age groups except for experienced meaningfulness, and younger age groups report the lowest experienced meaning. The unemployed have low life evaluations but experiences of SWB are similar across empl…
matched on Unemployment (keyword), unemployment (text)
The Great Recession, Public Transfers, and Material Hardship.
Economic downturns lead to lost income and increased poverty. Although high unemployment almost certainly also increases material hardship, and government transfers likely decrease hardship, the first relationship has not yet been documented and the second is poorly understood. We use data from five waves of the Fragile Families and Child Well-being Study to study the relationships between unemployment, government transfers, and material hardship. The latest wave of data was collected during the Great Recession, the worst recession since the Great Depression, providing a unique opportunity to look at how high unemployment rates affect the well-being of low income families. We find that the unemployment rate is associated with increased overall material hardship, difficulty paying bills, having utilities disconnected, and with increased usage of TANF, SNAP, UI and Medicaid. If not for SNA…
matched on Unemployment (keyword), unemployment (text)
Nakao M (2010)MEDLINE-indexed journal, not yet read by usBioPsychoSocial medicine67 citations Work-related stress and psychosomatic medicine.
This article introduces key concepts of work-related stress relevant to the clinical and research fields of psychosomatic medicine. Stress is a term used to describe the body's physiological and/or psychological reaction to circumstances that require behavioral adjustment. According to the Japanese National Survey of Health, the most frequent stressors are work-related problems, followed by health-related and then financial problems. Conceptually, work-related stress includes a variety of conditions, such as overwork, unemployment or job insecurity, and lack of work-family balance. Job stress has been linked to a range of adverse physical and mental health outcomes, such as cardiovascular disease, insomnia, depression, and anxiety. Stressful working conditions can also impact employee well-being indirectly by directly contributing to negative health behaviors or by limiting an individual…
matched on job insecurity (text), unemployment (text)
Aggregated COVID-19 suicide incidences in India: Fear of COVID-19 infection is the prominent causative factor.
Many Indian COVID-19 suicide cases are turning the press-media attention and flooding in the social media platforms although, no particular studies assessed the COVID-19 suicide causative factors to a large extent. Therefore, the present study presents 69 COVID-19 suicide cases (aged 19 to 65 years; 63 cases were males). The suicide causalities are included as follows - fear of COVID-19 infection (n=21), followed by financial crisis (n=19), loneliness, social boycott and pressure to be quarantine, COVID-19 positive, COVID-19 work-related stress, unable to come back home due to lockdown, unavailability of alcohol etc. Considering the extreme psychological impacts related to COVID-19, there emerges a need for countrywide extensive tele-mental health care services.
matched on Economic Recession (mesh)
Suicidal ideation and thoughts of self-harm during the COVID-19 pandemic: The role of COVID-19-related stress, social isolation, and financial strain.
Background: There are significant concerns about mental health problems occurring due to the coronavirus disease 2019 (COVID-19) pandemic. To date, there has been limited empirical investigation about thoughts of suicide and self-harm during the COVID-19 pandemic.
Methods: A national survey was conducted May 2020 to investigate the association between mental health symptoms, social isolation, and financial stressors during the COVID-19 pandemic and thoughts of suicide and self-harm. A total of 6607 US adults completed an online survey; survey criteria included an age minimum of 22 years old and reported annual gross income of $75,000 or below. Statistical raking procedures were conducted to more precisely weight the sample using US Census data on age, geographic region, sex, race, and ethnicity.
Results: COVID-19-related stress symptoms, loneliness, and financial strain were associated w…
matched on job loss (text), unemployment (text)
Experiences of unemployment and well-being after job loss during economic recession: Results of a qualitative study in east central Sweden.
Introduction: Several studies have revealed an association between unemployment and ill health, and shown that unemployment can affect people differently. This study aimed to provide an understanding of the experiences of unemployment and perceptions of wellbeing among persons who involuntary lost their work during the recent economic recession in Gävle Municipality. Methods: Sixteen unemployed men and women aged 28-62 were interviewed face-to-face. A purposeful sampling strategy was used in order to suit the research question and to increase the variation among informants. The interview texts were analysed using thematic analysis. Results: Six different themes emerged from the accounts: The respondents perceived work as the basis for belonging, and loss of work affected their social life and consumption patterns due to changes in their financial situation. They also expressed feelings o…
matched on job loss (text), unemployment (text)
Socioeconomic Inequalities in Reperfusion Therapy for Acute Ischemic Stroke.
Background: Reperfusion therapies (thrombolysis and thrombectomy) are of paramount importance for the recovery after ischemic stroke. We aimed to investigate if socioeconomic status (SES) was associated with the chance of receiving reperfusion therapy for ischemic stroke in a country with tax-funded health care.
Methods: This nationwide register-based cohort study included patients with ischemic stroke registered in the Danish Stroke Registry between 2015 and 2018. SES was determined by prestroke educational attainment, income level, and employment status. Data on SES was obtained from Statistics Denmark and linked on an individual level with data from the Danish Stroke Registry. Risk ratios (RR) for receiving reperfusion therapies were calculated using univariate and multivariable Poisson regression with robust variance.
Results: A total of 37 187 ischemic stroke patients were included.…
matched on unemployment (text), Employment (keyword)
Does marriage protect mental health? Evidence from the COVID-19 pandemic.
Using weekly variation from April 23 to June 23 2020, we exploit the surge in unemployment over the coronavirus pandemic to identify the effects on mental health outcomes and the role of marital status as a protective factor for households. We find that married respondents are 1-2 percentage points less likely, relative to their unmarried counterparts, to experience mental health problems following declines in work-related income since the start of the pandemic. Our results suggest that the combination of intrafamily substitution and the psychological benefits of marriage helps insure against unanticipated fluctuations in job and income loss.
matched on unemployment (text), Employment (keyword)
Mosha IH (2026)MEDLINE-indexed journal, not yet read by usThe Pan African medical journal Interpersonal and socio-demographic factors associated with divorce among women of reproductive age in Tanzania: evidence from the 2015-16 Tanzania Demographic and Health Survey data.
Introduction: divorce is a global issue affecting communities worldwide and is linked to adverse social outcomes such as school dropouts and an increase in street children. This study aimed to examine socio-demographic and interpersonal factors associated with divorce among women of reproductive age in Tanzania.
Methods: a cross-sectional analysis was conducted using data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicator Survey (TDHS-MIS), a nationally representative survey. The study population included women aged 15-49 years who had ever been married or cohabited. Multivariable logistic regression was used to identify factors associated with divorce.
Results: a total of 9,443 women were included, with a mean age of 31.5 ± 8.7 years; 13.3% were divorced or separated. Early sexual debut, particularly before age 15, was associated with higher odds of divorce (A…
matched on Employment (mesh)
Ethical and equity challenges in employment: Perspectives of international nursing graduates.
BackgroundAustralia faces a critical shortage of nurses, yet international nursing graduates (INGs) encounter significant barriers to securing employment after graduation. Current policies often prioritize domestic graduates, creating systemic disadvantages for INGs, particularly those on temporary visas. This inequity raises ethical concerns and undermines Australia's ability to fully utilize its nursing workforce, potentially compromising the quality of healthcare services. AimThis study explores the lived experiences of INGs regarding employment challenges in Australia, critically examining the ethical and equity implications of existing practices. Research Design A qualitative study employing a combined phenomenological and exploratory approach was conducted. Data were analyzed using a thematic analysis framework. Participants and Research ContextTwelve international nursing students…
matched on Employment (mesh)
Understanding the Effect of Financial Behaviour on Mental Health: Evidence From Australia.
This paper uses the Household, Income and Labour Dynamics in Australia (HILDA) data from 2001 to 2022 to examine the relationship between individual financial behaviours and mental health. Two distinct types of financial behaviours (savings and debt) and their relationship with mental health (as measured by Mental Health Inventory-5) are considered over several annual waves. We examine causality between the two variables utilising an instrumental variable approach and find that stable financial behaviour significantly improves the mental health of individuals. Specifically, maintaining regular savings habits and making timely payments on credit card bills have a positive impact on the mental health of individuals. Furthermore, the impact of savings behaviour on mental health is stronger for men than women. Our results are robust to alternative measures of subjective wellbeing and estimat…
matched on Employment (mesh)
A spectrum of bystander actions: Latent profile analysis of sexual harassment intervention behavior at work.
Sexual harassment bystander intervention (SHBI) has been deemed critical to addressing persistent incidents in the workplace, yet scholarly knowledge of this behavior remains sporadic and limited. To move this field of research forward, the present study departs from the traditional variable-centered approach and instead adopts a latent profile approach to answer three key questions: (1) Which combinations (profiles) of actions do bystanders take to intervene? (2) When do bystanders intervene with specific profiles of SHBI? and (3) What happens when bystanders intervene with different behavioral combinations? We first developed and validated a scale to measure five distinct SHBI behaviors (i.e., confronting, distracting, supporting, reporting, and discussing) with two scenario-based pilot studies. Then, using this scale and latent profile analysis, we identified three distinctive profile…
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