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Kaliush PR, Conradt E, Kerig PK, Williams PG, Crowell SE. A multilevel developmental psychopathology model of childbirth and the perinatal transition. Dev Psychopathol 2024; 36:533-544. [PMID: 36700362 PMCID: PMC10368796 DOI: 10.1017/s0954579422001389] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
Despite recent applications of a developmental psychopathology perspective to the perinatal period, these conceptualizations have largely ignored the role that childbirth plays in the perinatal transition. Thus, we present a conceptual model of childbirth as a bridge between prenatal and postnatal health. We argue that biopsychosocial factors during pregnancy influence postnatal health trajectories both directly and indirectly through childbirth experiences, and we focus our review on those indirect effects. In order to frame our model within a developmental psychopathology lens, we first describe "typical" biopsychosocial aspects of pregnancy and childbirth. Then, we explore ways in which these processes may deviate from the norm to result in adverse or traumatic childbirth experiences. We briefly describe early postnatal health trajectories that may follow from these birth experiences, including those which are adaptive despite traumatic childbirth, and we conclude with implications for research and clinical practice. We intend for our model to illuminate the importance of including childbirth in multilevel perinatal research. This advancement is critical for reducing perinatal health disparities and promoting health and well-being among birthing parents and their children.
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Affiliation(s)
- Parisa R. Kaliush
- Department of Psychology, University of Utah, 380 South 1530 East, BEH S 502, Salt Lake City, UT 84112, USA
| | - Elisabeth Conradt
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC 27701, USA
| | - Patricia K. Kerig
- Department of Psychology, University of Utah, 380 South 1530 East, BEH S 502, Salt Lake City, UT 84112, USA
| | - Paula G. Williams
- Department of Psychology, University of Utah, 380 South 1530 East, BEH S 502, Salt Lake City, UT 84112, USA
| | - Sheila E. Crowell
- Department of Psychology, University of Utah, 380 South 1530 East, BEH S 502, Salt Lake City, UT 84112, USA
- Department of Psychiatry, University of Utah, Salt Lake City, UT 84108, USA
- Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, UT 84132, USA
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Aktaş S, Küçük Alemdar D. Why mothers with midwifery-led vaginal births recommend that mode of birth: a qualitative study. J Reprod Infant Psychol 2024:1-22. [PMID: 38466669 DOI: 10.1080/02646838.2024.2328765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 02/27/2024] [Indexed: 03/13/2024]
Abstract
OBJECTIVE This study aimed to examine why mothers with midwifery-led vaginal births recommend giving birth vaginally. METHOD This qualitative study was conducted with 14 mothers who had a vaginal birth with midwives and recommended it to other women. The data were collected using an in-depth interview form and analysed with the thematic analysis technique. RESULTS The reasons why these mothers recommend vaginal birth (VB) are discussed under five main themes: 'positive birth experience, postpartum comfort, beliefs and values, body image, and sexual life'. VB is mainly recommended to other women for emotional, medical, religious, and socio-cultural reasons, including pleasure/excitement related to the birth, newborn, and maternity, birth satisfaction, absence of interventions, early physical activity, early discharge from the hospital, beliefs and values, body image (easy weight loss, no incision, etc.), and early and safe sex life in the postpartum period. CONCLUSION Vaginal birth is mainly recommended to other women for emotional, medical, religious, and socio-cultural reasons. To support similar favourable views of vaginal birth, it is necessary to prioritise midwifery care that upholds the physiology of childbirth, minimises unnecessary medical interventions, ensures ongoing physical and emotional support, and respects socio-cultural beliefs and values.
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Affiliation(s)
- Songül Aktaş
- Faculty of Health Sciences, Department of Midwifery, Karadeniz Technical University, Trabzon, Türkıye
| | - Dilek Küçük Alemdar
- Faculty of Health Sciences, Department of Nursing, Pediatric Nursing, Ordu University, Ordu, Türkıye
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Heizomi H, Jafarabadi MA, Kouzekanani K, Matlabi H, Bayrami M, Chattu VK, Allahverdipour H. Factors Affecting Aggressiveness among Young Teenage Girls: A Structural Equation Modeling Approach. Eur J Investig Health Psychol Educ 2021; 11:1350-1361. [PMID: 34842661 PMCID: PMC8628754 DOI: 10.3390/ejihpe11040098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 10/20/2021] [Accepted: 10/26/2021] [Indexed: 11/16/2022] Open
Abstract
Adolescence is a period of transition for developmental and social domains that may also be accompanied by behavioral problems. Aggressive behavior may be a mental health concern for young teens and is defined as a behavioral and emotional trait that may be distressing for others. This study aimed to understand the factors associated with aggressiveness among young teenage girls. A cross-sectional study was conducted among a sample of 707 female middle school-aged students using multistage random sampling in Tabriz, Iran. The variables of interest were aggressiveness, general health status, happiness, social acceptance, and feelings of loneliness. Structural equation modeling was employed to analyze the data. Low parental support, low satisfaction with body image, high sense of loneliness, and lower perceived social acceptance were found to be the factors influencing aggressiveness. The current study found that the school environment, home environment, individual and interpersonal factors all play a part in aggressiveness. As a result, the contributing elements must be considered when creating and executing successful interventions to improve this population's psychological well-being.
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Affiliation(s)
- Haleh Heizomi
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz 14711, Iran; (H.H.); (H.M.)
| | - Mohammad Asghari Jafarabadi
- Department of Statistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan 4513956111, Iran;
- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz 14711, Iran
| | - Kamiar Kouzekanani
- College of Education & Human Development, TAMUCC, 6300 Ocean Dr., Unit 5818, FC 223, Corpus Christi, TX 78412-5818, USA;
| | - Hossein Matlabi
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz 14711, Iran; (H.H.); (H.M.)
| | - Mansour Bayrami
- Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tabriz, Tabriz 14711, Iran;
| | - Vijay Kumar Chattu
- Division of Occupational Medicine, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5C 2CS, Canada
- Department of Public Health, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India
| | - Hamid Allahverdipour
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz 14711, Iran; (H.H.); (H.M.)
- Research Center of Psychiatry and Behavioral Sciences, Tabriz University of Medical Sciences, Tabriz 14711, Iran
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Aghdam FB, Alizadeh N, Nadrian H, Augner C, Mohammadpoorasl A. Effects of a multi-level intervention on hookah smoking frequency and duration among Iranian adolescents and adults: an application of socio-ecological model. BMC Public Health 2021; 21:184. [PMID: 33478456 PMCID: PMC7818729 DOI: 10.1186/s12889-021-10219-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 01/12/2021] [Indexed: 11/10/2022] Open
Abstract
Background The present study aimed to investigate the effects of a multi-level intervention on hookah smoking frequency and duration among Iranian adolescents and adults. Methods In this study, two comparable cities in Iran were selected to participate in an intervention program based on a social-ecological model (SEM). In each city, 133 hookah smokers in coffee houses were selected. Environmental changes in coffee houses such as serving light foods and games were conducted. A virtual group named “no hookah” was established on the Telegram application to train participants in the intervention group. Messages, pictures, and short videos were sent to the participants through that virtual network. The frequency and duration of hookah consumption were assessed in both groups at baseline and after the intervention. Results The frequency of hookah consumption decreased in 72.6% of participants in the intervention group (vs. 6.3% in the control group), and the duration of hookah consumption per session decreased in 39.5% of participants in the intervention group (vs. 5.5% in the control group). Conclusions Using multi-level interventions through a social-ecological model can reduce hookah consumption in adults. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-10219-8.
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Affiliation(s)
- Fatemeh Bakhtari Aghdam
- Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Nader Alizadeh
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Haidar Nadrian
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Christoph Augner
- Institute for Human Resources Research in Health Care, University Clinics of the Paracelsus Medical University, Salzburg, Austria
| | - Asghar Mohammadpoorasl
- Department of Biostatistics and Epidemiology & Health and Environment Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
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Shirzad M, Shakibazadeh E, Hajimiri K, Betran AP, Jahanfar S, Bohren MA, Opiyo N, Long Q, Kingdon C, Colomar M, Abedini M. Prevalence of and reasons for women's, family members', and health professionals' preferences for cesarean section in Iran: a mixed-methods systematic review. Reprod Health 2021; 18:3. [PMID: 33388072 PMCID: PMC7778821 DOI: 10.1186/s12978-020-01047-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Accepted: 11/16/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Cesarean section (CS) rates have been increasing globally. Iran has one of the highest CS rates in the world (47.9%). This review was conducted to assess the prevalence of and reasons for women's, family members', and health professionals' preferences for CS in Iran. METHODS AND FINDINGS In this mixed-methods systematic review, we searched MEDLINE/PubMed, Embase, CINAHL, POPLINE, PsycINFO, Global Health Library, Google scholar; as well as Iranian scientific databases including SID, and Magiran from 1 January 1990 to 8th October 2019. Primary quantitative, qualitative, and mixed-methods studies that had been conducted in Iran with Persian or English languages were included. Meta-analysis of quantitative studies was conducted by extracting data from 65 cross-sectional, longitudinal, and baseline measurements of interventional studies. For meta-synthesis, we used 26 qualitative studies with designs such as ethnography, phenomenology, case studies, and grounded theory. The Review Manager Version 5.3 and the Comprehensive Meta-Analysis (CMA) software were used for meta-analysis and meta-regression analysis. Results showed that 5.46% of nulliparous women (95% CI 5.38-5.50%; χ2 = 1117.39; df = 28 [p < 0.00001]; I2 = 97%) preferred a CS mode of delivery. Results of subgroup analysis based on the time of pregnancy showed that proportions of preference for CS reported by women were 5.94% (95% CI 5.86-5.99%) in early and middle pregnancy, and 3.81% (95% CI 3.74-3.83%), in late pregnancy. The heterogeneity was high in this review. Most women were pregnant, regardless of their parity; the risk level of participants were unknown, and some Persian publications were appraised as low in quality. A combined inductive and deductive approach was used to synthesis the qualitative data, and CERQual was used to assess confidence in the findings. Meta-synthesis generated 10 emerging themes and three final themes: 'Women's factors', 'Health professional factors', andex 'Health organization, facility, or system factors'. CONCLUSION Despite low preference for CS among women, CS rates are still so high. This implies the role of factors beyond the individual will. We identified a multiple individual, health facility, and health system factors which affected the preference for CS in Iran. Numerous attempts were made in recent years to design, test and implement interventions to decrease unnecessary CS in Iran, such as mother-friendly hospitals, standard protocols for labor and birth, preparation classes for women, midwives, and gynaecologists, and workshops for specialists and midwives through the "health sector evolution policy". Although these programs were effective, high rates of CS persist and more efforts are needed to optimize the use of CS.
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Affiliation(s)
- Mahboubeh Shirzad
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Second floor, Building Two, Poursina Avenue, Tehran, Iran
| | - Elham Shakibazadeh
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Second floor, Building Two, Poursina Avenue, Tehran, Iran.
| | - Khadijeh Hajimiri
- Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Ana Pilar Betran
- Department of Reproductive Health and Research, UNDP/UNFPA, UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland
| | - Shayesteh Jahanfar
- School of Public Health, Central Michigan University, Michigan, USA.,Department of Public Health and Community Medicine, School of Medicine, Tufts University, Tufts, USA
| | - Meghan A Bohren
- Gender and Women's Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Carlton, VIC, Australia
| | - Newton Opiyo
- Department of Reproductive Health and Research, UNDP/UNFPA, UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland
| | - Qian Long
- Global Health Research Center, Duke Kunshan University, Kunshan,, Jiangsu, China
| | - Carol Kingdon
- School of Community Health and Midwifery, University of Central Lancashire, Preston, UK
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Bakhtari F, Sarbakhsh P, Daneshvar J, Bhalla D, Nadrian H. Determinants of Depressive Symptoms Among Rural Health Workers: An Application of Socio-Ecological Framework. J Multidiscip Healthc 2020; 13:967-981. [PMID: 33061403 PMCID: PMC7519861 DOI: 10.2147/jmdh.s255436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 08/21/2020] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE The objective of this study was to assess depressive symptoms among rural health workers (RHWs) through a multi-factorial socio-ecological framework (SEF) encompassing personal, interpersonal, organizational and community components. PATIENTS AND METHODS A random sample of 394 RHWs in all rural areas of East Azerbaijan and fulfilling our other inclusion criteria were recruited. The participants underwent the Short-Form Beck's Depression Inventory and a validated researcher-constructed SEF questionnaire, including subscales on personal, interpersonal, organizational and community factors associated with depressive symptoms. Internal consistency and factor structure parameters of the SEF were also calculated. RESULTS A total of 394 RHWs were screened, of whom 170 (43.2%) had mild to major depressive symptoms. Only 6.8% were identified with major depressive symptoms. The SEF-based scale was found to have acceptable content validity (content validity index and ratio were 0.80 and 0.77, respectively) and reliability (Cronbach's alpha=0.7). In the structural equation modeling, the fit indices showed our model to fit the data well (χ 2=14.06, df=14, χ 2/df=1.00, CFI=0.967, RMSEA=0.032). The highest direct contribution to depressive symptoms was found from the personal factors component (β=-2.32). Also, "work load and roles interference" (from organizational level, β=-0.76) and "family/colleague support" (from community level, β=-1.28) made significant direct contributions towards depressive symptoms. Besides the SEF components, female gender (β=1.69), family history of mental illness (β=-1.48), having chronic illnesses (β=-1.64) and being religious (β=3.43) were the strongest direct contributors to depressive symptoms. CONCLUSION Depressive symptoms were common among RHWs, arising from all personal-, interpersonal-, organizational- and community-level factors. Our SEF had adequate internal consistency and factor structure parameters to be applied in the Middle East and North Africa (MENA) region countries, such as Iran, as a theoretical framework to plan for interventional efforts aiming at preventing depressive symptoms among RHWs. The burden of depressive symptoms should be reduced through multi-factorial interventions and rational perspectives.
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Affiliation(s)
- Fatemeh Bakhtari
- Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Parvin Sarbakhsh
- Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Jalil Daneshvar
- Department of Health Education and Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Devender Bhalla
- Pôle Universitaire euclide Intergovernmental UN Treaty 49006/49007, Bangui, Central African Republic
- Iranian Epilepsy Association, Tehran, Iran
| | - Haidar Nadrian
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Bakhtari F, Mohammadpoorasl A, Nadrian H, Alizadeh N, Jahangiry L, Ponnet K. Determinants of hookah smoking among men in the coffee houses: an application of socio-ecological approach. SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY 2020; 15:62. [PMID: 32831098 PMCID: PMC7444246 DOI: 10.1186/s13011-020-00305-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/09/2019] [Accepted: 08/12/2020] [Indexed: 11/25/2022]
Abstract
Background Tobacco smoking is the second leading cause of death and is closely linked to fatal diseases. Hookah Smoking (HS) is a traditional way to smoke tobacco, especially in the Eastern Mediterranean region that is constantly rising around the world. This study aimed to evaluate the different levels of personal, interpersonal and social HS in Iranian urban men and determine the most important predictors of the levels through applying the socio-ecological approach (SEA). Methods This study was conducted in the coffee houses of Hashtrud and Qarah Aghaj counties in East Azerbaijan, Iran. Data collection was conducted from the entire coffee house (n = 18) from April to June 2017. Systematic sampling was employed to recruit 266 men in the coffee house. A valid and reliable instrument was used to investigate the frequency of HS and its determinants based on SEA. The SEA consists of three levels: personal (age, education, employment, income, and perceived severity and sensitivity), interpersonal (perceived reward), and social level (social support) intended to assess HS determinants. Hierarchical regression was used to determine the predictive value of SEA levels and frequency of HS. Results The mean age of daily hookah smokers (once per day and more than once per day) were (26.8) significantly lower than those (30.4) smokes weekly (once a week or more than once a week). The hierarchical logistic regression model showed that in the first step individual variables significantly predict 25.1% HS. In the second and third level interpersonal and social levels of SEA explained HS 30.1 and 30.8%, respectively. Conclusion This study found that age, income, education, and perceived reward were all important factors influencing HS among men youth. Application of SEA to determine the factors associated with HS could contribute in the development of a holistic prevention program.
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Affiliation(s)
- Fatemeh Bakhtari
- Health Education and Health Promotion Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Health Education & Promotion, Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Asghar Mohammadpoorasl
- Epidemiology and Biostatistics Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Haidar Nadrian
- Health Education and Health Promotion Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Nader Alizadeh
- Health Education and Health Promotion Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Jahangiry
- Health Education and Health Promotion Department, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran. .,Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Koen Ponnet
- Faculty of Social Sciences, imec-mict Ghent University, Ghent, Belgium
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