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Chen Y, Cai L, Ruan W, Zhang L, Liu X. Psychache status and associated contributing factors among the Hakka elderly in Fujian, China. BMC Psychiatry 2024; 24:354. [PMID: 38730372 PMCID: PMC11088165 DOI: 10.1186/s12888-024-05797-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 04/28/2024] [Indexed: 05/12/2024] Open
Abstract
BACKGROUND Little is known about the state of psychological distress of the elderly in China, and research on specific subgroups such as Hakka older adults is almost lacking. This study investigates psychache and associated factors among Hakka elderly in Fujian, China. METHODS The data analysed in this study were derived from China's Health-Related Quality of Life Survey for Older Adults 2018. The Chinese version of the Psychache Scale (PAS) was used to assess the frequency and intensity of psychache in Hakka older adults. Generalized linear regression analysis was conducted to identify the main socio-demographic factors associated with psychache overall and its frequency and intensity. RESULTS A total of 1,262 older adults participated, with mean scores of 18.27 ± 6.88 for total PAS, 12.50 ± 4.79 for PAS-Frequency and 5.77 ± 2.34 for PAS-Intensity. On average, females scored higher than males on PAS-Frequency (β = 0.84, 95% CI = 0.34, 1.35) and PAS-Intensity (β = 0.48, 95% CI = 0.22, 0.73). Older adults currently living in towns (β = -2.18, 95% CI = -2.81, -1.54), with their spouse only (β = -3.71, 95% CI = -4.77, -2.65), or with children (β = -3.24, 95% CI = -4.26, -2.22) were more likely to score lower on PAS-Frequency. Conversely, older adults who were regular sleepers (β = -1.19, 95% CI =-1.49, -0.88) or lived with their spouse only (β = -1.25, 95% CI = -1.78, -0.72) were more likely to score lower on PAS-Intensity. CONCLUSION Among Hakka elderly, we found a higher frequency and greater intensity of psychache in females, those with poor health status, irregular sleepers, rural residents, solo dwellers, those with below CNY 10,000 in personal savings, and the medically uninsured. The study's findings indicate that policymakers should give more attention to the susceptible population and implement practical interventions to reduce their psychological burden.
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Affiliation(s)
- Yating Chen
- Department of Social Medicine and Health Management, School of Health Management, Fujian Medical University, Fuzhou, Fujian, 350122, China
| | - Longhua Cai
- Department of Social Medicine and Health Management, School of Health Management, Fujian Medical University, Fuzhou, Fujian, 350122, China
| | - Wenqian Ruan
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, 350122, China
| | - Lingling Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, Fujian, 350122, China
| | - Xiaojun Liu
- Department of Social Medicine and Health Management, School of Health Management, Fujian Medical University, Fuzhou, Fujian, 350122, China.
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Matud MP, Zueco J, Díaz A, del Pino MJ, Fortes D. Gender differences in mental distress and affect balance during the first wave of COVID-19 pandemic in Spain. CURRENT PSYCHOLOGY 2022; 42:1-15. [PMID: 35693842 PMCID: PMC9166929 DOI: 10.1007/s12144-022-03282-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2022] [Indexed: 12/15/2022]
Abstract
The COVID-19 pandemic is a major threat to the health and well-being of people around the world that has impacted freedom of movement, social interaction and the economy. The aim of the present work was twofold: first, to study the presence of mental distress, positive and negative experiences and affect balance in women and men in Spain in two different phases of the COVID-19 pandemic, the initial "first state of alarm" phase, characterized by maximum restrictions, and in the "new normal" phase with minimal restrictions, and second, to study the protective role of age, educational level, self-esteem, marital status and social support against mental distress, and as factors that increase the affect balance of women and men in the above mentioned phases of the first wave of the COVID- 19 pandemic in Spain. The study sample consisted of 652 women and 652 men from the general population, aged between 18 and 88 years, who were evaluated through self-reports. Results show greater mental distress in women than men but, strikingly, the magnitude of such differences were greater in the "new normal" phase than in the maximum restriction phase. In addition, in this last phase, women also experienced more negative feelings and less affect balance than men. High self-esteem and social support were also found to be protective factors for mental health, both in women and men, during the two phases of the pandemic studied. In conclusion, our study shows that the COVID-19 pandemic has especially impacted the well-being of women.
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Affiliation(s)
- M. Pilar Matud
- Department of Clinical Psychology, Psychobiology and Methodology, Facultad de Psicología y Logopedia, Universidad de La Laguna, Apartado 456, 38200 La Laguna, Spain
| | - Jesús Zueco
- Department of Microbiology, University of Valencia, Valencia, Spain
| | - Amelia Díaz
- Department of Personality, Evaluation and Psychological Treatments, University of Valencia, Valencia, Spain
| | - Mª José del Pino
- Department of Sociology, University Pablo de Olavide, Seville, Spain
| | - Demelsa Fortes
- European University of the Canary Islands, Santa Cruz de Tenerife, Spain
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Lu YM, Chen CH, Lue YJ. A cross-sectional study of disability and quality of life in patients with low back pain: Focus on sex and gender. J Back Musculoskelet Rehabil 2022; 35:177-184. [PMID: 34092600 DOI: 10.3233/bmr-200319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Sex and gender affect responses to pain, but little is known about disability and quality of life. OBJECTIVES To investigate the effects of sex and gender on disability and health-related quality of life (HRQOL) in patients with low back pain. METHODS Ninety-three patients with low back pain were included in this cross-sectional survey study. Disability, HRQOL and gender identity were respectively assessed with the Oswestry Disability Index, Short Form-36 and Bem Sex Role Inventory. The participants were classified into four gender role orientations (masculinity, femininity, androgyny and undifferentiated). One-way analysis of variance was used to analyze both the sex and the gender role orientation. RESULTS Females had higher disability than males (p< 0.05), but in gender identity, no significant difference was found. Seven domains of HRQOL were lower than the healthy norms. Males experienced greater impacts than females on vitality and mental health (p< 0.05). For gender identity, five domains of HRQOL had significant differences (p< 0.05). Masculinity orientation had the least impact on four domains (p< 0.05), while undifferentiated orientation had the largest impact on all domains. CONCLUSION Sex and gender effects can be used to analyze disability and HRQOL in patients with low back pain. Females have higher disability, while HRQOL is greatly influenced by different gender role orientations.
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Affiliation(s)
- Yen-Mou Lu
- Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Chung-Hwan Chen
- Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Orthopaedic Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Orthopedics, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yi-Jing Lue
- Department of Physical Therapy, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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Lee J, Kwon KH. Skin problems of Korean military personnel changes in the use of cosmetics and differences in preference according to different characteristics: Focused on comparison pre- and post-enlistment. Health Sci Rep 2021; 4:e368. [PMID: 34541332 PMCID: PMC8439427 DOI: 10.1002/hsr2.368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 06/28/2021] [Accepted: 08/02/2021] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Recently, men's interest and participation in cosmetology have increased, and the number of "grooming" men who are exorbitantly investing in fashion and looks has increased, further increasing the growth potential of men's cosmetics. OBJECTIVES The purpose of this study was to analyze the skin diseases of men in their 20s and 30s in Korea, focusing on the comparison before and after enlistment, and to study the changes in cosmetic use and the difference in cosmetic preference according to the military service problem of Korean men. METHODS We enrolled 450 people, after excluding 50 dishonest respondents. Statistical data processing collected with the data analysis method were analyzed using the Statistical Package for Social Science (SPSS) WIN25.0 statistical package program through data coding and cleaning. RESULTS A total of 217 (48.2%) people preferred the cosmetic type of skin/lotion preferred by the private sector, and the cosmetic type required by the military was a complex skin lotion (48.2%) with 216 people (48.2%). All-in-one products were the most common products. The P-value was P < .001 or more. CONCLUSION The results of this comprehensive study indicated skin problems of Korean military personnel changes in the use of cosmetics and differences in preference according to different characteristics focused on comparison pre- and post-enlistment was assessed.
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Affiliation(s)
- Jinkyung Lee
- Division of Beauty Arts Care, Department of Practical Arts, Graduate School of Culture and ArtsDongguk UniversitySeoulSouth Korea
- Daily Beauty UnitAmorepacific Co.SeoulSouth Korea
| | - Ki Han Kwon
- Division of Beauty Arts Care, Department of Practical Arts, Graduate School of Culture and ArtsDongguk UniversitySeoulSouth Korea
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Esteban-Gonzalo S, González-Pascual JL, Gil-Del Sol M, Esteban-Gonzalo L. Exploring new tendencies of gender and health in university students. Arch Womens Ment Health 2021; 24:445-454. [PMID: 33184725 DOI: 10.1007/s00737-020-01087-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 11/03/2020] [Indexed: 11/28/2022]
Abstract
In light of the impact of gender roles on health, the aims of the present study are (1) to assess the associations between femininity/masculinity and gender typologies, and health indicators (mental health, wellbeing, and self-perceived health) and (2) to identify patterns of gender roles and health indicators, thus exploring new tendencies in gender and health in Spanish university students in the framework of the androgyny model. The sample was made up of 795 university students from Madrid and Toledo. Data collection was completed during 2019. Measures of self-rated health, mental health (GHQ12), and wellbeing (MHC-SF) were considered as health indicators, while the Bem Sex Roles Inventory (BSRI) was used to measure gender roles. Multilevel analysis was employed to value associations between masculinity and femininity and gender typologies with self-rated health, mental health, and wellbeing. Furthermore, cluster analysis was used to explore general tendencies in gender roles and health, while also considering biological sex composition. The best predictor of mental health was found to be masculinity, rather than femininity. Cluster analysis showed a dominance of androgyny and undifferentiated typologies with proportionally similar biological sex composition. Results confirmed the androgyny model, highlighting the role of androgyny and masculinity as protective factors of mental health. Cluster analysis suggested less gender-typed individuals and more flexible ways of adapting to gender roles in university students. Health systems, governments, and public institutions must take these results into account when designing health prevention and intervention policies. Social agents, educators, and the media must also collaborate in the achievement of equalitarian gender roles, which could result in a minimization of gender-related health differences.
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Affiliation(s)
- Sara Esteban-Gonzalo
- Faculty of Biomedicine, Psychology Department, Universidad Europea de Madrid, Madrid, Spain.
| | | | - Mónica Gil-Del Sol
- Faculty of Biomedicine, Nursing Department, Universidad Europea de Madrid, Madrid, Spain
| | - Laura Esteban-Gonzalo
- Faculty of Biomedicine, Nursing Department, Universidad Europea de Madrid, Madrid, Spain.,Faculty of Medicine, Nursing Department, Universidad Autónoma de Madrid, Madrid, Spain
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The Importance of Work-Related Events and Changes in Psychological Distress and Life Satisfaction amongst Young Workers in Spain: A Gender Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17134697. [PMID: 32629853 PMCID: PMC7370006 DOI: 10.3390/ijerph17134697] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 06/25/2020] [Accepted: 06/28/2020] [Indexed: 01/07/2023]
Abstract
A relentless stream of social, technological, and economic changes have impacted the workplace, affecting young people in particular. Such changes can be a major source of stress and can cause a threat to health and well-being. The aim of this paper is to understand the importance of work-related events and changes in the psychological distress and life satisfaction of young workers in Spain. A transversal study was carried out on a sample comprising 509 men and 396 women aged between 26 and 35 years old. The results showed that there were no differences between the men and women in the number of work-related events and changes experienced in the last 12 months, nor in terms of job satisfaction. The results from the multiple regression analysis showed that a greater number of work-related events and changes experienced during the last 12 months were associated with increased psychological distress and reduced life satisfaction amongst men, but this was not the case for women. Although job satisfaction was independent from the men and women’s psychological distress when self-esteem and social support was included in the regression equation, greater job satisfaction was associated with greater life satisfaction for both men and women. It concludes that work-related events and job satisfaction are important for the health and well-being of young people, even though a larger number of work-related events and changes is associated with increased psychological distress and reduced life satisfaction for men only.
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Nagoshi JL, Kulis S, Marsiglia FF, Piña-Watson B. Accounting for linguistic acculturation, coping, antisociality and depressive affect in the gender role-alcohol use relationship in Mexican American adolescents: a moderated mediation model for boys and girls. J Ethn Subst Abuse 2020; 21:499-521. [PMID: 32589108 DOI: 10.1080/15332640.2020.1781732] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Background: Prior studies have established that gender roles are predictive of substance use for Mexican and Mexican American adolescents, both living in the U.S. and in Mexico. Objectives: The moderating effects of gender and acculturation and the mediating effects of antisociality, depressive affect, and adaptive and avoidant coping on the gender role-alcohol use relationship were examined in a sample of Mexican American adolescents.Methods: Secondary data analyses were conducted on a sample of 955 (450 boys, 505 girls) Mexican American 7th and 8th grade adolescents participating in a school-based substance use intervention.Results: For boys, path analyses yielded significant direct paths from aggressive masculinity to alcohol use. Bootstrapped mediation tests also yielded significant indirect paths through antisociality from assertive masculinity, affective femininity, aggressive masculinity, and the interaction of linguistic acculturation by affective femininity to alcohol use. For girls, the relationship between aggressive masculinity with alcohol use and the negative relationship of affective femininity with alcohol use were also mediated by adaptive coping, which is predictive of decreased substance use.Conclusion/Importance: The present analyses confirm the importance of gender roles, functional mediators, and their interaction with acculturation in predicting substance use in Mexican American adolescents, with implications for the design of interventions to reduce substance use within the Mexican American community.
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Relevance of Gender and Social Support in Self-Rated Health and Life Satisfaction in Elderly Spanish People. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16152725. [PMID: 31370147 PMCID: PMC6695653 DOI: 10.3390/ijerph16152725] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 07/23/2019] [Accepted: 07/26/2019] [Indexed: 12/18/2022]
Abstract
Background: Gender and social support are important social determinants of health, but the relevance of such variables in older people’s health has raised less scholarly attention than in younger age groups. This study examines the relevance of gender and social support in the self-rated health and life satisfaction of elderly Spanish people. A cross-sectional study with a sample of 702 men and 754 women aged between 60 and 94 years was conducted. All participants were evaluated through questionnaires that assess gender role traits, social support, and life satisfaction. Results: Men scored higher than women in masculine/instrumental trait and in life satisfaction whereas women scored higher than men in feminine/expressive trait. Results from multiple regression analyses indicated that women and men presenting higher social support had better self-rated health and higher life satisfaction. High scores in masculine/instrumental trait also proved to be an important predictor of men’s and women’s high life satisfaction and of women’s better self-rated health, whereas the high feminine/expressive trait predicted better self-rated health in the men group. A high educational level was associated in the women’s group with better self-rated health and higher life satisfaction. Conclusions: We conclude that gender and social support are important social determinants of health among older people.
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