1
|
Tran BX, Dam VAT, Auquier P, Boyer L, Fond G, Nguyen HM, Nguyen HT, Le HT, Tran HNT, Vu GT, Nguyen MD, Nguyen DAT, Ly BV, Latkin CA, Zhang MW, Ho RC, Ho CS. Structural Equation Model for Social Support and Quality of Life Among Individuals With Mental Health Disorders During the COVID-19 Pandemic. JMIR Public Health Surveill 2023; 9:e47239. [PMID: 37819706 PMCID: PMC10600649 DOI: 10.2196/47239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 07/13/2023] [Accepted: 08/08/2023] [Indexed: 10/13/2023] Open
Abstract
BACKGROUND In light of the COVID-19 pandemic, the distribution of social support for mental health problems has likely become unequal. Family- and community-based social support has been recognized as a promising approach for mental disorders; however, limited global frameworks have been applied to developing countries such as Vietnam. OBJECTIVE The aim of this study was to evaluate the quality of life and social support among patients with mental health disorders in Vietnam and to investigate the factors associated with quality of life among these patients. METHODS A cross-sectional study was conducted on 222 psychiatric patients in Hanoi from 2020 to 2022. A structured questionnaire was developed based on four standardized scales: Mental Well-Being-5 scale, Multidimensional Scale of Perceived Social Support, EuroQoL-visual analog scale (EQ-VAS), and EuroQoL-5 dimensions-5 levels (EQ-5D-5L) scale. Tobit regression was used to identify factors associated with the EQ-5D-5L and EQ-VAS scores. Structural equation modeling was applied to verify the relationship between quality of life and social support. RESULTS The results showed that perceived support from family scored the highest compared to support from friends and significant others. Patients with depression reported the lowest quality of life and perceived social support. Structural equation modeling showed a root mean square error of approximation of 0.055 (90% CI 0.006-0.090), comparative fit index of 0.954, Tucker-Lewis index of 0.892, and standardized root mean squared error of 0.036 (P<.001). The hypothetical model indicated statistically significant correlations between EQ-VAS score and social support (P=.004), EQ-5D-5L and mental well-being (P<.001), and social support and mental well-being (P<.001). Critical deterioration of quality of life and inconsistency in social support for patients with mental illness were also recorded. CONCLUSIONS There is a need to enhance social support and service delivery in Vietnam, focusing on occupation and quality of life. The correlations between social support, quality of life, and mental health issues suggest the potential of a clinical-social integrated intervention model of care.
Collapse
Affiliation(s)
- Bach Xuan Tran
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
- CEReSS, Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
| | - Vu Anh Trong Dam
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Pascal Auquier
- CEReSS, Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
| | - Laurent Boyer
- CEReSS, Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
| | - Guillaume Fond
- CEReSS, Research Centre on Health Services and Quality of Life, Aix Marseille University, Marseille, France
| | | | | | - Huong Thi Le
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | | | - Giang Thu Vu
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Manh Duc Nguyen
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Duong Anh Thi Nguyen
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Bang Viet Ly
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Carl A Latkin
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Melvyn Wb Zhang
- Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore, Singapore
| | - Roger Cm Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
- Institute for Health Innovation and Technology, National University of Singapore, Singapore, Singapore
| | - Cyrus Sh Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| |
Collapse
|
2
|
Nguyen TTP, Nguyen CT, Do HT, Tran HT, Vu TMT, Nghiem S, Vu GT, Latkin CA, Ho CSH, Ho RCM. Determinants of health-seeking behaviors among middle-aged women in Vietnam's rural-urban transition setting. Front Public Health 2023; 10:967913. [PMID: 36703811 PMCID: PMC9871748 DOI: 10.3389/fpubh.2022.967913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 12/16/2022] [Indexed: 01/12/2023] Open
Abstract
Introduction The purpose of this study is to identify the health status and healthcare utilization factors associated with middle-aged women in the rapid urbanization context of Vietnam. Methods A cross-sectional study with a systematic random sampling technique was conducted in Hung Yen city. A systematic random sampling technique was used to select a sample size of 362 middle-aged women. The collected data included socioeconomic characteristics, health issues, health service utilization, and social support for women in both urban and rural areas. Multivariate regression models were used to determine factors associated with health service utilization and the number of inpatient/outpatient visits. Results Among 362 participants, the main chronic diseases were diabetes (12.8%), cardiovascular diseases (11.3%), and migraines (9.5%). The proportion of using inpatient and outpatient services among middle-aged women was relatively high (35.8 and 61%, respectively). Women having more support from family and friends were less likely to seek healthcare. Living in rural areas significantly increased the number of inpatient treatments. Regarding health service utilization, the percentage of people using outpatient treatment services accounted for 61.0%, while using inpatient treatment services was reported as 35.8%. The average number of outpatient and inpatient visits per participant were 1.3 and 0.9, respectively. Conclusion This study revealed a relatively high rate of using healthcare services among women at midlife in a rapidly industrializing city in Vietnam. Screening programs should be implemented for early detection and treatment of chronic diseases in middle-aged women, especially for diabetes. Communication strategies should be adapted to raise awareness of rural women about regular health checkups, and counseling services of healthcare providers should be strongly reinforced. Lifestyle interventions and health promotion programs involving social support should be implemented to improve wellbeing and healthcare-seeking behaviors among middle-aged women.
Collapse
Affiliation(s)
- Thao Thi Phuong Nguyen
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam,Faculty of Medicine, Duy Tan University, Da Nang, Vietnam,*Correspondence: Thao Thi Phuong Nguyen ✉
| | - Cuong Tat Nguyen
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam,Faculty of Medicine, Duy Tan University, Da Nang, Vietnam
| | - Hieu Trung Do
- Faculty of Medicine, Hung Yen Medical College, Hung Yen, Vietnam
| | - Ha Thai Tran
- Department of General Planning, National Hospital of Traditional Medicine, Hanoi, Vietnam
| | | | - Son Nghiem
- Center for Applied Health Economics, Griffith University, Brisbane, QLD, Australia
| | - Giang Thu Vu
- Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam
| | - Carl A. Latkin
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Cyrus S. H. Ho
- Department of Psychological Medicine, National University Hospital, Singapore, Singapore,Department of Psychological Medicine, National University Health System, Singapore, Singapore
| | - Roger C. M. Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore,Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, Singapore
| |
Collapse
|
3
|
Li X, Ding Y, Bai X, Liu L. Associations between parental mediation and adolescents' internet addiction: The role of parent-child relationship and adolescents' grades. Front Psychol 2022; 13:1061631. [PMID: 36562069 PMCID: PMC9763579 DOI: 10.3389/fpsyg.2022.1061631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022] Open
Abstract
Introduction Family factors, such as parental mediation on Internet use and parent-child relationships, have been shown to play a crucial role in preventing adolescents' internet addiction. Previous studies have shown a change in characteristics of online risk during adolescents' development. However, it is still of great interest whether such differences applied in the relationships among parent-child relationships, different types of parental mediation and adolescents' internet addiction level. In this study, we investigated the associations between different types of parental mediators and adolescents' internet addiction level and how the associations were mediated by father-child and mother-child relationships. We further investigated whether mediating effect differs between primary and secondary school children. Methods Based on a sample of 3,026 school children aged 9-14 years (M = 11.56, SD = 0.71; 55.25% primary school adolescents, 44.75% secondary school adolescents), a series of Structural Equation Models were applied to investigate the relationships among internet addiction, parental mediation, and parent-child relationship. In addition, a series of multi-group analysis were applied to detect whether there are differences in these relationships between the primary and secondary school group. Results The internet addiction level and intensity of parental mediation was higher among primary school adolescents than secondary school adolescents. Parental active mediation and monitoring on internet use were associated with reduced and increased adolescents' internet addiction. Father-child relationship had stronger partial mediating effects on the relationships between parental mediation and adolescents' internet addiction than the mother-child relationship. The relationships among parental mediation, parent-child relationship and internet addiction were more pronounced among primary school adolescents than secondary school adolescents. Discussion The findings suggest that good father-child relationships and adequate parental mediation approach, such as active mediation, may contribute to reduction of internet addiction risk in adolescents, especially in primary school adolescents.
Collapse
Affiliation(s)
- Xiaojing Li
- Chinese Academy of Disability Data Science, Nanjing Normal University of Special Education, Nanjing, China
| | - Ying Ding
- Bio-X Institutes, Key Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Key Laboratory of Psychotic Disorders, Institute of Psychology and Behavioral Science and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Xianchun Bai
- Chinese Academy of Disability Data Science, Nanjing Normal University of Special Education, Nanjing, China
| | - Lisha Liu
- Center for Teacher Education Research, Beijing Normal University, Key Research Institute of Humanities and Social Sciences in Universities, Ministry of Education of China, Beijing, China
| |
Collapse
|
4
|
Nguyen TTP, Nguyen TT, Dam VTA, Vu TTM, Do HT, Vu GT, Tran AQ, Latkin CA, Hall BJ, Ho RCM, Ho CSH. Mental wellbeing among urban young adults in a developing country: A Latent Profile Analysis. Front Psychol 2022; 13:834957. [PMID: 36118453 PMCID: PMC9480491 DOI: 10.3389/fpsyg.2022.834957] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 08/04/2022] [Indexed: 12/05/2022] Open
Abstract
Introduction This study aimed to explore the mental wellbeing profiles and their related factors among urban young adults in Vietnam. Methods A cross-sectional study was conducted in Hanoi, which is the capital of Vietnam. There were 356 Vietnamese who completed the Mental Health Inventory-5 (MHI-5) questionnaire. The Latent Profile Analysis (LPA) was used to identify the subgroups of mental wellbeing through five items of the MHI-5 scale as the continuous variable. Multinomial logistic regression was used to determine factors related to subgroups. Results Three classes represented three levels of MHI-5 score, which included “Poor mental health,” “Fair mental health,” and “Good mental health,” were, respectively, 14.3, 46.6, and 39.0%. Compared to a low household economy, participants with an average household economy had 2.11 and 4.79 times higher odds of being in a good mental health class relative to fair and poor mental health classes. Respondents with more than two acute symptoms had 3.85 times higher odds of being in a good mental health class relative to a poor mental health class, as compared to those without acute symptoms. Regarding the measurement of the Perceived Social Support Scale (MSPSS), people having support from their family had 1.80 and 2.23 times higher odds of being in classes of fair and good mental health relative to the poor mental health class; and participants having friend support also had 1.87 times higher odds of being in a good mental health class compared with the fair mental health class, as the MSPSS score increased by 1 unit. People with Rosenberg’s self-esteem scale increased by 1 score, those who had 1.17, 1.26, and 1.47 times higher odds of being in a good compared to fair mental health class, fair compared to poor mental health class, and good compared to poor mental health class, respectively. Conclusion Our findings were given to promote a new classification method for mental health screening among the general population. The current findings could be used as evidence to develop policies and plans that focus on encouraging early screening for mental health problems among the general young population in the future.
Collapse
Affiliation(s)
- Thao Thi Phuong Nguyen
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
- Faculty of Pharmacy, Duy Tan University, Da Nang, Vietnam
- *Correspondence: Thao Thi Phuong Nguyen,
| | - Tham Thi Nguyen
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
- Faculty of Pharmacy, Duy Tan University, Da Nang, Vietnam
| | - Vu Trong Anh Dam
- Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam
- Faculty of Pharmacy, Duy Tan University, Da Nang, Vietnam
| | | | - Hoa Thi Do
- Institute of Health Economics and Technology, Hanoi, Vietnam
| | - Giang Thu Vu
- Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam
| | - Anh Quynh Tran
- Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Carl A. Latkin
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Brian J. Hall
- Global and Community Mental Health Research Group, New York University (Shanghai), Shanghai, China
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, Singapore
| | - Roger C. M. Ho
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, Singapore
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Cyrus S. H. Ho
- Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| |
Collapse
|