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Wheaton B, Liu L. Hydrophobia, dis/connection, and difference: Understanding Chinese immigrants' fear of coastal swimming in Aotearoa New Zealand. Health Place 2024; 89:103309. [PMID: 38959720 DOI: 10.1016/j.healthplace.2024.103309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2023] [Revised: 06/25/2024] [Accepted: 06/26/2024] [Indexed: 07/05/2024]
Abstract
New Zealand's coastal blue spaces, from harbours to beaches, provide diverse wellbeing benefits but can also be sites of danger, fear, and cultural contestation. This qualitative research focuses on Chinese migrants in Auckland, a community who are underrepresented in coastal recreation and overrepresented in drowning statistics. Findings show Chinese migrants dis/connection with coastal blue space and fear of coastal swimming, derived from their homeland habitus and lack of coastal 'blue space' cultural capital. Our research contributes to the growing recognition of 'hydrophobia', and how the racialisation of leisure space impacts the potential for blue spaces and practices to be therapeutic.
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Affiliation(s)
- Belinda Wheaton
- School of Health, University of Waikato, Hamilton, New Zealand
| | - Lucen Liu
- School of Health, University of Waikato, Hamilton, New Zealand.
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Akhavan AR, Zhan T, Lall MD, Barton MA, Reisdorff EJ, Hu Y, Bilimoria KY, Lu DW. Suicidal ideation, perception of personal safety, and career regret among emergency medicine residents during the COVID-19 pandemic. AEM EDUCATION AND TRAINING 2024; 8:e10955. [PMID: 38516253 PMCID: PMC10951625 DOI: 10.1002/aet2.10955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 01/02/2024] [Accepted: 01/08/2024] [Indexed: 03/23/2024]
Abstract
Objectives The COVID-19 pandemic was disruptive for trainees and may have affected career decisions for some learners. This study examined the impact of the pandemic on emergency medicine (EM) resident perceptions of their mental health, perceptions of personal safety, and career choice regret. Methods This was a cross-sectional survey study administered following the 2021 American Board of Emergency Medicine In-Training Examination (ITE). Survey measures included suicidal ideation (SI), COVID concerns in terms of infection prevention and control (IPC) training, COVID risk to self and/or COVID risk to family, and COVID-related career regret. COVID concerns were compared by gender and race/ethnicity using Pearson's chi-square tests. Multivariable logistic regression models were used to test the association between SI and COVID concerns, resident characteristics, and program characteristics. Results A total of 6980 out of 8491 EM residents (82.2%) from 244 programs completed the survey. Only 1.1% of participants reported insufficient training in COVID IPC practices. Participants were concerned about COVID risk to themselves (40.3%) and to their families (63.3%) due to their job roles. These concerns were more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non-Hispanic Whites); senior residents (vs. PGY-1, PGY-2 residents); and residents who were married or in relationships (vs. single or divorced). A total of 6.1% of participants reported that COVID made them reconsider choosing EM as their career. Career regret in this cohort was higher than that in the proportion (3.2%) expressing career regret in the 2020 ITE (p < 0.001). Career regret was more common among women or nonbinary (vs. men); all other races/ethnicities (vs. non-Hispanic Whites); and senior residents (vs. PGY-1, PGY-2 residents). The overall SI rate was 2.6%, which did not differ from that of the 2020 sample of EM residents (2.5%, p = 0.88). Conclusions Many EM residents reported concerns about COVID risks to themselves and their families. Although the rate of SI remained unchanged, more EM residents reported career regret during the COVID pandemic.
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Affiliation(s)
- Arvin R. Akhavan
- Department of Emergency MedicineUniversity of WashingtonSeattleWashingtonUSA
| | - Tiannan Zhan
- Department of SurgeryNorthwestern UniversityChicagoIllinoisUSA
| | - Michelle D. Lall
- Department of Emergency MedicineEmory UniversityAtlantaGeorgiaUSA
| | | | | | - Yue‐Yung Hu
- Department of SurgeryNorthwestern UniversityChicagoIllinoisUSA
| | - Karl Y. Bilimoria
- Department of SurgeryIndiana University School of MedicineIndianapolisIndianaUSA
| | - Dave W. Lu
- Department of Emergency MedicineUniversity of WashingtonSeattleWashingtonUSA
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Salawati E, Ghamri R, Amir A, Alsubaie M, Abualsaud R, Bahowarth S, Abdulrahman L, Alyazidi A. The magnitude of influence of personal and professional factors on the career choices of medical students. J Med Life 2024; 17:449-456. [PMID: 39071512 PMCID: PMC11282905 DOI: 10.25122/jml-2023-0453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 02/16/2024] [Indexed: 07/30/2024] Open
Abstract
Medical students face uncertainty in choosing their future careers, which is influenced by personal and professional factors and can have a direct impact on the healthcare system and society. In this study, we aimed to analyze the magnitude of influence of personal and professional factors on students' choices of a future specialty, among medical students in Saudi Arabia and other Arab countries. This cross-sectional exploratory study used cluster sampling and collected demographic data, influencing factors, preferred specialty, and engagement level, using a 20-item questionnaire. The study included 1,105 students, of which 60.5% were women. Income was the most influential factor for both sexes (68.5%) and was statistically significant for men (P < 0.0001), with personal experience and type of patients served being more important for women. Many students (42.6%) were undecided about their future specialty. However, general surgery was the most preferred specialty, followed by internal medicine (10.9%) and obstetrics and gynecology (5.5%). Women had a significantly higher mean personal score than men, indicating a preference for surgery (3.07 ± 2.2 vs. 2.78 ± 2.1; P = 0.029). In this study, we found that income significantly influenced medical students' choices of specialty, with surgery being the most common, and that many students are undecided about their specialty, needing career counseling and mentoring programs.
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Affiliation(s)
- Emad Salawati
- Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ranya Ghamri
- Department of Family Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Ashraf Amir
- Department of Family Medicine, International Medical Center, Jeddah, Saudi Arabia
| | - Mohammed Alsubaie
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Renad Abualsaud
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Sarah Bahowarth
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Lina Abdulrahman
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Anas Alyazidi
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Kułak-Bejda A, Avci Aydin I, Çelik Eren D, Kourkouta L, Tsaloglidou A, Koukourikos K, Szpakow A, Khvoryk N, Hutsikava L, Waszkiewicz N. Impact of Pregnancy on Self-Efficacy and Personal Competence in the Context of Risk of Depression, Mental Health Status, and Satisfaction with Life. J Clin Med 2024; 13:533. [PMID: 38256666 PMCID: PMC10816068 DOI: 10.3390/jcm13020533] [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: 11/22/2023] [Revised: 01/07/2024] [Accepted: 01/10/2024] [Indexed: 01/24/2024] Open
Abstract
For many women, pregnancy and childbirth are often accompanied by strong emotions related to fear, stress, and anxiety about the health of the woman and her child. This study aimed to assess the effect of pregnancy on the risk of depression, mental health status, and satisfaction with life in women in Poland, Greece, Turkey, Belarus, and Russia. MATERIAL AND METHODS A cross-sectional comparative study was conducted among 2017 women surveyed, including 584 pregnant women, 528 postpartum women, and 906 women who had never been pregnant (the comparative group) from Poland, Greece, Turkey, Belarus, and Russia. The sample selection was purposive. Surveys were collected between November 2021 and December 2022. The study used the Beck Depression Inventory (BDI) Scale, the Satisfaction with Life Scale (SWLS), the Edinburgh Postpartum Depression Scale (EPDS), the GHQ-28 (General Health Questionnaire), the Schwarzer Generalized Self-Efficacy Scale (GSES), and the KompOs Personal Competence Scale. RESULTS A significantly lower risk of depression was observed in postpartum women in Poland and amongst pregnant women in Turkey. Pregnant women in Turkey (28.9 points) presented the highest satisfaction with life, while the lowest satisfaction was found amongst pregnant women in Poland and Greece (25.2 and 25.1 points, respectively). In Poland and Belarus, a higher risk of depression was noticed in women who had undergone an artificial abortion. In Turkey, a positive correlation was found in pregnant women concerning the number of children they had with a measure of depression and a negative correlation with life satisfaction. In Greece, non-pregnant women showed no correlation between mental status and scores on the GSES. Scores on satisfaction with SWLS were positively correlated with a sense of power, and the strength of the correlation was similar to results on the BDI and GHQ measures. Postpartum depression, according to the EPDS, was also the most severe in Turkish women. CONCLUSIONS The highest risk of depression was shown in the control group and amongst pregnant and postpartum women in Turkey and Greece, and the lowest such risk was in Poland. Pregnant and postpartum women showed by far the highest satisfaction with life in Turkey and the lowest in women from Greece. The risk of depression, the level of satisfaction with life, and the mental health of pregnant women were not influenced by the type of last delivery. However, the duration of the last delivery influenced the group from Belarus, and having children affected the mental health of women in the group from Turkey.
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Affiliation(s)
| | - Ilknur Avci Aydin
- Nursing, School of Health, Ondokuz Mayis University, Samsun 55139, Turkey; (I.A.A.); (D.Ç.E.)
| | - Dilek Çelik Eren
- Nursing, School of Health, Ondokuz Mayis University, Samsun 55139, Turkey; (I.A.A.); (D.Ç.E.)
| | - Lambrini Kourkouta
- Department of Nursing, International Hellenic University, 57400 Sindos, Greece; (L.K.); (A.T.); (K.K.)
| | - Areti Tsaloglidou
- Department of Nursing, International Hellenic University, 57400 Sindos, Greece; (L.K.); (A.T.); (K.K.)
| | - Konstantinos Koukourikos
- Department of Nursing, International Hellenic University, 57400 Sindos, Greece; (L.K.); (A.T.); (K.K.)
| | - Andriej Szpakow
- Department of Integrated Medical Care, Medical University of Bialystok, 15269 Bialystok, Poland;
| | - Natallia Khvoryk
- Department of Obstetrics and Gynecology, Grodno State Medical University, 230009 Grodno, Belarus; (N.K.); (L.H.)
| | - Liudmila Hutsikava
- Department of Obstetrics and Gynecology, Grodno State Medical University, 230009 Grodno, Belarus; (N.K.); (L.H.)
| | - Napoleon Waszkiewicz
- Department of Psychiatry, Medical University of Bialystok, 15269 Bialystok, Poland;
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Alyazidi AS, Gaddoury MA, Alotibi FA, Aljehani KM, Ahmed RA, Alhudaifi SA, Aldharrab AS, Alkhallagi AS, Al-Raddadi R. The determining factors of medical students in considering a specialty as a future career path: A cross-sectional multinational study in the Middle East. J Family Med Prim Care 2023; 12:2622-2634. [PMID: 38186787 PMCID: PMC10771143 DOI: 10.4103/jfmpc.jfmpc_1742_22] [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: 08/31/2022] [Revised: 12/14/2022] [Accepted: 05/03/2023] [Indexed: 01/09/2024] Open
Abstract
Background and Aims Throughout their years of study, undergraduate medical students are expected to gain broad comprehension of all medical specialties. After acquiring an undergraduate degree, the decision to choose a specialty is critical for every student's life as it determines the rest of their career path. This study aims to determine factors influencing medical students' choices between various specialties in different countries in the Middle East and North Africa. Subjects and Methods A cross-sectional study was conducted in March 2022 targeting medical students from the Middle East and North African countries. A questionnaire was used to collect data from the students, which consisted of four sections. Ethical approval was obtained from the Unit of Biomedical Ethics Research Committee at King Abdulaziz University. Participation was voluntary and anonymous. For statistical analysis, IBM Statistical Package for the Social Sciences (SPSS) Statistics for Windows (Version 21.0; IBM Corp., Armonk, NY, USA) was used. Categorical variables were presented using numbers, associated frequencies, and percentages (%). Categorical variables were correlated using the Chi-square test. One-way analysis of variance (ANOVA) test was used to compare the means of three or more independent groups. Logistic regression, odds ratio (OR), and 95% confidence interval (CI) were used to identify the factors associated with specialty selection. P < 0.05 was considered statistically significant. Results A total of 1109 students responded to the questionnaire. Participants' gender characteristics showed that there were 672 (60.6%) females and 437 (39.4%) males. Among them, 127 were in their second year, 180 in their third year, 362 in their fourth year, 85 in their fifth year, 37 in their sixth year, and 108 were interns. The median age of the participants was 22.0 years (mean = 22.09 ± 2.891). There were 473 (42.6%) students who were undecided about their future medical specialty. Income (759, 68.4%) and career prospects (723, 65.2%) were the most preferred factors in their decision to pursue a future medical specialization. Conclusions In conclusion, medical and surgical specialties have been identified as the preferred future career path. It was discovered that student's decision-making is influenced by income, career prospects, and the sense of competency needed to choose a future medical specialty. Future research would be more revealing.
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Affiliation(s)
- Anas S. Alyazidi
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Mahmoud A. Gaddoury
- Department of Community Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Fahad A. Alotibi
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | - Renad A. Ahmed
- Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
| | | | | | | | - Rajaa Al-Raddadi
- Department of Community Medicine, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
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Wang D, Shi ZH. Do psychological distress and digital sports influence the willingness to take the vaccine and precautionary saving? Empirical evidence from Shanghai. ZEITSCHRIFT FUR GESUNDHEITSWISSENSCHAFTEN = JOURNAL OF PUBLIC HEALTH 2023:1-13. [PMID: 37361311 PMCID: PMC10119833 DOI: 10.1007/s10389-023-01915-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 04/05/2023] [Indexed: 06/28/2023]
Abstract
Aim The COVID-19 epidemic has caused risk and uncertainty. This study answers whether and how psychological distress and digital sports influence willingness to take the vaccine and precautionary savings. Subject and methods We conducted a cross-sectional study with an online survey sample of 1016 Shanghai residents who live and work there and are aged between 16-60. All of them experienced the COVID-19 lockdown in Shanghai. We used logistic regressions to examine the relationships between the variables of interest. Results Three findings were demonstrated. First, psychologically distressed individuals are less inclined to take the vaccine. Second, those engaged in fitness activities via digital media platforms are more willing to get vaccinated. Third, psychologically distressed individuals and digital video-based physical exercisers are more likely to precautionary save. Conclusions This study contributes to the literature by documenting how people changed their life from the perspective of finance and health during the lockdown and providing practical implications.
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Affiliation(s)
- Di Wang
- School of Management, Shanwei Institute of Technology, Shanwei, Guangdong China
| | - Zhong-hua Shi
- School of Education, Shanwei Institute of Technology, Shanwei, Guangdong China
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The Effect of Perfectionism on Consumers’ Intentions to Purchase Imperfect Products. Behav Sci (Basel) 2023; 13:bs13030269. [PMID: 36975294 PMCID: PMC10045134 DOI: 10.3390/bs13030269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 03/02/2023] [Accepted: 03/15/2023] [Indexed: 03/22/2023] Open
Abstract
Perfectionism is an important personality trait that affects people’s behavior, especially consumption behavior. In our study, we aimed to investigate whether perfectionists show different preferences in their consumption choices compared with non-perfectionists and to explore the potential psychological mechanisms mediating this effect. Through four studies, we found that perfectionists are less likely to buy imperfect products, including those that are close to expiry and that have defective functioning, flawed appearance, and incomplete after-sales service than non-perfectionists, and are more likely to avoid choosing imperfect products. In addition, we found a mediating effect of dichotomous thinking and intolerance of uncertainty on this effect to explain the behavioral preferences of perfectionists in their purchasing choices. Manufacturers and marketers can benefit from the results of this study by implementing targeted production requirements and marketing strategies based on the consumer behavior preferences of perfectionists.
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Alyazidi AS, Muthaffar OY, Alotibi FA, Almubarak A, Tamai L, Takieddin SZ, Alghamdi M, Alraddadi YK. Evaluation of Health Science Students' Health Fatalism and Perception Towards Patients With Epilepsy: A Cross-Sectional Global Study. Cureus 2022; 14:e30030. [PMID: 36381863 PMCID: PMC9637446 DOI: 10.7759/cureus.30030] [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] [Accepted: 10/07/2022] [Indexed: 06/16/2023] Open
Abstract
Introduction The social acceptance of patients with epilepsy is largely determined by society's opinion of epilepsy; therefore, individuals with epilepsy could face prejudice and stigma as a result of negative impressions. Religious beliefs and mystical notions have been shown to influence attitudes toward epilepsy. Health fatalism could also be detrimental to society's and caregivers' approach toward such patients. In extreme settings, this could hinder them from obtaining an adequate treatment process. Methods A cross-sectional exploratory study was conducted from February 2022 to May 2022 in Saudi Arabia, Spain, Scotland, and Italy using an online questionnaire consisting of 33 questions concerning the Health Fatalism Scale (HFS), the Epilepsy Knowledge Scale (EKS), and the Epilepsy Attitude Scale (EAS). Results A total of 735 health science students (HSS) participated in the present study. The majority of participants were females (64.1%) while male participants represented 34.6% of the study. Health science students currently studying in Saudi Arabia represented the majority of participants with a percentage of 58.5%. Among the four countries, students in Saudi Arabia presented with the highest knowledge mean score. Students in Spain had the highest mean attitude score. Muslim students had the highest mean fatalism scores followed by Christian students. Conclusion In general, a high level of knowledge was observed among the participants, most notably, among Saudis who presented with the highest level of knowledge across the four countries. Regarding attitude, Spanish students presented the best attitude towards patients with epilepsy. Low fatalism scores were commonly observed across all countries regardless of their different demographic characteristics. Fatalism perception should be further detailed to ensure optimal services are delivered without prejudgment by future healthcare workers.
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Affiliation(s)
- Anas S Alyazidi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
| | - Osama Y Muthaffar
- Department of Pediatrics, King Abdulaziz University Faculty of Medicine, Jeddah, SAU
- Department of Pediatrics, King Abdulaziz University Hospital, Jeddah, SAU
| | - Fahad A Alotibi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
| | | | - Luca Tamai
- Department of Medicine and Surgery, Università Cattolica del Sacro Cuore, Rome, ITA
| | - Siba Z Takieddin
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
| | - Maha Alghamdi
- Department of Internal Medicine, King Abdulaziz University Hospital, Jeddah, SAU
| | - Yara K Alraddadi
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, SAU
- Department of Medicine, King Abdulaziz University, Jeddah, SAU
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