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Chen J, Luo M, Gan L, Li H, Liu S, Ren N, Zhou Y, Yang J, Zhou H, Yin X, Wan J, Yang X, Wu Y, Luo Z. The association between smoking and family health with the mediation role of personality among Chinese people: nationwide cross-sectional study. BMC Psychiatry 2024; 24:206. [PMID: 38486183 PMCID: PMC10941408 DOI: 10.1186/s12888-024-05654-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: 11/17/2023] [Accepted: 03/01/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND There may be unexplored interactions between family health, personality, and smoking that could help provide new perspectives on tobacco control. OBJECTIVE To examine the relationship between the health of one's family and their smoking habits, as well as investigate the potential influence of personality on this relationship. METHODS For this cross-sectional investigation, a national survey conducted in China in 2022 recruited a total of 21,916 individuals. The Family Health Scale was utilized to assess the health of the family. The 10-item Big Five Inventory scale was utilized to assess the Big five personality traits. The relationship between big five personality, family health, and smoking were investigated using binary and linear logistic regression. The indirect effects mediated by Big five personality were analyzed using mediation analysis with Sobel tests, and the indirect effects were composited using the Karlson-Holm-Breen method. RESULTS The overall prevalence of smoking in the study population was 14.87%, 26.19% for males and 3.54% for females. Urban and rural smoking prevalence was 13.81% and 16.10% respectively. Binary logistic regression analysis revealed a significant negative relationship between smoking and family health (odds ratio 0.964, 95% CI 0.959, 0.970, P < 0.001) with covariates controlled. The Karlson-Holm-Breen composition facilitated the connection between extraversion (47.81%) and nervousness (52.19%). CONCLUSIONS Preventive interventions for smoking behavior should prioritize family health and the Big five personality as significant areas to focus on. According to this study, in addition to implementing various interventions for different personalities, family health should be strengthened to reduce smoking behavior.
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Affiliation(s)
- Jiangyun Chen
- Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China
| | - Menglin Luo
- School of Pharmaceutical, Southern Medical University, Guangzhou, China
| | - Li Gan
- Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China
| | - Haomiao Li
- School of Political Science and Public Administration, Wuhan University, Wuhan, China
| | - Siyuan Liu
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Na Ren
- Operation Management Department, Zhuhai People's Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, China
| | - Yan Zhou
- Operation Management Department, Zhuhai People's Hospital (Zhuhai Hospital Affiliated With Jinan University), Zhuhai, China
| | - Jiao Yang
- School of Health Management, Capital Medical University, Beijing, China
| | - Haozheng Zhou
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Xuanhao Yin
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Jiahuan Wan
- Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China
| | - Xinlei Yang
- Department of Health Management, School of Health Management of Southern Medical University, Guangzhou, China
| | - Yibo Wu
- School of Public Health, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
| | - Zenni Luo
- School of Health Management, Guangzhou Medical University, Xinzao, Panyu District, Guangzhou, China.
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Alharbi F, Alsaedi H, Alharbi NS, Alharbi R, Alharbi H, Alazmi A, Alghamdi F. Awareness of Oral Cancer Among Users of Smokeless Tobacco: A Cross-Sectional Study. Cureus 2023; 15:e50404. [PMID: 38213365 PMCID: PMC10783885 DOI: 10.7759/cureus.50404] [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: 12/12/2023] [Indexed: 01/13/2024] Open
Abstract
INTRODUCTION Smokeless tobacco (SLT) stands out for its higher nicotine absorption and its role in preventable fatalities. The Global Adult Tobacco survey in Saudi Arabia revealed SLT usage, while past legislation restricted its use. Linking SLT consumption to oral cancer and oral mucosal ulcers, the study addresses its prevalence in head and neck malignancies. METHODOLOGY This study is cross-sectional and includes adult users of SLT. Raosoft (Raosoft Inc., Seattle, WA) was used to calculate the sample size. The data was analyzed using SPSS software (IBM Corp., Armonk, NY). RESULTS The research study investigated various sociodemographic characteristics and prevalence of SLT use among participants. All participants reported using SLT, with toombak (33.2%) and shamma (36.0%) being the most prevalent. Notably, reasons for initiating SLT included influence from peer pressure (33.6%), alternatives to smoking (32.0%), and influence from relatives (19.0%). While 75.1% intended to quit within a year, awareness of SLT's harmfulness varied: 40.3% believed it was less harmful than smoking, and 57.7% recognized its link to oral cancer. Additionally, 62.2% believed SLT could lead to dependence. Sociodemographic factors generally did not significantly affect awareness of SLT causing oral cancer. CONCLUSION The findings indicate a significant prevalence of SLT use, with toombak and shamma being the most common types consumed. Awareness of the potential harm of SLT use in relation to oral cancer varied among participants, with a notable proportion misunderstanding its harmfulness compared to smoking tobacco.
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Affiliation(s)
- Fahd Alharbi
- Department of Otolaryngology, Head and Neck Surgery, Taibah University, Madinah, SAU
| | - Hatim Alsaedi
- Department of Otolaryngology, Head and Neck Surgery, Taibah University, Madinah, SAU
| | | | - Rawan Alharbi
- Medical School, King Abdulaziz University Faculty of Medicine, Rabigh, Jeddah, SAU
| | - Hussain Alharbi
- Medical School, King Abdulaziz University Faculty of Medicine, Rabigh, Jeddah, SAU
| | - Abdullah Alazmi
- Medical School, College of Medicine, Qassim University, Buraydah, SAU
| | - Fahad Alghamdi
- Department of Otolaryngology, Head and Neck Surgery, Al-Baha University, Al-Baha, SAU
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Chahar P, Mohanty VR, Y B A, Rijhwani K. Correlates of nicotine dependence among patients visiting a tobacco cessation centre in India: A retrospective analysis. THE NATIONAL MEDICAL JOURNAL OF INDIA 2023; 36:301-304. [PMID: 38759979 DOI: 10.25259/nmji_677_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/19/2024]
Abstract
Background We did a retrospective secondary analysis of 1-year data of a tobacco cessation clinic (TCC) to assess correlates of nicotine dependence among tobacco users visiting the TCC at a tertiary care dental hospital. Methods Secondary data were obtained from the records of patients who had visited the TCC from January to December 2019. Of the 1436 records, 1144 were found to contain all the information needed for the study. Patient records were obtained from a pre-validated standard TCC patient assessment sheet (PAS), which included various sections: Sociodemo-graphic items, tobacco use profile items, nicotine dependence status, strategy used for cessation and follow-up details. Results Of the 1144 proformas, 97.1% (n=1111) were of men and 2.9% (n=33) were of women. Around 48.5% had medium nicotine dependence followed by high nicotine dependence (29.7%) and low nicotine dependence (21.8%). The mean (SD) age of initiation of tobacco use was 26.1 (9.44) years and a significantly lower age of initiation was observed in patients with high nicotine dependence. Greater number of years of tobacco use was significantly associated with high nicotine dependence. About 47% of patients had attempted to quit tobacco in the past and the quitting attempts were found to be significantly higher in patients with high dependence. Conclusion We explored crucial determinants of nicotine dependence among tobacco users reporting to the TCC. These factors may be incorporated in routine assessment of the tobacco use status and may be used in tailored cessation counselling strategies.
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Affiliation(s)
| | - Vikrant R Mohanty
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical Collage Complex, Bahadurshah Zafar Marg, New Delhi 110002, India
| | - Aswini Y B
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical Collage Complex, Bahadurshah Zafar Marg, New Delhi 110002, India
| | - Kavita Rijhwani
- Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Maulana Azad Medical Collage Complex, Bahadurshah Zafar Marg, New Delhi 110002, India
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Guo Y, Liu DY, Wang YJ, Huang MJ, Jiang N, Hou Q, Feng B, Wu WY, Wu YB, Qi F, Sun XY. Family functioning and nicotine dependence among smoking fathers: a cross-sectional study. BMC Public Health 2023; 23:658. [PMID: 37024859 PMCID: PMC10080741 DOI: 10.1186/s12889-023-15475-4] [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: 11/18/2022] [Accepted: 03/20/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND Nicotine dependence is a significant public health issue, and understanding the factors associated with nicotine dependence in this population is crucial for developing effective interventions. This study examined the association between family functioning and nicotine dependence levels of smoking fathers based on the McMaster model of family functioning (MMFF), providing evidence for future interventions. METHODS In this study, we selected fathers of first- to fifth-grade students from 10 pilot elementary schools in Qingdao whose families smoked. We used the Fagerstrom test to assess nicotine dependence and the Family Assessment Device to evaluate family functioning. We performed univariate analysis to compare differences among those with different levels of nicotine dependence, and we used an ordinal logistic regression analysis to investigate the influences related to nicotine dependence. RESULTS This study included 874 smokers, with 78.5% having mild nicotine dependence, 11.7% having moderate dependence, and 9.84% having severe dependence. Univariate analysis showed that smokers with severe dependence had lower education levels, higher prevalence of chronic diseases, more frequent alcohol consumption, and poorer family functioning compared to those with mild to moderate dependence. Ordinal logistic regression analysis showed that poorer general functioning scores (OR = 1.087, 95% CI: 1.008-1.173, P = 0.030), poorer behavioral control (OR = 1.124, 95% CI: 1.026-1.232, P = 0.012), more quit attempts, frequent alcohol consumption, and longer smoking duration may be associated with a higher likelihood of developing severe nicotine dependence. The older age of starting smoking and higher education level may be associated with a lower likelihood of developing severe nicotine dependence. However, it is important to note that the cross-sectional nature of this study precludes the determination of causal relationships. CONCLUSIONS This study finds that heavy nicotine dependence in smoking fathers is associated with risky behaviors and demographics such as longer smoking duration and frequent alcohol consumption. Targeted smoking cessation interventions are crucial for this group, taking these specific factors into consideration. Family functioning, particularly general functioning and behavioral control, may also be linked to nicotine dependence, indicating the need for further research in this area.
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Affiliation(s)
- Yi Guo
- School of Public Health, Peking University, Beijing, China
| | - Di-Yue Liu
- International School of Public Health and One Health, Hainan Medical University, Haikou, China
| | - Yu-Jia Wang
- College of Humanities and Social Sciences, Harbin Medical University, Heilongjiang, China
| | - Meng-Jie Huang
- School of Public Health, Shandong University, Jinan, China
| | - Nan Jiang
- School of Public Health, Qingdao University, Qingdao, China
| | - Qiang Hou
- College of Medical Sciences, Shanxi Medical University, Shanxi, China
| | - Bojunhao Feng
- School of Medicine, Macau University of Science and Technology, Macao, China
| | - Wen-Yu Wu
- School of Health Management, Harbin Medical University, Heilongjiang, China
| | - Yi-Bo Wu
- School of Public Health, Peking University, Beijing, China
| | - Fei Qi
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao, China
| | - Xin-Ying Sun
- School of Public Health, Peking University, Beijing, China.
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Emerging Role of Neuron-Glia in Neurological Disorders: At a Glance. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2022; 2022:3201644. [PMID: 36046684 PMCID: PMC9423989 DOI: 10.1155/2022/3201644] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Accepted: 08/05/2022] [Indexed: 11/18/2022]
Abstract
Based on the diverse physiological influence, the impact of glial cells has become much more evident on neurological illnesses, resulting in the origins of many diseases appearing to be more convoluted than previously happened. Since neurological disorders are often random and unknown, hence the construction of animal models is difficult to build, representing a small fraction of people with a gene mutation. As a result, an immediate necessity is grown to work within in vitro techniques for examining these illnesses. As the scientific community recognizes cell-autonomous contributions to a variety of central nervous system illnesses, therapeutic techniques involving stem cells for treating neurological diseases are gaining traction. The use of stem cells derived from a variety of sources is increasingly being used to replace both neuronal and glial tissue. The brain's energy demands necessitate the reliance of neurons on glial cells in order for it to function properly. Furthermore, glial cells have diverse functions in terms of regulating their own metabolic activities, as well as collaborating with neurons via secreted signaling or guidance molecules, forming a complex network of neuron-glial connections in health and sickness. Emerging data reveals that metabolic changes in glial cells can cause morphological and functional changes in conjunction with neuronal dysfunction under disease situations, highlighting the importance of neuron-glia interactions in the pathophysiology of neurological illnesses. In this context, it is required to improve our understanding of disease mechanisms and create potential novel therapeutics. According to research, synaptic malfunction is one of the features of various mental diseases, and glial cells are acting as key ingredients not only in synapse formation, growth, and plasticity but also in neuroinflammation and synaptic homeostasis which creates critical physiological capacity in the focused sensory system. The goal of this review article is to elaborate state-of-the-art information on a few glial cell types situated in the central nervous system (CNS) and highlight their role in the onset and progression of neurological disorders.
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闵 鹤, 吴 一, 孙 昕. [Relation of smoking status to family health and personality traits in residents aged over 18 years in China]. BEIJING DA XUE XUE BAO. YI XUE BAN = JOURNAL OF PEKING UNIVERSITY. HEALTH SCIENCES 2022; 54:483-489. [PMID: 35701125 PMCID: PMC9197718 DOI: 10.19723/j.issn.1671-167x.2022.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE To explore the relation of smoking status to family health and personality traits in residents aged over 18 years in China by binary Logistic regression analysis, to identify the psychosocial factors that influence tobacco use, and to provide evidence to predict smoking susceptibility based on personality traits and prevent smoking at individual and family levels. METHODS Residents aged over 18 years in China were selected from "the Survey of Chinese Family Health Index (2021)". General characteristic questionnaire, short-form of family health scale, 10-item big five inventory were used to collect sociodemographic information, family health function and personality traits. And the relation of smoking status to family health and personality traits were analyzed by binary Logistic regression analysis. RESULTS Totally 10 315 adults were collected, of whom there were 2 171 smokers. The smoking rate was 21.05%, 41.76% of the residents were male, 3.69% female, 20.03% urban, 23.77% rural, 12.60% aged between 18 and 35 years, 27.11% aged between 36 and 59 years, 34.35% aged over 60 years, and the smoking rate varied in gender, location, age, education, marital status, family types, and average household monthly income (P < 0.05). Furthermore, the scores of family health, family social and emotional health processes, family healthy lifestyle, family health resources, family external social support, agreeableness, openness, and neuroticism among smokers were lower than those of the non-smokers (P < 0.05). The results of binary Logistic regression analysis showed that the residents over 35 years old, with low educational level and divorced were the risk factors to smoking (P < 0.05), while female, unmarried, nuclear family, high scores of family social and emotional health processes and family health resources, openness, neuroticism, and agreeableness were the protective factors to smoking (P < 0.05). CONCLUSION Besides gender, age, location, education, marital status, family types and average household monthly income, family health, and personality traits were also important factors influencing smoking status. Tobacco control based on personality traits and family health is essential, and more convincing research is necessary to determine the relation of tobacco use, tobacco dependence and smoking cessation to family health and personality traits.
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Affiliation(s)
- 鹤葳 闵
- />北京大学公共卫生学院社会医学与健康教育学系, 北京 100191Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China
| | - 一波 吴
- />北京大学公共卫生学院社会医学与健康教育学系, 北京 100191Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China
| | - 昕霙 孙
- />北京大学公共卫生学院社会医学与健康教育学系, 北京 100191Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China
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Dutheil F, Vilmant A, Boudet G, Mermillod M, Lesage FX, Jalenques I, Valet G, Schmidt J, Bouillon-Minois JB, Pereira B. Assessment of sick building syndrome using visual analog scales. INDOOR AIR 2022; 32:e13024. [PMID: 35347792 DOI: 10.1111/ina.13024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 03/06/2022] [Accepted: 03/13/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Despite there is no recommendations for assessing symptoms of sick building syndrome, the use of visual analog scales (VAS) seems attractive and appropriate. We aimed to demonstrate the benefits of using VAS for evaluating subjective symptoms of sick building syndrome. METHOD We compared an exposed group to a control group with a one-year follow-up. To assess chronology of symptoms, employees were asked to complete four VAS at different times: after vacations (time 1), beginning of the week-beginning of the day (time 2), beginning of the week-end of the day (time 3), and end of the week-end of the day (time 4). Measurements were repeated before and after ventilation work for the exposed group and at the same time in the control group without intervention. Confounding factors were assessed. RESULTS We included 36 employees (21 in the exposed group and 15 in the control group). Both groups were comparable. Prior to ventilation work, the exposed group had more subjective symptoms than the control group with a chronology of symptoms. After ventilation work, symptoms did not differ between groups, and most symptoms decreased within the exposed group. PRACTICAL IMPLICATION The use of VAS provided reliable data for assessing sick building syndrome and showed a dose-response relationship between occupational exposure and symptoms.
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Affiliation(s)
- Frédéric Dutheil
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Occupational and Preventive Medicine, WittyFit, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Audrey Vilmant
- Association Interentreprises en Santé au Travail La Prévention Active, RIOM, France
| | - Gil Boudet
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Occupational and Preventive Medicine, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Martial Mermillod
- LPNC, Univ. Grenoble Alpes, CNRS, Grenoble, France
- Institut Universitaire de France, Paris, France
| | - François-Xavier Lesage
- Laboratory Epsylon EA 4556, Dynamic of Human Abilities & Health Behaviors, CHU Montpellier, Occupational Medicine, University of Montpellier, Montpellier, France
| | - Isabelle Jalenques
- CHU Clermont-Ferrand, Addictology, Université Clermont Auvergne, NPsy-Sydo, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
| | - Guillaume Valet
- LaPSCo, Physiological and Psychosocial Stress, Université Clermont Auvergne, CNRS, , Clermont-Ferrand, France
| | - Jeannot Schmidt
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Jean-Baptiste Bouillon-Minois
- LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Emergency, Université Clermont Auvergne, CNRS, Clermont-Ferrand, France
| | - Bruno Pereira
- Biostatistics Unit, Clinical Research and Innovation Direction, CHU Clermont-Ferrand, Clermont-Ferrand, France
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Mervan Aytac H, Pehlivan S, Kurnaz S, Pehlivan M, Cetinay Aydin P. Association of the Uncoupling Protein 2-866 G/A Polymorphism with Family History and Duration of Tobacco Use Disorder in a Turkish Population. PSYCHIAT CLIN PSYCH 2021; 31:280-285. [PMID: 38765941 PMCID: PMC11079660 DOI: 10.5152/pcp.2021.21526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 04/25/2021] [Indexed: 05/22/2024] Open
Abstract
Background A variety of substances cause neurotoxicity by increasing intracellular oxidative stress, followed by mitochondrial dysfunction. Uncoupling proteins (UCPs) act as membrane transport proteins and reduce reactive oxygen products and mitochondrial calcium influx. We aimed to study UCP2-866 G/A gene polymorphism in tobacco use disorder (TUD) by comparing genotype distributions between TUD patients and healthy controls considering clinical parameters. Methods One hundred eighteen patients with TUD and 96 healthy volunteers were included in the study. The diagnosis of the patients were then confirmed, based on the DSM-5 criteria. Polymerase chain reaction and restriction fragment length polymorphism (PCR-RFLP) were used to determine UCP2 gene polymorphism. Results Our results demonstrated that the UCP2 genotype distribution and allele frequencies of the TUD patient group were significantly different from those of the control group. When the UCP2 genotype and the allele frequency distributions were compared between the two groups according to the family history of TUD in the patient group, the UCP2 genotype and allele frequency distributions were significantly different. The GG genotype or G allele percentage was significantly higher in patients with a family history of TUD, than the patients without a family history of TUD. Comparing clinical parameters based on the UCP2 genotype, the disorder's duration was significantly different between the groups of UCP2 genotype. The duration of TUD was significantly shorter in patients with GG genotype than other genotypes. Conclusions In summary, the UCP2-866 G/A gene polymorphism might be associated with family history and duration of TUD in Turkish patients.
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Affiliation(s)
- Hasan Mervan Aytac
- Department of Psychiatry, Basaksehir Cam and Sakura City Hospital, İstanbul, Turkey
| | - Sacide Pehlivan
- Department of Medical Biology, Istanbul University School of Medicine, İstanbul, Turkey
| | - Selin Kurnaz
- Department of Medical Biology, Istanbul University School of Medicine, İstanbul, Turkey
| | - Mustafa Pehlivan
- Department of Internal Medicine Division of Hematology, Gaziantep University, Gaziantep, Turkey
| | - Pinar Cetinay Aydin
- Department of Psychiatry, Psychiatry Clinic, Bakirkoy Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, University of Health Sciences, Istanbul, Turkey
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Hafizurrachman M, Novita Haryanto A. A Structure Model of Family Empowerment in Preventing Smoking Initiation among Adolescent: An Empirical Study Conducted in Urban Area of Indonesia. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Family empowerment is a critical component for smoking prevention efforts among adolescents. Few information regarding the family empowerment model developed in preventing smoking initiation among adolescents in Indonesia.
AIM: The aim of this study was to identify determinants of the family empowerment model in preventing smoking initiation among adolescents in Indonesia.
METHODS: A cross-sectional research design was used for families with adolescent girls and boys (aged 10–14 years) in West Java, Indonesia. The convenience sampling procedure was employed. The study analyzed family demands and parenting stress as stressors. Family resources were divided into family functioning and communication process. The perception or judgment factor was assumed as parenting efficacy. Family empowerment has been identified as an indicator of adaptation. Structural equation modeling was used for data analysis.
RESULTS: The survey respondents consisted of 175 respondents. The mean age was 40.56 (SD = 11.73) and 57.2% had graduated from above high school. These findings suggest that family demands and parenting stress have an indirect effect on family empowerment through parenting efficacy, family functioning, and communication processes. The contribution of the effect of family demands, parenting stress, parenting efficacy, family function, and communication process on family empowerment was 68%.
CONCLUSION: The family empowerment could be defined in the Double ABCX model in the prevention of smoking in adolescents and that the numerous adverse effects of stress can be modulated through parental efficacy as well as the ability to function of the family and communication. It recommends making family interventions an integral part of public health initiatives for the prevention of smoking initiation, as well as health policy formation.
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Panjaphothiwat N, Tamornpark R, Apidechkul T, Seeprasert P, Singkhorn O, Upala P, Thutsanti P, Yeemard F, Sunsern R. Factors associated with domestic violence in the Lahu hill tribe of northern Thailand: A cross-sectional study. PLoS One 2021; 16:e0248587. [PMID: 33720967 PMCID: PMC7959343 DOI: 10.1371/journal.pone.0248587] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2020] [Accepted: 03/02/2021] [Indexed: 11/20/2022] Open
Abstract
Background Domestic violence significantly affects physical and mental health, particularly among children, women, and the elderly. Living in certain family environments could lead to victimization by domestic violence, especially among families with a poor socioeconomic status, such as the Lahu hill tribe people in Thailand. This study aimed to estimate the prevalence of and determine the factors associated with domestic violence among Lahu children, women, and the elderly. Methods A cross-sectional study was conducted of participants who belonged to the Lahu hill tribe and lived in 20 selected villages in Chiang Rai Province, Thailand. A validated questionnaire was used to collect personal information and information regarding experiences related to domestic violence in the past year from children (aged 5–15 years), women (aged 16–59 years), and the elderly (aged 60 years and over). A binary logistic regression was used to detect associations between the variables. Results A total of 646 participants were recruited into the study, specifically, 98 children aged 5–15 years, 430 women aged 16–59 years, and 118 elderly people. Children who smoked (AOR = 8.70; 95%CI = 1.27–59.45) had greater odds of experiencing domestic violence than children who did not smoke. Women who had a role as a family member (AOR = 1.59; 95%CI = 1.02–2.50), used alcohol (AOR = 3.36; 95%CI = 2.27–4.99), lived in a family with financial problems (AOR = 4.01; 95%CI = 2.52–7.66), and lived with a family member who uses alcohol (AOR = 2.87; 95%CI = 2.20–5.63) had greater odds of suffering domestic violence than women who did not share these characteristics. The elderly who used alcohol (AOR = 3.25, 95%CI = 1.08–9.81), lived with a family member who uses alcohol (AOR = 3.31; 95%CI = 1.26–7.34), or lived in a family with financial problems in the past year (AOR = 2.16; 95%CI = 1.16–8.77) had greater odds of facing domestic violence than the elderly who did not have these characteristics. Conclusion Family financial problems and substance use are associated with domestic violence in Lahu families in Thailand. Health interventions to reduce the use of substances, including training programs to respond to domestic violence, should be promoted for Lahu children, women, and the elderly.
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Affiliation(s)
| | - Ratipark Tamornpark
- School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand
- Center of Excellence for the Hill Tribe Health Research, Mae Fah Lung University, Chiang Rai, Thailand
| | - Tawatchai Apidechkul
- School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand
- Center of Excellence for the Hill Tribe Health Research, Mae Fah Lung University, Chiang Rai, Thailand
- * E-mail:
| | | | | | - Panupong Upala
- Center of Excellence for the Hill Tribe Health Research, Mae Fah Lung University, Chiang Rai, Thailand
| | - Phitnaree Thutsanti
- Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand
| | - Fartima Yeemard
- School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand
| | - Rachanee Sunsern
- School of Health Science, Mae Fah Luang University, Chiang Rai, Thailand
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