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da Cunha IP, de Lacerda VR, da Silveira Gaspar G, de Lucena EHG, Mialhe FL, de Goes PSA, Leite HQNC, Bomfim RA. Factors associated with the absence of Brazilians in specialized dental centers. BMC Oral Health 2022; 22:364. [PMID: 36028829 PMCID: PMC9419406 DOI: 10.1186/s12903-022-02402-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 08/22/2022] [Indexed: 11/25/2022] Open
Abstract
Aim To identify the individual and contextual factors associated with the absence of Brazilians at a scheduled appointment in Dental Specialties Centers (DSC). Methods This cross-sectional design uses the National Program for Improving Access and Quality of Dental Specialties Centers database, 2018. The outcome was the users' lack of at least one of the scheduled appointments. Contextual and individual independent variables were used, considering Andersen's behavioural model. The analyses were performed with the R Core Team and SAS (Studio 3.8, Institute Inc, North Carolina, U.S, 2019) programs. Results Of the 10,391 patients interviewed, 27.7% missed at least one of the consultations. In the adjusted multivariate model, the interpretation based on the effect size and 95% CI showed that the behaviour individual predisposing factors such as age ≤ 42 years (OR = 1.10; 95%CI:1.01–1.21), individual need factors such as participation in the “Bolsa Família” program (OR = 1,14; 95%CI:1.02–1.27), not being covered by the Family Health Strategy (OR = 1.15; 95% CI:1.02–1.30), and users of periodontics services (OR = 1.22;95%CI:1.05–1.40) were associated with absences. The behavioural factor associated with the outcome was that the DSC facilities were not in good condition (OR = 1.18; 95%CI:1.03–1.34). DSC located in the capital (OR = 1.12; 95% CI: 0.92–1.48) were 12% more likely to have dental absences than those in the interior region. Conclusion There are individual and contextual barriers associated with patients not attending specialised public dental consultations. DSC should offer adequate hours to patients, especially young adults and vulnerable people.
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Affiliation(s)
- Inara Pereira da Cunha
- Public Health School Dr. Jorge David Nasser, Av. Sen. Filinto Müler, 1480 - Pioneiros, Campo Grande, MS, 79074-460, Brazil.
| | | | | | | | - Fábio Luiz Mialhe
- Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil
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Gur A, Hindi TN. Exploring fathers' perspectives on family-centered services for families of children with disabilities. Res Dev Disabil 2022; 124:104199. [PMID: 35176723 DOI: 10.1016/j.ridd.2022.104199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 02/07/2022] [Accepted: 02/09/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Family-centered service is recognized as a recommended approach to help families of children with disabilities. However, the Israeli family-centered program does not explicitly propose intervention strategies for fathers of children with disabilities. AIMS This study explored fathers' perspectives on family-centered services for families of children with disabilities and focused on their use of the services and experiences with them. METHODS AND PROCEDURES We employed a mixed-methods design using an online survey completed by 33 fathers of children with disabilities who participated in the Israeli family-centered program for families of children with disabilities. Data analyses included descriptive statistics and conventional content analysis. OUTCOMES AND RESULTS The majority of fathers said the Israeli family-centered program fit their needs. Participation in the program yielded psychological, familial, and social benefits. Psychologically, the program allowed fathers to mentally recharge and grow. In addition, more than three-quarters of the fathers thought their participation strengthened their family, as evidenced in more shared experiences, more effective family communication, and positive feelings. They also appreciated society's recognition of their unique life circumstances. CONCLUSIONS AND IMPLICATIONS Family-centered services should make special efforts to reach out to fathers and create father-friendly services.
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Affiliation(s)
- Ayelet Gur
- Social Work Department, Tel-Hai College, Upper Galilee, Israel.
| | - Tali-Noy Hindi
- School of Political Sciences, University of Haifa, Haifa, Israel
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Steinhoff A, Ribeaud D, Kupferschmid S, Raible-Destan N, Quednow BB, Hepp U, Eisner M, Shanahan L. Self-injury from early adolescence to early adulthood: age-related course, recurrence, and services use in males and females from the community. Eur Child Adolesc Psychiatry 2021; 30:937-51. [PMID: 32572615 DOI: 10.1007/s00787-020-01573-w] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 06/08/2020] [Indexed: 01/26/2023]
Abstract
Adolescent self-injury is a widespread public health problem, but long-term longitudinal studies from European countries are rare. Self-injury in males and sex differences are poorly understood. This study describes the prevalence, frequency, age-related course, and recurrence of, and mental health services use related to adolescent self-injury. Data came from a Swiss prospective-longitudinal cohort study (N = 1482). Adolescents (52% male) reported frequency of self-injury and mental health services use (including reasons for and types of services use, hospitalizations) at ages 13, 15, 17, and 20. Between ages 13-20, 27% of adolescents reported self-injury at least once. In males, prevalence decreased from 12 to 5%; in females self-injury peaked at age 15 (16%) and then decreased (11% at age 20). In males, recurrence of self-injury increased after age 15 (from odds ratio [OR] < 3 to OR > 10); in females, recurrence was high from age 13 onwards (OR > 5). Predictors of recurrence included childhood/early adolescent internalizing symptoms and early self-injury onset. Typically, less than half of adolescents with self-injury used mental health services. Males with self-injury used services mainly for externalizing problems, learning difficulties, and attention/concentration problems; females for depression or self-injury, family problems, and victimization. Types of services used changed with age, and adolescents with self-injury had increased rates of hospitalization. There are notable sex differences in the longitudinal course of self-injury and reasons for related mental health services use. Treating early internalizing symptoms could be a promising target for preventing recurrent self-injury. Males are at particular risk of not receiving adequate treatment for self-injury.
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Kovess-Masfety V, Evans-Lacko S, Williams D, Andrade LH, Benjet C, Ten Have M, Wardenaar K, Karam EG, Bruffaerts R, Abdumalik J, Haro Abad JM, Florescu S, Wu B, De Jonge P, Altwaijri Y, Hinkov H, Kawakami N, Caldas-de-Almeida JM, Bromet E, de Girolamo G, Posada-Villa J, Al-Hamzawi A, Huang Y, Hu C, Viana MC, Fayyad J, Medina-Mora ME, Demyttenaere K, Lepine JP, Murphy S, Xavier M, Takeshima T, Gureje O. The role of religious advisors in mental health care in the World Mental Health surveys. Soc Psychiatry Psychiatr Epidemiol 2017; 52:353-367. [PMID: 27807615 DOI: 10.1007/s00127-016-1290-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Accepted: 10/10/2016] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To examine the role of religious advisors in mental health care (MHC) according to disorder severity, socio-demographics, religious involvement and country income groups. METHODS Face to face household surveys in ten high income (HI), six upper-middle income (UMI) and five low/lower-middle (LLMI) income countries totalling 101,258 adults interviewed with the WMH CIDI plus questions on use of care for mental health problems and religiosity. RESULTS 1.1% of participants turned to religious providers for MHC in the past year. Among those using services, 12.3% used religious services; as much as 30% in some LLMI countries, around 20% in some UMI; in the HI income countries USA, Germany, Italy and Japan are between 15 and 10% whenever the remaining countries are much lower. In LLMI 20.9% used religious advisors for the most severe mental disorders compared to 12.3 in UMI and 9.5% in HI. For severe cases most of religious providers use occurred together with formal care except in Nigeria, Iraq and Ukraine where, respectively, 41.6, 25.7 and 17.7% of such services are outside any formal care. Frequency of attendance at religious services was a strong predictor of religious provider usage OR 6.5 for those who attended over once a week (p < 0.0001); as seeking comfort "often" through religion in case of difficulties OR was 3.6 (p = 0.004) while gender and individual income did not predict use of religious advisors nor did the type of religious affiliation; in contrast young people use them more as well as divorced and widowed OR 1.4 (p = 0.02). Some country differences persisted after controlling for all these factors. CONCLUSIONS Religious advisors play an important role in mental health care and require appropriate training and collaboration with formal mental healthcare systems. Religious attitudes are strong predictors of religious advisors usage.
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Affiliation(s)
- Vivianne Kovess-Masfety
- EA 4057 Paris Descartes University Paris, UFR Institut de Psychologie, 71, avenue Edouard Vaillant, 92774, Boulogne-Billancourt, France.
| | - Sara Evans-Lacko
- Kings College London, Institute of Psychiatry, Psychology and Neuroscience Health Service and Population Research, London, UK
| | - David Williams
- Department of Society, Human Development and Health, Harvard School of Public Health, Boston, USA
| | - Laura Helena Andrade
- Institute of Psychiatry, University of Sao Paulo Medical School, Sao Paulo, Brazil
| | - Corina Benjet
- Department of Epidemiologic and Psychosocial Research, National Institute of Psychiatry Ramón de la Fuente, Mexico, Mexico
| | - Margreet Ten Have
- Netherlands Institute of Mental Health and Addiction, Epidemiology, Utrecht, Netherlands
| | - Klaas Wardenaar
- Department of Psychiatry, University of Groningen, University Medical Center Groningen (UMCG), Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, The Netherlands
| | - Elie G Karam
- IDRAAC, Psychiatry and Clinical Psychology, Ashrafieh, Beirut, Lebanon
| | - Ronny Bruffaerts
- Katholieke Universiteit Leuven (UPC-KUL), Universitair Psychiatrisch Centrum Leuven, Kortenberg, Belgium
| | | | - Josep Maria Haro Abad
- Departament de Recerca Sant Boi de Llobregat, Parc Sanitari Sant Joan de Déu-CIBERSAM, Barcelona, Spain
| | - Silvia Florescu
- National School of Public Health and Professional Development, Research and Evaluation, Bucharest, Romania
| | - Benjamin Wu
- Department of Health Care Policy, Harvard Medical School, Boston, USA
| | - Peter De Jonge
- Department of Developmental Psychology, Faculty of Social and Behavioural Sciences, University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion Regulation, Groningen, The Netherlands
| | - Yasmina Altwaijri
- King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
| | - Hristo Hinkov
- Department of Global Mental Health, National Center for Public Health Protection, Sofia, Bulgaria
| | - Norito Kawakami
- Department of Mental Health, School of Public Health, The University of Tokyo, Tokyo, Japan
| | - Jose Miguel Caldas-de-Almeida
- Chronic Diseases Research Center (CEDOC) and Department of Mental Health, Faculdade de Ciencias Medicas Lisbon, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Evelyn Bromet
- Department of Psychiatry, Stony Brook University, Stony Brook, NY, USA
| | | | - José Posada-Villa
- Saldarriaga Concha Foundation, Development Rehabilitation System FSC Bogotá, Bogota, Colombia
| | - Ali Al-Hamzawi
- College of Medicine Diwania Governate, Al-Qadisiyah University, Diwania, Iraq
| | - Yueqin Huang
- Institute of Mental Health, Peking University, Beijing, China
| | - Chiyi Hu
- Shenzhen Institute of Mental Health and Shenzhen Kangning Hospital, Shenzhen, Guangdong, China
| | - Maria Carmen Viana
- Department of Social Medicine, Federal University of Espírito Santo (UFES), Vitoria, Brazil
| | - John Fayyad
- Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), Beyrut, Lebanon
| | | | - Koen Demyttenaere
- Department of Psychiatry Leuven, University Hospital Gasthuisberg, Louvain, Belgium
| | | | - Samuel Murphy
- Psychology Research Institute Londonderry, University of Ulster, Coleraine, UK
| | - Miguel Xavier
- Medical Sciences Lisboa, University Nova of Lisboa, Lisbon, Portugal
| | - Tadashi Takeshima
- Japan National Institute of Neurology and Psychiatry, Epidemiology, Tokyo, Japan
| | - Oye Gureje
- Department of Psychiatry, University of Ibadan, Ibadan, Nigeria
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