Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis

International Journal of General Medicine, Год журнала: 2023, Номер Volume 16, С. 1783 - 1795

Опубликована: Май 1, 2023

Background: Despite the growing concern worldwide regarding quality of life (QoL) and mental well-being among chronic kidney disease (CKD), a few research has been done to address this issue. The study aims measure depression, anxiety, QoL prevalence Jordanian patients with End Stage Renal Disease (ESRD) on hemodialysis how all these variables are correlated. Methods: This is cross-sectional, interview-based at Jordan University Hospital (JUH) dialysis unit. Sociodemographic factors were collected, anxiety disorder, QOL was assessed using Patient Health Questionnaire 9 (PHQ9), Generalized Anxiety Disorder 7-item (GAD7), WHOQOL-BREF, respectively. Results: In 66 patients, 92.4% had 83.3% generalised disorder. Females significantly higher depression scores than males (mean = 6.2 ± 3.77 vs 2.9 2.8, p < 0.001), single married 6.1 6 3.5, 0.03). Age positively correlated (rs= 0.269, 0.03), domains showed an indirect correlation GAD7 PHQ9 scores. Males physical functioning females 64.82 58.87, 0.016), who studied in universities those only school education College/University 78.81 mean School Education 66.46, 0.046). Patients taking 5 medications environmental domain (p 0.025). Conclusion: high GAD, low ESRD highlights need for caregivers provide psychological support counselling their families. can promote health prevent onset disorders. Keywords: disease, end stage hemodialysis, life, generalized disorder

Язык: Английский

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Health-related quality of life of refugees: a systematic review of studies using the WHOQOL-Bref instrument in general and clinical refugee populations in the community setting

Conflict and Health, Год журнала: 2021, Номер 15(1)

Опубликована: Июнь 2, 2021

Abstract Purpose To systematically review studies on HRQOL, measured by the WHOQOL-Bref instrument, of refugees in general and clinical populations who are settled community hosting country, outline differences scores among two population groups across four domains (physical, psychological, social relationships environment domain) as well factors impacting those outcomes. Methods Several databases were searched using a broad search strategy. Additionally, hand for grey literature was performed. Studies had to comply with following inclusion criteria: (a) refugees; (b) living country destination; (c) assessing HRQOL through instrument. Results 15 identified divided into subgroups: refugees, specifically selected their mental status or because they experienced relevant past traumas. Although we can common patterns groups, terms scoring highest lowest, heterogeneous values observed included. Conclusions Individuals included refugee group have lower quality life respect refugees. However, different be outlined considering each domain HRQOL: higher Physical Environment when Psychological referring one. These probably due having rate distress being more exposed somatization, stigmatization barriers access healthcare system country.

Язык: Английский

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Sociocultural determinants of health-associated quality of life among Afghan refugees in Pakistan: evidence from a multi-stage cross-sectional study

BMC Public Health, Год журнала: 2025, Номер 25(1)

Опубликована: Март 5, 2025

In the past few decades, there has been a significant increase in number of refugees worldwide. Every individual deserves access to fundamental right health, and migration can have substantial beneficial or detrimental effect on one's health. Foreign invasions political instability Afghanistan affected neighboring countries with large influx refugees. Discrepancies quality life between host refugee populations may lead health inequalities. Investigations Pakistan Afghan were scarce despite more than four decades status. Therefore, this study was initiated assess sociocultural determinants influencing health-associated among Pakistan. The Punjab province Khyber Pakhtunkhwa selected as population for cross-sectional research based inclusion criteria majority representation female participation. Quantitative methodology pre-validated WHOQOL-BREF questionnaires used data collection via multi-stage probability sampling techniques. We collected from 1,185 participants applied univariate bivariate analyses. Inferential analyses included independent t-tests ANOVA. average scores entire sample highest social domain (58.78 ± 22.74), followed by physical (53.29 19.46), general (50.44 20.10), environmental (48.43 16.30), psychological (46.52 14.78). Age, marital status, family setup, mother language, years country, residence type, monthly income, care, current chronic illness, substance abuse (smoking), cultural compatibility, linguistic barriers, non-significant all subdomains inferential analysis using t-test variance. refugees' across quality-of-life domains lower Pakistan's standard cutoff (< 60 indicates poor life). development national policy include insurance programs seems essential improve

Язык: Английский

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Urinary and reproductive tract infection symptoms and menstrual hygiene practices in refugee camps in Jordan: A cross-sectional study

Women s Health, Год журнала: 2024, Номер 20

Опубликована: Янв. 1, 2024

Background: Urinary tract infections and reproductive pose significant health risks, particularly among women living in challenging conditions. Unhygienic menstrual practices can exacerbate these impacting physical psychological well-being. Objectives: This study assessed the association between unhygienic care self-reported urinary infection/reproductive infection symptoms refugee women. In addition, it explored mental health, specifically depressive symptoms. Design: adopted a cross-sectional observational design. Methods: was conducted January March 2023, involving 387 reproductive-age Data collected included sociodemographic information we used Menstrual Practice Needs Scale to evaluate hygiene Patient Health Questionnaire-9 for Statistical analysis performed using Python version 3.9.12. Results: Of women, 92.25% reported having or previous 3 months. Factors like older age (odds ratio = 1.764, 95% confidence interval 1.083–2.873, p-value 0.023), lower family income 0.327, 0.138–0.775, 0.011), educational level 0.222, 0.068–0.718, 0.012), being married 0.328, 0.188–0.574, < 0.001) were significantly associated with risk. Difficulties obtaining products thus reusing them increased odds of diagnosis 2.452, 1.497–4.015, 0.001). Women exhibited higher scores than those without (12.14 ± 5.87 vs 9.99 5.86, 0.001, respectively). Conclusion: highlights high prevalence residing camps Jordan, which poor To reduce burden marginalized communities, public initiatives should enhance healthcare accessibility, provide education, promote holistic well-being

Язык: Английский

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Psychosocial and emotional well-being of Syrian refugee children and adolescents in Jordan: In-camp versus out-of-camp comparative analysis

Narra J, Год журнала: 2024, Номер 4(2), С. e849 - e849

Опубликована: Авг. 2, 2024

There is a notable gap in understanding how different living arrangements influence the psychosocial and emotional well-being of Syrian refugee children adolescents. Moreover, limited literature exists on comparison between in-camp out-of-camp situations. The aim this study was to compare status camp non-camp adolescents Jordan. A nationwide school survey conducted Jordan from December 2022 April 2023 targeted (8-11 years) (12-18 years), encompassing Jordanians, Syrians, Palestinians, both camps (camp refugees) urban areas (urban refugees). In paper, analysis refugees. total 1,420 1,249 were included. Children had higher rates hyperactivity (12.7% vs 8.3%) difficulties (19.3% 13.9%) compared dwellers. However, they lower bedtime problems (12.8% 17.0%) problematic internet use (19.9% 34.8%). Camp separation anxiety disorder (44.0% 37.8%) conduct (22.2% 15.0%), but poor physical functioning (43.3% 52.3%) Adjusted showed odds generalized (OR=0.59), (OR=0.39), (OR=0.67) for children. symptoms (OR=1.47), (OR=2.08), overall (OR=1.50). (OR=1.49) conclusion, issues than Similarly, faced more reported better their peers. complex interplay conditions underscores need tailored mental health interventions displaced populations.

Язык: Английский

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Social capital, social cohesion, and health of Syrian refugee working children living in informal tented settlements in Lebanon: A cross-sectional study

PLoS Medicine, Год журнала: 2020, Номер 17(9), С. e1003283 - e1003283

Опубликована: Сен. 2, 2020

Background Since 2011, the protracted Syrian war has had tragic consequences on lives of people, threatening their stability, health, and well-being. The most vulnerable are children, who face interruption schooling child labor. This study explored relationship between social capital physical health emotional well-being refugee working children in rural areas Lebanon. Methods findings In this cross-sectional study, we surveyed 4,090 Bekaa Valley Lebanon 2017. Children (8–18 years) gave direct testimony living environment face-to-face interviews. Logistic regressions assessed association cohesion with children; specifically, poor self-rated reporting a problem, engaging risky behavior, feeling lonely, optimistic, being satisfied life. Of 11% reported 16% having 13% were engaged behaviors. majority (67.5%) while around 53% optimistic 59% suggest that positive constructs associated better health. Lower levels (e.g., not spending time friends) significantly more lonely ([adjusted odds ratio (AOR), 2.4; CI 1.76–3.36, p < 0.001], [AOR, 1.9; 1.44–2.55, 0.5; 0.38–0.76, respectively). Higher support good relations), family discussing personal issues parents), neighborhood attachment close friend) all ([AOR, 1.5; 1.2–1.75, 1.3; 1.11–1.52, 1.58–2.29, respectively) life 1.01–1.54, = 0.04], 1.2; 1.01–1.4, 1.08–1.6, 0.006], main limitations its design, as well other design (using self-reported measures, using questionnaire was subject to validation giving equal weighting components indicators). Conclusions highlights capital, cohesion, children's spite conditions experience, close-knit network friends Interventions consider dimensions might contribute improving informal tented settlements (ITSs).

Язык: Английский

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Changes in self-rated health and quality of life among Syrian refugees migrating to Norway: a prospective longitudinal study

International Journal for Equity in Health, Год журнала: 2020, Номер 19(1)

Опубликована: Окт. 27, 2020

Abstract Background Forced migrants can be exposed to various stressors that impact their health and wellbeing. How the different stages in migration process impacts is however poorly explored. The aim of this study was examine changes self-rated (SRH) quality life (QoL) among a cohort adult Syrian refugees before after resettlement Norway. Method We used prospective longitudinal design with two assessment points Lebanon accepted for gathered baseline data 2017/2018 subsequently at follow-up one year arrival. main outcomes were good SRH measured by single validated item QoL WHOQOL-BREF. generalized estimating equations investigate over time incorporated interaction terms models evaluate effect modifications. Results In total, 353 subjects participated study. percentage participants reporting showed non-significant increase from 58 63% RR, 95%CI: 1.1 (1.0, 1.2) while mean values all four domains increased significantly follow-up; physical domain 13.7 15.7 B, 1.9 (1.6, 2.3), psychological 12.8 14.5 1.7 (1.3, 2.0), social relationships 15.3 1.6 (1.2, 2.0) environmental 9.0 14.0 5.1 (4.7, 5.4). Positive modifiers improvement include male gender, younger age, low level support illegal status transit country. Conclusion Our results show remain stable improve, most pronounced environment domain. Understanding dynamics fundamental step reaching equity.

Язык: Английский

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Quality of life among Syrian refugees in Germany: a cross-sectional pilot study

Archives of Public Health, Год журнала: 2021, Номер 79(1)

Опубликована: Ноя. 29, 2021

More than 10 million Syrians have left their homes and sought refuge in neighboring countries, including Europe, since the beginning of Syrian conflict March 2011, immigration continues to this day. This cross-sectional study included refugees residing around Hannover, Germany. We investigated whether general socioeconomic factors (e.g. age, sex, housing, asylum duration) were predictive for quality life (QOL) The QOL was assessed using WHOQOL-BREF tool, a questionnaire assessing four domains: Physical health, psychological, social relationships environment. A total 114 refugees, aged between 18 45 years, who obtained one following statuses, asylum, refugee protection or subsidiary protection, included. domain scores Germany compared with Western norm Sub-Saharan population. Data analyzed Spearman Rho correlation coefficient, Kruskal-Wallis Mann-Whitney U test multivariate linear regression. 65% participants (62.3% male, 37.7% female) 29 years old, 45% had lived less years. lowest score reported relationship's (60.5%), while psychological 40-45 (P = 0.011). age significantly negatively associated physical health 0.010), < 0.001) 0.005). Asylum duration environment 0.040), short-time satisfied longtime aspects Enjoying Concentration ability 0.001 P 0.033, respectively), yet not scores. There significant associations housing 0.032) relationship 0.001). living camps registered lower residents apartments houses, single higher those married divorced 0.032 0.035, respectively). participating showed low assessment all domains normal population, especially regarding relations psychological; it factors, such as marital status. calls urgent societal political efforts strengthen conditions

Язык: Английский

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Loneliness as a mediator of social relationships and health-related quality of life among refugees living in North Rhine-Westphalia, Germany

BMC Public Health, Год журнала: 2021, Номер 21(1)

Опубликована: Дек. 1, 2021

Since 2015, more than one million people fled to Germany - mainly from war-affected countries. Nevertheless, little is known about social determinants in refugees located Germany. This study aims test the mediation effect of loneliness between relationships, comprising integration and support, health-related quality life among living North Rhine-Westphalia, Germany.The investigation utilizes data FlueGe Health Study (N=326), a cross-sectional conducted by Bielefeld University. The was collected February November 2018 included interviews examinations. Participants were recruited shared private accommodation several cities We first analyzed correlations integration, loneliness, physical mental component life. then analyses using structural equation modeling.The majority respondents socially isolated, perceiving moderate degree support. In addition, components indicate that participants predominantly experienced rather impairments. Results showed indirect effects on association health (ß = 0.495, 95% bias-corrected accelerated confidence interval (BCa CI) [0.018, 0.972]), support both 0.022, BCa CI [0.004, 0.040]) 0.067, [0.037, 0.097]).Loneliness played mediating role relationships results provide implications for both, policy host society.

Язык: Английский

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Quality of Life among Older Syrian Refugees in Jordan: Quantitative Study

Dirasat Human and Social Sciences, Год журнала: 2022, Номер 49(4), С. 480 - 491

Опубликована: Июль 30, 2022

Quality of life (QOL) is an important measure in the older refugees, reflecting health and well-being. Maintaining QOL important, especially with increased proportion adults society. Since beginning Syrian crisis, Syrians sought refuge to neighborhood countries. Many aspects refugees’ lives have been affected, therefore affecting overall quality their lives. Even so, aim our study were evaluate refugees residing Jordan, tackled topic as a multi-dimensional phenomenon (Life overall, health, social relationships, independence, control over life, freedom, home neighborhood, psychological emotional, well-being, financial circumstances, leisure activities). This used quantitative methods using survey design 150 (above 60 years old) data was analyzed by descriptive statistics, one-way analysis variance, factor chi square. The revealed that there statistical significant differences among according level education favor higher education, results also indicate medium males females older, male refugees.

Язык: Английский

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