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PubMed2005

Happiness and related factors in pregnant women.

BACKGROUND AND OBJECTIVES: Pregnancy is a crisis in the human life cycle as an important turning point in aspects of anatomical, physiological and psychosocial changes. An unhappy pregnanus could influence the fetal growth and development and sense of maternal competence as well as bonding with the fetus which profoundly affect the nurture of the infant after delivery. The authors'purposes were to study happiness and related factors in pregnant women having antenatal care at King Chulalongkorn Memorial Hospital. MATERIAL AND METHOD: Four hundred and thirty-eight pregnant women from the antenatal clinic at King Chulalongkorn Memorial Hospital were randomly selected to complete a set of questionnaires that consisted of personal information, pregnant information, The Oxford Happiness Questionnaire (OHQ), The Maudsley Personality Inventory (MPI) and The Marital Satisfaction Scale (MSS). Prevalence of happiness level was classified by descriptive analysis. Unpaired t-test, ANOVA and Pearson's Product Moment Correlation analyzed related factors to happiness in pregnant woman. Also Stepwise Multiple Regression Analysis was used to define predictive factors for happiness in pregnant women. RESULTS: The sample had a high level of happiness of 57.3%. Significant related factors to happiness were age between 31-35 years, high education level, high individual and family income, having saving deposition, no drug abuse, improved marital relationship, no conflict with relatives, extrovert and stable personality types and no concerns about post-partum body image. Four predictive factors for happiness in pregnant women were extrovert personality, stable personality, high family income and improved marital relationship. CONCLUSION: Level of happiness in pregnant women could be predicted by type of personality, family income and marital relationship.

Adult↗
PubMed1997

Coping with a partner who drinks too much: does anything work?

This paper reports on a multiple regression study in which the efficacy of positive and negative coping responses adopted by the partners of "heavy drinkers" were compared under conditions of drinker intoxication and sobriety. Results indicated that only one combination of response type and drinker state was associated with higher levels of partner well-being: positive responses when the drinker is sober. Moreover, even this coping pattern accounted for relatively little variance in partner well-being scores. It is concluded that programs which aim to improve the quality of partner's lives should not generalize about desirable coping behaviours but should take account of situational and individual difference variables.

Adaptation, Psychological↗
PubMed2005

Atypical 18p- syndrome associated with partial trisomy 16p in a chromosomally unbalanced child of consanguineous parents with an identical balanced translocation.

A 2 month old male infant was found to have mild growth retardation, prominent forehead, low set ears, low nasal bridge, rounded facies, cleft palate, webbed neck, shawl scrotum, and absent right kidney. The propositus, a product of a consanguineous marriage, had extremely rare abnormal cytogenetic findings. His karyotype contained three derivative chromosomes that originated from a familial translocation, t(16;18)(p13.3;p11.2) carried by both parents. Based on parental studies, the infant's unbalanced karyotype was defined as: [46,XY,t(16;18)(p13.3;p11.2), der(18)t(16;18).ish t(16;18)(16ptel-,16qtel+,18ptel+,wcp16+,wcp18+;16ptel+,18ptel-,wcp16+,wcp18+), der(18)t(16;18)(16ptel+,18ptel-,wcp16+,wcp18+)]. We describe this child at 2 months of age with a follow up at 4 1/2 years, exhibiting a mixed clinical picture with features of both 18p- and partial trisomy 16p13.3.

Abnormalities, Multiple↗
PubMed1994

Housework, paid work, and depression among husbands and wives.

The National Survey of Households and Families was used to test competing explanations of how the distribution of housework and paid work among couples affects depressive symptomatology. Considerations of equity predict that the fair distribution of labor across spouses will alleviate depression, while role theory predicts that the performance of multiple, engaging roles will inhibit depression, irrespective of equity across spouses. Results confirm that paid employment is associated with reduced depression among both husbands and wives until work hours exceed an upper threshold. However, time spent in housework is universally associated with increased depression, no matter what other role constellations exist. Little evidence supports the notion that equity in the division of labor (either paid or unpaid) inhibits depression, but perceptions of equity are significantly associated with lower levels of depression. In particular, husbands are strongly affected by perceived equity in the performance of paid work, while wives are strongly affected by perceived equity in the performance of housework.

Adult↗
PubMed1991

Case-control study of risk factors for cervical neoplasia in Denmark. I: Role of the "male factor" in women with one lifetime sexual partner.

Possible risk factors for cervical cancer were investigated in 645 women, 20-49 years of age from Copenhagen, with histologically confirmed cervical cancer or carcinoma in situ and in 614 controls drawn at random from the female population of the same area. To study the role of the "male factor", monogamous cases and controls together with their husbands were invited for further examination. This included a personal interview, a blood sample for analysis of herpes simplex virus antibodies, and a penile swab for papillomavirus analysis. In total, 41 case couples and 90 control couples were enrolled (89% and 92% of eligibles, respectively). The most significant risk determinants were a history of genital warts in the male (RR = 17.9 for ever vs. never) and ever having used condoms (RR = 0.2). Other potentially important factors, although not statistically significant, were ever having visited prostitutes (RR = 2.6, p = 0.14), circumcision (RR = 0.3, p = 0.18), and a history of genital warts in the female (RR = 4.6), p = 0.09). Having a husband with a history of multiple sexual partners was also associated with an increased crude risk, but when adjustment was made for husband ever having had genital warts, use of condom, and age, no significant excess risk was observed. Human papillomavirus DNA, which was tested for with ViraPap and ViraType, was detected in one of the controls, and in only 2 case husbands. This study points to the importance of "high-risk males" for the development of cervical cancer in their sexual partner; the results support the infectious nature of the disease.

Adult↗
PubMed1997

Interparental conflict and relations with parents as predictors of young adult functioning.

Interparental conflict is a known risk factor for child adjustment problems; yet few studies have examined its long-term effects. This study tests the following hypotheses: Interparental conflict has both longitudinal and concurrent influences on the functioning of young adult children, and the relationship between young adults and their parents mediates these influences. We assessed a community sample (N = 243) of families when the target child was in early to middle adolescence. We then reassessed them 6 years later during young adulthood. The links of interparental conflict measured at the two time points to young adults' general psychopathology and antisocial behavior were examined using multiple regression analyses. The quality of the relationship between young adults and each parent was added to each equation as a potential mediating variable. Results showed that concurrent, but not earlier, interparental conflict predicted males' antisocial behavior. No support was found for the mediational model, but support was found for an alternate model positing direct effects for interparental conflict and the parent-young adult relationship on young adult functioning. For females and males, problematic relationships with mothers and father predicted greater general psychopathology, while problems in paternal relationships predicted higher levels of antisocial behavior only for females.

Adaptation, Psychological↗
PubMed2004

Reading others emotions: The role of intuitive judgments in predicting marital satisfaction, quality, and stability.

This study examined links between emotion expression in couple interactions and marital quality and stability. Core aspects of emotion expression in marital interactions were identified with the use of naive observational coding by multiple raters. Judges rated 47 marital discussions with 15 emotion descriptors. Coders' pooled ratings yielded good reliability on 4 types of emotion expression: hostility, distress, empathy, and affection. These 4 types were linked with concurrent marital satisfaction and interviewer ratings of marital adjustment as well as with marital stability at a 5-year follow-up. The study also examined the extent to which naive judges' ratings of emotion expression correspond to "expert" ratings using the Specific Affect Coding System (SPAFF). The unique advantages of naive coding of emotion expression in marital interaction are discussed.

Adolescent↗
PubMed2003

Rural Indian women's care-seeking behavior and choice of provider for gynecological symptoms.

This study uses data from the India National Family and Health Survey-2 conducted in 1998-99 to investigate the level and correlates of care-seeking and choice of provider for gynecological symptoms among currently married women in rural India. Of the symptomatic women surveyed, 31 percent sought care, overwhelmingly from private providers (70 percent). Only 8 percent of women consulted frontline paramedical health workers. Care-seeking behavior and type of providers consulted varied significantly across different Indian states. Significant differentials in care-seeking by age, caste, religion, education, household wealth, and women's autonomy suggest the existence of multiple cultural, economic, and demand-side barriers to care-seeking. Although socially disadvantaged women were less likely than better-off women to consult private providers, the majority of even the poorest, uneducated, and lower-caste women consulted private providers. Geographical access to public health facilities had no significant association with choice of provider, whereas access to private providers had only a moderately significant association with that choice. The predominance of use of private services for self-perceived gynecological morbidity warrants the inclusion of private providers in the national reproductive health strategy to enhance its effectiveness.

Adolescent↗
PubMed1990

Consanguinity and its effect on fetal growth and development: a south Indian study.

The effect of consanguinity on fetal growth and development was studied in 3700 consecutive births (live and stillborn); 26% of the total births were to consanguineous couples. Hindus had a higher frequency of consanguineous marriages, uncle-niece unions being the commonest type, whereas Moslems preferred first cousin marriages. The incidence of congenital malformations was 39.1/1000 births with a significantly higher incidence among the consanguineous group (8.01%) as against the nonconsanguineous group (2.42%) (p less than 0.001). The incidence of malformations was higher in the uncle-niece matings (9.34%) compared to the first cousin marriages (6.18%) (p less than 0.01). Malformations of major systems were significantly more frequent among the consanguineous couples, whereas malformations of the eyes, ears, and skin did not show any significant effect of consanguinity. Stillbirth rates were significantly higher in the consanguineous group, irrespective of the mother's socioeconomic status, and were higher in uncle-niece matings compared to first cousin and beyond first cousin unions in both the poor and middle/upper class. A significant decrease in the mean birth weight and head circumference of babies born to consanguineous parents was noted in both the poor and middle/upper socioeconomic class. The mean length was less in babies born to consanguineous parents belonging to the poor social class only.

Abnormalities, Multiple↗
PubMed1983

Social support, social influence, ethnicity and the breastfeeding decision.

A survey was conducted of all mothers delivering infants at a university medical center hospital in the month of July, 1981. The survey was conducted within 48 hours of delivery and addressed factors related to the breastfeeding decision. The mother's response to the question concerning choice of infant feeding was verified against the feeding records. One set of questions concerned the perceived general supportiveness toward breastfeeding of six individuals significant to the mother. Another set of questions identified who was most influential in the mother's breast or bottle feeding decision. The pattern of significant bivariate relationships between a person's supportiveness and breastfeeding varied across ethnic and maritial status groups. Single and multiple logistic analyses were conducted within ethnic groups to identify from whom support was most important for initiating breastfeeding. Among Black-Americans, support from a close friend was most important. Among Mexican-Americans, support from the mother's mother was most important. Among Anglo-Americans, support from the male partner was important. A broad variety of ensuing research issues are raised. An implication is that social support may be an important interventive variable, but the potentially supportive individual to be reached by an interventive program varies by ethnic group.

Black or African American↗
PubMed2001

Aggression in toddlers: associations with parenting and marital relations.

This study examined the relation among parenting factors, marital relations, and toddler aggression. A structured questionnaire was administered to both parents of 254 2-year-olds. The authors used correlation and hierarchical multiple regression analyses to assess the extent to which certain personality traits, drug use, parenting style, and marital conflicts were related to the toddlers' aggressive behavior. Results showed that the maternal child-rearing and parental aggression domains had a direct effect on toddler aggression. The domain of maternal child rearing also served as a mediator for the domains of marital relations, paternal child rearing, parental aggression, and parental drug use. The findings indicated that maternal child-rearing practices, personality attributes, and drug use were more important than paternal attributes in relation to toddler aggression. Implications for prevention among families at risk are discussed.

Aggression↗
PubMed1992

Dependency conflict, marital threat, and alcohol consumption in a middle-aged sample.

The hypothesis that dependency conflict is associated with higher levels of alcohol consumption when dependency needs are threatened or thwarted was tested with a sample of 672 middle-aged, married adults with college-age children. The subjects' current level of alcohol consumption was predicted based on the present level of threat to the marital relationship (assessed by reports from several family members) and on indices of dependency need and inhibition of dependent behavior estimated from sibship size, sibship density, and sibling position. A multiple regression analysis yielded a significant two-way interaction (p less than .05) between marital threat and subject sex, and a significant three-way interaction of dependency need, inhibition of dependent behavior, and marital threat. High marital threat was associated with higher levels of alcohol consumption in men and slightly lower levels of alcohol consumption in women. Additionally, when dependency need was high, alcohol consumption was generally low, except when both inhibition of dependent behavior and marital threat were high. However, when dependency need was low, the highest alcohol consumption score occurred when marital threat was low and inhibition was high.

Alcohol Drinking↗
PubMed1983

The sex differential in mortality from all causes and ischemic heart disease.

The sex differential in mortality from all causes and ischemic heart disease is examined in an upper-middle class Caucasian community of 3516 adults in southern California, who were followed for a minimum of seven years. The influence of several demographic, behavioral, and biologic risk factors is simultaneously controlled for by means of a multiple logistic analysis. Risk factors include age, marital status, education, cigarette smoking, cholesterol, systolic blood pressure, fasting plasma glucose, and obesity. Both the prevalence and relative mortality risk associated with several risk factors differ by sex. Adjustment decreases the sex differential for mortality from 1.7 to 1.3 for all causes and from 4.8 to 2.4 for ischemic heart disease. When analysis is limited to healthy men and women, the adjusted sex differential in mortality is 1.2 for all causes and 2.0 for ischemic heart disease. Findings of this study are compared with two other population-based studies.

Adult↗
PubMedDate not supplied

[Evaluation of condom use among students of the El Mina middle school in Nouakchott in the Islamic Republic of Mauritania].

UNLABELLED: This study, intended to contribute to the fight against HIV/AIDS infection, sought to identify the factors limiting condom use among the pupils of the El Mina middle school in Nouakchott, in the Islamic Republic of Mauritania. METHOD: This investigation, conducted in May 2004, concerned 711 students aged approximately 12-16 years. The dependent variable was condom use, and two categories of independent study variables were examined: socio-demographic and HIV information. The data were entered, verified, and analyzed with Epi info 6.04 software. RESULTS: Overall 40% of the students reported sexual activity; in this group, 41% reported multiple partners and 38% unprotected sexual relations. Condom use was significantly more frequent among boys, married students, students with more than one partner, those who attended educational sessions, those for whom sexuality is a taboo subject, those who knew a source of supply, and those for whom condoms were geographically and financially accessible. DISCUSSION: Condom use among sexually active students is insufficient. This underuse is caused by shortcomings in the distribution system and contributes to the multiplication of sexually-transmitted diseases, including HIV, among the pupils. To provide students with the knowledge necessary for the desired behavioral changes, the following steps are necessary: promoting social marketing of condoms, involving other partners in the fight against STDs and AIDS, using peer educator strategies, and integrating units on HIV/AIDS into secondary education. CONCLUSION: Given the seriousness and the increasing extension of the HIV infection, condom use should be promoted to improve the sexual and reproductive health of students and thus of the entire population of Mauritania.

Adolescent↗
PubMed1996

Intrusiveness of rheumatoid arthritis on sexuality in male and female patients living with a spouse.

OBJECTIVE: To determine whether physical disability, pain, depressive mood, and criticism by the spouse are differentially related to intrusiveness of rheumatoid arthritis (RA) on sexuality in male and female patients. METHODS: Physical and psychological aspects of health were assessed in 102 male and 118 female RA patients who were living with a spouse. Patients were classified into 3 levels of intrusiveness of RA on sexuality. The data were analyzed by means of analysis of covariance and multiple regression analysis. RESULTS: Greater intrusiveness of RA on sexuality was related to greater physical disability, pain, and depression in male and female RA patients. Female patients, compared with male patients, appeared to have lower levels of mobility and self-care. Male and female patients did not differ in their level of intrusiveness of RA on sexuality. CONCLUSION: Physical disability, pain, and, to a lesser extent, depression were found to contribute to intrusiveness of RA on sexuality. It is suggested that differences in sexual motivation between men and women might have been influential in the absence of gender differences in intrusiveness.

Activities of Daily Living↗
PubMed1990

Marital functioning after cardiac surgery.

Using Barnhill's components of family health functioning, we examined the relationships of spouse anxiety, coping methods, couple responsibility for compliance, and reported compliance with marital couple functioning. Five psychosocial scales were returned by mail by 136 Mended Heart members and spouses from five geographic regions. By multiple regression analysis, confrontive coping strategies and spouse trait anxiety were the two factors predictive of couple marital functioning. When marital functioning scores were examined separately, spouses' confrontive behaviors and patient reported compliance for diet, stress, and smoking prescriptions were predictive of both spouse and patient marital functioning. In addition, spouse marital functioning was predicted by state anxiety and patient compliance, and patient marital functioning by compliance and shared responsibility for compliance. Further studies should evaluate spouse inclusion in rehabilitation programs during hospitalization and convalescence and examine interactional strategies that facilitate confrontive behaviors and patient compliance to promote couple marital functioning after the cardiac event.

Adaptation, Psychological↗
PubMedDate not supplied

Patterns of preventive dental behavior.

Preventive dental behavior was examined using data from the National Health and Nutrition Examination Survey of 1971-75 conducted by the National Center for Health Statistics. Most research to date has dealt with the use of all types of dental services, with relatively few studies focusing on utilization of dental services for preventive purposes or on preventive dental behavior. Economic theory on the demand for health services and the Andersen model of health services utilization were applied to examine predisposing, enabling, and need characteristics which may influence use of preventive dental health services and preventive dental behavior. The associations between each of three measures of preventive dental behavior and the three sets of characteristics from Andersen's model were analyzed using multiple regression analysis. The enabling factors (income and a regular source of care) were the most important determinants of use of preventive dental services. Need characteristics, measured by self-evaluated condition of teeth, were also significant determinants of use, while the predisposing variables were the least important of the three types. In contrast, for the home care measure, frequency of brushing, the predisposing variables were the most important, with gender and education ranking highest. Consideration of these results may be useful to health educators and to those who formulate policies affecting the distribution of preventive dental services and dental insurance coverage.

Adult↗
PubMed1985

Women's involvement in multiple roles and psychological distress.

Women's involvement in multiple roles was examined in relation to three stress indices: role overload, role conflict, and anxiety. Using hierarchical multiple regression analyses, effects of number of roles occupied; occupancy of the particular roles of paid worker, wife, and mother; and the quality of a woman's experience in her roles were analyzed. Data were from a disproportionate stratified random sample (N = 238) of Caucasian women between 35 and 55 years of age. For the total sample and for employed women, occupancy of the role of mother was related to two stress indices; occupancy of the role of paid worker was related to none. The quality of experience in the work and parental roles was a significant predictor of role overload; quality of parental role experience was a significant predictor of role conflict and of anxiety.

Adult↗