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Journal of Psychosocial Oncology 2016In head and neck cancer (HNC), couple-based interventions may be useful for facilitating treatment completion, patient rehabilitation, and improving both partners'...
In head and neck cancer (HNC), couple-based interventions may be useful for facilitating treatment completion, patient rehabilitation, and improving both partners' quality of life. With the goal of identifying targets for future interventions, we conducted a qualitative study to understand patient and spouse unmet needs and relationship challenges during curative radiotherapy for HNC. Semistructured interviews were conducted with six HNC patients (83% male) and six spouses (83% female) within 6 months of completing treatment. Interviews were audiotaped and transcribed using grounded theory analysis. Patients and spouses identified several unmet needs including better preparation regarding the severity of physical side effects, a clearer timeline for recovery, and strategies for dealing with their own and each other's emotional reactions. Caregiver's unmet needs included balancing competing roles/responsibilities, making time for self-care, and finding effective strategies for encouraging patient's self-care. Eighty-three percent of spouses and all patients reported increased conflict during treatment. Other relationship challenges included changes in intimacy and social/leisure activities. Findings suggest that couple-based interventions that emphasize the importance of managing physical and psychological symptoms through the regular practice of self-care routines may be beneficial for both patients and spouses. Likewise, programs that teach spouses ways to effectively motivate and encourage patients' self-care may help minimize conflict and help couples navigate HNC treatment and recovery together as a team.
Topics: Adaptation, Psychological; Adult; Aged; Caregivers; Female; Head and Neck Neoplasms; Health Services Needs and Demand; Humans; Interpersonal Relations; Male; Middle Aged; Qualitative Research; Quality of Life; Self Care; Spouses
PubMed: 27269579
DOI: 10.1080/07347332.2016.1195901 -
BMC Psychiatry Jan 2022Intimate partner violence (IPV) is a global public health concern, with women in low- and middle-income countries (LMICs) bearing a disproportionately high burden. This...
BACKGROUND
Intimate partner violence (IPV) is a global public health concern, with women in low- and middle-income countries (LMICs) bearing a disproportionately high burden. This study investigates the prevalence and factors correlated with attitudes regarding wife-beating among Bangladeshi women in urban-rural contexts.
METHODS
A sample of 13,033 urban women and 51,344 rural women data from the Bangladesh Multiple Indicator Cluster Survey (MICS) 2019 were analyzed using the Chi-square test and ordinal logistic regression model.
RESULTS
The findings reveal that arguing with her husband is the widespread reason for wife-beating in Bangladesh (urban: 17.3%, rural: 21.9%), followed by neglecting the children (urban: 12.7%, rural: 15.8%). About 8% of urban women and 10% of rural women favoured the opinion that refusing to involve sexual intercourse is a legitimate justification for wife-beating. In comparison, around 5% feel that a husband has a right to beat his wife due to burning food. The respondents' age, education, marital status, number of children, socioeconomic level, any health or physical difficulty, having problems becoming pregnant, and the husband's age are all significant factors in justifying wife-beating.
CONCLUSIONS
Bangladesh has a massive challenge in eliminating IPV. Women from lower socioeconomic classes, low levels of education, other challenges, and residents of rural areas are particularly more vulnerable than their urban counterparts. Therefore, it is vital to develop a proper action plan that considers women's education and occupation to raise awareness of the various implications of wife-beating in women, particularly in Bangladesh's rural areas.
Topics: Bangladesh; Child; Female; Humans; Pregnancy; Prevalence; Risk Factors; Socioeconomic Factors; Spouses; Surveys and Questionnaires
PubMed: 34983457
DOI: 10.1186/s12888-021-03652-x -
PloS One 2021Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The...
BACKGROUND
Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy helps a mother to make timely decisions to avoid delays. Identifying the level of husband involvement in Birth-preparedness and complication-readiness is very important, as husband is the major decision maker in household and health service related issue. However, there is no sufficient data in the Kucha district, which describes the level of husband involvement in Birth-preparedness and complication-readiness. Therefore, this study assessed the level of husband involvement in birth preparedness and complication readiness in Kucha District, Gamo Zone, Ethiopia.
METHODS
Community-based cross-sectional study was conducted on 421 husbands whose wife gave birth within the last 12 months at Kucha District using simple random sampling technique. Data was collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the level of husband involvement. A p-value <0.05 with 95% confidence level used to decide statistical significance.
RESULTS
Data were collected from 421 study participants. One hundred twenty-seven (30.2%) were involved in birth preparedness and complication readiness plan. Participants who had at least secondary school education AOR = 3.1, CI (1.84-5.23), had at least four antenatal care visits AOR = 4.91, CI (2.36-10.2), and live more than five km from the health care facility AOR = 2.35, CI = 1.40-3.96) were involved in birth preparedness and complication readiness plan.
CONCLUSION
Husbands' involvement in birth preparedness and complication readiness was low. Husband's higher educational level, high frequency of antenatal care, and long distance to the health facility were significantly associated with husbands' involvement in Birth-preparedness and complication-readiness plan. Therefore, advocating for higher frequency of antenatal care and improving educational level are important to increase husbands' involvement in birth preparedness and complication readiness plan.
Topics: Adult; Cooperative Behavior; Cross-Sectional Studies; Delivery, Obstetric; Educational Status; Ethiopia; Fathers; Female; Health Facilities; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Mothers; Multivariate Analysis; Parturition; Pregnancy; Pregnancy Complications; Pregnant Women; Prenatal Care; Prenatal Education; Spouses; Surveys and Questionnaires
PubMed: 34962971
DOI: 10.1371/journal.pone.0261936 -
Indian Journal of Medical Ethics 2019A 25-year-old woman, six-months pregnant, came to me in great distress. She said she had been happily married for five years. Unexpectedly, a minor accidental injury to...
A 25-year-old woman, six-months pregnant, came to me in great distress. She said she had been happily married for five years. Unexpectedly, a minor accidental injury to her husband had revealed that he had been suffering from a brain tumour since 2012. He had been operated on at the time but the tumour had subsequently metastasised and had required further surgery. His condition had not been revealed to the wife either at the time of the marriage or later. The husband and his family were unapologetic about the non-disclosure. When the wife confronted her husband's regular attending neurosurgeon, asking why he had not counselled the patient against marriage, he had argued that it was not his responsibility to do so. The issue this case raises is: Is it not the duty of a responsible treating doctor towards a patient with a life-threatening condition and his parents, to counsel them regarding marriage? A doctor occupies the position of a respected adviser and his counsel would surely be considered seriously.
Topics: Adult; Brain Neoplasms; Confidentiality; Female; Humans; India; Male; Marriage; Moral Obligations; Physician-Patient Relations; Spouses
PubMed: 31378716
DOI: 10.20529/IJME.2019.035 -
Aging & Mental Health Apr 2022Negative marital interaction and purpose in life have been associated with depressive symptoms. Yet, these associations have not been fully explored in a dyadic context....
OBJECTIVE
Negative marital interaction and purpose in life have been associated with depressive symptoms. Yet, these associations have not been fully explored in a dyadic context. This study examines the actor (intra-individual) and partner (cross-spousal) effects of negative marital interaction on depressive symptoms in couples and the potential mediating role of purpose in life.
METHODS
Data came from 1186 heterosexual married couples who participated in the 2016 (T1) and 2018 (T2) waves of the Health and Retirement Study and completed the psychosocial questionnaire in 2016. Structural equation modeling was used to estimate the direct and indirect associations among T1 negative marital interaction, T1 purpose in life, and T2 depressive symptoms at the actor and partner levels. Models controlled for age, race, educational level, self-rated health, and length of marriage.
RESULTS
At the actor level, a greater negative marital interaction was associated with significantly lower levels of purpose in life for husbands and wives. Negative marital interaction was also associated with depressive symptoms for wives. Purpose in life mediated the relationship between negative marital interaction and depressive symptoms. At the partner level, wives' negative marital interaction was negatively associated with husbands' purpose in life, independent of husbands' own effects.
CONCLUSION
The findings support the dominant marital discord model of depression and highlight gender differences in the cross-spousal effects of negative marital interaction on purpose in life. Positive psychology interventions can be beneficial to promote purpose in life and subsequently improve mental health outcomes among couples.
Topics: Aged; Depression; Heterosexuality; Humans; Marriage; Middle Aged; Retirement; Spouses
PubMed: 33769159
DOI: 10.1080/13607863.2021.1904831 -
BMC Public Health Feb 2022International labour migration continues to be an integral component in Sri Lanka's economic development. Previous research indicates an adverse perinatal outcome in...
BACKGROUND
International labour migration continues to be an integral component in Sri Lanka's economic development. Previous research indicates an adverse perinatal outcome in association with low maternal pre-pregnancy body mass index (PBMI) and gestational weight gain (GWG). However, evidence of this association is limited in migrant families. This study aims to investigate the associations between PBMI, GWG among lactating mothers (LM), and fetal outcomes in migrant households, where the father is the migrant worker.
METHODS
A secondary data analysis was done using a nationally representative sample of 7,199 LM. There were 284 LM whose husbands were international migrant workers. Maternal factors were taken as PBMI<18.5 kg/m and GWG<7kg. Preterm birth and low birth weight (LBW) were taken as fetal outcomes. Binary logistic regression was performed to assess the associated factors.
RESULTS
There was significant difference between LM from migrant and non-migrant households with regards to place of residency, ethnicity, household monthly income, household food security, average household members, husband's education and husband's age. Among migrant, PBMI<18.5 kg/m was associated with current BMI and mode of delivery. Migrant LM had significantly higher weight gain (≥12 kg) during pregnancy (p=0.005), were multiparous (p=0.008), delivered in private hospital (p=0.000), lesser percentage of underweight (p=0.002) and higher birthweight (p=0.03) than non-migrant LM. Logistic regression model revealed that for each kilogram increment in birthweight and GWG, preterm delivery decreased by 89%(OR=0.11;95%CI:0.04-0.28) and LBW decreased by 12%(OR=0.89;95%CI:0.81-0.97) respectively. Caesarean deliveries were positively associated with low GWG.
CONCLUSION
Our study showed LM in migrant families had invested remittances to utilize private health facilities for deliveries, to improve weight gain during pregnancy and adequate PBMI to deliver higher birth weight babies. In depth study is needed to understand further utilisation of remittances to improve fetal outcomes by increasing birthweight and GWG in migrant families.
Topics: Birth Weight; Body Mass Index; Emigration and Immigration; Female; Humans; Infant, Newborn; Lactation; Pregnancy; Pregnancy Outcome; Premature Birth; Spouses; Weight Gain
PubMed: 35105324
DOI: 10.1186/s12889-022-12615-0 -
Demography Apr 2017Emotional influences on fertility behaviors are an understudied topic that may offer a clear explanation of why many couples choose to have children even when...
Emotional influences on fertility behaviors are an understudied topic that may offer a clear explanation of why many couples choose to have children even when childbearing is not economically rational. With setting-specific measures of the husband-wife emotional bond appropriate for large-scale population research matched with data from a long-term panel study, we have the empirical tools to provide a test of the influence of emotional factors on contraceptive use to limit fertility. This article presents those tests. We use long-term, multilevel community and family panel data to demonstrate that the variance in levels of husband-wife emotional bond is significantly associated with their subsequent use of contraception to avert births. We discuss the wide-ranging implications of this intriguing new result.
Topics: Adolescent; Adult; Contraception; Contraception Behavior; Emotions; Family Planning Services; Female; Humans; Interpersonal Relations; Male; Middle Aged; Nepal; Socioeconomic Factors; Spouses; Young Adult
PubMed: 28181103
DOI: 10.1007/s13524-017-0555-5 -
Australian and New Zealand Journal of... Dec 2001Violence against women is a significant public health issue. One form of violence against women, intimate partner abuse or domestic violence, is prevalent in Australia.... (Comparative Study)
Comparative Study Review
Violence against women is a significant public health issue. One form of violence against women, intimate partner abuse or domestic violence, is prevalent in Australia. In this article, we summarise the main theoretical and methodological debates informing prevalence research in this area. We explain why studies finding equivalent victimisation and perpetration rates between the sexes are conceptually and methodologically flawed and why coercion and control are fundamental to the definition and measurement of partner abuse. We conclude that while male victims of partner abuse certainly exist, male victims of other forms of male violence are more prevalent. A focus on gendered risk of violence in public health policy should target male-to-male public violence and male-to-female intimate partner abuse.
Topics: Australia; Coercion; Conflict, Psychological; Domestic Violence; Epidemiologic Studies; Female; Humans; Male; Prevalence; Public Health; Risk Factors; Sex Distribution; Spouses
PubMed: 11824982
DOI: 10.1111/j.1467-842x.2001.tb00311.x -
Journal of Personality Disorders Feb 2017Despite the relationship of impulsivity with interpersonal dysfunction, including romantic relationship dysfunction, surprisingly little research has examined the degree...
Despite the relationship of impulsivity with interpersonal dysfunction, including romantic relationship dysfunction, surprisingly little research has examined the degree to which impulsivity predicts how marriages unfold over time. The current study used data from 172 newlywed couples to examine spouses' impulsivity in relation to their 4-year trajectories of marital satisfaction, marital problems, relationship commitment, and verbal aggression, as well as their 10-year divorce rates. Hierarchical linear modeling indicated that husbands' and wives' impulsivity predicted their own intercepts of marital satisfaction and marital problems, reflecting lower levels of satisfaction and higher levels of problems. Wives' impulsivity also predicted their relationship commitment and their verbal aggression intercepts. No cross-spouse effects or effects on slopes were found, and impulsivity did not predict 10-year divorce rates. These findings indicate that the relationship distress associated with impulsivity begins early in marriage, and they suggest a need for further research on the processes by which impulsivity undermines marital quality.
Topics: Adolescent; Adult; Aggression; Divorce; Family Relations; Female; Humans; Impulsive Behavior; Male; Marriage; Personal Satisfaction; Spouses; Young Adult
PubMed: 27088166
DOI: 10.1521/pedi_2016_30_242 -
BMC Pregnancy and Childbirth Aug 2021Maternal and neonatal health outcomes remain a challenge in low- and middle-income countries (LMICs) despite priority given to involving male partners in birth... (Meta-Analysis)
Meta-Analysis
BACKGROUND
Maternal and neonatal health outcomes remain a challenge in low- and middle-income countries (LMICs) despite priority given to involving male partners in birth preparedness and complication readiness (BPCR). Men in LMICs often determine women's access to and affordability of health services. This systematic review and meta-analysis determined the pooled magnitude of male partner's participation in birth preparedness and complication readiness in LMICs.
METHODS
Literature published in English language from 2004 to 2019 was retrieved from Google Scholar, PubMed, CINAHL, Scopus, and EMBASE databases. The Joanna Briggs Institute's critical appraisal tool for prevalence and incidence studies were used. A pooled statistical meta-analysis was conducted using STATA Version 14.0. The heterogeneity and publication bias were assessed using the I statistics and Egger's test. Duval and Tweedie's nonparametric trim and fill analysis using the random-effect analysis was carried out to validate publication bias and heterogeneity. The random effect model was used to estimate the summary prevalence and the corresponding 95% confidence interval (CI) of birth preparedness and complication readiness. The review protocol has been registered in PROSPERO number CRD42019140752. The PRISMA flow chart was used to show the number of articles identified, included, and excluded with justifications described.
RESULTS
Thirty-seven studies with a total of 17, 148 participants were included. The pooled results showed that 42.4% of male partners participated in BPCR. Among the study participants, 54% reported having saved money for delivery, whereas 44% identified skilled birth attendants. 45.8% of male partners arranged transportation and 57.2% of study participants identified health facility as a place of birth. Only 16.1% of the male partners identified potential blood donors.
CONCLUSIONS
A low proportion of male partners were identified to have participated in BPCR in LMICs. This calls countries in low- and middle-income setting for action to review their health care policies, to remove the barriers and promote facilitators to male partner's involvement in BPCR. Health systems in LMICs must design and innovate scalable strategies to improve male partner's arrangements for a potential blood donor and transportation for complications that could arise during delivery or postpartum haemorrhage.
Topics: Developing Countries; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Maternal Health Services; Pregnancy; Pregnancy Complications; Prenatal Care; Spouses
PubMed: 34391387
DOI: 10.1186/s12884-021-03994-0