Suchergebnisse

Introduction:
There is a lack of research in investigating functional disability (FD) among middle-aged populations. The aim of the study was to estimate the prevalence and correlates of FD among middle-aged persons in India.


Methods:
The national cross-sectional sample consisted of 34,098 persons (45–59 years) from the Longitudinal Aging Study in India Wave 1 in 2017–2018. FD was assessed with difficulties of six items in activities in daily living (ADL) and seven items in instrumental activities in daily living (IADL).


Results:
The prevalence of 0 ADL/IADL was 70.7%, 1 ADL/IADL 10.4%, and 2 or more ADL/IADL 18.9%. The overall prevalence of ADL difficulty was 9.9% and IADL difficulty 26.5%. In the adjusted logistic regression analysis, older age (55–59 years) (adjusted relative risk ratio: 1.45, 95% confidence interval [CI] 1.23–1.70), having no education (adjusted odds ratio [AOR]: 1.79, 95% CI: 1.54–2.07), poor or fair self-rated health status (AOR: 2.06, 95% CI: 1.81–2.34), 2 or more chronic conditions (AOR: 1.67, 95% CI: 1.39–2.01), insomnia symptoms (AOR: 1.86, 95% CI: 1.57–2.20), major depressive disorder (AOR: 1.66, 95% CI: 1.39–1.99), physical pain (AOR: 1.42, 95% CI: 1.22–1.65), poor distant vision (AOR: 1.37, 95% CI: 1.17–1.62), hearing or ear problem (AOR: 1.39, 95% CI: 1.10–1.74), falls (AOR: 1.34, 95% CI: 1.15–1.55), and poor word recall (AOR: 1.60, 95% CI: 1.30–1.97) were positively associated with 2 or more ADL/IADL. In addition, male sex (AOR: 0.37, 95% CI: 0.31–0.45), and urban residence (AOR: 0.70, 95% CI: 0.58-0.84) were negatively associated with 2 or more ADL/IADL.


Conclusion:
Almost two in five middle-aged adults in India had 2 or more ADL/IADL and several associated factors were identified.

In studies conducted with African and Asian cohorts researchers have shown the clinical efficacy of antiretroviral therapy (ART) in resource-limited settings. However, studies on the longer term changes in health-related quality of life (HRQoL) with patients receiving ART in these settings
are still scarce. The aim in this study was to assess HIV patients' HRQoL, clinical, psychosocial, and sociodemographic factors at 3 public hospitals in KwaZulu-Natal, South Africa over 20 months. Patients (N = 735) who attended 3 HIV clinics completed interview assessments prior to
initiation of antiretroviral therapy; 519 after 6 months, 557 after 12, and 499 after 20 months on ART. Results indicate that total HRQoL increased, as did general quality of life, general health, independence, social relationships, and environment. HIV symptoms, depression symptom ratings,
and internalized stigma reduced over time, whereas CD4 cell counts (number of helper T cells per cubic milliliter of blood), adherence to ART, and social support increased. Total HRQoL, the physical and psychological HRQoL domains, and internalized stigma improved at first and then deteriorated
almost to baseline levels. Significant independent predictors of good HRQoL were low internalized stigma, being employed, earning wages, higher CD4 cell counts, and fewer and less severe HIV and depressive symptoms. In order to maximize gains in HRQoL for patients on ART, interventions are
needed that address and reduce stigmatization and enhance the economic and employment opportunities.

The aim of the study was to examine the proposition that religiosity and the related factor, spirituality, contribute to lower personal distress among students. The sample comprised 624 students: 314 Grade 12 secondary school students and 310 third-year social science university students
in South Africa. Results indicate that the majority of the students show a high degree of religious belief and religious involvement. Some religious variables – such as being a born-again Christian and considering religion as important – were associated with decreased Perceived
Stress. Minor psychiatric morbidity as measured with the Self-reporting Questionnaire (SRQ; WHO, 1994) was positively associated with some religious beliefs and involvement, while meaning and direction in life was inversely associated with the SRQ score. All three religious coping styles were
inversely associated with perceived stress. Contrary to expectations it was found that some of the religious coping styles were positively associated with minor psychiatric morbidity, especially the depression scores of the SRQ. Findings show that some religious variables were positively associated
with mental health while others were inversely or not related, thus only partially supporting the religion-mental health link.

The paper reviews personality and social behavior in Africa. Three distinctive components of the people inhabiting present-day sub-Saharan Africa are identified: (1) traditional persons who are yet little affected by modernization, (2) transitional persons, and (3) modern individuals.
The socialization of traditional and transitional persons can be illustrated in the form of a model in three dimensions: the authority dimension (vertical, diachronic, historic); the group dimension (horizontal, synchronic, social); the body – mind – environment dimension. Various
personhood attributes are identified along the three dimension such as that the traditional person is socialized primarily by people, while the modern person is socialized primarily by objects. By being exposed to people, the traditional person will develop more social intelligence than technological
intelligence.

The aim of the study was to determine the factor structure of the Religious Problem-Solving Scale in an African population. The sample included 624 students: 314 Grade 12, secondary school students and 310 third year social science university students in South Africa. The principal
component analysis with varimax rotation yielded three components accounting for 64% of the total variance. The first factor contained 12 items from the Deferring scale, the second 12 items of the Self-Directing scale and the third factor 12 items from the Collaborative scale. The Deferring
rather than the Collaborative religious problem-solving style seems to be more prevalent in this African sample than among western subjects.

This study set out to replicate research on the relationship between reported paranormal belief, measures of locus of control and psychopathology in an African population. Results indicate an association between internal, external locus of control and paranormal belief. Further, the
study found that extraversion was positively associated with the total paranormal belief scale while neuroticism and psychotism were not. Psychotism was associated with Psi Belief.

The aim of this study was to investigate health-promoting lifestyles (HPLP) and personality in black South African students. The sample included 606 students: 236 Grade 12, secondary school and 370 first year social science university students in South Africa. Results indicate a reasonable
percentage of health-promoting lifestyles with a mean of 2.72. Secondary school students reported more overall health-promoting lifestyles than did university students. Multiple stepwise regression identified the Lie scale, Neuroticism, and Psychoticism as independent predictors for the total
HPLP; Extraversion, gender and group (=secondary or university students) were excluded.