Search Results (339)

Although the consequences of divorce and conflict have been extensively studied, most research has focused on children rather than ex-spouses, although variables such as parental health or co-parenting may have an influence on children’s development through processes such as emotion socialization. In addition, the relationship between these variables has never been considered in high-conflict divorces. Therefore, the present study aimed to analyze the impact of physical and psychological symptomatology and co-parenting on the emotion socialization patterns of parents experiencing high-conflict divorces. Furthermore, the moderating role of resilience was considered, as it has been highly studied as a coping mechanism in adverse situations but barely in divorce at the parental level. For this purpose, a Latent Profile Analysis was carried out with Mplus 8.10, using a sample of 239 parents from Family Visitation Centers. Results revealed, on the one hand, that parents with fewer physical and psychological symptoms sowed more emotion socialization behaviors than those with more symptomatology. On the other hand, in situations of high interparental conflict, the role of co-parenting and resilience seems less relevant than that of physical and psychological symptomatology when analyzing parental skills like emotion socialization. Full article

In China, an emerging social issue involves a subset of rural women who, because of family and culture, become inadvertently matched up with and married to closeted men who have sex with men (MSM). These women—referred to as Tongqi—often discover they are in a loveless marriage, but any effort to change their situation results in intense backlash, discrimination, and stigma from families, village communities, and even government and healthcare institutions. This study explores the experiences of Tongqi, examining the influence of social interaction, community relationships, and macrostructural factors that coalesce to create an environment of chronic enacted stigma. In-depth interviews were conducted with 59 rural Tongqi, 11 of whom contracted human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) from their spouses. The findings reveal the significant role of extended kinship networks and macrostructural elements, such as hukou (household registration) and government officers, as well as village-level lineage structures. Informant data highlights how lineage relationships, interwoven with gender practices, contribute to the enacted stigma impacting the physical and psychological health of Tongqi. Tongqi report psychological effects such as an array of symptoms reflecting post-traumatic stress, chronic depression, and attempted suicide. Tongqi also report adverse physical health concerns involving reproductive health, unwanted pregnancies, sexually transmitted infections (STIs), and pregnancy complications. These findings helped produce possible policy recommendations to address the most pressing issues faced by Tongqi. Full article

Background: Adults aged 21–29 have the highest past-month prevalence of tobacco, alcohol, and illicit drug use in the U.S. Currently, young adults often delay traditional adulthood milestones (e.g., marriage and childbearing), which may impact their household composition and substance use. Methods: We examined how the past-month prevalence of eight mutually exclusive substance use outcomes varied by household composition among young adults using the 2016–2019 National Surveys on Drug Use and Health (NSDUH) data. Bivariable and multivariable multinomial logistic regression analyses were applied. Results: Among young adults residing with their children, the most common household composition was residing with children and a spouse/partner (16.6%, 95% CI = 16.5–16.8%). Among those residing without children, common household compositions included residing with parents (22.8%, 95% CI = 22.2–23.4%) and residing only with a spouse/partner (17.9%, 95% CI = 17.6–18.3%). Past-month prevalence of binge alcohol, tobacco, and illicit drug use varied by household composition. Residing only with children and a spouse/partner was associated with a low prevalence of most examined substance use patterns. Across household compositions, those residing solely with unrelated individuals had the highest adjusted prevalence of tobacco, drug, and binge alcohol use (13.8%, 95% CI = 12.5–15.1%). Conclusions: The prevalence of substance use patterns among U.S. young adults varies by household composition. Those residing solely with unrelated individuals had the highest prevalence of tobacco, binge alcohol, and drug use. The presence of a young adult’s own children and a spouse/partner is associated with a lower prevalence of most examined substance use patterns. As household compositions continue to diversify, targeted substance use prevention/treatment strategies may be needed. Full article

Background: Reducing health disparities is a public health issue. Identification of low-health-interest populations is important, but a definition of people with low health interest has not yet been established. We aimed to quantitatively define low-health-interest populations. Methods: A nationwide cross-sectional internet survey was conducted in 2022. We compiled regression tree (RT) analyses with/without adjustment for age, sex, and socioeconomic status with the 12-item Interest in Health Scale (IHS, score range 12–48) as an explanatory variable and the 10 composite health behaviors as a dependent variable. We defined the first IHS branching condition from the root node as a lower-health-interest group and the terminal node with the lowest health behaviors as the lowest-health-interest group. Results: The mean IHS value of 22,263 analyzed participants was 32.1 ± 5.6; it was higher in females and in those who were aged over 45 years, had a high education, a high income, or a spouse. The first branching condition was IHS 31.5, and the terminal node branched at 24.5, before/after adjustment for covariates. Conclusions: We determined the cutoff values of the IHS as <32 for a lower-health-interest group and <25 for the lowest-health-interest group. Using these cutoffs might enable us to reveal the characteristics of low-health-interest populations. Full article

This contribution provides three church-historical glimpses into concepts and images that deal in different ways with the idea of the union of two parties and communicate it through media. The material under discussion is analysed from a gender perspective. Firstly, the Reformation period is discussed as a process of the valorisation of sexuality, the defence of priestly marriage by Philipp Melanchthon is examined, and attention is drawn to the so-called Oeconomialiteratur, which regulated the cohabitation of spouses. The article then turns to bridal mysticism in order to analyse the gender construction of Jesus and the male members of the Moravians on the basis of the “Kleines Brüdergesangbuch”. It is emphasised that various options can be discussed, but that the concept of a leading masculinity of Jesus is the most appropriate for the description of the multiple masculinity constructions of the specific episode of the so-called “Sichtungszeit” of this community. In a last step, the reception of images and ideas about Katharina von Bora and Martin Luther since the Reformation period will be used to discuss how their marriage and matrimony became denominational identifiers—both for Protestantism and for Catholicism. For this, the double portrait of Katharina von Bora and Martin Luther by Cranach as well as a polemical pamphlet from the time of the Thirty Years’ War and the invention of Katharina von Bora as a pastor‘s wife in the 19th century will be examined. By means of historical hermeneutics and a gender perspective, the article thus determines how media have both enabled the freedom to explore and establish new concepts and ideas as well as been used as a vehicle of regulation. In addition, the church-historical examples analysed also illustrate that wedding, marriage, and matrimony themselves became a medium to structure lives, to communicate religious and social issues, and to reject, construct, consolidate, and pass on denominational identities. Full article

This case report focuses on what patients and family members may experience when a neurological trauma transpires and resultant intensive care (ICU) delirium occurs. It is the personal account of the patient (A.B.) and spouse’s (R.G.B.) perspectives when the patient (A.B) suffered a vertebral artery aneurysm and hemorrhage and experienced intensive care unit (ICU) delirium after being in the ICU for 22 days. This case report provides the patient’s and spouse’s perspectives regarding delirium, i.e., A.B.’s inability to discern reality, loss of memory, paranoia and hallucinations, agency and recovery, post-ICU syndrome, and post-traumatic stress disorder (PTSD). Clinical diagnosis by the neurosurgeon indicated delirium, with treatment consisting of sleep sedation and uninterrupted sleep. A.B. was able to regain consciousness yet experienced post-traumatic stress disorder up to one year afterward. Consistent family participation in the patient’s delirium care is crucial. Family member care and family-centered strategies are provided with implications for future research and health care. Full article

There has been a lack of research on the Arab American population despite a noted increase in divorce and marital discord among Arabs and Arab American couples. Moreover, knowledge is limited on ways to enhance existing couple-based treatments to become more sensitive toward the unique intersection that Arab American couples are faced with. One consideration when improving treatment is to examine and better understand the negative attributions Arab American spouses make about each other’s behavior, as they can be detrimental to the satisfaction of the relationship. In this study, a sample of 142 married Arab Americans were asked to complete the Relationship Attribution Measure, Patient Health Questionnaire, and the Dyadic Adjustment Scale (DAS). A large portion of the participants fell within the distressed range of the DAS. Attributions, especially motivations and blame, were significant predictors of relationship satisfaction. Both causal and responsibility attributions were associated with depression, while only responsibility attributions were associated with anxiety. Results are discussed in terms of how future research and couple-based interventions can integrate cultural considerations within this group. Full article

High-risk pregnancies not only heighten concerns about the baby’s health but also have the potential to impact the mother–infant relationship by shifting the mother’s focus towards her own health needs. This study aims to delve into the intricacies of motherhood roles among women experiencing high-risk pregnancies compared to those with uncomplicated pregnancies, aiming to shed light on the disparities between the two groups. The participants of this descriptive, comparative, and correlational study consisted of literate mothers admitted to a hospital in Eastern Turkey, diagnosed with high-risk pregnancies, and with no prior history of psychological support. Due to an inability to reach the entire population, an unknown sampling method was employed for sampling calculation. The sample comprised 133 mothers with high-risk pregnancies and an equal number of healthy mothers, totaling 266 participants. Data were collected using the “Maternal Introduction Form” and the “Maternal Role Gaining Scale”, and analyses were conducted using the SPSS Statistical Programme. Given the non-normal distribution of the variables, nonparametric tests were applied post reliability analysis. There is a statistically significant difference (p < 0.05) in the scores of maternal attitude and anxiety, as well as maternal role and the Maternal Role Gaining Scale, based on various demographic factors such as marriage duration, spouse’s education, family economic status, pre-pregnancy health issues, medication use, hospitalization status and reason, assigned sex of the baby and desired gender, total pregnancies, mode of delivery, postpartum difficulties, support for baby care, feeding method, high-risk pregnancy diagnosis, and week of diagnosis. A Bonferroni corrected analysis also revealed significant differences between mothers with and without high-risk pregnancies. Full article

Training interoceptive sensitivity (IS) might be a first step in effectively promoting intuitive eating (IE). A dyadic interoception-based pilot randomized controlled trial was conducted to increase IE among couples aged 50+. The training consisted of three exercises, a Body Scan (BS), a hunger exercise (HU), and a satiety (SA) exercise. This study explored how spouses accepted the (dyadic vs. single) training. In a mixed-methods convergence design, the findings of a survey (n = 68 couples) and focus groups (n = 4) were synthesized. Moderate general acceptance (e.g., regarding feasibility and low burden) and a hierarchical gradient in favor of the BS (e.g., pleasantness and improved sleep quality) emerged. Barriers concerned a perceived lack of the exercises’ usefulness and a limited understanding of the training purpose. A wish for regular feedback and exchange with the study stuff and other participants was expressed. Spousal training involvement was experienced as being rather beneficial. Previously harmonized dietary practices and daily routines appeared as constructive pre-conditions for the joint training. This study highlights the potential and implications of training couples in IS. Future interventions should involve a regular exchange and closer guidance by study staff to promote a better understanding of the processes and goals of IS and IE. Full article

Introduction: Physical activity (PA) and exercise (EX) participation rates have not been increasing among older adults, with many not meeting recommended guidelines. This qualitative descriptive study examined factors influencing engagement in PA within and outside an older adult fitness club context, using self-determination theory (SDT). Methods: Thirty-seven community-dwelling adults 65 years and older participated in focus groups or telephone interviews. Two researchers independently coded and analyzed transcript data inductively and deductively using SDT. Results: Two broad themes, The Spectrum of Motivating Factors and Facilitators and Barriers, and nine sub-themes, Physical Activity and Exercise Brings Me Joy; Meaningful Personal Impetuses; I Get Active with a Little Help from my Spouse and Others; I See Changes and Improvements (Theme 1); I Can Do This; Connections and Sense of Belonging; I Cannot Do This; Setting, Environment, and People Supports; and Pragmatics (Theme 2), emerged from the data. All participants discussed several motivating factors: enjoyment, managing health conditions, being held ‘to account’ by others, opportunities for socialization, and seeing improvements in health and well-being. A lack of supportive environments, knowledgeable staff and suitable settings and programs were cited as barriers by participants who were not older adult fitness club members. Discussion: Factors along the extrinsic to intrinsic regulation continuum facilitated or hindered community-dwelling older adults to engage in and sustain PA within and outside an older adult fitness club context. The findings underscore the need for programs, settings, environments, and related components to be expressly older-adult-tailored to enhance motivation through competence, autonomy, and relatedness support for maximal engagement and participation in PA or EX. Full article

Background and Objective: This study aimed to identify the incidence of sarcopenia and disease risk factors in Korean adults and to provide data for sarcopenia prevention. Materials and Methods: Based on the Korea National Health and Nutrition Survey, 2008–2011, we selected 14,185 adults over the age of 20 who participated in sarcopenia diagnostic tests and health surveys. We analyzed sarcopenia risk factors using complex sample multi-logistic regression analysis. Results: The prevalence of sarcopenia in Korea was 31.3%, with 20.2% in men and 40.4% in women. In men, there was a higher risk of sarcopenia in those of older age, without a spouse, with a low body mass index (BMI), who never engage in resistance exercise, or who do mid-level intensity resistance exercises. In women, sarcopenia risk was higher in those in their 20s compared to those in their 60s, and risk factors included a low BMI, high-density lipoprotein cholesterol and waist circumference measurements, alcohol consumption, aerobic exercise, and resistance exercise. Conclusions: Interventions and lifestyle improvements will help prevent the onset of sarcopenia in elderly men and young women with risk factors such as a low BMI. Full article

Poverty reduction and the promotion of sustainable human development are fundamentally dependent on having access to modern energy services. Energy supplies that are dependable, reasonably priced, and sustainable are vital to modern societies. In achieving the sustainable development goals (SDG7) and access to clean energy supplies, this study, using cross-sectional data from 180 randomly sampled rural households, analyzed the key factors determining the choice and intensity of energy sources used for lighting and cooking in rural Nigeria. Both descriptive and inferential statistics (multivariate probit (MVP) and zero-truncated Poisson (ZTP models)) were employed for the analyses. The result showed that there is evidence of fuel stacking in their choice of cooking and lighting energy, and it increases with rising income levels but is more pronounced for lighting than cooking. The result also revealed that reliable access to clean energy (9% of sampled households for LPG and 23% of the households for grid electricity) is very low, as these households still rely on fuelwood (70%) for cooking, but the predominant usage of kerosene (39%) for lighting, as reported in the literature, has drastically changed to dry cell battery (51%). The results using a multivariate probit model to capture the multiple fuel usage phenomenon among rural households show that access to clean energy, improvement in rural poverty, usage of indoor kitchens, household size, and an increase in the education of household heads’ spouses significantly influence the use of clean energy in the rural areas. In the same vein, the result of the ZTP model showed that income, access to energy sources, and occupation of the household head were the drivers of the intensity of cooking and lighting energy sources. Thus, it is recommended that any policy interventions that are targeted at encouraging rural households to use clean energy should start by improving rural access to these clean energy sources, improving their poverty status while also increasing the level of education and awareness of rural women concerning the risks of using dirty energy sources. Full article

(1) Background: Illness perception (IP) is an important psychological construct for couples dealing with cancer, which impacts health outcomes and the psychological adjustment to cancer. More research is needed to explore the traits of IP and the efforts of couples coping with cancer. Thus, this study was designed to explore the coping experiences and features of the IPs of couples dealing with cancer. (2) Methods: A total of 24 patients with colorectal cancer (CRC) and 20 spousal caregivers (SCs) participated in semi-structured interviews. All interviews were recorded digitally, transcribed, and analyzed by using an inductive thematic analysis. (3) Results: Two themes (individualized and predominant IP; IP sharing and restructuring) were developed. A preliminary framework was formulated to illustrate the relations among subthemes and the relations between themes with an adjustment of a positive IP to CRC. In this framework, based on multiple sources and factors, the natural disparities formed the IPs of the partners of couples and determined the incongruence of IPs. The effects of IP incongruence on lives under the disease guided the three directions of coping approaches (i.e., information and available support, appropriate disclosure and reflection, and leaving the CRC diagnosis behind) which were adopted by couples dealing with CRC to share and restructure the IP with their spouses for effective dyadic coping. (4) Conclusions: This study provides insights to healthcare providers into the experiences of couples dealing with CRC and the development of couple-based IP intervention programs: (a) it initially provides adequate factual knowledge for enhancing beliefs in the ability to control illness, (b) encourages illness-centered conversations and disclosure regarding thoughts and emotions for promoting positive congruence of IP between the partners of couples dealing with a hard dilemma, and (c) guides couples to perceive positive changes and explore the illness’s meaning. Understanding each theme of personalized IP and adopting effective IP coping approaches can help guide couples dealing with CRC to efficiently promote constructive IP and better health outcomes. Full article

Background and Objectives: Before COVID-19 vaccinations became available, adhering to non-pharmaceutical interventions (NPIs), like social distancing (SD), wearing masks, and hand hygiene, were crucial to mitigating viral spread. Many studies reported that younger individuals were more reluctant to follow these measures compared with older ones. We hypothesized that it would be worthwhile to find factors that influenced SD compliance among young people during the pre-vaccination phase of a pandemic. Materials and Methods: We analyzed data of adults aged 19–44 from the 2020 South Korean Community Health Survey and compared socio-demographic, health-related behavioral, and psychological factors between compliant and non-compliant cohorts. Results: A total of 59,943 participants were enrolled and we found that older age groups (30–39 and 40–44) and safety concerns (such as viral infection, virus-related death, economic damage, and transmitting virus to vulnerable people) were significantly associated with adherence to SD. Conversely, participants who were not living with a spouse, were unable to stay at home despite symptoms, smoked, drank, and had a negative attitude toward government policy statistically correlated with non-compliance. Conclusions: In times when NPIs were the primary defense against the pandemic, it is essential to identify factors that positively or negatively affect individual compliance with them, especially among young people. Using a large-scale, well-designed national survey, we could gain insights into the early recognition of risk factors for non-compliance and appropriate follow-up interventions (i.e., education campaigns, clear communication of public guidelines, and implementation of guidelines), which will help people to avoid suffering from other waves of future infectious diseases. Full article

Increasing evidence indicates that the addictive use of social media can have a detrimental effect on marital satisfaction, due mainly to the decrease in time and focus given to one’s spouse. However, the impact of social media use among older couples remains under-investigated, and the research that does exist relies on individual-level data that do not allow the exploration of the dynamics between the dyadic partners. Therefore, the present study focused on older adults’ use of short-video platforms, as these have been shown to be particularly addictive for older adults. A sample of 264 older couples was gathered (mean_age = 68.02, SD = 8.68), and both spouses completed surveys reporting addictive use of short-video platforms, negative emotions, and marital satisfaction. Using an actor–partner interdependence model, we found an asymmetrical dyadic process in that the addictive use of short-video platforms by the wives was not only related to their own negative emotions, but also those of their spouse, as well as to decreased marital satisfaction. Meanwhile, addictive use by the husbands seemed to relate only to their own increased negative emotions, as well as to decreased marital satisfaction. Together, the findings from this study reveal dyadic dynamics with delineated pathways through which the addictive use of short-video platforms can damage older couples’ interactive processes and marital satisfaction. Full article