Relationship Between Self-Perceived Health, Vitality, and Posttraumatic Growth in Liver Transplant Recipients

Our objective was to analyze the differences in posttraumatic growth in 240 liver transplant recipients based on two factors. First, self-perceived health: better (Group 1 = G1) and worse (Group 2 = G2). Second, vitality: more (Group 3 = G3) and less (Group 4 = G4). The Posttraumatic Growth Inventory, SF-36 Health Survey (Item 2) and SF-12 Health Survey (vitality dimension) were used. Firstly, analyzing main effects recipients with better (G1) compared to worse (G2) self-perceived health, showed greater posttraumatic growth. Interaction effects were found on essential posttraumatic growth domains such as new possibilities (p = 0.040), personal strength (p = 0.027), and appreciation of life (p = 0.014). Statistically significant differences showed that among transplant recipients with worse self-perceived health (G2), those with more vitality had higher levels on abovementioned posttraumatic growth dimensions. However, in transplant recipients with better self-perceived health (G1) respective dimensions were not significantly influenced by the level of vitality. Among the recipients with less vitality (G4), those with better self-perceived health showed higher scores on abovementioned posttraumatic growth dimensions. We conclude that positive self-perceived health might compensate for a lack of vitality as well as a high level of vitality may compensate for negative self-perceived health regarding the development of crucial aspects of posttraumatic growth after liver transplantation.Ministerio de Economía y Competitividad de España PSI2014-51950-

Perceived Health Service, Quality of Care, and Multidrug Resistent Tuberculosis: A Case-Control Study in Central Java, Indonesia

Background: Tuberculosis (TB) remains a leading cause of morbidity and mortality in developing countries, including Indonesia. Drug resistance, in combination with other factors, results in even more increased morbidity and mortality due to tuberculosis. Globally, there were about 0.5 million cases of multidrug resistant tuberculosis (MDR-TB). The WHO reported an alarming rise of not only MDR-TB but also of extreme drug-resistant tuberculosis (XDR-TB) globally. This study aimed to determine the associations of perceived health care behavior and perceived quality of care with MDR-TB in Central Java, Indonesia. Subjects and Method: This was a case-control study conducted in Surakarta, Central Java, Indonesia, from August 2017 to January 2018. A sample of 309 subjects was selected for this study, consisting of 81 MDR-TB cases and 228 non MDR-TB controls. The dependent variable was MDR-TB. The independent variables were perceived health provider behavior and perceived quality of care. MDR-TB data were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of MDR-TB increased with unfavorable perceived provider behavior (OR= 2.80; 95% CI= 1.64 to 5.09; p<0.001) and perceived poor quality of health service (OR= 1.90; 95% CI= 1.15 to 3.37; p= 0.013) received by the patients. Conclusion: The risk of MDR-TB is associated with unfavorable perceived provider behavior and perceived poor quality of health service received by the patients. Keywords: perceived provider behavior, perceived quality of health service, MDR-T

Self-Perceived Health and Outlook Among the Rural Elderly

Differences in life outlook and self-perceived health often attributed to age differences among the elderly were found to be more accurately explained by education. The young-old (62-74 years) and the old-old (75 years and older) were compared among 495 elderly in two rural counties in western Arkansas. The old-old were more likely than the young-old to perceive their health as better than that of others their age. But when six variables including age were entered into a predictive model for self-perceived health, differences were explained by education. That is, those with better educations rated their health more positively. There was no difference between the two age groups in sick days, although the old-old reported more days hospitalized and trips to the doctor. However, no predictive model for health status measured was statistically significant. On measures of life satisfaction, the old-old were slightly more pessimistic than the young-old. But the age difference in life outlook was explained by education when the data were controlled for other variables. The customary division of the elderly into young-old and old-old is questioned, and policy implications of the findings are discussed

Associations between different types of physical activity and teachers' perceived mental, physical, and work-related health

Background: The teaching profession is characterized by high levels of stress and physical complaints, which might be improved through regular participation in physical activity (PA). However, the effect of PA on mental and physical health is not always consistent and depends on the type of PA performed. The aim of this study was to examine the mental, physical, and work-related health of Flemish secondary school teachers and identify the impact on those health variables by demographic and teaching-related factors and various types of PA. Methods: This study included an online survey conducted across a representative sample of secondary school teachers (n = 1066, average age 40 years; 68 percent female). Level of PA and sitting time were estimated using the International Physical Activity Questionnaire, and perceived mental health and physical health were estimated using the Short Form 36. Work-related factors such as job satisfaction, occupational stress, and absenteeism were also collected. T-tests, ANOVAs, and linear regression analyses were performed. Results: Flemish secondary school teachers have poorer perceived mental and physical health than a general healthy population. This difference is particularly evident among female teachers, who reported lower perceived health, more occupational stress, and more absent days compared to their male colleagues. Higher participation in leisure-time PA was associated with a more positive perceived health. In contrast, higher levels of occupational PA and sitting time had a negative impact on perceived health. Total amount of PA, total amount of moderate-to-vigorous PA, transportation-related PA, and PA at home were not associated to teachers' perceived health. Conclusion: Because secondary school teachers' levels of perceived health are low, they are an important target group for interventions aiming to improve health. Only leisure-time PA was associated with more positive perceived health. This finding may indicate that teachers performing more exercise during leisure time, or in a more autonomous way, may be more resistant to physical and mental health problems. Future research should verify whether promoting leisure-time PA among teachers has the potential to improve their mental and physical health, and counteract the negative associations between teachers' health and their occupational PA

Self-perceived health in Belarus: Evidence from the income and expenditures of households survey

Based on data from five cross-sectional household surveys conducted during 1996-2007, this study provides initial results of an analysis of self-perceived health in Belarus. The findings suggest that there has been a compression of morbidity. Self-perceived health has been improving steadily for both sexes and at all ages. Despite this notable improvement, Belarus still remains far behind Western Europe in terms of healthy life expectancy. This disadvantage is mainly due to higher mortality among the working-age population, but health at older ages also plays an important role. Education appears to be the most important factor associated with self-rated health.Belarus, healthy life expectancy, self-perceived health

The Effect of Acceptance Training on Psychological and Physical Health Outcomes in Elders with Chronic Conditions

This pilot trial investigated the short and long-term effects of Acceptance Training (ACT) intervention on acceptance, perceived health, functional status, anxiety, and depression in elders with chronic conditions living in retirement communities (RCs). The ACT intervention combined Rational Emotive Behavior Therapy with music, relaxation, and guided imagery during six weekly 2-hour sessions. Face-to-face interviews were conducted with 16 African-American and 46 White elders across four data collection points in six randomly selected RCs using well-established measures of perceived health, functional status, anxiety, and depression, and a measure of acceptance of chronic conditions adapted from a previous measure of acceptance of diabetes. While changes were found in perceived health, functional status, anxiety, and depression, the most significant changes occurred in the elders\u27 acceptance of chronic conditions immediately after the intervention (t = -2.62, P \u3c .02), and these changes persisted for 6 and 12 weeks (t\u27s = -2.74, -3.32, p\u27s \u3c .01), respectively. Although a 40% attrition rate reduced the sample size from 62 (N = 62) to 37 (N = 37), the significant increases in acceptance over time provide initial evidence for the fidelity of the ACT intervention

Factors associated with self-perceived state of health in adolescents with congenital cardiac disease attending paediatric cardiologic clinics

The purpose of our study was to determine the ways in which adolescents with congenital cardiac disease believed that the condition had affected their life, and how these views were related to their perceived health. Interviews were conducted with a series of 37 adolescents, 17 girls and 20 boys, aged from 11 to 18, as they attended the clinics of 4 paediatric cardiologists in a teaching hospital in the United Kingdom. Transcripts of the interviews were analysed for recurring themes. A questionnaire was formed consisting of a set of questions for each theme, and additional items eliciting “perceived health”, and administered to a second series of 74 adolescents, 40 boys and 34 girls, who were again aged from 11 to 18 years. Slightly less than half (46%) perceived their health as either “good” or “very good”, and one-third (33%) rated it as “average”. The majority (66%) felt themselves to be “the same” as, or only very slightly “different” from, their peers. The assessment of the seriousness of their condition by the adolescents, the degree to which they saw themselves as different from others, and their perceived health, were not related to the “complexity of the underlying medical condition” as rated by their physician. It was the psychosocial themes, such as exclusion from activities or the effect of the condition on relationships, that were most strongly related to the perception of their health by the adolescents. Improved education of parents, teachers and peers, and attendance at classes for cardiac rehabilitation, might help to ameliorate some of these problems

Work hours constraints and health

The issue of whether employees who work more hours than they want to suffer adverse health consequences is important not only at the individual level but also for governmental formation of work time policy. Our study investigates this question by analyzing the impact of the discrepancy between actual and desired work hours on self-perceived health outcomes in Germany and the United Kingdom. Based on nationally representative longitudinal data, our results show that work-hour mismatches (i.e., differences between actual and desired hours) have negative effects on workers' health. In particular, we show that overemployment - working more hours than desired - has negative effects on different measures of self-perceived health. --work time,hours constraints,health, Germany,United Kingdom

A longitudinal study of perceived health during pregnancy: antecedents and outcomes

Perceived health was studied longitudinally in a sample of 364 nulliparous women. Psychosocial, contextual, and biomedical factors were taken into account to predict medically relevant versus benign symptoms which were then used to predict perceived health over time. The results of structural equation modeling showed that pregnancy adjustment and medically relevant symptoms which were affected by social support, perceived stress, and negative affect predicted later perceived health. The outcomes of perceived health were examined during the third trimester in terms of medical care utilization and emergency room visits. Perceived health solely accounted for medical care utilization, while emergency room visits were accounted by medical care utilization and perceived stress