Health

Prevalence of Anxiety and Depression among Women with Polycystic Ovary Syndrome Living in War versus Non-war Zone Countries: A Randomized Controlled Trial Assessing a Pharmacist Intervention

Citation:

Alkoudsi, Kinda T., and Iman A. Basheti. 2020. "Prevalence of Anxiety and Depression among Women with Polycystic Ovary Syndrome Living in War versus Non-war Zone Countries: A Randomized Controlled Trial Assessing a Pharmacist Intervention.Research in Social and Administrative Pharmacy 16 (5): 689-98.

Authors: Kinda T. Alkoudsi, Iman A. Basheti

Abstract:

Background: Polycystic ovary syndrome (PCOS) is a serious health problem. In women experiencing PCOS, there are myriad physical and mental health consequences; anxiety/depression are commonly associated with this condition. Community pharmacists are in a pivotal position to identify and help women diagnosed with PCOS. Objectives: To investigate the prevalence/severity of anxiety/depression among females diagnosed with PCOS living in Syria (a war-zone country) and Jordan (a non-war zone country). Secondly, to evaluate the impact of a pharmaceutical care service delivered by a clinical pharmacist on participants’ anxiety/depression severity. 
 
Methods: Females, diagnosed with PCOS above the age of 16, were recruited into the study and randomly allocated into either the active or the control group. The active group participants received a PCOS pharmaceutical care service. This service involved the provision of verbal and written educational materials, with a special focus on diet and exercise. The control group participants received only standard counseling. Both groups were followed up for four months. All participants completed the Beck Anxiety Inventory and the Beck Depression Inventory at baseline and follow-up. 
 
Results: Data from study participants (n = 118) from both Syria (n = 60) and Jordan (n = 58) highlighted a high prevalence of anxiety (Syria = 95% vs. Jordan = 98%) and depression (Syria = 83% vs. Jordan = 65%). At follow-up, active group participants, from both countries, showed significant improvements in anxiety and depression mean scores (anxiety: Syria = 34.97 ± 14.8 vs. 30.47 ± 14.3, p < 0.001; Jordan = 26.93 ± 13.7 vs. 23.37 ± 15.2, p < 0.001; depression: Syria = 26.53 ± 12.6 vs. 22.93 ± 12.2, p < 0.001; Jordan = 17.70 ± 11.0 vs. 15.76 ± 11.1, p = 0.049). No significant improvements were evident for control group participants from either countries. 
 
Conclusion: Prevalence of anxiety/depression for females with PCOS living in Syria and in Jordan is high and calls for special attention by healthcare specialists and policymakers in both countries. Females, who received the PCOS pharmaceutical care service, showed significant improvements in anxiety/depression scores. Improvements were similar in both countries.

Keywords: polycystic ovary syndrome, war, anxiety, depression

Topics: Armed Conflict, Civil Wars, Gender, Women, Health, Mental Health, Reproductive Health Regions: MENA, Asia, Middle East Countries: Jordan, Syria

Year: 2020

Many Shades of Green: Assessing Awareness of Differences in Mental Health Care Needs among Subpopulations of Military Veterans

Citation:

Ahlin, Eileen M., and Anne S. Douds. 2018. "Many Shades of Green: Assessing Awareness of Differences in Mental Health Care Needs among Subpopulations of Military Veterans." International Journal of Offender Therapy and Comparative Criminology 62 (10): 3168-84.

Authors: Eileen M. Ahlin, Anne S. Douds

Abstract:

The current study sought to examine access to services by various veteran subgroups: racial/ethnic minorities, females, rural populations, and LGBTQ (Lesbian, Gay, Bisexual, Transgender, and Queer). Generally, the Veteran Service Officers (VSOs) interviewed for this study did not feel that these subgroups were well served by the program and treatment options presently available, and that other groups such as males and urban veterans received better access to necessary psychosocial and medical care. This research extends studies that explore overall connection to services by further demonstrating barriers to receipt of services by specific subgroups of veterans, particularly those at risk for involvement in the criminal justice system.

Keywords: veterans, mental health care, minority populations, LGBTQ, rural veterans

Topics: Ethnicity, Gender, Health, Mental Health, LGBTQ, Military Forces & Armed Groups, Militaries, Race Regions: Americas, North America Countries: United States of America

Year: 2018

The Contribution of Mental Health and Gender Attitudes to Intimate Partner Violence in the Context of War and Displacement: Evidence from a Multi-Informant Couple Survey in Iraq

Citation:

Goessmann, Katharina, Hawkar Ibrahim, Laura Bebra Saupe, Azad Ali Ismail, and Frank Neuner. 2019. "The Contribution of Mental Health and Gender Attitudes to Intimate Partner Violence in the Context of War and Displacement: Evidence from a Multi-Informant Couple Survey in Iraq." Social Science & Medicine 237.

Authors: Katharina Goessmann, Hawkar Ibrahim, Laura Bebra Saupe, Azad Ali Ismail, Frank Neuner

Abstract:

Rationale: Intimate partner violence is a prevalent issue in refugee and internally displaced populations in postwar and migration settings including camps in the Middle East. In this context, partner violence has been associated with war-related trauma, camp factors, individual characteristics, and gender attitudes. 
 
Objective: With a dual-informant survey among a sample of Iraqi couples residing in a camp for displaced people in the Kurdistan Region of Iraq (N = 92) this study investigated the relationship between war-related psychopathology, attitudes towards women, and male-perpetrated partner violence. 
 
Method: Moderated regression analysis was applied using information from both partners to predict partner violence reported by wives. 
 
Results: Over 58% of the women in this sample reported past-year exposure to partner violence. Further analyses revealed significant main effects of men's self-reported psychopathology (posttraumatic stress disorder and depression) and their own gender attitudes on partner violence. In a multivariate regression, moderating effects were found, as higher psychopathology levels and inequitable gender attitudes in men interacted in the prediction of male-perpetrated partner violence. 
 
Conclusions: This study highlights the high prevalence of partner violence among Iraqi displaced women. In addition, the results show an interplay of several violence-impelling factors in war-affected men. This emphasizes the importance of addressing both mental health issues and gender attitudes in the efforts to reduce or end violence against women in post-war settings.

Keywords: Iraq, Intimate partner violence, forced displacement, traumatic, experiences, mental health, gender attitudes, moderated regression analysis

Topics: Displacement & Migration, IDPs, Refugees, Refugee/IDP Camps, Domestic Violence, Gender, Health, Mental Health, PTSD, Trauma, Post-Conflict Regions: MENA, Asia, Middle East Countries: Iraq

Year: 2019

Gender-Based Differences among 1990-1991 Gulf War Era Veterans: Demographics, Lifestyle Behaviors, and Health Conditions

Citation:

Brown, Mackenzie C., Kellie J. Sims, Elizabeth J. Gifford, Karen M. Goldstein, Marcus R. Johnson, Christina D. Williams, and Dawn Provenzale. 2019. "Gender-Based Differences among 1990-1991 Gulf War Era Veterans: Demographics, Lifestyle Behaviors, and Health Conditions." Women's Health Issues 29 (S1): 47-55. 

Authors: Mackenzie C. Brown, Kellie J. Sims, Elizabeth J. Gifford, Karen M. Goldstein, Marcus R. Johnson, Christina D. Williams, Dawn Provenzale

Abstract:

Objective: The 1990-1991 Gulf War employed more women servicemembers than any prior conflict. Gender-based differences among veterans of this era have yet to be explored. This study is among the first and most recent to stratify Gulf War veteran demographics, lifestyle factors, and self-reported diagnoses by gender. 
 
Methods: Data from the cross-sectional Gulf War Era Cohort and Biorepository pilot study (n = 1,318; collected between 2014 and 2016), including users and nonusers of the Veterans Health Administration, were used to calculate demographics and adjusted odds ratio. 
 
Results: Women veterans were oversampled and comprised approximately 23% of the sample. Women reported similar rates of Veterans Health Administration use (44%) and deployment (67%) as men (46% and 72%, respectively). Women were less likely than men to report frequent alcohol use (adjusted odds ratio [aOR], 0.59; 95% confidence interval [CI], 0.43-0.81; p = .0009) or have a history of smoking (aOR, 0.65; 95% CI, 0.49-0.84; p = .0014). Among common health conditions, women were more likely than men to report a diagnosis of osteoporosis (aOR, 4.24; 95% CI, 2.39-7.51; p < .0001), bipolar disorder (aOR, 2.15; 95% CI, 1.15-4.04; p = .0167), depression (aOR, 2.39; 95% CI, 1.81-3.16; p < .0001), irritable bowel syndrome (aOR, 2.10; 95% CI, 1.43-3.09; p = .0002), migraines (aOR, 2.96; 95% CI, 2.18-4.01; p < .0001), asthma (aOR, 1.86; 95% CI, 1.29-2.67; p = .0008), and thyroid problems (aOR, 4.60; 95% CI, 3.14-6.73; p < .0001). Women were less likely than men to report hypertension (aOR, 0.55; 95% CI, 0.41-0.72; p < .0001), tinnitus (aOR, 0.46; 95% CI, 0.33-0.63; p < .0001), and diabetes (aOR, 0.44; 95% CI, 0.28-0.69; p = .0003). 
 
Conclusions: Health differences exist between female and male veterans from the 1990-1991 Gulf War. Gender-specific analyses are needed to better understand the unique health care needs of Gulf War Era veterans and direct future research.
 

Topics: Combatants, Female Combatants, Gender, Health, Mental Health

Year: 2019

Liberia’s Women Veterans: War, Roles and Reintegration

Citation:

Vastapuu, Leena. 2018. Liberia's Women Veterans: War, Roles and Reintegration. London: Zed Books.

Author: Leena Vastapuu

Annotation:

Summary:
The Liberian civil wars of the 1990s and 2000s were notorious for their atrocities, and for the widespread use of child soldiers by both sides. Young girls accounted for up to forty percent of these combatants, but their unique perspective and experiences have largely been excluded from accounts of the conflict.
 
In Liberia’s Woman Veterans, Leena Vastapuu uses an innovative “auto-photographic” methodology to tell the story of two of Africa’s most brutal civil wars through the eyes of 133 former female child soldiers. It allows the book to provide a palpable account of these women’s experiences of trauma and stigma. It also illustrates the challenges of reintegration into postwar society, as well as the women’s hopes and aspirations for the future. Vastapuu argues that these women, too often perceived merely as passive victims of the conflict, can in fact play an important role in postwar reconciliation and peace building. In the process, the work overturns gendered perceptions of warfare and militarism, and provides an exceptional take on postconflict societies. (Summary from Zed Books)

Topics: Armed Conflict, Civil Wars, Combatants, Child Soldiers, DDR, Gender, Girls, Health, Trauma, Military Forces & Armed Groups, Militarism, Post-Conflict, Peacebuilding Regions: Africa, West Africa Countries: Liberia

Year: 2018

Challenges in Women’s Mental Health: Care in Conflict and Post-Conflict Situations

Citation:

Niaz, Unaiza, and Qudsia Tariq. 2020. "Challenges in Women’s Mental Health: Care in Conflict and Post-Conflict Situations." In Mental Health and Illness of Women, edited by Pradha S. Chandra, Helen Herman, Jane Fisher, and Anita Riecher-Rössler, 109-24. Singapore: Springer, Singapore.

Authors: Unaiza Niaz, Qudsia Tariq

Abstract:

Women usually do not pledge wars, but they do suffer profoundly from the penalties. Conflict spurs much higher rates of violence and traumas. It renders women acutely vulnerable to sexual abuse, poverty, and the loss of employment and the destruction of assets such as homes. Essential health services crumble, underlined by high mortality rate in conflict and post-conflict countries.
 
This chapter focuses on the challenges faced by women in the underdeveloped countries who had experienced war and terror for a long time and are at present struggling through their economic crisis and survival. It would be addressing the gender-based violence issues, the role of women in politics, and their rights to justice, education, and health-care services. It would also be addressing the biggest concern or aftermath of war like sexual violence and mental health and the stigmas attached with it.

Keywords: gender based violence, healthcare services, mental health stigma, sexual violence

Topics: Armed Conflict, Economies, Poverty, Conflict, Education, Gender, Women, Gender-Based Violence, Health, Mental Health, Trauma, Justice, Political Participation, Rights, Sexual Violence, Sexual Exploitation and Abuse, Violence

Year: 2020

Intimate Partner Violence in Pregnancy: A Cross-Sectional Study from Post-Conflict Northern Uganda

Citation:

Clarke, Susan, Robyn Richmond, Eleanor Black, Helen Fry, James Henry Obol, and Heather Worth. 2019. "Intimate Partner Violence in Pregnancy: A Cross-Sectional Study from Post-Conflict Northern Uganda." BMJ Open 9 (11).

Authors: Susan Clarke, Robyn Richmond, Eleanor Black, Helen Fry, James Henry Obol, Heather Worth

Abstract:

Objectives: To determine the prevalence of intimate partner violence (IPV) in pregnancy and to understand associations and determinants. 
 
Design: Cross-sectional survey. 
 
Setting: Two rural health clinics in post-conflict northern Uganda. 
 
Participants: Women attending two rural health clinics for a new service providing cervical cancer screening, who had experienced pregnancy. 
 
Primary and secondary outcome measures: Data were collected by a questionnaire using validated questions from the demographic health survey women’s questionnaire and the domestic violence module. Data were entered into tablets using Questionnaire Development System software. Bivariate and multivariate logistic regression was performed, using experience of IPV in pregnancy as the dependent variable. SPSS V.25 was used for all analysis. 
 
Results: Of 409 participant women, 26.7% (95% CI 18.6% to 35.9%) reported having been slapped, hit or beaten by a partner while pregnant. For 32.3% (95% CI 20.2% to 37.9%) of the women the violence became worse during pregnancy. Women who had ever experienced IPV in pregnancy were more likely to have experienced violence in the previous 12 months (OR 4.45, 95%CI 2.80 to 7.09). In multivariate logistic regression, the strongest independent associations with IPV in pregnancy were partner’s daily drinking of alcohol (OR 2.02, 95%CI 1.19 to 3.43) and controlling behaviours (OR 1.17, 95%CI 1.03 to 1.33). 
 
Conclusions: The women in this study had more exposure to IPV in pregnancy than previously reported for this region. Women’s previous experience of intimate partner violence, partner’s daily use of alcohol and his controlling behaviours were strong associations with IPV in pregnancy. This study highlights the uneven distribution of risk and the importance of research among the most vulnerable population in rural and disadvantaged settings. More research is needed in local rural and urban settings to illuminate this result and inform intervention and policy.

Topics: Domestic Violence, Gender, Women, Health, Reproductive Health, Post-Conflict Regions: Africa, East Africa Countries: Uganda

Year: 2019

Factors Associated with the Use of Maternal Health Services by Mothers in a Post-Conflict Area of Western Côte d'Ivoire in 2016

Citation:

Samba, Mamadou, Akissi Régine Attia-Konan, Abou Dramane Sangaré, Gotré Jules Youan, Luc Philippe Kouadio, and Ramata Bakayoko-Ly. 2020. "Factors Associated with the Use of Maternal Health Services by Mothers in a Post-Conflict Area of Western Côte d'Ivoire in 2016." BMC Health Services Research 20.

Authors: Mamadou Samba, Akissi Régine Attia-Konan, Abou Dramane Sangaré, Gotré Jules Youan, Luc Philippe Kouadio, Ramata Bakayoko-Ly

Abstract:

Background: In Côte d’Ivoire, maternal health service utilization indicators remain low despite improvements in health coverage and the availability of free health care for pregnant women. The objective of the study was to identify the determinants associated with the use of maternal health services in the department of Bloléquin, in western Côte d’Ivoire. 
 
Methods: We conducted a cross-sectional study with an analytical focus. The study sample size was 400 women. Study participants were selected through a two-stage cluster survey. The data were collected using a standardized questionnaire whose items concerned socio-demographic data, the different uses of maternal health services, namely childbirth assisted by a health professional, use of family planning, prenatal consultation and postnatal consultation. Logistic regression was used to investigate factors associated with the use of maternal health services. The significance of the statistical tests was set at 5%. The odds ratios and 95% confidence intervals were calculated and interpreted. 
 
Results: The results showed that women made less use of family planning services (OR = 0.4), prenatal consultation (OR = 0.2) and assisted childbirth (OR = 0.2) when they provided the funding for care themselves. Women with monthly incomes above $26.8 used family planning services 4 times more than those with lower incomes. Married women used prenatal consultations 3 times more often than unmarried women (CI95% = 1.4–7.3). Desiring pregnancy increased the use of post-natal consultations by 3 times (CI95% = 1.5–6.1). 
 
Conclusion: Improving the use of maternal health services in western Côte d’Ivoire requires taking into account women’s socio-cultural and economic challenges. In initiatives related to the financial empowerment of women, efforts must be made at the level of emotional considerations related to pregnancy.

Keywords: determinants, Côte d'Ivoire, maternal health services, accessibility

Topics: Gender, Women, Health, Reproductive Health, Post-Conflict Regions: Africa, West Africa Countries: Côte D'Ivoire

Year: 2020

Health in Conflict and Post-Conflict Settings: Reproductive, Maternal and Child Health in Colombia

Citation:

Jaraba, Sara Milena Ramos, Natalia Quiceno Toro, María Ochoa Sierra, Laura Ruiz Sánchez, Marlly Andrea García Jiménez, Mary Y. Salazar-Barrientos, Edison Bedoya Bedoya, Gladis Adriana Vélez Álvarez, Ana Langer, Jewel Gausman, and Isabel C. Garcés-Palacio. 2020. "Health in Conflict and Post-Conflict Settings: Reproductive, Maternal and Child Health in Colombia." Conflict and Health 14.

Authors: Sara Milena Ramos Jaraba, Natalia Quiceno Toro, María Ochoa Sierra, Laura Ruiz Sánchez, Marlly Andrea García Jiménez, Mary Y. Salazar-Barrientos, Edison Bedoya Bedoya, Gladis Adriana Vélez Álvarez, Ana Langer, Jewel Gausman, Isabel C. Garcés-Palacio

Abstract:

Background: In conflict-afflicted areas, pregnant women and newborns often have higher rates of adverse health outcomes. Objective: To describe maternal and child health indicators and interventions between 1998 and 2016 comparing high and low conflict areas in Colombia. 
 
Methods: Mixed study of convergent triangulation. In the quantitative component, 16 indicators were calculated using official, secondary data sources. The victimization rate resulting from armed conflict was calculated by municipality and grouped into quintiles. In the qualitative component, a comparative case study was carried out in two municipalities of Antioquia: one with high rates of armed conflict and another with low rates. A total of 41 interviews and 8 focus groups were held with local and national government officials, health professionals, community informants, UN agencies and NGOs. 
 
Results: All of the indicators show improvement, however, four show statistically significant differences between municipalities with high victimization rates versus low ones. The maternal mortality ratio was higher in the municipalities with greater victimization in the periods 1998–2004, 2005–2011 and 2012–2016. The percentage of cesarean births and women who received four or more antenatal visits was lower among women who experienced the highest levels of victimization for the period 1998–2000, while the fertility rate for women between 15 and 19 years was higher in these municipalities between 2012 and 2016. In the context of the armed conflict in Colombia, maternal and child health was affected by the limited availability of interventions given the lack of human resources in health, supplies, geographical access difficulties and insecurity. The national government was the one that mostly provided the programs, with difficulties in continuity and quality. UN Agencies and NGOs accessed more easily remote and intense armed conflict areas. Few specific health interventions were identified in the postconflict context. 
 
Conclusions: In Colombia, maternal and child health indicators have improved since the conflict, however a pattern of inequality is observed in the municipalities most affected by the armed conflict.

Topics: Armed Conflict, Conflict, Gender, Women, Health, Reproductive Health, International Organizations, NGOs, Post-Conflict Regions: Americas, South America Countries: Colombia

Year: 2020

Resettlement Post Conflict: Risk and Protective Factors and Resilience among Women in Northern Uganda

Citation:

Corbin, Joanne N., and J. Camille Hall. 2019. "Resettlement Post Conflict: Risk and Protective Factors and Resilience among Women in Northern Uganda." International Social Work 62 (2): 918-32.

Authors: Joanne N. Corbin, J. Camille Hall

Abstract:

Approximately 1.8 million people were displaced in northern Uganda as a result of the LRA conflict. This paper explores risk and protective factors as well as examples of resilience among women in northern Uganda resettling after armed conflict and internal displacement. The risk and resilience ecological framework is used to identify and understand these factors along the multiple levels of the ecological social system. Risk factors included poor health, loss of instrumental and emotional support networks, and land vulnerability. Protective factors included engagement in livelihood and sociocultural activities with others. Resilience was located in the women’s coping and maintenance of family and social relationships.

Keywords: Africa, ecological framework, economic activities, internal displacement, land vulnerability, qualitative methods

Topics: Displacement & Migration, IDPs, Gender, Women, Health, Livelihoods, Post-Conflict Regions: Africa, East Africa Countries: Uganda

Year: 2019

Pages

© 2024 CONSORTIUM ON GENDER, SECURITY & HUMAN RIGHTSLEGAL STATEMENT All photographs used on this site, and any materials posted on it, are the property of their respective owners, and are used by permission. Photographs: The images used on the site may not be downloaded, used, or reproduced in any way without the permission of the owner of the image. Materials: Visitors to the site are welcome to peruse the materials posted for their own research or for educational purposes. These materials, whether the property of the Consortium or of another, may only be reproduced with the permission of the owner of the material. This website contains copyrighted materials. The Consortium believes that any use of copyrighted material on this site is both permissive and in accordance with the Fair Use doctrine of 17 U.S.C. § 107. If, however, you believe that your intellectual property rights have been violated, please contact the Consortium at info@genderandsecurity.org.

Subscribe to RSS - Health