Osong Public Health and Research Perspectives

Original Articles

Impact of long COVID-19 on posttraumatic stress disorder as modified by health literacy: an observational study in Vietnam: Han Thi Vo, Tien Duc Dao, Tuyen Van Duong, Tan Thanh Nguyen, Binh Nhu Do, Tinh Xuan Do, Khue Minh Pham, Vinh Hai Vu, Linh Van Pham, Lien Thi Hong Nguyen, Lan Thi Huong Le, Hoang Cong Nguyen, Nga Hoang Dang, Trung Huu Nguyen, Anh The Nguyen, Hoan Van Nguyen, Phuoc Ba Nguyen, Hoai Thi Thanh Nguyen, Thu Thi Minh Pham, Thuy Thi Le, Thao Thi Phuong Nguyen, Cuong Quoc Tran, Kien Trung Nguyen; Osong Public Health Res Perspect. 2024;15(1):33-44. Published online February 19, 2024; DOI: https://doi.org/10.24171/j.phrp.2023.0261

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Graphical Abstract Abstract PDF: Objectives
The prevalence of posttraumatic stress disorder (PTSD) has increased, particularly among individuals who have recovered from coronavirus disease 2019 (COVID-19) infection. Health literacy is considered a “social vaccine” that helps people respond effectively to the pandemic. We aimed to investigate the association between long COVID-19 and PTSD, and to examine the modifying role of health literacy in this association. Methods: A cross-sectional study was conducted at 18 hospitals and health centers in Vietnam from December 2021 to October 2022. We recruited 4,463 individuals who had recovered from COVID-19 infection for at least 4 weeks. Participants provided information about their sociodemographics, clinical parameters, health-related behaviors, health literacy (using the 12-item short-form health literacy scale), long COVID-19 symptoms and PTSD (Impact Event Scale-Revised score of 33 or higher). Logistic regression models were used to examine associations and interactions. Results: Out of the study sample, 55.9% had long COVID-19 symptoms, and 49.6% had PTSD. Individuals with long COVID-19 symptoms had a higher likelihood of PTSD (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.63–2.12; p<0.001). Higher health literacy was associated with a lower likelihood of PTSD (OR, 0.98; 95% CI, 0.97–0.99; p=0.001). Compared to those without long COVID-19 symptoms and the lowest health literacy score, those with long COVID-19 symptoms and a 1-point health literacy increment had a 3% lower likelihood of PTSD (OR, 0.97; 95% CI, 0.96–0.99; p=0.001). Conclusion: Health literacy was found to be a protective factor against PTSD and modified the negative impact of long COVID-19 symptoms on PTSD.

Mental health and its determinants among adolescents living in families with separated or divorced parents in an urban area of Vietnam: Binh Thang Tran, Minh Tu Nguyen, Minh Tam Nguyen, Thanh Gia Nguyen, Vo Nu Hong Duc, Thi Tra My Tran; Osong Public Health Res Perspect. 2023;14(4):300-311. Published online August 9, 2023; DOI: https://doi.org/10.24171/j.phrp.2023.0110

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Objectives
We assessed the prevalence of stress, anxiety, and depression among adolescents living in families with separated or divorced parents in Hue City, Vietnam and identified factors associated with these conditions.
Methods
This cross-sectional study enrolled 309 adolescents, aged 12 to 17 years, living in families with separated or divorced parents in Hue City, Vietnam. The depression anxiety stress scale-21 (DASS-21) was used to measure stress, anxiety, and depression. Predictors of overall and individual mental health problems were identified using ordered and binary logistic regression, respectively.
Results
The DASS-21 scale revealed a 49.2% prevalence of stress, while anxiety and depression had s prevalence rates of 61.5%. Among participants, 42.4% experienced all 3 mental health issues. Several factors were identified as significant predictors of mental health problems, including poor to average economic status (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.21–3.31; p=0.007); being in high school (aOR, 5.02; 95% CI, 2.93–8.60; p<0.001); maternal occupation of teacher, healthcare professional, or official (aOR, 2.39; 95% CI, 1.13–5.03; p=0.022); longer duration of family separation or divorce (aOR, 1.24; 95% CI, 1.05–1.45; p=0.009); living with one’s mother (aOR, 1.69; 95% CI, 1.03–2.76; p=0.04); alcohol consumption (aOR, 1.70; 95% CI, 0.99–2.92; p=0.050); and being bullied (aOR, 5.33; 95% CI, 1.10–25.69; p=0.037). Most of these factors were associated with stress, anxiety, and depression. Additionally, smoking was associated with stress.
Conclusion
Adolescents with separated or divorced parents were at increased risk of stress, anxiety, and depression. The findings of this study provide important implications for prevention programs.

Citations

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Mental Health among Ethnic Minority Adolescents in Vietnam and Correlated Factors: A Cross-Sectional Study
Ngo Anh Vinh, Vu Thi My Hanh, Do Thi Bich Van, Duong Anh Tai, Do Minh Loan, Le Thi Thanh Thuy
Journal of Affective Disorders Reports.2024; : 100795. CrossRef

The Effects of Laughter Therapy for the Relief of Employment-Stress in Korean Student Nurses by Assessing Psychological Stress Salivary Cortisol and Subjective Happiness: Ji-Soo Lee, Soo-Kyoung Lee; Osong Public Health Res Perspect. 2020;11(1):44-52. Published online February 28, 2020; DOI: https://doi.org/10.24171/j.phrp.2020.11.1.07

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Abstract PDF

Objectives

Korean student nurses may be exposed to stress caused by their future employment (employment stress). The aim of this study was to investigate the effects of a Laughter Program on psychological stress, by assessing salivary cortisol and the subjective happiness of student nurses in order to relieve employment stress.

Methods

A quasi-experimental, non-equivalent, control-group, and pre-test/post-test was conducted in 4^th year student nurses (n = 48) from 2 universities in Korea at a time when participants’ final exams and job searches were simultaneously occurring. Physiological stress (salivary cortisol), and psychological stress measured using modified Cornell Medical Index questionnaire and the Subjective Happiness Scale were used to determine the effects of the program.

Results

The results of the study showed that the Laughter Program was effective in relieving employment stress and increasing the subjective well-being of student nurses. Psychological stress (p < 0.001), salivary cortisol levels (p < 0.001), and subjective happiness (p < 0.001) were statistically significantly improved after the intervention compared with before the Laughter Program.

Conclusion

This study is an effective evidence-based intervention to reduce student nurses employment stress and improve subjective happiness.

Citations

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The effect of laughter yoga on stress and anxiety of nursing students: A systematic review
Amir Mohamad Nazari, Mohammad Javad Ghazanfari, Amir Emami Zeydi, Akbar Zare-Kaseb
Teaching and Learning in Nursing.2024;[Epub] CrossRef
The Effects of Laughter Yoga on Happiness and Stress in Nursing Students Going into Clinical Practice for the First Time
Betul Bal, Canan Demirci, Gamze Gulsum Kilicli
Journal of Holistic Nursing.2024;[Epub] CrossRef
Effectiveness of stress management interventions for nursing students: A systematic review and meta‐analysis
Xuan Ji, Xiaoyan Guo, Kim Lam Soh, Salimah Japar, Liping He
Nursing & Health Sciences.2024;[Epub] CrossRef
The influence of laughter yoga on pregnancy symptoms, mental well-being, and prenatal attachment: A randomized controlled study
Safiye Ağapınar Şahin, Mine Bekar
Health Care for Women International.2023; 44(6): 782. CrossRef
Why Laughing Heals? A Review on the Use of Humor in Therapy
Selda KANBUR, Şule BAŞTEMUR
Psikiyatride Güncel Yaklaşımlar.2023; 15(3): 477. CrossRef
The effect of laughter yoga applied before simulation training on state anxiety, perceived stress levels, self-confidence and satisfaction in undergraduate nursing students: A pragmatic randomized controlled trial
Ayşe Arıkan Dönmez, Nilgün Kuru Alıcı, Sevgisun Kapucu, Melih Elçin
Nurse Education in Practice.2023; 70: 103636. CrossRef
Laughter as medicine: A systematic review and meta-analysis of interventional studies evaluating the impact of spontaneous laughter on cortisol levels
Caroline Kaercher Kramer, Cristiane Bauermann Leitao, Fares Alahdab
PLOS ONE.2023; 18(5): e0286260. CrossRef
The Effect of Laughter Therapy on Perceived Stress and Quality of Life in Persons with Schizophrenia: A Mixed Method Pilot Study
Ayşe Gül Yavaş Ayhan, Fatma Özlem Öztürk
Issues in Mental Health Nursing.2023; 44(11): 1150. CrossRef
Effects of laughter therapy on the stress response of married immigrant women in South Korea: A randomized controlled trial
Yejung Ko, Eun-suk Lee, Sihyun Park
Health Care for Women International.2022; 43(5): 518. CrossRef
Ebelik Uygulamalarına Tamamlayıcı Bir Yaklaşım: Duygu Dilinin Evrensel İfadesi, Kahkaha Yogası
Safiye AĞAPINAR ŞAHİN, Mine BEKAR
Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp.2022; 12(1): 49. CrossRef
The effect of laughter therapy on nursing students' anxiety, satisfaction with life, and psychological well-being during the COVID-19 pandemic: Randomized controlled study
Canan Eraydin, Sule Ecevit Alpar
Advances in Integrative Medicine.2022; 9(3): 173. CrossRef
The impact of national music activities on improving long-term care for happiness of elderly people
Xiaona Zhao, Na Qi, Huizhen Long, Sen Yang
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The Effect of Laughter Therapy on Physical and Mental Health: Systematic Review
Elif ÜNER, Ayşe SEZER BALCI, Hasibe KADIOĞLU
Halk Sağlığı Hemşireliği Dergisi.2022; 4(3): 251. CrossRef
Psychological stress factors and salivary cortisol in nursing students throughout their training
Sandra Soares Mendes, Milva Maria Figueiredo De Martino, Filipy Borghi, Camila Maiara Rocha-Teles, Aglecio Luiz de Souza, Dora Maria Grassi-Kassisse
Revista da Escola de Enfermagem da USP.2022;[Epub] CrossRef
Fatores de estresse psicológico e cortisol salivar em alunos de enfermagem ao longo da formação
Sandra Soares Mendes, Milva Maria Figueiredo De Martino, Filipy Borghi, Camila Maiara Rocha-Teles, Aglecio Luiz de Souza, Dora Maria Grassi-Kassisse
Revista da Escola de Enfermagem da USP.2022;[Epub] CrossRef
Effect of laughter yoga on mental symptoms and salivary cortisol levels in first‐year nursing students: A randomized controlled trial
Fatma Ozlem Ozturk, Ayfer Tezel
International Journal of Nursing Practice.2021;[Epub] CrossRef
Physical relaxation for occupational stress in healthcare workers: A systematic review and network meta-analysis of randomized controlled trials
Michael Zhang, Brittany Murphy, Abegail Cabanilla, Christina Yidi
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Perceived Psychological Traumatic Childbirth in Iranian Mothers: Diagnostic Value of Coping Strategies: Sedigheh Abdollahpour, Seyed Abbas Mousavi, Habibollah Esmaily, Ahmad Khosrav; Osong Public Health Res Perspect. 2019;10(2):72-77. Published online April 30, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.2.05

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Abstract PDF

Objectives

The aim of this study was to investigate the diagnostic value of a stress coping scale for predicting perceived psychological traumatic childbirth in mothers.

Methods

This cross-sectional study was performed on 400 new mothers (within 48 hours of childbirth). Psychological traumatic childbirth was evaluated using the 4 diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders. Coping was measured using Moss and Billings’ Stress Coping Strategies Scale.

Results

The overall mean score of stress coping was 29 ± 14.2. There were 193 (43.8%) mothers that had experienced a psychological traumatic childbirth. A stress coping score ≤ 30, with a sensitivity of 90.16 (95% CI = 85.1–94.0), and a specificity of 87.44 (95% CI = 82.1–91.6), was determined as a predictor of psychological traumatic childbirth. So that among mothers with stress coping scores ≤ 30, 87% had experienced a psychological traumatic childbirth.

Conclusion

Investigating the degree of coping with stress can be used as an accurate diagnostic tool for psychological traumatic childbirth. It is recommended that during pregnancy, problem-solving and stress management training programs be used as psychological interventions for mothers with low levels of stress control. This will ensure that they can better cope with traumatic childbirth and post-traumatic stress in the postpartum stage.

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Validity and reliability of the Chinese version of traumatic childbirth perception scale in Chinese women
Caifeng Chen, Xiaoying Wang, Han Xu, Xuejie Liu, Yuhong Li
Current Psychology.2024; 43(8): 7205. CrossRef
Relationship between Experience of Antepartum Intervention and Posttraumatic Stress Symptoms Following Childbirth: A Prospective Study
Sedigheh Abdollahpour, Mona Larki, Najme Rajabi, Elham Azmoude
Current Women s Health Reviews.2023;[Epub] CrossRef
The Effect of Labor Dance on Traumatic Childbirth Perception and Comfort: A Randomized Controlled Study
Bihter Akin, Hülya Yurteri Türkmen, Hacer Yalnız Dilcen, Ebru Sert
Clinical Nursing Research.2022; 31(5): 909. CrossRef
The relationship of psychosocial well‐being and social support with pregnant women's perceptions of traumatic childbirth
Hacer Yalnız Dilcen, Filiz Aslantekin, Naciye Aktaş
Scandinavian Journal of Caring Sciences.2021; 35(2): 650. CrossRef

How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?: Byonghee Cho, Aeree Sohn; Osong Public Health Res Perspect. 2016;7(5):281-288. Published online October 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.09.001

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28 Download
15 Crossref

Abstract PDF

Objectives
This study investigated the status of sexual identity, perceived stigma, stress, depression, and suicidal ideation and attempts. It also examined how sexual identity and “coming out” affect stress, depression, and suicidal ideation and attempts.
Methods
Suicidal ideation, psychological health status, and health-related behaviors were assessed using the Internet to maximize the confidentiality of the participants, men who have sex with men (MSM). The data were collected from a total of 873 MSM aged between 19 years and 59 years in 2014.
Results
Only 20.9% of the MSM had come out (18.0% voluntarily and 2.9% by others). The prevalences of perceived stress and depression among MSM were 46.7% and 42.7%, respectively, compared with 20.1% and 7.4% among general men. Approximately 32% of the MSM reported any suicidal ideation, and 3.3% had attempted suicide in the past year. The likelihood of suicidal ideation was significantly associated with being age 30–39 years [odds ratio (OR) = 1.8], high school or less (OR = 1.6), having been outed (OR = 5.2), feeling stressed (OR = 1.8), and feeling depressed (OR = 12.4) after sociodemographic factors and other perceptions were controlled for.
Conclusion
The present study provides evidence that MSM are at an elevated risk for suicidal ideation and attempts with high stress and depression. Some risk factors were specific to being gay or bisexual in a hostile environment.

Citations

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Stress of being outed to parents, LGBTQ family support, and depressive symptoms among sexual and gender diverse youth
Peter S. McCauley, Alexander J. Del Farno, Antonia E. Caba, Benton M. Renley, Shaylynne Shuler, Lisa A. Eaton, Ryan J. Watson
Journal of Research on Adolescence.2024; 34(1): 205. CrossRef
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Kamal Gautam, Kiran Paudel, Ali Ahmed, Manisha Dhakal, Jeffrey A Wickersham, Krishna C Poudel, Sherry Pagoto, Bibhav Acharya, Keshab Deuba, Pablo K Valente, Roman Shrestha
Journal of Community Health.2024;[Epub] CrossRef
Age Differences in the Associations Between Outness and Suicidality Among LGBTQ+ Youth
Brian A. Feinstein, Ethan H. Mereish, Mary Rose Mamey, Cindy J. Chang, Jeremy T. Goldbach
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Psychological Status of Men Who Have Sex with Men during COVID-19: An Online Cross-Sectional Study in Western China
Bing Lin, Jiaxiu Liu, Wei He, Haiying Pan, Xiaoni Zhong
International Journal of Environmental Research an.2023; 20(2): 1333. CrossRef
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Xiaoyue Zhang, Ying Zhou, Kaili Zhang
Frontiers in Psychology.2023;[Epub] CrossRef
HIV-related stigma, depression and suicidal ideation among HIV-positive MSM in China: a moderated mediation model
Jiaqi Fu, Xu Chen, Zhenwei Dai, Yiman Huang, Weijun Xiao, Hao Wang, Mingyu Si, Yijin Wu, Ling Zhang, Shu Jing, Xin Liu, Fei Yu, Guodong Mi, Xiao-You Su
BMC Public Health.2023;[Epub] CrossRef
Trends in Human Immunodeficiency Virus-Related Knowledge and Stigma among Men Who Have Sex with Men in the Republic of Korea from 2012 to 2022
Aeree Sohn
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HIV-Related Stigma, Sexual Identity, and Depressive Symptoms Among MSM Living With HIV in China: A Moderated Mediation Modeling Analysis
Tianyue Mi, Guanghua Lan, Xueying Yang, Xiaoming Li, Shan Qiao, Zhiyong Shen, Yuejiao Zhou
American Journal of Men's Health.2022; 16(2): 155798832210875. CrossRef
Sexual Minority Stigma, Sexual Orientation Concealment, Social Support and Depressive Symptoms Among Men Who have Sex with Men in China: A Moderated Mediation Modeling Analysis
Changmian Ding, Xiangfan Chen, Wei Wang, Bin Yu, Huimin Yang, Xiaoyan Li, Shumin Deng, Hong Yan, Shiyue Li
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Henna Budhwani, Kristine R. Hearld, Adrienne N. Milner, Rebecca Charow, Elaine M. McGlaughlin, Mayra Rodriguez‐Lauzurique, Santo Rosario, Robert Paulino‐Ramirez
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Bernardo Carpiniello, Federica Pinna
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Exposure–Response Relationship Between Aircraft Noise and Sleep Quality: A Community-based Cross-sectional Study: Soo Jeong Kim, Sang Kug Chai, Keou Won Lee, Jae-Beom Park, Kyoung-Bok Min, Hyun Gwon Kil, Chan Lee, Kyung Jong Lee; Osong Public Health Res Perspect. 2014;5(2):108-114. Published online April 30, 2014; DOI: https://doi.org/10.1016/j.phrp.2014.03.004

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26 Download
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Abstract PDF

Objectives
Exposure to aircraft noise has been shown to have adverse health effects, causing annoyance and affecting the health-related quality of life, sleep, and mental states of those exposed to it. This study aimed to determine sleep quality in participants residing near an airfield and to evaluate the relationship between the levels of aircraft noise and sleep quality.
Methods
Neighboring regions of a military airfield were divided into three groups: a high exposure group, a low exposure group, and a control group. A total of 1082 participants (aged 30–79 years) completed a comprehensive self-administered questionnaire requesting information about demographics, medical history, lifestyle, and the Pittsburgh Sleep Quality Index.
Results
Of the 1082 participants, 1005 qualified for this study. The prevalence of sleep disturbance was 45.5% in the control group, 71.8% in the low exposure group, and 77.1% in the high exposure group (p for trend < 0.001). After adjusting for potential confounding factors, we determined the exposure–response relationship between the degree of aircraft noise and sleep quality. Of the participants with a normal mental status, the prevalence of sleep disturbance was 2.61-fold higher in the low exposure group and 3.52-fold higher in the high exposure group than in the control group.
Conclusion
The relationship between aircraft noise and health should be further evaluated through a large-scale follow-up study.

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Article

Proteomic Analysis of Cellular and Membrane Proteins in Fluconazole-Resistant Candida glabrata: Jae Il Yoo, Chi Won Choi, Hwa Su Kim, Jung Sik Yoo, Young Hee Jeong, Yeong Seon Lee; Osong Public Health Res Perspect. 2012;3(2):74-78. Published online June 30, 2012; DOI: https://doi.org/10.1016/j.phrp.2012.04.001

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15 Download
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Abstract PDF

Objectives
Candida glabrata is one of the most common causes of Candida bloodstream infections worldwide. Some isolates of C glabrata may be intermediately resistant to azoles, with some strains developing resistance during therapy or prophylaxis with fluconazole. In this study, we used a proteomic approach to identify differentially expressed proteins between fluconazoleresistant and -susceptible strains.
Methods
Membrane and cellular proteins were extracted from fluconazolesusceptible and fluconazole-resistant C glabrata strains. Differentially expressed proteins were compared using two-dimensional sodium dodecyl sulfate polyacrylamide gel electrophoresis. Proteins with >1.5-fold difference in expression were identified by liquid chromatography tandem mass spectrometry (LC-MS/MS).
Results
A total of 65 proteins were differentially expressed in the cellular and membrane fractions. Among the 39 cellular proteins, 11 were upregulated and 28 were downregulated in fluconazole-resistant strains in comparison with fluconazole-susceptible strains. In the membrane fraction, a total of 26 proteins were found, of which 19 were upregulated and seven were downregulated. A total of 31 proteins were identified by LC-MS/MS that are involved in glycolysis, carbohydrate transport, energy transfer, and other metabolic pathways. Heat shock proteins were identified in various spots.
Conclusion
Heat shock and stress response proteins were upregulated in the membrane fraction of the fluconazole-resistant C glabrata strain. Compared with susceptible strains, fluconazole-resistant strains showed increased expression of membrane proteins and decreased expression of cellular proteins.

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