Search Results (392)

This study estimates the prevalence of co-use of alcohol and cannabis, assesses the sociodemographic risk factors of co-use, and examines the associations between mental health and heavy episodic drinking (HED) and alcohol–cannabis co-use in Canada during the early years of the COVID-19 pandemic. Nine successive cross-sectional surveys, held from May 2020 to January 2022, of adults (aged ≥18 years) living in Canada were pooled for 9011 participants. The prevalence of co-use was calculated across sociodemographic groups. Logistic regressions were used to assess associations. Alcohol–cannabis co-use was associated with a greater likelihood of engaging in HED and experiencing symptoms of anxiety, depression, and loneliness. The prevalence of co-use of alcohol was different across sociodemographic groups. The highest prevalence was among TGD people (35.5%), followed by individuals aged 18–39 years (14.5%). Additionally, being TGD (aOR = 3.61, 95% CI 2.09–6.25), separated/divorced/widowed (aOR = 1.60, 95% CI 1.23–2.07), living in an urban area (aOR = 1.26, 95% CI 1.07–1.56), and having a high household income (aOR = 1.41, 95% CI 1.09–1.82) increased the likelihood of reporting alcohol–cannabis co-use. These findings underscore the fact that developing public health and clinical interventions for preventing and treating excessive alcohol or cannabis use must consider both alcohol and cannabis use patterns and should be tailored to the highest-risk TGD and young adults. Full article

When the economy grows, people become wealthier and more autonomous from their intimate partners. This autonomy potentially has a negative impact on relationship stability: As per capita income increases, so does the divorce rate. Nevertheless, there is evidence that, after a certain income level, the divorce rate starts to decline, suggesting that the relationship between the two factors is not linear. The purpose of the current research is to examine the relationship between per capita income and divorce rate by analyzing historical data from the UK (obtained from the UK Office of National Statistics) and USA (obtained from the CDC and the Federal Reserve), as well as contemporary data encompassing a sample of 107 societies (obtained from the World Population Review and the World Bank). Our analysis finds a concave relationship between the two variables: an increase in per capita income corresponds to a rise in the divorce rate. However, beyond a certain threshold, the increase in per capita income is associated with a decrease in the divorce rate. Full article

Food security is defined as a state in which all people at all times have both physical and economic access to sufficient food to meet their dietary needs for a productive and healthy life. The general objective of this work was to assess the situation of food insecurity and its impact on the quantity and quality of food consumption during lockdown in the first wave of the COVID-19 pandemic and to identify the determinants associated with the different food insecurity (FI) categories on a sample of 2227 people (1168 people from Spain and 1059 people from Morocco). Food insecurity (FI) assessed by the Household Food Insecurity Access Scale (HFIAS) were compared in both countries, controlling for the effect of sociodemographic variables, age, gender, marital status, and education level. The mean HFIAS was 0.53 in the Spanish and 3.55 in the Moroccan samples (p < 0.001). Only 2.1% of the Spanish sample were in a situation of severe insecurity against 15.5% in Morocco (p < 0.001). Moroccans with moderate and severe food insecurity decreased their consumption of meat, fish, eggs, nuts, legumes, and fruits. The risk of food insecurity was higher in men than in women, in separated or divorced people, in people with secondary and middle education, and in younger people. Full article

Background: The aim of this study was to analyze levels of frailty, across physical, psychological, social, and overall dimensions, according to marital status, age, number of diagnosed illnesses, and number of medications taken in community-dwelling older women. Methods: The study included a total of 94 older women, aged between 60 and 89 years. All participants completed a sociodemographic and clinical questionnaire, as well as an instrument to measure physical, psychological, and social frailty, along with the total frailty score in the study participants. Group comparison test, such as the Kruskal–Wallis test, was applied. Results: Statistically significant differences (p < 0.05) in frailty were associated with marital status, clinical burden, and polypharmacy, with widowed/divorced individuals, those with more diagnosed diseases, and those taking more medications exhibiting higher physical and total frailty levels, while psychological frailty was notably higher in the oldest age group. Conclusions: The results indicate that physical and social interventions should be more relevant for older women with greater social isolation, as they may increase frailty indices and consequently the risk of hospitalization, institutionalization, and mortality. Full article

Background/Objectives: Despite the psychological benefits of breast reconstruction (BR) after mastectomy, uptake remains limited among women with breast cancer. This study explores psychosocial and personality predictors of BR intentions in the pre-mastectomy phase, aiming to inform strategies for mental health promotion in oncology care. Methods: This cross-sectional analysis used preoperative data from a longitudinal study at a university hospital in Greece. Women with primary breast cancer scheduled for mastectomy completed a battery of validated self-report measures, including the International Personality Item Big-Five Factor Markers (IPIP-BFFM), the Hospital Anxiety and Depression Scale (HADS), and the Short Form-36 Health Survey (SF-36). Demographic, clinical, and psychosocial data were also collected. Binary logistic regression was used to examine predictors of (a) BR information-seeking and (b) BR intention. Results: Seventy-four women participated (mean age = 61.1 years). Older age predicted lower BR intention (Exp(b) = 0.897, 95% CI: 0.829–0.970) and information-seeking (Exp(b) = 0.925, 95% CI: 0.859–0.997). Single/divorced status was associated with reduced BR information-seeking (Exp(b) = 0.053, 95% CI: 0.005–0.549). Openness to experience significantly predicted both outcomes (BR information-seeking: Exp(b) = 1.115, 95% CI: 1.028–1.209); BR intention: Exp(b) = 1.095, 95% CI: 1.016–1.181). Higher physical health-related QoL scores were associated with increased BR intention (Exp(b) = 1.039, 95% CI: 1.007–1.072), whereas higher mental health-related QoL (Exp(b) = 0.952, 95% CI: 0.912–0.994) and higher depression scores (Exp(b) = 0.797, 95% CI: 0.638–0.996) were linked to decreased BR intent. No psychological factor significantly predicted information-seeking. Conclusions: These findings underscore the value of psychosocial screening and personality-informed counseling prior to surgery. By identifying individuals less likely to seek information or consider BR, pre-mastectomy assessments can contribute to tailored, mental health-promoting interventions and support informed, patient-centered surgical decision-making. Full article

Recent research in digital migration studies analyzes both refugee populations’ social media use and so-called integration outcomes. Against the backdrop of digitalization, we argue for understanding belonging as part of an ongoing process in physical, virtual and hybrid continuities, where material aspects cannot be divorced from imagined constructions. We take the case of Ukrainian women arriving in the Netherlands following the Russian aggression against Ukraine, in 15 semi-structured interviews from 2023. Adopting an intersectional lens, our research asks the following questions: How does social media use mediate or inform a sense of belonging? How do observations correspond to or differ from previous studies on refugees and social media, given this population’s temporary protection (TP) status? As participants leverage digital platforms differently in evolving situations, they navigate connectedness to the new community; we argue this may be linked to distinct TP status and other characteristics of difference, including educational levels and digital literacy. Conclusions indicate that an intersectional lens could be applied in understanding Ukrainian perspectives in other Member States—or beneficiaries of differing origin—to better account for how intersectional dimensions like legal status can be mutually constitutive of virtual connectedness versus material, physical rootedness or vulnerability. Full article

Consanguinity is the marriage of two related persons. This type of marriage is one of the main pillars when it comes to recessive hereditary diseases, birth defects, infertility, miscarriages, abortion, and infant deaths. Intermarriage continues to be a common practice in various communities in North Africa, the Middle East, and West and South Asia, as well as among migrants from Europe and North America, even though in more and more countries it has become illegal. Even if security and stability are some of the motivations for consanguineous marriage, studies show that women often suffer physical and verbal abuse from their husbands. However, because of the blood bond, tolerance for these habits is much higher. In addition, it seems that the divorce rate is much lower because separation would affect the entire state of the family. The choice of partner is significantly influenced by variables such as limited access to education and financial resources. Illiterate people coming from poor rural areas are much more likely to choose consanguineous marriage to maintain wealth in the family. The lack of medical knowledge about the negative effects of consanguinity leads to an increased rate of abortions, infant deaths, and births of children with congenital birth defects. Today, because of the process of urbanization and increased levels of knowledge, the younger generation is becoming increasingly less receptive to this particular form of marriage. In addition, as education has become more accessible to women, they have become more independent and eager to fulfill their own goals and not the wishes of the family. In conclusion, contrary to the many apparent advantages of consanguineous marriage, partners should put genetic risks first, as medical problems bring with them increased costs in the medical system and also within the family, leading to even lower economic status and consequently perpetuation of this type of marriage. Full article

Background: The present study seeks to examine how social disparities relate to the prevalence of poor glycemic control (HbA1c ≥ 7%), comorbidities such as hypertension and dyslipidemia, and diabetes-related complications (microvascular or macrovascular) among Saudi patients diagnosed with type 2 diabetes. Methods: A cross-sectional study was conducted among 574 patients with type 2 diabetes mellitus (T2DM) attending family medicine clinics at King Saud University Medical City in Riyadh. Participants were selected using a simple random sampling technique and interviewed via phone using a validated questionnaire. Data collected included demographic and clinical variables. Descriptive statistics and multivariate logistic regression analyses were performed to assess the association between socioeconomic status (SES) and cardiovascular complications, including stroke, dyslipidemia, hypertension, and acute coronary syndrome. Result: The analysis revealed that certain socioeconomic factors significantly increased the odds of cardiovascular complications among patients with T2DM. Being female was associated with higher odds of hypertension (OR = 2.29, p = 0.014), dyslipidemia (OR = 2.59, p = 0.012), acute coronary syndrome (ACS) (OR = 2.35, p = 0.001), and stroke (OR = 2.17, p = 0.003). Divorced or widowed participants had significantly increased odds of ACS (OR = 2.91, p = 0.001) and stroke (OR = 2.83, p = 0.002). A lower educational level (secondary school or less) was significantly associated with increased odds of hypertension (OR = 2.64, p = 0.031), dyslipidemia (OR = 2.22, p = 0.005), and stroke (OR = 2.88, p = 0.042). Monthly income between 3001 and 6000 SAR was significantly associated with higher odds of ACS (OR = 2.61, p = 0.003) and stroke (OR = 2.64, p = 0.012). Participants with diabetes duration >15 years had higher odds of dyslipidemia (OR = 2.86, p = 0.004) and stroke (OR = 2.89, p = 0.005). Being retired or not working increased the odds of all four cardiovascular outcomes, with stroke showing the highest risk (OR = 3.18, p < 0.001). Living outside the Riyadh region was also associated with elevated risk across outcomes, notably stroke (OR = 1.52, p = 0.046). Conclusions: The study concluded that notable social disparities exist among diabetic individuals affected by cardiovascular conditions, such as stroke and acute coronary syndrome (ACS), as well as risk factors for cardiovascular disease like dyslipidemia (DLD). These findings can inform targeted cardiovascular risk reduction strategies and address health inequities among diabetic populations in Saudi Arabia. Full article

Divorce represents a significant life transition with implications for emotional well-being, social integration, and economic security. This study examines the post-divorce experiences of women in Abu Dhabi, focusing on four challenges: financial insecurity, emotional distress, co-parenting difficulties, and struggles in forming new relationships. Drawing on data from the 5th Cycle of the Abu Dhabi Quality of Life Survey (n = 4347), the study explores how these challenges affect indicators such as life satisfaction, mental health, social trust, and financial stability. The findings show financial insecurity is the most prevalent and detrimental issue, particularly among older and less-educated women. Co-parenting stress peaks among women aged 35–49, while non-Emirati women report heightened financial vulnerability. Emotional distress is associated with poor sleep, reduced trust, and digital coping behaviors. Older women face greater social reintegration challenges. Religious practice emerges as a frequent coping mechanism, especially among those experiencing stigma and isolation. Guided by the Stress Process Model, the study highlights the interplay of social and psychological stressors and offers practical insights for psychiatric and mental health practitioners supporting women through family disruption. Full article

Marital crises are common and can arise at any stage of marriage. When facing difficulties, many spouses seek support from religious communities, which provide spiritual and emotional guidance. These communities play a vital role in marriage preparation and helping couples navigate crises. In response to rising divorce rates, changing gender roles, and economic pressures, religious communities are adapting their pastoral methods. One innovative approach is storytelling, which allows couples to connect with others’ experiences, helping rebuild trust and understanding in their marriages. This article explores the role of storytelling as a tool for supporting couples in crisis, particularly in the context of religious pastoral care, focusing on its impact on communication, marital bonding, and spiritual growth. Full article

Pope Francis calls today’s culture a culture of temporariness. With regard to marriage, it is resulting in a decline in marriages and an increase in divorces. One notices an increasing tension between the sacrament of marriage in the Catholic tradition, which is understood as a lifelong relationship. The purpose of this article is to analyze the meaning and stabilizing role of marriage in the face of these changes. This article consists of four parts. It presents the theological and legal–canonical vision of the sacrament of marriage in the Catholic Church (1), the manifestations of the culture of temporariness in society and marriage (2), the stability offered by the sacrament of marriage (3), and the strengthening of the stabilizing role of the sacrament of marriage (4). The sources for this research are the teachings of the modern Catholic Church and scientific studies on the sacrament of marriage and the culture of temporality. The monographic method, the method of source analysis, and content analysis were used. The analysis carried out in this article shows that the sacrament of marriage is a kind of sign of opposition to the culture of temporariness. It reminds us of values such as fidelity, responsibility, and generosity. Full article

The landmark Philippine Supreme Court case Llorente vs. Llorente illuminates the complex intersections of transnational migration, inheritance law, and colonial legacies in the Philippines. The case centers on Lorenzo Llorente, a Filipino US Navy serviceman whose estate became the subject of a fifteen-year legal battle between his first wife Paula and his second wife Alicia. Lorenzo returned from the battles of World War II to find his wife in Nabua living with his brother and pregnant with his brother’s child. Lorenzo obtained a divorce in California in 1952. He later returned to the Philippines and married Alicia, naming her and their three adopted children as heirs in his will. Upon his death in 1985, Paula challenged the validity of the US divorce and claimed rights to Lorenzo’s estate under Philippine succession laws. While lower courts initially favored Paula’s claims by rigidly applying Philippine laws that are rooted in the colonial era and privileged blood relations, the Supreme Court ultimately upheld Lorenzo’s will in 2000, recognizing his right to divorce as a US citizen. This case reveals how postcolonial Philippine legal frameworks, still heavily influenced by Spanish colonial law, often fail to accommodate the complex realities of transnational families and diverse kinship practices, instead imposing rigid interpretations that fracture rather than heal family relations. Inheritance, previously a highly shared and negotiated process mediated by the elders, can now escalate to family disputes which play out in the impersonal space of the courtroom. Full article

Here, we propose that the shared emergent properties reproducibly observed in discrete systems can be explained by a theory that embeds the Conservation of Hartley–Shannon Information (CoHSI) in a statistical mechanics framework. Specific predictions of global properties that represent the most likely equilibrium state should be apparent in all qualifying systems, regardless of provenance. We demonstrate that these predictions of emergent global properties hold true in systems as disparate as collections of software written in the programming language C and collections of proteins. The implication is that the emergence of such shared properties is not driven by any specific local mechanism as the systems are so different. This raises the interesting prospect that important properties of biological systems (exemplified here by the length and multiplicity distributions of proteins) have little, if anything, to do with natural selection. Similarly, the size distribution of components and the frequency of tokens observed in computer software in C emerge as the most likely states, and are thus properties that are divorced from human agency, regardless of functionality. Full article

Background: the distribution of human papillomavirus (HPV) infection, vaccination rates, and awareness levels varies across China. Methods: this study examined HPV infection prevalence, vaccine uptake, and barriers among 2440 women aged 30–64 in Shenzhen, China, using partial least squares structural equation modeling (PLS-SEM) to analyze associated factors. Results: The overall HPV prevalence was 14.2% (347/2440), with HPV52 being the most common type, followed by HPV58 and HPV53. Factors significantly associated with HPV infection included more sexual partners, genital tract infections, manual labor, and single marital status (p < 0.05), whereas higher education demonstrated a protective association (p < 0.05). The HPV vaccination rate was 41.8% in ages 30–45. There were direct effect indicators of younger age, fewer pregnancies, and premenopausal status (p < 0.05) on HPV vaccine uptake, whereas inversely associated factors included divorce/widowed, lower household income, irregular menstruation, more deliveries, no contraception, and lack of HPV knowledge. Among 828 unvaccinated individuals, 47.9% of those aged 46–64 were willing if the age restrictions were expanded, with the main barrier being a lack of vaccine knowledge (40.7%). Willingness was significantly associated with younger age and healthcare occupation (p < 0.05), but negatively with eastern Shenzhen residence, lower household income, no HPV disease awareness, abnormal leucorrhea, lack of HPV knowledge, and belief against post-vaccination screening (p < 0.05). Conclusions: Socioeconomic disparities in HPV infection and vaccination rates in Shenzhen highlight intervention priorities. The impact of HPV knowledge underscores the need for effective health communication. The vaccination willingness and infection status among women aged 45+ provide supporting evidence for expanding HPV vaccination to older age groups. Full article

Background and Objectives: Dry eye disease (DED) is a multifactorial condition that affects quality of life (QoL). Symptoms like discomfort, blurred vision, and light sensitivity can negatively impact work efficiency, productivity, and psychological well-being. This study aimed to examine the relationship between DED and QoL, identify risk factors, and estimate DED prevalence in Saudi Arabia. Materials and Methods: This cross-sectional study included 1062 participants from Saudi Arabia, recruited via convenience sampling. Data were collected using an online questionnaire with three sections: sociodemographic information, the ocular surface disease index (OSDI) to assess DED severity, and the Arabic WHOQOL-BREF questionnaire to evaluate QoL. Results: Among participants, 77% suffered from DED. Males (β = −9.18, p < 0.001), postgraduate degree holders (β = −13.86, p = 0.001), and individuals with income >15,000 SR (β = −5.10, p = 0.023) had lower OSDI scores compared to reference groups (females, those with high school education or lower, and those with income <5000 SR, respectively), indicating a lower DED risk. Employed individuals, students (employed: β = 10.78, p < 0.020; students: β = 10.60, p < 0.016), divorced/widowed individuals (β = 18.70, p < 0.003), and those with diabetes, hypertension, and thyroid disorders showed higher OSDI scores. Higher OSDI scores correlated with lower QoL scores across all domains (physical: β = −0.26, p < 0.001; psychological: β = −0.22, p < 0.001; social: β = −0.25, p < 0.001; environmental: β = −0.20, p < 0.001). Conclusions: DED significantly affects all QoL domains. Risk factors include occupation, diabetes, hypertension, and thyroid disorders. Awareness and prevention efforts should be prioritized by institutions, while physicians should screen for DED in patients with chronic conditions. Further research is needed on the long-term effects of these risk factors and to improve management strategies. Full article