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  • 1.
    Eslami, Bahareh
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för socialt arbete och kriminologi, Socialt arbete. Division of Public Health Science, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Di Rosa, Mirko
    Laboratory of Geriatric Pharmacoepidemiology, National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Barros, Henrique
    EPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal.
    Torres-Gonzalez, Francisco
    Department of Psychiatry, Faculty of Medicine, University of Granada, Granada, Spain.
    Stankunas, Mindaugas
    Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania; Health Service Management Department, School of Medicine, University of Griffith, Gold Coast, Queensland, Australia.
    Ioannidi-Kapolou, Elisabeth
    Department of Sociology, National School of Public Health, Athens, Greece.
    Lindert, Jutta
    Department of Public Health, University of Emden, Emden, Germany; Women’s Studies Research Center, Brandeis University, Waltham, MA, United States of America.
    Soares, Joaquim J. F.
    Division of Public Health Science, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Lamura, Giovanni
    Centre for Socio-Economic Research on Ageing, National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Melchiorre, Maria Gabriella
    Centre for Socio-Economic Research on Ageing, National Institute of Health and Science on Aging, IRCCS INRCA, Ancona, Italy.
    Lifetime abuse and somatic symptoms among older women and men in Europe2019Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 14, nr 8, artikkel-id e0220741Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Research suggests that survivors of interpersonal violence have an increasing experience of bodily symptoms. This study aims to scrutinise the association between lifetime abuse and somatic symptoms among older women and men, considering demographics/socio-economic, social support and health variables. Methods: A sample of 4,467 community-dwelling persons aged 60–84 years (57.3% women) living in seven European countries (Germany, Greece, Italy, Lithuania, Portugal, Spain, Sweden) was recruited for this cross-sectional study. Lifetime abuse (psychological, physical, sexual, financial and injury) was assessed on the basis of the UK study of elder abuse and the Conflict Tactics Scale-2, while somatic symptoms were assessed by the Giessen Complaint List short version. Results: Women reported somatic symptoms more frequently than men. Multiple regression analyses revealed that lifetime exposure to psychological abuse was associated with higher levels of somatic symptoms among both women and men, while experiencing lifetime sexual abuse was associated with somatic symptoms only among older women, after adjusting for other demographic and socio-economic variables. Country of residence, older age, and low socio-economic status were other independent factors contributing to a higher level of somatic symptoms. Conclusions: The positive association between the experience of abuse during lifetime and the reporting of higher levels of somatic symptoms, in particular among older women, seems to suggest that such complaints in later life might also be related to the experience of mistreatment and not only to ageing and related diseases. Violence prevention throughout lifetime could help to prevent somatic symptoms in later life. 

  • 2.
    Eslami, Bahareh
    et al.
    Department of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Sundin, Örjan
    Department of Psychology, Mid Sweden University, Östersund, Sweden.
    Macassa, Gloria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap. Department of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Khankeh, Hamid Reza
    Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
    Soares, Joaquim JF
    Department of Public Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Anxiety, depressive and somatic symptoms in adults with congenital heart disease2013Inngår i: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 74, nr 1, s. 49-56Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    Despite the improvement in life-expectancy of adults with congenital heart disease, they may experience unique medical and social challenges that could impact on their psychological functioning. The aims of this study were to address the experience of anxiety, depressive and somatic symptoms among adults with congenital heart disease in comparison with that of non-heart diseased persons considering the role of various factors (e.g. socio-economic).

    Methods

    In cross-sectional case–control study, the participants consisted of 347 patients with congenital heart disease (18–64 years, 52.2% female) and 353 matched (by sex/age) non-heart diseased persons. The participants completed a questionnaire. The data were analyzed with bivariate and multivariate methods.

    Results

    In bivariate analyses, scores in anxiety and somatic symptoms were higher among patients than the healthy controls (both at p ≤ 0.001), whereas the groups did not differ in depressive symptoms. Following multiple-linear-regression-analyses, only the association between congenital heart disease and somatic symptoms was confirmed. Among the patients, perceived financial strain was significantly related to anxiety, depressive and somatic symptoms; lower perceived social support to anxiety and depression; and low annual income to somatic symptoms. Additionally, somatic symptoms were associated with anxiety and depressive symptoms, and vice versa. And no medical variables were related to anxiety, depressive and somatic symptoms.

    Conclusions

    Congenital heart disease was only independently associated with somatic symptoms. Financial strain, social support and co-existence of emotional distress with somatic symptoms should be considered in developing appropriate interventions to improve the well-being of patients with congenital heart disease. However, longitudinal research is warranted to clarify causality.

  • 3.
    Eslami, Bahareh
    et al.
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Viitasara, Eija
    Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Macassa, Gloria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    Melchiorre, Maria Gabriella
    Centre for Socio-Economic Research on Ageing, Italian National Institute of Health and Science on Aging, I.N.R.C.A, Ancona, Italy.
    Lindert, Jutta
    Department of Public Health, University of Emden, Emden, Germany; Brandeis University, Waltham, USA .
    Stankunas, Mindaugas
    Department of Health Management, Lithuanian University of Health Sciences, Kaunas, Lithuania; Health Service Management Department, Centre for Health Innovation, School of Medicine, University of Griffith, Gold Coast, QLD, Australia.
    Torres-Gonzalez, Francisco
    Centro de Investigacion Biomedica en Red de Salud Mental (CIBERSAM), University of Granada, Granada, Spain.
    Barros, Henrique
    Department of Hygiene and Epidemiology, University of Porto Medical School, Porto, Portugal.
    Ioannidi-Kapolou, Elisabeth
    Department of Sociology, National School of Public Health, Athens, Greece.
    Soares, Joaquim J. F.
    Section of Public Health Science, Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden.
    The prevalence of lifetime abuse among older adults in seven European countries2016Inngår i: International Journal of Public Health, ISSN 1661-8556, E-ISSN 1661-8564, Vol. 61, nr 8, s. 891-901Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: To investigate the lifetime prevalence rate of abuse among older persons and to scrutinize the associated factors (e.g. demographics).

    METHODS: This cross-sectional population-based study had 4467 participants, aged 60-84, from seven European cities. Abuse (psychological, physical, sexual, financial and injuries) was measured based on The Revised Conflict Tactics Scale, and the UK survey of abuse/neglect of older people.

    RESULTS: Over 34 % of participants reported experiencing lifetime psychological, 11.5 % physical, 18.5 % financial and 5 % sexual abuse and 4.3 % reported injuries. Lifetime psychological abuse was associated with country, younger age, education and alcohol consumption; physical abuse with country, age, not living in partnership; injuries with country, female sex, age, education, not living in partnership; financial abuse with country, age, not living in partnership, education, benefiting social/partner income, drinking alcohol; and sexual abuse with country, female sex and financial strain.

    CONCLUSIONS: High lifetime prevalence rates confirm that elder abuse is a considerable public health problem warranting further longitudinal studies. Country of residence is an independent factor associated with all types of elder abuse which highlights the importance of national interventions alongside international collaborations.

  • 4.
    Eslami, Bahareh
    et al.
    Mid Sweden University, Sundsvall, Sweden.
    Örjan, Sundin
    Mid Sweden University, Sundsvall, Sweden.
    Macassa, Gloria
    Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för arbets- och folkhälsovetenskap, Folkhälsovetenskap. Mid Sweden University, Sundsvall, Sweden.
    Khankeh, Hamid Reza
    Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
    Soares, Joaquim J. F.
    Mid Sweden University, Sundsvall, Sweden.
    Gender differences in health conditions and socio-economic status of adults with congenital heart disease in a developing country2013Inngår i: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 23, nr 2, s. 209-218Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background Providing appropriate care for adults with congenital heart disease requires the evaluation of their current situation. There is limited research in Iran about these patients, particularly in relation to gender differences in the demographic/socio-economic and lifestyle factors, as well as disease parameters.

    Materials and methods The sample consisted of 347 congenital heart disease patients in the age group of 18–64 years, including 181 women, assessed by an analytical cross-sectional study. The patients were recruited from the two major heart hospitals in Tehran. Data were collected using questionnaires.

    Results The mean age of the patients was 33.24 years. Women were more often married and more often had offspring than men (p < 0.001). Educational level and annual income were similar between women and men. Unemployment was higher among women (p < 0.001), but financial strain was higher among men (p < 0.001). Smoking, alcohol, and water-pipe use was higher among men than among women (p < 0.001). Cardiac factors, for example number of cardiac defects, were similar among women and men, except that there were more hospitalisations owing to cardiac problems, for example arrhythmia, among men. Disease was diagnosed mostly at the hospital (57.4%). Most medical care was provided by cardiologists (65.1%). Only 50.1% of patients had knowledge about their type of cardiac defect.

    Conclusion Gender differences exist in the socio-economic and lifestyle characteristics of adults with congenital heart disease, in some cases related to the disease severity. Our findings also point to the need for interventions to increase patients’ knowledge about, and use of, healthier lifestyle behaviours, irrespective of gender. Furthermore, providing appropriate jobs, vocational training, and career counselling may help patients to be more productive.

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