Associated Factors of Self-Rated Mental Health Status in Southwestern Iran: Using SCAD Regression Model in a Population-Based Study

Abstract Background: We investigated the association of dietary patterns and sleep duration by controlling mental health status (MHS) using a joint modeling approach.Methods and materials: The population based cohort study was conducted within the framework of the Isfahan Cohort Study (ICS), including 1383 participants, aged ≥ 35 years were followed from 2007 to 2013. A validated food frequency questionnaire was applied to obtain dietary patterns. Anthropometric measurements, blood pressure, fasting serum lipids and blood sugars were evaluated in both phases of the study. A random effect joint negative binomial and ordinal model were used to estimate diets effect on sleep duration and MHS.Results: Three dietary patterns were identified: Healthy, Iranian and Western dietary patterns. After adjustment for potential confounders, the higher scores of Western diet were associated with sleep hours (OR=1.08 and 95% CI: 1.02‒1.12), the higher scores of the Western diet during the 5 year follow-up was associated with greater sleep duration. Sleep duration and MHS were adversely associated (-0.097 and 95% CI: -0.09‒-0.05)Conclusion: Joint modeling by MHS, sleep duration was positively affected only by western diet. Iranian and healthy diet weren’t associated by sleep hours.

Download Full-text

Regional Differences of Mental Health Status and Associated Factors: Based on the Community Health Survey

Osong Public Health and Research Perspectives ◽

10.24171/j.phrp.2018.9.4.06 ◽

2018 ◽

Vol 9 (4) ◽

pp. 175-184 ◽

Cited By ~ 2

Author(s):

Ji Hye Lim

Keyword(s):

Mental Health ◽

Health Status ◽

Community Health ◽

Health Survey ◽

Regional Differences ◽

Associated Factors ◽

Mental Health Status ◽

Community Health Survey

Download Full-text

Fear of cancer recurrence and associations with mental health status and individual characteristics among cancer survivors: Findings from a nationally representative sample.

Journal of Clinical Oncology ◽

10.1200/jco.2018.36.7_suppl.147 ◽

2018 ◽

Vol 36 (7_suppl) ◽

pp. 147-147 ◽

Cited By ~ 2

Author(s):

Sarah C. Reed ◽

Janice Bell ◽

Larissa Nekhlyudov ◽

Nathan Fairman ◽

Jill G. Joseph ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Cancer Survivors ◽

Cancer Recurrence ◽

Population Based ◽

Individual Characteristics ◽

Mental Health Status ◽

Medical Expenditure ◽

Fear Of Cancer Recurrence ◽

Fear Of Cancer

147 Background: Fear of cancer recurrence (FCR) and related constructs are experienced by many cancer survivors and are consistently identified as important areas of need. This study adds to sparse literature on this topic by describing the prevalence of FCR and testing its associations with mental health status measures in a US sample of cancer survivors. Methods: Using the Medical Expenditure Panel Survey (MEPS) Experiences with Cancer Survivorship Supplement (n = 1,032), we examined socio-demographic, health and mental health characteristics of cancer survivors by their level of fear of cancer recurrence (none, low, high). Survey-weighted population-based estimates describe the prevalence of key variables. Multinomial logistic regression was used to test associations between validated measures of mental health status and individual characteristics, and levels of FCR in models unadjusted and controlling for socio-demographic and health characteristics. MEPS survey weights were applied in all analyses to account for the survey design. Results: Overall, 34% of cancer survivors reported no FCR, 54% reported low FCR, and 11% reported high FCR. Cancer survivors were at increased risk of reporting high FCR relative to no FCR if they had a low 12-item Short Form Health Survey (SF-12) Mental Component Summary (MCS) score (≤48) compared to high scores (odds ratio = 2.89; 95% confidence interval (CI) = 1.58, 5.32). Reporting depressive symptoms or psychological distress did not significantly increase the risk of reporting high or low FCR relative to no FCR. Conclusions: This study is the first to provide US population-based estimates of associations between FCR and individual, health and mental characteristics. Our results also provide valuable information on which survivors are most at-risk for FCR, and add to a new and growing literature supporting FCR as a multidimensional construct distinct from depression and distress. Future research is needed to more clearly differentiate FCR from other constructs, specifically anxiety disorders, and to identify clinically significant levels of FCR to better target survivors with the highest needs.

Download Full-text