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An Asian perspective on relationship and marriage education

Huang WJ

Fam Process, 2005 Jun;44(2):161-73.
PMID: 16013743

The goal of this article is to provide couple therapists and relationship educators with information to enhance the cultural relevance of their work with Asian populations. Because of the rapid social, economic, cultural, and gender role changes, the various Asian interpretations of the institution of marriage are undergoing major transformation. This article describes the general trends in marriage in several Asian nations, with a focus on the swiftly rising divorce rates and changing cultural attitudes to marriage, and discusses current relationship education initiatives in these nations. Finally, based on my experiences working with Asian populations, I present a few humble insights regarding adaptation of marriage education to render it more culturally appropriate for Asians.

Matched MeSH terms: Divorce
Children of divorce

Muhiudeen H

Family Practitioner, 1984;7:51-52.

Matched MeSH terms: Divorce
Fulltext Children of divorced parents seen in an outpatient child and family consultation clinic

Shariff MA, Kassim K

Family Physician, 1989;1:28-30.

Six cases of children of divorced parents are discussed. Their presentations are described and other relevant findings are mentioned. It is interesting to note that in the majority of the cases, the caretakers had difficulties in looking after the children and hence brought them to seek treatment.

Study site: Psychiatric clinic, Universiti Kebangsaan Malaysia

Matched MeSH terms: Divorce
Depression among older adults in Malaysian daycare centres

Leong OS, Ghazali S, Hussin EOD, Lam SK, Japar S, Geok SK, et al.

Br J Community Nurs, 2020 Feb 02;25(2):84-90.
PMID: 32040358 DOI: 10.12968/bjcn.2020.25.2.84

With the older population increasing worldwide, depressive disorder in this cohort is a serious public health problem that contributes to increased healthcare costs and mortality. This study aimed to determine the prevalence of depression among older adults in Malaysia who attended a daycare centre and to identify the relationship between depression and demographic factors. A cross-sectional study was conducted with 159 older adults recruited following screening for mental capacity. The Malay Geriatric Depression Scale questionnaire was distributed among the participants to obtain descriptive data on the symptoms of depression. Some 59.1% of the participants experienced depression. The most common factors associated with depression were being divorced, low education levels and low income. The findings indicate the need to revise and re-evaluate the activities and programmes in daycare centres for older adults in order to objectively cater to their physical and emotional needs.

Matched MeSH terms: Divorce
Fulltext Determinants of Pap smear screening among urbanite older female in North Klang Valley. [Abstract]

Abdullah NN, Ahmad Saman MS

Malaysian Journal of Medicine and Health Sciences, 2019;15(104):85-85.
MyJurnal

ABSTRACTS FOR INTERNATIONAL FAMILY HEALTH CONFERENCE 2019 (I-FaH 2019)
Introduction: As cervical cancer is the third most common cancer among women and ten percent of cervical cancer incidence among those 65 years and above, Pap smear is still relevant to be performed among older women. The aim of this study was to determine the determinants of Pap smear screening among older women in an urban setting.
Methods: This cross-sectional study was conducted among 515 women aged 50 and above in two urban health centres in Gombak, Selangor. The sampling technique conducted was random systematic sampling. The indepen-dent variables were age, marital status, employment status, gynaecological history (family history of cervical cancer, menopause, hysterectomy), obstetric history (number of live births, ever had contraception), presence of chronic diseases (hypertension, Diabetes Mellitus, heart disease). Results: Only 202 (39.2%) out of 515 undergone Pap smear screening. An estimated 80.7% of them had their last Pap smear a year ago. The mean age of the respondents was 58.83± 7.05 years old and 77.3% had one and more comorbidities. The respondents preferred health care person-nel as the source for the pap smear information compared to reading materials and internet. Married vs divorced (aOR=1.89,p=0.02); those with heart disease (aOR=0.32,p value=0.01; those with Diabetes Mellitus (aOR=0.57,p value=0.01; those who had hysterectomy (OR=2.89, p value=0.04) and those who had contraception (aOR=3.72, p value =

Matched MeSH terms: Divorce
Eeswari Visuvalingam v. Government of Malaysia [7 November 1989]

Malaysia. Supreme Court

Annu Rev Popul Law, 1989;16:66.
PMID: 12344497
Matched MeSH terms: Divorce*
Escaping domestic violence: A qualitative study of women who left their abusive husbands

Sukeri S, Man NNN

J Taibah Univ Med Sci, 2017 Dec;12(6):477-482.
PMID: 31435282 DOI: 10.1016/j.jtumed.2017.05.009

Objectives: This qualitative study aims to discover the factors that influenced the decisions of women who successfully escaped domestic violence by attaining a divorce.
Methods: In-depth interviews were conducted with 17 women, ages 21-56 who were either divorced or currently in the process of getting divorced in Kelantan, Malaysia.
Results: Several themes emerged, indicating the following five reasons for divorce: 1) reaching the point of ultimatum, 2) having adequate support pre- and post-divorce, 3) concern for children's welfare, 4) seeking financial independence, and 5) fear of harm.
Conclusion: The identification of the driving factors for divorce may spark a change in our society's mindset to empower female divorcees and allow them to lead happy, abuse-free lives.

Matched MeSH terms: Divorce
Fulltext Factors associated with mental health problems among Malaysian children: a large population-based study

Sahril N, Ahmad NA, Idris IB, Sooryanarayana R, Abd Razak MA

Children (Basel), 2021 Feb 07;8(2).
PMID: 33562212 DOI: 10.3390/children8020119

Mental health problems are a major public health issue, particularly among children. They impair children's development, academic achievement, and ability to live a productive life. The present study aimed to determine the prevalence and factors associated with mental health problems among children aged 5 to 15 years old in Malaysia. Data from the National Health and Morbidity Survey (NHMS) 2015 were analyzed. A validated Strengths and Difficulties Questionnaire (SDQ) was used. The overall prevalence of mental health problems among children in Malaysia was 11.1%. Multiple logistic regression analysis revealed that for every year increment in age, mental health problems decreased by 5%. Further analysis found that children who had fathers with a non-formal education and worked in the private sector, had parents who were widowed or divorced, and had either parent with mental health problems were more likely to have mental health problems themselves. Children from the lower socioeconomic group and who had either parent with mental health problems had higher odds of having mental health problems in Malaysia.
Study name: National Health and Morbidity Survey (NHMS-2015)

Matched MeSH terms: Divorce
Fertility differentials in early postwar Malaya

Saw SH

Demography, 1967 Jun;4(2):641-56.
PMID: 21318676 DOI: 10.2307/2060305

During the early postwar years up to 1957, the three main races in Malaya - Malays, Chinese, and Indians - experienced some differences in their levels of fertility. The lowest fertility was recorded among the Malays, with Chinese and Indian fertility about 5 percent and 10 percent higher, respectively. The comparatively low fertility of the Malays was owing to the exceptionally high rate of divorce, which meant unstable marriages and shorter periods of exposure to the risk of childbearing.A fairly well-defined pattern of state differences in fertility levels is found to exist in Malaya. Briefly, fertility was on the high side in the northern states of Johore, Malacca, and Negri Sembilan, and on the low side in the northern states of Penanq, Kelantan, Perlis, Kedah, and Trengganu, with the central states of Perak, Selangor, and Pahang in the intermediate position.The usual rural-urban fertility differentials are seen to prevail in Malaya as a whole and in the smaller units at state levels. Finally, the three main races registered higher fertility in rural areas, and the greatest gap between rural and urban rates prevailed among the Chinese.

Matched MeSH terms: Divorce
Insecure attachment style as a vulnerability factor for depression: recent findings in a community-based study of Malay single and married mothers

Abdul Kadir NB, Bifulco A

Psychiatry Res, 2013 Dec 30;210(3):919-24.
PMID: 24075307 DOI: 10.1016/j.psychres.2013.08.034

The role of marital breakdown in women's mental health is of key concern in Malaysia and internationally. A cross-sectional questionnaire study of married and separated/divorced and widowed women examined insecure attachment style as an associated risk factor for depression among 1002 mothers in an urban community in Malaysia. A previous report replicated a UK-based vulnerability-provoking agent model of depression involving negative evaluation of self (NES) and negative elements in close relationships (NECRs) interacting with severe life events to model depression. This article reports on the additional contribution of insecure attachment style to the model using the Vulnerable Attachment Style Questionnaire (VASQ). The results showed that VASQ scores were highly correlated with NES, NECR and depression. A multiple regression analysis of depression with backward elimination found that VASQ scores had a significant additional effect. Group comparisons showed different risk patterns for single and married mothers. NES was the strongest risk factor for both groups, with the 'anxious style' subset of the VASQ being the best additional predictor for married mothers and the total VASQ score (general attachment insecurity) for single mothers. The findings indicate that attachment insecurity adds to a psychosocial vulnerability model of depression among mothers cross-culturally and is important in understanding and identifying risk.

Matched MeSH terms: Divorce/psychology*
Fulltext Insomnia and its correlates among elderly patients presenting to family medicine clinics at an academic center

Farazdaq H, Andrades M, Nanji K

Malays Fam Physician, 2018;13(3):12-19.
PMID: 30800228

Objective: The objective of this study is to determine the frequency and correlates of insomnia among elderly patients presenting to family medicine clinics at an academic center in Karachi, Pakistan.

Study design: This is a cross-sectional study.

Place and duration of study: The study was conducted at the Outpatient Family Medicine Clinics at Aga Khan University Hospital between February 2013 and June 2013.

Methodology: Patients 60 years old and above were recruited (n=152) through non- probability consecutive sampling. Information was collected on a pretested structured questionnaire on demographics, insomnia symptoms, medical co-morbidities, lifestyle factors and sleep disorders. Data was analyzed on SPSS 19. Proportions and the Chi-Square test were used in the analyses, along with binary logistic regression.

Results: The mean age of the participants was 65.68 years, and 38.80% of the participants were male and 61.20% were female. The prevalence of insomnia was 42.1%. It was more common in women than in men (64.10% vs. 35.9%). Increasing age [ORadj: 4.54; 95%CI: 1.85-11.17], being divorced/widowed [ORadj: 10.26; 95%CI: 2.79-37.73] and having an average household income of over Rs.50, 000, were significantly related to insomnia. The other factors associated with insomnia were Gastro Esophageal Reflux Disease [ORadj: 4.30; 95% CI: 1.67-11.04], depression [ORadj: 2.88, 95% CI: 1.13-7.33], caffeine consumption [ORadj: 6.50; 95% CI: 2.27-18.57], and cigarette smoking close to bed time [ORadj: 4.78; 95% CI: 0.88-25.90].

Conclusion: The study showed that older adults with multiple diseases were at high risk of insomnia. Certain life style practices enhanced the risk; hence, physicians should incorporate sleep history and tailor treatment to target both insomnia and related factors to optimize quality of life.

Matched MeSH terms: Divorce
Islamic Family Law Enactment 1987 (No. 3 of 1987), 20 May 1987

Annu Rev Popul Law, 1988;15:66.
PMID: 12289651

This Islamic Family Law Enactment of Pahang, Malaysia, is based on the model of the Islamic Family Law (Federal Territory) Act, 1984 (Annual Review of Population Law, Vol. 11, 1984, Section 250). It differs from that Law in the following major respects: 1) marriages between Muslims and non-Muslims are prohibited; 2) a wali Hakim (special guardian appointed by the Sultan) is authorized to consent to marriage if the wali (guardian) of the bride unreasonably withholds consent; 3) the grounds for divorce are fewer (failure to maintain and cruelty being omitted), although there is a general provision allowing divorce for any ground that is recognized as valid by Islamic law; 4) a son is to be maintained until the age of 15, not 18; and 5) a religious court, rather than a civil court, may order a putative father to maintain his illegitimate child.

Matched MeSH terms: Divorce*
Malay divorce in Peninsular Malaysia: the near-disappearance of an institution

Tan PC, Jones GW

Southeast Asian J Soc Sci, 1990;18(2):85-114.
PMID: 12317142
Matched MeSH terms: Divorce*
Fulltext Marital status and its relationship with the risk and pattern of visual impairment in a multi-ethnic Asian population

Zheng Y, Lamoureux EL, Chiang PP, Rahman Anuar A, Wong TY

J Public Health (Oxf), 2014 Mar;36(1):104-10.
PMID: 23658389 DOI: 10.1093/pubmed/fdt044

To examine whether marital status is a significant determinant of visual impairment (VI) in urban multi-ethnic Asian population.

Matched MeSH terms: Divorce/statistics & numerical data
Marital status composition and fertility: a comparative analysis of World Fertility Survey data

Kanjanapan W

Ingu munje nonjip, 1985 Jul.
PMID: 12222499
Matched MeSH terms: Divorce*
Fulltext Physical and Mental Health Problems of the Elderly in Nursing Homes in Kuantan, Pahang

Samsul Draman, Mohd Aznan, Md Aris

International Medical Journal Malaysia, 2007;6(1):1-11.
MyJurnal

Aim of study: To describe the residents of nursing home for the elderly in relation to their socio-demographic, physical and mental profiles. Method: A cross-sectional study design was carried out. The elderly in two selected nursing homes in Kuantan, Pahang were interviewed. The respondents were interviewed using a structured questionnaire which included the biodata, social background, and medical illness, presence of cognition, depression and ability to perform basic activities of daily living (ADL). Results: Results are available for 36 respondents out of 41 residents, giving a response rate of 87.8%. Chinese (77.8%), male (63.9%), single or divorced (50%), and low income (69.4%) was consisted the majority. Most respondents (86.1%) suffered from chronic illness, 61.1% were functional dependent (according to Barthel index), 33.3% have cognitive impairment (according ECAQ) and 22.2% have depression (according to GDS-14). The most common functional dependence was mobility on level surface (47.2%), followed by climbing stairs (38.9%).Conclusion: This study had identified chronic illness, cognitive impairment, depression, and functional decline as major health problems of the elderly in nursing homes that require greater attention and intervention.

Matched MeSH terms: Divorce
Fulltext Poor adherence to antiretroviral therapy and associated factors among people living with HIV in Omdurman City, Sudan

Yassin Ibrahim, Rosnah Sutan, Khalib Bin Abdul Latif, Al - Abed A. Al - Abed, Amara, Ahmed, Adam, Ishag

Malaysian Journal of Public Health Medicine, 2014;14(1):90-101.
MyJurnal

Adherence to antiretroviral therapy (ART) plays an important role in the treatment outcomes of human immunodeficiency virus (HIV) infection. Poor adherence would result in failure to prevent viral replication as well as an increased risk of developing drug resistance. Adherence to a life long treatment such as antiretroviral therapy is usually a complicated issue that requires careful and continuous collaboration of patient, family and healthcare provider. The objective of this study was to assess adherence to antiretroviral therapy and its associated factors among people living with HIV. This is a health facility-based cross sectional study conducted among adults’ people living with HIV in Omdurman HIV/AIDS centre, Sudan. Data was collected through direct interview using semi-structured questionnaire. There were only 144/846 (17.02%) who adhered to antiretroviral therapy as prescribed by their doctors. The remaining 51.18% were taking the therapy but not regularly, 31.21% were taking it but currently not and 0.59% stated that they have never taken any antiretroviral therapy. Factors associated with poor adherence that have been identified include female gender (Adj. OR = 3.46 (95%CI: 1.46-8.21), P = 0.005), younger age (Adj. OR = 1.14 (95%CI: 1.02-1.28), P = 0.022), being unemployed (Adj. OR = 5.94 (95%CI: 1.51-23.40), P = 0.011), those who were divorced, separated or widowed (Adj. OR = 11.35 (95%CI: 1.74-73.96), P = 0.011) and respondents who perceived that their health status is poor (Adj. OR = 5.21 (95%CI: 1.44-18.81), P = 0.012) or very poor (Adj. OR = 4.04 (95%CI: 1.27-12.81), P = 0.018). Educational level and social support against HIV-related stigma and discrimination were not significantly associated with adherence. Adherence to antiretroviral therapy among the respondents is very poor. Urgent interventions based on modifiable factors and mainly targeting females and younger age group are needed to improve adherence to antiretroviral therapy among people living with HIV.

Matched MeSH terms: Divorce
Fulltext Prevalence and characteristics of e-cigarette users among Malaysian current and ex-smokers

Ho BK, Mohamad Haniki NM, Jamalludin AR, Samsul D, Mira K, Norny Syafinaz AR, et al.

Malays Fam Physician, 2019;14(2):10-17.
PMID: 31827730

Introduction: Electronic cigarettes (ECs) are new devices that have been accepted widely by both smokers and non-smokers. However, the evidence on EC used in Malaysia is scarce. The objective of this study was to determine the prevalence of EC use and the socio-demographic and smoking characteristics associated with current EC use among Malaysian current and ex-smokers.

Methods: This was a sub-analysis of data from a cross-sectional, national-population- based EC study conducted from May to June in 2016 in Malaysia. A detailed description of the sampling methods can be found in the National E-cigarette Survey (NECS) 2016 report. Briefly, data were obtained from 1396 individuals who had ever been smokers, i.e., 957 (68.6%) current smokers and 439 (31.4%) ex-smokers.

Results: Current EC use was found predominantly among current smokers (8.0%) as compared with ex-smokers (4.3%). Among current smokers, the main reasons given for smoking ECs were wanting to try it (44.7%), followed by intention to quit tobacco smoking (15.8%) and to reduce tobacco smoking (10.5%). Using multiple logistic regression analysis, we found that among current smokers, current EC users were more likely to be younger, i.e., 18-44 years (aOR= 4.83, 95% CI= 1.97-11.86, p=0.001), urban residents (aOR= 1.89, 95% CI= 1.15-3.11, p=0.012), single/ divorced/ widowed (aOR= 2.11, 95% CI= 1.24-3.61, p=0.006) and students (aOR= 2.25, 95% CI= 1.01-5.01, p=0.048). Among exsmokers, only younger respondents (18-44 years old) was reported as being more likely to be current EC users (aOR= 3.81, 95% CI= 1.14-12.76, p=0.030).

Conclusion: This study showed that currently using and ever having used ECs were more prevalent among current smokers. The reasons given for initiating EC use among current smokers were mainly wanting to try it, followed by intention to quit and to reduce tobacco smoking. Current EC use appears to be common among current smokers who are younger, urban residents, single/divorced/widowed and students. Therefore, EC cessation intervention strategies and policies should target these high-prevalence groups.

Matched MeSH terms: Divorce
Fulltext Prevalence of cigarette smoking and its associated factors among male adolescents in Malaysia [Abstract]

Ling JMY, Hasani WSR, Mohd Yusoff MF, Abd Hamid HA, Lim KH, Tee GH, et al.

Malaysian Journal of Medicine and Health Sciences, 2019;15(106):34-34.
MyJurnal

ABSTRACTS FOR THE 1ST INTERNATIONAL BORNEO HEALTHCARE AND PUBLIC HEALTH CONFERENCE AND 4TH BORNEO TROPICAL MEDICINE AND INFECTIOUS DISEASE CONGRESS. New Frontiers in Health: Expecting the Unexpected
Held at the Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia. 3rd-5th September 2019
Introduction: Smoking kills 5 million people a year and it is known to cause several types of cancer and chronic diseases. Majority of smokers started smoking during adolescence and therefore preventing tobacco use among adolescents is critical to prevent them from future smoking. Our study aims to investigate the prevalence of current cigarette smoking and its associated factors among male adolescents in Malaysia.
Methods: Data was obtained from the National Health and Morbidity Survey (NHMS): Adolescent Health Survey (AHS) 2017 which was a cross-sectional study. A two-stage stratified cluster sampling design was used to select a nationally representative sample of school-going adolescents in Malaysia. Data collection was conducted using a validated self-administered questionnaire. Multiple logistic regression analysis was performed to identify the associated factors of current cigarette smoking among male adolescents in Malaysia.
Results: Approximately one-fifth (22.4%) of male adolescents were current cigarette smokers. Male adolescents who aged 16-17 years, from rural schools, those whose parents were widowed/ divorced/ separated, those who had either one or both parents/guardians who used tobacco product, those who were current illicit drug users and current alcohol users were more likely to be current cigarette smokers.
Conclusion: A substantial percentage of Malaysian male adolescents were current cigarette smokers. Anti-smoking campaigns and tobacco prevention initiatives should be targeted at adolescents at risk to prevent them from becoming cigarette smokers.
Study name: National Health and Morbidity Survey (NHMS-2017)

Matched MeSH terms: Divorce
Fulltext Psychosocial Factors Influencing Truancy in High Risk Secondary Schools in Kuala Lumpur

Nik Ruzyanei, N.J., Wan Salwina, W.I., Tuti Iryani, M.D., Rozhan, M.R., Shamsul, A.S., Zasmani, S.

Malaysian Journal of Psychiatry, 2009;18(2):1-8.
MyJurnal

This study aimed to determine the psychosocial factors associated with school truancy in secondary school students attending three high risk schools in Kuala Lumpur. It is a cross-sectional study involving 373 Form Four students. Socio demographic, family, living and school characteristics of the respondents were obtained through self-administered questionnaires. There were significantly greater percentage of divorced parents (p=0.025, OR=2.52, 1.01

Matched MeSH terms: Divorce

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