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Fulltext Malaysian Hybridity: Issues of Kinship Practices and Identity Crisis

ALICIA LOH CHUI YINN, NWANESI PETER KARUBI

Trends in Undergraduate Research, 2018;1(1):0-0.
MyJurnal

This article explores the issues of hybridity and its impacts and bearing to identity crisis in relation to kinship practices among the Euro-Asian families in Malaysia. To demonstrate the empirical and scientific nature of this study, qualitative methods were used whereby respondents were interviewed either face to face interview or through audio interviews. Furthermore, focus Group Discussion and empirical observation were fully utilized to obtain and analyzed for both quality and logical conclusion. Indeed, the data from the field demonstrate that the offspring of mixed marriages had either conscious identity crisis, unconscious or denied identity crisis or no identity crisis due to factors such as religion, socializing, education, and exposure by parents. Thus, the majority of the research respondents identified themselves based on “Others” but there are complexities to this when it comes to formal and informal identification.

Matched MeSH terms: Marriage
Fulltext Postpartum Mental Health in First-Time Mothers: A Cohort Study

Abdollahi F, Agajani-Delavar M, Zarghami M, Lye MS

Iran J Psychiatry Behav Sci, 2016 Mar;10(1):e426.
PMID: 31168307 DOI: 10.17795/ijpbs-426

Background: Post-partum depression (PPD) can produce adverse symptoms that make motherhood one of the most tumultuous events in a female's life. First-time mothers who have problems adapting themselves to the mother's role are more vulnerable to PPD.

Objectives: The current study aimed to explore the extent of social support and parental self-efficacy on PPD, this study was conducted among the first-time pregnant women.

Patients and Methods: A prospective cohort study assessed the depressive symptoms and related factors among 838 first-time not depressed pregnant women from third trimester of pregnancy to 12 weeks postpartum who attended primary health centers (Jan to July 2009). The study employed Edinburgh postnatal depression scale, social support appraisals scale, network orientation scale, marital inventory, parental expectation survey and socio-demographic questionnaires. Logistic regression was used for data analysis.

Results: The incidence of depression was 10.7% at three months post-partum. The adjusted odds ratio showed the PPD was associated with perceived social isolation (OR = 1.06; 95% CI = 1.01 - 1.12), lack of marital satisfaction (OR = 0.91; 95% CI = 0.86 - 0.97) and low parental self-efficacy (OR = 0.74; 95% CI = 0.65 - 0.85).

Conclusions: A high incidence of PPD was identified among the first-time mothers which makes PPD one of the major health problems in females. The important effects of perceived social isolation, maternal parental self-efficacy, and marital satisfaction on reducing the risk of PPD should be considered.

Matched MeSH terms: Marriage
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: Marriage
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: Marriage
A seasonal analysis of Chinese births

Abeysinghe T

J Appl Stat, 1991;18(2):275-86.
PMID: 12343764
Matched MeSH terms: Marriage*
Job satisfaction and perceived future roles of Malaysian dental therapists: findings from a national survey

Abu Bakar A, Mohd Nor NA, Ab-Murat N, Jaafar N

Int J Dent Hyg, 2015 Aug;13(3):199-205.
PMID: 25040653 DOI: 10.1111/idh.12095

OBJECTIVE: To assess Malaysian dental therapists' perceptions of their job satisfaction and future roles.
METHODS: A nationwide postal survey involving all Malaysian dental therapists who met the inclusion criteria (n = 1726).
RESULTS: The response rate was 76.8%. All respondents were females; mean age 35.4 years (SD = 8.4). Majority were married (85.5%) and more than one-half had a working experience of <10 years (56.1%). Majority worked in community dental service (94.3%) and in urban areas (61.7%). Overall, they were highly satisfied with most aspects of their career. However, they were least satisfied with administrative workload (58.1%), career advancement opportunities (51.9%) and remuneration package; specifically income (45.2%), allowances (45.2%) and non-commensurate between pay and performance (44.0%). Majority perceived their role as very important in routine clinical tasks such as examination and diagnosis, preventive treatment, extraction of deciduous teeth and oral health promotion. However, fewer than one-half consider complex treatment such as placement of preformed crowns on deciduous teeth (37.1%) and extraction of permanent teeth (37.2%) as very important tasks.
CONCLUSION: Majority expressed high career satisfaction with most aspects of their employment but expressed low satisfaction in remuneration, lack of career advancement opportunities and administrative tasks. We conclude that most Malaysian dental therapists have positive perceptions of their current roles but do not favour wider expansion of their roles. These findings imply that there was a need to develop a more attractive career pathway for therapists to ensure sustainability of effective primary oral healthcare delivery system for Malaysia's children.

Matched MeSH terms: Marriage
Sporadic koro and marital dysharmony

Adityanjee, Zain AM, Subramaniam M

Psychopathology, 1991;24(1):49-52.
PMID: 2023985 DOI: 10.1159/000284697

A case of Koro is described in a Malaysian Chinese man in the setting of martial dysharmony and sexual rejection. A distinction is suggested between the epidemic form of Koro and the Koro symptom occurring sporadically. Existence of the sporadic Koro syndrome is discussed and a unified classificatory system is proposed.

Matched MeSH terms: Marriage/psychology*
Spike in child marriage in Bangladesh during COVID-19: Determinants and interventions

Afrin T, Zainuddin M

Child Abuse Negl, 2021 02;112:104918.
PMID: 33412413 DOI: 10.1016/j.chiabu.2020.104918
Matched MeSH terms: Marriage/statistics & numerical data*
Fulltext Stress and coping strategies among retired people in Malaysia: a qualitative study

Al-Naggar, Redhwan Ahmed, Chen, Robert

ASEAN Journal of Psychiatry, 2011;12(2):0-0.
MyJurnal

Objective: This study explored the stress and coping strategies among retired people in Malaysia. Methods: In-depth interviews were conducted with 36 elderly Malaysian subjects. This protocol was approved by the Ethics Committee of the Management and Science University. The data obtained were sorted into various categories. Results: A total number of 36 retired elderly people participated in this study. The majority of them were in the age group of 55-59 years old, females, Malay and married. The majority defined stress as pressure or tension. Financial difficulties, family and work problems were the main causes of stress in the majority. Also, the majority of respondents mentioned that they coped with stress by sharing problems with others, by resting and relaxing, and/or by doing housework during their free time. A few of them coped with stress by hanging out with friends, going shopping,
doing photography, travelling, going fishing, and doing sports. Conclusion: Financial difficulties, family and work problems were the main causes of stress among elderly people. They coped with stress by sharing problems with others, resting and relaxing, and/or doing housework during their free time.

Matched MeSH terms: Marriage
Fulltext Factors affecting decision for hysterectomy: experience in a tertiary teaching hospital in Malaysia: a cross-sectional study

Alzergany, Maha Makluf, Noor Azmi Mat Adenan, Aizura Syafinaz Ahmad Adlan

Malaysian Journal of Public Health Medicine, 2014;14(3):0-0.
MyJurnal

Hysterectomy is one of the most common non-obstetric surgical procedures performed on women. Little is known about the factors affecting decision making process regarding hysterectomy in Malaysia. The study aimed to explore factors affecting women decision regarding hysterectomy among Malaysian women. This study has enrolled 100 women eligible for hysterectomy in the department of general gynecology ward in the university of Malaya hospital, Malaysia. A structured questionnaire was administered by interview. Descriptive analysis was used to obtain the frequencies. Chi square test and simple logistic regression test were performed to assess the association between variables. The majority of participants aged 41-50 years (52%) and married (74%). Twenty seven out of 100 participants made their decision on the operation within one month while 73 women decided after one month. Some complications were only known by the minority of patients such as injury to ureter (47%), injury to nerve (8%), incision hernia (18%), vault prolapse (21 %), and deep vein thrombosis (43%). Most of women delay their decision on the surgery (73%). Factors associated significantly with decision were ethnicity, religion, knowledge on complication, discussion with spouse and doctor.. Cultural factors, opinion of husband and doctors and knowledge of the complication play an important role in the decision of women. It is important to provide suitable information and social support for patients to help them in their decision-making. Participation and support from spouses and doctors should also be encouraged.

Matched MeSH terms: Marriage
Age at marriage in Malaysia: a hazard model of marriage timing

Anderson KH, Hill MA, Butler JS

J Dev Econ, 1987 Aug;26(2):223-34.
PMID: 12280709

"This paper estimates a proportional hazards model for the timing of age at marriage of women in Malaysia. We hypothesize that age at marriage responds significantly to differences in male and female occupations, race, and age. We find considerable empirical support for the relevance of economic variables in determining age at marriage as well as evidence of strong differences in marriage patterns across races."

Matched MeSH terms: Marriage*
Fulltext The influence of spouses and their driving roles in self-regulation: A qualitative exploration of driving reduction and cessation practices amongst married older adults

Ang BH, Oxley JA, Chen WS, Yap MKK, Song KP, Lee SWH

PLoS One, 2020;15(5):e0232795.
PMID: 32413053 DOI: 10.1371/journal.pone.0232795

INTRODUCTION: There is growing evidence to suggest the importance of self-regulatory practices amongst older adults to sustain mobility. However, the decision to self-regulate driving is a complex interplay between an individual's preference and the influence of their social networks including spouse. To our best knowledge, the influence of an older adult's spouse on their decisions during driving transition has not been explored.
MATERIALS AND METHODS: This qualitative descriptive study was conducted amongst married older adults aged 60 years and above. All interview responses were transcribed verbatim and examined using thematic approach and interpretative description method.
RESULTS: A total of 11 married couples were interviewed. Three major themes emerged: [1] Our roles in driving; [2] Challenges to continue driving; and, [3] Our driving strategies to ensure continued driving. Older couples adopted driving strategies and regulated their driving patterns to ensure they continued to drive safely. Male partners often took the active driving role as the principal drivers, while the females adopted a more passive role, including being the passenger to accompany the principal drivers or becoming the co-driver to help in navigation. Other coping strategies include sharing the driving duties as well as using public transportation or mixed mode transportation.
DISCUSSION: Our findings suggest spouse play a significant role in their partners' decision to self-regulate driving. This underscores a need to recognise the importance of interdependency amongst couples and its impact on their driving decisions and outcomes.

Matched MeSH terms: Marriage/psychology
Fulltext Attitudes of 110 married men towards family planning

Arokiasamy JT

Med J Malaysia, 1980 Sep;35(1):22-7.
PMID: 7253993

This is a study of 110 married men as to their attitudes to family planning. Most of the respondents approved of family planning. There is a reluctance to plan families before the first child. more among the Malays than among the Indians. Majority of the respondents [81%] have discussed family planning with their wives, and are also willing to allow their wives to practise family planning. Induced abortion is not favoured by the respondents especially the Malays. Only half the respondents are practising family planning and it appears that the better educated approve as well as practise family planning more than those with less education. A large proportion [89%] of respondents are interested in learning more about family planning.
Study site: Army Garrison Hospital, Port Dickson, Negeri Sembilan, Malaysia

Matched MeSH terms: Marriage
Fulltext Pap smear screening practice among women in mukim Jaya Setia, Kelantan

Asmani AR, Aziah D, Group 8

Malaysian Journal of Public Health Medicine, 2007;7(1):20-24.
MyJurnal

Undergoing a Pap smear screening is widely accepted as a costeffective screening for detection of cervical abnormalities. In Peninsular Malaysia, cervical cancer was the second commonest cancer among women with incidence rate of 17.8 per 100,000 populations in 2002. Despite the high incidence of cervical cancer, only 26% of eligible woman had undergone Pap smear screening. To determine the prevalence of Pap smear screening, reasons for not undergoing the screening as well as the associated sociodemographic factors among women in Mukim Jaya Setia, a crass-sectional study was conducted in ]anuary 2005. Two hundred and ninety five from 350 households were randomly selected by using a Random Digit Table. Two hundred and eighty consented married women, aged 18 years and above were interviewed by the trained interviewers using structured
questionnaires. The questionnaires consisted of socio-demographic characteristic, Pap smear screening practice and risk factors of cervical cancer. There were 280 women who responded to the questionnaires. Majority of them were housewives (75%) and with low income (84.3%). Most ofthe women completed their education up to lower secondary school only (95%). Only 144 (51.4%) women undergo Pap smear screening but not on a regular basis. Most of them were screened only once, which was more than 3 years ago. Lack of knowledge, no accommodation, feel unnecessary and shy and no time were among the reasons that deterred the women from Pop smear screening. Women who were younger and with higher education level had more Pap smear screening compared to the older and with low education level. The practices of Pap smear screening among women in these villages were still low and was associated with age and educational level.

Matched MeSH terms: Marriage
Fulltext Knowledge, Attitudes and Sources of Information on Breastfeeding among Pregnant Mothers

Ay, Eeng Tan, Wai, Kwong Choong, Pooi, Yan Leong, Wei, Mui Ng, Soon, Leong Yong

Medicine & Health, 2008;3(1):30-37.
MyJurnal

This is a cross-sectional study on 218 pregnant mothers in an urban government Hospital.The study aimed to assess knowledge, attitudes and sources of information on breastfeeding. The results could be utilised to promote breastfeeding. Almost all the respondents (96.8%) intended to breastfeed their newborns. Most of them (74.8%) were knowledgeable about breastfeeding i.e. colostrum and breast milk was the best food, good for resistance against disease and allergy, filling up stomach easily, helpful in teeth development and maternal recovery after birth, increased bonding, was easy and economical. The two main misconceptions were mothers would stop breastfeeding when infant or mother was sick, and giving clear fluid to the exclusively breastfed infants to prevent dehydration. Most mothers (83.9%) responded positively towards breastfeeding i.e. it was easier than infant formula, had no negative effect on marital relationship or family care, would commence breastfeeding straight after delivery, agreeable to the banning of bottles and teats in hospital and they would not stop breastfeeding even if husband discouraged them. Only 56.9% of the mothers believed they could breastfeed their babies with modesty anywhere. The main sources of information were attained from the mass media (34.9%), antenatal class (32.1%) and other mothers with breastfeeding experiences.

Matched MeSH terms: Marriage
Fulltext Husband-wife communication and family planning practices among Malay married couples in Mukim Rusila, Terengganu

Azimi YN, Atiya AS

Med J Malaysia, 2003 Jun;58(2):218-28.
PMID: 14569742 MyJurnal

The role of husband-wife communication in the practice of family planning was studied among the rural Malay couples in Mukim Rusila, Terengganu. It was a cross-sectional study in which a cluster sampling was used to select the study sample. A total of 193 (100.0%) wives and 74 (38.3%) husbands responded to a face-to-face interview. Visual Analogue Scale was used to measure the level of husband-wife communication. Husband-wife communication score was lower on family planning compared to other matters. There was a significant fair agreement on the scores between the husbands and the wives (p > 0.05) on family planning. There was a significant association between husband-wife communication on family planning and the current practice of family planning (p = 0.002). The 'likelihood' that couples who had had good husband-wife communication to practice family planning was about 2.8 times higher compared to those couples with poor husband-wife communication (95% C.I.: 1.4, 5.3). Further research need to be carried out, as the study was limited by certain constraints.

Matched MeSH terms: Marriage/ethnology*
More women marrying late

Aziz NL

Bul Keluarga, 1980 May.
PMID: 12336570
Matched MeSH terms: Marriage*
Fulltext K.A.P. study of family planning among married Orang Asli women of Kuala Langat district, Selangor Darul Ehsan, Malaysia

Baba Y

Malays J Reprod Health, 1990 Dec;8(2):72-6.
PMID: 12343151

A study of knowledge, attitude and practice was carried out among sixty nine married Orang Asli women in the district of Kuaia Langat. The study showed that oniy a smail proportion of the women were using family planning methods. About half of the study women were stiil uncertain with regards to their attitude towards family planning. The findings aiso showed that there was no diversity of the methods with oral contraceptive being the major choice. Majority of the husbands had indeed positive feeling towards family planning. The women also considered breastfeeding as a major method of contraception.
PIP: A knowledge-attitude-practice (KAP) study of 69 married Orang Asli women from Kuala Langat district, Malaysia is reported. The Orang Asli comprise 2744 people in 412 households served by rural health services and a few private practitioners. The median age of the sample was 16.3 years, of whom 18.8% were married before age 15. 47.8% knew of family planning methods. 53.6% of the women said that they and their husbands approved of family planning, 2.9% disapproved, and the rest were undecided. Only 30.4% had discussed family planning with their husbands. 21.7% stated that they would use contraception, either the pill or sterilization, after their family was completed.

Matched MeSH terms: Marriage*
Migration and fertility in Malaysia: a tale of two hypotheses

Bach RL

Int Migr Rev, 1981;15(3):502-21.
PMID: 12337653
Matched MeSH terms: Marriage
Fulltext Incidence and demographical characteristics of patients with post-traumatic stress disorder due to motor vehicle accidents

Bahari R, Mohamad Alwi MN, Ahmad MR, Mohd Saiboon I

Malays Fam Physician, 2017;12(3):2-7.
PMID: 29527273 MyJurnal

Introduction: Motor vehicle accidents (MVAs) are daily occurrences in Malaysia but the extent to which victims are psychologically affected is not well known. The objective of this study is to determine the incidence and demographic characteristics of patients with post-traumatic stress disorder (PTSD) due to MVAs at a university hospital in Malaysia.
Methods: Patients presenting to the emergency department from August to October 2014 due to MVA-related injuries were recruited. After a period of at least one month, they were followed-up and screened using the validated Malay Post Traumatic Stress Disorder Checklist Civilian version. A score of 30 was chosen as the cut-off point for PTSD.
Results: In total, 112 patients presented to the emergency department following MVAs during the study period. Of these, 60.7% agreed for the follow-up. Among the respondents, the mean age was 26 years, 91.2% were males, 66.2% were married, 85.3% were Malays and 88.3% were Muslims. The calculated incidence of PTSD was 7.4%. There was no significant difference noted between the PTSD and non-PTSD groups.
Conclusion: A considerable number of MVA victims in Malaysia may develop PTSD after the accident. Further research is needed to explore the factors that contribute or protect to develop the condition.

Matched MeSH terms: Marriage

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