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Fulltext Stress and its relationship with body mass index among biomedical science students in Kuala Lumpur, Malaysia

Nur Zakiah Mohd Saat, Ismarulyusda Ishak, Syarif Husin Lubis, See, Huong Wen, Siti Nor Lily Suriyanee Mohd, Norul Sahira Zakaria, et al.

ASEAN Journal of Psychiatry, 2010;11(2):190-197.
MyJurnal

Objective: The objective of this study was to assess the relationship between stress score and body mass index (BMI) of students of Science in Kuala Lumpur. Methods: A cross-sectional study was carried out among 126 students. Data about stress score were collected using a questionnaire, the Student-Life Stress Inventory (SLSI) Data about BMI were calculated from height and weight of the respondents. Results: A total of 117 (92.85%) out of 126 students had responded. The mean difference of stress score among first, second and third year students were 87.6 ± 17.0, 83.4 ± 16.9 and 86.7 ± 15.4 respectively. The mean difference of stress scores between the Bumiputra and non-Bumiputra students were 87.9 ± 16.5 and 83.2 ± 15.9 .The mean of body mass Index(BMI) between first, second and third year students were 21.0 ± 3.5, 20.3 ± 2.7 and 21.8 ± 4.3 respectively. Conclusions: This study showed that the stress level is higher in first year, female and bumiputra student. There was no significant relationship between stress score and BMI.

Matched MeSH terms: Stress, Psychological
Morinda citrifolia leaf enhanced performance by improving angiogenesis, mitochondrial biogenesis, antioxidant, anti-inflammatory & stress responses

Mohamad Shalan NA, Mustapha NM, Mohamed S

Food Chem, 2016 Dec 01;212:443-52.
PMID: 27374554 DOI: 10.1016/j.foodchem.2016.05.179

Morinda citrifolia fruit, (noni), enhanced performances in athletes and post-menopausal women in clinical studies. This report shows the edible noni leaves water extract enhances performance in a weight-loaded swimming animal model better than the fruit or standardized green tea extract. The 4weeks study showed the extract (containing scopoletin and epicatechin) progressively prolonged the time to exhaustion by threefold longer than the control, fruit or tea extract. The extract improved (i) the mammalian antioxidant responses (MDA, GSH and SOD2 levels), (ii) tissue nutrient (glucose) and metabolite (lactate) management, (iii) stress hormone (cortisol) regulation; (iv) neurotransmitter (dopamine, noradrenaline, serotonin) expressions, transporter or receptor levels, (v) anti-inflammatory (IL4 & IL10) responses; (v) skeletal muscle angiogenesis (VEGFA) and (v) energy and mitochondrial biogenesis (via PGC, UCP3, NRF2, AMPK, MAPK1, and CAMK4). The ergogenic extract helped delay fatigue by enhancing energy production, regulation and efficiency, which suggests benefits for physical activities and disease recovery.

Matched MeSH terms: Stress, Psychological/drug therapy*; Stress, Psychological/metabolism; Stress, Psychological/psychology
Fulltext Prevalence and risk factors of stress, anxiety and depression among house officers in Kota Kinabalu, Sabah

Shakir Aizat Shahruddin, Pradheeksha Saseedaran, Aishah Salleh, Che Amira Ahmad Azmi, Nik Harriz Izwan Mohammad Alfaisal, Rusli Abdullah, et al.

Education in Medicine Journal, 2016;8(1):31-40.
MyJurnal

House officers who are suffering from stress, anxiety or depression are at risk of harm to themselves, colleagues and even patients, as well as affecting their livelihood. Objective: This
study is aimed to find the prevalence of stress, anxiety and depression among house officers working
in Kota Kinabalu, Sabah. Method: A cross-sectional study was done using a self-administered
questionnaire containing socio-demographic factors and Depression, Anxiety and Stress Scale (DASS)
21. Results: Prevalence of stress, anxiety and depression were 57.1%, 63.7%, and 42.9% respectively. Multiple logistic regression analysis found that house officers who thought of quitting Housemanship was associated with stress (adjusted OR = 3.64, 95% CI: (1.44, 9.20), p = 0.006), and depression (adjusted OR = 8.26, 95% CI: (2.96, 23.02), p < 0.001). House officers who perceives that they are bullied is associated with anxiety (adjusted OR = 4.16, 95% CI: (1.33, 13.07), p = 0.015). Work
experience of the house officers in months have a protective effect to stress (adjusted OR = 0.92, 95%
CI: (0.87, 0.97), p = 0.004), anxiety (adjusted OR = 0.93, 95% CI: (0.88, 0.98), p = 0.006) and
depression (adjusted OR = 0.92, 95% CI: (0.87, 0.98), p = 0.006). Conclusion: The prevalence of
stress, anxiety and depression among house officers in Kota Kinabalu, Sabah is high. Management
should look into the findings and understand the importance of addressing this problem as it may
affect patient care and safety, and the livelihood of house officers. Future studies identifying why
house officers are thinking of quitting service and why they do feel that they are being bullied may be
warranted.

Matched MeSH terms: Stress, Psychological
Maternal blood : potential use in prenatal screening and diagnostics

Karuppiah, Thilakavathy, Jammal Ahmad Essa, Rozita Rosli

Buletin Persatuan Genetik Malaysia, 2002;8(1):0-0.
MyJurnal

Smaller family size and advancing parental age have increased the demand for prenatal diagnosis.
Prenatal cytogenetic diagnoses currently used, such as amniocentesis and chorionic villus
sampling, are usually not preferred by the expectant couples due to the risk imposed on the mother and child. High false positive rates (5%) of current non-invasive screening methods, such as serum analysts or ultrasound, cause a large number of unnecessary invasive practices to be performed, which apart from the associated risk, place considerable psychological distress on the couples
involved (Wald et al., 1999). (Copied from article).

Matched MeSH terms: Stress, Psychological
Fulltext Stress and coping strategies among Management and Science University students: A qualitative study

Redhwan, A.A.N., Sami, A.R., Karim, A.J., Chan, R., Zaleha, M.I.

International Medical Journal Malaysia, 2009;8(2):11-16.
MyJurnal

Introduction: This study aimed to explore the associated factors related to causes of stress and coping strategies among university students. Materials and Methods: As a focus group discussion, it was universal sampling, conducted among 39 of Medical Science and Biomedicine students on their second semester from Management and Science University (MSU), Shah Alam, Malaysia. Three issues were discussed: firstly, how they define the stress; secondly, what the most important causes of stress in their life are; and thirdly, how they cope with stress. Verbal consent was obtained from all participants. Due to the small sample size, the data was analyzed manually. Results: Total of participants were 39 students, their age ranged from 21 to 26 years. Seventeen (43.6%) of the students were 21 years old and the majority were female 31 (79.5%). The
most important causes of stress reported by the students were financial, lack of sleep, and family problems. In terms of coping with stress, the students were able to describe a variety of strategies to cope with their stressful situations. These included counseling services, doing meditation, sharing of problems, getting adequate sleep, and going out with friends. Conclusion: Most of the students defined stress as “a mental condition”. Lack of sleep, financial, and family problems were the most causes of stress among students. The students were able to identify some strategies to cope with stress.

Matched MeSH terms: Stress, Psychological
Fulltext Reaksi tekanan terhadap kesihatan mental juvana

Mahadir Ahmad, Normah Che Din, Fauziah Shaari

Jurnal Sains Kesihatan Malaysia, 2004;2(2):53-62.
MyJurnal

Kajian ini mengukur kesan pembawaan semula jadi, punca tekanan dan reaksi tekanan ke atas kesihatan mental di kalangan juvana. Ia melibatkan 55 orang juvana dari pusat pemulihan akhlak dari lingkungan umur 15 hingga 18 tahun. General Health Questionnaire (GHQ28), Student Life Stress Inventory (SLSI), dan Dimensions of Temperament DOTSR-Child (Self) digunakan sebagai alat kajian. Manakala analisis regresi dan korelasi telah dikendalikan untuk menganalisis data. Keputusan kajian menunjukkan punca tekanan, reaksi tekanan dan pembawaan semula jadi tidak memberi kesan yang signifikan ke atas kesihatan mental juvana. Namun punca tekanan secara tunggal didapati menjadi peramal yang signifikan kepada kemurungan juvana dengan menyumbang sebanyak 14.6% daripada varian. Punca kekecewaan menyumbang sebanyak 18.1% daripada varian dalam meramal kemurungan. Reaksi emosi menyumbang sebanyak 10.6% kepada kesan anxieti dan insomnia. Punca tekanan dan pembawaan semula jadi pula menyumbang sebanyak 31% kepada reaksi emosi. Punca tekanan mempunyai korelasi positif yang sederhana dengan reaksi emosi (k = 0.55) dan mempunyai korelasi positif yang rendah dengan pembawaan semula jadi (k = 0.11) dan kesihatan mental (k = 0.23). Kesimpulannya punca tekanan memainkan peranan yang penting dalam mempengaruhi reaksi terhadap tekanan. Faktor pembawaan semula jadi tidak mempunyai pengaruh yang kuat dalam mempengaruhi reaksi tekanan dan kesihatan mental juvana. Faktor kekecewaan pula merupakan peramal yang signifikan kepada kemurungan.

Matched MeSH terms: Stress, Psychological
Fulltext Validation of the Bahasa Malaysia version of the Coping Inventory for Stressful Situation

Ramli, M., Mohd Ariff, F., Khalid, Y., Rosnani, S.

Malaysian Journal of Psychiatry, 2008;17(2):1-8.
MyJurnal

Introduction: There is an appealing need to have a validated Bahasa Malaysia (BM) questionnaire that is able to gauge stress coping styles among Malaysian population. A culturally accepted questionnaire will generate further research in the aspect of stress coping patterns in the Malaysia population. Objective: To translate the Coping Inventory for Stressful Situations (CISS) questionnaire into BM and to determine the construct validity, reliability and other psychometric properties of the translated BM version of the English CISS 48-item. Method: Two parallel forward and backward translations were done in BM in accordance to guideline and its validation was determined by using confirmatory factor analysis among 200 Malaysian subjects. Results: The BM CISS had very good Cronbach’s alpha values, 0.91, 0.89 and 0.85 respectively for Task-, Emotional- and Avoidance-oriented. The overall Cronbach’s alpha was 0.91. It also had good factor loading for most of its items where 44 items out of 48 had Confirmatory Factor Analysis values of more than 4.0. Conclusions: BM CISS had been adequately and correctly translated into Bahasa Malaysia with high psychometric properties. Minimal readjustment may be required in a few of its items to obtain excellent results.

Matched MeSH terms: Stress, Psychological
Fulltext Prevalence of psychological stress among undergraduate students attending a health programme in a Malaysian university

Phang, C.K., Sherina, M.S., Zubaidah, J.O., Noor Jan, K.O.N., Firdaus, M., Siti Irma, F. I., et al.

Pertanika Journal of Science & Technology, 2015;23(1):29-35.
MyJurnal

Psychological stress among undergraduate students is associated with poor academic results, physical ill-health and psychiatric disorders. The objectives of the study were to determine the prevalence of psychological stress and its associated factors among undergraduate students attending a health programme in a local university. This is a cross-sectional study among undergraduate students attending a health programme in a local university. The 12-item General Health Questionnaire (GHQ-12) was used to determine the presence of psychological stress at a cut-off point of 4 and above. Analysis was conducted to determine any association between gender, ethnicity, year of study in the university, recent health-seeking contact with a doctor, and psychological stress among the participants. The prevalence of psychological stress among undergraduate students attending a health program in a Malaysian University was 49.3%. There was no significant association with any of the socio-demographic factors studied (p>0.05). The prevalence of psychological stress in this study was significantly high, and irrespective of gender, ethnicity, year of study in the university, and recent health-seeking contact with a doctor. Hence, the findings of this study show that it may be a useful strategy to integrate such health programs regularly in activities of colleges and universities, with the aim of promoting mental health and wellness among the students.

Matched MeSH terms: Stress, Psychological
Some aspects of prevention of coronary artery disease

Pillay RP

Med J Malaysia, 1976 Sep;31(1):5-9.
PMID: 1023013
Matched MeSH terms: Stress, Psychological
Fulltext Cross-sectional study of general health questionnaire among university students in Malaysia: A reliability study

Talwar, P., Mohd Fadzil, A.R.

Malaysian Journal of Psychiatry, 2014;23(2):31-39.
MyJurnal

Background: The General Health Questionnaire is a widely used scale to measure psychological distress. This scale is available in many languages. The original version comprised of 60 items. It is available in 30-items, 28- items, 20-items and 12-items. The shorter version is as good as the longer version of the scale. Objective: The aim of this investigation was to determine the sensitivity, specificity and reliability of the 12-item. General Health Questionnaire (GHQ-12) among university students. Method: A total of 280 undergraduate students were selected using convenient sampling. Result: The results of this study showed that the GHQ-12 is multidimensional and contains three factor structures. It has a high internal consistency and a useful instrument to measure the psychological wellbeing of university students in Malaysia Previous authors have suggested that the cut-off point is determined by the mean. Findings from this study, based on sensitivity and specificity, suggests that mean may not be a good option. This study recommends the best cut-off point is determined by the ROC. Conclusion: This study shows that the GHQ-12 is a valid and reliable instrument to detect psychological distress among university students. The optimum cut-off point
of the GHQ-12 score to detect psychological distress was 15/16.

Matched MeSH terms: Stress, Psychological
Vitamin E attenuates nicotine- and noise-induced reproductive impairment in male albino Wistar rats

Bisong SA, Ukoh IE, Nna VU, Ebong PE

Andrologia, 2018 Sep;50(7):e13050.
PMID: 29806220 DOI: 10.1111/and.13050

Previous studies showed that exposure to stress or nicotine induced reproductive impairment in male rats. Here, we assessed the effect of an antioxidant (vitamin E) on nicotine-, stress- and nicotine + stress-induced reproductive impairment in male rats. Forty-eight male albino Wistar rats were divided into eight groups as follows; control, stress (generator noise 90-120 dB, 8 hr/day), nicotine (1.5 mg kg-1 day-1 ), nicotine + stress, vitamin E (100 mg kg-1 day-1 ), stress + vitamin E, nicotine + vitamin E and stress + nicotine + vitamin E. Sperm count, viability, motility and rapid progressive forward movement decreased significantly (p stress, nicotine and nicotine + stress groups, compared with control. Serum testosterone and follicle-stimulating hormone decreased significantly (p stress, nicotine and nicotine + stress groups, compared with control. Serum luteinising hormone decreased (p stress and nicotine + stress groups, compared with the control. Histology of the testes showed loss of germ cells in numerous seminiferous tubules, and epididymal histology showed decreased sperm density in stress, nicotine and nicotine + stress groups compared with the control. These negative changes were more severe in the nicotine + stress group. Vitamin E ameliorated the negative changes in the above parameters. This may be attributable to its antioxidant property.

Matched MeSH terms: Stress, Psychological/blood; Stress, Psychological/complications; Stress, Psychological/etiology
The relation of childhood trauma to suicide ideation in patients suffering from obsessive-compulsive disorder with lifetime suicide attempts

Khosravani V, Kamali Z, Jamaati Ardakani R, Samimi Ardestani M

Psychiatry Res, 2017 09;255:139-145.
PMID: 28549337 DOI: 10.1016/j.psychres.2017.05.032

The aim of this study was to evaluate the relations of childhood trauma (CT) and obsessive-compulsive (OC) symptom dimensions to suicide ideation in patients with obsessive-compulsive disorder (OCD). Seventy OCD outpatients with lifetime suicide attempts and 60 controls were included. Participants completed the Scale for Suicide Ideation (SSI), the Childhood Trauma Questionnaire-Short Form (CTQ-SF), the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), the Dimensional Obsessive-Compulsive Scale (DOCS) and the Depression Anxiety Stress Scales (DASS-21). Among OCD patients, 97.1% had current suicide ideation. OCD patients revealed higher scores on CT, suicide ideation, depression and anxiety than controls. The CT history of sexual abuse (SA) and OC symptom dimension of unacceptable thoughts explained suicide ideation. It was concluded that SA and unacceptable thoughts may contribute to high suicidality and have important implications for the assessment and treatment of suicide risk in OCD patients with lifetime suicide attempts.

Matched MeSH terms: Stress, Psychological/diagnosis; Stress, Psychological/epidemiology; Stress, Psychological/psychology*
Fulltext Optimizing the multidimensional aspects of the patient-physician relationship in the management of inflammatory bowel disease

Chew D, Zhiqin W, Ibrahim N, Ali RAR

Intest Res, 2018 10;16(4):509-521.
PMID: 30369231 DOI: 10.5217/ir.2018.00074

The patient-physician relationship has a pivotal impact on the inflammatory bowel disease (IBD) outcomes. However, there are many challenges in the patient-physician relationship; lag time in diagnosis which results in frustration and an anchoring bias against the treating gastroenterologist, the widespread availability of medical information on the internet has resulted in patients having their own ideas of treatment, which may be incongruent from the treating physicians' goals resulting in patient physician discordance. Because IBD is an incurable disease, the goal of treatment is to sustain remission. To achieve this, patients may have to go through several lines of treatment. The period of receiving stepping up, top down or even accelerated stepping up medications may result in a lot of frustration and anxiety for the patient and may compromise the patient-physician relationship. IBD patients are also prone to psychological distress that further compromises the patient-physician relationship. Despite numerous published data regarding the medical and surgical treatment options available for IBD, there is a lack of data regarding methods to improve the therapeutic patient-physician relationship. In this review article, we aim to encapsulate the challenges faced in the patient-physician relationship and ways to overcome in for an improved outcome in IBD.

Matched MeSH terms: Stress, Psychological
Fulltext Prevalence of irritable bowel syndrome and its association with perceived stress level at the International Islamic University Malaysia among nursing students

Al-Mahmood SMA, Rahim H, Othman N, Ibrahim WN

International Journal of Care Scholars, 2018;1(2):9-12.
MyJurnal

Objective: This study aims to determine the prevalence of irritable bowel syndrome (IBS) and its association with perceived stress levels among nursing students at the International Islamic University Malaysia.
Methods: A cross-sectional design was used in this study. A three-part questionnaire was used to gather data on stress levels and IBS symptoms. Part A posed questions on socio-demographic aspects. In part B, a Perceived Stress Scale was used to measure individuals’ perceived stress. Part C used a questionnaire developed by the World Gastroenterology Organisation (WGO) with the support of Danone.
Results: The response rate was 85.5%: out of 200 students, 171 completed the questionnaires. According to the results, there is a significant relationship between stress levels and IBS (p = 0.006), where students who experienced moderate stress (151, 88.3%) were more exposed to IBS (60, 39.7%). There is no association between the characteristics of subjects with IBS and their level of stress (P > 0.05).
Conclusion: The prevalence of IBS among the students in this study was roughly moderate. The frequency of moderate stress levels was high and there was a significant association with IBS. On the other hand, subject characteristics, e.g. smoking habits, were insignificantly associated with IBS and stress level (SL).

Matched MeSH terms: Stress, Psychological
Fulltext Factors influencing stress, depression and anxiety among caregivers of children with leukemia. [Faktor-faktor yang mempengaruhi stres, kebimbangan dan kemurungan dalam kalangan penjaga kepada pesakit leukemia kanak-kanak]

Natrah Rani, Faiz Daud, Hamidah Alias

Int J Public Health Res, 2018;8(2):988-997.
MyJurnal

Introduction. The care of children with leukemia requires a high degree of observation and attention to ensure that the recommended treatment by the specialists is well implemented. This could somehow affect the social functionality, increase stress, anxiety and depression among caregivers of children with leukemia. Thus, this cross-sectional study was conducted to examine the prevalence and factors influencing stress, depression and anxiety among caregivers of
children with leukemia.
Methods. Number of sample is 54 respondents. Data were measured using the Bahasa Malaysia version of DASS-21 which was validated in previous study.
Results The results showed that prevalence of low level stress among caregivers to children with leukemia was 88.9% while prevalence of high level stress was 11.1%. The prevalence of low level anxiety was 90.7% and the prevalence of
high level anxiety was 9.3%. The prevalence of low level depression was 96.3% and the prevalence of high level depression was 3.7%. There were several factors that significantly influenced the stress and depression among
the caregivers (p <0.05). Among the factors associated with stress status were the religion of caregivers and gender of the patients (p <0.05). Factors associated with depression status were the sex of caregivers and the relationship between caregivers and family members (p <0.05).
Conclusions. In conclusion, socio demographic factors and the relationship between caregivers and family members affect stress and depression among caregivers while factors of knowledge-level do not affect stress, anxiety and depression among caregivers. Strategies are needed to help reduce stress, anxiety and depression among caregivers of children with leukemia.
Keywords: Stress - Anxiety - Depression - Caregivers - Children with leukemia.

Matched MeSH terms: Stress, Psychological
Psychological distress of first year medical students who underwent two different admission processes during a stressful period

Muhamad Saiful Bahri Yusoff, Ahmad Fuad Abdul Rahim, Abdul Aziz Baba, Shaiful Bahari Ismail, Hatta Sidi, Ab Rahman Esa

Sains Malaysiana, 2013;42:423-428.

The study of medicine is often regarded by students as a stressful environment particularly during examination period. Studies found a high percentage of medical students experience significant psychological distress during the examination period. This study compared percentage and level of psychological distress between two batches of first year medical students who underwent different selection admission processes during a stressful examination period. A comparative
cross-sectional study was done on two batches of first year medical students; one group selected based on academic merit (2008/2009 batch) and the other selected based on academic merit, psychometric tests and interview (2009/2010 batch). The psychological distress was measured by the 12-item general health questionnaire (GHQ-12). The data were collected right after the final examinations. A total of 99 (46.05%) medical students of the 2008/2009 batch and 196 (100%) medical students of the 2009/2010 batch participated. The percentage of medical students who had psychological distress of the 2008/2009 and the 2009/2010 batches were 58.59% and 42.3%, respectively. The mean GHQ-12 score and percentage of psychological distress were significantly different between the two batches (p< 0.01). The older batch had 2.01 times higher risk for developing psychological distress compared with the newer batch (p< 0.01). The newer batch
of medical students had better psychological health status and was less likely to develop psychological distress during the stressful period compared with older batch.

Matched MeSH terms: Stress, Psychological
Mental Health and COVID-19: Policies, Guidelines, and Initiatives from the Asia-Pacific Region

Samy AL, Awang Bono S, Tan SL, Low WY

Asia Pac J Public Health, 2021 11;33(8):839-846.
PMID: 34308673 DOI: 10.1177/10105395211025901

The COVID-19 outbreak was declared a pandemic by the World Health Organization in March 2020 due to rapid intercontinental spread and high morbidity and mortality. Globally, the disease has had a major impact on human lives, including health, economic, employment, psychological, and overall well-being. The COVID-19, besides causing respiratory, neurological, and cardiovascular diseases, has had significant impact on mental health. Major mental health disorders, including depression, anxiety, and stress, have risen in parallel with increasing prevalence of COVID-19. Many population groups, including children, the elderly, those with chronic illnesses, and health care workers, have been affected. This review gives an overall assessment of the prevalence of COVID-19-associated psychological morbidity. In countries in the Asia-Pacific region, prevalence of depression ranged between 4.9% and 43.1%, anxiety from 7.0% to 43.0%, and stress from 3.4% to 35.7%. As COVID-19 continues to severely affect the psychosocial well-being of the population at large, countries have developed and revised policies, guidelines, and introduced new initiatives to curb mental health issues among their citizens. In the long run, pre-disaster preparedness is important to alleviate long-term post-pandemic psychiatric morbidity and to develop psychological resilience toward disasters and pandemic, alongside investment for better mental health coverage.

Matched MeSH terms: Stress, Psychological
Fulltext Current and Potential Developments of Cortisol Aptasensing towards Point-of-Care Diagnostics (POTC)

Zainol Abidin AS, Rahim RA, Md Arshad MK, Fatin Nabilah MF, Voon CH, Tang TH, et al.

Sensors (Basel), 2017 May 22;17(5).
PMID: 28531146 DOI: 10.3390/s17051180

Anxiety is a psychological problem that often emerges during the normal course of human life. The detection of anxiety often involves a physical exam and a self-reporting questionnaire. However, these approaches have limitations, as the data might lack reliability and consistency upon application to the same population over time. Furthermore, there might be varying understanding and interpretations of the particular question by the participant, which necessitating the approach of using biomarker-based measurement for stress diagnosis. The most prominent biomarker related to stress, hormone cortisol, plays a key role in the fight-or-flight situation, alters the immune response, and suppresses the digestive and the reproductive systems. We have taken the endeavour to review the available aptamer-based biosensor (aptasensor) for cortisol detection. The potential point-of-care diagnostic strategies that could be harnessed for the aptasensing of cortisol were also envisaged.

Matched MeSH terms: Stress, Psychological
Fulltext The association between psychosocial and structural-level stressors and HIV injection drug risk behavior among Malaysian fishermen: A cross-sectional study

Michalopoulos LM, Jiwatram-Negrón T, Choo MK, Kamarulzaman A, El-Bassel N

BMC Public Health, 2016 06 02;16:464.
PMID: 27250497 DOI: 10.1186/s12889-016-3125-7

BACKGROUND: Malaysian fishermen have been identified as a key-affected HIV population with HIV rates 10 times higher than national rates. A number of studies have identified that psychosocial and structural-level stressors increase HIV injection drug risk behaviors. The purpose of this paper is to examine psychosocial and structural-level stressors of injection drug use and HIV injection drug risk behaviors among Malaysian fishermen.
METHODS: The study employs a cross-sectional design using respondent driven sampling methods. The sample includes 406 fishermen from Pahang state, Malaysia. Using multivariate logistic regressions, we examined the relationship between individual (depression), social (adverse interactions with the police), and structural (poverty-related) stressors and injection drug use and risky injection drug use (e.g.., receptive and non-receptive needle sharing, frontloading and back-loading, or sharing drugs from a common container).
RESULTS: Participants below the poverty line had significantly lower odds of injection drug use (OR 0.52, 95 % CI: 0.27-0.99, p = 0.047) and risky injection drug use behavior (OR 0.48, 95 % CI: 0.25-0.93, p = 0.030). In addition, participants with an arrest history had higher odds of injection use (OR 19.58, 95 % CI: 9.81-39.10, p

Matched MeSH terms: Stress, Psychological*
Causes of stress and their change with repeated sessions as perceived by undergraduate medical students during high-fidelity trauma simulation

Pai DR, Ram S, Madan SS, Soe HH, Barua A

Natl Med J India, 2014 Jul-Aug;27(4):192-7.
PMID: 25668162

It is known that simulation training is associated with stress for the trainees, at all levels of trainee experience. We explored the factors which were perceived by the trainees to cause them the maximum stress related to their simulation experience and their temporal changes over three simulation sessions.

Matched MeSH terms: Stress, Psychological/epidemiology*

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