Relevant bibliographies by topics / Women – Mental health – Maldives

Academic literature on the topic 'Women – Mental health – Maldives'

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Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Women – Mental health – Maldives"

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Khan, Murad M. "Suicide on the Indian Subcontinent." Crisis 23, no. 3 (May 2002): 104–7. http://dx.doi.org/10.1027//0227-5910.23.3.104.

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Summary: The Indian subcontinent comprises eight countries (India, Pakistan, Bangladesh, Nepal, Sri Lanka, Afghanistan, Bhutan, and the Maldives) and a collective population of more than 1.3 billion people. 10% of the world's suicides (more than 100,000 people) take place in just three of these countries, viz. India, Sri Lanka, and Pakistan. There is very little information on suicides from the other four countries. Some differences from suicides in Western countries include the high use of organophosphate insecticides, larger numbers of married women, fewer elderly subjects, and interpersonal relationship problems and life events as important causative factors. There is need for more and better information regarding suicide in the countries of the Indian subcontinent. In particular, studies must address culture-specific risk factors associated with suicide in these countries. The prevention of this important public health problem in an area of the world with myriad socio-economic problems, meager resources, and stigmatization of mental illness poses a formidable challenge to mental health professionals, policy makers, and governments of these countries.
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Mohamed, Arif. "Resuscitating the National Mental Health Policy in the Maldives." Australasian Psychiatry 23, no. 6_suppl (December 2015): 26–28. http://dx.doi.org/10.1177/1039856215609766.

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Rahman, Md Ashfikur, Md Sazedur Rahman, Muhammad Aziz Rahman, Ewa A. Szymlek-Gay, Riaz Uddin, and Sheikh Mohammed Shariful Islam. "Prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives and Nepal: Evidence from nationally-representative survey data." PLOS ONE 16, no. 1 (January 7, 2021): e0245335. http://dx.doi.org/10.1371/journal.pone.0245335.

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Background Anaemia is a significant public health problem in most South-Asian countries, causing increased maternal and child mortality and morbidity. This study aimed to estimate the prevalence of and factors associated with anaemia in women of reproductive age in Bangladesh, Maldives, and Nepal. Methods We used the nationally-representative Demographic and Health Surveys Program data collected from women of reproductive age (15–49 years) in 2011 in Bangladesh (n = 5678), 2016 in Maldives (n = 6837), and 2016 in Nepal (n = 6419). Anaemia was categorized as mild (haemoglobin [Hb] of 10.0–10.9 g/dL for pregnant women and 11.0–11.9 g/dL for non-pregnant women), moderate (Hb of 7.0–9.9 g/dL for pregnant women and 8.0–10.9 g/dL for non-pregnant women), and severe (Hb <7.0 g/dL for pregnant women and <8.0 g/dL for non-pregnant women). Multinomial logistic regression analyses were used to identify factors associated with anaemia. Results The prevalence of anaemia was 41.8% in Bangladesh, 58.5% in Maldives, and 40.6% in Nepal. In Bangladesh, postpartum amenorrhoeic, non-educated, and pregnant women were more likely to have moderate/severe anaemia compared to women who were menopausal, had secondary education, and were not pregnant, respectively. In Maldives, residence in urban areas, underweight, having undergone female sterilization, current pregnancy, and menstruation in the last six weeks were associated with increased odds of moderate/severe anaemia. In Nepal, factors associated with increased odds of moderate/severe anaemia were having undergone female sterilization and current pregnancy. Conclusion Anaemia remains a significant public health issue among 15-49-year-old women in Bangladesh, Maldives, and Nepal, which requires urgent attention. Effective policies and programmes for the control and prevention of anaemia should take into account the unique factors associated with anaemia identified in each country. In all three countries, strategies for the prevention and control of anaemia should particularly focus on women who are pregnant, underweight, or have undergone sterilization.
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Niyaf, Aishath, Sairah AK, and Mohammed Abdalqader. "PREDICTORS OF BREAST SELF-EXAMINATION UPTAKE AMONG WOMEN IN MALE’ REGION, MALDIVES." Malaysian Journal of Public Health Medicine 21, no. 2 (August 28, 2021): 440–48. http://dx.doi.org/10.37268/mjphm/vol.21/no.2/art.1127.

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Breast cancer (BC), is the most common cancer that affects women, and one of the significant causes of mortality among them. Screening and early detection of the disease are encouraged as a means of reducing mortality and enhancing the prognosis. The purpose of the study is to determine the prevalence of Breast Self-Examination (BSE) uptake and to identify the factors that are associated with the BSE uptake among Maldivian women in the Male’ region. The cross-sectional study was carried out over a period of 3 months in the Male’ region, of the Maldives. A total of 600 female citizens aged 20-79 years were selected using stratified random sampling method. Data were collected using an interviewer-administered questionnaire. About 82.70%, 54.80%, and 63.30% of the respondents had heard about BC, breast cancer screening (BCS), and BSE respectively. 50.80% of the respondents had ever performed BSE with only 22.00% performed it regularly. The significant predictors for BSE uptake were: ever heard about BC [OR=2.069, 95% CI(1.081-3.959)], ever heard about BSE [OR=2.342, 95% CI(1.326-4.137)], ever heard about clinical breast examination (CBE) [OR=1.946, 95% CI(1.117-3.390)], knowledge on early detection of BC [OR=1.077, 95% CI(1.011-1.148)], perceptions on the severity of BC [OR=1.062, 95% CI(1.010-1.116)], perceptions on barriers towards BSE [OR=0.900, 95% CI(0.846-0.958)] and self-efficacy [OR=1.112, 95% CI(1.076-1.150)]. The findings indicated that there is a pressing need for continued education and behaviour modification intervention programs using theories and models to increase women’s overall knowledge and awareness of BC and BCS and modify the long-held incorrect beliefs and misconceptions. In particular, the relevant authorities should play a proactive role in raising awareness of BC and promote BCS.
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Ibrahim, Athifa, and Abdul Hameed. "Mental health and psychosocial support aspects of disaster preparedness in the Maldives." International Review of Psychiatry 18, no. 6 (January 2006): 573–78. http://dx.doi.org/10.1080/09540260601129784.

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Nisha, Mariyam. "Care and Mental Health of Children in Institutionalised Care Republic of the Maldives." Institutionalised Children Explorations and Beyond 1, no. 1 (August 2014): 133–34. http://dx.doi.org/10.1177/2349301120140114.

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Chawarski, Marek C., A. Malik, and L. Hussain. "Clinical supervision of drug counselors in Maldives." Drug and Alcohol Dependence 140 (July 2014): e31-e32. http://dx.doi.org/10.1016/j.drugalcdep.2014.02.107.

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Strickland, Bonnie R. "Women and Mental Health." Psychology of Women Quarterly 9, no. 1 (March 1985): 162–63. http://dx.doi.org/10.1177/036168438500900101.

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Gise, Leslie Hartley. "Women and Mental Health." Psychiatric Services 52, no. 4 (April 2001): 543—a—544. http://dx.doi.org/10.1176/appi.ps.52.4.543-a.

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Junaid, O. "Women and mental health." Psychiatric Bulletin 15, no. 10 (October 1991): 644–45. http://dx.doi.org/10.1192/pb.15.10.644-a.

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Dissertations / Theses on the topic "Women – Mental health – Maldives"

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Razee, Husna Public Health &amp Community Medicine Faculty of Medicine UNSW. "???Being a Good Woman???: suffering and distress through the voices of women in the Maldives." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/27258.

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This ethnographic study explored the social and cultural context of Maldivian women???s emotional, social and psychological well-being and the subjective meanings they assign to their distress. The central question for the study was: How is suffering and distress in Maldivian women explained, experienced, expressed and dealt with? In this study participant observation was enhanced by lengthy encounters with women and with both biomedical and traditional healers. The findings showed that the suffering and distress of women is embedded in the social and economic circumstances in which they live, the nature of gender relations and how culture shapes these relations, the cultural notions related to being a good woman; and how culture defines and structures women???s place within the family and society. Explanations for distress included mystical, magical and animistic causes as well as social, psychological and biological causes. Women???s experiences of distress were mainly expressed through body metaphors and somatization. The pathway to dealing with their distress was explained by women???s tendency to normalize their distress and what they perceived to be the causes of their distress. This study provides an empirical understanding of Maldivian women???s mental well-being. Based on the findings of this study, a multi dimensional model entitled the Mandala for Suffering and Distress is proposed. The data contributes a proposed foundation upon which mental health policy and mental health interventions, and curricula for training of health care providers in the Maldives may be built. The data also adds to the existing global body of evidence on social determinants of mental health and enhances current knowledge and developments in the area of cultural competency for health care. The model and the lessons learnt from this study have major implications for informing clinicians on culturally congruent ways of diagnosing and managing mental health problems and developing patient-centred mental health services.
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Bennett, Cheryl Lynn. "Social Capital, Health and Mental Health in African American Women." VCU Scholars Compass, 2006. http://scholarscompass.vcu.edu/etd/725.

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Cultural and social influences on mental and physical health are increasingly recognized by social science researchers. Researchers have found that specific, Afrocultural factors are related to the functioning of African Americans. The current research considered whether interdependence is especially salient for African American women since women and African Americans tend to define themselves within the context of social relationships. The study outlines processes affecting the mental and physical health of African American women including communalism, collective efficacy, and social capital. The also study examined the relationship between socioeconomic status and both mental and physical health among African American women in a low-income residential area. The effect of social capital and collective efficacy on mental and physical health above income was analyzed using hierarchical regression. One-hundred-thirty African-American women in a low-income area of Richmond, Virginia completed surveys between October 2002 and October 2004 measuring social capital, collective efficacy and general health and mental health. Level of education served as a proxy for socioeconomic status. The study's central hypothesis was that social capital and collective efficacy, an indicator of social capital, would moderate rather than mediate the association between socioeconomic status and the outcome variables in this population due to the importance of relationships in the African American culture and in the lives of women. Both moderation and mediation models were tested. Significant relationships were found between income and both physical health and mental health. There were no significant relationships found between social capital and physical health, mental health, or socioeconomic status and mediation was not established. The results also did not establish social capital as a moderator between socio-economic status and the outcome variables. This lack of relationship may be related to several factors including the homogeneity of the sample in terms of socioeconomic status and challenges associated with the use of a new measure for social capital. Meaningful comparisons of social capital between socioeconomic levels could not be made.
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Hardi, Choman. "The mental health of Kurdish women surviving migration." Thesis, University of Kent, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.445705.

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Suthahar, Jagajanani. "Asian Indian women and their views on mental health." abstract and full text PDF (free order & download UNR users only), 2005. http://0-gateway.proquest.com.innopac.library.unr.edu/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:1433291.

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Vallellanes, Alicia Kay, and Kelley Ferris. "Social support and mental health outcomes in battered women." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2884.

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This study examined the relationship between perceived social support and negative mental health outcomes in battered women. Correlations between perceived social support and depression, anxiety, and post-traumatic stress disorder were analyzed. Perceived social support, particularly from family members, was found to be significantly related to mental health outcomes. Results indicate that agencies that work with battered women should include social support in the assessment and intervention processes. The study utilized a quantitative survey design with a sample of 120 battered women from four domestic violence agencies throughout Riverside and San Bernardino counties. Quantitative data analysis procedures, such as multivariate analysis and logistic regression, were used to further examine variables. Samples of the instruments used in the study are included.
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Baah-Binney, Victoria. "The Mental Wellness of Liberated Trokosi Women." University of Cincinnati / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1623250850976973.

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Hemingway, C. A. "The regulation of women detained under mental health legislation." Thesis, University of Oxford, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264817.

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Brown, Amber M. "Utilization of Mental Health Services Amongst African-American Women." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2017. http://digitalcommons.auctr.edu/cauetds/91.

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This thesis examines mental health utilization amongst African-American women. The study specifically investigated the factors that may predict help seeking behaviors: depression, stigma, African acculturation, mistrust, and religious commitment. The study also examined the role demographics has on African-American women utilizing mental health services. The study examined the following demographics, income, age, marital status, and education status. The sample size consisted 40 African American women, with ages ranging from 18 to 65. The results indicated that age and depression may impact African-American women seeking mental health services. The results showed that stigma, African acculturation, mistrust, religious commitment, income, marital status and education have no statistical significance in predicting African-American women utilizing mental health services.
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Nangolo, L. H. N. "Violence against women and its mental health consequences in Namibia." Thesis, University of Limpopo, 2002. http://hdl.handle.net/10386/2046.

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Thesis ((M.A. (Clinical Psychology)) --University of the North, 2002
Violence against women ts a manifestation of historically unequal power relations between men and women, which has led to the domination of women by men and to the prevention of the full advancement of women. It is an old phenomenon that was kept secret, and people pretended that the problem did not exist. It wasn't until the feminist activists openly addressed the issue of inequality that included women's lack of rights and low status within marriage and society as well as battering that the taboo topic was changed into a subject extensively investigated. Extensive research on the topic now exists. As is the case in many developing countries, research on violence against women in Namibia is relatively rare. Research regarding the mental health consequences of abuse is virtually non-existent. It is to this area of research that the present study addressed itself. This study aimed at describing and determining the mental health consequences of battering to which Namibian women are subjected. The study followed both qualitative and quantitative research approaches. Qualitative research used in-depth interviews based on a semi-structured questionnaire. The measures utilized was an Abuse Disability Questionnaire (ADQ). A demographic questionnaire identifying battered women variables was also utilized. A total of 60 battered women were surveyed and all 60 women completed the questionnaires. In quantitative methods, data were analysed in terms of descriptive statistics. In qualitative methods, closely related data were grouped together under specific titles to serve as categories. The results indicated that Namibian battered women endure physical, emotional, sexual and financial abuse. The results has shown that age, education, religion, employment status and marital status do not matter. Women are still being battered. The results also indicated that Namibian battered women are indeed subjected to various negative mental health consequences.
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Said, Hannah. "Refugee women| The cross cultural impact of war related trauma experienced by Iraqi and Vietnamese women." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1600596.

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The purpose of the study is to conduct research and bring awareness to war related events experienced by female refugees. Refugees from war torn countries arrive to the United States with various forms of trauma—some war related and others not. Trauma experienced by refugees can significantly impact their mental health and overall quality of life. Reliable and valid screenings/interventions, that use quantitative and qualitative methods, have proven to be beneficial. Currently there is limited information regarding the range of war related trauma and health outcomes experienced by female refugees of Middle Eastern (Kurdish) and Asian (Vietnamese) descent. This study examines the difference in migration, employment, education, health insurance, mental health, and personal problems experienced by 60 Vietnamese and 44 Iraqi women. An exploratory, qualitative and quantitative, research design was employed to detect war related, traumatic events. The ultimate aim of the study was to focus on the cross-cultural impact of war related trauma and its mental health and overall effects on female refugees.

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Books on the topic "Women – Mental health – Maldives"

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Niyaz, Hussain. Mental health situation in the Maldives. Male: Ministry of Health, in strategic partnership with Commerce, Development, and Environment, 2003.

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Rahman, Rubina. Mental health and Bangladeshi women. London: Islington Council, Communication Division, 1997.

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Women and health psychology: Mental health issues. Hillsdale, N.J: L. Erlbaum Associates, 1988.

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Baron-Faust, Rita. Mental wellness for women. New York: Quill, 1998.

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Baron-Faust, Rita. Mental wellness for women. New York: W. Morrow, 1997.

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Morgan, Deborah Helen. Young women, oppression and mental health. Northampton: Nene College, 1995.

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Chandra, Prabha, Helen Herrman, Jane Fisher, and Anita Riecher-Rössler, eds. Mental Health and Illness of Women. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-0371-4.

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Violence against women and mental health. Basel: Karger, 2013.

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Gomel, Michelle K. A focus on women. Geneva: Division of Mental Health and Prevention of Substance Abuse, World Health Organization, 1997.

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Harding, Caroline. Women & mental health: An information pack of mental health services for women in the United Kingdom. London: GPMH, 1994.

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Book chapters on the topic "Women – Mental health – Maldives"

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Allevato, Marcelo, and Juliana Bancovsky. "Psychopharmacology and Women." In Women's Mental Health, 227–39. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_17.

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Louzã, Mario R., and Helio Elkis. "Schizophrenia in Women." In Women's Mental Health, 49–58. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_5.

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Cantilino, Amaury, and Carla Fonseca Zambaldi. "Anxiety Disorders in Women." In Women's Mental Health, 111–23. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_9.

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Rondon, Marta B. "Abortion and Mental Health." In Psychopathology in Women, 525–31. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15179-9_21.

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Torres, Albina R., Ricardo C. Torresan, Maria Alice de Mathis, and Roseli G. Shavitt. "Obsessive-Compulsive Disorder in Women." In Women's Mental Health, 125–39. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_10.

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da Silva Meleiro, Alexandrina Maria Augusto, and Humberto Correa. "Suicide and Suicidality in Women." In Women's Mental Health, 221–25. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_16.

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Lunsky, Yona, and Susan M. Havercamp. "Women's Mental Health." In Health of Women with Intellectual Disabilities, 57–75. Oxford, UK: Blackwell Publishing Company, 2008. http://dx.doi.org/10.1002/9780470776162.ch4.

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da Silva, Antonio Geraldo, Leandro Fernandes Malloy-Diniz, Marina Saraiva Garcia, and Renan Rocha. "Attention-Deficit/Hyperactivity Disorder and Women." In Women's Mental Health, 215–19. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_15.

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Viana, Maria Carmen, and Rafael Bello Corassa. "Epidemiology of Psychiatric Disorders in Women." In Women's Mental Health, 17–29. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_3.

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de Mello, Andrea Feijó, Mariana Rangel Maciel, Sara Motta Borges Bottino, José Paulo Fiks, and Marcelo Feijó de Mello. "Trauma and Stressor-Related Disorders in Women." In Women's Mental Health, 141–50. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-29081-8_11.

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Conference papers on the topic "Women – Mental health – Maldives"

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"Women and Mental Health." In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium144-146.

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Lisova, Nataliya. "Characterological and Psychological Peculiarities of women with eating behavior disorders." In III INTERNATIONAL CONFERENCE ON MENTAL HEALTH CARE “Mental Health: Global challenges of XXI century”. NDSAN (MFC - coordinator of the NDSAN), 2019. http://dx.doi.org/10.32437/pscproceedings.issue-2019.nl.4.

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"Phenotype of mental health women presented with widespread pain." In Second Scientific Conference on Women's Health. Hawler Medical University, 2021. http://dx.doi.org/10.15218/whc.02.02.

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"The Association of Women Occupation with Their Spouses Mental Health." In International Conference on Chemical, Agricultural and Medical Sciences. International Institute of Chemical, Biological & Environmental Engineering, 2014. http://dx.doi.org/10.15242/iicbe.c514087.

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"Association between Domestic Violence and Married Women Mental Health in Bookan, Iran." In International Conference on Earth, Environment and Life sciences. International Institute of Chemical, Biological & Environmental Engineering, 2014. http://dx.doi.org/10.15242/iicbe.c1214107.

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Fathonah, Nadzirotun Arif, Efi Afiani, and Anjeli Ratih. "Effect of Mental Health Resilience Seminar on Self Concept among Pregnant Women in Cilacap." In The 5th International Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.03.64.

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Purnami, Cahya Tri, Suharyo Hadisaputro, Lutfan Lazuardi, Syarief Thaufik H, and Farid Agushybana. "Mental Burden in Data Management for Detection of Pregnant Women at Risk of Preeclampsia." In The 5th International Conference on Public Health 2019. Masters Program in Public Health, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/theicph.2019.04.055.

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Arfensia, Danny Sanjaya. "Mental Health Services in Safe House for Women and Children Victims of Violence." In International Conference on Psychology in Health, Educational, Social, and Organizational Settings. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008588402900293.

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"Gynaecological Sexology as a New Hypothetical Interdisciplinary Science of Disorders of Recreational Function in Women with Gynaecological Diseases." In Congress on mental health meeting the needs of the XXI century. Gorodets, 2016. http://dx.doi.org/10.22343/mental-health-congress-compendium303-305.

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Hájková, Petra, and Lea Květoňová. "DEVELOPMENT OF HEALTH-PROMOTING BEHAVIOUR OF A CHILD AS AN EDUCATIONAL GOAL IN FAMILIES OF HANDICAPPED MOTHERS WITH MENTAL HEALTH DISORDERS." In International Conference on Education and New Developments. inScience Press, 2021. http://dx.doi.org/10.36315/2021end087.

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The mental health of adult women is an important attribute of their motherhood. Weakening of mental health poses a threat to activities in the field of self-care and healthy development of their children. Even under these conditions of health disadvantage, women-mothers remain as the main mediators of health-promoting habits for their children, thus they become theirs first educators. The health literacy of these women also plays a role in this regard. For this reason, it is crucial to provide these women with sufficient special education that takes their individual needs into account. This research project is focused on finding connections between the mental health disorder of mothers, their health literacy with manifestations in the field of health-promoting behaviour, and with the need for support in the relevant area of childcare by professionals and close family members. The author will present an overview of research focused on this issue as well as her own proposal for a research solution, which received the support of the Charles University Grant Agency for the years 2021-2022.
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Reports on the topic "Women – Mental health – Maldives"

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Lindstrom, Krista E., Tyler C. Smith, Timothy S. Wells, Linda Z. Wang, Besa Smith, Robert J. Reed, Wendy E. Goldfinger, and Margaret A. K. Ryan. The Mental Health of US Military Women in Combat Support Occupations. Fort Belvoir, VA: Defense Technical Information Center, January 2004. http://dx.doi.org/10.21236/ada434385.

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van Hedel, Karen, Heta Moustgaard, Mikko Myrskylä, and Pekka Martikainen. Work-family typologies and mental health among women in early working ages. Rostock: Max Planck Institute for Demographic Research, September 2021. http://dx.doi.org/10.4054/mpidr-wp-2021-015.

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Lombard, David. Gender Role Stress, Mental Health Risk Factors and Mental Health Sequela in Deployed Versus Non-Deployed and Pilot-Rated Versus Non-Rated Active Duty Women Versus Men. Fort Belvoir, VA: Defense Technical Information Center, December 1996. http://dx.doi.org/10.21236/ada328804.

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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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Li, De-Kun, Jeannette Ferber, Roxana Odouli, Tracy Flanagan, Lyndsay Avalos, Mason Turner, and Charles Quesenberry. Effects of Maternal Depression and Its Treatment on Infant Health in Pregnant Women, With or Without Other Mental Illness. Patient-Centered Outcomes Research Institute® (PCORI), March 2020. http://dx.doi.org/10.25302/03.2020.ce.13046721.

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Rodgers, Linda. A descriptive study of the relationship between age and problems expressed by women seeking out-patient mental health services. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2820.

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Sultan, Sadiqa, Maryam Kanwer, and Jaffer Mirza. A Multi-layered Minority: Hazara Shia Women in Pakistan. Institute of Development Studies (IDS), December 2020. http://dx.doi.org/10.19088/creid.2020.011.

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Shia account for approximately 10–15 per cent of the Muslim population in Pakistan, which has a largely Sunni Muslim population. Anti-Shia violence, led by extremist militant groups, dates to 1979 and has resulted in thousands killed and injured in terrorist attacks over the years. Hazara Shia, who are both an ethnic and a religious minority, make an easy target for extremist groups as they are physically distinctive. The majority live in Quetta, the provincial capital of Balochistan in central Pakistan, where they have become largely ghettoised into two areas as result of ongoing attacks. Studies on the Hazara Shia persecution have mostly focused on the killings of Hazara men and paid little attention to the nature and impact of religious persecution of Shias on Hazara women. Poor Hazara women in particular face multi-layered marginalisation, due to the intersection of their gender, religious-ethnic affiliation and class, and face limited opportunities in education and jobs, restricted mobility, mental and psychological health issues, and gender-based discrimination.
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Breast cancer screening: women with poor mental health are less likely to attend appointments. National Institute for Health Research, June 2021. http://dx.doi.org/10.3310/alert_46400.

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Mental health care during pregnancy and afterwards: women from some ethnic minority backgrounds face barriers to access. National Institute for Health Research, April 2021. http://dx.doi.org/10.3310/alert_46005.

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The adverse health and social outcomes of sexual coercion: Experiences of young women in developing countries. Population Council, 2004. http://dx.doi.org/10.31899/pgy22.1009.

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Although evidence from developing countries is limited, what is available suggests that significant numbers of young women have experienced coercive sex. Studies in diverse settings in Africa, Asia, and Latin America reveal that forced sexual initiation and experiences are not uncommon in all of these settings. Many young victims of abuse fear disclosure as they feel they may be blamed for provoking the incident or stigmatized for having experienced it, and suffer such incidents in silence. Presentations at a meeting held in New Delhi in September 2003 highlighted findings from recent studies that suggest an association between early experiences of sexual violence and a range of adverse physical and mental health and social outcomes. Given that data on the consequences of nonconsensual sex are limited and restricted to a few geographical settings, the scale of the problem and its implications for policies and programs are yet to be established. As noted in this document, presentations at the New Delhi meeting highlighted the need for urgent programmatic action to address young people’s vulnerability to coercive sex and its possible far-reaching consequences.
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