Journal of family & community medicine · 2026
Comorbidity status and stress levels during the 2024 Hajj season: A Logistic regression analysis of Hajj pilgrims in North Sumatra.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rustika Rustika, Indharty Suzy, Hasnida Hasnida, Mukhtar Desvi Y, Nasution Nora V, Boy Elman, Ristrini Ristrini, Irianto Joko, Propiona Jane K, Nurlinawati Iin, Nugraheni Wahyu P, Akbar Mohammad R, Kusnali Asep
Аннотация
BACKGROUND: The Hajj pilgrimage demands optimal physical and psychological readiness because of various factors, such as the physical health conditions that could influence the stress experienced during the pilgrimage. This study's aim was to analyze the association between comorbidity status and stress levels in Hajj pilgrims.
MATERIALS AND METHODS: A cross-sectional study was conducted among 5362 prospective Hajj pilgrims from North Sumatra Province for the 2024 Hajj season. Stress levels were measured using the Perceived Stress Scale-10 and categorized as mild stress or moderate-to-severe stress. Data on comorbidity and respondent characteristics were collected using a structured questionnaire. Bivariate analysis was performed using the Chi-square test, while multivariate analysis employed binary logistic regression.
RESULTS: The prevalence of moderate-to-severe stress was higher in pilgrims with comorbidities. Multivariate analysis revealed that having one comorbidity (odds ratio (OR) =1.29; 95% confidence interval (CI): 1.06-1.56) and two or more comorbidities (OR = 1.33; 95% CI: 1.04-1.71) was significantly associated with increased risk of stress. Of specific comorbidities, digestive disorders showed a trend toward increased stress risk (OR = 1.23; 95% CI: 0.97-1.56; P < 0.1). Ages 40-59 years and ≥60 years, as well as higher education, were associated with increased stress risk, while being married and engagement in moderate physical activity showed protective effect.
CONCLUSION: Comorbidity status, in terms of both the number and type of comorbidities, is independently associated with increased stress risk in Hajj pilgrims. Health promotion programs should integrate a biopsychosocial approach paying particular attention to pilgrims with comorbid conditions.
MATERIALS AND METHODS: A cross-sectional study was conducted among 5362 prospective Hajj pilgrims from North Sumatra Province for the 2024 Hajj season. Stress levels were measured using the Perceived Stress Scale-10 and categorized as mild stress or moderate-to-severe stress. Data on comorbidity and respondent characteristics were collected using a structured questionnaire. Bivariate analysis was performed using the Chi-square test, while multivariate analysis employed binary logistic regression.
RESULTS: The prevalence of moderate-to-severe stress was higher in pilgrims with comorbidities. Multivariate analysis revealed that having one comorbidity (odds ratio (OR) =1.29; 95% confidence interval (CI): 1.06-1.56) and two or more comorbidities (OR = 1.33; 95% CI: 1.04-1.71) was significantly associated with increased risk of stress. Of specific comorbidities, digestive disorders showed a trend toward increased stress risk (OR = 1.23; 95% CI: 0.97-1.56; P < 0.1). Ages 40-59 years and ≥60 years, as well as higher education, were associated with increased stress risk, while being married and engagement in moderate physical activity showed protective effect.
CONCLUSION: Comorbidity status, in terms of both the number and type of comorbidities, is independently associated with increased stress risk in Hajj pilgrims. Health promotion programs should integrate a biopsychosocial approach paying particular attention to pilgrims with comorbid conditions.