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Evaluation of the Individual, Relationship, and Financial Benefits of Juntos en Pareja for Spanish-Speaking Latine Couples.

Latine couples often face high levels of financial stress, which can significantly strain romantic relationships. Yet few programs are designed to address both financial and relational distress for this population. Juntos en Pareja (JEP) is a socio-culturally responsive program designed to address these challenges by providing relationship and financial education to Spanish-speaking Latine couples. JEP is a cultural and linguistic adaptation of the evidence-based program TOGETHER. This study evaluates JEP's effectiveness by comparing pre- and post-workshop outcomes among Latine couples in JEP …

The effect of music on financial anxiety: an experimental analysis among Italian young adults.

BACKGROUND: Financial anxiety has increased over the past decade, particularly among young people. While prior research has examined its determinants and consequences, coping strategies have been very poorly explored so far. OBJECTIVE: This study investigates the impact of music with different emotional content (positive vs. negative) on financial anxiety, focusing on gender differences. METHODS: The study involved 319 participants under 30 years old, randomly assigned to one of three experimental conditions: no music, happy (positive) music, or sad (negative) music. RESULTS: The results in

Improving outcomes of patients with advanced prostate cancer through a better understanding of clinical factors contributing to financial toxicity: a qualitative study.

PURPOSE: Patients with advanced prostate cancer (aPC) often face significant treatment-related financial hardship. Given the critical role non-physician clinicians play in helping patients access prescribed treatments, we sought to explore their perspectives on factors contributing to treatment-related financial toxicity. METHODS: We conducted semi-structured interviews with non-physician clinicians who care for patients with aPC. We used purposive sampling to capture diverse perspectives across practice types (academic, community), and settings (rural, urban, suburban). Participants describe

Economic shocks and mental health in Bangladesh.

INTRODUCTION: Economic shocks, that is, events that cause a sudden loss of income for households, are common in low-income and middle-income countries (LMICs), yet their impact on mental health remains understudied. While such shocks may contribute to depression and anxiety, evidence remains limited, particularly in resource-poor settings where mental health disorders are underdiagnosed and undertreated. This study examines the causal impact of economic shocks on depression and anxiety in a low-income context. METHODS: We used nationally representative panel data over two waves from Banglades

Increasing ratio of opportunistic infections associated with sunshine exposure and economic level burdening Chinese inflammatory bowel disease hospitalized patients: the first nationwide survey from 2014 to 2019.

BACKGROUND: The rising prevalence of opportunistic infections (OIs) in inflammatory bowel disease (IBD) in conjunction with the use of biologics/immunosuppressive agents has garnered attention. However, there is a dearth of research on OIs in Mainland China. This study seeks to evaluate the national ratio trend of OIs in IBD and elucidate the influence of economic and climate factors on IBD patients with OIs and their outcomes. METHODS: The nationwide data was obtained from the Inpatient medical record home page via the Health Statistics and Information Reporting System (HSRS). Patients diagn

Prevalence and Economic Burden of Keratoconus in the United States.

PURPOSE: To assess the prevalence and economic burden of keratoconus in the United States. DESIGN: Retrospective cohort study. METHODS: Patients enrolled in Medicaid and Children's Health Insurance Program (CHIP) who were diagnosed with keratoconus between 2016 and 2019 were included. The data reported to the Centers for Disease Control and Prevention (CDC) Vision and Eye Health Surveillance System (VEHSS) were analyzed. The crude prevalence rates (national and statewise) were obtained from the database and extrapolated to estimate the keratoconus case count in the United States. The keratoc

Economic Burden Associated With Nasal Polyposis Recurrence Among Commercially Insured Patients in the United States.

OBJECTIVE: To compare health care resource utilization (HRU) and costs among commercially insured patients with nasal polyposis (NP) with and without recurrence after endoscopic sinus surgery (ESS). STUDY DESIGN: Retrospective matched cohort study. SETTING: Adults with initial ESS or an NP excision after a new NP diagnosis were identified in Optum's Clinformatics Data Mart Database (October 1, 2014-December 31, 2019). METHODS: The index date was the date of NP recurrence, identified with a claims-based algorithm for the recurrent cohort, or a random date for the nonrecurrent cohort. Patient

Economic burden of respiratory syncytial and parainfluenza viruses in children of upper-middle-income countries: a systematic review.

OBJECTIVE: To identify and assess the current evidence available about the costs of managing hospitalized pediatric patients diagnosed with Respiratory Syncytial Virus (RSV) and Parainfluenza Virus Type 3 (PIV3) in upper-middle-income countries. METHODS: The authors conducted a systematic review across seven key databases from database inception to July 2022. Costs extracted were converted into 2022 International Dollars using the Purchasing Power Parity-adjusted. PROSPERO identifier: CRD42020225757. RESULTS: No eligible study for PIV3 was recovered. For RSV, cost analysis and COI studies we

Examining COVID-19 pandemic-related economic and household stress and its association with mental health, alcohol, and substance use in a national sample of Latinx sexual minority and heterosexual adults.

OBJECTIVE: Sexual minority adults of Latinx descent faced compounded intersectional stressors during the COVID-19 pandemic across socioeconomic and health domains. Latinx people have experienced some of the highest COVID-19 infection, hospitalization, and mortality rates in the United States in addition to significant economic challenges. Yet, current data have not observed the unique pandemic-related experiences of sexual minority Latinx (SML) adults. We examined sexual identity differences in economic and household stress, social support, mental health symptomatology (depression, anxiety), a

Understanding the financial burden of incomplete abortion: An analysis of the out-of-pocket expenditure on postabortion care in eight public-sector health care facilities in Dakar, Senegal.

Timely access to treatment is essential for women when they experience abortion complications. Out-of-pocket (OOP) expenditure is a known barrier to health care access. In 2018, we assessed the financial burden of accessing postabortion care (PAC) borne by women in Dakar, Senegal, where studies estimate that half of poor women with complications obtain PAC. We interviewed 729 women following discharge from PAC. Women reported expenditures on transportation, admission, treatment, family planning, hospitalisation, complementary tests, prescriptions, other medicines and materials. We compare wome

Shaping sustainable paths for HIV/AIDS funding: a review and reminder.

The fight against human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) has made significant progress over the past decades, yet sustainable funding remains a critical challenge. Despite advances in medical treatments and prevention methods, the financial resources needed to combat the epidemic consistently face uncertainties and shortfalls. As of 2023, approximately 37.7 million people are living with HIV/AIDS globally, with 1.5 million new infections reported annually. Sub-Saharan Africa remains the hardest-hit region, accounting for 67% of the global HIV burden. This pa

Rate of psychiatric disorders and associations with quality of life among community members following the Kaohsiung gas explosion: an 18-month cross-sectional follow-up study.

OBJECTIVE: To conduct a follow-up on the rate and related risk factors of probable disaster-related psychiatric disorders such as depressive disorder (major depressive episode, MDE), stress disorders, post-traumatic (posttraumatic stress disorder, PTSD), and the quality of life of the survivors of a fossil gas explosion in Taiwan 18 months after the event. METHODS: A community-based survey of residents of a community that experienced a petrochemical gas explosion with cross-sectional assessments was conducted 18 months after the event. Two screening tools, including the Disaster-Related Psych

Caregiver Perspectives for Pediatric Patients with Acute Kidney Injury on Dialysis: A Narrative Review.

Caregivers of pediatric patients with acute kidney injury (AKI) undergoing dialysis face a wide range of challenges that significantly impact their physical, emotional, social, and financial well-being. This narrative review explores the complexities of caregiving for children with AKI, focusing on caregiver burden and its implications for both families and patients. The clinical education required for caregivers presents a steep learning curve, as they must acquire technical and medical knowledge to perform dialysis effectively, often with limited support and inconsistent training protocols.

A Longitudinal Observational Mixed Methods Cohort Study of the Psychosocial and Financial Costs of Cancer Care for Pediatric Families in the Maritimes, Canada.

IntroductionApproximately 1,000 children are diagnosed with cancer in Canada each year. Treatment places significant financial and psychosocial burdens on families through direct medical costs and indirect costs such as travel and lost income. These burdens can negatively affect parental quality of life. In the Maritimes (Nova Scotia, New Brunswick, and Prince Edward Island), all pediatric cancer care is centralized in Nova Scotia, requiring many families to travel long distances for treatment. However, the impact of this travel burden on Maritime families has not yet been studied.MethodsA pro

The effects of a financial navigation intervention on financial toxicity among patients with breast cancer in China: A randomized controlled trial.

BACKGROUND: Financial toxicity (FT) is a common issue faced by breast cancer patients worldwide. Although financial navigation (FN) is a promising approach to alleviate FT, its effectiveness in China's context remains underexplored. OBJECTIVES: To evaluate the effects of a FN intervention on FT, cost-related health literacy (CRHL), shared decision-making (SDM) ability, and perceived stress of patients with breast cancer. METHODS: This was a cluster randomized controlled trial. Participants were randomized to the FN group or control group (n = 41 per group). Outcomes including FT (primary out

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… Drawing from social stress theory [ 22 , 45 ], the FN intervention likely improve FT by equipping patients with cost-management skills, enhancing their financial control, and reducing financial stress. … Personalized needs assessment and consultations meet patients’ emotional needs, fostering support and alleviating financial stress. Future research should consider extending the follow-up period to evaluate the long-term impact on FT. …

Peer support to address mental health, social determinants of health, financial wellness, and reentry navigation.

INTRODUCTION: Incarceration in the United States disproportionately affects individuals with mental illness and substance use disorders and … lts highlight the trauma and psychological impact of incarceration, systemic failures in treatment, financial stress as a dominant source of anxiety, often perpetuating cycles of poverty and criminal activity, and the critical role of supportive relationships, in particular FPS. DISCUSSION: These findings point to the need for integrated models in which forensic …

Role of stressful life events in induction or exacerbation of psoriasis and chronic urticaria.

BACKGROUND: The possibility of a causal influence of emotional stress, especially of stressful life events, on the course of various skin diseases has long been postulated. Previous reports addressing its influence on skin psoriasis and chronic urticaria have been mainly anecdotal. OBJECTIVE: The aim of this study was to evaluate the stressful events of life within 1 year preceding onset or exacerbation of skin disease in patients of psoriasis vulgaris and chronic urticaria. METHOD: Fifty consecutive clinically diagnosed psoriasis patients and 50 consecutive clinically diagnosed chronic urti

The Role of Different Domains of Perceived Stress in the Development of Cardiovascular Events: A Cohort Study.

BACKGROUND: Long-term distress plays a crucial role in the development and prognosis of cardiovascular events (CVEs). The current study aims to evaluate the role of distress and its domains in the pathogenesis of CVE. MATERIALS AND METHODS: This study is part of the Isfahan Cohort Study conducted on 3283 healthy individuals in 2007-2015 to assess the distress level, domains of perceived stressors, and their correlation with CVE development. The demographic and lifestyle characteristics of the studied population were recorded. General Health Questionnaire-12 (GHQ-12) and the Stressful Life Eve

Psychological status of nursing survivors in China and its associated factors: 6 years after the 2008 Sichuan earthquake.

PURPOSE: Nursing survivors are often not only the victims but also the rescuers in a disaster. Severe natural disasters can cause them long-term psychological impact. This study aimed to investigate the psychological status of nursing survivors and its associated factors 6 years after the severe earthquake that occurred in Wenchuan, Sichuan, on May 12, 2008. METHODS: The study used a cross-sectional design. A total of 597 nurses who survived the earthquake and took care of victims were recruited about 6 years after the disaster. They completed a self-report questionnaire assessing information

Yoga for stress reduction and injury prevention at work.

At work employees face numerous psychological stressors that can undermine their work performance. These stressors, stemming from a variety of possible causes, have enormous health and financial impacts on employees as well as employers. Stress has been shown to be one of the factors leading to musculo-skeletal disorders (MSDs) such as: include back pain, carpal tunnel syndrome, shoulder or neck tension, eye strain, or headaches. Yoga is an ancient form of exercise that can reduce stress and relieve muscular tension or pain. Practicing yoga at the workplace teaches employees to use relaxation