International journal of family medicine最新文献_第6页

The impact of insurance and a usual source of care on emergency department use in the United States. 在美国，保险和通常的护理来源对急诊科使用的影响。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-02-09 DOI: 10.1155/2014/842847

Winston Liaw, Stephen Petterson, David L Rabin, Andrew Bazemore

{"title":"The impact of insurance and a usual source of care on emergency department use in the United States.","authors":"Winston Liaw, Stephen Petterson, David L Rabin, Andrew Bazemore","doi":"10.1155/2014/842847","DOIUrl":"https://doi.org/10.1155/2014/842847","url":null,"abstract":"Background. Finding a usual source of care (USC) is difficult for certain populations. This analysis determines how insurance type and having a USC affect the settings in which patients seek care. Methods. In this cross-sectional study of the 2000-2011 Medical Expenditure Panel Surveys, we assessed the percentage of low-income persons with half or more of their ambulatory visits to the emergency department (ED). Respondents were stratified based on insurance type and presence of a USC. Results. In 2011, among Medicaid enrollees without USCs, 21.6% had half or more of their ambulatory visits to EDs compared to 8.1% for those with USCs. Among the uninsured without USCs, 24.1% went to an ED for half or more of their ambulatory visits compared to 8.8% for those with USCs in 2011. Among the privately insured without USCs, 7.8% went to an ED for half or more of their ambulatory visits compared to 5.0% for those with USCs in 2011. These differences remained in multivariate analyses. Conclusions. Those who lack USCs, particularly the uninsured and Medicaid enrollees, are more likely to rely on EDs. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"842847"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/842847","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32215131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 23

Knowledge, Attitudes, and Motivations towards Blood Donation among King Abdulaziz Medical City Population. 阿卜杜勒-阿齐兹国王医疗城居民的献血知识、态度和动机。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-11-06 DOI: 10.1155/2014/539670

Najd Alfouzan

{"title":"Knowledge, Attitudes, and Motivations towards Blood Donation among King Abdulaziz Medical City Population.","authors":"Najd Alfouzan","doi":"10.1155/2014/539670","DOIUrl":"10.1155/2014/539670","url":null,"abstract":"Background. Blood donation is remarkably safe medical procedure. However, attitudes, beliefs, and level of knowledge may affect it. Objectives. To measure the level of knowledge regarding blood donation, find out positive and negative attitudes, identify the obstacles, and suggest some motivational factors. Methodology. A cross-sectional study was conducted at King Abdulaziz Medical City (KAMC). Participants were selected by convenient nonrandom sampling technique. A self-created questionnaire was used for data collection. Results. The study included 349 individuals. About 45.8% of the participants claimed that they have a history of blood donation. Reported causes for not donating blood were blood donation not crossing their mind (52.4%), no time for donation (45%), and difficulty in accessing blood donation center (41.3%). Reported motivating factors for donating blood were one day off (81.4%), mobile blood donation caravans in public areas (79.1%), token gifts (31.5%), and finally paying money (18.9%). Conclusion. People in the age group 31-50 years, males, higher education and military were more likely to donate blood as well as People who showed higher knowledge level and positive attitude towards blood donation. More educational programs to increase the awareness in specific targeted populations and also to focus on some motivational factors are recommended. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"539670"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4238271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32844354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing the effects of dietary flaxseed and omega-3 Fatty acids supplement on cyclical mastalgia in Iranian women: a randomized clinical trial. 比较膳食亚麻籽和omega-3脂肪酸补充剂对伊朗妇女周期性乳房痛的影响:一项随机临床试验。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-08-13 DOI: 10.1155/2014/174532

Farideh Vaziri, Mansooreh Zamani Lari, Alamtaj Samsami Dehaghani, Mousa Salehi, Hossein Sadeghpour, Marzieh Akbarzadeh, Najaf Zare

{"title":"Comparing the effects of dietary flaxseed and omega-3 Fatty acids supplement on cyclical mastalgia in Iranian women: a randomized clinical trial.","authors":"Farideh Vaziri, Mansooreh Zamani Lari, Alamtaj Samsami Dehaghani, Mousa Salehi, Hossein Sadeghpour, Marzieh Akbarzadeh, Najaf Zare","doi":"10.1155/2014/174532","DOIUrl":"https://doi.org/10.1155/2014/174532","url":null,"abstract":"Considering the negative side effects of chemical drugs, there is a great need for effective alternative treatment strategies to manage cyclical mastalgia. Therefore, this study aimed at comparing the effects of flaxseed diet and omega-3 fatty acids supplement on treatment of cyclical mastalgia. In this study, 61, 60, and 60 women, respectively, received flaxseed as bread, omega-3 fatty acids as pearl, and wheat bread as their diet for two menstrual cycles. At the baseline cycle and end of both interventional cycles, intensity of mastalgia was measured using visual analogue scale. Analysis of covariance showed a significant difference among the three groups regarding the mean intensity of cyclical mastalgia in the first and second cycles of the interventions (P < 0.001). Also, repeated measures analysis of covariance with adjustment of two variables of age and mastalgia intensity of the baseline cycle demonstrated that flaxseed bread was more effective compared to omega-3 and wheat bread (P < 0.001). The results of this study demonstrated that flaxseed bread diet was an effective approach in decreasing cyclical mastalgia and could be prescribed to women as a simple treatment with few complications. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"174532"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/174532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32648372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Primary healthcare solo practices: homogeneous or heterogeneous? 初级保健个体诊所：同质还是异质？

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-01-12 DOI: 10.1155/2014/373725

Raynald Pineault, Roxane Borgès Da Silva, Sylvie Provost, Marie-Dominique Beaulieu, Antoine Boivin, Audrey Couture, Alexandre Prud'homme

{"title":"Primary healthcare solo practices: homogeneous or heterogeneous?","authors":"Raynald Pineault, Roxane Borgès Da Silva, Sylvie Provost, Marie-Dominique Beaulieu, Antoine Boivin, Audrey Couture, Alexandre Prud'homme","doi":"10.1155/2014/373725","DOIUrl":"10.1155/2014/373725","url":null,"abstract":"Introduction. Solo practices have generally been viewed as forming a homogeneous group. However, they may differ on many characteristics. The objective of this paper is to identify different forms of solo practice and to determine the extent to which they are associated with patient experience of care. Methods. Two surveys were carried out in two regions of Quebec in 2010: a telephone survey of 9180 respondents from the general population and a postal survey of 606 primary healthcare (PHC) practices. Data from the two surveys were linked through the respondent's usual source of care. A taxonomy of solo practices was constructed (n = 213), using cluster analysis techniques. Bivariate and multilevel analyses were used to determine the relationship of the taxonomy with patient experience of care. Results. Four models were derived from the taxonomy. Practices in the \"resourceful networked\" model contrast with those of the \"resourceless isolated\" model to the extent that the experience of care reported by their patients is more favorable. Conclusion. Solo practice is not a homogeneous group. The four models identified have different organizational features and their patients' experience of care also differs. Some models seem to offer a better organizational potential in the context of current reforms. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"373725"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32112549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adherence to Long-Term Therapies and Beliefs about Medications. 坚持长期治疗和对药物的信念。

International journal of family medicine Pub Date : 2014-01-01 Epub Date: 2014-02-13 DOI: 10.1155/2014/479596

Abdullah Alhewiti

{"title":"Adherence to Long-Term Therapies and Beliefs about Medications.","authors":"Abdullah Alhewiti","doi":"10.1155/2014/479596","DOIUrl":"https://doi.org/10.1155/2014/479596","url":null,"abstract":"Objectives. To assess adherence to long-term medications among patients in family medicine clinics and to evaluate relationship between adherence, beliefs about medications, medication information adequacy, and other factors. Methods. Interviewer assisted survey was conducted to assess adherence using the 8-item Morisky Medication Adherence Scale (MMAS-8), beliefs about medications using beliefs about medicine questionnaire (BMQ), and the patients' perception of medication information adequacy. Results. Of the 408 participants, 56.9% reported low adherence. Pearson's bivariate correlation showed positive association between MMAS-8 score and BMQ-specific necessity (r = 0.526 P < 0.001) and the perceived information adequacy (r = 0.568 P < 0.001), and there was negative association between adherence score and BMQ specific concerns, general overuse, and harm (r = -0.647, -0.466, and -0.663, resp.) (P < 0.001). Multivariable analysis revealed that age, number of medications, number of medical conditions, specific necessity and concerns beliefs, general harm beliefs, and perceived adequacy of medication information were independent predictor of adherence. Furthermore, specific beliefs explain 27.7% of the variance in adherence, while medication information adequacy explains 32.3% of the variance in adherence. Conclusion. The prevalence of low adherence among patients on long-term medications is high and it is related to negative beliefs about medications and to inadequate information given to patients about their medications. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2014 ","pages":"479596"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2014/479596","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32225531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 117

Adherence to medications after hospital discharge in the elderly. 老年人出院后的药物依从性。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-03-26 DOI: 10.1155/2013/901845

Elie Mulhem, David Lick, Jobin Varughese, Eithne Barton, Trevor Ripley, Joanna Haveman

{"title":"Adherence to medications after hospital discharge in the elderly.","authors":"Elie Mulhem, David Lick, Jobin Varughese, Eithne Barton, Trevor Ripley, Joanna Haveman","doi":"10.1155/2013/901845","DOIUrl":"https://doi.org/10.1155/2013/901845","url":null,"abstract":"Objectives. To evaluate the adherence rate to prescribed medications in elderly patients 24-48 hours after being discharged from the hospital. Methods. Family medicine residents visited patients over the age of 65 years at their homes one to two days after being discharged from the hospital and documented all the medications that they were taking since coming home from the hospital. The list of medications was later compared to the medications recorded in hospital discharge instructions. Results. Complete data was available for 46 participants. The average patient age was 76 years; 54.4% were women. Only three patients (6.5%) adhered completely to the discharge medication list found in the medical record. Thirty-six patients (78.2%) reported taking at least one additional prescription medication, twenty patients (43.4%) missed at least one prescription medication, twenty patients (43.4%) reported taking the wrong dose of at least one medication, and nineteen patients (41.3%) reported taking medications at an incorrect frequency. Conclusion. The vast majority of elderly patients in our study did not adhere to the medication regimen in the first two days after hospital discharge. Cost-effective improvements to hospital discharge processes are needed to improve adherence and reduce preventable posthospitalization complications.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"901845"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/901845","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31360954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 43

Decision-making of older patients in context of the doctor-patient relationship: a typology ranging from "self-determined" to "doctor-trusting" patients. 医患关系背景下老年患者的决策:从“自我决定”到“医生信任”患者的类型。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-04-18 DOI: 10.1155/2013/478498

Jennifer Wrede-Sach, Isabel Voigt, Heike Diederichs-Egidi, Eva Hummers-Pradier, Marie-Luise Dierks, Ulrike Junius-Walker

{"title":"Decision-making of older patients in context of the doctor-patient relationship: a typology ranging from \"self-determined\" to \"doctor-trusting\" patients.","authors":"Jennifer Wrede-Sach, Isabel Voigt, Heike Diederichs-Egidi, Eva Hummers-Pradier, Marie-Luise Dierks, Ulrike Junius-Walker","doi":"10.1155/2013/478498","DOIUrl":"https://doi.org/10.1155/2013/478498","url":null,"abstract":"Background. This qualitative study aims to gain insight into the perceptions and experiences of older patients with regard to sharing health care decisions with their general practitioners. Patients and Methods. Thirty-four general practice patients (≥70 years) were asked about their preferences and experiences concerning shared decision making with their doctors using qualitative semistructured interviews. All interviews were analysed according to principles of content analysis. The resulting categories were then arranged into a classification grid to develop a typology of preferences for participating in decision-making processes. Results. Older patients generally preferred to make decisions concerning everyday life rather than medical decisions, which they preferred to leave to their doctors. We characterised eight different patient types based on four interdependent positions (self-determination, adherence, information seeking, and trust). Experiences of a good doctor-patient relationship were associated with trust, reliance on the doctor for information and decision making, and adherence. Conclusion. Owing to the varied patient decision-making types, it is not easy for doctors to anticipate the desired level of patient involvement. However, the decision matter and the self-determination of patients provide good starting points in preparing the ground for shared decision making. A good relationship with the doctor facilitates satisfying decision-making experiences.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"478498"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/478498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31446870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care. 护理点肌钙蛋白T检测在瑞典初级保健胸痛患者管理中的应用。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-01-10 DOI: 10.1155/2013/532093

Staffan Nilsson, Per O Andersson, Lars Borgquist, Ewa Grodzinsky, Magnus Janzon, Magnus Kvick, Eva Landberg, Håkan Nilsson, Jan-Erik Karlsson

{"title":"Point-of-Care Troponin T Testing in the Management of Patients with Chest Pain in the Swedish Primary Care.","authors":"Staffan Nilsson, Per O Andersson, Lars Borgquist, Ewa Grodzinsky, Magnus Janzon, Magnus Kvick, Eva Landberg, Håkan Nilsson, Jan-Erik Karlsson","doi":"10.1155/2013/532093","DOIUrl":"https://doi.org/10.1155/2013/532093","url":null,"abstract":"Objective. To investigate the diagnostic accuracy and clinical benefit of point-of-care Troponin T testing (POCT-TnT) in the management of patients with chest pain. Design. Observational, prospective, cross-sectional study with followup. Setting. Three primary health care (PHC) centres using POCT-TnT and four PHC centres not using POCT-TnT in the southeast of Sweden. Patients. All patients ≥35 years old, contacting one of the primary health care centres for chest pain, dyspnoea on exertion, unexplained weakness, and/or fatigue with no other probable cause than cardiac, were included. Symptoms should have commenced or worsened during the last seven days. Main Outcome Measures. Emergency referrals, patients with acute myocardial infarctions (AMI), or unstable angina (UA) within 30 days of study enrolment. Results. 25% of the patients from PHC centres with POCT-TnT and 43% from PHC centres without POCT-TnT were emergently referred by the GP (P = 0.011 ). Seven patients (5.5%) from PHC centres with POCT-TnT and six (8.8%) from PHC centres without POCT-TnT were diagnosed as AMI or UA (P = 0.369). Two patients with AMI or UA from PHC centres with POCT-TnT were judged as missed cases in primary health care. Conclusion. The use of POCT-TnT may reduce emergency referrals but probably at the cost of an increased risk to miss patients with AMI or UA.","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"532093"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/532093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31200628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 33

From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs. 丹麦非工作时间初级保健服务中从医生到护士的分类:对成本的模拟影响。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-09-30 DOI: 10.1155/2013/987834

Grete Moth, Linda Huibers, Peter Vedsted

{"title":"From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs.","authors":"Grete Moth, Linda Huibers, Peter Vedsted","doi":"10.1155/2013/987834","DOIUrl":"https://doi.org/10.1155/2013/987834","url":null,"abstract":"Introduction. General practitioners (GP) answer calls to the Danish out-of-hours primary care service (OOH) in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We applied experiences from The Netherlands on nurse performance in the OOH triage concerning the number of calls per hour. Using the 2011 number of calls in one region, we examined three hypothetical scenarios with nurse triage and calculated the differences in fee costs. Results. A new organisation with 97 employed nurses would be needed. Fewer telephone consultations may result in an increase of face-to-face contacts, resulting in an increase of 23.6% in costs fees. Under optimal circumstances (e.g., a lower demand for OOH services, a high telephone termination rate, and unchanged GP fees) the costs could be reduced by 26.2% though excluding administrative costs of a new organisation. Conclusion. Substituting GPs with nurses in OOH primary care may increase the cost in fees compared to a model with only GPs. Further research is needed involving more influencing factors, such as costs due to nurse training and running the organisation. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"987834"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/987834","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31834905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Psychological distress in women with chronic bronchitis in a fishing community in the niger delta region of Nigeria. 尼日利亚尼日尔三角洲地区渔业社区慢性支气管炎妇女的心理困扰。

International journal of family medicine Pub Date : 2013-01-01 Epub Date: 2013-12-05 DOI: 10.1155/2013/526463

Victor Aniedi Umoh, Andrew Ibok, Bassey Edet, Ekpe Essien, Festus Abasiubong

{"title":"Psychological distress in women with chronic bronchitis in a fishing community in the niger delta region of Nigeria.","authors":"Victor Aniedi Umoh, Andrew Ibok, Bassey Edet, Ekpe Essien, Festus Abasiubong","doi":"10.1155/2013/526463","DOIUrl":"https://doi.org/10.1155/2013/526463","url":null,"abstract":"Background. Biomass smoke exposure is a known risk factor for chronic bronchitis. Psychiatric comorbidities may have significant impact on the quality of life of patients with chronic bronchitis. Methods. Women who engage in fish preservation by drying over burning firewood in a fishing community were recruited for this survey. The British medical research questionnaire was used to determine chronic bronchitis, and psychological distress was determined using the hospital anxiety and depression scale. Results. A total of 342 women were recruited for this study and 63 of them had chronic bronchitis. 96 women had features suggestive of psychological distress: 57 (16.6%) women with anxiety, 51 (14.9%) women with depression and 12 women (3.5%) had combined features. Psychological distress was more common among women with chronic bronchitis. Anxiety was significantly associated with chronic bronchitis and the level of biomass exposure while depression was significantly associated with chronic bronchitis, level of exposure, and a history of sleeping in the fish smoking room. Conclusion. Anxiety and depression show significant association with chronic bronchitis among women with biomass smoke exposure with the level of exposure having an aggravating effect on the relationship. ","PeriodicalId":89569,"journal":{"name":"International journal of family medicine","volume":"2013 ","pages":"526463"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/526463","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31992437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4