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Articles 1 - 21 of 21
Full-Text Articles in Medicine and Health
How Does Parents’ Social Support Impact Children’S Health Practice? Examining A Mediating Role Of Health Knowledge, Paulin Tay Straughan, Chengwei Xu
How Does Parents’ Social Support Impact Children’S Health Practice? Examining A Mediating Role Of Health Knowledge, Paulin Tay Straughan, Chengwei Xu
Research Collection School of Social Sciences
Background: Family environmental factors play a vital role in shaping children’s health practices (e.g., obesity prevention). It is still unclear how parents’ social support affects children’s obesity-related health practices. The present study argues that whether parents’ social support positively associates with children’s obesity-related health practice depends on if it could promote parents’ obesity-related health knowledge. Thus, we hypothesize that health knowledge mediates the relationship between parents’ social support and children’s health practice regarding weight management. Methods: To test the hypothesis, we conducted a questionnaire survey and collected a nationally representative sample of 1488 household responses in Singapore. The survey included …
Parents’ Knowledge, Attitudes, And Practices Of Childhood Obesity In Singapore, Paulin Tay Straughan, Chengwei Xu
Parents’ Knowledge, Attitudes, And Practices Of Childhood Obesity In Singapore, Paulin Tay Straughan, Chengwei Xu
Research Collection School of Social Sciences
The obesity pandemic is increasingly threatening Asian populations. This is especially so for children from higher-income countries, such as Singapore. Among the various driving factors of obesity, parents’ health knowledge, attitudes, and practices are underexplored. The present study uses a nationally representative sample of 1,491 responses from Singapore to investigate parental knowledge, attitudes, and practices (KAP) about childhood obesity. Latent class analysis (LCA) on parents’ responses to the KAP survey reveals four unique parenting patterns: the limited knowledge group, the group with negative attitudes, the best practice group, and the limited practice group. Children of families in the best practice …
The Impact Of Having Foreign Domestic Workers On Informal Caregivers Of Persons With Dementia: Findings From A Multi-Method Research In Singapore, Qi Yuan, Yunjue Zhang, Ellaisha Samari, Anitha Jeyagurunathan, Tee Hng Tan, Fiona Devi, Peizhi Wang, Harish Magadi, Richard Goveas, Li Ling Ng, Mythily Subramaniam
The Impact Of Having Foreign Domestic Workers On Informal Caregivers Of Persons With Dementia: Findings From A Multi-Method Research In Singapore, Qi Yuan, Yunjue Zhang, Ellaisha Samari, Anitha Jeyagurunathan, Tee Hng Tan, Fiona Devi, Peizhi Wang, Harish Magadi, Richard Goveas, Li Ling Ng, Mythily Subramaniam
Research Collection School of Social Sciences
Background: Informal caregivers of persons with dementia (PWDs) sometimes engage foreign domestic workers (FDWs) to support their caregiving journey. However, there has not been much research to establish if this is really beneficial. The current study aims to investigate whether engaging FDWs specifically for caregiving of PWDs truly moderates caregiver stress and to explore caregivers’ experiences of engaging FDWs. Methods: A multi-method study design with a quantitative and qualitative sub-study was adopted. For the quantitative sub-study, 282 informal caregivers of PWDs were recruited. Propensity score matching analysis was used. For the qualitative sub-study, 15 informal caregivers with FDWs were interviewed. …
Clocking Out: Nurses Refusing To Work In A Time Of Pandemic, Yasmin Y. Ortiga, Michael Joseph S. Dino, Romeo Luis A. Macabasag
Clocking Out: Nurses Refusing To Work In A Time Of Pandemic, Yasmin Y. Ortiga, Michael Joseph S. Dino, Romeo Luis A. Macabasag
Research Collection School of Social Sciences
Social science research has long critiqued how professional ideals of public service can ignore chronic problems within the healthcare industry, placing unfair burden on the "heroism" of individual workers. Yet, fewer studies investigate how healthcare professionals actively negotiate such demands for service, amidst increasing workplace pressures and risks. This paper studies Filipino nurses' response to a government policy that banned them from working overseas in order to channel their labor to local hospitals during the COVID-19 pandemic. Based on 51 in-depth interviews, we argue that nurses' willingness to serve in the Philippines' COVID-19 hospitals hinged on the point at which …
Information Trust And Covid-19 Vaccine Hesitancy Amongst Middle-Aged And Older Adults In Singapore: A Latent Class Analysis Approach, Micah Tan, Paulin Tay Straughan, Grace Cheong
Information Trust And Covid-19 Vaccine Hesitancy Amongst Middle-Aged And Older Adults In Singapore: A Latent Class Analysis Approach, Micah Tan, Paulin Tay Straughan, Grace Cheong
Research Collection School of Social Sciences
Rationale: COVID-19 vaccine hesitancy presents significant challenges for public health. Objective: Vaccine hesitancy among middle-aged and older adults has been a significant barrier in Singapore’s battle against COVID-19. We hypothesize that the trust middle-aged and older adults place in various sources of information influences vaccine hesitancy, and that distinct typologies of trust can be identified to better inform targeted health communication efforts. Method: Data from a nationally representative panel survey of Singaporeans aged 56–75 (N = 6094) was utilized. Modules fielded in August and November 2020, and June 2021 were analyzed, assessing social networks, trust in sources of information, and …
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Teerawichitchainan, John Knodel
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Teerawichitchainan, John Knodel
Research Collection School of Social Sciences
Myanmar is one of the poorest and least healthy countries in Southeast Asia. As elsewhere in the region, population aging is occurring. Yet the government welfare and health systems have done little to address the long-term care (LTC) needs of the increasing number of older persons thus leaving families to cope on their own. Our study, based on the 2012 Myanmar Aging Survey, documents the LTC needs of persons aged 60 and older and how they are met within the context of the family. Nearly 40% of persons in their early 60s and 90% of those 80 and older reported …
Threat Of Deportation As Proximal Social Determinant Of Mental Health Amongst Migrant Workers, Nicholas Harrigan, Yee Koh Chiu, Amirah Amirrudin
Threat Of Deportation As Proximal Social Determinant Of Mental Health Amongst Migrant Workers, Nicholas Harrigan, Yee Koh Chiu, Amirah Amirrudin
Research Collection School of Social Sciences
While migration health studies traditionally focused on socioeconomic determinants of health, an emerging body of literature is exploring migration status as a proximate cause of health outcomes. Study 1 is a path analysis of the predictors of mental health amongst 582 documented migrant workers in Singapore, and shows that threat of deportation is one of the most important proximate social determinants of predicted mental illness, and a mediator of the impact of workplace conflict on mental health. Study 2 is a qualitative study of the narratives of 149 migrant workers who were in workplace conflict with their employers, and demonstrates …
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel
Research Collection School of Social Sciences
Myanmar is one of the poorest and least healthy Asian countries. Policy makers have only begun to discuss the implications of population aging for health system. There is no policy in place to provide long-term care (LTC). Family has been the mainstay of support for elderly with LTC needs. Myanmar’s demographic transitions will soon challenge the current form of family-caregiving for frail elderly. We analyze Myanmar’s first national aging survey to understand LTC needs and the roles that families play in LTC. We examine prevalence in older-aged disability. Subsequently, we assess the likelihood of receiving care and the composition of …
Anticipated Support From Children And Later-Life Health In The United States And China, Cheng Cheng
Anticipated Support From Children And Later-Life Health In The United States And China, Cheng Cheng
Research Collection School of Social Sciences
Past research has shown that anticipated support, the belief that someone will provide support if needed, benefits health. Few studies considered whether the relationship between anticipated support and health depends on the source of such support. This project addresses this gap and examines how anticipated support from children is related to older parents' health and whether such support can be replaced by anticipated support from other relatives and friends. Ordered logit and negative binomial regression models with lagged health outcomes were estimated using nationally representative data from the 2010 and 2012 Health and Retirement Study and the 2011 and 2013 …
Validating A Measure Of Beliefs In Health Prevention Screenings Among Old Adults In China, H. Xu, Paulin Tay Straughan, W. Pan, Z. Zhen, B. Wu
Validating A Measure Of Beliefs In Health Prevention Screenings Among Old Adults In China, H. Xu, Paulin Tay Straughan, W. Pan, Z. Zhen, B. Wu
Research Collection School of Social Sciences
We aimed to examine the psychometric properties of a modified 16-item Attitudinal Index (AI), a measure of health beliefs in health prevention screenings among Chinese older adults. We used the 2013 Shanghai Longitudinal Survey of Elderly Life and Opinion data including 3418 respondents aged 60 and above. We examined the validity and reliability of the modified AI. Psychometric evaluation of the modified AI revealed good response patterns. The overall scale had good reliability (Cronbach’s alpha = 0.835) with four distinct dimensions: barriers, fatalism, unnecessary, and detects (Cronbach’s alpha = 0.815 to 0.908). Confirmatory factor analysis of the modified AI’s factor …
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel
Long-Term Care Needs In The Context Of Poverty And Population Aging: The Case Of Older Persons In Myanmar, Bussarawan Puk Teerawichitchainan, John Knodel
Research Collection School of Social Sciences
Myanmar is one of the poorest and least healthy countries in Southeast Asia. Nevertheless, population aging is taking place. Myanmar's policy makers have only begun to pay attention to the implications of population aging for its economy and society, including the health system. There is virtually no official policy or program in place to provide long-term care (LTC) for older persons. Family has thus been the mainstay of financial and instrumental support for elderly with LTC needs. Myanmar's demographic transitions likely challenge the current form of family caregiving for frail older persons, especially in the coming decades. This study aims …
Economic Status And Old-Age Health In Poverty-Stricken Myanmar, Bussarawan Teerawichitchainan, John Knodel
Economic Status And Old-Age Health In Poverty-Stricken Myanmar, Bussarawan Teerawichitchainan, John Knodel
Research Collection School of Social Sciences
Objective: We examine the association between poverty, economic inequality, and health among elderly in Myanmar. Method: We analyze 2012 data from Myanmar’s first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quality. Results: Poverty and poor health are pervasive. Self-assessed health, sensory impairment, and functional limitation consistently improve with higher wealth levels regardless of socio-demographic controls. Differentials in self-rated health and sensory impairment between the bottom and second quintiles are clearly evident, suggesting that relative economic inequality matters even among very poor elders and that a small …
Living Arrangements And Psychological Well-Being Of The Elderly After The Economic Transition In Vietnam, Ken Yamada, Bussarawan Teerawichitchainan
Living Arrangements And Psychological Well-Being Of The Elderly After The Economic Transition In Vietnam, Ken Yamada, Bussarawan Teerawichitchainan
Research Collection School of Social Sciences
Objectives: We examine the relationship between living arrangements and psychological well-being of the older adults in Vietnam, where there is an influence of Confucian values and a lack of close substitutes for family care of the older adults, by exploiting a great deal of regional variation in economic development. We also examine the role of living arrangements in well-being differentials across regions. Method: We estimate a triangular simultaneous-equation discrete-response model, which accounts for the simultaneity between living arrangements and psychological well-being (happiness, depression, loneliness, poor appetite, and sleep disorder), using a nationally representative sample of 2,225 adults aged 60 and …
How Do Living Arrangements And Intergenerational Support Matter For Psychological Health Of Elderly Parents? Evidence From Myanmar, Vietnam, And Thailand, Bussarawan Teerawichitchainan, Wiraporn Pothisiri, Giang Thanh Long
How Do Living Arrangements And Intergenerational Support Matter For Psychological Health Of Elderly Parents? Evidence From Myanmar, Vietnam, And Thailand, Bussarawan Teerawichitchainan, Wiraporn Pothisiri, Giang Thanh Long
Research Collection School of Social Sciences
Living arrangements and family support for older persons have become an increasingly important policy concern in developing and rapidly aging Asia. Formulating a sound elderly care policy for the region will benefit from empirically examining how living arrangements, particularly coresidence, and intergenerational exchanges of financial, instrumental, and emotional support are associated with old-age psychological health. This study analyzes data from nationally representative aging surveys in Myanmar, Vietnam, and Thailand for 2011-2012 to offer a comparative perspective from Southeast Asia where various kinship systems coexist. Results suggest that coresidence with a child of culturally preferred gender significantly improves the emotional health …
Military Service, Exposure To Trauma, And Health In Older Adulthood: An Analysis Of Northern Vietnamese Older Adults, Kim Korinek, Bussarawan Teerawichitchainan
Military Service, Exposure To Trauma, And Health In Older Adulthood: An Analysis Of Northern Vietnamese Older Adults, Kim Korinek, Bussarawan Teerawichitchainan
Research Collection School of Social Sciences
The long-term, indirect effects of war on older adult health are poorly understood, especially in less developed societies where armed conflict concentrates. In this paper we analyse the determinants of self-reported health, chronic conditions, somatoform symptoms and depressive symptoms in a sample of northern Vietnamese ages 55 and older, who encountered mass mobilization for war and widespread exposure to war traumas in early adulthood. Results of multivariate models indicate that service in combat roles predicts poor self-reported health, health complaints and chronic illness in late adulthood. No such relationship is observed for depressive symptoms, a pattern consistent with previous research …
Health Inequalities Among Older Adults In Vietnam: Evidence From The 2011 Vietnam National Aging Survey, Bussarawan Teerawichitchainan, Thanh Long Giang
Health Inequalities Among Older Adults In Vietnam: Evidence From The 2011 Vietnam National Aging Survey, Bussarawan Teerawichitchainan, Thanh Long Giang
Research Collection School of Social Sciences
Vietnam’s economic development, change in health infrastructure, demographic and epidemiological transitions, and projected rapid population aging point to the need for understanding issues related to the wellbeing of older adults. Few recent studies that examine old-age health among specific Vietnamese populations notwithstanding, a national profile of older adults’ health, particularly health inequalities among the aged, is still lacking for Vietnam. To address this gap, we analyze nationally representative data from Vietnam’s first national survey of older adults to examine socioeconomic gradients in health at older ages in urban and rural Vietnam. Our specific research questions include: how are various measures …
The Long-Term Impact Of War On Health And Wellbeing In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan, Kim Korinek
The Long-Term Impact Of War On Health And Wellbeing In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan, Kim Korinek
Research Collection School of Social Sciences
War is considered one of the most intransigent obstacles to development; yet, the long-run effects of war on individual health have rarely been examined in the context of developing countries. Based on unique data recently collected as a pilot follow-up to the Vietnam Longitudinal Survey, this study examines health status of northern Vietnamese war cohorts (those who entered adulthood during the Vietnam War and now represent Vietnam’s older-adult population). To ascertain whether and how war impacts old-age physical and mental health, we compare multi-dimensional measures of health among war survivors, including civilians, combatants, noncombatants, and nonveterans involved in militia activities. …
The Long-Term Impact Of War On Health And Well-Being In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan
The Long-Term Impact Of War On Health And Well-Being In Northern Vietnam: Some Glimpses From A Recent Survey, Bussarawan Teerawichitchainan
Research Collection School of Social Sciences
War is considered one of the most intransigent obstacles to development; yet, the long-run effects of war on individual health have rarely been examined in the context of developing countries. Based on unique data recently collected as a pilot follow-up to the Vietnam Longitudinal Survey, this study examines health status of northern Vietnamese war cohorts (those who entered adulthood during the Vietnam War and now represent Vietnam’s older-adult population). To ascertain whether and how war impacts old-age physical and mental health, we compare multi-dimensional measures of health among war survivors, including civilians, combatants, noncombatants, and nonveterans involved in militia ctivities. …
Ethnic Differentials In Parental Health Seeking For Childhood Illness In Vietnam, Bussarawan Teerawichitchainan, James F. Phillips
Ethnic Differentials In Parental Health Seeking For Childhood Illness In Vietnam, Bussarawan Teerawichitchainan, James F. Phillips
Research Collection School of Social Sciences
Vietnam's sustained investment in primary healthcare since the onset of socialism has lowered infant and childhood mortality rates and improved life expectancy, exceeding progress achieved in other poor countries with comparable levels of income per capita. The recent introduction of user fees for primary healthcare services has generated concern that economic policies may have adversely affected health-seeking behavior and health outcomes of the poor, particularly among impoverished families who are members of socially marginalized minority groups. This paper examines this debate by analyzing parental recall of illness and care-seeking for sick children under the age of 5 years recorded by …
Providing Health Care For Older Persons In Singapore, Peggy Teo, Angelique Chan, Paulin Straughan
Providing Health Care For Older Persons In Singapore, Peggy Teo, Angelique Chan, Paulin Straughan
Research Collection School of Social Sciences
Health care social policy in Singapore has passed the burden of care to the individual and the family on the rationale that it would enable the state to contain the costs of long-term care by channelling some of its funds to community services and to providing essential health services to all Singaporeans and not just the older group. While a wide array of services has come into existence, there is a lack of integration between the available resources and needs of the individual/family and what has been availed at the community and state levels. Part of the problem lies in …
Fatalism Reconceptualized: A Concept To Predict Health Screening Behavior, Paulin Tay Straughan, Adeline Seow
Fatalism Reconceptualized: A Concept To Predict Health Screening Behavior, Paulin Tay Straughan, Adeline Seow
Research Collection School of Social Sciences
Social norms governing health seeking behavior affect perceived self-efficacy which in turn determines if self-directed change is sustained. Using this argument, we contextualized the link between social background and preventive health behavior. We argued that fatalism influenced self-efficacy, which in turn affected acceptability of four screen tests: mammography, clinical breast examination, breast self-examination, and the Pap Smear Test. A seven-item index was developed to measure fatalism. From data obtained through a community survey of women between 50 to 65 years, the index was validated. Logistic regression was conducted to verify the empirical link between fatalism and the four screen tests. …