Browsing by Author "Nhpang, RoiSan"
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Item Association of Tobacco Use and Suicidal Ideation among Adults with Metal Health Issues(2024-03-21) Nhpang, RoiSanPurpose: People with mental health disorders are at higher risk of tobacco use. Studies have demonstrated higher prevalence of tobacco use among people with mental health disorders. We aimed to examine the association between tobacco use and suicidal ideation (SI) among adults with major depressive episode (MDE) and serious psychological distress (SPD) using data from the 2021 National Survey on Drug Use and Health (NSDUH). Methods: Weighted multiple logistic regression modeling and descriptive analyses were conducted on a representative sample of 47,291 from the US general population. Respondents were classified as having past-year SI if they answered yes to SI or suicide planning in the past year. Past-year SPD was defined as a score of 13 or higher on the K6 scale of nonspecific psychological distress. MDE was defined based on the diagnostic criteria from DSM-5. Self-reported data on the use of tobacco products was used. Models were adjusted for sex, age category, and race/ethnicity. Results: Tobacco use was significantly associated with SI among adults with past-year MDE and SPD after accounting for covariates. Among adults with past-year MDE, individuals using/having used tobacco products were more likely to have SI (aOR 1.474; 95% CL 1.107, 1.962). Among adults with past-year SPD, adults using/having used tobacco products were more likely to have SI (aOR= 1.268; 95% CL 1.031, 1.558) compared to adults with no tobacco use history. Conclusion: Findings suggest the need to screen tobacco use as a risk factor in suicidal risk factors among adults with mental health disorders.Item The Intersection of Mental Health and Hypertension(2023) Nhpang, RoiSanPurpose: Mental health conditions such as depression and anxiety are serious public health issues globally. Likewise, hypertension is a significant public health issue across the globe and is the leading risk factor for chronic cardiovascular diseases and stroke. Several studies have reported the association between mental health conditions and chronic diseases such as hypertension and diabetes. This study aims to determine the association between mental health conditions and hypertension among adults living in the United States using data from the 2021 National Health Interview Survey (NHIS). Methods: Secondary data analysis of 2021 NHIS data was conducted to explore the association between mental health conditions and hypertension among U.S. adults. Mental health conditions were determined using self-reported data on depression, and anxiety (whether or not they have even been told by a doctor or health professional if they had any type of depression or anxiety disorder). Hypertension was also determined by the self-report data by the participants who were diagnosed by a doctor or other health professional of ever having hypertension. Weighted multiple logistic regression models were conducted to measure the relationship between mental health conditions and hypertension. Models were adjusted for key covariates. Results: In the 2021 NHIS survey, approximately 55% (unweighted) of the participants were female. Among the different mental health conditions, depression was significantly associated with hypertension among U.S. adults, in which adults with depression are 1.443 times more likely to have hypertension than those without depression in 2021 (OR=1.443; 95% CL 1.311, 1.589). Whereas anxiety was found to not have a significant association with hypertension among U.S. adults in 2021(OR=1.051; 95% CL 0.947, 1.167) while controlling for covariates. The covariates measured include – serious psychological distresses, sex, educational levels, race, and ethnicity. Sex was also significantly associated with hypertension among U.S. adults in which males are 1.172 times more likely to have hypertension than women (OR= 1.172; 95% CL 1.106, 1.242). Conclusion: Depression was significantly associated with hypertension among US adults in 2021. Consistent with the results of previous studies, the result from this study indicates that men are more likely to have hypertension than women. The results from this study support the evidence of the intersection between chronic conditions and mental health, suggesting the need for primary healthcare providers to support mental health in patients seeking care for chronic disease.Item Role of Patient-Provider Relationship in Overall Health and Well-being of Older LGBTQ Adults(2024-03-21) Hwang, Jimin; Neelamegam, Malinee; Nhpang, RoiSanPurpose: LGBTQ aging encompasses the experiences and challenges encountered by lesbian, gay, bisexual, transgender, and queer individuals as they progress through life. LGBTQ individuals face unique obstacles related to their sexual orientation, gender identity, and the historical context in which they have lived. To effectively meet the specific needs of LGBTQ older adults, it's crucial to offer culturally sensitive healthcare and social support within nurturing healthcare communities. We aim to explore how the doctor-patient relationship impacts the overall well-being of LGBTQ seniors. Methods: A secondary analysis of the AARP survey titled "Maintaining Dignity: Understanding Challenges of Older LGBT Americans," was done. The online survey was conducted between October 27 and November 12, 2017, among adults aged 45 and older who identified as LGBTQ. Data analysis was conducted on SAS statistical analysis software. Descriptive statistics were completed to determine survey participant characteristics. Logistic regression was conducted to assess the association between the patient-provider relationship and overall health after adjusting for demographics and chronic health conditions. Results: Participants were predominantly white (67.08%), between ages 45-54 years (34.6%) and 55-64 years (34.1%). The majority of the participants self-identified as gay (43%) or lesbian (43%). Most participants described their overall health as "good" or better (85.5%), 71.93% informed their physician about their sexual identity (71.93%) and described their physician-patient relationship as open and honest (71.43%). The patient-provider relationship influenced the overall self-reported health status in our study population. Compared to those who had open and honest discussions with their healthcare providers, individuals with difficult relationships with their providers were less likely to have good overall health (OR 0.098, 95% CI 0.032, 0.298). Conclusion: In conclusion, the well-being of older LGBTQ adults is significantly influenced by the quality of their relationship with their healthcare providers, emphasizing the crucial role of fostering supportive patient-provider connections and highlighting the imperative for healthcare professionals to be knowledgeable and compassionate in their care of LGBTQ patients.