Introduction: Mental health and patient expectation have been identified as key predictors of recovery following THA; however, there is limited literature examining the effects of social support and marital status on patient-reported outcomes (PROs).
Methods: Data were prospectively collected and retrospectively reviewed for patients who underwent THA between July 2008 and January 2016. Patients were included if they underwent primary THA during this period and if they had documented preoperative marital status of married, divorced, or never married. Married patients were group matched to non-married patients (divorced or never married) with similar sex, age, body mass index (BMI), gender distribution, and frequency of surgical approach.
Results: There were 414 married patients and 98 non-married patients who were eligible and had minimum 2-year follow-up. Mean PROs were significantly worse in the non-married group than the married group for the following measures: modified Harris Hip Score ( = 0.002), Harris Hip Score ( = 0.002), Forgotten Joint Score ( = 0.04), and the physical portions of the Veterans RAND ( = 0.025) and Short Form ( = 0.02) surveys.
Conclusions: Our study demonstrated inferior absolute PRO scores at latest follow-up for patients who were non-married compared to married following THA. These results show that while total hip replacement may still yield clinical benefit in all patients, non-married patients may ultimately achieve an inferior functional status, and expectations should be adjusted accordingly. Physicians should assess levels of psychosocial support in their patients prior to undergoing hip arthroplasty in order to optimise results.
Background: Dental anxiety has become a major concern for both dental practitioners and patients and prevents a significant proportion of people from attending dental clinics. The present study aimed to determine dental anxiety and associated factors among adult patients attending a public outpatient dental clinic in a base hospital, in the Eastern Province of Sri Lanka.
Methods: A descriptive cross-sectional study was conducted among 400 adults aged 18 to 75 years awaiting dental treatment.
Objective: To estimate the prevalence of anxiety and examine the association between the dietary diversity and anxiety among older Chinese adults.
Methods: The data from the 2018 Chinese Longitudinal Healthy Longevity Survey(CLHLS) was used, a nationwide survey with 10 555 adults aged ≥65 years in 23 provinces of China. Dietary diversity score(DDS) was constructed based on 11 items of a food frequency questionnaire.
Background: This study examines the relationship between unmet healthcare needs and employment status, with a focus on how this relationship was influenced by the Spanish economic recession of 2008-2012.
Methods: Data were obtained from the Spanish National Health Survey for 2006 and 2011-2012. The outcome variable was the presence of unmet healthcare needs, describing its reasons.
Background: Educational attainment is a well-established social determinant of various domains of cognitive function across the lifespan. However, the theory of Minorities' Diminished Returns (MDRs) suggests that the health benefits of educational attainment tend to be weaker for ethnic minorities compared to non-Latino Whites. This phenomenon may reflect the impact of structural inequalities, social stratification, and historical disadvantage.
Introduction: Although parenting is a worthwhile and joyful process, it can also cause stress, potentially leading to parental burnout. With the implementation of the three-child policy in China, more parenting hours and higher economic costs may increase the risk of parental burnout.
Objectives: This study investigated how was maternal parenting stress related to mothers' parental burnout, as well as the potential mediating effect of their marital satisfaction and the moderating effect of their socioeconomic status on this relationship.
