5 results on '"Kingsbury DM"'
Search Results
2. State anxiety in pregnancies affected by obstetric complications: A systematic review.
- Author
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Fischbein RL, Nicholas L, Kingsbury DM, Falletta LM, Baughman KR, and VanGeest J
- Subjects
- Comorbidity, Female, Humans, Pregnancy, Anxiety epidemiology, Obstetric Labor Complications epidemiology, Obstetric Labor Complications psychology
- Abstract
Background: Maternal mental health status remains an important area of study due to its influence on maternal health outcomes. Past reviews on anxiety in pregnancy have included multiple mental health diagnoses and pre-existing conditions. A systematic review was performed to understand maternal state anxiety during pregnancies affected by obstetrical complications., Methods: A systematic search of electronic databases was performed including quantitative, primary studies in the English language. The population of interest was women whose pregnancies were affected by maternal and/or fetal obstetric (not pre-existing) complications with state anxiety as the outcome. Twenty-six studies met the inclusion and methodological criteria and were included in the review., Results: The review revealed that 20% to 100% of women experiencing pregnancies affected by obstetric complications had high levels of state anxiety, and these rates are negatively influenced by complication type and severity, demographic characteristics, and maternal perceptions and expectations. Overall, antenatal state anxiety was shown to improve over the course of the pregnancy, though levels remained above clinical thresholds., Limitations: This review was based only on English peer-reviewed articles, many of which used convenience sampling with homogenous samples, limiting generalizability. Additional limitations include how anxiety prevalence was aggregated due to differences in measurement across studies., Conclusions: Anxiety is prevalent among women experiencing pregnancies affected by obstetric complications. Based on this review, we recommend that all women treated for obstetric complications are screened for anxiety; facilitating detection, referral, and treatment, ultimately contributing to optimal maternal outcomes., (Copyright © 2019 Elsevier B.V. All rights reserved.)
- Published
- 2019
- Full Text
- View/download PDF
3. Factors Associated with the Presence of Strong Social Supports in Bhutanese Refugee Women During Pregnancy.
- Author
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Kingsbury DM, Bhatta MP, Castellani B, Khanal A, Jefferis E, and Hallam JS
- Subjects
- Adolescent, Adult, Bhutan ethnology, Female, Humans, Interviews as Topic, Pregnancy, Surveys and Questionnaires, United States, Pregnant Women psychology, Refugees psychology, Social Support
- Abstract
Social support may mitigate stress related to the refugee experience, including during resettlement. For refugee women, social support can play an important role during pregnancy. In-depth interviews were conducted within a sample of 45 Bhutanese refugee women. Perceived social support was measured using the Norbeck Social Support Questionnaire. Averaged social support scores are reported to account for personal network size. Participants were identified as "low support" and "high support" based on their reported score. The mean social support score reported was 18.9. Participants experiencing a secondary resettlement within the U.S. were 4.52 (95% CI 1.19-17.15) times as likely to report a "high support" network compared to participants who resettled directly from Nepal. Personal social networks are an important source of support for resettled refugee women during pregnancy in the U.S.. Refugee women who experience secondary resettlement may perceive stronger support from their personal connections.
- Published
- 2019
- Full Text
- View/download PDF
4. Influenza Vaccine Uptake, Hand Hygiene Practices, and Perceived Barriers in Decision Making.
- Author
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Stedman-Smith M, Kingsbury DM, Dubois CL, and Grey SF
- Subjects
- Adult, Aged, Female, Humans, Influenza, Human prevention & control, Male, Middle Aged, Odds Ratio, Practice Guidelines as Topic, Qualitative Research, Randomized Controlled Trials as Topic, Regression Analysis, Surveys and Questionnaires, Universities, Vaccination Refusal psychology, Young Adult, Choice Behavior, Hand Disinfection methods, Health Knowledge, Attitudes, Practice, Influenza Vaccines, Vaccination statistics & numerical data
- Abstract
The annual costs of influenza are in the billions of dollars, with employers bearing substantial burdens. Yet, influenza vaccine uptake is sub-optimal. A random survey was administered to employees at a Midwestern public university using mixed quantitative and qualitative methods to identify the rate, characteristics, and barriers of self-reported flu vaccine uptake during March-April of 2012. The lowest uptake was among adults, ages 18 to 49 (29.8%), even though they are included in universal recommendations. Multiple regression analysis adjusted for demographic confounders showed an increase in self-identified protective hand hygiene behavior among those who reported influenza vaccine uptake compared with those who did not. Qualitative thematic analysis revealed contextual accounts of why vaccine uptake was declined including structural, perceptual, and knowledge barriers. Implementation and evaluation of novel multicomponent worksite vaccine interventions tailored to reach young and middle-aged employees including utilization of risk communication is needed to facilitate increased uptake.
- Published
- 2017
- Full Text
- View/download PDF
5. Outcomes of a pilot hand hygiene randomized cluster trial to reduce communicable infections among US office-based employees.
- Author
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Stedman-Smith M, DuBois CL, Grey SF, Kingsbury DM, Shakya S, Scofield J, and Slenkovich K
- Subjects
- Absenteeism, Adolescent, Adult, Cluster Analysis, Female, Follow-Up Studies, Gastrointestinal Diseases epidemiology, Humans, Incidence, Linear Models, Male, Matched-Pair Analysis, Middle Aged, Midwestern United States, Occupational Diseases epidemiology, Pilot Projects, Respiratory Tract Infections epidemiology, Self Report, Young Adult, Gastrointestinal Diseases prevention & control, Hand Hygiene, Health Education methods, Health Promotion methods, Infection Control methods, Occupational Diseases prevention & control, Respiratory Tract Infections prevention & control
- Abstract
Objective: To determine the effectiveness of an office-based multimodal hand hygiene improvement intervention in reducing self-reported communicable infections and work-related absence., Methods: A randomized cluster trial including an electronic training video, hand sanitizer, and educational posters (n = 131, intervention; n = 193, control). Primary outcomes include (1) self-reported acute respiratory infections (ARIs)/influenza-like illness (ILI) and/or gastrointestinal (GI) infections during the prior 30 days; and (2) related lost work days. Incidence rate ratios calculated using generalized linear mixed models with a Poisson distribution, adjusted for confounders and random cluster effects., Results: A 31% relative reduction in self-reported combined ARI-ILI/GI infections (incidence rate ratio: 0.69; 95% confidence interval, 0.49 to 0.98). A 21% nonsignificant relative reduction in lost work days., Conclusions: An office-based multimodal hand hygiene improvement intervention demonstrated a substantive reduction in self-reported combined ARI-ILI/GI infections.
- Published
- 2015
- Full Text
- View/download PDF
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