Lam Duc Nguyen, Long Hoang Nguyen, Ly Thi Ninh, Ha Thu Thi Nguyen, Anh Duy Nguyen, Linh Gia Vu, Hao Si Anh Nguyen, Son Hoang Nguyen, Linh Phuong Doan, Thuc Minh Thi Vu, Bach Xuan Tran, Carl A. Latkin, Cyrus S. H. Ho, Roger C. M. Ho
BMC Pregnancy and Childbirth
Background: Self-care behaviors during pregnancy signifcantly impacts mother and children’s health. This study aimed to explore the self-care behaviors and the associations of these behaviors with the psychological well-being of women during pregnancy, as well as the mediating efects of diferent social support with these associations. Methods: A cross-sectional data of 562 pregnant women at Hanoi Obstetrics & Gynecology Hospital and Ca Mau Obstetrics & Pediatrics in Vietnam were analyzed. Questions about self-care behaviors, pregnancy characteristics, social support, and psychological well-being were asked. Multivariate regression models were performed. Structural Equation Modeling (SEM) was employed to test the mediating efects of diferent social support with the association between self-care behaviors and psychological well-being. Findings : Only 13% of pregnant women often or always did physical exercise at least three times a week, and 40% consumed enough fber and fve servings of vegetables a day. Only 78.7% always avoided alcohol drinking, and 53.9% of pregnant women avoided being exposed to second-hand smoking and 71,7% avoided using traditional medicine without physicians’ prescriptions. Around 66% of pregnant women always or often had prenatal care checkups as scheduled. Information sources, social support and childbirth expectation were major drivers for self-care practices. SEM model showed that social support mediated the relationship between maternal health behaviors and mental well-being. Conclusion: This study highlighted the remarkable gaps in self-care practices among our pregnant women, which were signifcantly associated with their mental well-being. Social support-oriented consultancy and interventions should be warranted for improving behaviors and the mental well-being of pregnant women in Vietnam. Keywords: Maternal behavior, Psychological well-being, Social support, Pregnant women, Structural equation modeling
Huyen Phuc Do, Thang Van Vo, Linda Murray, Philip R.A. Baker, Aja Murray, Sara Valdebenito, Manuel Eisner, Bach Xuan Tran, Bao-Yen Luong-Thanh, Lan Hoang Nguyen, Michael P. Dunne
Child Abuse & Neglect
Background: Despite the detrimental effects and life-course health consequences of violence exposure, relatively few studies have adequate capacity to investigate the evolution of violence from childhood to motherhood. Objective: This study aims to examine the cyclical nature of childhood abuse and prenatal interpartner violent victimization (p-IPV) and its adverse impact on childbirth trauma and exclusive breastfeeding (EBF) practice in Vietnam. Method: Using a prospective birth cohort, 150 pregnant women were recruited in the third trimester of pregnancy in Hue city in central Vietnam (Wave 1-Baseline) and re-interviewed approximately three months after delivery (Wave 2-Follow-up). The direct and indirect effects of violent victimization on subsequent childbirth experience (measured by Birth Memories and Recall Questionnaire) and EBF practice were estimated by using augmented-inverse-probabilityweighted models, sensitivity analysis, and structural equation model. Results: Detrimental and prolonged effects of the inter-generational cycle of violence transverse childhood to motherhood. Women who experienced either childhood abuse or p-IPV violence were more likely to experience negative emotional childbirth memories [ARR 1.21, 95 % CI (1.04, 1.39)]. Evidence also suggested that not continuing to exclusively breastfeed at 3 months post-partum was strongly associated with prenatal depression, young age, and perceived low social status during pregnancy. Perceived strong connectedness among extended family members and social networks (i.e. nexus among family, friends, and neighborhood) provided a buffering
effect by preventing EBF termination.
Conclusion: This research provides insights into the protective role of social connectedness in
improving breastfeeding practice. It is vital to establish wholistic antenatal care and social service
system to offer specialized support and response for victims of violence and mitigate the longterm sequelae of traumatic events.
Tạp chí nghiên cứu Y học
Sexual dysfunction is common during pregnancy. This disorder will continue and worsened during the postpartum period, greatly affecting family happiness. The objective of the study was to access the effectiveness of communication and counseling interventions to improve sexual function of pregnant women. We used Female Sexual Functuin Function Index to assess sexual dysfunction for pregnant women. The study’s results showed that the FSFI score in the control group decreased by -2.5 (IQR: -7.2 to 0.2) points while in the intervention group, the decrease was only -1.1 (IQR: -5 to 2.6) points. This difference is statistically significant with p < 0.05. In the intervention group, pregnant woman who did not read media books or read less than 20% had the same reduction in FSFI scores after 1 month as the control group. The higher the reading level, the better the FSFI score. The risk of no intercourse during pregnancy in the control group was 2.81 times higher (95% CI 1.26 - 6.29) than in the intervention group. There was 64.0% of reduction in the risk of not having intercourse in the intervention group in comparison with the control group
Long Hoang Nguyen, Men Thi Hoang, Lam Duc Nguyen, Ly Thi Ninh, Ha Thi Thu Nguyen, Anh Duy Nguyen, Giang Thu Vu, Linh Phuong Doan, Carl A Latkin, Bach Xuan Tran, Cyrus S H Ho, Roger C M Ho
Tropical Medicine & International Health
Objectives: The aim of this study was to assess acceptance of COVID-19 vaccination and the willingness to pay (WTP) for it, and investigate associated factors among pregnant women in Vietnam.
Methods: Cross-sectional survey of pregnant women in two obstet
Toan Thanh Thi Do, Anh Ngoc Nguyen Xuan Thanh Thi Le, Ann Pongsakul, Quang Nhat Nguyen, Thanh Van Nguyen, Thang Huu Nguyen, Tri Minh Do, Huong Thi Le, Huong Lan Thi Nguyen, Nu Thi Truong, Chi Linh Hoang, Giang Thu Vu, Tung Thanh Tran, Tung Hoang Tran, Bach Xuan Tran, Carl A. Latkin, Cyrus SH Ho, Roger CM Ho
International Journal of Environmental Research and Public Health
This study aimed to describe mental health service utilization and examine associated factors among students in Vietnam. Data were collected at eight universities in Hanoi, Vietnam, in 2018 using an administered questionnaire. The total number of participants was 9,120 (95.1% response rate). Among stu dents participating in our survey, 12.5% (95% CI: 10.9–14.1) with depression and/or anxiety symptoms used mental health service in the last 12 months. In the multivariable regression models, significant factors associated with mental health ser vice utilization were marital status, types of housemate, men tal health problems, physical activity, smoking status, and alcohol drinking. Our study made recommendations to stake holders for improving mental health services utilization among students in Vietnam. These findings had important implica tions for future research on factors associated with mental health service utilization among university students.
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