ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 109
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Experiencing financial distress: Mental health
consequences and lifestyle choices
Dr Oana Bulilete1,7, Ruth Martí Lluch3,7, Maria Jesus Serrano Ripoll1,7, Laura Gallardo Alfaro1,7,
Jose Ignacio Ramirez Manent3,7, David Medina Bombardo4,7, Christian Jean-Mairet i Soler5,7,
Catalina Vicens Caldentey6,7, Joan Llobera Canaves1,7
1
Primary Care Research Unit, Mallorca, Balearic Public Health Service, 2Instituto de Investigación
Biomédica de Girona Dr. Josep Trueta, 3Santa Ponça Primary Healthcare Center, Balearic Public
Health Service, Mallorca, 4Manacor Primary Healthcare Center, Balearic Public Health Service,
Mallorca, 5Es Banyer Primary Healthcare Center, Balearic Public Health Service, Mallorca,
6
Son Serra-La Vileta Primary Healthcare Center, Balearic Public Health Service, Mallorca,
7
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS)
Background
Screening for unmet social needs in primary care might give vital information for patient-centred care.
Several theories (such as behavioural, psychological and social support) are utilised to examine the
relationship between non-communicable chronic diseases and financial strains (FS).
Objectives
The study’s aims were to: (1) assess and compare the characteristics of a sample of adults from
the general population who declared having FS with those who did not (no-FS); and (2) examine the
relationship between FS and lifestyle behaviours, mental health outcomes and social support.
Methods
Cross-sectional study from DESVELA cohort.
Setting
Primary healthcare (four centres).
Population
Adults aged 35–65 years with health coverage in the Balearic Islands.
Measurements
Sociodemographic, education level, monthly income (€), FS, material deprivation, lifestyles (tobacco,
adherence to Mediterranean diet [PREDIMED], physical activity [IPAQ]), self-rated perceived health
(SRPH), BMI, at least one comorbidity, social support (Duke-11), anxiety (GAD-7), depression (PHQ-9)
and quality of sleep (PSQI).
Statistical analysis
Descriptive, chi-squared, t-test.
Results
A total of 364 participants; mean age 48.5 ± 8.1 years; men 50.4%. Declaring FS: 25.1% (91/362)
vs no-FS 74.9% (271/362); secondary education level: 26.3% FS vs 73.7% no-FS, P0.00; income
1.001-2000€: 50.6% FS vs 49.4% no-FS, P0.00; material deprivation: FS 89.2% vs 10.8%, P0.00;
regular SRPH 44.6% FS vs 55.4% no-FS, P0.00; active smokers, 35.2% vs 64.8% no-FS, P0.03;
high adherence to Mediterranean diet 16.0% FS vs 84.0% no-FS, P0.01; high-level physical activity
FS 23.6% vs 76.4%, P0.80; BMI: mean difference 1.6 ± 0.7, P0.02; having one comorbidity 28.7% vs
71.3%, P0.02; perceived social support: mean difference 4.9 ± 1.0, P0.00; severe anxiety levels FS
50.0% vs 50.0%, P0.00; moderately-severe depression 66.7% FS vs 33.3%, P0.00; good quality of
sleep 11.4FS vs 88.6% no-FS, P0.00.
Conclusion
There is a clear association between perceiving FS and psychological wellbeing, as well as certain
lifestyle choices, such as smoking or following the Mediterranean diet.
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