Background: Several factors in the family profile contribute significantly to determining the effective policy when heading the family. This study aims to evaluate the sociodemographic and economic burdens on parents-headed families in Ramadi City, west of Iraq.
Methods: A prospective cross-sectional household-based survey was conducted from 1st to 28th February 2019 among Iraqi people residents in Ramadi city, Anbar province. A multistage sampling technique was recruited to identify the eligible sample. A semi-structured questionnaire was used to interview (face-to-face) the respondents. Data from 267 households have undergone univariate and bivariate analyses. Multiple logistic regression, odds ratio (OR), and confidence intervals (CIs) were estimated to explore the predicting variables. The statistically significant is considered at less than 0.05.
Results: The mean age of respondents was 43.88 (± 12.1) years (range: 25 to 69 years). Out of the total surveyed people, 52.8% were young (less than 44 years), male-headed families (59.6%), low educated level (65.5%), unemployed (52.4%), married (67.4%) and headed big families of seven members and above (43.1%). History of chronic diseases and smoking habits was positive among 46.4% and 45.7% of respondents, respectively. Findings of the binary logistic regressions showed that history of smoking (OR = 7.201, 95% CI: 3.254 to15.936), families of 7 members and above (OR = 6.239, 95% CI: 2.938 to 13.250), unhappy (OR = 5.237, 95% CI: 2.140 to 12.818), aged 44 years and above (OR = 3.518, 95% CI: 1.581 to 7.829), being single (unmarried, divorced, widow) (OR = 2.697, 95% CI: 1.230 to 5.914), and had a monthly income of less than USD400 (OR = 2.333, 95% CI: 1.112 to 4.859) are significantly associated with female-headed family.
Conclusion: Priority must be given to some elements such as genetic, physical differences, biopsychosocial factors, and the economic situation when discussing parents' behavior in heading the family.
- Yahyaa BT, Al-Samarrai MAM, Ali Jadoo SA. Prevalence and perception of women about consanguineous marriage in AL Ramadi City. Indian Journal of Public Health Research and Development 2019;10(4): 567-573.
- Ibrahim NM, Khalil NS, Tawfeeq RS. Assessment of malnutrition among the internally - displaced old age people in the Tikrit City, Iraq. Journal of Ideas in Health. 2019 May 27 [cited 2022 Jun. 18];2(1):65-9. Doi: 10.47108/jidhealth.vol2.iss1.15
- Ali Jadoo SA, Sarhan YT, Al-Samarrai MAM, Al-Taha MA, AL- Any BN, Soofi AK, Yahyaa BT, Al-Rawi RA. The impact of displacement on the social, economic and health situation on a sample of internally displaced families in Anbar Province, Iraq. Journal of Ideas in Health. 2019 May 8 [cited 2022 Jun. 15];2(1):56-9. Doi: 10.47108/jidhealth.vol2.iss1.16
- Al-Samarrai MAM, AL- Any BN, Al-Delaimy AK, Yahyaa BT, Ali Jadoo SA. Impact of internal displacement on psychosocial and health status of students residing in Anbar University, Iraq hostel. Journal of Ideas in Health. 2020 May 25 [cited 2022 Jun. 15];3(1):140-4. Doi: 10.47108/jidhealth.vol3.iss1.25
- Gender In Focus. UNDP Iraq, available at: www.iq.undp.org/content/dam/iraq/docs/Gender_final.pd [Accessed 17 June 2022].
- Hussain AM, Lafta RK. Burden of non-communicable diseases in Iraq after the 2003 war. Saudi Med J. 2019 Jan;40(1):72-78. doi: 10.15537/smj.2019.1.23463.
- World Health Organization. (2018). Non-communicable diseases country profiles 2018. World Health Organization. https://apps.who.int/iris/handle/10665/274512. License: CC BY-NC-SA 3.0 IGO, Iraq Profile, page109, Available online: file:///C:/Users/drsaa/Downloads/9789241514620-eng.pdf [Accessed on 18 June 2022].
- World health organization (who), non-communicable diseases: risk factors. available online: https://www.who.int/data/gho/data/themes/topics/topic-details/gho/ncd-risk-factors. [accessed on 18 June 2022].
- Ministry of Health of Iraq Chronic Non-Communicable Diseases Risk Factors Survey in Iraq, 2006. Available online: http://www.who.int/chp/steps/IraqSTEPSReport2006.pdf [accessed on 18 June 2022].
- Pengpid S, Peltzer K. Overweight and Obesity among Adults in Iraq: Prevalence and Correlates from a National Survey in 2015. Int J Environ Res Public Health. 2021 Apr 15;18(8):4198. doi: 10.3390/ijerph18084198.
- NCD Risk Factor Collaboration (NCD-RisC) Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants. Lancet. 2016; 387:1377–1396. doi: 10.1016/S0140-6736(16)30054-X.
- The World Bank, Prevalence of current tobacco use (% of adults) – Iraq. Available from: https://data.worldbank.org/indicator/SH.PRV.SMOK?locations=IQ [Accessed on 18 June 2022].
- Hussain Z, Sullivan R. Tobacco in post-conflict settings: the case of Iraq. Ecancermedicalscience. 2017 Apr 28; 11:735. doi: 10.3332/ecancer.2017.735. PMID: 28596801; PMCID: PMC5440183.
- Raosoft, sample size calculator. Available from: http://www.raosoft.com/samplesize.html?nosurvey [Accessed on 06 June 2021].
- YOURDICTIONARY, Head-of-household definition. Available from: https://www.yourdictionary.com/head-of-household [Accessed on 7 June 2022].
- Center for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), About Chronic Diseases. Available from: https://www.cdc.gov/chronicdisease/about/index.htm [accessed on 7 June 2022].
- United Nations Office for Coordination and Humanitarian Affairs (OCHA), Inter-Agency Information and Analysis Unit (IAU), Iraqi Women: Figures & Facts. Available from: file:///C:/Users/drsaa/Downloads/9FF462D0A9FBFA07492575730052330C-Full_Report.pdf [Accessed on 22 June 2022]
- MOPDC-CSO (Central Statistical Organization), 2010. Iraq the results of Buildings, Dwellings and Establishment Census and Households Listing within the Project of Population and Housing Census (PHC 2010) Iraq.
- Lichter DT, McLaughlin DK, Ribar DC. Welfare and the Rise in Female Headed Families. American Journal of Sociology1997; 103(1): 112-143. DOI: 10.1086/231173.
- Working and living arrangement of single mother households and social support in Mexico City. Summer research report. Austin, TX: Center for Latin America social policy, University of Texas at Austin; 2006.
- World Health Organization, Europe, Risk factors of ill health among older people. Available from: https://www.who.int/europe/news-room/fact-sheets/item/risk-factors-of-ill-health-among-older-people [accessed on 8 June 2022].
- ICRC (International Committee of the Red Crescent), Gorilla's Guides, 2011. Iraq: Women struggle to make ends meet. Available from: http://www.icrc.org/eng/assets/files/2011/iraq-update-01-02-2011-icrc-eng.pdf. [Accessed on 22 June 2022].
- Shlash A, Abdul Hameed S, Sweadan A. 1998. Impact of poverty on women-headed families: A field study. A study carried out by The Continuous Human Developmental Net in Iraq, with the cooperation of the ESCWA and the UNDP.
- Ali Jadoo SA, Yaseen SM, Al-Samarrai MAM, Mahmood AS. Patient satisfaction in outpatient medical care: the case of Iraq. Journal of Ideas in Health. 2020 Aug. 26 [cited 2022 Jun. 8];3(2):176-82. Doi: 10.47108/jidhealth.vol3.iss2.44.
- Kaasbøll J, Skokauskas N, Lydersen S, Sund AM. Parental Chronic Illness, Internalizing Problems in Young Adulthood and the Mediating Role of Adolescent Attachment to Parents: A Prospective Cohort Study. Front Psychiatry. 2021 Dec 31; 12:807563. doi: 10.3389/fpsyt.2021.807563.
- Sieh DS, Meijer AM, Oort FJ, Visser-Meily JMA, Leij DAV. Problem behavior in children of chronically Ill parents: a meta-analysis. Clin Child Fam Psychol Rev. (2010) 13:384–97. doi: 10.1007/s10567-010-0074-z.
- Chen CY-C. Effects of parental chronic illness on children's psychosocial and educational functioning: a literature review. Contemp School Psychol. (2017) 21:166–76. doi: 10.1007/s40688-016-0109-7.
- Pakenham KI, Cox S. The effects of parental illness and other ill family members on the adjustment of children. Ann Behav Med. (2014) 48:424–37. doi: 10.1007/s12160-014-9622-y.
- Bell MF, Bayliss DM, Glauert R, Ohan JL. Developmental vulnerabilities in children of chronically ill parents: a population-based linked data study. J Epidemiol Commun Health. (2019) 73:393. doi: 10.1136/jech-2018-210992
- Amato PR, Kane JB, James S. Reconsidering the “good divorce”. Fam Relat. 2011;60(5):511–24.
- Wade TJ, Veldhuizen S, Cairney J. Prevalence of psychiatric disorder in lone fathers and mothers: examining the intersection of gender and family structure on mental health. Can J Psychiatry. 2011 Sep;56(9):567-73. doi: 10.1177/070674371105600908.
- Barrett AE, Turner RJ. Family structure and mental health: the mediating effects of socioeconomic status, family process, and social stress. J Health Soc Behav. 2005 Jun;46(2):156-69. doi: 10.1177/002214650504600203.