Salivary cortisol, perceived stress and coping strategies: A comparative study of working and nonworking women.

Autor:	Bani-Issa W; Department of Nursing, College of Health Sciences, Research Institute of Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates., Radwan H; College of Health Sciences, Department of Clinical Nutrition and Dietetics, Research Institute of Medical and Health Sciences Research, University of Sharjah, Sharjah, United Arab Emirates., Al Shujairi A; Medical Affair Department, GSK Gulf, Dubai, United Arab Emirates., Hijazi H; Department of Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates.; Department of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan., Al Abdi RM; Department of Biomedical Engineering, Faculty of Engineering, Jordan University of Science and Technology, Irbid, Jordan., Al Awar S; Department of Obstetrics and Gynaecology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates., Saqan R; Research Institute of Medical and Health Sciences, University of Sharjah, Sharjah, United Arab Emirates., Alameddine M; Department of Health Services Administration, University of Sharjah, Sharjah, United Arab Emirates., Ibrahim A; Marketing Department, American University in the Emirates, United Arab Emirates.; Marketing Department, Griffith University, Brisbane, Australia., Rahman HA; PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei.; University of Michigan School of Nursing, Ann Arbor, Michigan, USA., Naing L; PAPRSB Institute of Health Sciences, Universiti Brunei Darussalam, Bandar Seri Begawan, Brunei.
Jazyk:	angličtina
Zdroj:	Journal of nursing management [J Nurs Manag] 2022 Oct; Vol. 30 (7), pp. 3553-3567. Date of Electronic Publication: 2022 Jun 27.
DOI:	10.1111/jonm.13697
Abstrakt:	Aims: This study investigated stress levels and coping strategies among working and nonworking women in the United Arab Emirates. Background: Stress levels in working and nonworking women have previously been studied, but few studies used cortisol to measure stress or examined how coping strategies affect stress levels. Methods: We employed a cross-sectional design with a convenience sample of women aged 20-65 years. Information on women's sociodemographic characteristics, perceived stress (using the Perceived Stress Scale) and coping strategies (using the Brief-COPE) was collected. Participants' morning (07:00-08:00) and evening (19:00-20:00) cortisol levels were measured using unstimulated saliva samples. Results: In total, 417 working and 403 nonworking women participated in this study. More nonworking women reported high stress levels than working women (14.1% vs. 4.1%, p = .001). Working women reported more use of informational support and venting to cope with stress compared with nonworking women (94.0% vs. 88.1%, p = .001). More nonworking women had impaired morning (<0.094 mg/dl) and evening (>0.359 mg/dl) cortisol compared with working women (58.1% vs. 28.5% and 41.7% vs. 18.0%, respectively). Compared with working women, nonworking women had 3.25 (95%CI: 2.38, 4.47) and 3.78 (95%CI: 2.65, 5.43) times the odds of impaired morning and evening cortisol, respectively. Conclusion: Nonworking women exhibited higher levels of stress than working women. There is an urgent need to support nonworking women to manage stress through appropriate awareness campaigns and public health policies. Implications for Management: Policymakers and community leaders should consider the mental health of nonworking women as a priority in planning public health policies and programmes. Nurse managers must have a voice in reforming public health policy to support early assessment and management of stress among nonworking women. (© 2022 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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