Edwin Devon Du Plessis

This article examines the risk factors for hypertension among migrants in South Africa, a critical public health concern. We explore the connection between acculturation, lifestyle changes, obesity, diet, urbanization, and socioeconomic status in contributing to hypertension risk. Our analysis highlights the unique challenges faced by African migrants, including acculturative stress, limited healthcare access, and lifestyle changes. The findings have significant implications for health promotion, disease prevention, and policy development. We emphasize the need for targeted interventions and updated immigration policies prioritizing hypertension awareness, screening, and management among African migrant populations.

This chapter examines the risk factors for hypertension among migrants in South Africa, a critical public health concern. We explore the connection between acculturation, lifestyle changes, obesity, diet, urbanization, and socioeconomic status in contributing to hypertension risk. Our analysis highlights the unique challenges faced by African migrants, including acculturative stress, limited healthcare access, and lifestyle changes. The findings have significant implications for health promotion, disease prevention, and policy development. We emphasize the need for targeted interventions and updated immigration policies prioritizing hypertension awareness, screening, and management among migrant populations.

Background: The coronavirus disease 2019 (COVID-19) pandemic has placed the psychological functioning of mental healthcare practitioners under severe strain. Coping methods may affect mental health outcomes.Aim: The study examined the relationship between depression, anxiety, stress, and coping styles utilised by mental healthcare practitioners during the COVID-19 pandemic.Setting: Three private and one public mental healthcare facility in Bloemfontein, South Africa.Methods: Respondents completed the Depression, Anxiety and Stress Scale (DASS-21) and Brief Coping Orientation to Problems Experienced (Brief-COPE) inventories. An ordinal regression model was used to assess the relationship between coping styles, anxiety and depression.Results: A total of 212 practitioners were included in the analysis. According to DASS-21 measures, approximately 41% and 28% of respondents had moderate to severe depressive and anxiety symptoms, respectively, with the highest prevalence among younger female respondents and nurses. The association between stress severity, anxiety and depression was significant. Avoidant coping methods and two approach coping strategies (planning and acceptance) were associated with depression and anxiety. Anxiety was linked to an increased likelihood of transitioning to higher avoidant categories, while participants with depression were less likely to move to higher avoidant or approach categories.Conclusion: Mental healthcare practitioners, especially nurses, experienced significant COVID-19-related psychological distress during the pandemic. Avoidant coping mechanisms may increase the risk of poor mental health outcomes.Contribution: This study added data on the mental health effects of COVID-19 on mental healthcare practitioners, as well as psychological methods used to cope during the pandemic.

Background: Society invests huge financial resources in training medical students. However, the academic and personal demands placed on these students can be taxing and may be detrimental to students’ quality of life leading to high levels of burnout and academic dropout rates.Aim: To determine the association between the levels of burnout and quality of life among fourth-year medical students at the University of the Free State (UFS).Setting: School of Medicine, UFS, Bloemfontein.Methods: All fourth-year medical students in their first semester of the clinical phase were included. Data were collected using anonymous self-report measures. The Maslach Burnout Inventory (MBI) measured the levels of burnout according to three subscales (emotional exhaustion, depersonalisation and personal achievement), and the World Health Organization Quality of Life Assessment (WHOQOL-BREF) measured the quality of life.Results: Of the 121 enrolled fourth-year medical students, 91 (75.2%) completed the questionnaires. The MBI personal achievement subscale had the highest number of participants (n = 53; 58.2%) with high levels of reported burnout. Significant associations were found between the psychological health subscale of the WHOQOL-BREF and all three subscales of the MBI, in particular emotional exhaustion.Conclusion: An association exists between the levels of burnout and quality of life among fourth-year medical students. This information could be of value to medical schools as they are in a position to implement interventions that promote students’ well-being.

Background: The crime rate in South Africa is extraordinarily high. The problem of crime is further complicated when a person, who suffers from a mental illness, becomes involved in a crime. Furthermore, the forensic evaluation of a person suspected of having a mental illness involved in alleged criminal behaviour can be challenging. However, a dearth of information exists in South African literature regarding the link between crime and mental illness.Aim: To determine the percentage of alleged offenders, referred to the Free State Psychiatric Complex (FSPC) for observation, found accountable and not accountable, and to compare the biographical, diagnosis and offence profiles of these two groups. The analysis of differences can contribute to a better understanding of the complex process of forensic assessments.Setting: Forensic Observation Ward, FSPC, Bloemfontein.Methods: In this comparative, retrospective study, all 505 trial-awaiting alleged offenders (observati) referred from 2009 to 2012 for a 30-day observation period, according to Sections 77 and/or 78 of the Criminal Procedures Act, were included. Results were summarised as frequencies and percentages, and means or percentiles. Significant differences between the groups were determined by sample t-tests or chi-squared tests.Results: Observati found not accountable were in the majority (64.5%). Significant differences were found regarding marital and employment status, substance abuse, type of offence and diagnoses between the two groups. Almost all of the observati found to be not accountable were diagnosed with mental illness at the time of the assessment, whereas most observati found to be accountable for their actions at the time of the alleged offence were not found to be mentally ill. Observati found not accountable were significantly more likely to be diagnosed with schizophrenia, intellectual disability and substance-induced psychotic disorder, and committed mostly assault, murder and vandalism. Observati found accountable committed mostly rape, murder and theft.Conclusion: The majority of observati were found not accountable, with significant differences found between the two groups regarding demographic characteristics, type of diagnosis and offences committed. The identified differences can be used to assist in establishing criteria for the appropriate referral of alleged offenders by courts. Unnecessary referrals have a serious financial impact on the Department of Health. Furthermore, the high incidence of substance abuse among persons referred to the FSPC highlights the need for more substance rehabilitation centres in the Free State Province.

The aim of this study was to determine the effects that perceived child-rearing practices have on the sexually intimate relationship satisfaction of a sample of 130 male (n=62) and female (n=68) fourth year South African university students. Participants completed the Parenting Bonding Instrument (Parker, Tupling, & Brown, 1979), Stevens Relationship Questionnaire (Stevens & Stevens, 1994) and the Sexual Knowledge Questionnaire (Louw, 2000) to measure perceived parent-child attachment, respondents' sexually intimate relationships and level of sex education. Hierarchical regression analysis was conducted to investigate the influence of perceived child rearing practices on sexually intimate relationship satisfaction. The results suggest that parent-child attachment explained a significant percentage of the variance in intimate relationship in young adulthood.