Factors leading to the under utilisation of health care services need to be further studied and needs in certain groups in the population should be addressed. Healthcare providers must be prepared to fulfil these needs.

Introduction: Mental disorders are emerging as serious health threats in both developed and developing nations and contribute to greater Disability Adjusted Life Years (DALY) than infectious disease and unintentional injuries. This study aims to determine the prevalence and factors associated with the presence of common mental disorders in the Malaysian population. Methods: Multistage cluster sampling method was used to obtain samples, with racial proportion as the main sampling criteria. Required sample size was calculated to be 4300 at 90% confidence level. Trained enumerators carried out the interview, with the Clinical Interview Scheduled-Revised (CIS-R). Results: A total of 3666 respondents were interviewed (85% response rate). The one-week prevalence of Common Mental Disorders was 5.3% (95% CI of 4.57-6.03%). Findings from multivariate logistic regression analysis showed that associated factors were female gender (adjusted OR = 1.91, P < 0.01), being divorced (adjusted OR = 3.95, P < 0.05), difficulties at workplaces (adjusted OR = 3.58, P < 0.01) experiencing life events, such as divorce/marital separation (adjusted OR = 2.58,P < 0.01), unsolvable financial problems (adjusted OR = 3.87, P < 0.01), and serious problems with friends and neighbours (adjusted OR = 4.35, P < 0.01) in the year prior to data collection. Chinese ethnicity was least likely to be associated with CMD (adjusted OR = 0.27). Discussion: There is a 5% prevalence of Common Mental Disorders in the Malaysian population. Socio-demographic factors and experience of certain life events, particularly divorce, problems with neighbours and friends and severe financial problems in the previous year were found to be significantly associated with the prevalence of common mental disorders.bs_bs_banner Offi cial journal of the Pacifi c Rim College of Psychiatrists

One year after the declaration of the COVID-19 pandemic by the World Health Organization (WHO) and despite the implementation of mandatory physical barriers and social distancing, humanity remains challenged by a long-lasting and devastating public health crisis. Non-pharmacological interventions (NPI) are efficient mitigation strategies. The success of these intense NPI is dependent on the approval and commitment of the population. The launch of a mass vaccination program in many countries in late December 2020 with mRNA vaccines, adenovirus-based vaccines, and inactivated virus vaccines has generated hope for the end of the pandemic. Current issues: The continuous appearance of new pathogenic viral strains and the ability of vaccines to prevent infection and transmission raise important concerns as we try to achieve community immunity against SARS-CoV-2 and its variants. The need of a second and even third generation of vaccines and the possibility of potentially harmful side-effects of the vaccines (i.e. venous thromboembolism ) have already been acknowledged. Perspectives: There is a critical and urgent need for a balanced and integrated strategy for the management of the COVID-19 outbreaks organized on three axes: (1) Prevention of the SARS-CoV-2 infection, (2) Detection and early diagnosis of patients at risk of disease worsening, and (3) Anticipation of medical care (PDA). Conclusion: The “PDA strategy” integrated into state policy for the support and expansion of health systems and introduction of digital organization (i.e. telemedicine, artificial intelligence and machine learning technology) is of major importance for the preservation of citizens’ health and life world-wide.

Progenies of fathers under 20 and over 50 had higher risk for mental disorders. Factors such as immaturity in sperm of teenage fathers, mutation in germ line of older fathers, environmental and psychosocial factors could have contributed to increased prevalence of common mental disorders in the progeny.

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