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PubMed2005

Social environment factors associated with suicide attempt among low-income African Americans: the protective role of family relationships and social support.

BACKGROUND: Suicide and suicide attempts are important public health concerns, and recent decades have witnessed a rising rate of suicide among African Americans. A history of prior attempts is a leading risk factor for completed suicide. Further research is needed into the social environment risk factors for suicide attempt among African Americans. This study focused on two important dimensions of the social environment, family relationships and social support, as well as an important person-level risk factor--depressive symptoms. METHOD: Data were obtained from a case-control study of 200 African American men and women aged 18-64 years, who sought services at a large, urban, public hospital. Odds ratios adjusted for significant sociodemographic differences between groups (aORs) were calculated for environment risk factors for suicide attempt among the cases and controls. The role of depressive symptoms was also studied. RESULTS: Lower levels of family adaptability and family cohesion increased the relative rate of suicide attempt in the sample. The aOR associated with the lowest quartile of family adaptability was 3.90, and the aORs associated with the first and second quartiles of family cohesion were 8.91 and 5.51, respectively. Lower levels of social embeddedness and social support increased the relative rate of suicide attempt in our sample. The aOR associated with the first and second quartiles of social embeddedness were 5.67 and 4.93, respectively, and the aOR associated with the lowest quartile of social support was 6.29. A mediating role of depression was discovered when depressive symptoms were entered into the logistic regression models. CONCLUSIONS: Our findings indicate that social environment factors including deficits in family functioning and social support are associated strongly with suicide attempts among low-income African American men and women seeking treatment in a large, urban hospital. Thus, better family functioning and social supports can be considered protective factors in this population. The presence of depressive symptoms, a well-known risk factor for suicide attempts and suicide, appears to mediate the association between social environment factors and suicide attempt.

Adolescent↗
PubMed2004

DEET mosquito repellent sold through social marketing provides personal protection against malaria in an area of all-night mosquito biting and partial coverage of insecticide-treated nets: a case-control study of effectiveness.

DEET (diethyl-3-methylbenzamide), the widely used mosquito repellent, has the potential to prevent malarial infection but hitherto there has been no study demonstrating this possibility during normal everyday use. Mosbar, a repellent soap containing DEET, was promoted through social marketing in villages in eastern Afghanistan. This was followed up with a case-control study of effectiveness against malarial infection conducted through local clinics. Mosbar was purchased by 43% of households. Reported use of insecticide-treated nets (ITNs) was 65% among the control group. There was a strong association between Mosbar use and ITN use, as 81% of Mosbar users also possessed ITN. The use of Mosbar was associated with a 45% reduction in the odds of malaria (95% CI: -11% to 72%, P=0.08) after adjusting for ITN and other unmatched factors. Ownership of ITNs was associated with a 46% reduction in the odds of malaria (95% CI: 12% to 67%, P=0.013) after adjusting for Mosbar and other unmatched factors. The greatest reduction in the odds of malaria was associated with combined use of Mosbar and ITN (69% reduction, 95% CI: 28% to 87%, P=0.007). The association between recalled use of Mosbar 10 days ago (nearer the time of infection) and reduction in malarial infections (adjusted odds ratio 0.08, 95% CI: 0.01-0.61, P=0.001) was significantly stronger than that shown by current use of Mosbar. Most purchasers of Mosbar were satisfied with the product (74%), although a minority said they preferred to use only ITN (8%). The local mosquito vectors, Anopheles stephensi and A. nigerrimus, started biting shortly after dusk and continued biting until early morning. It was shown that Mosbar prevented biting throughout this period. In regions where mosquito vectors bite during evening and night, repellents could have a useful supplementary role to ITN and their use should be more widely encouraged.

Adolescent↗
PubMed2001

Does social support buffer functional decline in elderly patients with unipolar depression?

OBJECTIVE: This study tested whether social support protects against functional decline, either generally or selectively, in the most severely depressed elderly patients undergoing treatment for major depressive disorder. METHOD: In a prospective cohort study design, 113 patients with incident and prevalent unipolar depression were followed for 12 months while they were undergoing naturalistic treatment. Outcome measures included performance on basic and instrumental activities of daily living; predictor variables included Hamilton Depression Rating Scale scores and four domains of informal social support. The analysis employed multivariable ordinary least squares regression models. RESULTS: Improved scores on instrumental activities of daily living and stable scores on basic activities of daily living characterized the subjects. In adjusted analyses, instrumental social support provided marginal protection against worsening performance on instrumental activities of daily living, which were primarily a function of baseline depression severity. Large social networks, more frequent social interaction, and the perceived adequacy of social support played a modest buffering role against declines in performance on basic activities of daily living among the most depressed elderly patients. CONCLUSIONS: Instrumental support was generally protective against worsening performance on instrumental abilities of daily living among elderly patients with recurrent unipolar depression. Subjective and structural dimensions of social support protected the most severely depressed elderly patients against the loss of basic maintenance abilities.

Activities of Daily Living↗
PubMed1988

Act No. 15.977 creating the National Institute of Minors to succeed the Children's Council and fixing its duties, 14 September 1988.

This Act creates in Uruguay the National Institute of Minors to succeed the Children's Council. The following are the duties of the Institute: 1) to assist and protect from conception to the age of majority minors morally or materially abandoned; 2) to carry out all those activities having the objective of preventing the material or moral abandonment and antisocial conduct of minors; 3) to contribute, in conjunction with other specialized organizations, to the protection of handicapped minors even when they have not been abandoned; 4) to cooperate with parents, guardians, and educators in bringing about the material, intellectual, and moral improvement of minors; 5) to control the working conditions of minors without infringing upon the competency of the Executive Power; 6) to execute security measures arranged by competent authorities to achieve the rehabilitation and education of transgressing minors; 7) to support the activities of private nonprofit institutions with legal capacity that pursue similar objectives. Further provisions of the Act set forth the resources, powers, and administration of the Institute, among other things. Decree No. 877/988 of 27 December 1988 provides that the Institute is related to the Executive Power by means of the Ministry of Education and Culture. See Diario Oficial de la Republica Oriental del Uruguay, Vol. 334, No. 22810, 17 February 1988, pp. 189A-190A.

Adolescent↗
PubMed2000

Protecting the human subjects of social science research--the role of institutional review boards.

Current and proposed reforms of the regulatory schema for protecting human subjects of research have focused attention on Institutional Review Board (IRB) responsibilities. Consensus on the need for strengthening the oversight of these boards is all but certain--with the exception of research in the social and behavioral sciences, where an argument for less oversight is being made. The thesis in this article is that respecting the salient features of research in the social and behavioral sciences will ameliorate the tensions leading to this demand and offer better protection to the subjects of social and behavior studies.

Behavioral Research↗
PubMed2006

Racializing narratives: obesity, diabetes and the "Aboriginal" thrifty genotype.

This post-colonial reading of narratives of obesity, diabetes, and the hypothesized "thrifty genotype" ascribed to Aboriginal peoples shows how scientific and popular texts support the belief in biological "race." Although the scientific consensus is that "race" is not a empirical category, many scientists use it without comment as a "crude proxy" for presumed genetic differences. The division between science and the social sciences/humanities protects such confusing practices from full scientific and social critique, something interdisciplinary research teams, science studies and improved peer review could provide.

American Indian or Alaska Native↗
PubMed1985

A moment in human development: legal protection, ethical standards and social policy on the selective non-treatment of handicapped neonates.

Selective non-treatment decisions involving severely handicapped neonates have recently come under renewed judicial and legislative scrutiny. In this Article, the Author examines the legal, ethical and social considerations attendant to the non-treatment decision. In Part II of this Article the Author discusses the predominant ethical viewpoints relating to this issue and proposes a new moral standard based on personal interests. Part III presents a survey of the jurisprudence relating to selective non-treatment decisions. Parts IV and V of this Article provide a critical examination of the recently enacted Child Abuse Amendments of 1984, a federal legislative initiative designed to regulate treatment decisions relating to handicapped infants. The Author suggests that the ethical standards and treatment criteria proposed in this Article may prove useful to courts seeking to balance the handicapped neonate's constitutional right to privacy with the requirements of the new federal law.

Abnormalities, Multiple↗
PubMed1997

[Medical and social aspects of the protection of working women's health].

The paper presents statistic data on the Russian females engaged in national economy and its individual industries, results of studies into the reproductive health of working women (their health during pregnancy and nonpregnancy, gynecological morbidity). It also gives data on the relationship of reproductive health with the factors of production.

Adult↗