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PubMedDate not supplied

[The influence of socio-economic conditions in renal posttransplant infection].

Two hundred and four patients who underwent renal transplantation were followed up as outpatients with a minimum of four years. They were divided into two socio-economic levels: group I - 104 patients who underwent transplantation in a private hospital and 120 patients (group II) with a lower socio-economic standard, treated in a public hospital. In both groups urinary infections and hepatitis were excluded. The incidence of infection in group I was 24% and in group II, 50% (p = 0.0002). There was no difference in relation to viral infection in either groups. However, bacterial infection and infection by opportunistic agents were significantly higher in group II (p = 0.0001 and p = 0.0282). The number of hospitalizations and the number of infections of patients were higher in group II. There was a tendency for an increase in mortality owing to infection in group II. There was no difference in the two groups as the parameters of: age, sex, type of donor, primary disease, number of rejections crises, level of serum creatinine and number of patients with ciclosporine. On the other hand, the dose of azathioprine and prednisone was mildly higher in those patients of group II. Low level of socio-economic conditions is a risk factor in renal transplant patients.

Brazil↗
PubMed1998

Nutritional status and socio-economic conditions as prognostic factors in the outcome of therapy in childhood acute lymphoblastic leukemia.

The majority of children on earth are to be found in the developing world, many of them malnourished members of impoverished families. Thus, the effects of socio-economic status (SES) on the therapeutic response of children with cancer are obviously relevant. The outcome of treatment in patients with the commonest form of cancer in childhood (acute lymphoblastic leukemia, ALL) is clearly related to their SES. Studies conducted mainly in developing countries have shown malnutrition to be an important prognostic factor in such children. However, other socio-economic conditions could affect the outcome of therapy in patients with ALL: access to communications, transportation, laboratory studies and therapy. Even in children with an "adequate" SES, malnutrition is still an adverse prognostic factor. Nutritional supplementation appears to be a valuable addition to chemotherapy in undernourished children with ALL. The choice of treatment for these children should accommodate the cultural, economic and nutritional status of the patients and their families. Protocols must be created for testing methods of nutritional intervention and their influence on pharmacology, drug tolerance and survival in ALL. The influences of poverty and illiteracy on compliance with treatment, especially oral medication, need to be evaluated. Such investigations are essential to improve results of treatment of socio-economically disadvantaged children suffering from ALL and other forms of cancer.

Child↗
PubMed1996

Infant feeding practices, socio-economic conditions and diarrhoeal disease in a traditional area of urban Ilorin, Nigeria.

A cross-sectional study involving 771 children under the age of one year, was carried out in a traditional area of urban Ilorin, Nigeria, to determine how socio-economic conditions and feeding practices relate to diarrhoeal disease among infants. After adjustment has been made (through logistic regression) for covariates, five factors had significant association with diarrhoeal disease. These are the age of the child, parity, mother's education, availability of household kitchen and the feeding of semi-solid food to the infants. The lowest diarrhoeal rate occurred in infants aged 0-3 months while the highest rate occurred among infants seven to nine months old (Odds Ratio = 4.2). Children who were of the fifth or higher birth order had significantly higher risk of diarrhoea when compared with those who were of the first or second birth order (OR = 1.62; P < 0.05). Children of mothers with secondary education had significantly higher risk of diarrhoea compared with children of illiterates (OR = 1.9; P < 0.05). Households that had no kitchen had significantly higher risk of infantile diarrhoea than households with kitchen facilities (P < 0.01). Finally, infants receiving semi-solid food had higher risk of diarrhoea compared to those children not receiving semi-solid food (P < 0.05). Diarrhoeal disease awareness campaign to educate mothers on the dangers of childhood diarrhoea and how to prevent it, through proper hygiene, especially, food hygiene, is advocated.

Cross-Sectional Studies↗
PubMed2004

Playboy Playmate curves: changes in facial and body feature preferences across social and economic conditions.

Past research has investigated ideals of beauty and how these ideals have changed across time. In the current study, facial and body characteristics of Playboy Playmates of the Year from 1960-2000 were identified and investigated to explore their relationships with U.S. social and economic factors. Playmate of the Year age, body feature measures, and facial feature measurements were correlated with a general measure of social and economic hard times. Consistent with Environmental Security Hypothesis predictions, when social and economic conditions were difficult, older, heavier, taller Playboy Playmates of the Year with larger waists, smaller eyes, larger waist-to-hip ratios, smaller bust-to-waist ratios, and smaller body mass index values were selected. These results suggest that environmental security may influence perceptions and preferences for women with certain body and facial features.

Adolescent↗
PubMed1995

Economic conditions and alcohol problems.

This study investigates the relationship between macroeconomic conditions and two alcohol-related outcomes--liquor consumption and highway vehicle fatalities. Fixed-effect models are estimated for the 48 contiguous states over the 1975-1988 time period. Alcohol consumption and traffic deaths vary procyclically, with a major portion of the effect of economic downturns attributed to reductions in incomes, rather than employment. The intake of hard liquor is the most sensitive to the state of the macroeconomy. There is no evidence, however, that fluctuations in economic conditions have a disproportionate impact on the drunk-driving of young adults.

Accidents, Traffic↗
PubMed1994

Social and economic conditions in two newly reclaimed areas in Egypt: implications for schistosomiasis control strategies.

Reclamation of land from the desert is currently taking place in all parts of Egypt. A side-effect of many of these projects has been the introduction of schistosome parasites and their snail intermediate hosts, sometimes among Bedouin population with no previous exposure to the disease. The purpose of the present study was to describe social, environmental and economic conditions which can affect the transmission and control of schistosomiasis in reclaimed areas, and to investigate how residents of these areas view local conditions. Two areas were found to have high rates of internal and external migration, many different social groups with widely divergent priorities and minimal contact with each other, and inadequate infrastructure in terms of roads, transport, water and sanitation and health services. As a result of these conditions, control strategies which are effective for the population living in the Nile Valley will have to be modified considerably if schistosomiasis is to be brought under control in reclaimed areas.

Adolescent↗
PubMed2000

Reductions in ethanol, phencyclidine, and food-maintained behavior by naltrexone pretreatment in monkeys is enhanced by open economic conditions.

RATIONALE: Previous results suggested that naltrexone had opioid-selective effects on behavior reinforced by orally delivered drugs and food. The present study explores the possibility that previous results were due to presentation of the reinforcers in a closed economy (all reinforcers earned by subjects) and that naltrexone's effect may be nonselective under conditions of an open economy (earned reinforcers supplemented by unearned). OBJECTIVES: The purpose of this experiment was to compare the effect of naltrexone on ethanol-, phencyclidine-(PCP), and food-reinforced responding under several open-economy conditions and compare them with those from a previous report using a closed economy. METHODS: Ethanol (8% w/v), PCP (0.25 mg/ml), and food were available under independent, concurrent, progressive-ratio (PR) schedules with water, and side positions were alternated daily. Three naltrexone doses (0.1, 0.3, and 1.0 mg/kg) were administered in a nonsystematic order for 5 days, with the 5-day pretreatment period serving as a control. Four economic conditions were compared: data for the closed economy were taken from a recently completed experiment using the same monkeys. The open-economy condition was varied by allowing free access to 1, 2 or 3 times the amount of drug or food that was earned during session later during a postsession time-out period. RESULTS: In an open economy, naltrexone nonselectively suppressed ethanol, PCP, and food-maintained behavior, in contrast to results in the previous study which used a closed economy, wherein naltrexone did not significantly suppress food- or PCP self-administration. As the economy for PCP, ethanol, and food became more open, the suppressant effects of naltrexone increased and, in many animals, behavioral measures decreased to zero. CONCLUSION: These results indicated that the economy under which drugs and food are self-administered is an important determinant of the effectiveness of naltrexone's ability to suppress drug- and food-reinforced behavior. The results also suggest that testing medications for drug abuse using a food control condition under a closed economy can bias the results toward a conclusion of selectivity of the treatment medication for drug-reinforced behavior.

Animals↗
PubMed2003

[Health and socio-economic condition of certified Minamata disease patients, 1999].

OBJECTIVES: To clarify the needs and to consider establishing a social support system for patients with Minamata disease (MD), or methylmercury poisoning, by investigating their health and socioeconomic conditions. METHODS: The total number of people certified as having MD in May 1999 by the Kumamoto and Kagoshima Prefecture Government Committees on MD was 2265. We sent two questionnaires to 917 individuals who were surviving at that time, which corresponded to 40.5% of the total number of MD patients. The first survey sought information on the individual's health-seeking behavior, and the second survey was about their socio-economic conditions and requirements for welfare and medical care in the future. RESULTS: The average age among male patients was 68.0 +/- 13.2 yrs (n = 477) and that among female patients was 71.2 +/- 13.0 yrs (n = 440). The response rates were 45.7% (n = 416) for the first questionnaire and 38.6% (n = 354) for the second questionnaire. Among the MD patients, 71.7% judged their health condition to be 'bad' or 'very bad', and 97.4% received medical treatments that included acupuncture or moxacautery and massage. Regarding the activity of daily living (ADL), which includes 'communicating', 'walking', 'eating', 'use of toilet', 'dressing' and 'taking a bath', the rates of 'independent' were relatively low among those under 49 yrs and those over 75 yrs compared with the other age groups. Many individuals emphasized that they had anxiety about their health and health care in the future. CONCLUSION: We concluded that the quality of life (QOL) of MD patients was low. It is important to consider developing a social support system for MD patients.

Activities of Daily Living↗
PubMedDate not supplied

The effects of economic conditions and access to reproductive health services on state abortion rates and birthrates.

The effects that such factors as wages, welfare policies and access to physicians, family planning clinics and abortion providers have on abortion rates and birthrates are examined in analyses based on 1978-1988 state-level data and longitudinal regression techniques. The incidence of abortion is found to be lower in states where access to providers is reduced and state policies are restrictive. Calculations indicate that decreased access may have accounted for about one-quarter of the 5% decline in abortion rates between 1988 and 1992. In addition, birthrates are elevated where the costs of contraception are higher because access to obstetrician-gynecologists and family planning services is reduced. Economic resources such as higher wages for men and women and generous welfare benefits are significantly and consistently related to increased birthrates; however, even a 10% cut in public assistance benefits would result in only one birth fewer for every 212 women on welfare. Economic factors showed no consistent relationship with abortion rates.

Abortion, Legal↗
PubMed1975

An epidemiological study of child health and nutrition in a northern Swedish county. VII. A comparative study of general and dental health, food habits and socio-economic conditions in 4-year-old children.

A study of the general and dental health and the food habits of randomly selected 4-year-old Swedish urban children was performed. The results were compared with the findings of an investigation carried out four years earlier in the same area. In comparison with the earlier study no significant differences were found in haemoglobin values, packed red cell volume, microsedimentation rate and anthropometric measurements. The food habits had altered. A reduction in the frequency of between-meal consumption, particularly of sweets and soft drinks, as well as a reduction of the frequency of meat, fish and egg consumption was found. The children had an increased sandwich and milk consumption. The caries frequency was markedly reduced, which might be explained by the decreased between-meal consumption and an increased consumption of fluoride tablets. The food habits and the caries situation were generally influenced by the parents' socio-economic conditions, especially their educational level.

Anthropometry↗
PubMedDate not supplied

Social and economic conditions at Tari.

A social and economic survey was conducted in 1984 to assess the impact of development at Tari and to supplement the demographic data being collected by the Tari Research Unit. Of 1604 adults aged 17 years and over selected from the demographic database, 1389 were interviewed and information was collected on the remainder from informants. The survey reveals an uneven pattern of change, with men living close to the town most advantaged in terms of education, employment, diet and possessions, and women in remote areas the least advantaged. There was, however, some evidence that peripheral parts of Tari were catching up with those in the centre. Observations since 1984, and some data collected in 1998, suggest that law and order problems and the decline in government services have led to a stagnation in social progress at Tari. This is despite considerable expansion of the district economy due to payments and remittances from resource projects operating in and around Tari. Women's educational status has nonetheless improved to some extent. Better governance and the restoration of services are required if the socioeconomic status of Tari people is to improve.

Adolescent↗