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Is a healthy lifestyle related to stress, parenting confidence, and health symptoms among new fathers?

A healthy lifestyle is widely recognized as important in preventing disease and disability. This study examined whether in the transition to fatherhood a healthy lifestyle was related to perceived stress, parenting confidence, and physical health symptoms. Survey data from 87 fathers were examined for relationships between lifestyle, measured by 6 subscales of the Health Promoting Lifestyle Profile (HPLP), and perceived stress, parenting confidence, and health symptoms. In general, a healthier lifestyle, especially HPLP self-actualization and stress-management subscales, was related to less perceived stress, more parenting confidence, and fewer health symptoms. Higher HPLP nutrition and exercise scores were related to fewer health symptoms; higher exercise and seeking-interpersonal-support scores were related to higher parenting confidence. Also, higher social desirability scores, a confounding influence, were related to less perceived stress. The authors conclude that health-promotion behaviours may be an important personal resource in maintaining health and promoting well-being among new fathers.

Adult↗

Tap power of the mind to improve outcomes for high-risk diabetics.

Patients with chronic diseases like diabetes need encouragement to follow through on behavior and lifestyle changes, and simple patient education and self-care management strategies will not work unless monitored routinely. That's the conclusion of professional endocrinologists who are signing contracts with their patients and challenging other providers to follow their plan of care.

Diabetes Mellitus, Type 1↗

Life course transitions of American children: parental cohabitation, marriage, and single motherhood.

We examine the life course transitions into and from families headed by unmarried cohabiting couples for a recent cohort of American children. Life table estimates, based on data from the National Longitudinal Survey of Youth mother-child files, indicate about one in four children will live in a family headed by a cohabiting couple sometime during childhood. Economic uncertainty is an important factor determining whether children in single-parent families subsequently share a residence with a mother's unmarried partner. Moreover, virtually all children in cohabiting-couple families will experience rapid subsequent changes in family status. Our estimates provide a point of departure for future work on children's exposure to parental cohabitation and its social and economic implications.

Adolescent↗

Home of the gray.

Generations: In 30 years, there will be almost 70 million retirees in America--more grandparents than grandchildren. The Senior Boom is coming, and it will transform our homes, our schools, our politics, our families, our lives and our deaths. And not just for the older people. For everybody.

Aged↗

A quiet migration: cultural influences impacting children adopted from the former Soviet Union.

When children immigrate to another culture, a variety of salient variables influence their adaptation. Among internationally adopted children, these variables include early history, changes in socioeconomic status, awareness of multiple issues impacting the child post-adoption, availability of social networks, and anti-immigration sentiments in the host culture. The change in socioeconomic status of children adopted from the former Soviet Union is a positive influence with the concomitant improvement in the child's nutrition and health care. Many internationally adopted children have spent time in institutional environments that constitute a culture in and of itself. The orphanages are microenvironments which may be closed to the influences of the larger culture. The environmental components of the orphanage transmit a collection of traits and values which, taken as a whole, constitute the orphanage culture. Adoptive parents must facilitate the children's adjustment to a new cultural milieu with different language, food, and customs. Further, children must adapt to the culture of the family, a culture that may have been previously unknown. Nurses can promote the adaptation of these families by increasing awareness of the multitude of issues that impact internationally adoptive families.

Acculturation↗

Elderly citizen's perception of their health and care provided in a rural South African community.

A descriptive survey of 201 senior citizens, 55 years or older was conducted June 2001, using face-to-face interviews to establish a database. Structured tools were used to measure self appraisal of family stress, perceived social support, caregiver satisfaction and psychological health of family members and of themselves. Even though the senior citizens had survived past the estimated life expectancy, the quality of life has not improved significantly in the post-apartheid period.

Aged↗

[Sense of coherence, style of coping and adaptation after hysterectomy].

AIM: This article is devoted to analysis of factors favourable for adaptation after hysterectomy procedure. The consequence of expressing the hysterectomy as a stress situation is laying a great emphasis on analysis of coping with yourself and the factors affecting this process. We suggest the model where the sense of coherence affect indirectly thought the styles of coping on the level of health. METHOD: Overall we examine 71 woman, 35 of them 10 days after the operation and 36 having this procedure 24-36 months earlier. The applied methods were: SOC-29, CISS, BDI, STAI and the Kuppermann Index. RESULTS: We obtain results that confirm significant impact of the sense of coherence and the style of coping to women's health. CONCLUSIONS: The results challenge proposed model as the only explanation. The sense of coherence influence the health not only thought the styles of coping. Discrepancies that were obtained thought the researches suggest the necessity of examining other possible relationships between those variables.

Adaptation, Psychological↗

History of body weight and physical activity of elderly women differing in current physical activity.

Development of overweight and physical activity during life was studied retrospectively in a group of physically active and a group of sedentary elderly women. The two groups of elderly women were selected based on a validated physical activity questionnaire. A previous study on their current dietary intake and nutritional status showed a 12 kg higher body weight in the sedentary group compared to the physically active group, whereas body height did not differ. In order to study the relationship between development of overweight and physical activity in these elderly women, a retrospective study was carried out in 45 subjects. Information about former physical activity was collected by means of a detailed structured interview. Information about body shape and fatness, expressed as 'weight index', was obtained using silhouettes and subjective rating of obesity of subjects compared with peers. Classification of obesity was checked by old photographs rated by interviewers, sizes of clothing and recalled body weight and height. Information was collected about the situation at age 12, 25, 40 and 55 years whereas the mean current age is 71. Weight index was statistically significantly different between the active and sedentary group from age 25 onwards (P less than 0.05). Photographs proved to be useful for a valid and objective categorization. No differences were found in physical activity scores between the groups at age 12, 25, 40 and 55 years. It is concluded that the current difference in body shape and fatness between physically active and inactive elderly women was already present at age 25 and persisted throughout their adult life.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗

[Patients' opinions about the reasons for their heart attacks in the context of their health belief models--a preliminary report].

The importance of psychological factors in Myocardial Infarction (MI) is well documented. The aim of the study was to define a relationship between the perception of the reasons for MI and real health activity of the sufferers, in order to prepare an adequate psychological intervention. 30 patients after acute MI hospitalized in the Cardiology Department were included to the study. They were questioned in directed interviews. The modified form of Shalit's Circle was used to infer the model of health activity. Perceived reasons for the heart attack (first in 67% cases) appeared as a manifold area, which was divided into eight categories: stressful situations and occurrences (66.67%), an individual's character (40%), lifestyle (36.67%), connected illnesses 36.67%), genetics (20%), age (13.33%), weather (10%), "spontaneous" heart attack (6.67%). The results indicated exterior attribution of MI (e.g. political and economic crisis, innate predisposition, loss of relatives). Similar tendency in the planning of changes after heart attack was observed. For instance 43.33% patients just said they planed to restrict or give up their previous sickness-promoting behaviour, 33.33% talked laconically about "the increase of caution" or "slowing down" and only 26.67% intended to undertake new forms of activity. These opinions illustrate the general model of health beliefs (in declarations and realization), which seems to be of very limited use (or even disadvantageous) with regard to the future. Moreover, the contemporary clinical conditions are conducive to such model. Modern medical methods of treatment reduce the time spent by patients in hospital, thereby reducing the hospitalization stress. On the other hand it limits or even eliminates the most important part of treatment--the "doctor-patient" relationship. Because of the limited number of subjects a further research is needed to combine the psychological intervention aimed at health behaviour change with the high standard of cardiology treatment those patients are being given now. The psychological program should tackle emotional and social costs of heart attack and strive to change patients' health belief system.

Adaptation, Psychological↗

Longitudinal changes in lifestyle behaviors and health status in colon cancer survivors.

Lifestyle changes in persons diagnosed with cancer are important because they may impact prognosis, co-morbidities, and survival. This report describes longitudinal changes in lifestyle behaviors and health status among colon cancer survivors (n = 278) and population-based controls (n = 459) in North Carolina (39% African American), and examines demographic and psychosocial correlates of healthy lifestyle changes following a colon cancer diagnosis. Data are from surveys of a population-based cohort of colon cancer patients on diagnosis (the North Carolina Colon Cancer Study, NCCCS) and approximately 2 years post-diagnosis [the North Carolina Strategies to Improve Diet, Exercise, and Screening Study (NC STRIDES)], and population-based controls. Both studies collected information on demographic/lifestyle characteristics and medical history. The NCCCS reflects pre-diagnosis or pre-interview patterns, whereas NC STRIDES queried on current practices. Between the NCCCS and NC STRIDES, colon cancer survivors reported significant increases in vegetable intake, physical activity, and supplement use (all P <0.01) and a non-statistically significant increase in fruit/juice consumption (0.1 serving), with larger fruit/vegetable changes in African Americans than Whites. Controls increased physical activity and supplement use and fewer reported arthritic symptoms (P < 0.05). Survivors who were older and female had an almost 3 times higher likelihood of having used at least one new dietary supplement post-diagnosis, whereas being retired correlated with increased vegetable intake, all P < 0.05. Having more barriers to increasing fruit/vegetable intake was inversely associated with taking a new supplement (P < 0.05 only in controls). Colon cancer survivors reported making significant improvements in multiple health-related behaviors. Health care providers should communicate with persons diagnosed with colon cancer to ensure that they are making healthy lifestyle changes.

Adenocarcinoma↗

Which life?

"Saving a life" is a credible definition of heroism in the United States. However, the pervasive societal impression of immediate gratification has led to a widespread recognition of "life saving" only in circumstances of immediate danger. The lengthening national life expectancy is not accorded respect as an accomplishment in and of itself. Families of dying, elderly persons still mistake the "loss" by failing to appreciate the many times this life has been saved and esteeming the accomplishment that death at a later age poses. Public health and preventive medicine both suffer general disregard for this shortsighted perspective, from the public and those who determine federal funding priorities. This narrative expounds on this frustration and describes its implication for the future of public health as it is currently practiced in this nation.

Aged↗