Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Intergenerational effect”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 559 records · Page 31Linked to original sources
PubMed2006

Parent suicide: pathways of effects into the third generation.

There is a slim, slowly emerging literature addressing the impact of parent suicide upon children. By contrast with some other potentially pathogenic contexts for children (e.g., physical abuse), there has been virtually no exploration of the effect of a parent's suicide upon his or her children's parenting, that is, the transmission into a third generation of the sequelae of the original parent suicide. Based primarily on clinical and preventive work with adult "children of suicide" and their families, this paper begins to map some of the paths, direct and transparent or subterranean and disguised, that such experiences take into further generations. Patterns described include massive indulgence, communication of dire expectations, vicissitudes of family secrets, life-blanching living down the shame, defensive barriers against depressive affects, as well as dread-filled avoidance of producing a third generation.

Adolescent↗
PubMed1996

Cross-cultural research on euthanasia and abortion.

Based on cross-cultural studies of euthanasia and abortion, we hypothesized that attitudes toward euthanasia and abortion were socioculturally determined. Using a 2 x 2 factorial design, we examined the effects of culture (America and China) and type of death (infanticide and geronticide). We found that students from the American culture were less likely to favor infanticide than those from the Chinese culture, and that students from the People's Republic of China believed infanticide to be more common and more prevalent than geronticide in Chinese society. Finally, we found that education, judgment of population density, and traditional family values were related to attitudes toward euthanasia, abortion, and female infanticide in the Chinese, but not in the American, culture.

Abortion, Induced↗
PubMed2006

Colice's story and the effects of generational loss.

In 1934, Colice Sayer was forcefully removed from her home and involuntarily committed to a state mental hospital following a legal proceeding she was not allowed to attend. Colice's husband initiated the complaint against her. Colice remained in the institution for 43 years as a ward of the state of New York. This study examined her life to gain an understanding of how the lives of successive generations were altered. The life history method was used to elicit the stories of the central character and her family. Hermeneutic phenomenology was used to gather and analyze the data. Two themes emerged from the data: learned expectations and retreating behaviors. Learned expectations were family rules taught to successive generations. Retreating behaviors were indirect actions observed or obliquely communicated. The loss of a mother by means of forced, legal separation and the subsequent disintegration of the family can pervasively affect successive generations.

Aged↗
PubMed2004

The generation gap: differences between children and adults pertinent to economic evaluations of health interventions.

Differences between children and adults have both technical and ethical implications for the design, interpretation and employment of economic analyses of health-related programmes. Even though policy makers increasingly turn to economic analyses to inform decisions about resource allocation, pertinent child-adult differences have received fragmented discussion in leading methodological references. Key areas warranting attention include: the ways in which a child's distinctive biology modifies the cost and effectiveness of healthcare interventions; challenges in assessing utilities for infants and young children given their limited but developing cognitive capacity; how a child's age, dependency and disability affect the selection of the appropriate time horizon and scope of the analysis; whether a child's non-wage earning productivity should be incorporated into analyses, and if so, what metric to use; what principles of equity policy makers should employ in using economic evaluations to choose between child- and adult-focused interventions; and whether special protective measures should be introduced to secure the rights and interests of children who cannot advocate for themselves.

Adult↗
PubMed1998

Environmental factors can confound identification of a major gene effect: results from a segregation analysis of a simulated population of lung cancer families.

Proper control of environmental factors can be crucial to the identification of genes that influence susceptibility to a complex trait, especially for a trait such as lung cancer, for which the environmental factor (smoking) accounts for a significant etiologic fraction of the disease. An earlier segregation analysis of 337 Louisiana families, which incorporated direct measure of tobacco consumption, provided evidence for autosomal codominant inheritance of a major gene that influenced age at onset of lung cancer. Subsequent analyses were performed in which the families were stratified into two subsets based on birth cohort of the proband; results suggested the presence of heterogeneity that were postulated to reflect the influence of cohort trends in tobacco consumption. To evaluate this hypothesis further, we simulated a population of three-generation pedigrees in which an autosomal dominant mode of susceptibility to lung cancer was transmitted, but tobacco use varied across generations corresponding to published trends in smoking. A total of 200,000 individuals in families of various sizes, ages, and cigarette smoking habits were simulated from 1900 to 1980. From this population, 324 families (2,405 individuals) with 380 cases of lung cancer were ascertained through 328 lung cancer probands. Complex segregation analysis was performed using the REGTL program of S.A.G.E. in which pack-years of tobacco exposure were incorporated directly into the likelihood calculations. Although the no major gene, environmental, and Mendelian recessive hypotheses were rejected, both dominant and codominant transmission provided a good fit to the data. Thus in a population of simulated families with autosomal dominant susceptibility to lung cancer, intergenerational differences in tobacco consumption led to the detection of autosomal codominant transmission as an acceptable hypothesis. These results underscore the potential danger of segregation analysis of complex traits in which exposure to known environmental influences may differ across generations.

Computer Simulation↗
PubMedDate not supplied

Maternal work outside the home and its effect on women and their families.

Up to 65% of American women work outside the home in paid employment, thus it is essential to examine the effect of that employment on the health of both women and their families. Employed women of all ages and occupations have a lower mortality rate and better reported and perceived health than women who do not work outside the home. The incidence of cardiovascular disease in women has not increased because of their increased participation in the work force. For hypertension, for psychological health, and for the incidence of coronary heart disease, women's emotional response to work is more important in predicting ill health than work itself. Working does not worsen women's health during pregnancy, and perinatal outcome may be improved for employed mothers. Middle-aged women who work have better measures of psychological and physical well-being. Employment seems to ahve a beneficial effect on the woman's family as well; more employed women confide in their husbands and report helpful or supportive responses from them. Multiple studies found no difference in many psychological and educational characteristics between children of working and nonworking mothers. One difference discovered was that children of working mothers are less likely to believe in "traditional" sex roles. There is no age group for which the employment of the mother is harmful, and at many ages if employment resulted in better maternal well-being, there is a definite gain for the children. More important than work itself is the mother's satisfaction with work, child care arrangements, and the home situation.(ABSTRACT TRUNCATED AT 250 WORDS)

Evaluation Studies as Topic↗
PubMed1997

Coping strategies of people living in multigenerational households: effects on well-being.

Analyses examined whether information about the coping strategies used by family members adds to an understanding about the psychological well-being of individuals. Data from 140 women and their husbands and children who were living in multigenerational households that included a disabled older relative indicated that for the women and children, the best predictors of depression, positive affect, and mastery were their own coping strategies; the coping strategies used by other family members did not add significantly to the predictive equation. For husbands, however, depression was predicted by both their own coping strategies and the coping strategies of their wives. Husbands' positive affect was predicted only by the coping strategies of their wives and children, and their mastery was predicted by their own coping strategies and those of their wives and children.

Adaptation, Psychological↗
PubMed1994

Oppressive limits: Callahan's foundation myth.

Daniel Callahan has not simply proposed alterations of important features of the health economy. He has constructed a blue print for society drawing on concepts of what is natural and appropriate to human beings. He is, in effect, establishing a new social order. Like any social order, Callahan's system has its justificatory schemes or founding myths. This paper offers a feminist examination of the functions that these four myths-the concept of a whole of life; the stages of life; a tolerable death; and a reconstruction of the meaning of the aged in terms of sacrifice-fulfill in Callahan's new social order. Callahan's concept of a whole of life reflects the power he assigns to nature, and the futility and harm he associates with attempts to repudiate biological imperatives. It introduces the stages of human life, tolerable death, and aging. The paper critically examines these concepts.

Aged↗
PubMed1999

Resistance profile survey of 50 periodontal strains of Actinobacillus actinomyectomcomitans.

BACKGROUND: Antibiotic resistance has been increasingly described among bacterial species colonizing periodontal pockets, particularly in Prevotella and Porphyromonas spp. strains producing beta-lactamases, and frequently associated with resistance to tetracycline and erythromycin. These resistance genes may be carried on motile genetic elements, or transposons, capable of interspecies and intergeneric transmission among bacterial strains colonizing a same ecological niche. The aim of this prospective study was to determine the resistance profile of Actinobacillus actinomycetemcomitans and the prevalence of A. actinomycetemcomitans strains producing beta-lactamases in periodontal pockets. METHODS: Fifty strains of A. actinomycetemcomitans were isolated from 42 patients with adult periodontitis. No patient had periodontal or antibiotic therapy in the previous 6 months. Bacterial samples were collected from periodontal pockets > or =5 mm, appropriately diluted, inoculated onto selective medium (chocolate blood agar with bacitracin 75 microg/ml and vancomycin 5 microm/ml) and incubated for 5 days at 37 degrees C in air with 5% CO2. After conventional identification, susceptibility testing to 11 antibiotics was performed by the broth dilution method, in trypticase soy broth supplemented with yeast extract, hemin, and 0.1% NaHCO3 to maintain microaerophilic conditions in the microtitration plate wells by CO2 formation. RESULTS: No strain demonstrated resistance to amoxicillin, amoxicillin-clavulanic acid combination, pristinamycin, or ciprofloxacin at the breakpoint, but 40% of the strains were slightly resistant to penicillin G, and 4% were resistant to erythromycin, 90% to spiramycin, 18% to clarythromycin, 4% to tetracycline, 72% to metronidazole, and 12% to ornidazole. Amoxicillin, followed by tetracycline and erythromycin, was the most effective antibiotic on A. actinomycetemcomitans. The phenotypic research of a beta-lactamase was negative for all the strains tested. CONCLUSIONS: In this work, most A. actinomycetemcomitans strains were resistant to metronidazole, but the amoxicillin-metronidazole association may be of interest against subgingival anaerobic and capnophilic mixed flora. Pristinamycin and ciprofloxacin appeared as effective alternative monotherapies against A. actinomycetemcomitans. The threat of beta-lactam antibiotic resistance related to beta-lactamase production is currently not a problem with A. actinomycetemcomitans as it has been reported in oral anaerobes.

Adult↗
PubMedDate not supplied

Cultural and noncultural predictors of health outcomes in Korean daughter and daughter-in-law caregivers.

In Western cultures, adverse health effects resulting from providing care for impaired elders is well documented for family caregivers, but little is known about the health of Korean caregivers. This study examined the level of depression and physical health of 120 daughter and daughter-in-law caregivers who cared for cognitively or functionally impaired elderly in Korea. It was hypothesized that cultural factors would have a greater effect on caregivers' health outcomes than noncultural factors, but, contrary to this expectation, the effects of noncultural factors were found to outweigh those of cultural factors. Moreover, the caregivers in this study reported a relatively high level of depression, and more caregivers rated their own health as "poor" than did Western caregivers in previous studies. Family caregiving for the impaired elderly is stressful and negatively affects Korean caregivers' health outcomes regardless of societal values such as filial piety and familism regarding parent care in Korea. Culturally acceptable and sensible support programs may be useful in sustaining long-term care at home by Korean daughter and daughter-in-law caregivers. Further family caregiving studies in the Korean sociocultural context are recommended.

Adult↗
PubMed2003

[Current understanding about intergenerational transmission of child sexual abuse].

OBJECTIVE: The aim of this article is to review what is currently understood about intergenerational transmission of child sexual abuse (CSA). METHOD: CSA transmission is discussed first from the point of view of men CSA survivors who become sexually abusive, and then from the perspective of mothers who survived CSA whose children have been sexually abused. Mechanisms that may help us understand how CSA is transmitted from one generation to another are described. More specifically, focus is given to those mechanisms that might differentiate CSA survivors who break the cycle of abuse from those who perpetuate it. RESULTS: In light of the research reviewed, it seems that the transmission of CSA is far from inevitable, since one-third of sexually abusive men and half of sexually abused children's mothers mentioned having been sexually abused in their childhood. Because of the retrospective method used in many studies, causal links could not be established. However, some mechanisms have been proposed in order to better understand the phenomenon of CSA. Severity of abuse, attachment relationships with parental figures, as well as dissociative symptoms that follow the abuse were identified. Dissociative symptomatology appeared to be a determining factor in understanding the cycle of CSA. CONCLUSIONS: More studies on CSA transmission are needed to understand the mechanisms that are involved in that cycle, as well as to develop effective strategies to treat and prevent CSA.

Adult↗
PubMed1997

Wealth flow and fertility decline in rural Kenya, 1981-92: a reassessment of the evidence.

In 1981 and 1992, identical questionnaires measuring lineal and lateral wealth flows and emotional nucleation were administered to comparable samples of male household heads in rural Kenya. The 1981 results, showing limited evidence of economic or emotional nucleation within the household, were consistent with prevailing high fertility. By 1992 desired and observed fertility had declined significantly, but nucleation levels remained the same. The question then arose as to whether our bivariate measurements had been too coarse to detect subtle shifts in nucleation and/or the simultaneous effect of other independent variables. To resolve these issues, we re-examined our 1981 and 1992 data sets using regression analysis. The findings suggest that the independent contribution of wealth flow and emotional nucleation variables to explained variance in the desired number of children by rural male heads of households was limited, being approximately seven to 10 percent in 1981 and 10 to 18 percent in 1992. However, we observed that the independent variables picking up the explanatory slack in the current exercise were largely ideational in nature, having to do with the expectation of future child support, education, form of marriage, and spousal perception, communication, and consensus on key family size and family planning variables.

Adult↗
PubMed2003

Nursing values and a changing nurse workforce: values, age, and job stages.

OBJECTIVES: To identify the extent values are associated with age group and job stage; job satisfaction, productivity, and organizational commitment; as well as education, generation, ethnicity, gender, and role. BACKGROUND: Values direct the priorities we live by and are related to employee loyalty and commitment. Lack of congruency between a nurse's personal values and those of the organization decrease satisfaction and effectiveness and may lead to burnout and turnover. Little research has been done on whether values differ by age, generations, or job stages. METHODS: Nurses in all roles (N = 412) in three hospitals in Los Angeles County were randomly surveyed, using valid and reliable instruments to measure the variables of interest. RESULTS: Nurses in the top third for job satisfaction, organizational commitment, and productivity showed higher scores for many values including their associates, creativity, esthetics, and management, while those in the bottom third scored higher in economic returns only. Nurses in different generations differed little; younger generations placed higher values on economic returns and variety. CONCLUSIONS AND IMPLICATION: Management strategies to meet nurses' values and increase their satisfaction and retention are presented.

Adult↗
PubMed2000

Personality, relationship closeness, and loneliness of oldest old adults and their children.

This study examined the effects of personality, attachment, and dimensions of family solidarity on the loneliness of oldest old adults (i.e., 85 years and older) and their adult children. Parent-child dyads were formed with data collected from 100 parents and their children. Results from path analyses indicated that oldest old adults' loneliness was reduced by affection both for and from their children. Although an anxious personality decreased affection, perceptions of attachment to children increased feelings of affection. In addition, parents and children who had anxious personalities were more likely to be lonely, whereas loneliness was decreased for those with an extraverted personality. Children's loneliness also was decreased by association with their parents and by the quality of their friendships. Perceptions of childhood attachment to parents increased current affection and association with and fulfillment of parents' expectations.

Adult↗
PubMed2004

Artificially-reared female rats show reduced prepulse inhibition and deficits in the attentional set shifting task--reversal of effects with maternal-like licking stimulation.

Mammalian nervous system is plastic, particularly during early stages of development. Rat neonates that are reared without mothers, grow up to show deficient maternal behavior towards their own offspring. The purpose of this study was to assess whether maternal behavior deficits, seen in artificially-reared (AR) female rats, are associated with attentional deficits. Female rat pups were reared with or without their mothers, through artificial rearing. In adulthood, rats' maternal behavior and performance on attentional tasks (prepulse inhibition (PPI) of the startle response and attentional set shifting task) were assessed. We found that AR rats showed: decreased maternal pup licking and time crouching over pups, less PPI, and more trials to criterion in several stages of the attentional set shifting task. Artificially-reared rats that were provided with 'maternal-like licking' stimulation, during artificial rearing, were not significantly different from mother-reared rats. In addition, there was a significant correlation between maternal behaviors and both PPI and the performance in the attentional set shifting task.

Acoustic Stimulation↗
PubMed1997

Fiscal implications of population ageing.

In all developed countries the fiscal ties of the tax and benefit system serve to complement, and sometimes substitute for, traditional family bonds between young and old. Older people are major recipients of public pensions and public health care systems. Since these public transfers and services are financed primarily from the taxes paid by people of working age, the welfare system in effect transfers resources from young to old. But rather than see the fiscal interdependency between young and old as being analogous to the ties that bind children, parents and grandparents together in familial networks, it is often interpreted as an oppressive burden that the old place on the young. This paper examines arguments that population ageing will exacerbate this burden, and may lead to the collapse of public welfare systems. It shows that the financial problems currently associated with public pensions are a function of system design rather than demographic change, and that wholesale privatization of pension systems will do little to solve the major dilemma--of persuading people to transfer a larger part of their lifetime income to their later years in order to sustain a reasonable standard of living throughout an ever lengthening period of retirement.

Adolescent↗
PubMed1998

Chronicle of an incest foretold.

In this paper the author discusses the situation of children handed over to grandparents or to other relatives of the natural parents to be brought up. She notes that such children are faced with the riddle of their own filiation and postulates that this scenario often conceals an oedipal fantasy to the effect that the child concerned is the fruit of an incestuous relationship between a grandparent and the relevant parent. Following the example of Freud, the author adduces literary models for illustration. As with the Oedipus of Sophocles, the author shows how efforts to thwart the workings of fate actually bring about the consummation of the tragedy in the form of incest, which is favoured by the confused oedipal configuration in the families of handed-over children. The main argument is based on the characters and situations of two novels by Gabriel García Márquez, written at different times in his life. With reference to the psychoanalytic literature on artistic creativity, the author shows the importance of the mid-life crisis in determining how García Márquez came to terms with the fact of having himself been entrusted to grandparents as a child and how this situation is reflected in the works concerned.

Humans↗
PubMed2006

Evaluating the effectiveness of a Senior Mentor Program: the University of Missouri-Columbia School of Medicine.

At the University of Missouri-Columbia School of Medicine, we developed a voluntary senior-mentor program, the Senior Teacher Educator Partnership (STEP), for first- and second-year medical students. Using qualitative research methods, we examined the impact of STEP on medical students' attitudes and then assessed the congruence of what is learned through STEP with the knowledge, skills, and attitudes needed to provide care to the elderly patient. STEP was found to be a successful strategy for teaching themes of recognizing the elderly within an ecological context, enhancing sympathy and empathy, emphasizing respect for elderly persons, and gaining an appreciation that aging is an individualized process. New areas identified for student learning experiences included understanding the complexity of the health care system and its impact on elderly patients, understanding the payment system, and developing skills in assessment and care coordination. A model is described for continuous enhancement of educational programs to be used to improve educational experience in geriatrics.

Adult↗