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PubMed1992

[Evaluation of subjective happiness in the elderly using a visual analogue scale of happiness to analyze the effect of life style and neurobehavioral function on subjective happiness].

The effects of activity of daily living (ADL), physical conditions, social environmental factors and neurobehavioral functions on subjective happiness were investigated in 313 elderly subjects. The degree of subjective happiness was measured using visual analogue scale of happiness (VAS-H). There was significant relationship between VAS-H and ADL. The VAS-H score had weak but significant correlation with physical conditions and neurobehavioral functions. The social environmental factors, especially economical conditions, family relationships and group behavior had a significant correlation with VAS-H. In conclusion, in apparent healthy elderly people, the subjective degree of happiness was not related to ADLs, but to social environment and information physical conditions.

Activities of Daily Living↗
PubMed2002

Social aetiology of violent deaths in Swedish children and youth.

STUDY OBJECTIVE: To describe the contribution of social conditions for the main causes of injury deaths in Swedish children and youth aged 5-25 years. DESIGN: Cohort study. All children below 15 years of age that resided in Sweden 1985 were followed up during 1991-1995. Injury deaths were recorded from The National Cause of Death Register. Information on parental social determinants were collected from various national registers. Connections between the social determinants and an injury death outcome were analysed in multivariate Cox regression models. MAIN RESULTS: In total 1474 injury deaths were recorded during approximately 8 million person years. In a regression model, with control for sex, year of birth, and residency (urban/rural), the aetiological fraction for parental SES, maternal country of birth, family situation, parental risk factors, and all these factors combined were 13%, 6%, 1.4%, 1.3%, and 19%, respectively. Similar regression models were studied separately for each of the main causes of injury death. The parental social determinants explained 58% of all homicides, 47% of all motor traffic injuries, and 30% of all other traffic injuries while the suicide rate was not affected by these determinants. Parental socioeconomic status was the single most important parental determinant for all major causes of injury. CONCLUSIONS: There was a wide variation of the aetiological fractions of parental social determinants for different causes of injury death. This variation might be used to further investigate the social aetiology of injuries.

Accidents, Traffic↗
PubMed1989

[Readmitted patients at a medical ward. 2. Social and housing conditions].

The object of this investigation was to describe the health and social medical conditions of elderly readmitted patients and to assess which of these conditions was the main reason for readmission. A total of 166 patients (with an average age of 73 years) who were readmitted to the ward within three months of the previous discharge were interviewed about their health, social and housing conditions during the period prior to admission. The interviews were conducted in the second half of 1987. In this second report from the investigation it was found that 84% lived in flats with good facilities. 50% lived alone, 57% received at least one form of public assistance (ie home help, home nursing etc.). The interviewers considered that social and housing conditions were the only reason for 12% of the readmissions and were contributory causes in 15% of the readmissions. It is concluded that health reasons were the primary reasons for the present readmission.

Aged↗
PubMed2006

Maternal social and pyschological conditions and physical growth in low-income children in Piauí, Northeast Brazil.

Prevalence of child undernutrition remains high in many developing countries. In settings with scarce resources, modifiable maternal social conditions may influence feeding and parenting practices, in turn affecting child growth. This study aims to quantify the association between maternal social support and depression to children's physical growth outcomes in Teresina, Piauí, northeast Brazil. Interviews were conducted with a random sample of 595 mothers of children 6-24 months old in four low-income sections of Teresina, Piauí. We collected data on sociodemographic factors, mothers' social support, mothers' depressive symptomatology, and child's weight and recumbent length. Weight-for-height z-scores (WHZ), height-for-age z-scores (HAZ) and weight-for-age z-scores (WAZ) were calculated using the National Center for Chronic Disease Prevention and Health Promotion Center SAS program based on the 2000 Centers for Disease Control reference growth curves. Multivariable linear regression was used to model the association between maternal social support and depression to child growth, adjusting for biological and socio-demographic variables. Interviewer and neighborhood variation was accounted for through the inclusion of random effects. In adjusted models, material support, measured by number of friends or family members available to mothers when needing food or milk, was related to 0.3 higher average WHZ and 0.2 higher average WAZ in their children. Maternal positive social interaction, which reflects engagement in leisure-time activities with others, was associated with 0.3 higher average WHZ. Mothers' affectionate support was related to 0.2 higher average children's WHZ and WAZ, whereas social support for resolving a conflict was associated with 0.2 lower average HAZ. Maternal depression was not associated with child growth. It is concluded that inadequate growth in children may be sensitive to maternal social support.

Brazil↗
PubMedDate not supplied

Chronic social stress, social status, and susceptibility to upper respiratory infections in nonhuman primates.

OBJECTIVE: The objective of the study was to assess the roles of social stress and social status in susceptibility to upper respiratory infection. METHOD: Sixty male cynomolgus monkeys were randomly assigned to stable or unstable social conditions for 15 months. Two markers of social status, social rank and percent of behaviors that were submissive, were assessed at independent observation periods. Endocrine, immune, and behavioral responses were each assessed (at 3-month intervals) during the 9th through 14th months of the study. At the beginning of the 15th month, all animals were exposed to a virus (adenovirus) that causes a common-cold-like illness. The primary outcome was whether or not an animal developed an infection (shed virus) after viral exposure. RESULTS: Although the social instability manipulation was associated with increased agonistic behavior as indicated by minor injuries and elevated norepinephrine responses to social reorganizations, the manipulation did not influence the probability of being infected by the virus. However, low social status (as assessed by either marker) was associated with a substantially greater probability of being infected. It was also associated with less body weight, greater elevated cortisol responses to social reorganizations, and less aggressive behavior. However, none of these characteristics could account for the relation between social status and infection. CONCLUSIONS: Social stress was not associated with susceptibility to infection. However, animals with lower social status were at higher risk than high social status animals.

Adenoviruses, Simian↗
PubMed2005

Is patriarchy the source of men's higher mortality?

OBJECTIVE: To examine the relation between levels of patriarchy and male health by comparing female homicide rates with male mortality within countries. HYPOTHESIS: High levels of patriarchy in a society are associated with increased mortality among men. DESIGN: Cross sectional ecological study design. SETTING: 51 countries from four continents were represented in the data-America, Europe, Australasia, and Asia. No data were available for Africa. RESULTS: A multivariate stepwise linear regression model was used. Main outcome measure was age standardised male mortality rates for 51 countries for the year 1995. Age standardised female homicide rates and GDP per capita ranking were the explanatory variables in the model. Results were also adjusted for the effects of general rates of homicide. Age standardised female homicide rates and ranking of GDP were strongly correlated with age standardised male mortality rates (Pearson's r=0.699 and Spearman's 0.744 respectively) and both correlations achieved significance (p<0.005). Both factors were subsequently included in the stepwise regression model. Female homicide rates explained 48.8% of the variance in male mortality, and GDP a further 13.6% showing that the higher the rate of female homicide, and hence the greater the indicator of patriarchy, the higher is the rate of mortality among men. CONCLUSION: These data suggest that oppression and exploitation harm the oppressors as well as those they oppress, and that men's higher mortality is a preventable social condition, which could be tackled through global social policy measures.

Aggression↗
PubMed1983

Ideological pathways to policy and practice.

Social policy is a reflection of changing ideological stances; and ideological stances are influenced by social conditions and events. Policy-makers and social welfare administrators need to be acutely aware of the existing ideologies and the subtle or dramatic shifts as they occur and affect perceptions of clients, programmatic components, and the nature of social service delivery. The author offers a dichotomy of ideological positions as they are applied to the issues of social problems vs sub-populations, societal vs individual responsibility, residual vs institutional welfare, enforceable rights vs revocable privilege, existential vs preferential attention to social needs, government regulation vs deregulation, and governmental aid vs voluntary philanthropy.

Human Rights↗
PubMed2002

Adverse outcomes of poor micronutrient status in childhood and adolescence.

The adverse effects of micronutrient deficiencies and excesses in children up to reproductive age are presented. A summary of risks and adverse functional and health outcomes associated with deficient and excessive intakes and nutrition status of iron, iodine, zinc, vitamins A and D, folate, vitamin B12, and riboflavin is presented. Nutrient-nutrient interactions of micronutrients, age, gender, and other host and environmental conditions, such as pregnancy, genetic conditions, overall nutrition, force of infection, and social conditions are considered as covariates in trying to define causation and outcomes due to specific micronutrients. The outcomes analyzed focus on growth and development, mental and neuromotor performance, immunocompetence, physical working capacity, morbidity, and in the case of pregnancy, overall reproductive performance. The results presented include responses to specific and multiple "experimental" interventions. A brief analysis of possible public health programs is presented, with emphasis on prevention.

Adolescent↗
PubMed1992

[Psychosocial factors and follow-up of depressive disease].

In a one-year follow-up study 187 inpatients were studied using structured and semistructured interviews (Diagnostic Interview Schedule, Münchner Ereignisliste, Social Interview Schedule). In order to predict the course of depression we focused on psychosocial factors and their influence on the course of depression. The severity of depression at discharge and negative life events during the follow-up period could be identified as the main influence factors. Results suggest reciprocal influence between illness and social conditions, especially illness and marital relations. Marital dysfunctioning at follow-up was reported significantly more often by patients with unfavourable outcome, whereas patients who recovered did not differ from the control group in their marital conditions. The results suppose the value of social variables in the prediction of the course of illness. A few implications on these findings for therapeutic process are discussed.

Adult↗
PubMed1996

What do patients expect from extensive restorative dental treatment?

A specially designed questionnaire was sent to 489 patients waiting for major prosthodontic treatment. Further material regarding these patients was collected from treatment files and public records. The study aimed to describe the patient group from a socio-economic standpoint and to identify factors affecting the patient's expectations concerning prosthodontic treatment. The overall response rate was 84.2%. The patient group was found to differ significantly from the general population only in regard to educational level which was lower. The study indicated that patients expected the forthcoming prosthodontic therapy to enhance their general well-being. In the subgroup of patients awaiting implants, expectations of a better chewing function were salient. Therefore, from the results of this study it is not possible to extrapolate uncritically to other groups and other conditions. A number of economical, cultural and social conditions could have a major impact on attitudes regarding prosthodontic treatment.

Adult↗
PubMed1998

Hospitalizations for infectious diseases in Jewish and Bedouin children in southern Israel.

Two different population groups reside in the Negev region of southern Israel and have equal, and free from financial barrier, access to tertiary care at a single regional hospital. The Jewish population has a largely urban and industrialized lifestyle, while the Moslem Bedouins are in transition from their traditional nomadic life to settlement. To examine the differences in morbidity patterns reflected in hospitalizations, the computerized hospitalization records of children <15 years of age, for 1989-1991 were used (n=15,947). Rates of hospitalizations for infectious diseases were significantly higher for Bedouins in comparison to Jews (250 and 121/10,000 child years, respectively, odds ratio (OR): 2.1, 95% confidence interval (CI): 2.0-2.2, p < 0.001). Rates of hospitalization per 10,000 child years in Bedouins and Jews for diarrhea were 114 and 32 (OR: 3.7, 95% CI: 3.3-4.0, p < 0.001), respectively, and for pneumonia 55 and 19 (OR: 2.9, 95% CI: 2.6-3.3, p < 0.001), respectively. In infants the differences were even more pronounced, especially for diarrheal diseases. In Bedouin children infectious diseases were associated with longer hospital stay, more pediatric Intensive Care hospitalizations (OR: 2.7, 95% CI: 1.7-4.5,p < 0.001), and higher in-hospital mortality (OR: 5.7, 95% CI: 2.8-12.2, p < 0.001). Thus, Bedouin children are at higher risks of hospitalizations for infectious diseases in early childhood, as compared to Jewish children. This may reflect the differences in lifestyle, environmental and social conditions of the two populations.

Adolescent↗
PubMed1988

Preterm or small-for-gestational-age infants. Neurological and behavioural development at the age of 6 years.

In 166 full term, small-for-gestational-age (FT-SGA), 53 preterm, appropriate-for-gestational-age (PT-AGA), 27 PT-SGA and 206 FT-AGA infants a neurological examination at the age of 6 years was carried out. Data were collected on behaviour and school achievement. Major and minor neurological abnormalities were more frequent in the three low birth weight groups, especially in the PT-SGA group. Multivariate analysis showed that the development of major and minor neurological abnormalities was explained by a varying set of risk factors, in which besides prematurity and growth retardation, neonatal neurological condition, social class, neonatal course and interval complications were preponderant. The results suggest a temporal difference in potentially harmful factors: for neurological handicap early in pregnancy, for minor neurological dysfunction (MND) the second half of gestation and the first 2 years of life. No striking behavioural differences were found between the three low birth weight groups and the FT-AGA group; behaviour was related to neonatal and follow-up neurological condition, sex, gestational age and birth weight to a limited extent only. Three (4%) of the preterms entered a special school (already at the age of 6). School achievement was mainly related to the present neurological condition and social class, which underlines the importance of the latter.

Child↗
PubMed1998

Individual and social determinants of shiftwork tolerance.

This paper reviews evidence published on individual and social determinants of shiftwork tolerance since 1993. In agreement with earlier reviews, individual differences show only some low and inconsistent concurrent covariation with shiftwork tolerance, and no predictive power for these measures has been found. It is thus not possible to predict future shiftwork tolerance from individual differences. Social conditions are also related to shiftwork tolerance, although again predictive power has not been demonstrated. An examination of the reasons for this state of the art suggested means of improving the relevance and usability of future research in this area.

Circadian Rhythm↗
PubMed1996

A reexamination of "sociological and economic theories of suicide: a comparison of the U.S.A. and Taiwan".

This paper is an update and reexamination of Yang et al. [Yang B., Lester D. and Yang C. Soc. Sci. Med. 34, 333, 1992]. Time-series analyses were carried out to explore the importance of sociological and economic determinants of suicide rates in the U.S. and in Taiwan for 1952-1992. Labor market related variables (unemployment and female labor force participation) were found to play similar roles in multiple regressions for both nations, while general economic and social conditions (GNP per capita and divorce) played a role only in the U.S.A comparison of standardized coefficients revealed that pure economic variables exerted greater influence over national suicide rates than sociological variables.

Cross-Cultural Comparison↗
PubMed1997

Social influences on morphine conditioned place preference.

Social defeat in dominant male rats has previously been shown to result in a loss of rank, together with decreased consumption of a palatable sucrose solution, suggestive of a decrease in hedonic tone. The present study further investigated the effect of defeat on hedonic capacity using the conditioned place preference paradigm. Stable dominance hierarchies were determined in pairs of male PVG rats by repeated observation of agonistic behaviour at the onset of the dark phase of the dark-light cycle. Dominant animals and singly housed animals were then subjected to defeat by a male of the aggressive Tryon Maze Dull (TMD) strain, either 1 (singly housed animals only) 3 or 7 days prior to the first conditioning session. Each animal was tested for place conditioning with morphine (1 mg/kg i.p.) using one rewarded and one non-rewarded conditioning trial. In this paradigm, dominant animals as well as singly housed animals showed an increase in time spent in the drug-associated side but their submissive partners did not. Three days following the defeat of a dominant animal by a TMD, place conditioning to morphine was absent in the defeated animals, but was now present in their submissive partners. Seven days following defeat, conditioning was absent in defeated animals that were now submissive, but present in defeated animals that had maintained their dominant status. In isolated animals, place conditioning was absent 1 day following defeat, but was present 3 and 7 days post-defeat. These findings suggest that morphine-induced place conditioning is influenced by both the experience of defeat and the effects of defeat on social status.

Agonistic Behavior↗
PubMed1987

Shades of difference: theoretical underpinnings of the medical controversy on black/white differences in the United States, 1830-1870.

The resonance between scientific theory and ideology is starkly revealed by the medical debate on slavery, alleged black inferiority, and racial differences in disease: opposing doctors invoked the same science, but relied on contrary assumptions, to reach antagonistic conclusions. Reductionist, biological determinist, and ahistorical premises underlay the dominant belief that innate racial differences led to black bondage and racial disparities in health; an anti-reductionist and historical approach supported the minority view that social factors rooted in the planters' need for cheap labor explained both. From 1830 to 1850, doctors debated the accuracy, validity, and interpretation of their findings. In the 1850s, "apolitical" doctors sought to purge medicine of politics to regain scientific objectivity, yet the first generation of black physicians argued that politics inevitably affected medical inquiry. The Civil War and Emancipation spurred studies relating the health of blacks and poor whites to social conditions, while the destruction of Reconstruction led to the resurgence of racist medicine. Comprehending how politics set the terms and tempo of this polemic can provide insight into current controversies on racial differences in disease.

Black or African American↗
PubMed1995

Social cost of land mines in four countries: Afghanistan, Bosnia, Cambodia, and Mozambique.

OBJECTIVES: To document the effects of land mines on the health and social conditions of communities in four affected countries. DESIGN: A cross design of cluster survey and rapid appraisal methods including a household questionnaire and qualitative data from key informants, institutional reviews, and focus groups of survivors of land mines from the same communities. SETTING: 206 communities, 37 in Afghanistan, 66 in Bosnia, 38 in Cambodia, and 65 in Mozambique. SUBJECTS: 174,489 people living in 32,904 households in the selected communities. MAIN OUTCOME MEASURES: Effects of land mines on food security, residence, livestock, and land use; risk factors: extent of individual land mine injuries; physical, psychological, social, and economic costs of injuries during medical care and rehabilitation. RESULTS: Between 25% and 87% of households had daily activities affected by land mines. Based on expected production without the mines, agricultural production could increase by 88-200% in different regions of Afghanistan, 11% in Bosnia, 135% in Cambodia, and 3.6% in Mozambique. A total of 54,554 animals was lost because of land mines, with a minimum cash value of $6.5m, or nearly $200 per household. Overall, 6% of households (1964) reported a land mine victim; a third of victims died in the blast. One in 10 of the victims was a child. The most frequent activities associated with land mine incidents were agricultural or pastoral, except in Bosnia where more than half resulted from military activities, usually during patrols. Incidences have more than doubled between 1980-3 and 1990-3, excluding the incidents in Bosnia. Some 22% of victims (455/2100) were from households reporting attempts to remove land mines; in these households there was a greatly increased risk of injury (odds ratio 4.2 and risk difference 19% across the four countries). Lethality of the mines varied; in Bosnia each blast killed an average of 0.54 people and injured 1.4, whereas in Mozambique each blast killed 1.45 people and wounded 1.27. Households with a land mine victim were 40% more likely to experience difficulty in providing food for the family. Family relationships were affected for around one in every four victims and relationships with colleagues in 40%. CONCLUSIONS: Land mines seriously undermine the economy and food security in affected countries; they kill and maim civilians at an increasing rate. The expense of medical care and rehabilitation add economic disability to the physical burden. Awareness of land mines can be targeted at high risk attitudes, such as those associated with tampering with mines.

Adolescent↗