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SOME CHARACTERISTICS OF PERSONS HOSPITALIZED IN SASKATCHEWAN BECAUSE OF HEART DISEASE INVOLVING THE CORONARY ARTERIES.

A retrospective study was designed to determine the background characteristics of 9562 patients hospitalized in Saskatchewan during the calendar years 1958-1959-1960 with a discharge diagnosis of heart disease specified as involving the coronary arteries. The study illustrates the limitations of retrospective analyses, but points out that such analyses may highlight presumptive relevant variables in the search for causes of diseases with multiple possible interacting origins. Single persons, and in particular single females, were significantly much less susceptible than were persons who were married or who had been married. This is a previously unreported finding, to the authors' knowledge. Residents of farms and hamlets were hospitalized significantly less often than were village, town or city residents; it is suggested that this may corroborate the findings of Morris and others who feel that the physical activity of work may be a relevant variable in the etiology of coronary heart disease.

Adolescent↗

Exploring children's emotional security as a mediator of the link between marital relations and child adjustment.

Guided by the emotional security hypothesis, this study examined whether links between marital relations and children's adjustment were mediated by children's emotional security, as evidenced by their emotional reactivity (e.g., vigilance, distress), regulation of exposure to parent affect (avoidance, involvement), and internal representations in the context of interparental relations. Multiple methods and contexts were used to assess 6- to 9-year-olds' emotional security in response to standardized, simulated conflicts involving parents. Latent variable path analysis supported a theoretical pathway whereby marital dysfunction was linked with adjustment problems as mediated by response processes indicative of emotional insecurity in relation to parental conflicts. Emotional reactivity and internal representations were most closely linked with marital relations and child adjustment, especially with regard to internalizing symptoms. The importance of understanding children's emotional security in the context of the marital subsystem is discussed.

Affect↗

"I love you more today than yesterday": romantic partners' perceptions of changes in love and related affect over time.

Partners in romantic relationships provided reports on perceived changes in their love, commitment, and satisfaction and completed contemporaneous scales on the same relationship phenomena multiple times over several years. At each wave of the longitudinal study, participants whose relationships had remained intact perceived that their love and related phenomena had increased since they had last participated in the study. However, their scores on contemporaneous scales did not generally increase over time. Analyses indicated that participants' reports of change were related to actual change in love, commitment, and satisfaction scores and with future relationship stability. Furthermore, participants who experienced a breakup during the longitudinal study reported an overall decrease in their positive affect in the months prior to the breakup.

Adult↗

Asbestos in drinking water and cancer incidence in the San Francisco Bay area.

Age-adjusted, sex- and race-specific 1969-1971 cancer incidence ratios for the 722 census tracts of the San Francisco-Oakland Standard Metropolitan Statistical Area were compared with measured chysotile asbestos counts in tract drinking waters. The water supplies serving the area have varying contact with naturally occurring serpentine. The t test for multiple regression coefficients and the t test for correlation coefficients showed significant (p less than 0.01) relationships between chrysotile asbestos content of tract drinking water and white male lung, white female gall bladder and pancreas, and peritoneal cancers in both sexes. Of weaker significance (0.01 less than or equal to 0.05) were female esophagus, pleura and kidney, as well as stomach cancers in both sexes. These associations appeared to be independent of income, education, asbestos occupation, marital status, country of origin and mobility.

Adolescent↗

Impaired social status of growth hormone deficient adults as compared to controls with short or normal stature. Dutch Growth Hormone Working Group.

OBJECTIVES: In adults with growth hormone deficiency (GHD) social problems have been reported, but so far the relative contributions of GHD, additional pituitary deficiencies and short stature have not been distinguished. We therefore compared social data from GHD patients with social data from controls with short or normal stature. Furthermore we investigated whether social problems are caused solely by the deficiency of GH or also by the associated absence of other pituitary hormones. DESIGN: A questionnaire was sent to patients and controls with items on education, profession, income, partner and living situation. PATIENTS: Two hundred and ten GHD patients treated in childhood but not in adulthood with GH (93 isolated GHD (IGHD), 111 patients with multiple pituitary deficiency (MPD)) were compared with 53 short controls (height in childhood < third percentile for population) and 39 normal stature controls. RESULTS: There were no differences between short and normal controls. There were also no differences between IGHD and MPD patients in any of the investigated items. GHD patients did not differ from controls on education level, but scored lower on the profession scale, had a lower income and had a partner less often; if they had a partner they less often had children; also, more of them lived with their parents. CONCLUSION: Since patients with multiple pituitary deficiency did not differ from patients with isolated growth hormone deficiency, this suggests that the lower scores on the social parameters are the result of the growth hormone deficiency itself. Since short stature controls had higher scores than patients with growth hormone deficiency and did not differ from normal stature controls in any of the aspects investigated, it seems unlikely that the problems of the patients with growth hormone deficiency can be attributed to short stature.

Adult↗

Social environmental influences on the development and resolution of alcohol problems.

This article summarizes the proceedings of a symposium presented at the 2005 Annual Meeting of the Research Society on Alcoholism, Santa Barbara, California, June 25-30. The overall goal of the symposium was to consider the broad impact of the social environment on the development of and successful or unsuccessful resolution of drinking problems. The presentations addressed multiple social environmental influences including: the influence of children on parents (Dr. Zucker), the influence of peers and parents on adolescents (Dr. Molina), the influence of family members on adult drinking (Dr. McCrady), the influence of adult peers/friends (Dr. Kaskutas), and the influence of the occupational environment (Dr. Ames). Dr. Longabaugh, the symposium discussant, addressed models for understanding the relationships between social influences and drinking problems.

Adolescent↗

Laryngeal cancer in Denmark: a nationwide longitudinal study based on register linkage data.

To identify high and low risk groups for laryngeal cancer in Denmark, all individuals aged 30-74 in the 1970 census were followed up over 10 years. Census data were linked with the Central Population Register to identify persons who died or emigrated during the follow up, and with the Danish Cancer Register to identify cases of laryngeal cancer. Individuals were categorised according to sex, age, and sociodemographic characteristics as declared on the census forms. A multivariate analysis was carried out by means of multiplicative Poisson models. The study showed that the risk of laryngeal cancer was strongly related to sociodemographic factors. The risk for skilled workers living in Copenhagen (relative risk (RR) 4.76, 95% confidence interval (CI) 3.61-6.28) was estimated to be almost five times higher than the risk for men self employed in agriculture and living in rural areas. The variation in the risk of laryngeal cancer is not fully explained by known variations in tobacco and alcohol consumption, and this study highlights additional risk factors particularly related to occupation and marital state.

Adult↗

[Internal migration and mental disorders: new evidence for an old hypothesis].

The relationships between migration and mental illness have been perhaps the most important research topic of Social Psychiatry. Studies on this issue conducted in Latin America have in general reached the conclusion that migration, and the experience of modernization related to it, is a major risk factor of emotional disturbance. This hypothesis was tested with data from a survey based on a representative sample of 1549 adults living in a low-income neighborhood in Bahia, Brazil. The survey employed the QMPA, a 43-item symptom scale which was developed and tested especially for studies in that sociocultural setting; it showed high sensitivity (.93) and specificity (.72) and adequate overall misclassification rate (.12). Seven trained interviewers applied a family questionnaire (20 items on demographic and socioeconomic information) and the QMPA to all the families (493) in the sample. Multiple classification analysis and covariance analysis were used to control for the effect of potential confounding factors. Crude analyses showed a statistically significant association between migration status and poor mental health. However, taking into account the combined effect of age, marital status and education as confounders resulted in non-significant levels for the association under study. Sex and economic position, despite being themselves related to emotional disturbances, did not appear as confounders or interaction terms in these analyses. The results on rural-urban origin did not provide any evidence in support to the modernization hypothesis.

Analysis of Variance↗

Effects of bereavement on self-perceptions of physical health in elderly widows and widowers.

Multiple indices of self-perceived physical health for 212 older widows and widowers, 2 months following the loss of their spouse, were contrasted with the responses of 162 comparison control participants for a comparable period. Although physician visits and hospitalizations were reported to be no more frequent among the bereaved, they did report significantly more recently developed or worsened illnesses, greater use of medications, and poorer health ratings in general. These differences were independent of sex and variation in socioeconomic background. Significant sex differences, although minimal, indicated poorer perceived health among women.

Aged↗

The context of weight changes: factors associated with weight changes in adult women.

The purpose of the investigation was to identify what factors are associated with body weight and with year-to-year changes in body weight. To this end, a broad spectrum of assessments was made. Outcomes of the assessments were correlated with the dependent variables, net weight change, and current body mass index among 87 women not associated with a weight-loss program. The subjects were volunteers of middle socioeconomic status with a mean age of 45 years. Two-thirds were overfat. Multiple regression models were constructed to predict the dependent variables. The weight changers were most likely to be obese. Approximately 30% of the variance in body mass index could be accounted for by a positive association with eating anxiety scores and satisfaction with food intake scores. It was not possible to explain a meaningful portion of the variance in net weight change. The findings are consistent with a pendulum pattern of weight changes with a swing range of at least 1 year. Factors that are associated with obesity are not necessarily correlated with weight changes.

Adult↗

An economic approach to abortion demand.

"This paper uses econometric multiple regression techniques in order to analyze the socioeconomic factors affecting the demand for abortion for the year 1985. A cross-section of the 50 [U.S.] states and Washington D.C. is examined and a household choice theoretical framework is utilized. The results suggest that average price of abortion, disposable personal per capita income, percentage of single women, whether abortions are state funded, unemployment rate, divorce rate, and if the state is located in the far West, are statistically significant factors in the determination of the demand for abortion."

Abortion, Induced↗

The effect of occupational, marital and parental roles on mortality: the Alameda County Study.

This study investigated the impact of combining marital, parental, and occupational roles upon 18-year risk of mortality from all causes. The respondents were 3,700 participants in the Human Population Laboratory cohort ages 35-64 who completed a comprehensive health and psychosocial questionnaire in 1965 and were followed for mortality status through 1982. Employment status and type of employment were not found to predict mortality risk among women. Contrary to the multiple roles hypothesis, there was virtually no impact upon mortality of increasing numbers of children among employed women, except possibly among single working parents. The major impact of children was felt by housewives who had significantly elevated risks when a child was present in the home or when they had four or more children. Neither the number of children nor the presence of a child in the home affected mortality risk of men. Controlling for a variety of factors thought to be related to mortality in a logistic regression analysis did not change the foregoing relation.

Adult↗

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↗

Informal smoking controls in Winnipeg households.

This study examined informal controls on smoking (i.e. rules about smoking that individuals impose on one another) in Winnipeg households. A representative sample of 521 individuals was interviewed. Smoking was found to be restricted in 13% of households and prohibited in another 11%. In one-person households, annoyance with smoking was the best predictor of informal controls. In multiple-person households, the best predictors of informal controls were: having a preference for social relationships with non-smokers, believing that second-hand smoke is harmful, and having few friends who smoked. For married/cohabitating respondents, having a spouse/partner who smoked reduced the likelihood of informal controls. The finding that nearly 90% of respondents agreed that environmental tobacco smoke (ETS) was harmful, but only 24% said that smoking was controlled in their residence, indicates that there is a need to investigate the situational variables which can impede the adoption of informal residential smoking norms.

Adult↗

Maternal age and incidence of low birth weight at term: a population study.

A total of 184,567 singleton live births with gestational ages of 40 weeks were examined from the 1980-1984 Illinois birth certificate data to determine the independent effect of maternal age on the incidence of low birth weight at term. The incidence is highest in mothers less than 17 years of age (3.2%) and gradually declines with advancing maternal age to reach 1.3% in women aged 25 to 34 years. It increases to 1.7% for those greater than 35 years of age. To separate out the independent effect of maternal age on the incidence of low birth weight infants at term, the presence of other maternal factors, such as race, education, parity, marital status, and prenatal care, were adjusted by use of a series of multiple logistic regression analyses. All of these analyses consistently demonstrated that the adjusted risk for low birth weight at term is the lowest in teenagers and increases with advancing maternal age. These results indicate that the high incidence of this factor in young mothers apparently reflects their poor sociodemographic and prenatal care status. Advancing maternal age is associated with a decreased potential for fetal growth, possibly reflecting biologic aging of maternal tissues and systems or the cumulative effects of disease.

Adolescent↗

Gender-related therapist attributions in couples therapy: a preliminary multiple case study investigation.

Differential treatment by gender has been an ongoing area of concern and uncertainty both in society at large and in clinical research. In this investigation, therapist attributions over the course of therapy for three different couples were coded and analyzed to determine if cause for positive and negative events was assigned differentially to females and males. Additionally, the stability and globality dimensions of the therapist's attributions about the couples were examined for stereotypical gender-related patterns. Results indicate no gender differences in locus of causal attributions but some gender-related patterns in stability and globality dimensions. Implications for both couples therapy and gender bias in couples research are discussed.

Adult↗

[Quality of life of middle aged persons who have cancer].

This descriptive study was under taken to explore relationships among the quality of life, health locus of control and perceived state of health persons with cancer to contribute theoretical understanding about these phenomenon of interest to the quality of nursing care. The subjects of this were 200 persons with cancer (100-in patients and 100-out patients), both male and female, between 30 and 59 years of age. Data were obtained using a convenience sample technique from two university hospitals in seoul from August, 1989, to June, 1990. The instruments used for this study were the Quality of life scale developed by Ro, You-Ja and the Health Locus of Control scale developed by Wallston & Wallston. Data were analyzed using a SAS program for ANOVA, t-test, Schefffé test, Pearson Correlation Coefficients and Stepwise multiple regression. The results were as follows: 1. The scores on the quality of life scale ranged from 95 to 191 with as mean of 147.85 (range 47 to 235). The Mean scores (range 1-5) on the different dimensions were family relationships 3.50, relationships with neighbours 3.48, self-esteem 3.17, physical state and function 2.99, economic life 2.93 and emotional life 2.91. 2. Significantly higher scores on the quality of life and demographic characteristics were as follows: the quality of life for women (t = 2.80, p = .006), for those without complications (t = 2.54, p = .013), and for those who perceived their illness as mild (F = 4.85, p = .009). Higher scores on quality of life were correlated with the following: 1) emotional state and the age group 50-59 (F = 3.43, p = .34). 2) economic life and higher income (F = 6.72, p = .002), those without complications (t = 2.68, p = .00), and those who perceived their illness as mild (F = 3.11, p = .05). 3) self-esteem and marriage (F = 3.64, p = .028), those without complications (t = 2.18, p = .03), and those who perceived their illness as mild (F = 7.72, p = .000). 4) physical state and function and the age group 30-39 (F = 4.65, p = .010), those without complications (t = 2.00, p = .05), and those who perceived their illness as mild (F = 3.38, p = .04). 5) family relationship and those who live with their spouse (t = 2.82, p = .005).(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Wife's employment and cumulative family size in the United States, 1970 and 1960.

Using a multiple classification analysis of the data from the 1 percent public-use samples of the 1960 and 1970 censuses of population, it is found that the negative relationship between wives' employment and their cumulative family size is stronger among whites than nonwhites and is strongest among women married less than 10 years, with 12 or more years of schooling, and who have no relatives living with them. Moreover, although there are many similarities in the pattern of the employment status/fertility relationship between the 1960 and 1970 data, the relationship is weaker in 1970 than in 1960.

Adolescent↗