Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SOCIAL CONDITIONS”

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 847 records · Page 47Linked to original sources
PubMed1986

Anticipating the needs of the U.S. aged in the 21st century: dilemmas in epidemiology, gerontology, and public policy.

Reductions in the prevalence of chronic disease, functional dependence, and associated social problems among aged Americans have been predicted on the basis of improving environmental and social conditions, more effective public health measures, and advances in medical care. Public policy makers have found such predictions attractive since improved health status in old age could significantly offset the increase in health care resources which would otherwise be required to meet the needs of the country's growing number of elderly. This paper reviews the epidemiologic model underlying such predictions. Key assumptions of the model are evaluated by examining the health and social well-being of elderly residing in a socioeconomically advantaged community with an age structure similar to that projected for the United States in the 21st century. Despite their long-standing advantages in education, employment, income, housing, health care, and community services, these elderly experienced age adjusted rates of health and social problems comparable to those found in nationwide samples of elderly. No evidence of a compression of health problems into the final years of life could be found. Considerable diversity in problem constellations suggested a need for sophisticated packages of health and support services. These findings suggest that any significant improvements in the health status of the aged due to general improvements in living conditions or health behavior are unlikely to emerge before the proportion of aged Americans doubles in the first quarter of the 21st century. If this is so, public policy in the U.S. must be directed to expanding and improving health and social services for the elderly in the foreseeable future. Attempts to hold expenditures on the aged constant, or to reduce such expenditures, would seriously compromise the health of the nation's elderly.

Aged↗
PubMed1994

Living a responsible life: the impact of AIDS on the social identity of intravenous drug users.

The dominant image of an intravenous (i.v.) drug user in U.S. society is that of the unbridled 'dope fiend'. It is common in treatment literature to refer to users as diseased and pathologically unable to control their lives. Female i.v. drug users, as the bearers of children, even more than males, are faced with the paradox posed by conflicting social messages labeling them as irresponsible, dirty 'dope fiends' while approaching them as responsible citizens who need to 'clean up their act' for their children. The paradox of these messages creates a profound moral dilemma involving agency--the ability to develop a flow of conduct by reflexively monitoring intention, purpose, and accountability of actions in the pursuit of a goal--and the social identity of 'junkie'. This article examines this social condition and how it affects the life and options of a woman diagnosed HIV positive. Using narrative discourse and analyzing it through the study of voice I show how an i.v. drug using woman uses her diagnosis to redefine her life and her social identity, as she changes a negative 'deviant' image into a positive one.

Acquired Immunodeficiency Syndrome↗
PubMed1997

Behavioral and social correlates of escape from suppression of ovulation in female common marmosets housed with the natal family.

Although female common marmosets typically do not breed while housed with their natal families, up to half ovulate at least once while housed with the intact natal family, and a similar proportion conceive if an unrelated adult male is present in the group. In this study, we investigated the behavioral and social correlates of escape from suppression of ovulation by daughters housed in intact natal families or in families in which the father had been replaced by an unrelated adult male. Focal-animal behavioral data were collected from daughters that were (N = 7) or were not (N = 10) undergoing ovulatory cycles while housed with the natal family and from daughters that were (N = 5) or were not (N = 3) cycling or pregnant in families containing an unrelated male. Additionally, four cyclic and six acyclic females housed in intact natal families underwent simulated "prospecting" tests. Cyclic and acyclic daughters in intact natal families did not engage in sexual interactions with the father and showed few differences from one another in their interactions with the parents. Moreover, cyclic and acyclic daughters did not differ in their willingness to leave the family for short periods or to investigate an unfamiliar family in "prospecting" tests. However, daughters that underwent ovarian cycles in the presence of an unrelated male showed numerous behavioral differences from those in intact natal families, including frequent courtship and sexual behaviors with the male, reduced affiliative interactions with the mother, and elevated frequencies of aggressive display behavior. Moreover, these females were less likely to behave submissively towards the mother or the adult male. These findings suggest that both suppression of ovulation and inhibition of sexual behavior normally contribute to reproductive failure in female marmosets living with their natal families, and that the two components of suppression may become dissociated under specific social conditions.

Agonistic Behavior↗
PubMed1990

Dimensions of loneliness.

Experiences of loneliness have been studied in 2795 Swedish inhabitants aged 15-80. Three different kinds of feelings of loneliness have been identified: intensity/quantity of loneliness, inner loneliness and positive loneliness. Contrary to common belief, the analysis shows that the intensity/quantity of loneliness is higher among young subjects whereas the degree of inner loneliness is slightly higher among older subjects. Both developmental experiences during childhood/adolescence and social conditions at present are correlated with the experience of loneliness in old people.

Adolescent↗
PubMed1989

[Hysterical syndromes in a population of ambulatory neuropsychiatric patients in northwest Ethiopia. Phenomenology, psychosocial and sociocultural background].

Among 1240 first-time patients in the out-patient department of Gondar College of Medicas Sciences during the period September 1985-Juli 1986, there was, be European standards, an astonishingly high percentage of hysterical symptoms: 12.5% of all cases, 33.5% of all neurotic cases, with markedly "classic" symptomatology. These hysterical behavior patterns were interpreted as being, in the main, special problem solution mechanisms with secondary acquisition of illness under rapidly changing social conditions.

Adaptation, Psychological↗
PubMed1991

Epidemiological, social and psychiatric aspects in self-poisoned patients. A prospective comparative study from Trondheim, Norway between 1978 and 1987.

A prospective study of an unselected group of patients admitted in a Medical Department in 1978 (n = 257) and 1987 (n = 361) after deliberate self-poisoning is presented. The rate increased significantly over the period of the study (P less than 0.05). Family problems, unemployment, poor social conditions and alcohol and drug abuse had increased. The main psychiatric diagnosis was neurosis. From 1978 to 1987 "abuse" had increased substantially. The 10-year mortality rate was 4.5 and 4.1 times the expected value for female and male patients, respectively. We conclude that social and psychiatric problems are increasing and that the treatment of these patients today is far from satisfactory.

Adolescent↗
PubMed2003

Locomotor recovery after spinal cord contusion injury in rats is improved by spontaneous exercise.

We have recently shown that enriched environment (EE) housing significantly enhances locomotor recovery following spinal cord contusion injury (SCI) in rats. As the type and intensity of locomotor training with EE housing are rather poorly characterized, we decided to compare the effectiveness of EE housing with that of voluntary wheel running, the latter of which is both well characterized and easily quantified. Female Wistar rats were made familiar with three types of housing conditions, social housing (nine together) in an EE (EHC), individual housing in a running wheel cage (RUN, n = 8), and standard housing two together (CON, n = 10). Subsequently, a 12.5 gcm SCI at Th8 was produced and animals were randomly divided over the three housing conditions. Locomotor function was measured regularly, once a week by means of the BBB score, BBB sub score, TLH test, Gridwalk test, and CatWalk test. In the RUN group, daily distance covered was also measured. Locomotor recovery in the EHC and the RUN groups was equal and significantly better than in the CON group. The extent of recovery at 8 weeks post injury in the RUN group did not correlate with distance covered. We conclude that locomotor training needs to exceed a given threshold in order to be effective in enhancing locomotor recovery in this experimental model, but that once this threshold is exceeded no further improvement occurs, and that the specificity of locomotor training plays little role.

Animals↗
PubMed1976

Depression among the aged.

Depression in the elderly is a public health problem that will increase in magnitude as a progressively larger proportion of our population consists of those over the age of 65. Epidemiologic studies indicate that the elderly are in need of physical and mental health care. New data from 1,645 respondents in a Southeastern county show the high frequency of depressive symptomatology in the elderly and a significant relationship between poverty and depressive symptomatology. Predominant symptoms were lowered spirits, feeling helpless, a gloomy outlook on the future, a sense of powerlessness, and difficulties with sleep and appetite. A social psychiatric orientation is needed to supplement the more traditional psychodynamic formulations of depression in the aged. Adverse social conditions and cultural biases deprive the elderly person of a requisite level of self-esteem and place him at risk for depression. Treatment included humanistically based psychotherapy which can be carried out by doctors, the use of antidepressants, medications, and the development of social support systems.

Aged↗
PubMed1991

[Emergency treatment of alcoholics. Review of the admissions and readmissions to a psychiatric department with regard to the features of the group].

A retrospective investigation revealed 107 patients (29 women and 78 men) with the diagnosis of alcoholism who were admitted to the County Hospital in Vordingborg during a period of six months. Readmissions of these patients during the subsequent two years were registered. The object of the investigation was to characterize these patients as regards the mental and social conditions, as it was our impression that these conditions were of significance in the referral for treatment in the psychiatric department. In addition, we have investigated whether it is possible to point out prognostic factors for the frequency of readmission. 78% of the patients were between 30 and 50 years. Patients in social class 8 were overrepresented. This supports the presumption that admission to a psychiatric department is not based on the abuse per se but rather on the problem complex of abuse, mental and social problems. 2/3 of the patients had previously been treated for alcohol abuse. The frequency of readmission during the subsequent two years was highest for patient aged 30-50 years. In the age group 30-39 years, changes in the social and mental circumstances had occurred and, in the age group 40-49 years, somatic complications on account of the abuse had more frequently developed. No connection could be found between the duration of the first admission in the period of investigation and the frequency of readmission during the subsequent two years. It is concluded that the group of patients aged 30-39 years appears to require social initiative whereas the group of patients aged 40-49 years has a greater need for somatic treatment.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMedDate not supplied

Do glucocorticoid concentrations rise with age in the rat?

While the secretion of glucocorticoids by the adrenal gland is essential for survival of various stressors, glucocorticoid excess can be pathogenic. This two-edged quality to glucocorticoid action makes it of interest whether glucocorticoid concentrations change with age. Numerous studies have examined this in the rat but have failed to reach consensus. The present report analyzes this literature and concludes that the lack of consensus cannot be attributed to strain or sex differences or differences in the point in the circadian cycle at which rats were studied. Instead, it appears that a critical variable is how truly "basal" (i.e., unstressed) basal samples were; in studies in which basal glucocorticoid concentrations in young control subjects were in a range reflecting unstressed basal conditions, there is a robust increase in hormone concentrations with age. In contrast, the bulk of studies reporting no increase with age were those in which young subjects had elevated basal glucocorticoid concentrations (perhaps reflecting the method and speed of obtaining the blood sample, the social conditions of the rat housing, and/or the recency with which there was a disturbance in the animal room). Thus, it appears that once this source of variability is recognized and factored out, there is a considerable increase in basal glucocorticoid concentrations in aged rats.

Aging↗
PubMed2003

An agenda for future research on HIV and sexual behaviour among African migrant communities in the UK.

The epidemiology of the recent rise in HIV cases in Britain highlights the need for more research among the heterosexual African migrant population. New research should not, however, only extend the limited number of studies that describe observable patterns in sexual health but should also seek to determine their underlying social causation. To achieve this, both methodological and ontological shifts are necessary in the existing research paradigm; we advocate that a broad range of qualitative techniques be deployed both to uncover the empirical details of specifically African sexual behaviours and to highlight and explore the 'relational' nature of sexual decision-making. Rather than fixing on individuals, analysis must situate them within the broader discursive and material frames that structure the boundaries of decision-making. In addition, researchers need to utilise the parallel literature on the social embeddedness of HIV in Africa to inform analysis of the British context. It would then be possible to address the crucial question of whether the social conditions known to cause high-risk behaviours and facilitate transmission in Africa persist, or are transformed, after migration to the UK. A key, and neglected, dimension of this is the role of spatial context in relational sexual decision-making and the constitution of social relationships in particular arenas. This needs further thought, particularly in relation to domestic space and gender identities. We believe that the research agenda proposed herein has much to contribute to interventions and service provision. Nevertheless, we are mindful of the need for self-reflexivity about our role in the production of powerful knowledges about sex. Our final proposal is that researchers seek ways to work with, not on, African communities in order to facilitate their own informed management of sexual health.

Humans↗
PubMed1993

Social and geographical risk factors in Helicobacter pylori infection.

A correlation between childhood crowding and the later development of gastric cancer has been demonstrated by Barker and colleagues, who proposed that the relationship was the consequence of infection by an organism such as Helicobacter pylori. In order to test this hypothesis the presence of IgG antibodies to H. pylori in sera from blood donors in North Wales has been investigated. During donation sessions, donors answered questions relating to social conditions and domicile in childhood (at age 10 years) and adult life (the preceding 2 years). A stepwise logistic regression analysis of the data demonstrated significant independent relationships between seropositivity and the following factors: sharing a bed in childhood, housing density, locality of birth, adult social class and age.

Adult↗
PubMedDate not supplied

[Local school attendance by students with cancer during and after therapy].

The pilot project brought to attention in this study aims to improve social integration and reintegration at school of pupils inflicted by cancer. The guidelines include an intensive, long-range individual care and accompanied visits in the patients' own classes. Conversations are offered by hospital-teachers and, eventually, by physicians in the classroom proper. This approach results in reducing fear, insecurity and ignorance of both school-mates and teachers at the school of origin, thus mediating better human implications facing children and adolescents involved. The experience attained from over 80 visits in schools of origin indicates that these contacts strengthen the patients' prospects and reduce their social and school-associated problems in terms of promotising their psycho-social conditions.

Absenteeism↗
PubMed1991

Psychosocial factors impair vascular responses of coronary arteries.

BACKGROUND: Four sets of monkeys were used to examine the effect of chronic psychosocial disruption and diet on dilator responses of coronary arteries. METHODS AND RESULTS: One set consisted of monkeys consuming monkey chow and living in a stable social setting (nonatherosclerotic controls, n = 6). Three sets consumed an atherogenic diet for 14 months followed by one of three treatments for the next 16 months: 1) a high-cholesterol diet and housed in unstable social groups (n = 9); 2) a low-cholesterol diet and housed in unstable (n = 8); or 3) stable groups (n = 10). Quantitative coronary angiography revealed that intracoronary infusion of acetylcholine resulted in a change of diameter (versus infusion of 5% dextrose in water) of +4 +/- 1% in control monkeys and -11 +/- 4% in unstable monkeys consuming a high-cholesterol diet (p less than 0.05). In monkeys consuming the cholesterol-lowering diet, the change in artery diameter was +2 +/- 4% in stable and -10 +/- 4% in unstable social conditions (p less than 0.05) despite a similar plaque size (0.4 +/- 0.2 and 0.5 +/- 0.1 mm2) and total plasma cholesterol concentrations (179 +/- 9 and 172 +/- 6 mg/dl), respectively. The arterial response to nitroglycerin was similar among all groups of monkeys. CONCLUSIONS: We conclude that chronic social disruption is associated with relative arterial constriction in response to acetylcholine in atherosclerotic monkeys consuming a cholesterol-lowering diet.

Animals↗
PubMed2004

The Latin American Social Medicine database.

BACKGROUND: Public health practitioners and researchers for many years have been attempting to understand more clearly the links between social conditions and the health of populations. Until recently, most public health professionals in English-speaking countries were unaware that their colleagues in Latin America had developed an entire field of inquiry and practice devoted to making these links more clearly understood. The Latin American Social Medicine (LASM) database finally bridges this previous gap. DESCRIPTION: This public health informatics case study describes the key features of a unique information resource intended to improve access to LASM literature and to augment understanding about the social determinants of health. This case study includes both quantitative and qualitative evaluation data. Currently the LASM database at The University of New Mexico http://hsc.unm.edu/lasm brings important information, originally known mostly within professional networks located in Latin American countries to public health professionals worldwide via the Internet. The LASM database uses Spanish, Portuguese, and English language trilingual, structured abstracts to summarize classic and contemporary works. CONCLUSION: This database provides helpful information for public health professionals on the social determinants of health and expands access to LASM.

Databases, Bibliographic↗
PubMed2001

Conversation across paradigms: unitary-transformative and critical feminist perspectives.

The purpose of this article is to convey a conversation that occurred over a period of months between a unitary-transformative scholar and a critical feminist scholar. The intention of our conversation was to uncover, through dialogue and engagement, ways in which these two paradigms might help us understand the forces and conditions which impede and may liberate full expression of health and well-being. Areas of essential tensions addressed were the relationships of action and theory, sense and soul, stories and numbers, and aesthetics and empirics. Critical conversational points were notions of liberation, consciousness and social conditions, unpredictability and acausality, and potentials for reconciliation that would serve nursing and society. We concluded that although there are significant differences that exist between the two paradigms, there are areas in which we might begin to speak with one voice for the betterment of nursing and health care.

Feminism↗
PubMed1998

[Old-age assistance is to be multicultural--a special care for only a minority].

According to the census, more than 100,000 foreign-born people over 65 years of age now live in Sweden. They represent nearly eight per cent of the elderly population, and come from over a hundred different countries. During the 1990s many ethnically and religiously based old-age and health-care services have been developed for this population. The experiences of these services and their importance in the planning of care facilities are discussed in the article; research and scientific evaluations comparing health and social conditions of the foreign-born and Swedish elderly populations are also reviewed.

Aged↗
PubMed1987

Early experience.

Because regulatory mechanisms are not fully developed in neonates, they are particularly susceptible to environmental influences on behavior. Events early in life have the potential for multiplicative effects. Perinatal stress appears to alter the function of the HHA axis in an adaptive manner. Optimal levels of stress might therefore be used in the rearing of domestic animals. Further research, including an assessment of animals' welfare, is needed. The early social environment is of critical importance in behavioral ontogeny. Social conditions other than those with which a species has evolved, such as isolation, rearing without conspecifics, or rearing in single-sex groups, can alter later behavior. Effects on agonistic and sexual behavior, in particular, have been well researched. The types of learning involved in primary socialization are not directly known for most farm species, although other features of socialization are well documented. Nutrition plays an obvious role in physical development. Less obviously, it appears that a low plane of nutrition or protein deficiency can permanently impair learning ability through a decrease in the number of brain neurons.

Animal Nutritional Physiological Phenomena↗