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[Social class and bronchial cancer: the social structure in comparison to the total population].

400 male lung cancer patients were analysed according to their social class distribution and compared with the relevant age group of the Austrian population. There are significantly more lower class people among lung cancer patients than in the general population. The higher lung cancer risk in lower social classes, therefore, may be associated with social factors. These may influence smoking habits, the main cause of lung cancer: lower class people are more often cigarette smokers, less exsmokers and prefere high tar cigarettes.

Age Factors↗

Severe problem behaviors related to social interaction. 1: Attention seeking and social avoidance.

Studies concerning the functional analysis of severe problem behaviors have suggested that it is important to identify the different categories of stimuli that control problem behavior because each has unique treatment implications. The present study explored the differential effects of adult attention on the severe problem behaviors of two groups of children with developmental disabilities. A third group of nonproblem children was examined for comparison purposes. Children participated in three experimental conditions in which the level of adult attention was manipulated: noncontingent high attention, noncontingent low attention, and contingent attention. Results validated the existence of two groups of children who differed as to their social orientation: (a) One group of children commonly initiated social interactions and was most likely to exhibit problem behaviors under conditions of low adult attention, and (b) the other group of children rarely initiated social interactions and exhibited frequent problem behaviors under conditions of high adult attention. Implications of these data for escape and attention theories of child problem behavior are discussed, as are the applied implications for reinforcer assessment and teaching strategies.

Attention↗

Comparison between noradrenergic and serotonergic medications using the social adjustment scale: is drive enhancement necessary for recovery of social functioning?

The Social Adjustment Scale (SAS) was used to assess social functioning sequentially over 13 weeks in a group of 188 depressed outpatients randomized to either the noradrenergic antidepressant, nortriptyline, or the selective serotonin reuptake inhibitor, fluoxetine. Over the period of 13 weeks, there were no differences in total SAS scores between the nortriptyline and the fluoxetine group. In comparing the SAS subscale scores, which may measure different areas of motivation and behaviour (drive), there were differences between the two groups in only two subscales. At 13 weeks, the group randomized to fluoxetine were more impaired in marital role (p = 0.026) whereas, at 6 weeks, the group randomized to nortriptyline were more impaired in friction scores (p = 0.012). These results do not support the concept of specific augmentation of drive-related behaviour by noradrenergic medication. This challenges the earlier findings relating to drive enhancement and social adjustment using such medication.

Adrenergic Agents↗

Social subordinance in wild baboons is associated with suppressed high density lipoprotein-cholesterol concentrations: the possible role of chronic social stress.

Atherosclerosis and coronary heart disease are promoted by elevated serum low density lipoprotein cholesterol (LDL-C) and are retarded by increased high density lipoprotein cholesterol (HDL-C). Considerable variability in these lipoproteins has been observed in studies of captive animals subjected to extensive experimental manipulations, or by epidemiological studies of human beings. We have examined these variables in wild male baboons living undisturbed in their natural habitat in the Serengeti Ecosystem of East Africa. Among socially subordinate males, HDL-C and apolipoprotein A-I concentrations were significantly reduced by 31% and 25%, respectively, compared to concentrations in dominant individuals. There were no social rank differences in VLDL + LDL-C or its apolipoprotein (Apo B). Differences in age, sex hormone concentrations, rank-related diet, body weight, or gene pools were unlikely to explain this rank-related pattern. However, diminished HDL-C concentrations were associated with elevated basal cortisol concentrations, suggesting that exposure of subordinate individuals to elevated levels of social stressors could cause lower HDL-C concentrations.

Aging↗

Social policy considerations in perinatal social work.

Infant mortality has been a major problem in the United States for many years. Despite recent improvements, it continues to be a major social and economic problem. This is particularly true in non-white populations, where the infant mortality rate is significantly higher. This article discusses some of the reasons for the continued high rate of infant mortality, with particular attention to barriers which, if removed, might improve the health of newborn infants. How social workers can use this information in advocacy efforts is then explored in an effort to involve social workers more directly in this pressing national problem.

Health Services Needs and Demand↗

From a social issue to policy: Social work's advocacy for the rights of donor conceived people to genetic origins information in the United Kingdom.

This paper outlines a 22 year campaign to introduce openness into the arena of donor conception in the UK. It identifies key aspects of the development of an advocacy based approach to such work and argues that social work values and principles can prove key to identifying structural inequalities which are not necessarily based in socio-economic disadvantage. Donor conceived people may find themselves in families which enjoy material privilege but whose exposure to a legislative framework and dominant professional cultures within the treatment centres encourages secrecy around genetic origins. Social workers' experience of adoption and family work leads them to recognise the danger of such secrets within families. Turning such social issues into policy changes requires vision, strategic long term advocacy and partnership with those directly affected.

Adult↗

Issues in the development of social work information systems: the case of hospital social work departments.

Information systems have been proposed as a valuable resource for promoting the efficient and effective operation of hospital social service departments. However, the development and implementation process must overcome the tensions inherent to collection and utilization of structured information by social work practitioners. These include the need for quantified data about qualitative phenomena, compatibility with existing work routines, compatibility with norms and perceptions of information needs at different levels, and potential versus actual utilization of the data. The authors examine these issues and present strategies for dealing with them, in the context of a project to develop a country-wide information system for social work departments in general hospitals in Israel.

Communication Barriers↗

[Health promotion, social epidemiology, and social capital: associations and perspectives for public health].

The idea of health promotion predates the use of the actual term. However, the incorporation of this idea and the practice of health promotion were influenced by the Canadian health reform movement, which echoed the voices of many others who were concerned with the influence of the physical and social environment on health. This provided the basis for the World Health Organization to launch a series of conferences beginning with the Alma Ata Conference in 1977 and followed by the Ottawa Conference, from which resulted the first international document on health promotion, known as the Ottawa Charter. Although health promotion has been the subject of a wide range of studies, the concept is still not well understood and its explicit practice is limited. Health conferences have been important for keeping the notion of equity in health alive, while the gap between the rhetoric of these conferences and practice remains to be bridged. However, the rise of social epidemiology and the development of the concept of social capital for health could bring new insights into traditional epidemiology in order to narrow this gap. The purpose of this paper is to elucidate these concepts and to describe the roles they play in public health in order to stimulate further debate.

Epidemiology↗

Effects of a negative social experience on the emotional and social-cognitive responses of aggressive-rejected children.

Social problem-solving skills of aggressive-rejected children are usually assessed through hypothetical situations in a neutral setting where little or no reference is made to the emotional aspects. The aim of this study was to evaluate the social problem-solving skills of 57 aggressive-rejected (Group 1) and 57 prosocial-popular (Group 2) children of both sexes in Grades 1 and 2 by using as problem situations what happened in standardized provocations involving them with a trained peer-accomplice. An individual interview, aimed at disclosing emotions felt during the provocations, intentions attributed to the accomplice and possible reactions if confronted again with the same provocations, was conducted immediately after the session for half the subjects of each group. The other subjects were interviewed after a 10-min. delay. Analysis showed that Group 1 subjects would be less verbally assertive than Group 2 subjects if confronted again with the same provocations. The first graders from Group 1 also attributed fewer positive intents to the author of the provocations than Group 2 classmates. Second graders of both groups attributed more negative and fewer positive intents to the peer-accomplice when the interview immediately followed the provocations than when it was delayed. Similarly, second grade boys interviewed right away were more prone to use physical and verbal retaliation if the provocations were to happen again. These results highlight the influence of emotions on the social reasoning skills of aggressive-rejected and nonaggressive-nonrejected children.

Age Factors↗

Student leaders and social performance as measured by the social performance survey schedule.

There is a paucity of research on the social skills of student leaders, although studies have been conducted on other groups of students and adults. In this study, the Social Performance Survey Schedule was administered to 114 student leaders in Grades 6 to 11. Consistent with previous research applying the survey on diverse populations, girls engaged in more positive social behaviors, fewer negative behaviors, and had higher over-all performance than boys. Suggestions for those who may have contact with such students were made.

Adolescent↗

Measuring social behavior: social dominance.

Social dominance develops more slowly when young animals are kept in intact peer groups where they need not compete for resources. Learned generalizations may cause smaller and weaker animals to accept subordinate status readily when confronted with strangers that would be formidable opponents. Sexual hormones and sensitivity to them can influence the onset of aggression and status attained. After dominance orders are established, they tend to be stable in female groups but are less so in male groups. Psychological influences can affect dominance relationships when strangers meet and social alliances within groups may affect relative status of individuals. Whether status associated with agonistic behavior is correlated with control of space and scarce resources needs to be determined for each species and each kind of resource. When such correlations exists, competitive tests and agonistic behavior associated with gaining access to scarce resources can be useful to the observer in learning about dominance relationships rapidly. Examples are given to illustrate how estimates of social dominance can be readily attained and some strengths and weaknesses of the various methods.

Aggression↗

Social support and the social environment of depressed and normal women.

A brief self-report measure of social support was administered initially to a student population, and then to a sample of hospitalized depressed women. Comparison of the responses of the 32 patients with 35 student women of similar age showed no differences between the groups in number of cohabitants or of casual friends, or in faith in the value of talking over one's problems. Patients were more likely than controls to report having no or few confidants, nobody confiding in them, and little confidence in being liked by others. Training in social skills specific to fostering intimacy is suggested as a therapeutic step, and modifications to the social support measure for future use discussed.

Adjustment Disorders↗

"Friendships are a big part of it": social relationships, social distance, and HIV risks.

Social distance, or how close or distant individuals consider others, is an important influence on drug injectors' HIV risk behavior. Qualitative in-depth interviews with a vignette were employed with a sample of drug injectors in England to explore the influence of social distance on HIV risk behavior. Analysis of these data distinguish between close and distant relationships in sexual behavior in the community and in drug-injecting behavior inside prison. These findings help to expose the constituents of social distance in relation to drug injectors' perceptions of HIV risk, which are discussed throughout this paper.

Adolescent↗

Deletion of regulations pertaining to certain social services programs under the Social Security act: Office of Human Development Services, HHS. Final rule.

Pub. L 97-35, the Omnibus Budget Reconciliation Act of 1981, combined the social services programs administered under title XX of the Social Security Act in the States and in the Territories under titles 1, IV-A, X, XIV and XVI (AABD), into a single block grant known as "The Title XX Block Grant to States for Social Services." The block grant program is effective October 1, 1981. Since existing regulations governing those programs do not apply to the block grant program, this rule deletes both entire Parts and references within a Part that apply to the above grant-in-aid programs. These regulations also remove the Department's day care requirements which were issued under statutory authorities that no longer exist as a result of various changes made by Pub. L 97-35.

Child Day Care Centers↗

Preinstitutional social deprivation, responsiveness to social reinforcement, and IQ change in institutionalized retarded individuals.

Mentally retarded individuals who had been examined on a task measuring responsiveness to social reinforcement after 3 weeks and after 3 years of institutionalization were examined after 6 years of institutionalization. IQ changes were also examined. For familially retarded subjects, a linear decrease in responsiveness to social reinforcement and a linear increase in IQ was found from the 1st to the 6th year of institutional life. No changes in responsiveness to social reinforcement or IQ were found over the 6 years for nonfamilially retarded subjects.

Hospitalization↗

[Social integration of Crohn disease and ulcerative colitis patients. Study of the relations of somatic, psychological and social factors].

63 patients with Crohn's disease and 58 patients with ulcerative colitis were tested with the "Fragebogen zur sozialen Integration" (FSI, questionnaire of social adjustment), the "Freiburger Persönlichkeitsinventar" (FPI) and a semistandardized interview and were compared with surgical controls. Activity, course and symptoms of the disease were registered. We found significant restrictions in working and lesiure activities, partnership and sexual life in patients with inflammatory bowel disease. Social adjustment of patients with Crohn's disease was more dependent on disease activity than in patients with ulcerative colitis. Social impairment in patients with Crohn's disease correlated with higher stool frequency and abdominal pain, in patients with ulcerative colitis with reduced general state of health, tiredness and limpness. In the "Freiburger Persönlichkeitsinventar" (FPI) the patients with chronic inflammatory bowel disease described themselves significantly more nervous, inhibited, reserved and less aggressive, sociable and composed. The FPI scores in patients with Crohn's disease depended more on disease activity and on somatic symptoms than in patients with ulcerative colitis.

Adolescent↗

Effects of pre- and postpubertal social experience on sexual and social behavior in male and female brown lemmings (Lemmus sibiricus).

The effects of prepubertal social contact and postpubertal mating experience on sexual behavior were examined in male and female brown lemmings (Lemmus sibiricus). Subjects of both sexes were either isolated at weaning (18 days) or then housed with siblings for another 10 days before being isolated. Before testing for sexual behavior at the age of 75 days, half of each group of males received a series of exposures to estrous females and half of each group of females was housed with a stud male. The results of mating tests indicated that whereas prior sexual experience facilitated subsequent copulatory behavior in both sexes, prepubertal interactions subsequently facilitated contact social and sexual behavior in males but did not increase the behavioral scores of females, which engaged in high levels of sexual behavior regardless of prepubertal experience. The effect of prior copulatory activity on male sexual performance could not be attributed to increasing age (i.e., maturational processes) because the behavior of males tested once but at different ages did not differ appreciably. Prepubertal social interaction appeared to predispose males to benefit from sexual experience later in life.

Age Factors↗

[The contribution of biosocial factors to social group specific socialization (author's transl)].

The purpose of the article is to contribute to the extension and differentiation of the discussion about social group specific socialization. This is done in such a way that the sociological analysis is no longer restricted to sociocultural deprivation, but extended to the relationships between biological and social facts which can also be considered to be dependent upon the overall structure of society. The example of malnutrition is used to demonstrate to what extent biosocial variables add - in a complicated interplay with socio-cultural deficits - to the decrease in sociability and socialisation opportunities of the children in question. This applies particularly to learning disabled children in our country.

Child↗