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PubMedDate not supplied

A community study of gynecological and related morbidities in rural Egypt.

This study assesses the prevalence of gynecological and related morbidity conditions in a rural Egyptian community. A medical examination was conducted on a sample of 509 ever-married, nonpregnant women. For gynecological morbidities, genital prolapse was diagnosed in 56 percent, reproductive tract infections in 52 percent, and abnormal cervical cell changes in 11 percent of the women. For related morbidities, anemia was present in 63 percent of the women, followed by obesity (43 percent), hypertension (18 percent), and urinary tract infection (14 percent). Regression analysis of risk factors demonstrated the contribution of social conditions and medical factors to these diseases. Reproductive tract infections were shown to occur more frequently with uterovaginal prolapse, IUD use, presence of husband (regular sexual activity), and unhygienic behavior. Genital prolapse increased with age and number of deliveries. Age, recent pregnancy, education, socioeconomic class, and workload showed significant associations with related morbidity conditions. This evidence challenges national health programs to go beyond safe motherhood, child survival, and family planning in its services to women, and to consider the social context of health as well.

Adult↗
PubMed1975

Maternal malnutrition, low birthweight and related phenomena in man. Physiological and behavioral interactions.

The variables producing lowered birthweight include prematurity, maternal genetic tendencies, low prepregnancy weight, low weight gain during pregnancy, pathologies of pregnancy, multiple births, maternal malnutrition, and intrauterine growth retardation. Reductions in intelligence related to low birthweight are distributed equally among different socioeconomic groups. However, when mental subnormality is used as the criterion of impairment, low socioeconomic status is a better predictor of poor outcome than low birthweight. Even when general intelligence is not impaired, low birthweight children show specific cognitive, perceptual and behavioral signs of organic brain damage. In the absence of frank congenital abnormality, absolute birthweight is a better predictor of impaired intelligence than intrauterine growth retardation. Maternal malnutrition during the period of pregnancy does not influence offspring intelligence. Malnutrition throughout the maternal and offspring lifespan does impair intelligence, especially when surrounding social conditions are counterproductive to its development.

Animals↗
PubMed1993

Sex differences in depressiogenic risk factors and coping strategies in a socially homogeneous group.

We examined for sex differences in possible risk factors for depression, manifestations of depression and associated help-seeking and coping styles in a socially homogeneous cohort without any sex difference in lifetime rates of depression. The sexes did not differ on measures of depression, dysfunctional attitudes, perception of important interpersonal relationships, experience or perceived impact of life events. Women scored more highly on measures of neuroticism, were more dependent and were more likely to engage in self-consoling behaviours and coping styles. Recklessness as a coping style was the only item endorsed more frequently by men, posing the question of whether current measures take into consideration the male experience of depression. The findings suggest that many putative depressiogenic risk factors over-represented in women do not, by themselves, create depression but require a triggering factor or certain social conditions for their expression.

Adaptation, Psychological↗
PubMed1995

Adaptive health behaviors among ethnic minorities.

Race, ethnicity, and cultural attitudes and practices are among the variables that influence health behaviors, including adaptive health behaviors. The following discussions highlight the important role of social conditions in shaping health behaviors and the central role of family in promoting health across the Asian, Hispanic, Native American, and African American ethnic groups. Factors that may lead to health-damaging behaviors are also discussed. The need for additional research that identifies correlations among physiological, social, and behavioral factors and health behaviors, as well as underlying mechanisms, is called for.

Adaptation, Psychological↗
PubMed2002

Electrocommunication signals in female brown ghost electric knifefish, Apteronotus leptorhynchus.

Female communication behaviors are often overlooked by researchers in favor of male behaviors, which are usually more overt and easier to elicit. Very little is known about female electrocommunication behaviors in brown ghost knifefish, a weakly electric wavetype Gymnotiform fish. Most behavioral studies have focused on males, and fish are usually restrained and played a stimulus near their own electric organ discharge frequency to evoke chirps (abrupt short-term frequency rises) or the jamming avoidance response. Our study focuses on categorizing and describing spontaneous and evoked electric organ discharge modulations in free-swimming female fish that were either electrically coupled to tanks containing a conspecific (male or female), or left isolated. Cluster analysis of signals produced under isolated and social conditions revealed three categories of rises: short rise, medium rise and long rise; and one category of frequency decrease (dip). Females produce significantly more short rises when electrically coupled to tanks containing lower-frequency females, and produce more long rises when electrically coupled to tanks containing males. Short rises may have an intrasexual aggressive function, while long rises may serve as an advertisement of status or reproductive condition in intersexual interactions.

Animal Communication↗
PubMed1990

Lifelong control with inflammatory bowel disease patients.

The benefits and the burden of a lifelong control scheme for patients with chronic inflammatory bowel disease are discussed. The benefits cover physical, psychologic, and social conditions. Valuable scientific gains can be yielded secondarily from the data collection.

Adaptation, Psychological↗
PubMedDate not supplied

Lack of social support and incidence of coronary heart disease in middle-aged Swedish men.

Lack of social support has been found to predict all causes of mortality in population studies. It has often been assumed that the lack of social ties is associated with the general social conditions related to mortality and has little to do with specific disease etiology. So far, the association between lack of support and cardiovascular disease incidence has not been demonstrated. We have measured both emotional support from very close persons ("attachment") and the support provided by the extended network ("social integration"). This measure was applied along with standard measures of traditional risk factors to a random sample of 50-year-old men born in Gothenborg in 1933. All men (n = 736) were followed for 6 years and the incidence of myocardial infarction and death from coronary heart disease (CHD) was determined. Both "attachment" and "social integration" were lower in men who contracted CHD, with a significant effect for social integration (p = 0.04) and an almost significant effect for attachment (p = 0.07). When controlling for other risk factors in multiple logistic regression analyses, both factors remained as significant predictors of new CHD events. Smoking and lack of social support were the two leading risk factors for CHD in these middle-aged men.

Coronary Disease↗
PubMed1991

Resurgent tuberculosis in New York City. Human immunodeficiency virus, homelessness, and the decline of tuberculosis control programs.

The resurgence of tuberculosis in New York City has been largely attributed to the acquired immune deficiency syndrome (AIDS) epidemic. However, historical events predating the advent of AIDS and worsening economic and social conditions, including a rise in homelessness, have contributed significantly to the increase. We prospectively studied 224 consecutive patients with tuberculosis admitted to a large public hospital in New York over the first 9 months of 1988. Initial assessment included medical status, human immunodeficiency virus (HIV) risk factors, and detailed social information, including substance abuse history and housing status. All patients were tracked after discharge to determine compliance and cure rates. Tuberculosis patients were predominantly male (79%), with high rates of alcohol use (53%), intravenous drug and/or "crack" cocaine use (64%), and homelessness or unstable housing (68%). Half the patients had AIDS or AIDS-related complex (ARC) or were HIV antibody positive. A total of 178 patients were discharged on tuberculosis treatment, but 89% of these were lost to follow-up and failed to complete therapy. Of the 178 discharged patients, 48(27%) were readmitted within 12 months with confirmed active tuberculosis. Of these patients, 40 were discharged on treatment and at least 35 were again lost to follow-up. In a multivariate regression model noncompliance was significantly associated with the absence of AIDS or ARC (p less than 0.001), homelessness (p less than 0.005), and alcoholism (p less than 0.05). Because HIV infection and tuberculosis converge in a subpopulation with high rates of substance abuse and homelessness, the problem of ensuring treatment compliance may grow considerably in the future.(ABSTRACT TRUNCATED AT 250 WORDS)

AIDS-Related Complex↗
PubMed1990

Dependency among Third World elderly: a need for new direction in the nineties.

The current political economy of aging focuses largely on the conditions of old people in Western industrialized societies. Thus it ignores more than half of the world's elderly--those residing in Third World countries. In the first part of this article the author examines aging trends in developing countries, considering recent approaches to addressing the deteriorating economic and social conditions that shape the lives of the elderly in these countries. In the second part, a feminist perspective is used to assess the implications of these demographic trends and development strategies for women in Third World countries. It is argued that policies that place primary responsibility for care of the elderly within families are as unjust in Third World societies as they are in industrialized nations.

Aged↗
PubMed1994

[Social characteristics of a HIV-positive patient group].

OBJECTIVE: To discover the social, economic and cultural characteristics of the HIV+ population within our health area and any consequent implications for the spread of the disease. DESIGN: A descriptive study by means of a direct questionnaire. SETTING: The Macarena area in Sevilla. PATIENTS: 110 HIV+ patients. MEASUREMENTS AND MAIN RESULTS: A questionnaire, which included items concerning work situation, cultural and economic status, drug habits, sexual behaviour and social situation, was administered to 110 people. The determinant social profile of those patients studied was: male, PVDU, between 25 and 34, heterosexual, with multiple sexual partners, resident in the urban area, economically dependent on their parents with whom they live, and having a low education level. Homosexual patients had a higher education level. CONCLUSIONS: 1. The social conditions of marginal groups must be changed, in order to lessen drug consumption and so cut the epidemiological transmission chain. 2. High-risk behaviour, rather than high-risk groups, should be referred to, given that (albeit to a lesser degree) this infection can affect people at any social level, who engage in high-risk activities.

Adolescent↗
PubMed2003

[Reflections on the concept of recognition in psychosocial practice].

This article attempts to fertilize the concept of recognition by Axel Honneth for use with mentally handicapped persons. The "Concept of Recognition" offers a concept of fairness that is closely tied to the idea of an integrated life style. The development of self-confidence, self-respect and self-esteem--as differing levels of practical self-relation--are bound to the experience of inter-subjective acceptance. This represents the basic requirement on which the development of a person's identity depends. Refusal of recognition, and/or disregard, exclusion, or disgrace negatively effects the integrity of a person. The relevance of the concept of recognition in psychosocial practice is described, this allows mentally handicapped persons to be observed out of the perspective of "suffering" as well as out of the perspective of "acting". This necessarily requires a biographical and environmental approach. Biography oriented support approaches require continual evaluation of the institutional arrangements that possibly themselves are the source of indignities, disregard and restrictions of autonomy. This analysis however remains incomplete if the social conditions that are responsible for the violation of recognition criteria are not investigated as well.

Activities of Daily Living↗
PubMedDate not supplied

[Migration and social gender relations: the anthropological perspective].

"This article reviews Mexican research of female migration. An analysis is made of socio-demographic and anthropological studies that cover the relations between inequality among the genders, the causes and features of migration, and the work performed by female migrants in their places of origin and destination. The paper responds to the growing interest shown in international literature [on] migration in order to determine the influence of gender identity in the motivations and features of the migration of women, as well as the consequences of spatial mobility on their social conditions and their autonomy." (SUMMARY IN ENG)

Americas↗
PubMed1995

Community level factors and child maltreatment rates.

Using census and administrative agency data for 177 urban census tracts, variation in rates of officially reported child maltreatment is found to be related to structural determinants of community social organization: economic and family resources, residential instability, household and age structure, and geographic proximity of neighborhoods to concentrated poverty. Furthermore, child maltreatment rates are found to be intercorrelated with other indicators of the breakdown of community social control and organization. These other indicators are similarly affected by the structural dimensions of neighborhood context. Children who live in neighborhoods that are characterized by poverty, excessive numbers of children per adult resident, populations turnover, and the concentration of female-headed families are at highest risk of maltreatment. This analysis suggests that child maltreatment is but one manifestation of community social organization and that its occurrence is related to some of the same underlying macro-social conditions that foster other urban problems.

Adolescent↗
PubMed1996

[Social and medical aspects of multimodality therapy for lymphogranulomatosis in children].

The high efficiency of treatment of lymphogranulomatosis in children by the currently available protocols determines the necessity of assessing them in terms of the quality of further life. The opportunity of creating a life and having the offspring, that of getting education and a profession are one of the main characteristics of the quality of life. The data on the reproductive function and social adaptation of 443 children receiving multimodality treatment for lymphogranulomatosis by 3 protocols (from 1976, 1978, and 1987). Two hundred and fifty eight individuals were 18 years old or more. Sixty four former patients have 88 children who are all healthy. The treatment performed in childhood intensively, which yielded a complete effect, exerts no substantial impact on the formation and performance of their reproductive function. The former patients have a high intellect, without limitations in getting professions, and they are easily adaptable to the changing social conditions.

Adolescent↗
PubMed1998

Wrist actigraph measures of physical activity level and ambulatory blood pressure in healthy elderly persons.

A sensitive electronic monitor (Mini-Motionlogger, Ambulatory Monitoring Inc.) attached to the wrist was used to record movements during two 24-hr days of ambulatory blood pressure (BP) and heart rate (HR) recording in 65 women and 54 men between the ages of 55 and 79 years, all of whom were in good health. The objective was to examine the relationship between various measures of physical activity and ambulatory BP and HR during waking and sleeping periods and during various diary-defined behaviors. For waking and sleeping periods, neither the mean nor the variability of the activity measure was associated with the mean or variability of the ambulatory BP and HR measures in between-subjects correlational analyses. Within-subject analyses showed little evidence of significant covariation between activity and BP or HR during either waking or sleeping conditions with most participants showing a slightly positive association. The activity measure discriminated between behaviors associated with little effort (watching television) versus more energetic behaviors (walking). Activity accounted for a relatively small amount of the difference in BP or HR related to overall state (wake, sleep), posture (stand, sit), and social condition (being with family vs. being with friends). The utility of electronic activity monitoring for studies of BP and HR in natural settings is discussed.

Aged↗
PubMed2001

The moderating effect of aggressive problem behaviors in the generation of more positive attitudes toward nursing home residents.

This study examined the ability of a social history intervention to generate more positive attitudes toward nursing home patients, and to increase staff members' perceived rewards of care-giving. In contrast to prior studies, residents' problem behaviors were examined as potential moderators in the relationship. Forty-three staff members participated in an experimental, 3 (informational condition: social history, medical, control) x 2 (time: pre-test, post-test) within-subjects factorial design that employed newly admitted residents as target patients. Findings showed that the social history intervention alone did not generate more positive attitudes toward patients or greater rewards of care-giving. Although a larger proportion of target patients manifested other problem behaviors with greater frequently, only aggressive problem behavior was associated with more negative attitudes toward patients. A post-hoc analysis revealed that after statistically controlling for the impact of patients' aggressive behavior, the social history information appeared to allow staff members to maintain more neutral attitudes toward patients. Considerations for the use of social history information in long-term care settings are addressed.

Adult↗
PubMed2005

Temporary employment, absence of stable partnership, and risk of hospitalization or death during the course of HIV infection.

OBJECTIVE: To estimate the independent association between socioeconomic conditions and the risk of all-cause hospitalization or death during the course of HIV disease in the highly active antiretroviral therapy (HAART) era. METHODS: Patients in the French PRIMO multicenter prospective cohort of 319 individuals were enrolled during primary HIV-1 infection between 1996 and 2002. Associations between social characteristics (ie, employment status, stable partnership) and the risk of hospitalization or death were assessed using generalized estimating equations. RESULTS: During a median follow-up of 2.5 years, 109 hospitalizations among 84 patients (26.3%) and 3 deaths occurred. Even after adjustment for classic determinants of HIV-infected patients' health status, social characteristics were independently associated with the risk of hospitalization or death, with a significantly increased risk for patients with temporary employment compared with those with stable employment (adjusted odds ratio [OR] = 2.5, 95% confidence interval: 1.1 to 5.6) and for patients without a stable partnership compared with those with a stable partnership (OR = 1.6, 95% confidence interval: 1.0 to 2.7). CONCLUSIONS: In the era of HAART, adverse social conditions constitute independent risk factors of hospitalization or death during the course of HIV disease.

Employment↗
PubMed2004

Assessing ethnicity in preconception counseling: genetics--what nurse practitioners need to know.

PURPOSE: To define and discuss five genetic disorders--Tay-Sachs, sickle cell anemia, Canavan's disease, thalassemia, and cystic fibrosis (CF)--and to explain the importance of the nurse practitioner's (NP's) assessment of clients' ethnicity during preconception counseling, which should address these genetic conditions. DATA SOURCES: Review of literature from professional journals, professional organizations' Web sites, guidelines from the American College of Obstetricians and Gynecologists, the National Institute of Health Consensus Statement, and the authors' professional clinical experience. CONCLUSIONS: The goal of preconception counseling is to identify potential or actual medical, psychological, or social conditions that may affect the mother or fetus. NPs are often the health care providers that initiate preconception counseling to women in varied primary care settings. NPs must be familiar with ethnicity-related inheritable conditions in order to provide appropriate client information and education and to implement testing and, when needed, referral for genetic counseling to individuals and families at risk for genetic disorders such as Tay-Sachs, Canavan's disease, CF, sickle cell anemia, and thalassemia. IMPLICATIONS FOR PRACTICE: NPs providing health care to women of child-bearing age should assess the client's use of contraception and intent for future pregnancy. Preconception counseling when indicated should be initiated to all women to increase their potential for healthy pregnancy outcomes. Although a comprehensive personal, family, medical, and psychosocial history and initiation of folic acid are the mainstays of preconception counseling, assessment for risk of ethnicity-related genetic conditions must also be included in prepregnancy health care.

Anemia, Sickle Cell↗