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[Social inequality of health changes: implications for social health research and practice].

In recent European Public Health research an increasing gap in life expectancy between higher an lower socio-economic status groups in populations was documented, in particular from Scandinavian countries and United Kingdom. To a lesser or greater extent, this social gradient affects all socioeconomic groups below the top, not simply those at the bottom. The contribution of factors related to health care systems in explaining this gradient is of limited importance. Health-related lifestyle factors and stressful conditions resulting from relative social deprivation both within and outside working life were shown to be relevant determinants. The paper presents selected examples of respective socio-epidemiological research and discusses their implications for public health services.

Delivery of Health Care↗

Youth using research: learning through social practice, community building, and social change.

Traditional teaching runs directly counter to the natural learning process, which is a dynamic, socially conscious process whereby students learn by doing. This educational philosophy and practice is also predicated on serving the community. In the course of helping to build one's community, essential academic and personal skills are developed. This chapter provides examples of a high school program in Boston that uses community action project-based learning as a tool to create a better community. Through this process, students learn about finding and using their power to make change happen for them and their communities.

Adolescent↗

Social support, social influence, ethnicity and the breastfeeding decision.

A survey was conducted of all mothers delivering infants at a university medical center hospital in the month of July, 1981. The survey was conducted within 48 hours of delivery and addressed factors related to the breastfeeding decision. The mother's response to the question concerning choice of infant feeding was verified against the feeding records. One set of questions concerned the perceived general supportiveness toward breastfeeding of six individuals significant to the mother. Another set of questions identified who was most influential in the mother's breast or bottle feeding decision. The pattern of significant bivariate relationships between a person's supportiveness and breastfeeding varied across ethnic and maritial status groups. Single and multiple logistic analyses were conducted within ethnic groups to identify from whom support was most important for initiating breastfeeding. Among Black-Americans, support from a close friend was most important. Among Mexican-Americans, support from the mother's mother was most important. Among Anglo-Americans, support from the male partner was important. A broad variety of ensuing research issues are raised. An implication is that social support may be an important interventive variable, but the potentially supportive individual to be reached by an interventive program varies by ethnic group.

Black or African American↗

Structural characteristics of social networks and their relationship with social support in the elderly: who provides support.

The analyses presented here examine relationships between structural characteristics of social networks and two types of support (instrumental and emotional support) in a sample of community-dwelling individuals aged 65 and older. For each type of support, two dimensions are examined (1) the availability of such support and (2) the perceived adequacy of that support. Regression models, adjusting for age, sex, race and income show that structural characteristics such as total network size, number of face-to-face contacts and number of proximal ties are associated with greater availability of both instrumental and emotional support. The perceived adequacy of both types of support is most strongly related to the number of monthly face-to-face contacts. Comparisons of specific types of ties show that neither ones' spouse nor ones' children are primary sources of support. Rather the presence of a confidant is strongly associated with both dimensions of instrumental and emotional support; the presence of a spouse is not. And, while ties with children are most strongly related to aspects of instrumental support, ties with close friends and relatives are more strongly related to aspects of emotional support. Analyses of possible interactions show that for those without a spouse, confidants assume greater importance in providing emotional support. For those without children, ties with close friends and relatives assume a larger role relative to the perceived adequacy of both emotional and instrumental support.

Aged↗

'Gatherings' of social grooming among wild chimpanzees: implications for evolution of sociality.

Chimpanzees (Pan troglodytes) often groom in gatherings that cannot simply be divided into unilateral dyadic grooming interactions. This feature of grooming is studied at two different levels: grooming cliques and grooming clusters. Grooming cliques are defined as directly connected configurations of grooming interactions at any given moment, and when any member of a clique successively grooms any member of another clique within 5min and within a distance of 3m, all the members of both cliques are defined as being in the same grooming cluster. Twenty-seven types of cliques are observed, with the largest one consisting of seven individuals. Mutual and/or polyadic cliques account for more than 25% of all cliques. The size of grooming clusters varies from two to 23 individuals, and almost 70% of the grooming time is spent in polyadic clusters. Although adult males groom the longest in relatively smaller clusters (size=2-4), adult females groomed the longest in clusters of five or more individuals. A review of the literature implies that mutual and polyadic cliques occur less often in other primate species than in chimpanzees. The importance of overlapping interactions for these kinds of gatherings and its possible significance in the evolution of sociality is discussed in this article.

Age Factors↗

Two social worlds: social correlates and stability of adolescent status groups.

Adolescents' peer group status in high school was examined using self-report, peer nominations, and archival data collected during 2 consecutive school years. Higher status students (popular and controversial) had more close friends, engaged more frequently in peer activities, and self-disclosed more than lower status students (rejected and neglected). They were also more involved in extracurricular school activities and received more social honors from their schoolmates. Although the higher status students were more alike than different, controversial adolescents did report more self-disclosure and dating behavior than popular students. Lower status students were also highly similar, although rejected students reported lower grades. Regarding the temporal stability of these status groups, the adolescent sample exhibited slightly higher overall stability than that found in previous investigations of younger children.

Adolescent↗

The four elementary forms of sociality: framework for a unified theory of social relations.

The motivation, planning, production, comprehension, coordination, and evaluation of human social life may be based largely on combinations of 4 psychological models. In communal sharing, people treat all members of a category as equivalent. In authority ranking, people attend to their positions in a linear ordering. In equality matching, people keep track of the imbalances among them. In market pricing, people orient to ratio values. Cultures use different rules to implement the 4 models. In addition to an array of inductive evidence from many cultures and approaches, the theory has been supported by ethnographic field work and 19 experimental studies using 7 different methods testing 6 different cognitive predictions on a wide range of subjects from 5 cultures.

Adult↗

Multiple sources of data on social behavior and social status in the school: a cross-age comparison.

Behavioral data relating to peer social status were collected from peers, teachers, and observers on both first- and third-grade boys (ages 6-7 and 8-9 years, respectively). Peer and teacher ratings had greater intermethod agreement than observer data, although all 3 sources provided evidence that rejected and controversial boys were more aggressive than other boys. However, relatively little aggression was observed among the older boys, indicating that peers and teachers may be better sources of information about aggression in this group. Observational data differentiated among status groups on measures of activity (on task vs. off-task, and prosocial play vs. solitary activity) for both age groups. Rejected boys displayed little prosocial behavior according to peers and teachers, but were not less often engaged in prosocial play, according to observers. Neglected boys were the most solitary group during play; however, teachers rated rejected boys as the most solitary, contrary to observations. Controversial boys were seen as highly aggressive by all sources but as highly prosocial only by peers and observers.

Age Factors↗

Social margin and social reentry: an evaluation of a rehabilitation program for Skid Row alcoholics.

A rehabilitation program for Skid Row alcoholics that focuses on the reentry process and the development of "social margin" is evaluated. A unique component of the treatment program is the use of small teams of volunteer sponsors who assist the client in the recovery and reentry process. Using a number of measures, the program obtained approximately a 50% abstinent rate at follow-up. There were also significant gains in employment and monthly income. The program also influenced family contact, development of new friendship groups and Alcoholics Anonymous attendance, factors that in turn significantly influenced the recovery process.

Adult↗

A prospective 15-year follow-up study of kwashiorkor patients. Part II. Social circumstances, educational attainment and social adjustment.

Of 221 infants serially admitted to hospital with kwashiorkor and continuously observed thereafter, 116 were available for study after 15 years. Eighty-nine siblings formed the comparison group. This report is a final assessment of their social circumstances, attainment in education and adjustment to society. Economic circumstances had improved considerably, housing adequacy had deteriorated and family instability had become relatively less marked. Achievement in education resembled that of the population from which the sample was drawn, and there was no difference between that of ex-patients and siblings. The majority of school-leavers were in gainful occupation but the nature of the work was unskilled or semiskilled. Delinquency was equally common in ex-patients and siblings. More than a quarter of the boys showed serious or potentially serious antisocial behaviour.

Child Development↗

[Expectations of self-help groups of the social medicine competence of physicians--a contribution from the viewpoint of social work in the course and management of chronic diseases exemplified by multiple sclerosis].

Doctors dealing with incurable chronic ill patients need to show empathy and should be capable of assessing social and occupational consequences of diseases. They should also know about potential rehabilitative measures as well as entitlements or connect patients with respective resource persons. Self help groups can be very conducive to coping with a disease. However, physicians still know too little about them or consider them competitors.

Adaptation, Psychological↗

A social network profile and HIV risk among men on methadone: do social networks matter?

The paper describes structural and HIV-related network characteristics and examines associations between these various social network domains and HIV risk behaviors among a sample of 356 men randomly selected from a methadone maintenance treatment program (MMTP) in New York City. Multiple logistic regression analyses suggest that (1) a higher level of perceived sexual risk among network members, referred to as "alters" in this study, was associated with an increased likelihood of the participant engaging in sexual risk behaviors; (2) participants who indicated that they exchanged encouragement with a higher number of network alters about using condoms were less likely to report engaging in unprotected sex; and (3) participants who indicated that they talked about HIV risks with a higher number of network alters were less likely to engage in unprotected sex in the past 6 months. Collectively, these findings support the notion that networks may influence the adoption of risk reduction strategies in this population. Implications of the findings for HIV prevention network interventions for men in MMTPs are discussed.

Adult↗

A comparison of social support and social networks of black parents and white parents with chronically ill children.

Characteristics of social networks and provision of support were examined for two groups of parents of chronically ill children, one group black and one group white. Black and white parents both reported similarities in the experience of parenting a child with a chronic illness. Both sets of parents relied primarily on family networks to provide much needed support. White networks were twice as large as black networks, although black parents perceived the individuals in their networks as being more supportive. For both groups, the networks were of long duration. Network members were geographically closer to blacks. White parents discussed support mostly in terms of affect. Black parents described support as instrumental actions. Differences in income levels between blacks and whites might account for differing descriptions of support. The experience of having a chronically ill child appears to override racism in the health care system. Black parents did not perceive any problems, based on race, that affected receiving medical care for their children.

Adult↗

An economic and sociological interpretation of social differences in health-related behaviour: an encounter as a guide to social epidemiology.

We argue that the group-centred analyses of social epidemiology should follow from theoretical considerations that take the situation of the individual as their natural starting point. In a tentative dialogue between economics and sociology, we develop a framework for the analysis of health-related behaviour. Such behaviour is modelled as a process of decision-making at the individual level. Within economics, we draw specifically on the demand-for-health literature and the new institutional economics. Within sociology, Bourdieu's habitus theory is presented in combination with a macro-structural approach where the focus is on the process of individualization. The relationship between these different approaches to health-related behaviour and their implications is discussed. We find that the encounter between different sciences provides valuable insights for future work in the socio-epidemiological tradition.

Decision Making↗

Social motives and strategic misrepresentation in social decision making.

In 4 experiments, the authors studied the influence of social motives on deception and strategic misrepresentation. In a newly developed information provision game, individuals faced a decision maker whose decision would affect both own and other's outcomes. By withholding information or by giving (in)accurate information about payoffs, participants could try to influence other's decision making. Less accurate and more inaccurate information was given when the decision maker was competitive rather than cooperative (Experiment 1), especially when participants had a prosocial rather than selfish value orientation (Experiments 3 and 4). Accurate information was withheld because of fear of exploitation and greed, and inaccurate information was given because of greed (Experiment 2). Finally, participants engaged in strategic misrepresentation that may trick competitive others into damaging their own and increasing the participant's outcomes.

Adult↗

Numerity of a socially housed hamadryas baboon (Papio hamadryas) and a socially housed squirrel monkey (Saimiri sciureus).

To extend a study conducted by E. M. Brannon and H. S. Terrace (1998, 2000), the authors trained 1 hamadryas baboon (Papio hamadryas) and 1 squirrel monkey (Saimiri sciureus) to respond to stimuli representing the numerosities 1-4 in ascending order. When tested with novel stimuli of the same numerosities, both subjects' performance appeared to be based on the numerical attributes of stimuli. Subjects were then tested on their ability to order pairs of numerosities derived from the values 1-9. Both subjects successfully ordered pairs that included the untrained numerosities 5-9 regardless of the total surface area of numerosities. Accuracy and latency of responding also showed numerical distance and magnitude effects. Numerosity was a salient cue to both subjects, suggesting that these 2 families of primates perceive ordinal relations. The outcome shows that cognitive studies of this type can be effectively conducted with socially housed animals.

Animals↗