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PubMed1991

Stomach cancer mortality in New South Wales and Sydney, 1980 to 1985.

Unit list mortality data for the period 1980-1985 are used to examine differential mortality from stomach cancer in New South Wales, with reference to age, marital status, occupational status and birthplace, and geographical variations in mortality in metropolitan Sydney. Ecological correlation and analysis of characteristics of persons dying in areas of high mortality in Sydney are undertaken to determine where populations at risk reside and whether different populations at risk inhabit particular areas, resulting in significantly higher mortality. This was found to be the case in certain areas and it appears that the immigrant population contributed considerably to mortality variation. The implications for health service provision and preventive measures are discussed.

Adolescent↗
PubMed1994

The attitudes, behaviors and beliefs of patients of conventional vs. complementary (alternative) medicine.

Subjects were two groups of patients, one whose members were visiting a GP and the other whose members were seeing a variety of Alternative Practitioners (AP), who were not significantly different in terms of sex, age, level of education, marital status, occupational status, political views, newspaper readership, ethnic grouping, religion, and income. The major difference between the two groups were the fact that the AP group were more critical and skeptical about the efficacy of modern medicine; they believed their health could be improved; they stayed loyal to their chosen practitioner; they had tried more alternative therapies and have more self- and ecologically aware lifestyles; and they believed that treatment should concentrate on the whole person and greater knowledge of the physiology of the body.

Adult↗
PubMed2006

[Suicide notes and their importance to suicide research. The representativeness of suicide note writers].

BACKGROUND: Suicide notes provide direct information from suicide victims and often are written shortly before the suicide act. An important question is whether those who write such notes are representative for suicide victims who do not. METHODS: A consecutive series of suicides investigated at the Department of Forensic Medicine in Vienna from April 2002 to March 2003 was examined for the existence of suicide notes. Note writers were compared with non-note writers according to the variables age, sex, family status, occupational status, psychiatric care, suicide motive, and method. RESULTS AND CONCLUSIONS: Suicide victims who leave suicide notes do not differ statistically significantly from non-note-leavers in sex, age, family status, psychiatric care, motive, or method. This means they are representative for all suicide victims concerning important demographic factors.

Age Distribution↗
PubMed1986

Experience with intraaortic balloon counterpulsation.

An eleven-year experience with intraaortic balloon pumping (IABP) or counterpulsation in 637 patients was analyzed with respect to early and late results. Intraaortic balloon pumping was employed for left ventricular pump failure, for coronary insufficiency, and in association with cardiac operations. Late results were analyzed by follow-up of 283 (93%) of the 304 patients leaving the hospital, and were studied with respect to duration of survival, activity status, occupational status, presence of cardiac symptoms, use of cardiac medications, and presence of lower extremity claudication. Early results were analyzed for hospital survival (304/637 [48%]). Patient complications of IABP included wound infection (1/637 or 0.2%), vascular complications (66/637 or 10.4%), and balloon failure (8/637 or 1.3%). No deaths were attributable to complications of IABP. Survival did not correlate with the duration of IABP. Survival was improved in patients who had revascularization in association with IABP.

Adult↗
PubMed2000

Effects of depression and anxiety on mortality and quality-of-life 4 months after myocardial infarction.

OBJECTIVE: The purpose of this study was to determine the impact of depression and anxiety on mortality and quality-of-life in patients hospitalized for an acute myocardial infarction (MI). METHODS: Questionnaire measures of depression and anxiety were completed during hospitalization by 288 MI patients. The main outcomes were mortality and quality-of-life, assessed by the Dartmouth COOP charts, at 4 months. RESULTS: A total of 25 patients died, 22 from cardiac causes, during the 4-month follow-up. Symptoms of depression and anxiety did not predict either cardiac or all-cause mortality. Severity of infarction, extent of heart failure, and a longer stay in hospital predicted mortality. Symptoms of depression and anxiety predicted 4-month quality-of-life among survivors, as did gender, partner status, occupational status, living alone, previous exercise behaviour, length of hospital admission, and Peel Index scores. In a multiple regression model, depression emerged as the strongest predictor of quality-of-life. State anxiety, severity of infarction, and partner status also entered the model. CONCLUSION: Neither depression nor anxiety predicted mortality 4 months after MI. Both depression and anxiety predicted quality-of-life at 4 months among survivors.

Adult↗
PubMedDate not supplied

Women and somatization: unrecognized depression.

Depression is the mental health disorder most commonly seen in the primary health care setting. Estimates of the prevalence of people who are depressed but are seeking treatment for physical disorders in the primary care setting range from 12% to 55% of total patients. We conducted a study to determine the number of women with high depressive symptoms who were seeking treatment for physical disorders and compared this group with women with no depressive symptoms who were also seeking physical health care. The women with high depressive symptoms (n = 122) and the women with no depressive symptoms (n = 115) were similar in age, economic status, occupation status, and lifestyle. The depressed women reported significantly more physical complaints, increased disability, increased functional limitations, and increased use of health care services than did the nondepressed women. They disclosed a variety of physical complaints in all organ systems, had had more life events, and had a diminished belief in their ability to control their environments. The results of this study support the view that large numbers of women with depression that is unrecognized present themselves to the health care system for physical complaints. Health care providers need to extend their view of women as whole beings, instead of as a somatic complaint.

Adult↗
PubMed2002

Moderate alcohol intake during pregnancy and the risk of stillbirth and death in the first year of life.

The authors evaluated the association between alcohol intake during pregnancy and risk of stillbirth and infant death in a cohort of pregnant women receiving routine antenatal care at Aarhus University Hospital (Aarhus, Denmark) between 1989 and 1996. Prospective information on alcohol intake, other lifestyle factors, maternal characteristics, and obstetric risk factors was obtained from self-administered questionnaires and hospital files, and 24,768 singleton pregnancies were included in the analyses (116 stillbirths, 119 infant deaths). The risk ratio for stillbirth among women who consumed > or =5 drinks/week during pregnancy was 2.96 (95% confidence interval: 1.37, 6.41) as compared with women who consumed <1 drink/week. Adjustment for smoking habits, caffeine intake, age, prepregnancy body mass index, marital status, occupational status, education, parity, and sex of the child did not change the conclusions, nor did restriction of the highest intake group to women who consumed 5-14 drinks/week (risk ratio = 3.13, 95% confidence interval: 1.45, 6.77). The rate of stillbirth due to fetoplacental dysfunction increased across alcohol categories, from 1.37 per 1,000 births for women consuming <1 drink/week to 8.83 per 1,000 births for women consuming > or = 5 drinks/week. The increased risk could not be attributed to the effect of alcohol on the risk of low birth weight, preterm delivery, or malformations. There was little if any association between alcohol intake and infant death.

Adult↗
PubMed2000

Does alcohol increase the risk of preterm delivery?

We evaluated the association between alcohol intake during pregnancy and preterm delivery. Women attending routine antenatal care at Aarhus University Hospital, Denmark, from 1989-1991 and 1992-1996 were eligible. We included 18,228 singleton pregnancies in the analyses. We obtained prospective information on alcohol intake at 16 and 30 weeks of gestation, other lifestyle factors, maternal characteristics, and obstetrical risk factors from self-administered questionnaires and hospital files. For women with alcohol intake of 1-2, 3-4, 5-9, and > or =10 drinks/week the risk ratio (RR) of preterm delivery was 0.91 (95% CI = 0.76-1.08), 0.86 (95% CI = 0.64-1.15), 0.89 (95% CI = 0.52-1.52), and 2.93 (95% CI = 1.52-5.63), respectively, compared with intake of <1 drink/week at 16 weeks gestation, and 0.69 (95% CI = 0.56-0.86), 0.82 (95% CI = 0.60-1.13), 0.97 (95% CI = 0.58-1.64), and 3.56 (95% CI = 1.78-7.13) at 30 weeks. Adjustment for smoking habits, caffeine intake, age, height, pre-pregnant weight, marital status, occupational status, education, parity, chronic diseases, previous preterm delivery, mode of initiation of labor, and sex of the child did not change the conclusions, nor did restriction of the highest intake group to women drinking 10-14 drinks/week (RR = 3.41 (1.71-6.81) at 16 weeks and RR = 3.47 (1.64-7.35) at 30 weeks).

Alcohol Drinking↗
PubMed1983

Social aspects of chronic duodenal ulcer. A case control study.

A case-control study of 80 patients with duodenal ulcer and 80 community controls was undertaken to compare these two groups regarding social and environmental factors including socio-economic status, marital status, country of birth, childhood and family factors. An increased risk of duodenal ulcer was associated with status incongruity in males; the male patients, when matched on suburb of residence, having lower status occupations than controls, and when matched on occupational status, tending to have lower educational levels than controls. Being unmarried was associated with an increased risk of duodenal ulcer in females. The number of siblings was also a risk factor in the male patients, those with more than 5 siblings being at an increased risk. Factors not associated with duodenal ulcer included country of birth, childhood happiness, sibling sequence and family stability. In conclusion, the factors associated with chronic duodenal ulcer were found predominantly in adult life and could produce their adverse effects by causing chronic stress which may be more relevant than acute stress as produced by major life events.

Chronic Disease↗
PubMedDate not supplied

Statistical profile of traumatic brain injury: a Canadian rehabilitation population.

A retrospective clinical hospital chart study was undertaken to prepare a statistical profile of traumatic brain-injured patients in rehabilitation. It included 498 consecutive admissions to the Traumatic Brain Injury Rehabilitation Program of the Queen Elizabeth Hospital (Toronto, Canada) from 1978 to 1991. Descriptive statistics were obtained for age, gender, marital status, educational status, occupational status, history of drug and alcohol use, cause of injury, month of injury and length of coma. Comparisons are made between the studied population and several Canadian centres, as well as international brain injury demographics in the literature. Results are discussed in terms of the gender differences and lifestyle parameters associated with brain injury.

Adolescent↗
PubMed1994

Alcohol-related expectations among Mexican-American women.

The article explores alcohol expectations among Mexican-American women utilizing the Alcohol Expectancy Questionnaire and a series of quantity/frequency alcohol use measures. The results indicate that Mexican-American women generally have similar expectations about the benefits of alcohol use as women in the larger population. Within the sample of Mexican-American women however, there were differences in alcohol expectations based on occupational status and acculturation level: those Mexican-American women who are more acculturated and hold higher professional status occupations have higher expectations of the benefits of alcohol use than less acculturated Mexican-American women in blue-collar or service occupations.

Acculturation↗
PubMed2001

[Does alcohol increase the risk of preterm delivery?].

INTRODUCTION: The aim was to assess the association between alcohol intake during pregnancy and preterm delivery. MATERIALS AND METHODS: Women attending routine antenatal care at Aarhus University Hospital, Denmark, from 1989-1991 and 1992-1996 were eligible for the study. Our analyses included 18,228 singleton pregnancies. We obtained prospective information on alcohol intake at about 16 and 30 weeks of gestation, other lifestyle factors, maternal characteristics, and obstetrical risk factors from questionnaires completed by the women and hospital files. RESULTS: For women with an alcohol intake of 1-2, 3-4, 5-9, and > or = 10 drinks/week, the risk ratio (RR) of preterm delivery was 0.91 (95% CI: 0.76-1.08), 0.86 (0.64-1.15), 0.89 (0.52-1.52), and 2.93 (1.52-5.63) respectively, compared with an intake of < 1 drink/week at about 16 weeks of gestation, and 0.69 (0.56-0.86), 0.82 (0.60-1.13), 0.97 (0.58-1.64), and 3.56 (1.78-7.13) at about 30 weeks. Adjustment for smoking habits, caffeine intake, age, height, prepregnant weight, marital status, occupational status, education, parity, chronic diseases, previous preterm delivery, mode of initiation of labour, and sex of the child did not alter the conclusions, nor did restriction of the highest intake group to women drinking 10-14 drinks/week (RR = 3.41 (1.71-6.81) at 16 weeks and RR = 3.47 (1.64-7.35) at 30 weeks). DISCUSSION: The association between alcohol intake and preterm delivery appeared to be J-shaped, with a threshold for adverse effect at a level of about 10-14 drinks/week.

Alcohol Drinking↗
PubMed1994

Demographic and socio-economic status of women in different family structures in a rural area of south India.

The authors study "women's demographic and socio-economic position in different family types...[using data] from a sample survey conducted in a rural area of Tamil Nadu [India] during May and June of 1988....Comparison of demographic characteristics of ever-married women in the reproductive age, such as marital status, age, marriage duration, age at marriage and living children, and socio-economic characteristics, such as educational status, occupational status, per capita annual income of the family and number of rooms in the house, is made between family types."

Asia↗
PubMed1989

[Arterial hypertension in the Baix Ebre region (Tarragona)].

The results of a cross-sectional study for the evaluation of the prevalence of hypertension in the Baix Ebre region (Tarragona) are reported. 628 individuals from a randomly selected sample of 670 gave their consent to participate. The study was based on interview and examination at the patients home after getting an appointment by post. The prevalence of hypertension was 31.84 +/- 3.64%, and that of borderline hypertension 16.56 +/- 2.97%. Only 57% of hypertensives were previously known as such, and only 18.5% of these were being correctly treated. There was a significant association of hypertension with age (basically systolic blood pressure for women); also with alcohol intake, obesity and family history of hypertension or cardiovascular disease. There was no significant correlation with sex, residence in rural or urban areas, emigration, marital status, occupational status, social and professional level, education, or with the coexistence of hypertension in the spouse. The high prevalence of hypertension was a remarkable finding, consistent with its recognized importance as a first rate health problem.

Adult↗
PubMed1995

Health status and occupation: use of a health status index to measure the health of occupations.

A total of 4466 employed persons completed the short Auckland University Health Status Index (AUHSI) questionnaire and a health score was assigned to each individual on the basis of their responses. This health score was found to have statistically significant associations with a number of health-related measures, including socio-economic status (P < 0.001), and with occupational group: administrative, clerical/sales/service, skilled trades and unskilled labour (P < 0.001). Within the occupational groups, 3361 employees could be assigned to 42 specific occupations having 19 or more members each. After controlling for age and gender, significant differences in mean health score for specific occupation were found in the clerical/sales/service (P < 0.05), skilled trades (P = 0.002) and unskilled manual (P < 0.05) groups. It is postulated that these differences may be due to the nature of the specific occupation. Some possible reasons are listed. It is concluded that a global measure of health status such as this may be useful in the planning and evaluation of occupational health services.

Female↗
PubMed1999

Social prognostic factors of mortality in a random cohort of Geneva subjects followed up for a period of 12 years.

STUDY OBJECTIVE: To analyse the relative risk (RR) of mortality related to social factors independent of health status and occupational category. SETTING: Subjects were Swiss men and women aged 40-65 years. DESIGN: A random sample of 820 people living in Geneva were followed up prospectively between 1984 and 1996. The social, occupational, and health data were gathered at subjects' homes in 1984 using a standardised questionnaire. Information about deaths and the corresponding dates were obtained from updated files of the Swiss Federal Office of Statistics (OFS). Risk of mortality was examined according to a Cox model. MAIN RESULTS: There were several social prognostic factors of mortality with relative risks greater than 3.0 (RR > 3.0) independent of health and occupational status. These factors were: a period of unemployment during life time, the feeling of not demonstrating initiative in the occupational setting, and not having participated in social activities. CONCLUSION: The results suggest that differential mortality determined by occupational status can be explained in part by factors that are characteristic of "life style", social dynamics, occupational context, and ruptures during the course of occupational life.

Adult↗
PubMedDate not supplied

The occupational health status of African-American women health care workers.

Race, ethnicity, and gender are significant indicators of occupational status, general health status, and thus, occupational health status. Although African-American women constitute only 6.8% of the total U.S. labor force, they hold 20% of the jobs in the health care industry and are disproportionately represented in those jobs that have the highest levels of workplace exposure to hazards. As a result, they are therefore more likely to be at greater exposure and risk to the spectrum of occupational health problems. In order to gain insight into the effects of race and gender on the occupational health status of African-American women health care workers, this article uses three data sources that provide different but complementary sources of information on the demographic characteristics of workers, location of categories of occupations, working conditions of jobs, and other job and worker characteristics. Given the concentration of African-American women in health care positions where there exists a greater likelihood of being exposed to occupational hazards, it is therefore both logical and appropriate for primary care physicians, especially those engaged in office-based practices, to identify this target population for special services and to be more aware of the type of health issues with which these patients are more likely to present and to experience during their working lives. Health care providers have a responsibility to assess occupational factors related to a patient's health problems and to incorporate this information into their treatment protocols and into the design and explanation of each patient's care plan.

Black or African American↗