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At least 127 records · Page 7Linked to original sources
PubMed2006

Associations between risk behavior and injury and the protective roles of social environments: an analysis of 7235 Canadian school children.

OBJECTIVE: The social etiology of adolescent injury remains poorly understood. The Population Health Framework suggests that the etiology of adolescent injury involves interactions between individual risk factors and the natures of adolescent environments. The purpose of this study was to apply this framework to examination of relationships between adolescent risk taking and injury, and the potential modifying effects of supportive home and school environments. METHODS: The analysis was conducted in a representative sample of 7235 males and females (10-16 years old) from Canada. Results were based on records from the 2001/02 World Health Organization Health Behaviour in School-Aged Children Survey. Individual items and factor analytically derived scales were used to describe and then model injury outcomes, risk behaviors, perceived home, and school climates, and the relationships between these variables in a theory driven etiological analysis. RESULTS: Adolescents with supportive home and school environments experienced lower relative odds of engagement in risk taking behavior and lower relative odds of injury. Gradients were observed between the extent of adolescent risk taking and the occurrence of injury. Interactions were not observed between risk taking behavior, perceived support in home and school climates, and injury. CONCLUSIONS: Risk taking is common among adolescents and plays a role in the etiology of injury. Supportive social climates clearly protect adolescents from engaging in these behaviors, and also the occurrence of some forms of injury. However, once an adolescent chooses to engage in risk taking behaviour, a supportive environment may not protect them from injury.

Adolescent↗
PubMed1999

Accounting for differences in dieting status: steps in the refinement of a model.

OBJECTIVE: The overriding objective of this paper is to outline the steps involved in refining a structural model to explain differences in dieting status. METHODS: Cross-sectional data (representing the responses of 1,644 teenage girls) derive from the preliminary testing in a 3-year longitudinal study. A battery of measures assessed social influence, vulnerability (to conformity) disposition, protective (social coping) skills, and aspects of positive familial context as core components in a model proposed to account for the initiation of dieting. Path analyses were used to establish the predictive ability of those separate components and their interrelationships in accounting for differences in dieting status. RESULTS: Several components of the model were found to be important predictors of dieting status. The model incorporates significant direct, indirect (or mediated), and moderating relationships. Taking all variables into account, the strongest prediction of dieting status was from peer competitiveness, using a new scale developed specifically for this study. CONCLUSION: Systematic analyses are crucial for the refinement of models to be used in large-scale multivariate studies. In the short term, the model investigated in this study has been shown to be useful in accounting for cross-sectional differences in dieting status. The refined model will be most powerfully employed in large-scale time-extended studies of the initiation of dieting to lose weight.

Adaptation, Psychological↗
PubMed1997

Social phobia and positive social events: the price of success.

Patients with generalized social phobia (N = 32; 16 men, 16 women) and nonclinical control participants (N = 32; 16 men, 16 women) took part in a social interaction that was manipulated to be successful or unsuccessful. Participants rated their ability, perceptions of others' standards, social goals, and emotional responses before and after the interactions. As predicted, the successful social interaction produced a somewhat negative response in patients with social phobia. Social success led to self-protective social goals, negative emotional states and perceptions that others would expect more in future interactions. These results indicate that positive social events may not be processed in a way that leads to a revision of negative self- and social judgments in patients with social phobia.

Adult↗
PubMed1988

Despacho No. 381, 27 June 1988.

This Despacho sets forth the organization and functioning of administrative departments in Venezuela's Ministry of the Family. Among the Directorates of the Ministry are the General Sectoral Directorate for Attention to the Family, the General Sectoral Directorate for Attention to Children, the General Sectoral Directorate for Attention to Youth, the General Sectoral Directorate for the Promotion of Women, and the General Sectoral Directorate for Attention to the Elderly. The following are the duties of the General Sectoral Directorate for the Promotion of Women: 1) to agree and coordinate with public and private organizations on the planning and execution of programs designed to achieve the participation of women in the socioeconomic development of the country; 2) to promote and develop plans and programs relating to the occupation and employment of women and the defense and improvement of their standard of living; 3) to formulate and promote plans and programs directed at obtaining information and social, legal, and economic assistance for women, which will support the process of their incorporation into the socioeconomic, cultural, and political spheres of the country; 4) to develop orientation and education programs relating to the legal and social rights of women; 5) to carry out studies and research relating to the position and condition of women within the national context and to promote the participation of the public and private sectors in these studies and research; 6) to direct, coordinate, and supervise the execution of programs designed to encourage the social protection of women within the institution of the family; 7) to coordinate, promote, and organize the implementation of programs designed to inform and orient women about social, cultural, and recreational activities; 8) to maintain relations with national and international organizations related to its area of competence; and 9) to carry out other duties set by laws, regulations, and resolutions.

Adolescent↗
PubMed2005

Virus target cell conditioning model to explain some epidemiologic characteristics of childhood leukemias and lymphomas.

Frequent infections in early childhood, whole-day care and a socially unprivileged environment have been reported as protective factors for childhood leukemias and lymphomas. Conversely, a protected social environment, higher level of education and growing up in families with a low number of children are considered as risk factors. Additional risk factors involve agricultural occupation of the parents and exposure to several other occupational factors. These data led to a number of hypotheses that attempted to explain the epidemiologic observations; however, a number of questions are still open. Here we propose a new concept that could explain most of the epidemiologic characteristics. This concept is based on the assumption that persistent infections with TT virus-like agents increase the risk for specific chromosomal translocations. This risk should correlate with the viral load. Interferon induction by intermittent infections should reduce the viral load and thus decrease the risk for chromosomal modifications. Some virologic observations in support of this model are presented.

Animals↗
PubMed2006

Disclosure decisions among pregnant women who received donor oocytes: a phenomenological study.

OBJECTIVE: To investigate the controversy surrounding disclosure among donor oocyte recipients. This controversy is escalating worldwide, yet little research has sought to understand the disclosure experience of pregnant, donor oocyte recipient women. This study aims to provide an in-depth description of the disclosure experience, and identify factors that were significant to recipient women which influenced their reasoning as they formulated disclosure decisions. DESIGN: Qualitative, naturalistic design, using a phenomenological approach. SETTING: The home or private office of the recipient woman. PATIENT(S): Donor oocyte recipient women between 9-23 weeks of gestation. RESULT(S): Disclosure decisions were influenced by multiple factors emerging from the women's values and beliefs and their social and cultural environment. Values and beliefs consisted of the right to know and the duty to protect. Social and cultural factors included social support, culture of the family, evolution of the social process, and personal testimonials. Women's age and selection of donor type were interrelated with disclosure decisions. CONCLUSION(S): Disclosing women voiced the right of the child to know, and perceived social and cultural factors as conducive to disclosure. Nondisclosing and undecided women emphasized protecting normative relationships, perceived a social stigma, and were unable to identify a benefit to disclosing. Women's age and choice of oocyte donor should be considered when counseling recipient women.

Adult↗
PubMed2004

[Consumption of licit and illicit drugs in students and the factors of protection and risk].

The aims of the investigation were identify the population that consumes licit and illicit drugs among students of sixth primary, from municipal urban schools of Chiguayante, know the levels of risks and identify risks factors and protection. Descriptive, transversal, correlate study. The instrument applied to 301 students was the Dusy Abreviado. The variables were subjected to a statistic descriptive -- comparative analysis through the test of Chi -- Cuadrado de Pearson and ANOVA. There was 60% of the consumers of licit drugs, that began consumption between 8 and 11 years. The prevalence of use of tobacco and alcohol was 18.7% and 16.3% respectively. The 85% of men showed inclination to the consumption, from which 69% is between 11 and 12 years old. There are mainly abusers of licit drugs. The behaviours associated to the personal risk factor were the most relevant, the ones of protection were mainly associated with the micro-social protective factor. All subjects were submitted to different levels of risk.

Adolescent↗
PubMed2005

Social risk and protective factors for suicide attempts in low income African American men and women.

A case-control study was conducted to examine a broad array of potential social risk and protective factors for suicide attempt among 200 African American men and women receiving care at a large, public, urban hospital. Specifically, we examined the effect of the following potential risk factors for suicide attempt: life hassles, partner abuse, partner dissatisfaction, and racist events; as well as the following potential protective factors: effectiveness of obtaining resources, social embeddedness, and social support. Using logistic regression, suicide attempter status was predicted by two independently significant social variables: one risk factor (life hassles) and one protective factor (social support). Male versus female suicide attempters were not distinguished by the social variables. These findings, which support the utility of an ecological conceptualization of risk and protective factors for suicide attempt, help to clarify the independently significant social environment risk and protective factors for suicide attempts among economically disadvantaged African Americans in particular. Research on both risk factors and protective factors provide a basis for culturally competent interventions aimed at reducing both the risk of future suicide attempts and completions.

Adolescent↗
PubMed2003

[Optimization of geriatric help for urban and rural residents of the Ulianovsk region].

The problem of ageing of the population presupposes the necessity of essential in medico-social services activity and the creations of some uniform coordinated help system for the slderly within the framwork of public health sevices anf social protection. On the basis of the carried out analysis of demographic, social, economic and medical parameters we have developed the plan of geriatric service in Ulyanovsk area. Ulyanovsk Regional Clinical Hospital of War Veterans took the leading part in this work. For the period of 1993-1997 there have been created three regional geriatric centres with branches of day-time departments for 75 places each as structural division of Ukyanovsk regional clinic hospital. In 1999 on the basis of local hospitals in rural areas we opened two interdistrict geriatric centres for 50 and 40 places as divisions of URCHWV. In their structure there are round-the-clock and day-time places, rooms of nurse care, rooms and services for rendering medical, pyschological and social rehabilitation. One-place cost in 2001 has made 210 roubles, that is 1.5-2 times lower, than in city hospitals. As a result of the carried out treatment 88.3% of patients left the hospital with improvement, 9.6% of them--without changes and 1.7%--with deterioration. This form of specialized medical geriatric help to the person living in the countryside, which includes stationary help, stationary-substituted technologies, rooms of a nurse care, social and labour rehabilitation, proves its solvency and expediency in medical and pharma-economic aspects and may be recommended to introduction in practical public health services.

Aged↗
PubMedDate not supplied

[Some aspects of medical and social care for Great Patriotic War veterans].

The athours substantiated necessity of foundation of institutions for providing stationary medical care and social protection for Great Patriotic War members. The technique of medical and social research has been used in studing medical workers and war veterans to find main activities of such institutions. Principle approaches have been developed to found them functional.

Aged, 80 and over↗
PubMed1992

Protective factors and social risk factors for hospitalization and mortality among young men.

The association between presumed protective factors and social risk factors for hospitalization and mortality was studied during a 14-year follow-up period in a cohort of 8,168 Swedish men aged 18-20 years at baseline. Using Cox regression analysis, the authors found that five protective factors (high social class, home well-being, school well-being, good emotional control, and self-perceived good health) were associated with lower risks of hospitalization and death. Four social risk factors (contact with police or child welfare authorities, running away from home, having divorced parents, and ever using narcotics) were significantly associated with increased risk of hospitalization and mortality. The relative hazard decreased with the number of protective factors and increased with the number of social risk factors, almost linearly. The relative hazard was 0.24 for hospitalization among those with six protective factors and 0.24 for mortality for those with five or six protective factors. The relative hazard for hospitalization was 3.09 among those with five social risk factors compared with those with none, while for mortality the relative hazard among those with four or five social risk factors was 5.74 compared with those with none. While these results indicate strong cumulative effects for both the social risk factors and the protective factors, the associations of individual factors with the two outcome measures were generally reduced in models which simultaneously adjusted for all factors, which presumably indicates collinearity among the factors. There was only limited support for a buffering, or interacting, effect between the risk factors and the protective factors.

Adolescent↗
PubMedDate not supplied

OSH and globalisation, challenges for today.

Globalisation is a phenomenon that concerns all countries in the world at every level: economic, of course, but also political and cultural. It is hard to see any alternative to the dominant market economy model, which is asserting itself as the only way towards wealth and value creation. And within this model, it is free enterprise, generating jobs and boosting consumption, that is the unequivocal model of development for the world's economies. How can we then address the question of occupational safety and health (OSH) within the context of globalisation? How can we ensure that worker protection is not relegated to the status of a secondary concern? Safety and health inequalities between countries are such that it seems difficult to state without being hypocritical that OSH is already a value in the globalised world. The number of occupational accidents and diseases remains at a disturbingly high level, especially in developing countries. The sectors most affected are traditionally heavy industry, agriculture, mining and construction. In these sectors, there is so much economically and financially at stake that the obligation to protect workers' health is often viewed as a constraint, at odds with the requirement of immediate profitability. I sincerely believe that the prevention of occupational risks really has a different meaning depending on whether you work in an SMU or a large corporation. And, of course, depending on whether you live in a country with a high level of social protection, or one where social insurance is considered a luxury only for the richest. And the globalisation of trade is tending to further increase this gap. We have therefore elected to state that occupational safety and health "cannot be taken for granted" in a globalised world and that there are challenges facing all those, whether officials in institutions or managers of a business, who believe that working in a decent environment is a non negotiable demand.

Attitude↗
PubMed1998

[The French health care system and its reform].

The French health care system is characterized by its social insurance scheme with universal coverage, freedom of prescription and of location by the doctor, fee-for-service payment by patients, and free choice of doctor by patients, which essentially tends to inflate its health expenditures. Thus, the health expenditures of France has been increasing over the average expenditures of other European countries. Under the principle of autonomy of the social insurance fund, the increase in medical expenditures has been absorbed by a decrease in the reimbursement rate and an increase in the contribution rate of the insured. However, it is no longer possible to cope with this financial crisis by these traditional measures because of the worsening of the unemployment problem. Nowadays, the increase in the contribution rate is regarded as one of the important reasons for the economic stagnation of the French society. In order to cope with this difficult situation, the French government has changed its health policy from the demand side strategy to the supply side strategy. The concrete plan of this policy was presented by Prime Minister Alain Juppé (the Juppé plan). The plan consists of; 1) unification of the medical insurance scheme, 2) establishment of a ceiling on medical expenditures, 3) regionalization of health policy, 4) disclosure of medical information, 5) introduction of medical references, 6) creation of a social protection scheme for the dependent elderly, 7) introduction of an object tax for the social security fund, etc. These subjects have been materializing step by step after many twists and turn. The most important principles of the plan are the transparency of the medical information and the responsibility of each actor within the health system. The French government has conducted a lot of international comparable studies of health systems. According to the results of a series of active and profound discussions, the French government has conducted various social experiments. It is very meaningful for the Japanese government to analyze this process of health reform occurring in France in order to discuss the health system reforms in Japan.

Delivery of Health Care↗
PubMed1997

[Referral of vulnerable patients: new professional strategies].

Nowadays hospitals are facing their responsibilities with necessitous patients care, in terms of social protection issues, adequate practice behaviours and professional challenges. The humanitarian aid new wave and innovative social interventions partially explain the success of some militant professionals. An historical approach ambulatory care facilities for deprived people and biographical interviews of health and social professionals show three logics: humanistic motivation, ethical responsibility and media-political charism. In spite of differences in careers promotion, field actors are volunteers to develop together new socially oriented strategies.

Ambulatory Care↗
PubMed1988

Acuerdo No. 1803, 1 August 1988.

This Accord sets forth Regulations on the functioning of Ecuadoran private day care centers, which are defined as centers for the protection and integral development of children under the age of seven. It provides that persons and entities interested in running a center must receive authorization from the Ministry of Social Welfare after submitting an application containing a social protection plan, a program of recreational and educative activities, and a report of the Provincial Directorate of Education. Further provisions of the Accord deal with the administrative structure of day care centers, physical space requirements, financing and operation, and the administrative responsibility for day care centers of the Private Day Care Section of the Department for the Protection of Minors.

Americas↗
PubMed1999

Strategy for population protection and area rehabilitation in Russia in the remote period after the Chernobyl accident.

The report presents the history of the development of criteria for radiation and social protection of the Russian population residing in the areas contaminated with radionuclides after the Chernobyl accident, in the remote time periods after the accident. The tendencies for reduction of standards with time are shown, and their causes are analysed. It is noted that the optimization principle was not applied in the explicit form for population protection. The current radiation situation in the contaminated areas of Russia is described, and the future situation is forecast. Main pathways of external and internal population exposure are described. Modern possibilities for reduction of the population exposure dose are discussed. The authors propose promising criteria and methods for population protection and rehabilitation of contaminated areas in Russia.

Health Physics↗
PubMed2003

[Opinions of students and educators concerning health: the public school perspective in a peripheral area of the city of São Paulo].

This study focused on prevailing concepts in society concerning adolescents' health problems and needs. Based on concerns in the field of Collective Health in relation to public policies for social protection, the study attempted to grasp the public school perspective concerning these issues. The study's theoretical reference was the social determination of the health-disease process and the view that health needs are translated into demands for changes in the harmful processes resulting from relations in the production process. Data were gathered through interviews with pedagogical coordinators and focus groups with adolescents in public schools from the Raposo Tavares School District (Municipality of S o Paulo). The results showed that the participants recognized: (1) the sphere of social determinants at the base of adolescents' health problems and (2) in addition to disease processes, a set of social problems impacting the health-disease process, highlighting drug use and violence. Health needs are translated as demands for cross-sector public social policies.

Adolescent↗
PubMed2003

Managing managed care through accreditation standards.

Accreditation is emerging as a dominant strategy for ensuring accountability and basic quality of services in managed care organizations. Knowledge of accreditation standards can help social workers interact effectively with managed care companies when requesting services for clients and appealing denials. Familiarity with patient's rights protections, the appeals process, and provider credentialing guidelines can help protect social workers as well as clients from unfair decisions by managed care organizations. This article provides an overview of managed care accreditation standards and strategies for integrating this knowledge into advocacy efforts.

Accreditation↗