Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Social Protection”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,423 records · Page 79Linked to original sources
PubMed2000

The rhetoric vs. the reality in child care and protection: ideology and practice in working with fathers.

Within child care and protection, practitioners can be paralysed by a fundamental gap between the rhetoric and the reality in engaging fathers in their children's care. In an earlier paper we argued that there is a lack of an effective framework to guide practice with fathers in child care and protection work. We examined how health visitors and social workers could begin to assess how fathers could be categorized as either (or both) a risk or an asset to the child. Based on a review of the literature we now explore the limitations of current models of practice and trace the theoretical strands that influence them, drawing from the legal framework, attachment theory and models for anti-oppressive practice. We then highlight messages for practice with fathers for health care professionals involved in child protection. The working context for this paper is Scotland, although we believe that the ideas may be extrapolated to other geographical areas.

Adult↗
PubMedDate not supplied

[Monetary security for the aged--concepts of political distribution goals and income-related effects of pension security systems].

This contribution discusses some theoretical aspects related to the question of whether, and in what way, a uniform social security target has been defined for the monetary old-age protection in the Federal Republic of Germany, and to what extent different pension schemes fulfill this target. The analysis leads to the conclusion that only a "target range", and not a defined value, has been developed for the indicator "individual replacement rate". The investigation into the effects of old-age pension schemes on income shows that, even after benefit cuts, public sector employees, on the whole, are better protected than employees in the private sector. A future, detailed empirical analysis would have to investigate individual social groups.

Aged↗
PubMed1990

Problem drinking and alcohol problems. Widening the circle of covariation.

This chapter reviews research pertaining to two basic premises regarding problem drinking: that a conceptual clarification is necessary, one which makes an explicit distinction between drinking behavior and alcohol-related problems or adverse consequences, and that an adequate theory of problem drinking must extend beyond the alcohol-specific theories to a broad matrix of biological, behavioral, psychological, and social variables. Both cross-sectional and longitudinal studies of drinking in nonclinical populations show that levels of alcohol consumption are only moderately related to alcohol-related adverse consequences, and that a broad array of variables mediate the extent to which normal-population drinkers will be vulnerable to alcohol problems. Factors contributing to differential vulnerability to alcohol problems include the concurrent use of other drugs, engaging in other problem behaviors, personality characteristics such as impulsivity, prior depression, and a lack of social conformity or conventionality, the lack of a protective family environment, stress, and being female. A model of problem drinking consisting of overlapping, but distinct sets of predictors for drinking behavior and alcohol-related adverse consequences is proposed.

Alcohol Drinking↗
PubMed2006

Exchange, affiliation, and protective interventions in semifree-ranging brown capuchin monkeys (Cebus apella).

The "social intelligence" hypothesis proposes that intelligence evolved as a consequence of the need for behavioral maneuvering to deal with the complexities of social life. As a result, coalitions have received considerable attention. Here we present the patterns of coalitionary behavior observed in a semifree-ranging group of Cebus apella and explore the effects of kinship, spatial proximity, and rank. In contrast to descriptions of Old World monkeys and to some descriptions of capuchins, kinship did not influence the pattern of coalitionary behavior, although individuals tended to help those that remained in close proximity. Rank had the greatest influence on coalitions: those that interfered in conflicts (often the alpha) were higher ranking than both contestants and supported the most subordinate (younger) interactant. However, rank did not influence the coalitionary support when conflicts involved only adults. We found no evidence that individuals were making use of triadic knowledge, and most of the coalitions can best be described as protective interventions involving immatures. The overall low rate of coalitions may be due to a period of social stability.

Age Factors↗
PubMed2004

A cross-national comparison of risk and protective factors for adolescent substance use: the United States and Australia.

PURPOSE: To compare risk and protective factors that influence youth substance use in Australia and the United States. The two countries have different policy orientations toward substance use: Australia has adopted harm-reduction policies, and the United States has adopted abstinence-focused policies. METHODS: Cross-sectional survey data were collected from independent samples of adolescents in the states of Maine (N = 16,861; 53% female, 7% Non-white) and Oregon (N = 15,542; 51% female, 24% Non-white) in the United States and Victoria in Australia (N = 8442; 54% Female, 11% Non-white) in 1998 (Maine and Oregon) and 1999 (Victoria). Chi-square tests, t-tests, effect size comparisons, and logistic regression analyses that accounted for age and gender were used to investigate cross-national similarities and differences in: (a) rates of cigarette, alcohol, and marijuana use; (b) levels of risk and protective factors; and (c) magnitudes of associations between risk and protective factors and substance use. RESULTS: More adolescents in Victoria reported using cigarettes and alcohol, whereas more of the U.S. adolescents reported using marijuana. Exposure to risk and protective factors was generally similar in the cross-national samples. However, adolescents in Maine and Oregon perceived handguns to be more readily available, reported more participation in religious activities, and were higher in sensation-seeking and social skills; and adolescents in Victoria had more favorable attitudes toward drug use and reported community norms and parental attitudes more favorable to drug use. Most of the risk and protective factors were strongly associated with substance use to a similar degree in Victoria, Maine, and Oregon. However, among adolescents in Maine and Oregon peer/individual risk and protective factors associated with social detachment were more strongly related to substance use, and among adolescents in Victoria, family protective factors were less strongly related to alcohol use. CONCLUSIONS: Inter-country influences on youth substance use are generally similar despite different policy directions. Existing differences suggest that the abstinence policy context is associated with higher levels of illicit drug use and stronger relations between individual indicators of social detachment and substance use, whereas the harm reduction policy context is related to more cigarette and alcohol use, possibly from exposure to normative influences that are more tolerant of youth drug use.

Adolescent↗
PubMed2005

Time-dependent behavioral, neurochemical, and immune consequences of repeated experiences of social defeat stress in male mice and the ameliorative effects of fluoxetine.

This study attempted to determine whether differing numbers of days of repeated defeat experience altered behavior, immune measures, and neuroendocrine mediators in mice. OF1 male mice were socially stressed by repeated experiences of defeat in a sensorial contact model. Subjects exposed to nine defeats showed more stretch-attend postures and fewer active defense elements than counterparts exposed to 23 defeats. Submissive subjects with nine experiences of defeat also had a lower splenocyte proliferative response than unmanipulated controls. The proliferation index progressively increased but at a higher rate in manipulated controls than in socially stressed subjects, resulting in a significant immunosuppressive effect after 23 days of exposure to social stressors. Nine days of such exposure resulted in higher hypothalamic ratios of serotonin and dopamine to their major metabolites than in unmanipulated or manipulated controls and subjects socially stressed for 23 days. The data generally indicate that the acute social stressors (such as nine defeats) produce a profile of behavioral and physiological variables characteristic of a state of anxiety. The proliferation index was also lower after 52 days of social stress than in manipulated controls. Fluoxetine treatment appeared to have an anxiolytic effect, reducing immobility, and even seemed to protect subjects from the immune impairment and endocrine alteration caused by social stressors. The results generally provide clues that improve our knowledge of the consequences of social stressors and their possible treatment.

Analysis of Variance↗
PubMed1981

Change and psychopathology: epidemiologic considerations.

The authors report data collected on 3674 subjects between 1970 and 1974 as part of an epidemiologic field survey of mental disorder in the southeastern United States, an area which was undergoing rapid sociocultural change. Rates of mental disorder, as measured by the Global Psychopathology Scale, are presented for various sociodemographic groups and are consistent with trends found in previous studies. Analysis of variance and multiple regression techniques are used to explore the relationships among awareness of social change, sociodemographic variables, and psychopathology. Low awareness of change is found to be consistently associated with low psychopathology scores across all socioeconomic groups. The authors postulate a "denial" or "filter" mechanism which may protect particularly vulnerable individuals from the psychic distress accompanying social change.

Adolescent↗
PubMed1994

[Medical-social aspects of repatriation flights].

The increase of journeys abroad has led to a continual rise of international flights repatriating ill or injured persons. These repatriations flights are carried out by rescue organisations such as the German Air Rescue Organisation. A survey of the patients transported has been made in respect with the patient collective. The following factors were taken into accounts: the severity of condition with regulation aids of the NACA (National Advisory Committee for Aeronautics), used by the American Army. Together with medical and social indications an additional parameter had be considered. A questionnaire is available to access the social indications. A neutral observer is recommended to protect the interest of the patient, insurance company and the rescue organisation.

Adolescent↗
PubMed2002

The effect on social welfare of a switch of second-generation antihistamines from prescription to over-the-counter status: a microeconomic analysis.

BACKGROUND: The US Food and Drug Administration (FDA) recently held a meeting to determine whether the status of second-generation antihistamines (SGAs) should be switched from prescription (Rx) to over-the-counter (OTC) status. OBJECTIVE: This article provides a conceptual microeconomic framework for addressing issues regarding the impact of such a switch on social welfare. METHODS: A review of the economic literature on Rx-to-OTC switches was conducted. Relevant articles published in English between 1990 and 2001 were identified through searches of ABI Info, EconLit, PsychInfo, MEDLINE, CANCERLIT, AIDSLINE, and HealthStar, as well as a general Internet search for statements in the press or on the FDA Web site. The search terms used were Rx, prescription, OTC, over-the-counter, second-generation antihistamines, nonsedating antihistamines, first-generation antihistamines, and sedating antihistamines. Microeconomic models focusing on consumer surplus were employed to determine the potential price response and social-welfare implications of a switch of SGAs to OTC status. RESULTS: Unlike the agents involved in previous Rx-to-OTC switches, SGAs are still under patent protection. Economic theory suggests that a firm that is protected by a patent will price aggressively. The market for OTC SGAs is likely to be more elastic due to a lack of insurance coverage for OTC products; hence, drug manufacturers would be likely to charge a lower price if SGAs were sold OTC. However, a lower price does not necessarily guarantee an improvement in social welfare; the net impact is determined by whether the increase in consumer surplus outweighs the deadweight loss (losses of consumer and producer surplus not transferred to other parties). Additionally, the assumption of a price reduction would be called into question if there were inequalities in marginal costs between the Rx and OTC markets. In this situation, the postswitch price might increase or not be reduced significantly. CONCLUSIONS: It is uncertain whether granting OTC status to SGAs would be cost saving to society, particularly as these drugs are patent protected. The social-welfare implications of such a switch would depend heavily on pricing strategies and consumer behavior. Further analyses are needed to determine how both factors influence social welfare; only then can the costs and benefits of a switch be understood completely.

Drug Industry↗
PubMed2003

[Protective factors for mental health of children and adolescents--empirical results validating a concept].

In Public Health, an outlook developed emphasising the importance of assets and protective factors in addition to stress and risk factors. The study aimed at the development of a brief, multidimensional questionnaire to assess protective factors for the mental health of children and adolescents. This questionnaire was to be tested as a self-report survey instrument. In a random sample consisting of 883 children and adolescents aged 11 to 17 years scales already validated in empirical research as well as questions newly developed from aspects of protective factors identified in the literature were applied in a written questionnaire. Three dimensions, covering social, personal and family assets, could be identified from the items by factor analysis. The resulting scales for the assessment of protective factors were analysed for their psychometric characteristics. Mental health and health-related quality of life served as validation criteria. The protective factors proved to significantly influence these outcomes in regression analyses, showing a proportion of explained variance of up to 53 %. The child and adolescent self-report measure presented is apt to give a picture of protective factors for mental health representing the three dimensions of social, personal, and family assets.

Adolescent↗
PubMedDate not supplied

Appraisal, social support, and life events: predicting outcome behavior in school-age children.

To examine the relation between social support and appraisal of life events in predicting adaptive, externalizing, and internalizing behavior in 265 school-age children, child-report on both a global and a significant other measure of social support was used. Life event scores were separated into events endorsed as negative and events endorsed as positive by the child. Using hierarchical regression analyses, the present study tested two models: main effects and moderator models of the relation between life events, social support, and behavioral outcome. Support was found for global social support and positive life events in predicting adaptive, externalizing, and internalizing behavior. Gender differences were also found. Support was found for both the main effects and moderator models of the association between life events and global social support. Appraisal of life events as positive appears to compensate for lower levels of global social support. Appraisal is discussed as a possible protective factor from maladjustment after exposure to major life events.

Adaptation, Psychological↗
PubMed2002

Managing unacceptable risk: sex offenders, community response, and social policy in the United States and Canada.

This article compares the community protection-risk management model for the control of sex offenders with the clinical and justice models that preceded it and with a restorative justice alternative based on the principle of community reintegration. The author discusses how this community protection-risk management model reflects the new penology as well as the fusion of panopticism and synopticism. The author also discusses the model's actual and potential social costs. He concludes with a brief look at circles of support and accountability. This Canadian approach involves setting up support circles of volunteers who enter into a covenant with persons designated as high-risk sex offenders to help them both to integrate into the community and to reduce the likelihood that they will reoffend.

Canada↗
PubMed1997

Social relationships and immune processes in HIV seropositive gay and bisexual men.

This three-year longitudinal study assessed the association between social relationships and human immunodeficiency virus (HIV) progression in individuals at risk for morbidity and mortality due to acquired immune deficiency syndrome (AIDS). Two-hundred five HIV seropositive men without AIDS completed measures of social integration and loneliness at baseline. Blood samples used to assess CD4 T-lymphocyte levels were collected at baseline and at six-month intervals for a three-year follow-up period. Contrary to expectation, lower levels of baseline loneliness predicted more rapid declines in CD4 levels over the follow-up period. This association was independent of baseline CD4 values, negative affect, and health practices. A series of mediational analyses revealed that sexual behavior, medication use, bereavement, coping, and a number of other variables were not mechanisms through which loneliness affected the immune system. Loneliness was not associated with time to AIDS diagnosis or time to AIDS-related mortality. These findings are consistent with the emerging view that social relationships can have deleterious, as well as protective, influences on health outcomes.

Acquired Immunodeficiency Syndrome↗
PubMed1998

Social relationships and the progression of human immunodeficiency virus infection: a review of evidence and possible underlying mechanisms.

We review studies examining the quality and quantity of social relationships as potential risk factors for differential progression of human immunodeficiency virus (HIV) infection. Several well-conducted prospective studies suggest that the health effects associated with the presence of supportive social relationships vary according to disease stage and mode of transmission. For gay or bisexual males in the early stages of infection, the presence of supportive social relationships appears to be a risk factor for accelerated disease progression. For individuals in the later stages of infection and those who acquire HIV via intravenous drug use or transfusion, supportive social relationships appear to be associated with health protective effects similar to those observed in other disease settings. We consider a variety of potential explanations for accelerated disease progression in gay men with extensive networks of personal relationships.

Acquired Immunodeficiency Syndrome↗
PubMed2003

Socio-economic factors associated with the purchasing of insecticide-treated nets in Afghanistan and their implications for social marketing.

Malaria is often a major health problem in war-torn countries in the tropics owing to the collapse of health services and the vulnerability of displaced populations to epidemics. Insecticide-treated nets (ITN) represent one of the few options for obtaining protection against malaria in unstable settings deficient in health infrastructure. Social marketing of subsidized ITN by a consortium of non-governmental organizations began in Afghanistan in 1993 and has continued every year since then despite regular political turmoil. Almost 350,000 nets have been sold and approximately 1.2 million people protected. In 2000 we examined the determinants of ITN purchasing among households in Nangarhar province, eastern Afghanistan, as part of an effort to increase ITN uptake. The survey was conducted using a structured questionnaire to collect data on socio-economic characteristics and malaria beliefs and practices among more than 400 net-owning and non-net-owning households. A composite socio-economic index was created using principal components analysis, and survey households were divided into socio-economic quartiles. ITN were 4.5 times more likely to be purchased by families from the richest quartile and 2.3 times more likely to be purchased from the upper-middle quartile than from the two lower quartiles. Even so, a significant minority from the lower quartiles did prioritize and buy ITN. In conflict affected countries where livelihoods are compromised, it is necessary to target subsidies at the most impoverished to make ITN affordable and to improve overall coverage.

Adult↗