Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Social Problems”

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 1,495 records · Page 83Linked to original sources
PubMed1999

Quality of Life after traumatic brain injury: A systematic review of the literature.

In modern industrial countries traumatic brain injury (TBI) is a common sequel after different kinds of accidents especially amongst young male adults. Apart from medical and economic consequences Quality of Life (QoL) after TBI becomes increasingly important in outcome assessment. Besides the classical domains of QoL (physical, psychological, social) cognitive impairments are playing an important role especially for TBI patients. In 1991 the Meran conference set important standards and formulated basic guidelines for defining and measuring QoL in surgery, but a special index for TBI patients has not yet been developed. Instead, QoL research concentrates on physical, medical, psychological and social problems only. Based on the existing QoL concept extended by the cognitive aspect it was the aim of this review to give an overview about the recent QoL research in TBI patients since 1991. Sixteen studies in TBI patients mentioning at least 2 domains of QoL (physical, psychological, social, cognitive) were published since 1991. Five of them considered all 4 domains of QoL. All studies except of one dealt with psychological and social problems. Only half of the studies considered cognitive impairments. Four studies tried to define QoL, but none of them included the cognitive component. There was no consensus regarding the definition and the choice of measurement instrument for QoL after TBI. This review of 16 studies considering outcome and QoL after TBI confirms that a homogenous and clinically relevant QoL concept for this group of patients is still missing. Further research in TBI patients should include all 4 domains of QoL.

Journal Article↗
PubMed2004

An assessment of transmission disequilibrium between quantitative measures of childhood problem behaviors and DRD2/Taql and DRD4/48bp-repeat polymorphisms.

In a pilot study of 120 children with reading disabilities, we assessed the presence of linkage and association between the DRD2/Taql and the DRD4/48bp-repeat polymorphisms and quantitative measures of behavioral problems derived from parental rated Child Behavior Checklist (CBCL) [Achenbach, T. M. (1991). TM Manual for the CBCL 14-18. Burlington, VT: University of Vermont]. Analyses included measures of between-family association, and a test of the presence of linkage and association by a logistic regression-based extension of the Transmission Disequilibrium Test (i.e., the logistic regression quantitative TDT). In between-family association analyses the "Social Problem" scale was weakly associated with the number of risk alleles of DRD2 and DRD4, while the "Withdrawn" scale was related to the number of risk alleles of DRD4 (the 7-repeat and the A1 allele respectively were considered the risk alleles). Logistic regression quantitative TDTs yielded statistically significant evidence in favor of linkage and association between DRD2 and "Social Problems" (Wald chi2 = 4.13, df = 1, p = 0.042, odds ratio = 1.97). A statistical trend in favor of linkage and association was found for "Withdrawn" and DRD4 (Wald chi2 = 2.65, df = 1, p = 0.104, odds ratio =1.44). Although preliminary, these findings are consistent with previous data that suggest a role of the same polymorphism in influencing individual sensitivity to reward and response to social cues and reinforcements in man and animal.

Child↗
PubMed2003

What are the problems in palliative care? Results from a representative survey.

The development of a standardised core documentation for palliative care was initiated in Germany in 1996. Results from previous evaluations have shown the wide variability of the documentation in participating units. A different documentation form was used in 2001 using free text entries to find out what problems palliative care specialists perceive in their patients. Fifty-five of the 83 palliative inpatient units in Germany (66% of the units) as well as one unit each from Austria and Switzerland, documented 1304 patients in the core documentation in 2001. Inpatient care was continued until death for 531 patients, 604 patients were discharged home and 169 patients were transferred to other places of care. Palliative care treatment effectively reduced mean physical symptom intensity. Mean intensities of psychological and social problems also were reduced although not as much as physical symptom load. Nursing problems were reduced for those patients discharged but not for those who died in the unit. Anxiety and depression were the most frequent psychological problems. Nursing problems were focussed on impairment of mobility and other activities of daily living such as washing, nutrition and drinking. Excessive distress on caregivers and the organisation of home care were the predominant social problems. In conclusion, this representative prospective survey with the majority of palliative care units in Germany showed the high effectiveness of symptom relief. Using the categories identified in this study, checklists were constructed and included in the documentation forms that are currently used for the core documentation project.

Austria↗
PubMed1995

Sociodemographic profile of children affected by AIDS in Addis Abeba.

A survey was conducted in Addis Abeba between October 2, 1993 and December 10, 1993 to assess orphanhood due to AIDS deaths. It was possible to trace only 1,047 AIDS cases among residents of Addis Abeba. During the survey, 59% of the cases and 16% of their spouses were already dead. The total number of children born to the index cases were 2186, among which, 883 (40.4%) were below 15 years of age. Two hundred eighty (30.4%) of these children had lost either one or both parents. Other social problems include ill health in 10.5% among which 3.9% had AIDS; 14.1% were school dropouts. There were also children who faced abandonment, displacement and who lacked medical care at the time of their illness. The existing coping mechanism seems to be relying on the extended family, which is an important social support system. However, there is a need to raise community awareness and strengthen the system to enhance the effort in protecting and supporting children affected by AIDS.

Acquired Immunodeficiency Syndrome↗
PubMed1990

[The individual sociomedical problems of alcoholism].

Some remarks on the individual medical and social problem of alcoholism are presented. The most significant epidemiological data are reported and the most frequently observed medical complications, namely liver, pancreatic, gastroenteric impairment, alcohol and cardiovascular diseases, alcohol and pregnancy, are analysed. Some general remarks are then offered regarding the alcoholism phenomenon, the concepts of physical/mental health and alcoholism are examined and the personality of the alcoholic is analysed.

Alcoholism↗
PubMed1998

Neoliberalism, "globalization," unemployment, inequalities, and the welfare state.

This analysis of "neoliberalism" and its economic and social consequences is presented in six sections. Section I begins by describing the impact of neoliberal public policies on economic growth and inflation, on business profits and business investments, on productivity, on business credit, on unemployment and social inequalities, on social expenditures, and on poverty and family debt. The author shows that, except in the area of business profits and control of inflation, neoliberal policies have not proved superior to those they replaced. Section II deals with unemployment and social polarization in the developed capitalist countries. The author criticizes some of the theories put forward to explain these social problems, such as the introduction of new technologies and globalization of the economy, and suggests that a primary reason for these problems is the implementation of neoliberal policies. Section III challenges the widely held neoliberal perception that the U.S. economy is highly efficient and the E.U. economies are "sclerotic" due to their "excessive" welfare states and "rigid" labor markets. The author shows that the U.S. economy is not so dynamic, nor the E.U. economies so sclerotic. Some developed countries with greater social protection and more regulated labor markets are shown to be more successful than the United States in producing jobs and lowering unemployment. The reasons for the growing polarization in developed capitalist countries, rooted in political rather than economic causes, are discussed in section IV--especially the enormous power of the financial markets and their influence on international agencies and national governments, and the weakness of the labor movements, both nationally and internationally. Section V questions the major theses of globalization. The author shows that rather than globalization of commerce and investments, we are witnessing a regionalization of economic relations stimulated by political considerations. He also analyzes the globalization of capital finance, criticizing the thesis that capital markets are determining public policies. The economic determinism that underlies the globalization position is questioned, uncovering the importance of political explanations for understanding major social problems such as unemployment. Finally, section VI shows that neoliberal public policies on the deregulation of labor markets are creating enormous instability in the labor force, worsening the living conditions of the majority of the populations.

Developed Countries↗
PubMed2002

The rising generation: laying claim to the health of adolescents in English Canada, 1920-70.

During the opening years of "Canada's Century," adolescents came to constitute a "youth problem," another of the often-overlapping "social problems" of the day. Medical doctors formed a significant cohort among those authorized to identify such potential threats to the national health, in its every sense. As they successfully professionalized, modernized, and took the reins of a burgeoning child welfare movement, doctors became increasingly interested in adolescents. This essay considers the medicalization of adolescence in English Canada between 1920 and 1970. During this half-century, doctors and other "experts" shaped and shared approaches to the all-encompassing "health" of the young, in collectively theorizing a modern adolescence.

Adolescent↗
PubMed2006

Health-systems efficiency in the Russian Federation: tuberculosis control.

OBJECTIVE: To conduct a comprehensive assessment of the case-mix of patients admitted to tuberculosis hospitals and the reasons for their admission in four Russian regions: Ivanovo, Orel, Samara and Vladimir. We also sought to quantify the extent to which efficiency could be improved by reducing hospitalization rates and re-profiling hospital beds available in the tuberculosis-control system. METHODS: We used a standard questionnaire to determine how beds were being used and who was using the beds in tuberculosis facilities in four Russian regions. Data were collected to determine how 4306 tuberculosis beds were utilized as well as on the socioeconomic and demographic indicators, clinical parameters and reasons for hospitalization for 3352 patients. FINDINGS: Of the 3352 patients surveyed about 70% were male; the average age was 40; and rates of unemployment, disability and alcohol misuse were high. About one-third of beds were occupied by smear-positive or culture-positive tuberculosis patients; 20% were occupied by tuberculosis patients who were smear-negative and/or culture-negative; 20% were occupied by patients who no longer had tuberculosis; and 20% were unoccupied. If clinical and public health admission criteria were applied then < 50% of admissions would be justified and < 50% of the current number of beds would be required. Up to 85% of admissions and beds were deemed to be necessary when social problems and poor access to outpatient care were considered along with clinical and public health admission criteria. CONCLUSION: Much of the Russian Federation's large tuberculosis hospital infrastructure is unnecessary when clinical and public health criteria are used, but the large hospital infrastructure within the tuberculosis-control system has an important social support function. Improving the efficiency of the system will require the reform of health-system norms and regulations as they relate to resource allocation and clinical care and implementation of lower-cost approaches to case management for patients with social problems. Additionally, closer attention will need to be paid to the management of staff numbers in the tuberculosis system.

Adolescent↗
PubMed2005

Long-term consequences of childhood sexual abuse by gender of victim.

BACKGROUND: Childhood sexual abuse (CSA) is a worldwide problem. Although most studies on the long-term consequences of CSA have focused on women, sexual abuse of both boys and girls is common. Thus, a comparison of the long-term effects of CSA by gender of the victim will provide perspective on the need for future research, prevention activities, and treatment of survivors. METHODS: A retrospective cohort study was conducted from 1995 to 1997 among 17,337 adult HMO members in San Diego, California. Participants completed a survey about abuse or household dysfunction during childhood, and multiple other health-related issues. Multivariate logistic regression was used to examine the relationships between severity of CSA (intercourse vs no intercourse) and long-term health and social problems (substance use and abuse, mental illness, and current problems with marriage and family) by gender of victim. Models controlled for exposure to other forms of adverse childhood experiences that co-occur with CSA. Among men, the relationship between the gender of the CSA perpetrator to the outcomes was also examined. RESULTS: Contact CSA was reported by 16% of males and 25% of females. Men reported female perpetration of CSA nearly 40% of the time, and women reported female perpetration of CSA 6% of the time. CSA significantly increased the risk of the outcomes. The magnitude of the increase was similar for men and women. For example, compared to reporting no sexual abuse, a history of suicide attempt was more than twice as likely among both men and women who experienced CSA (p<0.05). Compared with those who did not report CSA, men and women exposed to CSA were at a 40% increased risk of marrying an alcoholic, and a 40% to 50% increased risk of reporting current problems with their marriage (p<0.05). CONCLUSIONS: In this cohort of adult HMO members, experiencing CSA was common among both men and women. The long-term impact of CSA on multiple health and social problems was similar for both men and women. These findings strongly indicate that boys and girls are vulnerable to this form of childhood maltreatment; the similarity in the likelihood for multiple behavioral, mental, and social outcomes among men and women suggests the need to identify and treat all adults affected by CSA.

Adult↗
PubMed1996

The abuse of dextromethorphan-based cough syrup: a pilot study of the community of Waynesboro, Pennsylvania.

Drug abuse has been a national social problem in the United States for decades and is often complicated by the emergence of new types of abused drugs or new forms of abuse. In the late 1980s, the community of Waynesboro, Pennsylvania began to detect behavior among its teenagers that suggested a new form of drug abuse and thus a new social problem. The drug was dextromethorphan, used in cough syrup-principally Robitussin DM. The form of abuse is often referred to as "roboing" or "robo-copping." This paper presents the results of the first phase of a comprehensive investigation of this phenomenon in the Waynesboro school district. Data from a survey of school personnel indicate that abuse of cough syrup (Robitussin or other brands) has increased over the years and is increasingly perceived as a problem by the community.

Adolescent↗
PubMed2004

The frequency and associated factors of low back pain among a younger population in Turkey.

STUDY DESIGN: Open design cross-sectional questionnaire. OBJECTIVES: The aims of this study are to determine the frequency of low back pains in the younger population and the factors that have an influence on this frequency. SUMMARY OF BACKGROUND DATA: Low back pain is one of the most important social problems that causes injuries in the younger population. Low back pain frequency is around 30% among adolescents, and 88% of those with low back pain experiences in adolescence have low back pain in later years. Therefore, identifying and, if possible, preventing the associated factors in adolescence and young adulthood is essential for the solution of this social problem. METHODS: A total of 1,552 students from a total of 8,000 who had come from all parts of Turkey for university registration accepted to participate in the study and were given a questionnaire about low back pain experiences, disability, and possible associated factors. RESULTS: Low back pain frequency was found to be 40.9%. This rate increases with age. Abandonment of moderate level physical activity and traumas such as slipping on ice and falling down the stairs were identified as associated factors. CONCLUSIONS: Regular physical activity and the prevention of falls might be ways for decreasing the frequency of low back pain experiences among the youth and significantly influencing the frequency of low back pain in adult population.

Accidental Falls↗
PubMed1986

A factor-analytic study of Tarter's "hyperactivity-MBD" questionnaire.

A number of studies have suggested a relationship between childhood hyperactivity and subsequent alcohol abuse. Research with alcoholics has utilized retrospective, self-report questionnaires to examine the relationship between childhood hyperactivity and alcoholism. Since it is now recognized that "hyperactivity" has been rather loosely and broadly defined, it would seem reasonable to determine the independent behavioral dimensions subsumed within it. The present study factor analyzed the data of 145 alcoholic inpatients on Tarter's 'hyperactivity/MBD' questionnaire. Four factors which included 26 of Tarter's original 50 items were derived--hyperactivity-impulsivity, attentional-socialization problems, antisocial behavior, and learning disability. These factors and the items contained therein were compared with four scales developed on a rational basis by the Hesselbrocks. Additionally, the factor scores of the subjects were cluster analyzed yielding six interpretable clusters. A number of these, such as hyperactivity-impulsivity alone, hyperactivity-impulsivity combined with attentional-socialization problems, and hyperactivity-impulsivity combined with antisocial behavior, are of considerable theoretical interest. Accordingly, further requirements for establishing the validity of the factor analyzed scales and the cluster analysis-based responder groupings were delineated.

Adult↗
PubMed1998

The relationship of pre-treatment Alcoholics Anonymous affiliation with problem severity, social resources and treatment history.

Little research has examined the relationship of substance abuse patients' prior Alcoholics Anonymous (AA) affiliation to important treatment-related variables. This study of 927 individuals seeking treatment in public, health maintenance organization (HMO) and private-for-profit medical programs, found that 82.8% of patients presented at treatment with a history of AA affiliation. Degree of prior AA affiliation was significantly associated with more extensive prior utilization of formal and informal helping resources, current seeking of treatment in the public sector, having low income, being divorced/separated and having more severe alcohol, employment/support and psychiatric problems. Implications for service delivery and future research are discussed.

Adult↗
PubMed1999

The use of legal action in New York City to ensure treatment of tuberculosis.

BACKGROUND AND METHODS: After an increase in the number of cases of tuberculosis, New York City passed regulations to address the problem of nonadherence to treatment regimens. The commissioner of health can issue orders compelling a person to be examined for tuberculosis, to complete treatment, to receive treatment under direct observation, or to be detained for treatment. On the basis of a review of patients' records, we evaluated the use of these legal actions between April 1993 and April 1995. RESULTS: Among more than 8000 patients with tuberculosis, regulatory orders were issued for less than 4 percent. Among patients with a variety of social problems, only a minority required regulatory intervention: 10 percent of those with injection-drug use, 16 percent of those with alcohol abuse, 17 percent of those who were homeless, 29 percent of those who used "crack" cocaine, and 38 percent of those with a history of incarceration. A total of 150 patients were ordered to undergo directly observed therapy, 139 patients to be detained during therapy, 12 patients to be examined for tuberculosis, and 3 patients to complete treatment. These 304 patients had a median of three prior hospitalizations related to tuberculosis and one episode of leaving the hospital against medical advice. Repeatedly noncompliant patients and those who left the hospital against medical advice were more likely than others to be detained. The median length of detention was 3 weeks for infectious patients and 28 weeks for noninfectious patients. As compared with patients ordered to receive directly observed therapy, the patients who were detained remained infectious longer, had left hospitals against medical advice more often, and were less likely to accept directly observed therapy voluntarily. Altogether, excluding those who died or moved, 96 percent of the patients completed treatment, and 2 percent continued to receive treatment for multidrug-resistant tuberculosis. CONCLUSIONS: For most patients with tuberculosis, even those with severe social problems, completion of treatment can usually be achieved without regulatory intervention. Patients were detained on the basis of their history of tuberculosis, rather than on the basis of their social characteristics, and the less restrictive measure of mandatory directly observed therapy was often effective.

Adolescent↗
PubMed1983

Alcoholic women in fertile age treated at an alcohol clinic.

The consumption of alcohol by women in Sweden is strongly increasing, especially in younger individuals. Since the rediscovery of the teratological properties of alcohol most of the studies concerning foetal alcohol damage in man have covered female skid row alcoholics. This investigation describes the medical and social characteristics of a group of women (n = 92) receiving inpatient care for alcoholism compared with an age-matched control group, in relation to obstetrical history. The conditions in the control group were in accord with those of the general population. Social problems and degree of alcoholism were noticeably advanced among the probands. The proband women who gave birth after established regular alcohol consumption were younger, showed more psychiatric complications during the treatment period, had started drinking and developing signs of advanced alcoholism earlier in life compared with probands who gave birth before established regular alcohol consumption. They also exhibited more social disturbances. The social problems caused by the mothers' alcohol abuse are expected to aggravate the biological consequences to their children.

Adult↗
PubMed2002

[The public attitudes towards schizophrenia in a rural area in Turkey].

OBJECTIVE: To determine the public's attitude about schizophrenia and its related factors in a rural population. METHODS: This study was carried out in a village of Manisa. Of the 245 subjects which met the inclusion criteria, 230 subjects were reached and 208 of them constituted the sample of this study. The subjects filled out the sociodemographic information form and the 32-item subscale for schizophrenia of a public survey form which was developed by Psychiatric Research and Education Center. RESULTS: Of the 208 subjects, 76.3% appraised the schizophrenia as an illness, 62.0% considered it as a mental disease, 76.9% noted that social problems were the most frequent etiological factor, 66.8% denoted that the patient should consult with a psychiatrist for the treatment, 61.5% indicated that they would feel uncomfortable with a neighbor with schizophrenia, 61.1% declared that they didn't want to work with anyone with schizophrenia. CONCLUSION: The majority of subjects in rural population recognize the schizophrenia as a mental disease. Social problems are determined as the first-rank etiological factor by the subjects. The public has an adequate knowledge about the treatment of schizophrenia. However they hesitate to apply to psychiatric treatment because of the fear of stigmatisation. The public has a reluctant attitude in becoming close to the patients and has a rejective attitude in keeping a certain distance with the patients. The sociodemographic factors do not seem to have any influence on the attitudes towards the schizophrenia.

English Abstract↗
PubMed2005

Community science: creating an alternative place to stand?

This article comments on two emerging views of community psychology's approaches to the use of research for responding to social problems in contemporary community contexts--(a) the formation of a new field of community science, or (b) the updating of community psychology research traditions. If community science is to become established as a field related to community psychology, its proponents will need to agree upon conventions of epistemology, foci of interest, methods, and standards by which its work can be judged so that it can be distinguished from other human sciences. These articles provide early sketches for what community science might be. However, as noted in this commentary, we need to heed signs of concern about community psychology's continued relevance in public discourse regarding the analysis of and responses to social problems. While this special issue offers some promising responses to the concern of what the field can contribute, the field would be well served if we broaden our dialogue about a renewal of community psychology's commitment to social justice and the need for its perspectives in the practice of research that seeks to address community-based issues in the early 21st century.

Community Mental Health Services↗