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PubMed1975

Goal-striving discrepancy stress in urban Filipino men: II. Housing.

As part of a larger investigation of social/psychological stress and psychiatric adaptation in urban Manila, efforts were made to study the effects of goal-striving discrepancy stress in housing among Filipino men from different age groups and social classes. Goal-striving discrepancy stress is an organismic state characterized by tension and discomfort due to discrepancies between aspirations and achievements. Several studies have demononstrated that goal-striving discrepancy stress are asociated with psychiatric disorder. The present study focused upon the discrepancies between aspiration and achievements in housing among Filipino men. Housing constitutes one of man's basic problems in urban societies; however, in spite of the fact that housing is related to psychiatric adaptation, relatively few studies have been made of this problem. It is important to recognize that housing has numerous psychological implications for an individual. It is a symbol of social status and social acceptance and greatly influences an individual's view of himself and others. Some investigators have even suggested that housing may be construed as a symbolic representation of the mother-child relationship. For the present investigation, twelve housing characteristics considered to be important to Filipinos e. g., size, cost, location, ownership of land, etc., were derived and ninety-six Filipino males from different age groups and social classes were asked to indicate both their aspiration and their actual achievement for each of the twelve housing characteristics. Goal-striving discrepancies were obtained by subtracting the aspirational endorsements from the achievement endorsements. The discrepancy scores were then correlated with various psychiatric symptom patterns through factor analysis. Results of the investigation revealed profound social class differences in the amount of goal-striving discrepancy stress. ......

Achievement↗
PubMed2005

Childhood IQ of parents related to characteristics of their offspring: linking the Scottish Mental Survey 1932 to the Midspan Family Study.

The objective of the study was to investigate the relationship between childhood IQ of parents and characteristics of their adult offspring. It was a prospective family cohort study linked to a mental ability survey of the parents and set in Renfrew and Paisley in Scotland. Participants were 1921-born men and women who took part in the Scottish Mental Survey in 1932 and the Renfrew/Paisley study in the 1970s, and whose offspring took part in the Midspan Family study in 1996. There were 286 offspring from 179 families. Parental IQ was related to some, but not all characteristics of offspring. Greater parental IQ was associated with taller offspring. Parental IQ was inversely related to number of cigarettes smoked by offspring. Higher parental IQ was associated with better education, offspring social class and offspring deprivation category. There were no significant relationships between parental IQ and offspring systolic blood pressure, diastolic blood pressure, cholesterol, glucose, lung function, weight, body mass index, waist hip ratio, housing, alcohol consumption, marital status, car use and exercise. Structural equation modelling showed parental IQ associated with offspring education directly and mediated via parental social class. Offspring education was associated with offspring smoking and social class. The smoking finding may have implications for targeting of health education.

Adult↗
PubMed1977

The distribution of dentists and the uptake of dental treatment by schoolchildren in England.

The uptake of treatment by 508 14-year-old children in different social classes in two towns in England with different dentist:population ratios was investigated. In the town with the unfavorable dentist:population ratio (Town U) the uptake of treatment was considerably higher in the higher social classes. In the town with the favorable dentist:population ratio (Town F) the uptake was similar throughout the social scale. The results suggest that the availability of dentists rather than sociologic attitudes to dental health is largely responsible for the differential uptake of treatment by children in the different social classes.

Adolescent↗
PubMed1994

Allergic diseases, dental health, and socioeconomic situation of Swedish teenagers. Allergy, dental health, and social situation.

OBJECTIVE: To study the association between allergic diseases (eczema, allergic rhino-conjunctivitis, and asthma), dental health, and the socioeconomic situation of Swedish teenagers. DESIGN: Cross-sectional survey with a questionnaire for allergic symptoms and parents' occupation (for socioeconomic classification); current dental status from the Public Dental Service. Bronchial reversibility test. Telephone inquiry of asthma cases. SETTING: Primary care and a school in the centre of a middle-sized Swedish town (approx. 80,000 inhabitants). PARTICIPANTS: 137 pupils of both sexes, 13-15 years old. MAIN OUTCOME MEASURES: Number of reported cases with allergic disease and outcome of bronchial reversibility test in relation to social class. Number of validated cases of asthma. Number of filled tooth surfaces in healthy and diseased cases. RESULTS: Socioeconomic situation was found to associate with dental health, i.e. more fillings in lower social classes (P = 0.01), and with allergic disease, i.e. asthma and rhino-conjunctivitis (P = 0.05). Individuals from the upper social classes seemed prone to overreport asthmatic symptoms, whereas teenagers in the lower classes did the opposite, as indicated by five cases of pathologic values after bronchial reversibility tests in individuals who did not report asthmatic symptoms. CONCLUSION: The study indicates that socioeconomic situation associates significantly with both dental health and allergic disease. No association was found between dental health and allergic diseases.

Adolescent↗
PubMed1991

Premature deaths among men in a Swedish municipality--social characteristics prior to death.

Premature deaths among 91 men in a Swedish municipality were analyzed regarding social class, immigrant status and their contacts with the Social Services because of alcohol abuse. Unskilled manual workers were overrepresented (54% versus 28% in an age-adjusted male reference group) and self-employed (other than professionals) were underrepresented (4% versus 15%). The job situation was, however, rather stable and low unemployment (1%) was at hand. The proportion of men born in Finland was high (20%). All men in this group belonged to the lowest social class. Single men (unmarried or divorced) were overrepresented compared to the Swedish group (72% versus 40%). Cardio-vascular disease was a common cause of death among the Finnish men (56% versus 36%). Combining medical and social data revealed alcohol abuse among 40% of the 91 men (50% among the Finnish and 37% among the Swedish men). The most complete information was given by the primary health care records where 89% with alcohol abuse were identified, which is a high proportion compared to other studies. Only 28% were considered to have alcohol abuse according to the Social Services.

Adult↗
PubMed2005

Class, cohort, and consumption: the British experience of the third age.

OBJECTIVE: This study examines the relative effect of historical and social class location on engagement in consumerism within two different cohorts of retired people in the United Kingdom. METHODS: With use of self-reported data from the retired members of a nationally representative survey, an index of consumption was constructed. Its internal reliability was analysed and analyses of variance performed to examine the impact of class of origin, cohort, and class at exit on levels of self-reported "consumerism." RESULT: The index demonstrated sufficient internal reliability to provide an operational measurement of "consumerism" within this retired population. Analyses of variance confirmed that class at exit and cohort but not class of origin contributed significantly to variation in levels of consumerism. These effects were not mediated by cohort differences in health. DISCUSSION: Occupational standing immediately before retirement was associated with "consumerism" after retirement. This is unsurprising. The results also show that birth cohort exercised a stronger historical influence on current consumption in later life than did class background (i.e., paternal social class). This supports our thesis that the limited but increasing immersion in mass consumer society of successive cohorts who were born and grew up earlier in the 20th century continues to be reflected in levels of "consumerism" in retirement.

Aged↗
PubMedDate not supplied

Prevalence of migraine in schoolchildren and some clinical comparisons between migraine with and without aura.

OBJECTIVES: To determine the prevalence of migraine and its association with age, gender, and social class and to find out whether or not the headache and nonheadache characteristics differ between children with migraine, with and without aura, using the diagnostic criteria of the International Headache Society for childhood migraine. DESIGN: Population-based study in two stages comprising an initial screening questionnaire followed by telephone interviews of children with symptoms. SETTING: Eighteen kindergarten and 39 primary and secondary schools in Thessaloniki and its semiurban areas. SUBJECTS: Four thousand children, aged 4 to 15 years, representing a random sample of 5% of schoolchildren in Thessaloniki and its semiurban areas. MAIN OUTCOME MEASURES: (1) The prevalence of migraine, (2) the connection of migraine with social class, (3) differences in the occurrence of individual symptoms between migraine with and without aura. RESULTS: The results of the present study show that migraine prevalence was 6.2% (95% confidence interval [CI], 5.4 to 7.0). The estimated prevalences of migraine with and without aura were 2.8% (95% CI, 2.3 to 3.4) and 3.4% (CI, 2.8 to 4.0), respectively. The prevalence of migraine increased with age and it was found to be almost equal in boys and girls aged 7 to 9 years or younger, but in older age groups the prevalence was higher in girls than in boys. The data showed no evidence that connected migraine with social class. It also showed that except for the aura, the headache (e.g., frequency, duration, location, quality, and severity) and nonheadache (e.g., nausea, vomiting, phonophobia, and photophobia) characteristics were no different between children with migraine, with and without aura. In conclusion, our findings indicate that migraine is a common underdiagnosed cause of severe recurrent headache in children. The findings show that childhood migraine is not connected with social class and varies with age and gender, and that except for the aura, both migraine with and without aura are so similar in their headache and nonheadache clinical characteristics that a common pathogenesis is plausible.

Adolescent↗
PubMed2000

Combined seropositivity for H. pylori and C. pneumoniae is associated with age, obesity and social factors.

BACKGROUND: Manifestations of cardiovascular disease (CVD) have been associated with chronic infection by Helicobacter pylori and Chlamydia pneumoniae both in cross-sectional and in prospective follow-up cohort studies. This association may be partly due to an increase in metabolic risk factors for CVD, secondary to low-grade inflammation caused by infections. OBJECTIVE: To investigate for subjects classified according to serology titres for infection with C. pneumoniae and H. pylori associations between seropositivity and the degree of obesity and fasting insulin levels, as well as social factors. METHODS: Using methods based on those in earlier investigations of hypertensive patients in the Dalby primary-health-care district, southern Sweden, we investigated frozen samples from serum of 310 middle-aged treated hypertensives and 288 age-matched and sex-matched normotensive controls from a defined population. The baseline examination included the measurement of weight, height and blood pressure as a mean of two office readings with the subject supine. The body mass index (BMI) was calculated as kg/m2. Fasting blood samples were drawn for measurements of levels of serum lipids, blood glucose, plasma insulin and serum lipids, including total cholesterol and triglycerides. The serology titres for H. pylori were determined by an enzyme-linked immunosorbent assay. The titres for C. pneumoniae were determined by a micro-immunofluorescence method. Self-reported factors concerning social and lifestyle backgrounds were recorded. RESULTS: The group (n = 245) of subjects with combined positive serology for H. pylori and C. pneumoniae differed from the group without any positive serology (n = 57) in age (61.6 versus 57.4 years, P < 0.05) and BMI (27.3 versus 25.8 kg/m2, P < 0.05). The seropositive group also differed in terms of fasting levels of insulin (12.7 versus 11.6 pmol/l, P < 0.05), but this difference did not remain significant after adjustment for age and BMI. We detected no intergroup difference in blood pressure and levels of glucose and lipids. Members of the group with combined seropositivity reported having a lower social-class position (educational level) than that of members of the seronegative group. CONCLUSION: Subjects with combined positive serology for H. pylori and C. pneumoniae are characterized by greater age, lower social class and higher BMI, as well as higher fasting levels of insulin than those of seronegative subjects. Obesity might be a marker not only for lower social class but also for greater than normal susceptibility to such infections.

Age Factors↗
PubMed1985

Changes in the characteristics of families with Down's syndrome children.

A study of two cohorts of Down's syndrome children living at home in South Wales and born in 1964-66 and 1973-75 respectively shows that there are significant differences in the characteristics of their families. Parents of those born in the seventies were younger at the birth and of higher social class than parents with children born in the sixties. In the seventies the Down's syndrome child was more likely to be the couple's first child. Most changes result from the introduction of the amniocentesis test which is offered to older pregnant women. It is suggested that the social class differences are likely to be explained by changes in fertility in the various social classes.

Adult↗
PubMed2000

Death and deprivation: an exploratory analysis of deaths in the health and lifestyle survey.

An analysis is undertaken of deaths of respondents in the UK- representative Health and Lifestyle Survey. The sample was originally interviewed in 1984/5 and followed initially until May 1997. Using multilevel logistic and Cox-proportional hazards models, the relationships between death and a wide range of social circumstances and behaviours is explored. It is found that place deprivation interacts with individual social class in accounting for variations in mortality. This is the case even when account is taken of personal health-related behaviour. There appears to be some evidence of a threshold relationship such that the differential effects of social class are only found at high-levels of deprivation. No statistically significant interactions are found for social and behavioural variables, for behavioural and place deprivation variables, and for social and place deprivation variables with the exception of social class. The study is deliberately exploratory and a wide range of models have been fitted which will be subject to more rigorous evaluation as the HALS death study proceeds.

Health Behavior↗
PubMed1995

Trans fatty acids in the Scottish diet. An assessment using a semi-quantitative food-frequency questionnaire.

Trans fatty acids produced during hardening of oils have been associated with higher cholesterol levels and increased risk of heart disease. The potential risk from trans fatty acids may be greater in populations with relatively low intakes of essential fatty acids such as the Scots, who also have a high prevalence of heart disease. Means and ranges of trans fatty acid intakes are reported here for a Scottish population. A semi-quantitative food-frequency questionnaire was used to survey the diet of 10,359 Scottish men and women aged 40-59 years in 1984-6 as part of the baseline Scottish Heart Health Study. Trans fatty acid levels were calculated for each food item on the questionnaire and the total subdivided into that which is derived naturally (primarily by bacterial fermentation in ruminants) and that which is produced during industrial hydrogenation (hardening) of vegetable and fish oils. Means and ranges of intakes of each trans fatty acid variable were calculated by sex, age, smoking and social class groups. Mean total trans fatty acid intakes for men were 7.1 (SD 3.1) g/d, 2.7 (SD 2.9)% energy and for women were 6.4 (SD 2.9) g/d, 3.3 (SD 3.0)% energy. Industrially hydrogenated trans fatty acids made up nearly 58% of the total intake for men and 61% for women, with about 60% coming from cakes, biscuits and sweets, and 20% coming from the cheaper hard margarines. The main sources of the naturally derived trans fatty acids were red meat (27%), milk (20%), butter (18-19%) and cheese (13-16%). Differences between age, smoking and social class groups were apparent. However, apart from the social class differences of up to 1 g/d, these were so small that they are unlikely to be of any biological significance unless compounded by other factors such as marginal essential fatty acid adequacy. The possibility of trans fatty acid intakes up to 48 g/d and 12% total energy (compared with the Department of Health (1991) recommendations of 5 g/d or 2% energy) highlights the need for careful monitoring of the health risks at these high levels of intake.

Adult↗
PubMedDate not supplied

[Sociodemographic differences in adherence to the Mediterranean dietary pattern in Spanish populations].

OBJECTIVES: Lower social classes tend to eat a less healthy diet. The aim of this study was to compare adherence to the Mediterranean dietary pattern among different demographic and social groups in the adult population. METHODS: A cross-sectional study was performed in southern and northern regions of Spain in healthy volunteers (15,634 men and 25,812 women), aged 29-69 years, who were members of the European Prospective Investigation on Cancer cohort in Spain. Nine groups of food were included in the definition of the Mediterranean diet: vegetables and garden products, fruits, pulses, cereals, red meat, fish, olive oil, milk and milk products, and wine. Two techniques were used in the analysis: comparison of the mean daily intake of each group and calculation of an overall score for all the foods according to educational level and original social class. RESULTS: Groups with the lowest educational levels consumed more cereals and pulses and lower quantities of vegetables, olive oil (women), milk and milk products (men). Wine consumption was positively associated with education in women and was negatively associated in men. Calculation of a score to measure overall adherence to the Mediterranean dietary pattern eliminated differences according to each food category. No variations were found according to educational level, but small differences were found in original social class. The adherence score was lowest in young adults and women and was slightly higher in the south than in the north of Spain. CONCLUSIONS: The results suggest that the Mediterranean dietary pattern is fairly uniform, at least in the adult population of the regions included in this study.

Adult↗
PubMed1991

An examination of practice referral rates in relation to practice structure, patient demography and case mix.

This paper examines the variation in practice referral rates from 53 practices over a twelve-month period. Data from the Second National Morbidity Study were used in relation to practice structure; age, sex and Social Class composition of the patient population; and the case mix by practice. The results show that the age of the patient is an important determinant of the probability of referral, whereas Social Class has little influence. Analysis of the practice-based data showed that practices were highly concordant in their referral activity across sex and age (greater or less than 45 years), sex and Social Class (manual or non-manual), and across chapters of the disease classification. This degree of concordance points to characteristics of the practices rather than patients, and their problems as the main source of variation in practice referral behaviour.

Chi-Square Distribution↗
PubMed1992

Depression in Guatemalan adolescents.

A sample of 339 adolescents from the school population of three social classes in Guatemala City were administered a modified version of the Center for Epidemiological Studies Depression Scale for Children (CES-DC-M). Of the total sample, 35.1% were found to be depressed. A two-way analysis of variance (gender by social class) showed differences which approached statistical significance and reflected a significant main effect of gender but not social class. Implications of the findings are discussed.

Adolescent↗
PubMed1997

Unemployment and cancer: a literature review.

With a tenth of the labour force involuntarily out of work, unemployment has become an important element among the socioeconomic determinants of health in the rich countries. Unemployed men have an excess cancer mortality of close to 25% compared with that of all men in the labour force. The available data from various countries indicate that this excess risk is found both in periods when the unemployment rate is about 1% and in periods when it is about 10%. Furthermore, it persists long after the start of unemployment and it does not disappear when social class, smoking, alcohol intake, and previous sick days are controlled for. The excess cancer mortality comes mainly from lung cancer, and the increased risk of lung cancer does not disappear when social class and number of previous sick days are controlled for. Unemployment does not increase smoking, but unemployed men have a slightly higher smoking prevalence before unemployment. However, as the excess lung cancer risk among unemployed men remains after controlling for social class, it seems unlikely that it can be explained only by differences in smoking prior to unemployment.

Adolescent↗
PubMed1989

Health education using video recordings in a general practice waiting area: an evaluation.

With the help of a patient participation group video recordings of health education programmes were shown in the waiting area of a health centre. Patients could choose whether or not to watch the programmes. When asked their views on the project 87% of patients responded positively, and 50% of those who watched could recall specific facts presented. There were no significant differences in age or sex between those who chose and chose not to watch the video recordings. However, unemployed patients and those in social classes 4 and 5 were significantly less likely to watch the programmes than those in social classes 1-3. The use of video recordings in both primary care and hospital waiting areas and the possible role of the health education authority as a central resource is discussed. This system could provide a useful means of extending health education, although further research is needed on the response of different social classes to different forms of health education.

Attitude to Health↗
PubMed1988

Hearing capacity in samples of men from the general population. The study of men born in 1913 and 1923.

The auditory pure-tone thresholds and a number of factors affecting hearing were studied in a sample of 767 60-year-old men and 220 50-year-old men from the general population of Gothenburg, Sweden. There was a good correlation between self-reported hearing and measured hearing acuity. The auditory function in this study was generally poorer than in other comparable studies, which probably reflects the influence of an urban industrialized environment on hearing. The hearing acuity of the right ear was generally better than that of the left. This was not entirely due to selective noise exposure but possibly partly due to a biological difference between the two ears. The two predominant factors affecting the hearing were noise exposure and otitis media sequelae, assessed as tympanic membrane pathology. Noise exposure mainly affected the high-frequency range, whereas middle ear pathology affected all frequencies and was added to noise-induced hearing loss. Men from low social classes had poorer hearing than men in higher social classes. This gradient persisted to some extent when noise exposure and tympanic membrane pathology were taken into account. About 11% of the 60-year-old men and 4% of the 50-year-old men fulfilled the criteria for hearing aid amplification, illustrating the need for such equipment in the short-term perspective, and noise protection in the long run.

Audiometry, Pure-Tone↗
PubMed1981

New assessment of the effects of birth order and socioeconomic status on birth weight.

A survey of the 20 698 singleton births occurring in one year to women resident in the Greater Dublin area provided information on birth weight, birth order, and social class. Low (less than or equal to 2500 g), suboptimal (less than or equal to 3000 g), and optimal (3001-4499 g) birth weights all showed a linear relation with social class. The incidence of low and suboptimal birth weight was highest in first, fifth, and subsequent births, and conversely optimal weight was commonest in second, third, and fourth births. Analysis indicated that a major part of the birth-order effect was attributable to social class. Birthweight categories give information which may be distorted when using mean weight alone. The ue of suboptimal and optimal weight offers the possibility of more accurate assessment of trends in performance, particularly in small samples, than does the conventional sole use of low birth weight. Low and suboptimal birth weights are uncommon in Dublin.

Birth Order↗